If you're a doula, you need The Doula Business Guide.
This comprehensive book by Patty Brennan shows you how to establish and grow a thriving doula service. You'll learn about going alone versus a partnership, the advantages and disadvantages of incorporating, insurance reimbursement, marketing, fundraising, risk management and more. It includes a forward by Penny Simkin. To order
This issue of Midwifery Today E-News is brought to you by:
Attend the two-day Midwifery Skills pre-conference class at our conference in Eugene, Oregon, March 30 – April 3, 2011 . Topics covered include First and Second Stage Difficulties, Complete Physical Exam, Herbs for Birth, Keeping Birth Normal, Third Stage Difficulties, Suturing Overview and much more! Check the program for more information, then register for one or both days!
Preregistration deadline is March 23, 2011, in office. After that, you must register at the conference. Learn more about the Eugene conference .
Students or beginning midwives who are not yet able to accurately interpret what they are feeling during palpation may enhance their mental imagery by using a water soluble marking pen to trace the shapes of fetal parts they are feeling onto the mother's abdomen. This gives a visual as well as tactile picture of size and position of the baby. Of course, make sure the mother feels comfortable with this procedure.
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 firstname.lastname@example.org.
Doulas have an especially important role in changing birth practices, both one birth at a time and as a presence in the larger birth movement. With the exception of a brave few, midwives have not been able to infiltrate the hospital system. Doulas are reaching many spaces in birth care that we cannot. Doulas help more women have good births and motherbaby needs them.
Please read the rest of this column in the full online version of E-News .
— 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.
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.
Updated Systematic Review of the Effects of Continuous Labor Support
An updated, systematic review of the effects of continuous labor support was recently published in The Cochrane Library. The updated review adds new data to a controlled trial research review on continuous labor support published in 1989. The purpose of the review was to assess the effects of continuous, one-on-one labor support on both mothers and babies.
The review found that women who received continuous support during labor were more likely to have shorter labors and to give birth spontaneously. They were less likely to have a cesarean, give birth with a vacuum extraction or forceps, have analgesia or anesthesia and tended to express less dissatisfaction with their experience. Care providers who were not a part of the birthing mother's social network, or a part of the hospital staff (in cases of hospital births), seemed to have the most impact on assessed outcomes.
When the time came for Rebecca to push, it wasn't determined by someone coming in and checking and declaring, "Okay, you are fully dilated. Time to push!" Instead, she transitioned into the birthing tub, moved around and investigated ways that best suited her needs. Soon, the urge to push just appeared. Without instructions, bright lights, counting or commotion, Rebecca found a way to push her beautiful baby girl out into the world.
This particular birth experience revealed to me not only a different side to birthing, but a different perspective of the doula's role. Normally, a big part of my job is to help the couple negotiate with the hospital staff and explain the basic risks vs. benefits of different interventions. This time that aspect was removed and one of my main contributions was to just watch and be present. I stepped in when Rebecca needed a gentle touch, a hand to hold or a soft voice to remind her she was perfect "as is." I stepped away when she didn't need me or when she and her husband needed time together. Rebecca's primal instinct was our true leader on this journey. And it led her and her baby well."
Featuring Penny Simkin, the audio tapes in this package were selected by a professional doula and cover some of the most important issues facing birth professionals today. For just $65, you'll receive five double audio tapes on topics such as emotional support, the impact of childhood sexual abuse and non-pharmacological methods of pain relief. To Order
A way to work through grief and loss
Created as a healing journal for mothers who have lost their babies, Mending Invisible Wings is filled with healing words, drawings, poems and exercises. Each exercise includes an action, an affirmation and a self-nurturance activity designed to help the mother move through her grief. There are also plenty of blank pages where she can express her grief through words or pictures. If you have recently lost a baby, or if you know someone who has, Mending Invisible Wings could be an important step in the healing process. To Order
Let Miss Margaret inspire you!
Margaret Charles Smith caught her first baby when she was five years old, then went on to become one of the last great "Granny" midwives in the United States. Watch this DVD to learn about the woman Ina May Gaskin called a "national treasure." You'll be inspired by her courage, perseverance and motherwit. To Order
Sick and tired of seeing birth misrepresented in the media?
Then you need Laboring Under an Illusion: Mass Media Childbirth vs. the Real Thing. Explore media-generated myths about childbirth as you watch over 100 video clips chosen by anthropologist Vicki Elson. This DVD is a thought-provoking tour of diverse attitudes and practices, and an enlightening look at how media influences our attitudes toward birth. Get the DVD.
Make sure you get the whole story.
Midwifery Today E-News is only a sample of what you'll find in Midwifery Today magazine. Subscribe and you'll receive a 72-page quarterly print publication filled with in-depth articles, birth stories from around the world, stunning birth photography, news, reviews and more. Subscribe.
Thinking about becoming a midwife?
Paths to Becoming a Midwife: Getting an Education is just what you need! This 328-page book contains vital information for anyone considering midwifery as a career. It includes a directory of over 150 schools, programs and other resources. Order the book.
Read this editorial by Jan Tritten from the brand-new issue of Midwifery Today, Spring 2011:
Our Decade of Change Excerpt: Another hopeful sign is that we are closer to reaching critical mass. When 15 percent of the people know the truth about birth and will tell their friends, then the whole world will know. How can we not have a violent society when the violence begins at birth?
Read these reviews from Midwifery Today, Autumn 2010, newly-posted to our Web site:
Optimal Pelvic Positioning —produced by BirthWorks International, Jean Sutton and Cathy Daub Excerpt: Cathy Daub shares some excellent tips on how to position the pelvis to allow the baby the easiest access through the pelvis during birth. From the best sitting postures to help baby stay in an anterior position, to the best positions for labor, moms-to-be can learn how to make birth easier. Sutton's wisdom and humor are the best things about the entire video. She's created so many wonderful visual aids that really convey the points she tries to make.
Are you an aspiring midwife who's looking for the right school? Are you a practicing midwife who would like to learn more? Visit our Education Opportunities page to discover ways to start or continue your education.
Q: How do you facilitate good midwife-doula relationships?
— Jan Tritten
Read this issue's 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 email@example.com . Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Model your midwifery and your values. Your apprentice will do what she sees and it's far more effective than anything you can say. This, more than anything, will keep everyone in the practice of caring for others with consistency and excellence. You can't demand of her something that she hasn't seen you treat as important.
— Maryl Smith "Traditional Mentoring," Midwifery Today, Issue 89
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