Depending on the experience that you wish to have,,and the location of your birth, you may want to decide what type of midwife you are going to have. A CNM and a CPM are both very trained and effective in doing their job, and I understand that in New Jersey, they also must consult an OB/GYN about your care, especially if they detect a high risk situation.
A Certified Professional Midwife (CPM) is an independent practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The NARM certification process recognizes multiple routes of entry into midwifery and includes verification of knowledge and skills and the successful completion of both a Written Examination and Skills Assessment. The CPM credential requires training in out-of-hospital settings. They normally have a more holistic approach to natural birthing, and do not have a nursing background.
Certified Nurse Midwives (CNMs) provide health care involving emotional and physical support to women before, during, and after childbirth. They are registered nurses with specialized training in assisting pregnant women and their newborn babies. CNMs must complete an accredited program of study and clinical experience in obstetrical care. Certified nurse midwives participate in a variety of services that include providing gynecological services like Pap smears and breast examinations, advising women about reproductive health and personal care, and monitoring the health of the mother and fetus during pregnancy. They also perform complete prenatal care including abdominal and pelvic examinations and evaluations. Another important service that CNMs provide is educating women and their families about childbirth methods, infant care, nutrition, and proper exercise. They work closely with obstetricians and other physicians when medical treatments and medications are necessary.
More definitions can be found at Midwives Alliance of North America.
Showing posts with label making choices for pregnancy. Show all posts
Showing posts with label making choices for pregnancy. Show all posts
Thursday, September 8
Wednesday, September 7
What is purple pushing?
Purple pushing, also described as Valsalva pushing, is when you get to 10 cm and the doctor and the nurses order you to "PUSH" but you are not feeling it. You are forcing yourself to push, but your body is not ready.
Many times they ask the mom to push, when is not ready, laying down, and in stirrups, where it may cause tears, and endanger the baby, because gravity many times is not helping, and a decrease of oxygen in the body to mom and baby can occur.
In Birthing Naturally, a post is dedicated to pushing, Birth Plan Options: Pushing, the break down "pushing" to three types, "Directed or Purple Pushing", "Spontaneous or Mother Directed Pushing" and "Exhale Pushing." There are benefits to directed pushing and the only one I see is for those that are managing labor, and want to get out quickly, the author states, "This style of pushing can be helpful it there is concern for your baby's health because directed pushing does decrease the amount of time spent in second stage labor." Now the side effects are, "directed pushing does increase the chance of a tear, increases the mother's fatigue and can decrease oxygen levels for both mother and baby." Spontaneous pushing decreases the chance of tearing, and Exhale pushing, helps the mother relax if they can coordinate the breathing with the pushing.
This blog that I found has a nice description about purple pushing. She describes a situation where you have eaten dinner, and than you are told go to the bathroom to poop...The logic is the same, you don't direct someone to poop, you just let them go when their heart desires...Purple Pushing: Just Say No
In this article, posted by Karen, called Pushing: Woman to Woman Childbirth Education again she goes ahead and talks about how impractical it is to tell a woman to push, when she is fully dilated. She explains that there is a latent period, and that there may be a period where "nature" is giving the woman a "break" before she has to push the baby out after enduring the contractions. I prefer this last blog as it offered a study of 39 first time moms that were allowed to do spontaneous pushing and had "intact perineums postpartum"
Again the same line is repeated, manage pushing helps decrease time in labor, but offer three serious side effect that anyone would like to avoid. Spontaneous pushing during birth: Relationship to perineal outcomes reached the following conclusion: “These studies indicate that the only apparent advantage of Valsalva pushing is a shorter second stage, which, on occasion, may be desirable. However, expediting delivery by forceful, directed pushing is achieved at the expense of three negative outcomes: reduced oxygenation of the fetus, more frequent trauma to the birth canal, and potential injury to future pelvic floor function.” The above study was published on February 12, 1999.
Another issue, discussed in the last article, is having an epidural. When you have an epidural, you lose sensation, and therefore you cannot feel when you have the urge to push. In this instance, you need to be directed, but again the dangers to the pelvic floor and perineum continue to be the same. An epidural is again managed labor, which with all the risks involved, most women should avoid and learn to trust and know their bodies.
Many times they ask the mom to push, when is not ready, laying down, and in stirrups, where it may cause tears, and endanger the baby, because gravity many times is not helping, and a decrease of oxygen in the body to mom and baby can occur.
In Birthing Naturally, a post is dedicated to pushing, Birth Plan Options: Pushing, the break down "pushing" to three types, "Directed or Purple Pushing", "Spontaneous or Mother Directed Pushing" and "Exhale Pushing." There are benefits to directed pushing and the only one I see is for those that are managing labor, and want to get out quickly, the author states, "This style of pushing can be helpful it there is concern for your baby's health because directed pushing does decrease the amount of time spent in second stage labor." Now the side effects are, "directed pushing does increase the chance of a tear, increases the mother's fatigue and can decrease oxygen levels for both mother and baby." Spontaneous pushing decreases the chance of tearing, and Exhale pushing, helps the mother relax if they can coordinate the breathing with the pushing.
This blog that I found has a nice description about purple pushing. She describes a situation where you have eaten dinner, and than you are told go to the bathroom to poop...The logic is the same, you don't direct someone to poop, you just let them go when their heart desires...Purple Pushing: Just Say No
In this article, posted by Karen, called Pushing: Woman to Woman Childbirth Education again she goes ahead and talks about how impractical it is to tell a woman to push, when she is fully dilated. She explains that there is a latent period, and that there may be a period where "nature" is giving the woman a "break" before she has to push the baby out after enduring the contractions. I prefer this last blog as it offered a study of 39 first time moms that were allowed to do spontaneous pushing and had "intact perineums postpartum"
Again the same line is repeated, manage pushing helps decrease time in labor, but offer three serious side effect that anyone would like to avoid. Spontaneous pushing during birth: Relationship to perineal outcomes reached the following conclusion: “These studies indicate that the only apparent advantage of Valsalva pushing is a shorter second stage, which, on occasion, may be desirable. However, expediting delivery by forceful, directed pushing is achieved at the expense of three negative outcomes: reduced oxygenation of the fetus, more frequent trauma to the birth canal, and potential injury to future pelvic floor function.” The above study was published on February 12, 1999.
Another issue, discussed in the last article, is having an epidural. When you have an epidural, you lose sensation, and therefore you cannot feel when you have the urge to push. In this instance, you need to be directed, but again the dangers to the pelvic floor and perineum continue to be the same. An epidural is again managed labor, which with all the risks involved, most women should avoid and learn to trust and know their bodies.
Tuesday, September 6
Enlaces de Grupos de Apoyo
Estos son enlaces para grupos de apoyo en la lactancia y parto en español. Normalmente escribo en ingles, pero los problemas de maternidad nos afecta en cualquier idioma.
Desafortunadamente, muchas mujeres no saben sus derechos, y caen a manos de medicos que no tienen experiencia en partos naturales, y terminan con cesearas innecesareas.
La primera pagina, es "¡Que no os separen!" Esta pagina habla sobre el apollo a la lactancia materna.
No separar es:
Asegurar el contacto piel con piel inmediato y constante entre la madre y el recién nacido. Método madre canguro
No cortar el cordón umbilical hasta que éste haya transferido toda la sangre de la placenta.
Facilitar el inicio de la lactancia materna en los primeros minutos de vida.
La pagina de la Doctora Parilla, http://www.draparrilla.com/index.html
http://www.promani.org/
La Fundación Puertorriqueña para la Protección de la Maternidad y la Niñez -PROMANI es una organización no-gubernamental sin fines de lucro cuya misión es contribuir al mejoramiento de la salud de la población de mujeres en edad reproductiva y de sus hijos\as a través de la educación, la orientación y el apoderamiento de todos los miembros del núcleo familiar, así como a través de la investigación de los factores que inciden sobre la salud de las madres y los\as niños\as, y la implantación de estrategias a esos fines.
Mujeres Ayudando Madres (MAM) tiene como misión promover los derechos, la educación y el bienestar de las madres durante la etapa de la maternidad. MAM se basa en la promoción de cambios dirigidos al apoderamiento y desarrollo sustentable de las madres durante la etapa de la gestación y posparto.
Desafortunadamente, muchas mujeres no saben sus derechos, y caen a manos de medicos que no tienen experiencia en partos naturales, y terminan con cesearas innecesareas.
La primera pagina, es "¡Que no os separen!" Esta pagina habla sobre el apollo a la lactancia materna.
No separar es:
Asegurar el contacto piel con piel inmediato y constante entre la madre y el recién nacido. Método madre canguro
No cortar el cordón umbilical hasta que éste haya transferido toda la sangre de la placenta.
Facilitar el inicio de la lactancia materna en los primeros minutos de vida.
La pagina de la Doctora Parilla, http://www.draparrilla.com/index.html
http://www.promani.org/
La Fundación Puertorriqueña para la Protección de la Maternidad y la Niñez -PROMANI es una organización no-gubernamental sin fines de lucro cuya misión es contribuir al mejoramiento de la salud de la población de mujeres en edad reproductiva y de sus hijos\as a través de la educación, la orientación y el apoderamiento de todos los miembros del núcleo familiar, así como a través de la investigación de los factores que inciden sobre la salud de las madres y los\as niños\as, y la implantación de estrategias a esos fines.
Mujeres Ayudando Madres (MAM) tiene como misión promover los derechos, la educación y el bienestar de las madres durante la etapa de la maternidad. MAM se basa en la promoción de cambios dirigidos al apoderamiento y desarrollo sustentable de las madres durante la etapa de la gestación y posparto.
Monday, September 5
Empowerd Birth Awareness Week
Empowered Birth Awareness
This week there are events and things planned for the woman to learn about being empowered for birth.
Their description states....
The purpose of the event is to grow our paradigm of empowered birth by FLOODING the public yearly with our vision,
our definitions,
ideas,
...images ,
stories and
inspirations,
in short, to share our reality of what it means to have an, empowered birth
I hope that this movement helps woman all over the United States, Puerto Rico, and around the globe learn about their choices, and to know how powerful their bodies are. They don't have to follow blindly the instructions of someone who does not list them as number one...They are number one and only they can determine what place and time to be, do, have what you need, when you need it.
This week there are events and things planned for the woman to learn about being empowered for birth.
Their description states....
The purpose of the event is to grow our paradigm of empowered birth by FLOODING the public yearly with our vision,
our definitions,
ideas,
...images ,
stories and
inspirations,
in short, to share our reality of what it means to have an, empowered birth
I hope that this movement helps woman all over the United States, Puerto Rico, and around the globe learn about their choices, and to know how powerful their bodies are. They don't have to follow blindly the instructions of someone who does not list them as number one...They are number one and only they can determine what place and time to be, do, have what you need, when you need it.
Thursday, August 25
Giving birth after a VBAC
Is certainly even more exciting!
The doubts that filled my mind in June 2008, are erased. My birth to Victor has empowered me, and given me the strength to know that another vaginal birth is not only a possiblity, but practically almost guarantee. The spacing as well, is almost the same as between the first two children, about 3 1/2 years apart at birth.
This time around, I am looking to see what I did during Victor's birth, all the blogs I posted and all the reading I did. Just because I did reading for Victor's birth, doesn't mean, that I'm not doing any this time around. I am again surrounding myself with hypnobabies material, positive birth stories, and affirmations. The lock needs to be tight, and secure for this healthy and wonderful pregnancy that I plan to have followed by a peaceful birth.
The doubts that filled my mind in June 2008, are erased. My birth to Victor has empowered me, and given me the strength to know that another vaginal birth is not only a possiblity, but practically almost guarantee. The spacing as well, is almost the same as between the first two children, about 3 1/2 years apart at birth.
This time around, I am looking to see what I did during Victor's birth, all the blogs I posted and all the reading I did. Just because I did reading for Victor's birth, doesn't mean, that I'm not doing any this time around. I am again surrounding myself with hypnobabies material, positive birth stories, and affirmations. The lock needs to be tight, and secure for this healthy and wonderful pregnancy that I plan to have followed by a peaceful birth.
Thursday, August 11
I'm officially about 14 weeks pregnant!
Yes, I didn't tell you...the little pouch growing is a baby... and no, this Skinny Bitch (title of a book, you should read, Rory Freedman and Kim Barnouin), is not getting fat, nor plans to...
This is supposed to be the end of the high risk period...and now the baby has a higher possiblity of making it to full term....
Pregnancy is a condition you can't hide, so might as well tell you now before you find out by looking at my belly and feel betrayed...how come she didn't say anything.
Those of you who have been pregnant, totally understand, except those who can't keep it to themselves...:)
A little life is happending inside....and is due in February....
This is supposed to be the end of the high risk period...and now the baby has a higher possiblity of making it to full term....
Pregnancy is a condition you can't hide, so might as well tell you now before you find out by looking at my belly and feel betrayed...how come she didn't say anything.
Those of you who have been pregnant, totally understand, except those who can't keep it to themselves...:)
A little life is happending inside....and is due in February....
Friday, June 17
Victor is now 3 years old!
I can't believe it has been now almost 3 years since my youngest child was born. We went to a well visit last week, and he is about the 30th percentile in both height and weight. He has been consistent in his growth journey and has met his milestones for a 3 year old.
The VBAC, throughout his pregnancy, I ensure to read tons of positive birth stories, use my hypnobabies CDs, and change from an OB to a midwife. I am fortunate that it worked, and I am happy I can live and tell the story about my sucessful birth that was unmedicated and natural.
The only constant in my life is change. My willingness to learn, and my willingness to change is never dormant, and I take on the challenge to change my life today, and everyday, for the betterment of my two boys, which I love with all my heart.
The VBAC, throughout his pregnancy, I ensure to read tons of positive birth stories, use my hypnobabies CDs, and change from an OB to a midwife. I am fortunate that it worked, and I am happy I can live and tell the story about my sucessful birth that was unmedicated and natural.
The only constant in my life is change. My willingness to learn, and my willingness to change is never dormant, and I take on the challenge to change my life today, and everyday, for the betterment of my two boys, which I love with all my heart.
Friday, December 5
Infant Formula contaminated!
After first saying that they could not determine a threshold for the safe amount of certain toxic chemicals in infant formula, Food and Drug Administration officials said Friday that trace amounts are safe.
http://www.cnn.com/2008/US/11/28/infant.formula.melamine/index.html
http://www.cnn.com/2008/US/11/28/infant.formula.melamine/index.html
Sunday, June 22
VBAC Success Announcement
Victor Armando was born June 18, 2008 at 12:35 a.m. He was born at the hospital, use of Hypnobabies for the most part. I will give the details later...
No epi/No drugs for mommy or baby! :)
I had my VBAC!! :)
7 lbs 7 ozs, 20 3/4 inches
Marieliz
mom to Nico 3 1/2 years old (c/s ftp baby in distress)
No epi/No drugs for mommy or baby! :)
I had my VBAC!! :)
7 lbs 7 ozs, 20 3/4 inches
Marieliz
mom to Nico 3 1/2 years old (c/s ftp baby in distress)
Monday, June 9
GBS TEST
The Group B Strep Test is an test that is generally done about 35 to 37 weeks to find out if you are a carrier at the time of the test of the Group B Strep bacteria.
1) The problem with this test according to the materials that I have been reading is that one day the bacteria may be there, one day the bacteria may not be there.
The treatment for it if you are positive is antibiotic treatment (generally penincillin). If you are familiar with antibiotics you may or may not know that if you the strain of bacteria that you have is resistant to this or any other antibiotic. There are allergic reactions associated with antibiotics.
2) The other problem is that despite of the fact that you may receive antibiotic treatment while in labor, if you are not taking the right antibiotic for the bacteria that you have, the antibiotic treatment does not work.
The are thing that increase the chance of your baby getting infected such as cervical exam, rupture of the membranes, etc.
You can opt to say, I don't want the antibiotic treatment, but now they want to take the baby away for testing, for cultures...
Can you opt to say, I don't want my baby taken for testing now? What are the repercussions?
I feel that at my stage of pregnancy, over 35 weeks, with a baby that most likely weighing over 5 lbs, and doing alternative treatments for to ensure that the bacteria is not there when I and the baby are ready for birth that my son will be one of the thousands of babies that is not infected with this bacteria.
However the way the medical model is arranged, I will be treated like an infected person. If I did not do the test, it would have been the same way. I would still be treated as an infected person.
Until later
1) The problem with this test according to the materials that I have been reading is that one day the bacteria may be there, one day the bacteria may not be there.
The treatment for it if you are positive is antibiotic treatment (generally penincillin). If you are familiar with antibiotics you may or may not know that if you the strain of bacteria that you have is resistant to this or any other antibiotic. There are allergic reactions associated with antibiotics.
2) The other problem is that despite of the fact that you may receive antibiotic treatment while in labor, if you are not taking the right antibiotic for the bacteria that you have, the antibiotic treatment does not work.
The are thing that increase the chance of your baby getting infected such as cervical exam, rupture of the membranes, etc.
You can opt to say, I don't want the antibiotic treatment, but now they want to take the baby away for testing, for cultures...
Can you opt to say, I don't want my baby taken for testing now? What are the repercussions?
I feel that at my stage of pregnancy, over 35 weeks, with a baby that most likely weighing over 5 lbs, and doing alternative treatments for to ensure that the bacteria is not there when I and the baby are ready for birth that my son will be one of the thousands of babies that is not infected with this bacteria.
However the way the medical model is arranged, I will be treated like an infected person. If I did not do the test, it would have been the same way. I would still be treated as an infected person.
Until later
Friday, May 2
32 weeks!!!
At 32 weeks the baby is able to live outside the womb, if he is born pre-mature. I learned this with my first son, he was induced at 34 weeks, 4 days for low amnio. I'm approaching that time, the time where my other son was here with us, and I was not ready. I had a car seat, and I had a bassinet that was passed on from a good friend. I was blessed with a baby shower 4 days after my son's birth, where I chose from there my son's home coming outfit, I got plenty of blankets, oh, and how can I forget about the baby shower I had at work. I had the boppy pillow, cover, and some disposable diapers, bottles, etc. I received a used double pump by Medela.
According to the information I got from the midwife I saw at my 31 weeks appointment was that I was measuring 30 centimeters, it felt like I had enough fluid, the head was down, and everything seem to be coming together perfectly for me. She read my birth plan, and said that the hospital staff would be supportive, and that I should not have any problems with having my baby with me 24/7.
I have decided not to vaccinate my newborn baby because the risks are the side effects plus the contaminants inside the vaccines are not safe for my precious baby, nor were these for my older son, but I trusted the system. I feel as though for my first pregnancy, I became a victim of the system. The system took the choices from me, made them for me, and I just went along with them. A college education did not provide me with all the knowledge and common sense that I have with me through actually living and observing life. Today, I know how to really AVOID a c-section, today I know how to live life better, today I know how to feed myself better, today I know that I love myself and my family more than ever.
According to the information I got from the midwife I saw at my 31 weeks appointment was that I was measuring 30 centimeters, it felt like I had enough fluid, the head was down, and everything seem to be coming together perfectly for me. She read my birth plan, and said that the hospital staff would be supportive, and that I should not have any problems with having my baby with me 24/7.
I have decided not to vaccinate my newborn baby because the risks are the side effects plus the contaminants inside the vaccines are not safe for my precious baby, nor were these for my older son, but I trusted the system. I feel as though for my first pregnancy, I became a victim of the system. The system took the choices from me, made them for me, and I just went along with them. A college education did not provide me with all the knowledge and common sense that I have with me through actually living and observing life. Today, I know how to really AVOID a c-section, today I know how to live life better, today I know how to feed myself better, today I know that I love myself and my family more than ever.
Sunday, April 20
Breech birth!!
Interesting information about care providers and people who are willing to go against the norm to preserve a natural process.
http://www.homebirth.net.au/2008/04/breech-birth.html.
Enjoy!
http://www.homebirth.net.au/2008/04/breech-birth.html.
Enjoy!
Friday, April 18
Five Good Reasons to Delay Clamping the Cord
The following website is from Gentle Birth. They discuss Five Good Reason to Delay Clamping the cord (http://www.gentlebirth.org/archives/lateClamping.html).
The first reason is basically that is what nature intended. The second reason it gives the parents a chance to bond with the newborn, slows down the drill. The third reason is because it may cause unusual lesion in the brains of infants. The fourth reason is the problem with Rh negative mothers, it is advised to wait until the placenta is delivered. The last reason is because the baby is designed to have the blood at birth, scientist have discovered t-cells which have cancer fighting properties in these blood...we shouldn't wait until 30 years later to give the blood to that baby, but now...to build strong bodies.
Part of my birth plan is to delay the clamping of the cord. I already advised my midwife of the cord clamping. I gave them the birth plan. When I arrive at the hospital, they should be aware of all my requests, such as not asking me for my level of pain, not asking me whether or not I want my epidural, not asking me whether my baby should be circumcised, not administering Vitamin K shots, or hep B, or eye ointment. I wrote that I don't want pacifiers and bottles for my baby. I took care of everything I could possibly think of using other people's ideas of birth plans, and merging them into what I needed for myself.
At 30 weeks, waiting for the next few 70 days or so...to pass by smoothly and happily.
The first reason is basically that is what nature intended. The second reason it gives the parents a chance to bond with the newborn, slows down the drill. The third reason is because it may cause unusual lesion in the brains of infants. The fourth reason is the problem with Rh negative mothers, it is advised to wait until the placenta is delivered. The last reason is because the baby is designed to have the blood at birth, scientist have discovered t-cells which have cancer fighting properties in these blood...we shouldn't wait until 30 years later to give the blood to that baby, but now...to build strong bodies.
Part of my birth plan is to delay the clamping of the cord. I already advised my midwife of the cord clamping. I gave them the birth plan. When I arrive at the hospital, they should be aware of all my requests, such as not asking me for my level of pain, not asking me whether or not I want my epidural, not asking me whether my baby should be circumcised, not administering Vitamin K shots, or hep B, or eye ointment. I wrote that I don't want pacifiers and bottles for my baby. I took care of everything I could possibly think of using other people's ideas of birth plans, and merging them into what I needed for myself.
At 30 weeks, waiting for the next few 70 days or so...to pass by smoothly and happily.
Saturday, March 15
25 weeks
This is me at 25 weeks! It is as solid and healthy as it can possibly be. I am really excited looking toward the next fifteen weeks or so for the baby to arrive. Time is going by really fast, and I'm only getting bigger!!
In the next few days, I plan to be doing a birth plan...Birth plans can be very involved. The hypnobabies course that I am doing encourages everyone to do a birth plan. The birth plan addresses everything you need. It informs the nursing staff and the doctors where you are willing to be flexible or not. I think this will be an excellent opportunity for me to do more research once again, and ensure that I know what I am putting on the plan.
There are several subheadings that can be included in a birth plan. The birth plan can state to everyone what your preferences are as far as hydration, vaginal examinations, episiotomy, management of labor, about the umbilical cord, whether or not you choose to have certain vaccinations, especially if you do not want them, breastfeeding, visitors, etc. The birth plan can reflect your personality. It can be written in your own words.
I am going to keep my plan within 2 pages. I plan to use a size 12 font, and some sort of arial for easiness in reading. If you are pregnant, and plan to have a hospital birth, I suggest you start looking into the birth plan as well. You will be making informed decisions and choices even before you walk into the hospitals doors. Until later!
Friday, March 14
50 WAYS!!
50 Ways to Enjoy your birth!!
I personally don't like the picture of the food about the protein intake, but I think this was hilarious!! :)
50 Ways to Scare a Mother
50 Ways to Birth More Safely
All the videos originated from
http://enjoybirth.wordpress.com & http://hypnobabies.wordpress.com
Have a great day!!
I personally don't like the picture of the food about the protein intake, but I think this was hilarious!! :)
50 Ways to Scare a Mother
50 Ways to Birth More Safely
All the videos originated from
http://enjoybirth.wordpress.com & http://hypnobabies.wordpress.com
Have a great day!!
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