Tuesday, May 24, 2011

Plus Size Doula Connections


Plus Size Doula Connections, a project spearheaded by Jen McLellan who found her own doula's support invaluable during her own natural childbirth as a plus size mother, seeks to facilitate access between plus size expectant mothers and experienced doulas to help improve birth satisfaction, support and outcomes for this demographic.

Plus Size Doula Connections


Research has demonstrated that plus size women are at a higher risk of having a c-section than other expectant mothers. Having a doula present during childbirth has been shown to decrease that risk. Plus Size Doula Connections exists as an easy way for women to locate a doula who will not only advocate for their wishes during childbirth but to also provide access to one with prior experience supporting larger women.

My goal is to compile a comprehensive list of doulas from around the world that have experience working with women weighing more than 200 pounds. Together, we can support plus size women in hospitals where their wishes aren’t always honored and to link women birthing outside of a hospital with doulas who have experience working with larger women.

Doulas interested in participating please contact me at plussizebirth@gmail.com. Provide a picture of yourself, contact information, and your doula philosophy. This is free advertising! Also, if you’re a plus size woman who had a positive experience with a doula, please encourage them to get in touch with me.


To learn more go to www.plussizebirth.com and check out the project's Facebook page www.facebook.com/PlusSizeDoulaConnections


Please help spread the word to connect more moms with much needed doula support.

Friday, April 15, 2011

Call for Submissions

We are dedicated to helping expectant parents make informed childbearing choices to enable the healthiest, safest, most satisfying birth possible. While birth can be unpredictable, there is substantial research evidence that supports ways to minimize risks and improve health outcomes for both mothers and babies.


Our goal is to promote informed childbearing choices and positive messages related to having a safe, healthy birth. We are accepting submissions from those who wish to share their wisdom, knowledge, research or personal experiences - troubles and triumphs alike - with our readers.


If you are passionate about birth, a birth professional, advocate, doula, lactation professional or parent with a story to share, and are interested in having your work featured on our website or blog, please leave a comment below or email us with your submission.


The following information outlines our guidelines for submissions:


Submission Guidelines


Submissions should be anywhere from 400-1000 words in length, and should be original, unpublished material. We ask contributors to share their knowledge, research, wisdom, insight or personal experiences - troubles and triumphs alike - with our readers. You may submit a scholarly article, birth story, a photo essay, or a book review, even photos or videos. As long as what you submit is respectful in tone and in keeping with our philosophy of informed childbearing choices, it may be accepted for publication. If you want help determining whether your material is appropriate to our goals and audience, please contact us first to discuss.


Submissions should include a full bio and url to the contributor's site if applicable. We reserve the right to edit bios to fit within our editorial guidelines if necessary.

Sample topics could include (but are not limited to the following):

  • Homebirth (pros/cons, preparation, research, personal stories, photos, videos, etc)
  • Waterbirth
  • Newborn Care
  • Prenatal Nutrition
  • Minimizing Interventions (induction, episiotomy, monitoring options, etc)
  • Postpartum Issues (placenta encapsulation, art, avoiding PPD, etc)
  • Evidence-based practice vs. mainstream care
  • Impact of Provider Choice (options, differences, etc)
  • Birth Consumerism
  • Breastfeeding
  • VBAC/Cesarean Awareness

You are welcome to take a specific or general topic, or to focus on a specific skill, technique or subset area. Submissions should include a full bio and url to the contributor's site if applicable. We reserve the right to edit bios to fit within our editorial guidelines if necessary.

Deadline

Ongoing

Publication

Approved submissions may be published exclusively on GivingBirthNaturally.com (with your permission), which will include an author bio and a link back to your site. Others submissions may be featured on our blog as guest posts or for our Facebook fans. You will be notified via email if your submission has been accepted and when it will appear.


Please Do

Write well, write on topic and make an original submission. Ad value. Remember that all submissions are intended to assist and support expectant parents as they navigate their birth bound journey. Please proofread your work.


Please Don’t

Please don’t use profanity. Please don’t submit irrelevant or argumentative pieces or plagiarized, copied or unoriginal material. Please play nicely with others and help make the world a better, safer place.


Editorial Rights

If accepted, submissions may be edited for word count and tone. If extensive edits are made, we will provide an opportunity for contributor feedback before the submission goes live. We reserve the right to courteously reject any submissions that are inappropriate in tone, scope or philosophy. Please note that a personal response to your submission might seem delayed. Don’t be alarmed. We receive a high volume of daily email and may not have yet had a chance to give your material the time and attention it deserves, or we could be conferring on how or when to best to utilize and implement your work.

All submissions will be reviewed and contributors will be notified whether their material will be published. If the work is accepted, contributors will be notified at a later date as to when the submission will appear for publication.


Questions

If you have questions: Please leave a comment or contact us.

Monday, January 10, 2011

Guest Post: Preparing for the Possibility of a C-Section



Preparing for the Possibility of a C-Section

Most first time moms don't consider the possibility of having a C-section, but with almost 1 in 3 babies born via Cesarean section, preparing for the possibility could help you avoid the emotional stress and fear often associated with the initial shock of having a surgical birth.

For many women, C-sections are a planned event, but many of them are not. Some women giving birth aren’t aware they will need a C-section until well into several hours of hard labor.

Before preparing for a C-section, let’s first examine reasons why a planned C-section might occur as well as the reasons for an unplanned C-section:

Planned Cesareans may typically occur if:

  • the mother has had a previous c-section with a vertical incision
  • the baby is in a transverse position or the baby is sideways with shoulders or back over the cervix
  • the baby is in a breech position
  • the mother is carrying multiples
  • the mother has complete Placenta Previa or a placenta that is blocking the cervix
  • the mother has active genital herpes that is present near the due date
  • there are health issues that may be life threatening to mother or baby

Unplanned C-sections might occur if:

  • Labor has been induced. This doubles the odds of having a c-section
  • There are signs of fetal distress during labor
  • Labor is slow or stops completely
  • A problem occurs with the placenta or umbilical cord putting the baby at risk
  • Signs of infection are present

Regardless of why a C-Section occurs, it’s important to understand that the possibility always exists. The labor process is never the same for every woman and complications can occur at any time.

For these reasons, it’s generally a good idea to be aware of the possibility of having a c-section and be prepared should the need arise.


How to Prepare for a Planned C-Section


If you know you’ll be having a c-section, there are a number of things you can do to prepare.

Discuss anesthesia options with an anesthesiologist in advance. There are a few choices you have so be sure you understand them and decide on what you feel is best for you.

Familiarize yourself with the c-section procedure and what happens in recovery. You may even be able to make special requests of your doctor or hospital. For instance, once your baby is born, hospitals typically have specific recovery procedures for breastfeeding and holding your baby immediately after surgery, however some hospitals are flexible and personal requests may be accepted.

Prepare your home prior to going to the hospital for easy access to baby supplies, medications, personal effects etc. If your home has stairs it’s a good idea to move things downstairs as climbing stairs isn’t recommended after surgery.

Pre-plan meals and ensure the care of older children if necessary. Recruit neighbors and friends that are willing to help. The less you have to worry about when it comes to your immediate family, the easier your recovery will be.

Breastfeeding can be more challenging for c-section moms, so get acquainted with what the specific problems could be and how you might be able to work around them.

Understand what your recovery at home will entail and prepare for how you can make your recovery as speedy and as easy as possible.


Preparing for the Unplanned C-Section


Even if you don’t expect to have a C-section, prepare yourself for the possibility. Doing so can mean less physical and emotional stress and a much quicker recovery.

In addition to the above items, also discuss with your doctor before your due date your risk factors for having a c-section and be sure to mention any concerns or worries you may have.

Educate yourself on the potential problems or risks that C-sections present and be ready for how you will respond to them.

Having a C-section does require longer hospital stays and a longer recovery, however proper planning and a healthy mental outlook can mean the difference between a miserable birth experience and a positive, memorable one.

**********************

Elizabeth is the author and creator of 'Worry Free C-Section', a popular c-section recovery , planning and healing guide.

Tuesday, December 7, 2010

And the Winners of the Giveaway are...




Krista Arriagada (Earth Mama Angel Baby eGift certificate), Carrie Lee Farris (Laboring Under an Illusion DVD) and Ginnie Jester (Earth Mama Angel Baby eGift certificate)

Congratulations to you and thank you to all who entered. Winners please contact us to receive your prize!

Wednesday, November 10, 2010

November Giveaway: 3 Lucky People Will Win!

We're excited to offer another Giveaway this month! Enter to win one of 3 prizes.  Multiple entries per person accepted all month long (see How to Win for full details).

The Prizes

2 lucky winners will each receive a $20 e-gift certificate to Earth Mama Angel Baby, the online source for all natural organic, clinically tested, zero toxin, hospital-recommended products to support mothers and babies through pregnancy, birth, breastfeeding and baby care.  Every Earth Mama Angel Baby product is made with only pure, plant-based, worry-free ingredients.


1 lucky winner will receive a DVD of the documentary film, Laboring Under an Illusion: Mass Media Childbirth vs. The Real Thing, by Vicki Elson, MA, CCE.

This film is a wonderful resource for expectant families, childbirth educators, doulas or birth junkies in general. Challenge your childbirth preconceptions as you watch videos of real births interspersed between mass media's cliched portrayals.

How to Win

Here’s how to win:

Leave a comment on this post or in our Facebook Discussion thread, answering the question: What is/was your #1 reason for choosing natural childbirth?

You may also earn up to 1 extra entry each day for the month of November by doing any of the following:

  • Add a photo from your homebirth, a belly shot, or a photo of your NCB baby to our Facebook Fan page (1 additional entry earned per photo per day).
  • Post a link to our main site, GivingBirthNaturally.com, on your blog or website (post on our FB page to show us the link or leave a comment here with a link to it)
  • Follow us on Twitter

Contest Rules


  • The giveaway ends Friday, December 3rd.
  • There are no geographical restrictions. This giveaway is open to all.
  • The winners will be randomly chosen via Random.org
  • The winners will be contacted via email. If any of the winners do not respond within 3 days, a new winner will be selected and notified until all prizes have been awarded.

The winners will be announced on Monday, December 6th both here on the blog and via Facebook. Please bookmark our blog, Like us on Facebook or Follow us on Twitter so you can see if you've won.




Good luck!

Thursday, August 12, 2010

Film Review - Laboring Under an Illusion: Mass Media Childbirth vs. The Real Thing



Laboring Under an Illusion: Mass Media Childbirth vs. The Real Thing
Filmmaker: Vicki Elson
50 minutes, $19.95 (orders of 5 of more are $13.95 each) for any use except broadcast
www.birth-media.com


Laboring under an Illusion explores the way in which birth attitudes and expectations are shaped largely through exposure to mainstream media depictions of childbirth. Filmmaker Vicki Elson, anthropologist and childbirth educator, has created a striking documentary contrasting media portrayals of childbirth with real clips and commentary on actual births.


As an educator, I frequently reference how preconceived ideas and birth beliefs subconsciously help or hinder how a birth will progress. The film eloquently provides 50 minutes of supporting material to illustrate that exact point.


I previewed the film alone and then watched it again with my two daughters, ages 7 and 5. As each set of clips were shown, my daughters would shout "fake" at each media-generated depiction of birth, clearly rejecting the concept that birth must progress like it does in the movies. Because of some strong language in the media clips, I recommend previewing it first before deciding to share it with your children.


The film contrasts media-generated portrayals of childbirth from well-known sitcoms such as I Love Lucy, Murphy Brown, Mad About You, Northern Exposure, and Friends, movie clips such as Juno, Coneheads, Knocked Up and Nine Months, as well as more "reality-based" clips from Discovery Health to actual clips of births from films such as Birth as We Know It, The Business of Being Born, and Orgasmic Birth.


At some points in the film, the filmmaker highlights issues raised in the film, such as the fact that some media portrayals are so far-removed from birth reality that babies are born minus umbilical cords. It also contains brief narration from mothers about birth. For the birth-junkie viewer, this additional explanation isn't critical, but it's quite useful for less birth-savvy viewers or use in childbirth education classes.


Laboring Under an Illusion strikes the perfect balance between entertainment and education. It is appropriate for consumers as well as childbirth educators, doulas, midwives and other birth professionals. Invest in a copy available at www.birth-media.com

Tuesday, July 20, 2010

Guest Post: Popular Drugs Pose Serious Risks When Taken During Pregnancy

My thanks to DrugWatch.com, a comprehensive website database that includes up-to-date information about prescription and over-the-counter medications and potential side effects to aid in the protection of patients and consumers, for this week's guest post:


Popular Drugs Pose Serious Risks When Taken During Pregnancy



According to the Centers for Disease Control and Prevention, approximately one in every 33 babies is born with a birth defect. A disturbing number of these are caused by the use of dangerous medications during pregnancy, and many can be prevented through greater awareness and safer practices.


Throughout the history of modern medicine, a number of popular medications have been linked to serious birth defects and fetal death after they have been on the market for quite some time. Some of the most widely prescribed include thalidomide, a medication used during the mid 1900s as a sedative and antiemetic agent, and Accutane, a medication used since the 1980s to treat severe acne. Clinical studies have shown that even a single dose of these medications taken during pregnancy can result in birth defects.


Many women who have suffered because of these medications have sought legal recourse against drug manufacturers through the use of a Thalidomide or Accutane lawyer. Consumer advocates have argued that in a number of instances, negligent drug companies have hidden or downplayed serious risks posed to pregnant women by their medications.


Even as efforts to protect pregnant women against such dangerous medications have grown, many measures taken by drug companies and the U.S. Food and Drug Administration (FDA) have fallen short. In the case of Accutane, even after the FDA required women taking the medication to use two forms of birth control and enroll in a mandatory registry, approximately 120 enrolled women reported pregnancies every year.


Experts around the nation continue to express astonishment and concern over the amount of dangerous drugs used by many pregnant women today. In today's environment of ubiquitous medication use, health care professionals are instructing women to speak with their doctor before taking any new medication, regardless of whether it is available by prescription or over-the-counter. Because even common pain medications such as Aleve and Aspirin can cause harm to a developing baby, patient advocates are warning women to air on the side of caution for their own safety and the safety of their baby.


For more information on drugs that can cause harmful effects during pregnancy, visit DrugWatch.com.

Tuesday, April 13, 2010

And the Winner of the Spring Giveaway is....

Heather Hannah!

Congratulations Heather, I hope CJ's BUTTer comes in handy once your little one arrives in June.

Thank you to all who entered.  If you didn't win this time around, don't worry, more giveways are coming!

Monday, March 29, 2010

Enter Our Spring Giveaway: Win a Free Assortment of CJ's Natural BUTTer, a Cloth-Friendly Diaper Rash Ointment

We're excited to sponsor another free Spring Giveaway this month! You can even earn extra entries (see How to Enter for full details).


1 lucky winner will receive a free assortment of CJ's BUTTer, a homemade amazing, natural, cloth-friendly diaper rash ointment: a 4 oz jar and 6 additional sampler scents.


CJ's BUTTer can be used to treat:

  • ezema
  • rashes
  • windburn
  • dry/chapped skin
  • rug burns
  • for postpartum relief (dissolve some in the bath for a soothing soak)
  • hang nails
  • and even as a treatment for smoothing ethnic hair

I cannot recommend this product highly enough!~ My newborn hates (let me reiterate - HATES) diaper changes, but his crying immediately stops when I put on his BUTTer. It is also available in a wide variety of scents - some smell good enough to eat.  It's also available in unscented if your child has super-sensitive skin.


To learn more about CJ's All Natural BUTTer, visit http://www.cjsewingroom.com



HOW TO ENTER:

  • Leave a comment here on the blog or on our Facebook Fan page.
  • You can earn an extra entry by submitting your natural birth story to our collection.
  • You must include some method to contact you should you win: a link to your Facebook page, website, blog, Blogger profile, email, etc. (Email addresses can be removed from your comments for privacy - only I will have access to them in the event you win - just ask for your email to remain private).
  • The giveaway ends Friday, April 9th.
  • There are no geographical restrictions. This giveaway is open to all.
  • The winner will be randomly chosen via randomnumber.org
  • The winner will be contacted via email. If the winner does not respond within 3 days, a new winner will be selected and notified.

The winner will be announced on Friday, April 9th both here on the blog and via Facebook. Please bookmark our blog or Fan us on Facebook so you can see if you've won.


Good luck!

Tuesday, March 9, 2010

It's a BOY~

I'm thrilled to announce the arrival of our first son, Oryn Oliver, via unassisted homebirth, on 3-9-10 at 8:23am after about an hour and a half labor.


He weighed in at a whopping 9lbs 3oz (at 38 weeks exactly!) and was 20 inches long. Daddy, big sisters and I are completely in love - he's very, very precious.


Check back for more pictures and the full birth story. I'd have to put him down to type it all out and I'm not willing to do that just yet ;-)

Friday, February 26, 2010

And the iPhone App Winners Are...

Congratulations to:

Eugenia (Entry #1)
Alexis (Entry #8)
Jenna (Entry #10)

You've each won a free copy of the new iPhone App, Baby's Here to send out birth announcements via your iPhone. Keep an eye out for an email with further details on redeeming your app.

If you didn't win, there will be more giveaways coming up next month, so check back soon.


Thanks to all those who entered.

Wednesday, February 17, 2010

Giveaway: Win a Free Baby's Here iPhone Birth Announcement App

We're excited to sponsor a free giveaway this month. 3 lucky winners will be chosen to receive a free copy of the Baby's Here iPhone App:


The Baby's Here iPhone app gives you the power to send share your birth announcements through email, Facebook updates, and even Twitter updates with the click of a single button!

HOW TO ENTER:

  • Leave a comment here on the blog or on our Facebook Fan page.
  • You must include some method to contact you should you win: a link to your Facebook page, website, blog, Blogger profile, email, etc. (Email addresses can be removed from your comments for privacy - only I will have access to them in the event you win).
  • Only 1 entry per person.
  • The giveaway ends Friday, February 26th.
  • There are no geographical restrictions. This giveaway is open to all.
  • Winners will be randomly chosen via randomnumber.org
  • The winners will be contacted via email within instructions on redeeming their free copy of the iPhone App. If the winner does not respond within 3 days, a new winner will be selected and notified.


The 3 winners will be announced on Friday, February 26th both here on the blog and via Facebook. Please bookmark our blog or Fan us on Facebook so you can return to check for the winners.


Good luck!

Friday, October 9, 2009

4 Years, 1 Month, and 17 days...


After 4 years, 1 month and 17 days of trying, I'm thrilled to announce that I'm expecting our third child in March. We are, of course, planning a midwife-assisted homebirth.


Positive Pregnancy Test


So, why did I wait so long to share the news?


Well, at first I didn't know I was pregnant. I'd had pneumonia the entire month of June, preceded by the flu, so the last thing I was expecting after all this time was a positive pregnancy test. I also have extremely irregular cycles, ranging from 25-62 days, so I literally can never count on when I'm officially "late" from month to month. And after many, many negative tests in the past, I avoid testing all all cost unless I truly think that I could indeed be pregnant.


I also wanted to be cautiously optimistic until I was certain that things were developing normally. I didn't want to share the news, only to have to un-share at a later date. We've always been late sharers - not until about 12-14 weeks with both of our other children.


This is also why we also didn't tell our children until about 8 weeks, when my morning sickness became too severe to write off as the flu.


For those who are interested, here's a short recap of the past 4 months:

Wake Up
~ An Hour Later ~
Vomit
~ An Hour Later ~
Vomit
~ An Hour Later ~
Vomit
~ An Hour Later ~
Vomit

...you get the picture.


The first 3 months were a nonstop blur of vomiting, broken capillaries in my face and constant nausea when I wasn't vomiting. It made me very thankful that my other children are older so that it didn't scare them and I was still able to care for them. My husband was the greatest help, taking over meals, handling most of the housework, etc so that I could take care of myself.


I've rarely been sick in all the years we've been married, so this was quite a new experience for us. I couldn't have gotten through it so smoothly without him.


Despite this rough start, I'm still thrilled to be expecting and it has been worth every moment with my head in a bucket to date. It just gets better from here on out and I'm continually excited for each new development that transpires.


Things that Are Different from My Previous Pregnancies


I thought it might be useful to compare and contrast my previous pregnancies, so here's a run-down of the most significant differences to date.


  • Severe Morning Sickness
    • I was not sick a day with my first and only had mild morning sickness with my second. This time around, I wasn't able to keep much of anything down for the first 12 weeks and even passed out on occasion (not a great experience). It started to ease off after about 13 weeks and now it's down to daily nausea, but no vomiting. I still have to be careful about what I eat, drink and smell, but it's completely manageable at this point.
  • Fainting
    • I never came close to passing out before, and was utterly shocked to wake up on the floor when it happened.
  • Braxton-Hicks
    • While I typically start to experience Braxton-Hicks around 16 weeks, this time they were noticeable starting at 14 weeks.
  • Fetal Movement
    • With my first, I felt fetal movement around 14 weeks and by 17 weeks, my husband could watch her moving inside my abdomen. With my second, I had an anterior placenta, so although I felt fetal movement around the same time, they didn't increase in strength until about 17 weeks, and weren't visible until around 18 weeks.

      This time, I first felt fetal movement around 13.5 weeks, but at this time it's still mainly little pokes and prods. I did start feeling more whole-body type movements just yesterday. This makes me suspect another anterior placenta.


Progress Toward Homebirth


The first challenge we faced was finding a midwife. We live in an extremely rural area where there are few options for OBs, let alone midwives. Due to my history of extremely rapid labors, distance was also a factor in selecting a midwife who actually has a chance of reaching us in time.


The first midwife I contacted was unable to accept due to a scheduled vacation right when I was due, with clients both before and after. I know how difficult it can be to get away and completely understand that you can't be everything to everyone all the time; sometimes, you have to say no.


Thus, I was down to a single option - if she couldn't take me, then I would have to search for an underground CPM (my state has a very hostile climate toward homebirth, with or without a CNM in attendance) within range who could attend me.


Luckily, she was willing to accept me. My next appointment is this evening, which I'm eagerly anticipating. At my last appointment, she had two clients who she thought might both have their babies that night, so I'm anxious to see what transpired.


I intend to make regular updates on our progress and preparation toward our homebirth, which will be filmed and shared on GivingBirthNaturally.com, so check back often for updates.


I'm not really showing much yet, but I'll post a picture of my belly-to-date soon.

Tuesday, September 1, 2009

ACOG Revises Position on Fluids During Labor

ACOG recently released new guidelines on fluid intake during labor, loosening the restriction on ice chips only to "modest amounts of clear liquids".


The full news release can be seen at http://www.acog.org/from_home/publications/press_releases/nr08-21-09-2.cfm


The new recommendations include:


According to ACOG, women with a normal, uncomplicated labor may drink modest amounts of clear liquids such as water, fruit juice without pulp, carbonated beverages, clear tea, black coffee, and sports drinks. Fluids with solid particles, such as soup, should be avoided, however. Women who have uncomplicated pregnancies and are scheduled for a cesarean delivery may also drink these clear liquids up to two hours before anesthesia is administered.



My favorite part of the release is this:



"Allowing laboring women more than a plastic cup of ice is going to be welcome news for many," Dr. Barth said. "As for the continued restriction on food, the reality is that eating is the last thing most women are going to want to do since nausea and vomiting during labor is quite common."



Tsk, tsk Dr. Barth. Leave it to a man to tell all pregnant, laboring women what they "will want", and to speak for all of us as if we're not worthy of individual consideration.


What he also fails to realize is that nausea and vomiting typically occur during transition, the shortest and latest part of labor.


Since labor can (and often does) last 12+ hours, his rationale is that because at some point 12+ hours down the road a woman may feel nauseous and possibly vomit, she shouldn't be allowed to eat at all during labor.


Instead he should consider that starving a laboring woman for 12+ hours could in fact cause the nausea and vomiting, independent of labor.


ACOG (and Dr. Barth) also fail to realize that digestion usually slows to a near-stop during labor as the hormones of birth build within the woman's body. While remaining largely undigested for hours, this food serves to provide critical energy to the birthing mother to help stabilize her and her baby's blood sugars. Robbing her of nutrients puts unnecessary risk of upsetting this delicate balance and increasing the risk of a "dysfunctional" labor pattern or fetal distress in the baby.


Although the relaxed guidelines are a small step in the right direction, they still shows the persistent lack of understanding that physicians have about labor and in considering individual differences. As long as they try to make modern obstetrics about a "one-size-fits-all" approach, we won't see the change women and babies deserve.


Perhaps the greater goals would be to train caregivers who could think independently, recognize normal birth, expect birth to progress normally, intervene only when necessary (and in the least intrusive, evidence-based ways first) and understand that a woman's body knows how to birth a baby, when it is allowed to do so.

Monday, August 31, 2009

Homebirth-Friendly OB Needs Your Help

An OB of a very rare breed, a homebirth, VBAC and vaginal breech supporter, Dr. Stuart Fischbein, who actively collaborates with midwives, needs your help.

He is currently being threatened with disciplinary action by his hospital for, in essence, doing his job to the very best of his ability: supporting informed consent and evidence-based medicine. His practice maintained a primary c-section rate of just 5% (as opposed to the hospital rate of 20%) and a total rate of 12% (compared to 29% for the hospital rate). Over the past few months, he has attended 3 vaginal breech birth and 3 VBACs which all ended positively. The hospital has already suspended the privileges of the two CNMs he works with, and he's next on their list.


To find out more about Dr. Fischbein's case and how you can support his cause, please visit his blog.


Here's more on how you can help:

1. Contribute to Dr. Fischbein's Legal Aid Fund. Make Paypal Payment to angelfischs@yahoo.com or mail a check payable to Alan J. Sedley, Attorney at Law to: 1234C Westlake Blvd., Westlake Village, CA 91361

2. Write a Letter to: Mr. Michael T. Murray, President, St. John's Regional Medical Center, 1600 Rose Avenue, Oxnard, CA, 93030 and copy to: angelfischs at yahoo.com.

3. File a complaint with the Joint Commission.

4. Network. Share his story with forums, blogs, newsletters, or start a letter-writing campaign. This issue is larger than him - it impacts birthing women everywhere.

5. Enroll in our Online Childbirth Classes. 10% of all tuition payments received in September will be donated to his Legal Aid Fund.


His hospital currently supports aggressive, non evidence-based policies which compromise patient rights, autonomy, bodily integrity and overall well-being in the interest of limiting professional liability.

For example, they ban VBAC patients, not from VBAC, but from receiving epidurals, which should always be a choice, whether or not a woman chooses to elect it.

They also have strict policies on homebirth transfers, limiting women in their choice of hospital, which could even be a violation of EMTALA, which states that no woman in active labor can be turned away from a hospital without treatment.

I strongly urge you to support Dr. Fischbein in any way you can - whether monetarily or otherwise. By supporting him, you are advocating for women's rights to quality, evidence-based care for themselves and their children. The consequences of inaction could be far reaching.

Sunday, August 30, 2009

ACOG Steps Up the Anti-Homebirth Game

If ACOG were a dog breed, it would be a pit bull - tenacious and aggressive when threatened.


Their latest tactics include soliciting failed homebirth stories, with or without negative outcomes, via their website. It speaks volumes about their commitment to impartial, evidence-based policies backed in rigorous research evidence, doesn't it, that they aren't also asking for statistics on successful homebirths. It's a one-sided petition that suits their politics perfectly.


From the ACOG site:

Reporting of Unsuccessful Attempts at Home Delivery with or without Adverse Consequences

In 2006 there were 24,970 home deliveries reported in the United States[1]. Obstetrician-gynecologists and other members of the medical community may be faced with the presentation of an obstetrical patient who has attempted home delivery unsuccessfully. The need exists to quantitate the frequency and information of these events. The goal of this registry is to attempt to quantitate when home delivery is unsuccessful and what the outcomes are. To be HIPPA-compliant, no identifying information will be requested. Data points include the state of occurrence, as well as the month and year of delivery, maternal and gestation age, gravidity and parity and obstetric or neonatal complications. An attempt to identify the home attendant type if known will also be useful data.

ACOG appreciates your recognition of this issue and your utilization of this registry to assist us in data collection.



In a backlash they never saw coming, ACOG got data - just not the data they expected.


Their collection form was instead flooded with the positive homebirth stories of mothers nationwide who've had enough of their unfounded attacks on homebirth, midwifery and women's rights in general, and decided to fight back.


After this outpouring of positive homebirth support, ACOG put their submission form on a members-only, login page: http://www.acog.org/survey/hdComplications.cfm


Maybe they'll take the hint and put their self-interested policies locked far, far away from women, right where they belong.


If they do make the form public again, rest assured that the positive flood of homebirth stories will resume - they'll get the message one way or another, eventually.

Saturday, August 29, 2009

Mayim Bialik "Blossoms" into My Kind of Woman

In the early 90s, Mayim Bialik was the teen icon of the show "Blossom", wherein she lived with her two brothers and spent time with her best friend, Six.


I must admit that although I've heard of the show, I never saw it, mostly in part to strict parents and a strong preference for books over television.


But it seems that Mayim, who took 15 years off after the show to earn a Doctorate and start her family, grew into my kind of woman - a homebirthing, breastfeeding, cosleeping, anti-vaxing, ec-ing, baby-wearing, homeschooling, more-than-just-a-little-crunchy mom.


You can check out a recent interview with her here: http://omg.yahoo.com/blogs/goddess/spotlight-to-nightlight-mayim-bialik-from-teen-icon-to-unconventional-mom/270?nc


I wish there had been more time for her to discuss her choices and why she and her husband made them. It really makes a powerful statement on the mainstream when public figures share their "unconventional view" about parenting and birth.


If only this would happen more often, eventually the tide could shift to make the current mainstream the unconventional ones.

Tuesday, July 21, 2009

Abby & Ricki Overdeliver Again: Webisode Series at MyBestBirth.com

Abby Epstein & Ricki Lake, who produced the ground-breaking documentary, The Business of Being Born, are again giving back to the birth world through their new site, MyBestBirth.com.

They're currently launching a series of celebrity webisodes covering the homebirths of different celebrities who've had homebirths. The full press release & details is posted below. Be sure to check it out!


RICKI LAKE LAUNCHES EXCLUSIVE CELEBRITY WEBISODE SERIES ON MYBESTBIRTH.COM
Cindy Crawford, Christy Turlington, Laila Ali, Melissa Joan Hart, Alyson Hannigan are among featured celebrities sharing personal birth stories as part of the series

Los Angeles, June 25, 2009--Ricki Lake and Abby Epstein, the documentarians behind the critically-acclaimed film The Business of Being Born and authors of Your Best Birth, will exclusively preview clips of their new film on MyBestBirth.com as a webisode series. This includes, never-before-seen interviews from celebrities Cindy Crawford, Christy Turlington, Melissa Joan Hart, Alyson Hannigan, Laila Ali, Kellie Martin, Sarah Wayne Callies, Kimberly Williams-Paisley, Joely Fisher and others, discussing their personal birth experiences.

Cindy Crawford’s birth story began the series on July 8th and it will culminate with an online chat with Crawford herself answering people’s questions from July 27 to 31 on MyBestBirth.com. The other celebrity stories will immediately follow.

Cindy Crawford’s birth story websiodes can be viewed at:
http://www.mybestbirth.com/page/cindy-crawford-part-1

The trailer for the webisode series can be viewed at MyBestBirth.com or http://www.youtube.com/mybestbirth.

For more information, please visit MyBestBirth.com or contact Amy Slotnick at Amy@mybestbirth.com

# # #

About Ricki Lake:
Actress, producer, filmmaker and author Ricki Lake has reinvented herself at every stage of her 20 year career. Lake has gone from starring in the 80s classic Hairspray to hosting the long-running Ricki Lake talk show for 11 years—while continuing to star in feature films and appear in television projects. Lake has again evolved her career—this time to include birth advocate, documentarian and author with the recent releases of the critically-acclaimed film The Business of Being Born and pregnancy guide, Your Best Birth. Proving that her entertainment influence will always be multi-hyphenated, she presently hosts and executive produces the Vh1 hit series, Charm School with Ricki Lake.

About Abby Epstein:
Director and Producer Abby Epstein helmed the acclaimed documentary The Business of Being Born, executive produced by Ricki Lake. The success of the film inspired Abby and Ricki’s recent book, Your Best Birth. Abby made her film directing debut at the 2004 Sundance Film Festival with the documentary feature, Until the Violence Stops. On Broadway, Abby spent four years as the resident director of the musical RENT, overseeing the London premiere and two National Tours. She directed RENT in Mexico City, Barcelona and Madrid. Off Broadway, Abby directed over 100 celebrity actresses in The Vagina Monologues along with the National tour and premieres in Toronto and Mexico City.

Friday, June 19, 2009

Vaginal Breech Birth & SOCG

The Society of Obstetricians & Gynecologists of Canada (SOGC) has made a shocking announcement this week: to not only offer vaginal breech birth but to also establish training programs nationwide so physicians can once again become skilled in this lost art. From this article

Physicians should no longer automatically opt to perform a cesarean section in the case of a breech birth, according to new guidelines by the Society of Obstetricians and Gynecologists of Canada.


The new approach was prompted by a reassessment of earlier trials. It now appears that there is no difference in complication rates between vaginal and cesarean section deliveries in the case of breech births.

“The safest way to deliver has always been the natural way,” said Dr. Lalonde.

“Vaginal birth is the preferred method of having a baby because a C-section in itself has complications.”


The article goes on to cover the disadvantages of a c-section, which are so often ignored:

Cesarean sections, in which incisions are made through a mother's abdomen and uterus to deliver the baby, can lead to increased chance of bleeding and infections and can cause further complications for pregnancies later on.

“There's the idea out there in the public sometimes that having a C-section today with modern anesthesia and modern hospitals is as safe as having a normal childbirth, but we don't think so,” said Dr. Lalonde.

“It is the general principle in medicine to not make having a cesarean section trivial.”


And the true kicker that sets apart SOGC from ACOG:

The SOGC believes that if a woman is well-prepared during pregnancy, she has the innate ability to deliver vaginally.



I have to say I'm somewhat shocked at this turn of events. While eliminating universal c-sections for breech is a great strategy for reducing overall c-section rates, it's still a bit stunning to see such an organization reach the same conclusion, and then take the necessary steps to see it happen. No muss, no fuss. Simple, direct, evidence-based, effective.


I do think that last quote has quite a bit to do with it. At the heart of the matter, SOGC realizes that women can and will give birth with or without them, so it's advantangeous to them all to foster good relationships based upon respect and acknowleding their autonomy to make their own health care decisions, which means offering alternatives to automatic abdominal surgery when it's not needed.


This strikes at the heart of the differences between ACOG and SOGC - ACOG does not let evidence drive their decisions nor do they believe in womens' innate ability to deliver vaginally when well prepared. And it shows in our birth outcomes. Lucky us.

MIA


So sorry to have been MIA for so long. After 4 cases of pneumonia (1 child, 2 husband, 1 myself), 3 nasty flus (2 me, 1 child), 2 asthma attacks, and an extreme supra-chondryall fracture of the humerus requiring surgical repair (oldest child) 2 casts and 6 weeks of physical therapy, we've had more than our share of medical issues in the past 3 months.


Now, as I lay recovering from the last vestiges of my own case of pneumonia, I am trying to catch up on the dozens of posts that were started, but never posted. I do sincerely apologize for the absence and hope the summer brings better weather - and better health - for us all.



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