Care Calendar – Help for Mamas

care-calendarHey!  I stumbled on this great website, CareCalendar.org.  There you can set up a calendar where people can see what a mom needs and sign up for tasks to help out (ie bring food, watch an older sibling, do laundry, etc.).  It’s a central place where people can go to and see what’s being done so they can find out specifically where they’d fit.  Check it out, it’s so cool!

Amy

Beautiful Birth Art

Amanda Greavette

Amanda Greavette

I stumbled upon a wonderful Canadian artist, Amanda Greavette, who does lots of paintings depicting beautiful scenes of birth.  *Sigh* if I only had time or a place to paint! *sniff!*

Mother Blessing Beads – Bead for Life

index_08I just did henna (mehndi) at a party for Bead for Life.  This fantastic organization teaches African women in Uganda to make beautiful beads from recycled paper.  They in turn sell them over here to provide income, food, medicine, and pay school fees.

I thought this non-profit would be perfect if people are looking for that special bead for a Mother Blessing or Blessingway.  Not only are they beautiful, but give back by empowering the women who make them and creating opportunities for their communities in Uganda.

I strongly encourage you to visit their store or host a bead party!

Great Midwifery Article in the LA Times

Here’s a wonderful pro-midwifery article in the LA Times!

I also have the text here:

Midwives deliver

America needs better birth care, and midwives can deliver it.

By Jennifer Block
December 24, 2008
» Discuss Article (23 Comments)

Some healthcare trivia: In the United States, what is the No. 1 reason people are admitted to the hospital? Not diabetes, not heart attack, not stroke. The answer is something that isn’t even a disease: childbirth.

Not only is childbirth the most common reason for a hospital stay — more than 4 million American women give birth each year — it costs the country far more than any other health condition. Six of the 15 most frequent hospital procedures billed to private insurers and Medicaid are maternity-related. The nation’s maternity bill totaled $86 billion in 2006, nearly half of which was picked up by taxpayers.

But cost hasn’t translated into quality. We spend more than double per capita on childbirth than other industrialized countries, yet our rates of pre-term birth, newborn death and maternal death rank us dismally in comparison. Last month, the March of Dimes gave the country a “D” on its prematurity report card; California got a “C,” but 18 other states and the District of Columbia, where 15.9% of babies are born too early, failed entirely.

The U.S. ranks 41st among industrialized nations in maternal mortality. And there are unconscionable racial disparities: African American mothers are three times more likely to die in childbirth than white mothers.

In short, we are overspending and under-serving women and families. If the United States is serious about health reform, we need to begin, well, at the beginning.

The problem is not access to care; it is the care itself. As a new joint report by the Milbank Memorial Fund, the Reforming States Group and Childbirth Connection makes clear, American maternity wards are not following evidence-based best practices. They are inducing and speeding up far too many labors and reaching too quickly for the scalpel: Nearly one-third of births are now by caesarean section, more than twice what the World Health Organization has documented is a safe rate. In fact, the report found that the most common billable maternity procedures — continuous electronic fetal monitoring, for instance — have no clear benefit when used routinely.

The most cost-effective, health-promoting maternity care for normal, healthy women is midwife led and out of hospital. Hospitals charge from $7,000 to $16,000, depending on the type and complexity of the birth. The average birth-center fee is only $1,600 because high-tech medical intervention is rarely applied and stays are shorter. This model of care is not just cheaper; decades of medical research show that it’s better. Mother and baby are more likely to have a normal, vaginal birth; less likely to experience trauma, such as a bad vaginal tear or a surgical delivery; and more likely to breast feed. In other words, less is actually more.

The Obama administration could save the country billions by overhauling the American way of birth.

Consider Washington, where a state review of licensed midwives (just 100 in practice) found that they saved the state an estimated $2.7 million over two years. One reason for the savings is that midwives prevent costly caesarean surgeries: 11.9% of midwifery patients in Wash- ington ended up with C-sections, compared with 24% of low-risk women in traditional obstetric care.

Currently, just 1% of women nationwide get midwife-led care outside a hospital setting. Imagine the savings if that number jumped to 10% or even 30%. Imagine if hospitals started promoting best practices: giving women one-on-one, continuous support, promoting movement and water immersion for pain relief, and reducing the use of labor stimulants and labor induction. The C-section rate would plummet, as would related infections, hemorrhages, neonatal intensive care admissions and deaths. And the country could save some serious cash. The joint Milbank report conservatively estimates savings of $2.5 billion a year if the caesarean rate were brought down to 15%.

To be frank, the U.S. maternity care system needs to be turned upside down. Midwives should be caring for the majority of pregnant women, and physicians should continue to handle high-risk cases, complications and emergencies. This is the division of labor, so to speak, that you find in the countries that spend less but get more.

In those countries, a persistent public health concern is a midwife shortage. In the U.S., we don’t have similar regard for midwives or their model of care. Hospitals frequently shut down nurse-midwifery practices because they don’t bring in enough revenue. And although certified nurse midwives are eligible providers under federal Medicaid law and mandated for reimbursement, certified professional midwives — who are trained in out-of-hospital birth care — are not. In several state legislatures, they are fighting simply to be licensed, legal healthcare providers. (Californians are lucky — certified professional midwives are licensed, and Medi-Cal covers out-of-hospital birth.)

Barack Obama could be, among so many other firsts, the first birth-friendly president. How about a Midwife Corps to recruit and train the thousands of new midwives we’ll need? How about federal funding to create hundreds of new birth centers? How about an ad campaign to educate women about optimal birth?

America needs better birth care, and midwives can deliver it.

Jennifer Block is the author of “Pushed: The Painful Truth About Childbirth and Modern Maternity Care.”

MY FIRST BIRTH!!!

Look at the beautiful mama!

Look at the beautiful mama!

MERRY CHRISTMAS TO ME!!!  I just came back from my first birth this Christmas Eve, and it was the most perfect first birth ever!

Mama had a few hours of early labor, then things really got crankin’ around 1 pm.  She got down to the hospital at 3:30 pm and baby was born at 4:22!  We all arrived at the hospital at the same time, mom was checked and at 8 cm, then she got in the tub for only about 20 minutes.  It was just a few contractions in the tub when she started feeling tons of pressure and the urge to push, so we got out and she got on all fours on the bed.  The midwife had to step out to attend another birth so a resident that mama hadn’t met before came it.  She was wonderful!!  Basically she said, “You feel good in that position?  Ok, I can work with that!”  Two or three pushes and beautiful baby was born.

Mama did so terrific dealing with contractions.  She was joking in between and looked really relaxed.  When a contraction would hit she would just go limp, groan a bit, let it wash over her, and be totally in the moment.  I was so proud of her!  She did it naturally, just like she wanted (and she doubted to the end, but everyone else had faith!  she is so strong!).

It’s so funny, she said she couldn’t have done it without us (Lauren Williams and I) and I’m like, “Really??  Because you give birth like a rockstar!”  I know a doula doesn’t have to *do* something all the time, but I was only there under an hour before baby was born and I didn’t do too much.  Mom just totally rocked!

Mostly I feel privileged and honored to be a part of this day with them.

Merry Christmas All!

Amy

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VIDEO – External Cephalic Version (WHO)

Here is an interesting video put out by the World Health Organization regarding the indications and counter-indications, as well as the procedure of external cephalic version (ECV).  ECV is where a skilled practitioner attempts to manuver a baby out of a breech presentation.  Enjoy!

who-why-breech-ecv

(Windows Media Player required)

VIDEO – Vaginal Breech (WHO)

Here is an absolutely fabulous video put out by the World Health Organization’s Reproductive Health department.  It details the indications and counter-indications for a vaginal breech birth, methods of birthing a breech vaginally (totally FASCINATING), as well as symphiostomy (when the head becomes entrapped and you cannot perform a c-section).

who-breech

(Windows Media Player Required)

NOTE:  In the United States, OB/GYNs typically aren’t trained in these techniques (despite detailed models that can train them) and usually just decide to do a c-section.  If this is not something you’re ok with, talk to your provider beforehand and/or consider transferring to a care provider skilled in vaginal breech (where indicated).  In Denver, Dr. Hall at Swedish has been known to do vaginal breech births.