Nursing Birth

One Labor & Delivery Nurse’s View From the Inside

Birth Resources EVERY Woman Should Know About April 23, 2009

I was at my local ICAN (International Cesarean Awareness Network) meeting yesterday and the theme for the night was “Birth Stories.”  Although I have never had a cesarean section, attending the local ICAN meetings is, for me, a way to get together and work with other people in the birth advocacy community and meet pregnant moms who are seeking out more information regarding their birth choices.  Anyways, throughout the meeting last night I found myself often referring to different books that I have read that I feel are great resources for pregnant moms.  Everyone else seemed to jump on the bandwagon and by the end of the night, I think all the gestating members of the group had heads that were spinning with tons of different information!

 

This meeting inspired me to put together a list of books, websites, and movies that I have personally read or watched that I feel are “must see/must reads” for any woman who is trying to get pregnant, currently pregnant or newly postpartum.  Whether you are planning a homebirth birth with a direct entry midwife or wishing you could have your OBGYN call in your epidural before even getting to the hospital, these resources are something to seriously consider.

 

It is important to note that this is an abbreviated list.  I have so many amazing books on pregnancy, childbirth, and breastfeeding that it’s kind of ridiculous.  But I made sure to keep this list brief for a reason; I don’t want to scare anyone away!  I don’t want anyone to think “Oh jeeze, there are just too many things on this list.  I am too overwhelmed to read any of them!”  That being said, if there is any book, movie, website, etc that you found or are finding to be very helpful with your past or current pregnancies, I’d love to hear about it!!!

 

MUST READ BOOKS:

 

*Best Childbirth Preparation Book*

- Birthing from Within: An Extra-Ordinary Guide to Childbirth Preparation by Pam England & Rob Horowitz

 

*Best “How To” Guide to Helping a Woman Through Childbirth*

- The Birth Partner, Third Edition: A Complete Guide to Childbirth for Dads, Doulas, and All Other Labor Companions  by Penny Simkin

 

*Most Inspiring/Positive/Empowering “What To Expect” Book*

            - Ina May’s Guide to Childbirth  by Ina May Gaskin

 

*Best Practical Guide to Breastfeeding*

            - So That’s What They’re for: Breastfeeding Basics by Janet Tamaro

 

*Best “Research that Doesn’t Read Like Research” Book*

            - The Thinking Woman’s Guide to a Better Birth by Henci Goer

 

 

 MUST WATCH MOVIES:

 

* Best Hard Look at the Current State of Maternity Care in America

- The Business of Being Born (2007)  Directed by Abby Epstein, Produced by Ricki Lake

 

*Most Personal Documentary About Being Pregnant In America

- Pregnant in America: A Nation’s Miscarriage (2008)  Directed by Steve Buonagurio

 

 

MUST SEE WEBSITES:

 

* ICAN (International Cesarean Awareness Network)

- ICAN’s mission is to prevent unnecessary cesareans through education, to provide support for cesarean recovery, and to promote VBAC.

 

* Coalition for Improving Maternity Services (CIMS)

- CIMS is a coalition of individuals and national organizations with concern for the care and well-being of mothers, babies, and families. Their mission is to promote a wellness model of maternity care that will improve birth outcomes and substantially reduce costs.

- CIMS is the founder of the The Mother-Friendly Childbirth Initiative  and The Birth Survey

 

* Citizens for Midwifery

- Citizens for Midwifery (CfM) is a non-profit, volunteer, grassroots organization. Founded by several mothers in 1996, it is the only national consumer-based group promoting the Midwives Model of Care.

- CfM can help you learn about the Midwives Model of Care, find a midwife in your area, and connect with resources about birth and midwifery

 

* La Leche League International (LLLI)

- La Leche League International strives to help mothers worldwide to breastfeed through mother-to-mother support, encouragement, information, and education, and to promote a better understanding of breastfeeding as an important element in the healthy development of the baby and mother.

 

* BirthNetwork National (BNN)

- BNN is is leading a grassroots movement based on the belief that birth can profoundly affect our physical, mental and spiritual well-being.

- BNN has local chapters and holds monthly meetings all around the country!

- BNN believes that:

· Birth is a normal, healthy process, not an illness or disease.

· Empowering births can take place in birth centers, hospitals and homes.

· Women are entitled to complete and accurate information on their full range of options for pregnancy, birth, post-partum and breastfeeding.

· Women have a right to make health care decisions for themselves and their babies. That right includes Informed Consent as well as Informed Refusal.

           

 

So now it’s your turn!  What books or other resources did you find helpful when preparing for pregnancy, labor, birth, and postpartum?  We all want to know J!

 

Jack Newman’s Breastfeeding Resources April 11, 2009

Filed under: Ideas & Information — NursingBirth @ 9:33 AM
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I was talking to one of the lactation consultants at work yesterday and naturally, our conversation turned towards breastfeeding stories.  I mentioned to her that I was studying to become a certified lactation educator through CAPPA and that one of the requirements for certification is to create and submit a local resource list for breastfeeding families. 

 

Fast forward a few hours and Marie (the lactation consultant) pulled me over to a computer and showed me a website.  “I don’t know if this is what you are looking for, but this website is a GREAT resource for any breastfeeding mother or professional!  The website is called breastfeedingonline.com and it is run by Cindy Curtis, RN, IBCLC, RLC.  The website features a page highlighting Dr. Jack Newman, MD, FRCPC, a Canadian pediatrician who has dedicated almost his entire career to advocating for and supporting breastfeeding and promoting the WHO/UNICEF Baby Friendly Hospital Initiative.  Some of you might have read his books: Dr. Jack Newman’s Guide to Breastfeeding in Canada and The Ultimate Breastfeeding Book of Answers in the United States.

 

According to the biography posted on breastfeedingonline.com:

 

“Dr. Jack Newman graduated from the University of Toronto medical school in 1970, interning at the Vancouver General Hospital. He did his training in paediatrics in Quebec City and at the Hospital for Sick Children in Toronto from 1977-1981, to become a Fellow of the Royal College of Physicians of Canada in 1981 as well as Board Certified by the AAP in 1981. He has worked as a physician in Central America, New Zealand and South Africa. He founded the first hospital based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, evaluating the first Baby Friendly Hospitals in Gabon, the Ivory Coast and Canada.

 

Dr. Newman was a staff paediatrician at the Hospital for Sick Children emergency department from 1983 to 1992, and was, for a period of time the acting chief of the emergency services. However, once the breastfeeding clinic started functioning, it took more and more of his time, and he eventually worked full time helping mothers and babies succeed with breastfeeding. He now works in several clinics around the city of Toronto.”

 

The resources on this website are GREAT!  It includes PDF handouts and videos on a variety of topics including: adoptive nursing, beginning to breastfeed, blocked duct, colic, engorgement, expressing milk, extended nursing, how to know if your baby is getting enough milk, and increasing your milk supply.  There are also at least nine videos regarding proper latching technique and what to do if a baby doesn’t latch on right. 

 

So if you get a chance today, check this website out!

 

 

 

Why Is Vaginal Breech Birth Going the Way of the Dodo? April 9, 2009

I recently was sent a link to The Coalition for Breech Birth website and I wanted to share it with all of you because it is both interesting and informative.

 

I learned in nursing school and have since witnessed as an L&D nurse the hard truth that all breech babies are born by cesarean section in the United States nowadays unless 1) the baby turned from vertex to breech during the labor and no one realized it or 2) the baby actually delivered in the bed before her doctor could wheel her into the operating room.  I knew from books and stories told to me by older nurses that in the “old days” they used to deliver breeches vaginally but never learned why it isn’t even presented as an option for the women of today. 

 

According to the Coalition for Breech Birth website:

 

“Vaginal breech birth was practically banned following a significant international research study in 2000. This study, the “Term Breech Trial” or TBT, appeared to prove that caesarean section was substantially safer for the delivery of all breech babies. The trial was highly criticized, but many birth care providers took this opportunity to do what they wanted to do anyway – to stop offering vaginal breech birth to their clients, and to insist instead upon a surgical delivery.  In addition to all the professional criticism, the TBT’s own two year follow up negated the original results, suggesting that any difference in safety between vaginal and surgical birth of a breech baby is negligible – for both mother and child. Despite this evidence, many birth care providers (BCPs) still avoid balanced informed choice discussions with their clients, denying them the opportunity to make an informed choice.”

 

It is disappointing enough when a woman is not given the choice and is just scheduled for an elective pre-labor cesarean section (often at about 39 weeks, which could still be early for many babies) related to her baby being breech.   It’s also frustrating when a provider doesn’t even offer the patient an external version before scheduling her for surgery.   But what I find really upsetting as an L&D nurse is when a woman comes in 8, 9, or 10 centimeters dilated and because she is found breech is rushed of for an emergency cesarean section.  Many doctors say that one of the reasons they don’t “do” vaginal breech births is because the buttocks are not as effective at dilating the cervix as a nice round head is and labor can be too long and difficult.  But when a woman comes in at 10 centimeters dilated clearly her body did just fine!!  And when a woman “accidentally” delivers a breech baby in the bed before we could get her to surgery, everyone (doctors, nurses, midwives) seem to be so excited that the patient was able to “avoid” surgery, yet this hasn’t EVER made ANY doctor think twice about scheduling every one of their breech patients for surgery anyways.  So frustrating! 

 

If you have never seen a breech delivery before, this site has links to pictures and videos as well as other resources for mothers wanting to be more informed of their birth choices. 

 

The sad thing is that if things continue the way they are now, less and less doctors and midwives will be properly trained to assist in the delivery of a breech baby and by this vicious cycle, less and less opportunities for women to make this birth choice will exist. 

 

 
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