Febuary 18, 2009
Volume 11, Issue 4
Midwifery Today E-News
“Birth Interference”
Subscribe • Print Page
Search Archive • Index

Welcome to Midwifery Today E-News !


Subscription Sale for Students!

Special prices on Midwifery Today magazine! This offer expires March 9, 2009 (postmark or fax by the expiration date). More information.



Midwifery Today Online Store

Do you work with laboring women?

If you do, you need Midwifery Today's Second Stage Handbook. This book will address how to best serve women at this crucial stage. Expert practitioners reveal their observations on when to push, what works and choices available for the mother. The Second Stage Handbook is part of the Holistic Clinical Series.
Get the book.



This issue of Midwifery Today E-News is brought to you by:

Look below for more info!



Midwifery Today Conferences

Learn how you can nurture a better future through birth!

Attend our conference in Eugene, Oregon, in March 2009. You'll be able to choose from a rich offering of how-to classes, as well as classes on skills development, massage and sexual abuse issues.

Learn more about the Eugene conference and get a complete program.


Learn about the Traditions and Techniques of Mexican Midwifery

When you attend this class with Naolí Vinaver, you'll discover simple techniques that promote healthy pregnancy and birth—techniques that go back thousands of years. You will also learn how to use a rebozo, a very useful tool in all parts of the childbearing cycle. Time for hands-on practice will be provided. Part of our conference in Copenhagen, Denmark, May 2009.

Learn more about the Denmark conference and get a complete program.


RSS Feed Subscribe to the Birth Products RSS feed for information about the products available from Midwifery Today. Find out what's new, what's on sale and more.

RSS Feed Subscribe to the Web Updates RSS feed to stay on top of what's new or highlighted on the Midwifery Today Web site. Be alerted when conference programs go online, new articles are posted and more.

In This Week’s Issue:


Quote of the Week

"Healthy people are those who live in healthy homes on a healthy diet; in an environment equally fit for birth, growth work, healing, and dying…. Healthy people need no bureaucratic interference to mate, give birth, share the human condition and die."

Ivan Illich


Are you enjoying your copy of Midwifery Today E-News? Then show your support by making a donation of $3 or more.


The Art of Midwifery

Sometimes a baby comes shooting out like a bullet with no tearing at all. Other babies ease out nice and slow, and a tear occurs anyway. To some degree, it is necessary to move beyond the issue of tearing and onto the larger picture of the birth experience as a whole. We must resist becoming too set in our ways. We must try to see each woman's unique needs and experiences. One of the many beautiful things about the midwifery model is the degree to which the midwife and client get to know one another. Ideally, the midwife will know what importance the client places on the possibility of tearing, which will help the midwife know how to proceed during the birth. Hopefully, the client will trust the midwife and be willing to do some type of prenatal preparation.

Melissa Schuppe
Excerpted from "The Perinuem and the Birth Environment," Midwifery Today, Issue 65
View table of contents / Order the back issue


ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to mtensubmit@midwiferytoday.com.


Send submissions, inquiries, and responses to newsletter items to: mtensubmit@midwiferytoday.com.

Research

Aspirin May Prevent Preeclampsia

Retrospective research, using the data on 32,000 women, suggests that if low-dose aspirin were taken more widely that preeclampsia caused by placental defect could be reduced by 10%. In addition, it was shown to decrease premature delivery as well as poor pregnancy outcomes in general.

The researchers noted that while taking aspirin increases the risk of bleeding, the potential benefits may outweigh the risks in women who have an increased risk of developing preeclampsia. This includes women who are overweight, older or have a previous or family history of the condition. However, they also cautioned against pregnant women self-medicating with aspirin, noting that only one case of preeclampsia is expected for every 50 pregnant women.

http://news.bbc.co.uk/2/hi/health/6662321.stm. Accessed 17 May 2007.


Please support our advertisers!

advertiserDoulas…Complementing the Midwifery Model of Care

Join the premier organization for birth and postpartum doula training, certification, continuing education and ongoing caring support. Member benefits include quarterly International Doula magazine, the monthly eDoula newsletter, annual conference discount, an online discussion board and a unique boutique. Attend our Annual Conference in Atlanta, Georgia, August 6–9, 2009. www.DONA.org, info@DONA.org, 1-888-788-DONA (3662)



Can Humanity Survive the Safe Cesarean?

Human beings react differently from other mammals to interference with the birth process. When delivery of non-human mammals is disturbed, the effects are immediate and easily detected. For example, when animals give birth by c-section or with an epidural, the general rule is that the mother is not interested in the baby. Among humans, on the other hand, we need extensive statistics to detect what are mere tendencies and risk factors. These are much more complex in our species: We speak and we create cultural milieux. In certain situations, particularly in the perinatal period, human behavior is less directly under the effects of the hormonal balance than the effects of the cultural milieu. For example, a human mother knows when she is pregnant and can anticipate maternal behavior, while other mammals must wait until the birth when they release a flow of love hormones to kindle their attachment to their newborns.

Today, we understand that to have a baby, a woman—like any other mammal—has been programmed to release a cocktail of love hormones. Today the number of women who actually "give birth" to babies and placentas thanks to this hormonal release is ever-decreasing. First, because many women give by birth by cesarean. Second, most of those who give birth vaginally receive pharmacological interventions. Unfortunately substitutes block the release of the natural hormones and do not create the same behavioural benefits. We have to wonder what will happen, in terms of civilization, if this trend continues in future generations. Can humanity survive the safe cesarean?

Michel Odent
Excerpted from "The Future of Obstetric Technology," Midwifery Today, Issue 85
View table of contents / Order the back issue


Products for Birth Professionals

Placenta rituals, remedies and recipes…

Placenta: The Gift of Life

…are what you'll find in Placenta: The Gift of Life. Read this book to discover the various ways placentas have been used by people around the world and throughout the ages. You'll also find 15 recipes that will show you how to use the placenta in ointments, essences and other remedies for a variety of ailments. Placenta: The Gift of Life is a new book from Motherbaby Press, an imprint of Midwifery Today. Get the book.


What's black and white…

…read by birth professionals around the world, filled with informative articles and inspiring birth stories, and shows up in your postal mailbox four times a year? Subscribe. Midwifery Today Magazine

"I am opening up in sweet surrender
to the beautiful baby in my womb."
Of Nature and Birth DVD Slide Show

Watch "Of Nature and Birth"—a DVD Slide Show by Harriette Hartigan—for a powerful affirmation of how we can and should trust birth. Order this DVD for a beautiful beginning for your presentations to birthing classes. Add it to your lending library as encouragement for a pregnant woman to open as a flower on her birth day. Order the DVD.


Save $5 when you buy Paths to Becoming a Midwife and Midwifery Today Issue 78 at the same time.

Our new combo offer makes a perfect gift for any aspiring midwife. Paths to Becoming a Midwife will help her discover what kind of midwife she should be and what training options are best for her. Midwifery Today Issue 78 has a listing of direct entry programs available around the US, as well as articles on traditional midwifery, nurse-midwifery, apprenticeship, and direct entry midwifery. Order the combo.

Paths to Becoming a Midwife and Midwifery Today Issue 78

Prenatal Massage

Learn about prenatal massage with this comprehensive book by Elaine Stillerman

Prenatal Massage—A Textbook of Pregnancy, Labor and Postpartum Bodywork contains clear, colorfully illustrated explanations of a wide range of techniques and procedures. Topics covered include Swedish massage, acupuncture points, myofascial release, trigger point therapy, lymphatic drainage, and reflexology. Plus, you can watch demonstrations on the companion DVD. To order



Web Site Update

Read these reviews from Midwifery Today recently posted to our Web site:


Advertising Opportunities

Advertise with Midwifery Today quarterly magazine.

With options ranging from classified ads to full page graphics, there is an option that is just right for your business. Ask about packages designed to fit your needs. [ Learn More ] or contact ads@midwiferytoday.com

Advertise at Midwifery Today's Copenhagen, Denmark, conference

Reach a targeted, international market by advertising at Midwifery Today's conference in Copenhagen, Denmark. By advertising at "Preserving the Spirit of Midwifery" you will reach an audience passionate about birth. [ Learn More ]

Online Coupon Page

Use our spring online coupon page to pass savings on to your customers. [ Take a peek ]

Contact our Advertising Director at: ads@midwiferytoday.com
View more advertising options at: http://www.midwiferytoday.com/ads/


ed page graphicYou want to be a midwife, but where do you start?

Are you an aspiring midwife who's looking for the right school? Or maybe you're trying to decide if midwifery is the path for you. Visit our Better Birth Education Opportunities page to discover ways to start or continue your education.



Question of the Week

Q: I am pregnant with my 4th child; the second child was a compound presentation and I had a T incision. During the c-section for my third child, the vertical extension of the T opened up after the baby was delivered, so my T has been stitched twice. I believe it is double-stitched; I know it was after the first c-section, and I'm assuming it was again with the second. Additionally, my vaginal delivery was at 41 weeks, and my second child also went 41 weeks gestation. I never went into spontaneous labor with either child, even after waters broke. I had pitocin (no epidural) with the first, and no drug interference with the second prior to discovery of the baby's hand in the birth canal (the doctor had manipulated my uterus to expel waters and try to facilitate labor). Add to all this that I was diagnosed with gestational diabetes (GD) in December. So far my blood sugars are okay with diet. This baby will arrive almost two years to the date from my last cesarean.

Here's my problem: The recommended time for my cesarean is 39 weeks gestation, which falls on a Friday. The hospital doesn't usually do "elective" surgery on Friday, Saturday or Sunday, and my surgeon isn't available again until the following Tuesday, making me 4 days past my 39 week mark. The perinatologist is worried about rupture and suggests cesarean before 39 weeks, but then the hospital requires an amniocentesis to determine lung development. I do not like the idea of an amniocentesis, and if lung development is immature, I'd have to wait anyway.

My question is what to do? I feel an exception should be made to give me surgery at 39 weeks, rather than incurring risk to the baby from amniocentesis and respiratory problems, but I'm not sure they'll do this. What can you tell me, either about getting an exception to surgery dates and/or risk of rupture, or would you recommend doing the amnio and delivering before 39 weeks? I really do not want to deliver early, especially for the doctor/hospital scheduling policies. Any help you can give me is appreciated!

— Brigid Luzarraga
845-279-2732


SEND YOUR RESPONSE to mtensubmit@midwiferytoday.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message. Responses to any Question of the Week may be sent to E-News at any time.


Love birth? You need Midwifery Today magazine!



Feedback

I am a pre-nursing student at New Mexico State University-Grants. My goal is to obtain a BSN in the next four years and then go on to a CNM program after that. My ultimate goal is to have a midwifery clinic of my own by about 2020. I'm hoping that some E-News subscribers could direct me to some good scholarship or grant programs.

For the two years I've already been taking pre-nursing courses, I've taken out approximately $32,000 in student loans. I work about 3/4 time at my local school district as a teacher's aide. Since I'm looking at two more years of pre-nursing courses and two years of full time nursing study, I'm looking for a way to fund my education without more loans.

I will also be looking for a midwifery apprentice program after completing the CNM. I would like to practice somewhat traditionally at my own clinic. I welcome any and all information.

Pam Burns
Grants, New Mexico
Bburns_03@msn.com


Re: Breastfeeding guidelines regarding use of nipple shells (E-News 11:2, Feedback)

I'd like to know what "current research" as Ingrid Tilstra, IBCLC, LLLL states, does not support the use of breast shells during pregnancy for flat nipples. The use of breast shells (not shields) during pregnancy to create subtle pressure on the nipple to draw it out more is widely used at the hospital where I'm an L&D nurse. This seems advantageous to our patient population. Could she provide her references in this current research?

Thank you kindly.

Tanya M. Jennison, RN


Only letters sent to the E-News official e-mail address, mtensubmit@midwiferytoday.com, will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered.


Classified Advertising

Morning Star Women's Health & Birth Center seeking a full-time CPM or CNM for birth center and homebirth practice. Supportive medical collaboration. Salary/benefits negotiable. Beautiful rural area 1 hr. drive from Mpls/St. Paul. Send resume and cover letter: Paula@MorningStarBirth.com


Tell our readers about your business. Just $35/issue ($125 for four) gives you 30 words to promote your products or services. http://www.midwiferytoday.com/ads/enews.asp or ads@midwiferytoday.com


Remember to share this newsletter

You may forward it to as many friends and colleagues as you wish—it's free!

Want to stop receiving E-News or change your e-mail address? Or would you like to subscribe? Then please visit our easy-to-use subscription management page.

On this page you will be able to:

  • start receiving any of our e-mail newsletters
  • stop receiving any of our e-mail newsletters
  • change the version (text or HTML) that you receive
  • change the e-mail address to which newsletters are delivered

If you have difficulty, please send a complete description of the problem, including any error messages, to our newsletter.


Learn even more about birth!

Midwifery Today Magazine—mention code 940 when you subscribe.

 1-Year Subscription2-Year Subscription
United States$55$105
Canada / Mexico$65$125
All other countries$75$145

E-mail inquiries@midwiferytoday.com or call 1-800-743-0974 to learn how to order.

Or subscribe online.


How to order our products mentioned in this issue:

Secure online shopping

We accept Visa and MasterCard at the Midwifery Today Storefront.

Order by postal mail

We accept Visa; MasterCard; and check or money order in U.S. funds.

Midwifery Today, Inc.
PO Box 2672
Eugene, OR 97402, USA

Order by phone or fax

We accept Visa and MasterCard.

Phone (U.S. and Canada; orders only):  1-800-743-0974

Phone (worldwide):  +1 541-344-7438

Fax:  +1 541-344-1422


E-News subscription questions or problems

Editorial submissions, questions or comments for E-News

Editorial for print magazine

Conference

Advertising

For all other matters

All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site.


Midwifery Today E-News is published electronically every other Wednesday. We invite your questions, comments and submissions. We'd love to hear from you! Write to us at: mtensubmit@midwiferytoday.com. Please send submissions in the body of your message and not as attachments.


Disclaimer

This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.

Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.

Copyright Notice

The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.

© 2009 Midwifery Today, Inc. All Rights Reserved.


Midwifery Today: Each One Teach One!