Hait or BUST!!!!

It is now one month and 2 days before I leave for Haiti by way of Kansas City then Florida. Signs say I will be taking a PRIVATE plane from Florida into Haiti itself… more on that later. I have MANY things complete for this journey, and many things still to do. Who knew I’d have to work for 3 months to go somewhere for 2 weeks!? [I’ll also admit to being nearly giddy with excitement as my very own PASSPORT showed up in the mail!]

The support I’ve received from our local homeschool group, my church, people I’ve NEVER EVEN MET… well, it’s been nothing less than staggering. Humbled? Why, yes, I am. I have to CONTINUALLY remind myself that they aren’t giving to “me” but to Haiti. It feels so artificial for me (Mrs. Independent) to accept offerings from people I love and care about. Let alone strangers.

In the interim I’m so happy ton ave Robin here (my new apprentice). You can read her biography on the “Our Team” page. Look for more updates to this website soon, as it’s on my list of “MUST COMPLETE BEFORE HAITI”. To come: Placenta encapsulation, independent childbirth classes coming to your town, a better way to pediatric care, and an ONLINE STORE! At last! You don’t have to wait on me to get stuff shipped to you anymore! So excited to have this very very close to completion.

I am still a few hundred dollars short of my needed funds to serve in Haiti – please consider a donation. Every tiny bit helps. Paypal to psalms66@gmail.com as a “GIFT” and I won’t be charged any fees. Blessings to you all – love and hope only the best for you all.

Stay tuned for more!

Our Services

Dar a Luz Women’s Care offers homebirth services in these areas and private birth suites at our lovely freestanding center in Sedalia,Missouri. We also offer monthly classes including newborn care, breastfeeding, childbirth and sibling preparation. Our Mama Club meets monthly as well and explores a new topic with guest speaker each time! Call for a visit and come see us!

660-383-6059

Dar a Luz Women’s Care is pleased to also offer well-woman care as well as thyroid, non-hormonal fertility education and whole-woman nutritional support.

It’s all in the packaging!

 

Modern media has proven that you can wrap up just about anything and people will like it: IF the wrapper catches your eye!

Well, wrapping your baby isn’t a marketing ploy – and the cute factor is what’s INSIDE your baby wrap! There are many reasons to wear your baby. I love this website’s list. I can’t vouch for the items they have for sale as I’ve never purchased a wrap or sling. They are too easy to just make yourself!!!

Seriously though, you don’t have to spend $50 – $100 on a good baby carrier. My favorite to-date is a lovely length of fabric I purchased from the $1/yard table! No sewing required!!!

If you are new to mothering, you simply must give wearing your baby a shot. It will quickly become your favorite accessory. 🙂

Here are a few more links to get you started:
The Baby Wearer
Rebozo Way
Ask Dr. Sears

My favorite with sewing instructions:
Wear Your Baby

And if you need to “see” how to use a wrap, thank goodness for YouTube!
You Tube Wrap Videos

Induction Doubles Risk of Cesarean

Ok, so if you’re going into a hospital that has a 30% cesarean rate, and you go in for an induction, does that make your chances of a cesarean go up to 60%? Probably not, but it did make me ponder. SO many of the induction I hear about from friends, relatives, etc. end in a cesarean. To say that half of them do is not a stretch.

CONCLUSION: Labor induction is significantly associated with a cesarean delivery among nulliparous women at term for those with and without medical or obstetric complications. Reducing the use of elective labor induction may lead to decreased rates of cesarean delivery for a population.

LEVEL OF EVIDENCE: II

(C) 2010 The American College of Obstetricians and Gynecologists

Here is the article just published with these stats:

Labor Induction and the Risk of a Cesarean Delivery Among Nulliparous Women at Term

Ehrenthal, Deborah B.; Jiang, Xiaozhang; Strobino, Donna M.

Obstetrics & Gynecology. 116(1):35-42, July 2010.

doi: 10.1097/AOG.0b013e3181e10c5c

Sonogram: The New Crystal Ball?

I am So frustrated at the amount of misinformation put out there as FACT soley for the convenience of the provider! Grrrr!!!!! Some OB’s do it, some GP’s do it, some midwives do it, heck as far my experience shows some DENTISTS do it.

There was recently a comment made on my Castor Oil post from a woman who was told she was too small and couldn’t go to 38 weeks or her “uterus would rip open”. Baby was just TOO TOO big. Even if the poster got some of the semantics wrong (probably is her pelvis they are talking about not her uterus) the arguments for induction just amaze me. Of course I did not offer he any advice as to induction.

My local hospital routinely does inductions at 37 weeks. 37 WEEKS! Yeah. Ludicrous.

The main reason given to women for inductions and even cesareans is the “big baby” argument. And we have these wonderful things called sonograms to “prove” they are too big to “fit” through your pelvis. Please. Do they think we are stupid? Ignorant perhaps, but we are not STUPID.

Here is a lovely blog post by the fantastic “Unnecessarian” on sonograms and estimated size and due dates. Sonograms can be off as much as a pound either way and 2 weeks +/- for due date predictions! So if the sonogram says you are ok for an induction at 37 weeks (by the sonogram) and you induce and it’s off by 2 weeks guess whatcha get? A baby at 35 weeks with respiratory issues, breastfeeding challenges, and a myriad of other psychological implications the likes of which we have NO CLUE about yet.

And the weight predictions are just fantastical. The stuff of Harry Potter and traveling circus acts. There is some science there – just enough to be dangerous. Sure. Gaze into the sonogram screen and see your future: induction + pitocin + epidural = surgical birth.

And let me tell ya from experience: a 2nd degree tear is alot easier to heal from than a 10″ wound on your belly complete with scar tissue and a spinal headache for dessert.

I get kindof sick

… when I think about becoming pregnant again. I’d really like to, don’t misunderstand. One more baby, the end of an era, all that. But. The thoughts of thwarting all of the well-meaning yet condescending voices that will surround my scarred uterus makes me nauseous. Truly. There are so many reasons why NOT to have a repeat cesarean, yet the voices we hear are why “TO” have one. The media, the mother-in-law, the mom, sisters, friends, colleagues…

Blogs like this remind me of the fight, the comments, the ugliness that follows pregnant women in our society who don’t play by “the rules”.

But I have fought this fight before. I can certainly fight it again. This next time around though I think I’ll choose my outings more carefully.  I was so happy to be expecting last time after so long that I didn’t arm/guard myself against the inevitable comments regarding my VBAC attempt. Next time I will be more careful. Because The Voices are so powerful, even if we see the sheer lunacy behind them.

Oh. My. Goodness.

Here is a fantastic doctor doing what so few do (or at least they don’t make headlines). He seems to be really genuine about advocating for women in the rough spot of wanting a normal birth after thay have had a surgical one. As a VBAC mom, this gets my goat everytime.

I want to send this guy flowers.

12PinkRoses

Off-label drug use

I understand that the off-label use of pharmaceuticals is a normal occurrence in the medical world. I get that. What’s not cool is that this is done in maternity care as well with dire consequences.

I’m not talking about the random, “uh-oh”, I’m referring instead to the drug company themselves issuing statements saying “We do not endorse the use of this product for any use other than that described on the label.” Yeah, they’re probably just covering their b*tts but still. They said it. Yet it happens everyday in the labor and delivery department of nearly every hospital in the country. It has become so commonplace to induce labor that not only have we stopped wondering how/if this affects the baby or the mother we have now started grabbing whatever drugs we can find that give us “a better induction outcome”.

Hrrumph.

Bishop’s score be damned. God created women’s body to birth. With consideration made for the odd-one-out with pituitary damage or other disorders that truly make her body hold onto her baby long past safely, using drugs to begin labor before the body begins to open up on it’s own is risky risky risky.

Births are kindof like bowel movements. They happen on their own. Can’t plan ’em, can’t stop ’em, can’t hurry them along. Bowel movements happen (errr… I can’t help but think of a certain bumper sticker I’ve seen alot of right now).

Birth HAPPENS as well. Babies are born when it is TIME. If we have accepted that every other body system has knowledge to know when to open and release, then why can’t we accept the body’s wisdom in birthing when it is time?

You might have had a Cytotec induction. And so did your sister, your friend, aunt, daughter’s 2nd grade teacher… and all went well. On the surface perhaps. But what did it do to that baby’s emotional/psychological health to be so rudely pushed into the world before he/she was ready to come? And what about the women reading this who is a victim of a cytotec induction who is grieving the loss of her womb? Suddenly hurrying a baby out seems less important when faced with an emergency cesarean to save your baby’s life and a hysterectomy to save yours.

All from a couple of tidy white pills manufactured to treat ulcers. Who’da thunk?

Excellent press piece

[Click HERE to go to the story.]

cover1

Quite surprisingly, this piece about  midwives and homebirth is quite balanced if not a bit to the left. Kudos. One of my favorite lines:

““All women have choices,” Rach Zeller of Buffalo Homebirth says. “They can refuse anything that they’re being asked to consent to. They need to take it upon themselves to really understand what the ramifications are of what procedures they allow.”

So we are back to the old question we birth advocates keep going round and round about. The age-old question of “Which came first, the chicken or the egg?” Is it the doctors who need to change or the women who need to stand up and demand birth be allowed to progress as GOD intended? Because let’s face it – women’s bodies were created and I believe INTRICATELY DESIGNED to give birth. And like any other God-thing that we humans get our hands into, we may never fully understand the ramifications of messing with that perfection.

Interesting turn of phrase

Interesting. Hmmm… Note the recent practice bulletin by ACOG regarding induction of labor:

“A physician capable of performing a cesarean should be readily available any time induction is used in the event that the induction isn’t successful in producing a vaginal delivery,” Dr. Ramin concluded. “These guidelines will help physicians utilize the most appropriate method depending on the unique characteristics of the pregnant woman and her fetus.”

Obstet Gynecol. 2009;114:386-397.

Ok, so all we need is “a physician capable of performing a cesarean” to be “readily available” should an induction be “unsuccessful”. Interesting. But for a VBAC “trial of labor” hospitals should have “immediate access” to anesthesiologists? Hmmm….

And on the use of oxytocin: “The main adverse effects of oxytocin are dose-related uterine tachysystole and category II or category III FHR tracings.”

But for  nipple stimulation, which is often a labor augmentor (if you want to medical-ize it) used by midwives at home births, the risks include “uterine tachysystole with FHR decelerations and increased trend in perinatal death.”

Interesting isn’t it? That oxytocin doesn’t carry a risk of perinatal death but NIPPLE STIMULATION does?

Interesting indeed.