Wednesday, February 23, 2011
Prevent Cesarean Surgery
Monday, February 7, 2011
Ask a Doula Video Series Now on YouTube
Wednesday, February 2, 2011
My Personal Journey with Vaccinations
One my sons suffered from severe recurring bouts of croup. I spent more than one sleepless night in the emergency room seeking treatments to open his airway. In seeking for answers and treatment options other than the routine steroid prescription, we had a biofeedback assessment done on him which found his croup weakness to be linked somehow to the pertussis vaccine he'd received as a toddler. We were able to get some homeopathic drops specifically designed for pertussis, and they helped ease and sometimes prevent his symptoms. I learned how to treat it at home with other things like essential oils, and have since avoided further trips to the hospital. My oldest caught Chicken Pox (varicella) when he was 6 years old, despite having been vaccinated for it. Even then I couldn't make myself take a deeper look at vaccinations. I didn't want to face it.
The United States has a culture that encourages people to blindly trust doctors and medicine, and anyone who chooses not to do so might be labeled "irresponsible", "negligent", etc. I don't believe medicine is bad. It has a place and is needed in certain situations. I just don't think it should be blindly trusted. My position on vaccines is an interesting one. I understand the risks involved and I stand firm in the choices I make for myself and my family, but I also support each person's right to make their own decision. I hope that no one makes anyone feel inferior or stupid for making the choice they feel is best for them, no matter how much it may buck the system.
Monday, January 24, 2011
Can You Succeed or Fail at Breastfeeding?
Wednesday, January 19, 2011
I'm Not Angry
- I came in for an ultrasound and they inserted an IV before anything else was done. They were preparing for the worst, which would have likely been ectopic pregnancy requiring immediate surgery or a miscarriage requiring surgical intervention. All they knew was that I was pregnant and bleeding. Telling me they might need to give me fluids, in my opinion, was a load of bunk. I really don't think that's what they were preparing for. They were assuming the worst, which I suppose is their job. I saw it, I knew what was happening as it happened. I guess that's why I'm not mad. I didn't feel fooled by anything.
- Not letting me have anything to eat or drink. This was the worst part of my treatment, in my opinion. I was bleeding and hadn't had any nourishment for hours. What I really needed was something to keep me stable and healthy, but they wouldn't give it to me because once again they were assuming the worst. What if they had to send me to the OR? What if I had to be put under general anesthesia? They couldn't run the risk of my having anything in my stomach “just in case”. I knew I didn't need any of those things, and I needed to eat. But once again, defensive medicine called the shots.
- Refusing to take out my IV. Now this was just stupid. The same rules apply. They were sending me to my OB for follow-up care. “What if her OB decides to draw more blood or do a D&C?” I guess logically it made sense that the OB's office could just take it out for me, especially since I was only walking next door, but that didn't happen. It was easy enough to remove it myself when I had to.
Monday, July 20, 2009
The Birth Survey - An Excellent Childbirth Information Resource

The Birth Survey
This is a cool website that's been set up for childbearing women and maternity care professionals everywhere. You can:

- Share your own birth experience by taking the survey,
- Connect by viewing consumer feedback on hospitals, birth centers, doctors, and midwives in your community, and
- Learn, by viewing hospital intervention rates.

I think this is an important resource, as it can provide a great amount of information to help you make informed choices in your own prenatal and birth care.
Here is a statement from the group who created The Birth Survey project:
"We believe that women of childbearing age must have access to information that will help them choose maternity care providers and institutions that are most compatible with their own philosophies and needs. We hope that the Transparency in Maternity Care Project will provide information that will help women make fully informed maternity care decisions.
We also believe that maternity care practitioners and institutions must have access to feedback from their patients. We hope that doctors, midwives, and hospital administrators will find the information generated through the Transparency in Maternity Care Project useful in quality improvement efforts.
Women need accurate, objective data in order to make fully informed choices about birth settings and providers. Practitioners and hospital administrators also need data to evaluate whether they are delivering quality care. We hope this project will fill a void by providing much needed information that benefits all parties engaged in maternity care."
Tuesday, July 14, 2009
Alternative Birthing Options

One of my local television networks has aired a story about Alternative Birthing Options. It's a brief article, but pretty good. I think it's good for this information to be presented to the public and help people see that they have options other than the standard norm.
Information/education = informed choice = empowerment
Saturday, June 20, 2009
AMA Resolution Would Seek to Label “Ungrateful” Patients as "Non-Compliant"
I just came across this article regarding a proposed AMA medical billing change that could affect expectant parents' rights to take charge of their prenatal care by jeopardizing their ability to get insurance coverage or seek other care givers by labeling them as "non-complaint". Under this proposed change, I could be labeled as non-compliant by my obstetrician's office simply for not subscribing to the suggested routine of prenatal visits (because I've been doing those with my midwife instead) and choosing not to participate in certain prenatal tests and screens. I would hate for my personal choices in managing my prenatal care to impact my future care options. I've posted the article in its entirety.AMA Resolution Would Seek to Label “Ungrateful” Patients Redondo Beach, CA, June 11, 2009 - At the American Medical Association’s (AMA) Annual Meeting next week, delegates will vote on a resolution which proposes to develop CPT (billing) codes to identify and label “non-compliant” patients (1)
The resolution complains:
“The stress of dealing with ungrateful patients is adding to the stress of physicians leading to decreased physician satisfaction.”
“This resolution is alarming in its arrogance and its failure to recognize, or even pay lip service to, patient autonomy,” said Desirre Andrews, the newly elected president of the International Cesarean Awareness Network (ICAN).
If approved, the resolution could hold implications for women receiving maternity care. For pregnant women seeking quality care and good outcomes, “non-compliance” is often their only alternative to accepting sub-standard care. Physicians routinely order interventions like induction, episiotomy, or cesarean section unnecessarily.
Liz Dutzy, a mother from Olathe, Kansas, delivered her first two babies by cesarean and was told by her obstetrician that she needed another surgical delivery. “My doctor told me that I needed to have a cesarean delivery at 39 weeks, or my uterus would rupture and my baby would die.” She sought out another care provider and had a healthy and safe intervention-free {home} birth at 41 weeks and 3 days gestation.
A recent report by Childbirth Connection and The Milbank Memorial Fund, called “Evidence-Based Maternity Care: What It Is and What It Can Achieve ,” (2) shows that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence-based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less.
The resolution proposed by the Michigan delegation of the AMA could threaten patient care and patient autonomy for several reasons:
- Billing codes that would categorize any disagreement and exercise of autonomy on the part of the patient as “non-compliance” “abuse” or “hostility” could create a pathway for insurance companies to deny coverage to patients
- Use of these labels fails to recognize patients as competent partners with physicians in their own care
- Tagging patients as “non-compliant” fails to recognize that there is not a “one size fits all” approach to care, that different opinions among physicians abound, and that patients are entitled to these very same differences of opinion
- Labeling patients as “non-compliant” may, in fact, be punitive, jeopardizing a patient’s ability to seek out other care providers
“The reality is that the balance of power in the physician-patient relationship is decidedly tipped towards physicians. The least patients should have is the right to disagree with their doctors and not be labeled a ‘naughty’ patient,” said Andrews.
About Cesareans: When a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies from cesareans include: low birth weight, prematurity, respiratory problems, and lacerations. Potential risks to women include: hemorrhage, infection, hysterectomy, surgical mistakes, re-hospitalization, dangerous placental abnormalities in future pregnancies, unexplained stillbirth in future pregnancies and increased percentage of maternal death.
Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. ICAN has 110 chapters in North America and Europe, which hold educational and support meetings for people interested in cesarean prevention and recovery.
- Resolution 710 “Identifying Abusive, Hostile or Non-Compliant Patients”
- Evidence-Based Maternity Care: What It Is and What It Can Achieve
- http://www.ican-online.org/ican-in-the-news/trouble-repeat-cesareans
Wednesday, June 17, 2009
The Importance of Prenatal Health Care
Prenatal health care is very important. I found an article in my local news that talks about this: I'd like to point out that an expectant mother has the option of going to an obstetrician or a midwife, and the medical care should be adequate from both sources. Both obstetricians and midwives do a urinalysis at each prenatal visit to screen for possible health concerns or complications, as well as check the mother's blood pressure, fundal height measurement, weight gain or loss, and check the baby's heartbeat.
A good obstetrician or midwife will also take time at each visit to talk with the expectant mother about her feelings, her life situation and stressors which might impact her well-being during her pregnancy.
Health care may differ from one care giver to another depending on that caregiver's approach to pregnancy and birth. Obstetricians and Certified Nurse Midwives who practice under the supervision of an OB may be more likely to take a very medical approach by suggesting more screenings and tests than a Certified Professional Midwife or Direct Entry Midwife would. Doctors approach pregnancy and birth as a problem waiting to happen. They spend more time looking for problems, because they are trained to handle emergencies and complications. Midwives generally approach pregnancy and birth by looking at the woman as a whole being and trusting in her body's ability to do what it's designed to do, and less time looking for problems. With this being said, midwives are trained to watch for potential problems and how to handle them if they do come up.
Whether you choose a doctor or a midwife for your prenatal care, and whether you choose to birth in a hospital, birth center or at home, please get the prenatal health care that you need. Learn about the screenings and tests and procedures so that you can make educated decisions about your health care. Remember that the doctor or midwife works for you, and not the other way around.
Monday, June 15, 2009
Informative Birth Story of an Emergency Cesarean

Click here to read the birth story
Wednesday, April 15, 2009
Amazing Birth Experience
I recently attended a birth, and the experience was incredible. The first-time parents had taken a Hypnobabies course and prepared themselves as much as they possibly could for the birth of their baby. Even though the the labor did not go exactly as planned, the mother still went through with her plan for a birth with no epidural and kept her focus. The baby came very fast, and it was intense, but everyone came together to help and support the mother and her baby, and we all had a wonderful experience.I was very impressed by the father, who stayed at his wife's side the entire time and put his whole focus on her. He was able to tune in to her feelings, and when she started to show even the smallest amount of hesitation he was able to capture her focus and help her to be calm almost immediately. The mother was amazlingly strong, and followed her husband's cues excellently. She listened to our instructions and did a fabulous job. I feel in awe and truly privileged to have been a witness of such a miraculous event. My love for women and their roles as mothers is increasing with everything I learn about birth and every experience I have with it. I've asked the mother to write her birth experience and allow me to share it with you all here on my blog. I hope that will be forthcoming in the near future.



