Welcome to Midwifery Today E-News ! Save $5 on a Midwifery Today subscription
for yourself or for a friend. This is just one of the great deals on our Online Holiday Coupon Page . Be sure to take advantage of the savings during the Holiday shopping season. Plus, you'll find special offers from other merchants.
| Put the gift of beautiful birth in her hands |
Give Brought to Earth by Birth, a collection of black and white photographs by Harriette Hartigan, one of the world's master birth photographers. It makes a beautiful gift for your midwife or doula, for expectant or new moms, for grandmothers, and for anyone who loves babies and birth. And remember to order a copy for yourself!
This issue of Midwifery Today E-News is brought to you by:
Look below for more info! Shop for yourself, shop for a friend, and give to Midwifery Today!
Use iGive, where with every transaction a portion goes to benefit Midwifery Today, Inc. Raise a penny (or more) per search and generate donations from any of the 700+ stores listed with iGive, ranging up to 26%. Also, check out the new searchable coupons and deals, where you will find all available, up-to-the-minute offers and specials.
Start here: http://www.igive.com and select Midwifery Today, Inc., as your cause in step 1. (It only takes a minute.)
In This Week's Issue:
"There is power that comes to women when they give birth. They don't ask for it, it simply invades them. Accumulates like clouds on the horizon and passes through, carrying the child with it."
Send submissions, inquiries, and responses to newsletter items to: firstname.lastname@example.org .
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.
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.
Start your journey into midwifery!
Attend the full-day Beginning Midwifery class at our conference in Eugene, Oregon, March 30 April 3, 2011. You'll learn the basics of normal pregnancy, birth and postpartum care from Ann Olsen, Elizabeth Davis, Maryl Smith, Sister MorningStar and Eneyda Spradlin-Ramos. This class will also help you decide if midwifery is the profession for you.
Learn more about the Eugene conference .
Q: [from Jan's Facebook page ] Do you check for the cord around the neck after a baby's head is born? I have found that midwives in many countries don't routinely check for a cord. Is this just another ritual we haven't questioned or is there a real need?
A: [reply from Kristi Smith Zittle] Never! I do not ever want to affect the normal transfer of blood and antibodies that are flowing through the cord of the precious baby relying upon them nor do I want to cause any type of startle to the baby by accidently touching them at the critical time in the internal rotation process they are working through. Anytime we touch the cord, we can keep it from working perfectly as it was created to do without our interference. Babies will always come out through them or with them super tight around their little necksthe safest place for them to be. Even in cases of tight cords or short onesthe body, if left alone and NOT encouraged to push but simply to eject baby naturally through normal uterine involutionwill prepare itself (the placenta) to release early and immediately if necessary and this often times will cause a baby to come more slowlybut then seem to all of a sudden move out fast and then placenta follows on baby's heels (many times it will begin to detach as baby's head is delivering and so blood will be seen along with it)but baby is nearly out and will be fine.
The problem is we are usually too impatient and the idea of waiting and allowing the baby to do it all on its own pushes most of us beyond our limits and we feel a need to manipulate the cord without concern for what it may do to the baby's necessary blood and antibody nutrients. This was at one point my mentality as per my training.
Along this line as well, somersaulting is NOT a trick that midwives need to performbabies will somersault themselves out in the case of a nuchal cordwhere else will they go if the head is held near mom's vaginal opening? I LOVE watching them do it all on their own and then watching mom or dad gently unravel them as they lift baby up without anyone even telling them to do so.
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 email@example.com. Birth on a Desert Island
I love technology. When I started Midwifery Today nearly 25 years ago, publishers had just transitioned from using Linotype machines to lay out their magazines and were beginning to use computers. Though those first few issues were difficult in the face of new technology, it was better than any machine to date. I think about those days now, when I use my amazing iPad. I get my news, learn Spanish and have a blast with this little piece of technology. But when it comes to normal birth, technology needs to take a backseat to what is most needed: love, listening and care. Being involved with the people you serve and hands-on care is best.
Our tradition of midwifery comes from hands-on skills. There were no fetoscopes or bulb syringes used in Catharina Schrader's day. Schrader was a Frisian midwife in the early 18th century who wrote the memoir Mother & Child Were Saved. [ http://www.midwiferytoday.com/reviews/motherandchild.asp ] She used her brain, heart and hands in the care she gave. She got babies out that other midwives could not. She was often called to assist when other midwives experienced difficult births.
Could we provide good prenatal and birth care without any of our instruments? Considering that most of us feel 80% of birth is in the brainor is heavily influenced by the brainprenatal care, love and counseling are of utmost importance. Washington State midwife Carol Gautschi says the best tools are your brain, heart and faith.
Here's a question for you: If you were on a desert island with 100 pregnant women in your care, which three tools would you take with you? Carol and I talked about this at length and found it hard to pin down the three most useful tools in a midwife's bag. I think I have mine. I'll share them with you in another issue, but please share yours with us and, of course, tell us why you would take those three things. You get to take your brain, heart and faith as freebies, so after those tools, which are the three most important?
Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Jan's blog: community.midwiferytoday.com/blogs/jan/default.aspx
Jan's Facebook page: facebook.com/jan.tritten
Jan on Twitter: twitter.com/jantritten
Midwifery Today on Facebook: facebook.com/midwiferytoday
International Alliance of Midwives on Facebook: facebook.com/IAMbirth
| Pathways Magazine: Your resource for family wellness|
| || Pathways Magazine provides vital resources for family wellness. Our articles give parents the necessary information to actively participate in their families' natural health choices. Geared towards new parenting, there are always articles on birth and pregnancy from the vitalistic, midwifery perspective. A must have for holistic education in your practice. |
Baby Delivered at 37,000 feet
Birth on Korean Airlines on Way to Philippines
by Vicki Penwell
(Click the link to watch a few seconds of post-birth video: http://www.youtube.com/watch?v=byw1KMQKKDw )
Korean Airlines Flight #12 on November 15, 2010, took off from LAX on time with Scott and I on-board, en route to Manila to start a new charity maternity clinic for the poor. We scored the exit row seats in economy, so had plenty of leg room and slept for a few hours.
When I woke up about six hours into the flight, I noticed a flight attendant was bringing a woman to the jump seat in front of us, and she was sitting like she was in pain. My subconscious brain immediately recognized the unique type of squirming and sideways twisting that I had seen thousands of times
but my conscious brain said "No, people don't go into labor on airplanes except in the movies!" and anyway, in the dark, I could not even tell if she was pregnant. But being medically trained in emergency and primary care as well as being a midwife, and being a generally helpful person, I got up and approached the scene to see if I could lend assistance.
A short history revealed that the woman (a Korean citizen named Jannie, who lived in Los Angles) had boarded the plane feeling fine but had been having stomach pains the past four hours, and had just gone to the bathroom and discovered she was bleeding. This was her third baby, due Jan 1. Her squirming had now turned into low moaning as well, and the steward looked terribly uncomfortable, unsure of what to do. He helpfully approached her with an oxygen mask, which is what you do for heart attacks, but was not much help for this situation. I told the steward we needed to get her to a private place, that she was going to deliver. He looked shocked and in denial and so did the woman. I insisted he think of a plan for a private place
perhaps clear out the back row of seats?
[Please read the rest of this story here .
And come meet this amazing midwife at the Midwifery Today conference in Eugene, Oregon, next spring! Learn what Vicki will be teaching here .]
Survey says bath, shower better than Demerol for pain relief during labor
A recent survey of 510 first-time mothers has found that taking a bath or shower during labor is better for relieving pain than commonly used drugs such as pethidine (commonly known as Demerol) or anesthetic gas. Epidurals ranked highest for pain relief among the new mothers surveyed, but taking a bath or shower beat out some of the most-used pain relieving drugs used in labor wards such as pethidine.
The survey was recently published online at www.news-medical.net .
Mandal, Ananya, MD. 2010. www.news-medical.net/news/20101010/Bathing-better-than-pethidine-as-pain-relief-during-labor-Survey.aspx Accessed 1 Nov 2010.
| Are You an RN Searching for a Proven Online MSN?|
| || Are you ready to enhance your career and develop a higher level of patient care? The University of Cincinnati's CCNE-accredited MSN program combines the prestigious College of Nursing with flexible online studies. You can perform your clinicals in your own community, gain expert knowledge, and graduate in just over two years. This program is 100% online. Learn more. |
In no study was it possible for ultrasound imaging to distinguish between a loose or tight cord on ultrasound, although this has been attempted in at least three studies. Peregrine concludes that ultrasound diagnosis of nuchal cords will only be useful if we are able to diagnose them reliably as well as predict which of those fetuses are likely to have a problem.(1) Since neither of those capabilities exists, looking for a nuchal cord on ultrasound is useless. Ultrasound measurement of the velocity of flow in the cord may be useful in the management of twins and chronically growth-restricted fetuses.
Clapp attempted to find out the rate at which nuchal cords come and go during pregnancy.(2) He recruited 84 healthy, nonsmoking, nonsubstance-abusing women carrying a single fetus, with dates confirmed by 8- to 10-week ultrasounds, before the 20th week of gestation. The women all agreed to four extensive ultrasounds at 2426, 3032 and 3638 weeks gestation and during labor and delivery, evaluating fetal biometry, fetal tone and fetal motion. The ultrasound tests used color flow Doppler imaging to determine whether a nuchal cord was present and also monitored breathing movements, amniotic fluid volume, fetal flow redistribution, and velocity flow profiles from the umbilical artery at the body wall and placental insertion as well as at the origin of the fetal middle cerebral artery. Clapp reports that in 60% of women, a nuchal cord was seen on ultrasound at one of the four evaluations, yet at full term, at most, 35% are born with a nuchal cord. The data suggests that the likelihood of a nuchal cord linearly increases as the pregnancy advances. Larson had similar findings.(3) He found of the 13,895 singleton deliveries he analyzed, a nuchal cord appeared in 6% at 20 weeks to 29% at 42 weeks gestation. It appears that the rate of nuchal cords increases with gestation.
[Read the rest of this article excerpt in the full online version of E-News .]
- Peregrine, E., P. O'Brien and E. Jauniaux. 2005. Ultrasound detection of nuchal cord prior to labor induction and the risk of Cesarean section. Ultrasound Obstet Gynecol 25(2): 16064.
- Clapp, J.F., 3rd, et al. 2003. Natural history of antenatal nuchal cords. Am J Obstet Gynecol 189(2): 48893.
- Larson, J.D., W.F. Rayburn and V.L. Harlan. 1997. Nuchal cord entanglements and gestational age. Am J Perinatol 14(9): 55557.
Judy Slome Cohain
Excerpted from "Nuchal Cords Are Necklaces, Not Nooses," Midwifery Today, Issue 93
View table of contents / Order the back issue
Editor's Note: Midwifery Today does not recommend prenatal ultrasound. For more information, please read the following articles: http://www.midwiferytoday.com/articles/default.asp?q=ultrasound
| Learn and review basic midwifery skills|
| If you're studying to become a midwife, you need General Skills for the Student Midwife. This 2-DVD set is packed with demonstrations by experienced midwives and nurses and gives you the opportunity see hands-on skills being performed. Topics covered include Sterile Technique, Basic Treatment of Shock, Maternal Temperature Assessment, Maternal Skin Assessment, Newborn Temperature Assessment and much more! |
| Looking for a good appointment book for the New Year?|
| ||The With Woman Appointment and Resource Book is just what you need. This handy spiral bound book lets you record 15 months of appointments and is perfect for midwives, doulas, childbirth educators and lactation consultants. You'll appreciate the reference guides and resources, the place for listing client information and the handy pocket in the back that can hold business cards or a gestational wheel. If you're a student it can help you keep track of your prenatals, births and postpartum visits. Not a midwife? With Woman makes a great gift for someone who is. View inside pages!|
| Learn the essentials of supportive touch.|
| || In Touch Techniques for Birth, Leslie Piper, LMT, and Leslie Stager, RN, LMT, show you how to make touch a part of your midwifery practice. You'll learn about contraindications, acupressure, reflexology, hydrotherapy, general comfort strokes, pain relieving techniques and more. A special feature includes a midwife's story of the use of belly rub and emotional support to encourage labor. This DVD belongs in your midwifery library! Get the DVD. |
| Give the gift of information!|
|You'll save $5 per subscription when you order two one-year Midwifery Today subscriptions at the same time. And one of these can be your own renewal or new subscription! Subscribe. || |
| Learn more about how birth can be|
| || Watch Giving Birth to discover what's possible for 95% of all mothers and babies who can birth normally and naturally. This DVD contrasts the medical and midwifery models for birth and explains the risks of routine obstetric practices. You'll learn about the importance of doulas, see images of a waterbirth, watch a woman give birth in her own home, learn about epidural anesthesia, cesareans and more. Giving Birth features obstetrician/gynecologist Christiane Northrup, author of the bestselling Women's Bodies: Women's Wisdom. You may also purchase an optional resource/teaching guide, "Giving Birth: Challenges and Choices," available with the DVD. To Order |
| Learn Tricks from Expert Midwives|
| || |
Sharing Midwifery Knowledge is packed with information that can expand your personal bag of tricks, enhance your education and encourage a natural approach to safe childbearing. Topics include Nutrition and Herbs, Natural Alternatives to Drugs and Suturing, The Dangers of Ultrasound, and Premature Rupture of Membranes. Order the book.
Read this article from Midwifery Today, Issue 95, newly-posted to our Web site:
- Beyond Fear, Tension and Panic: Helping Men Enjoy the Birth Experience by Leah Hazard
"How many times have you seen a man become overwhelmed by fear as his partner gives birth? Calm enough to begin with, the man who was diligently timing contractions and cracking the odd joke a few hours ago now sits rigid by his partner's bedside, his eyes wide with panic and his mouth set in a hard expression that is neither a smile nor a grimace."
Midwifery Today E-News
Do you have a Web site? Does reaching more than 16,000 potential customers sound appealing? Purchasing an ad in Midwifery Today E-News, our biweekly e-mail newsletter, gets your message out and sends customers directly to your Web site. Each issue is archived and continues sending more customers in the future.[ Learn More ]
Advertise at Midwifery Today's Eugene, Oregon, Conference
Reach a targeted, enthusiastic market by advertising at Midwifery Today's conference in Eugene, Oregon. By advertising at "Gentle Birth Is a Human Rights Issue" you will reach an audience passionate about birth. Space is limited so learn more here .
Advertise with Midwifery Today Quarterly Print Magazine
With options ranging from classified ads to full page graphic ads, there is an option that is just right for your business. Ask about packages designed to fit your needs. [ Learn More ]
Contact our Advertising Director at: firstname.lastname@example.org
View more advertising options at: http://www.midwiferytoday.com/ads/
Q: Share your thoughts on nuchal cords. Do you have a standard procedure for checking for a cord wrap? Why or why not?
Midwifery Today staff
SEND YOUR RESPONSE to email@example.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.
| || |
You 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.
Read Question of the Week Responses in the full online version of E-News .
Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.org . Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Periglow, the best to support the perineum after birth. Periglow is a ready-to-use Swiss compress to promote healing the first weeks after giving birth. As a soak or bath. http://www.periglow.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 email@example.com Remember to share this newsletter
You may forward it to as many friends and colleagues as you wishit's free!
Want to stop receiving E-News or change your e-mail address? Or would you like to subcribe? 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 Magazinemention code 940 when you subscribe.
| ||1-Year Subscription ||2-Year Subscription|
|United States ||$55 ||$105|
|Canada / Mexico ||$65 ||$125|
|All other countries ||$75 ||$145|
E-mail firstname.lastname@example.org 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
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
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: email@example.com. Please send submissions in the body of your message and not as attachments.
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.
This publication and any information provided are not intended to constitute the practice of, or furnishing of, medical, nursing or professional health care advice, diagnosis, consultation, treatment or services in any jurisdiction. 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.
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. Midwifery Today: Each One Teach One!
You received this mailing because you signed up for Midwifery Today E-News on the Midwifery Today Web site and subsequently responded to verification e-mail. An issue of E-News is mailed to verified subscribers approximately once every two weeks. You may unsubscribe at any time by visiting www.midwiferytoday.com/enews/ or by sending your request to firstname.lastname@example.org . You may also contact us at +1 (541) 344-7438 or PO Box 2672, Eugene, OR 97402 USA. Our physical address (not for mailing) is 1372 S Bertelsen Rd, Eugene, OR 97402 USA.