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The average maternal mortality rate for women in the United States is higher than any other industrialized country. In this episode, we're joined by Emily Barney to talk about how doulas can play an important role in creating a more consensual, safe, and empowering birthing experience. This is part one of a two-part special we're calling Disparities in the Delivery Room, where we'll be unpacking the harsh realities of maternal mortality rates within the American medical system. Tune in to learn what's going on, what's being done, and how your actions can contribute to a better future. __________________________________________ How to connect with and learn more about Emily's work: Visit her website www.doulapurposes.com and follow her on instagram @ doulapurposes For new parents Medicaid families: If you are a resident of Nevada, are pregnant, and currently enrolled in Medicaid - birth doula services are now being offered* as a member benefit. Ask your healthcare providers for more information on how to begin the process of finding the doula that is right for you. ** Check out the news segment that Carah and Emily were a part of back in 2021** All parents: Local to Reno: Thrive Wellness - Behavioral and Mental Health Services in Reno, NV (other locations in Nevada, California, and Texas) Biggest Little Baby - Family community center for classes, groups, rentals, and shopping in Reno, NV Northern Nevada Breastfeeding Coalition - Non-profit organization of community breastfeeding advocates, professionals, and parents For existing and aspiring Doulas in Nevada: If you are interested in becoming a doula or have already supported folks through labor in a non-medical role and would like to expand your scope of practice to include Medicaid families, learn how to become certified at: www.nevadacertboard.org/doula-certification/doula-certification-requirements Pregnancy/childbirth education - Evidence Based Birth - www.evidencebasedbirth.com Childbirth Connection - www.childbirthconnection.org Spinning Babies - www.spinningbabies.com Film - The Business of Being Born American Pregnancy Association: Home birth benefits/tips National non-profit breastfeeding support organization - La Leche League - www.llli.org
In this conversation, Dr Sarah Buckley, Ms Karen McClay and Dr Pamela Douglas discuss what you might do to prepare for birth, and what you might expect. In the extraordinary passageway of birth, our mind, body, and spirit embark upon a liminal journey, a heroic journey of great significance in most women's lives. Sarah and Karen draw on their formidable knowledge of the Australian health system and women's birth experiences to help you navigate your own way through, so that you feel confident and empowered. Dr Sarah Buckley is a GP with qualifications in GP-obstetrics and family planning (www.sarahbuckley.com). She is author of the bestselling book http://www.sarahbuckley.com/gentle-birth-gentle-mothering/ (Gentle Birth, Gentle Mothering: A Doctor's Guide to Natural Childbirth and Gentle Early Parenting Choices). Sarah has an ongoing interest in the hormones of labour and birth, which culminated in her groundbreaking report http://transform.childbirthconnection.org/reports/physiology/ (Hormonal Physiology of Childbearing )(2015 Childbirth Connection, a program of the National Partnership for Women and Families). She has presented at over 120 workshops and conferences in Australia, New Zealand, Europe, the UK, the US and Canada. Sarah is also a PhD candidate at the https://www.uq.edu.au/ (University of Queensland,) where her research is focused on oxytocin and the autonomic nervous system in labour and birth, and the impacts of interventions. Ms Karen McClay is an experienced midwife and the Director of Calmbirth (http://www.calmbirth.com.au/ (www.calmbirth.com.au)). Calmbirth was the first Australian childbirth education program to recognise the interrelationship between mind and body in birth. Calmbirth® uses this mind-body connection to help couples replace fear, stress and anxiety about giving birth with the knowledge and skills to birth their baby calmly, fearlessly, safely and confidently. There are now about 100 registered Calmbirth educators in Australia, New Zealand, and France. Dr Pamela Douglas is a GP-researcher and https://education.possumsonline.com/ (founder of the evidence-based Neuroprotective Developmental Care (or 'Possums') programs) http://www.possumsonline.com/ (www.possumsonline.com), which offer care for new families facing breastfeeding, baby cry-fuss, and sleep challenges. All NDC programs integrate Acceptance and Commitment Therapy strategies, especially adapted by Possums for the perinatal period to support parental emotional well-being. Pam is also author of https://www.amazon.com.au/Discontented-Little-Baby-Book-ebook/dp/B00M6G1ABO (The discontented little baby book: all you need to know about feeds, sleep, and crying). Support this podcast
Bernie Sanders, a Senator in the United States and one of the front-runners in the campaign to be the Democratic presidential candidate, said on Twitter that it costs $12,000 to have a baby in his country. He compared that figure to Finland, where he said it costs $60. In this edition of More or Less, Tim Harford looks at whether Sanders has got his figures right. With Carol Sakala of US organisation Childbirth Connection and Mika Gissler of the National Institute for Health and Welfare, Finland. Producer: Darin Graham Presenters: Tim Harford and Charlotte McDonald Image: A newborn baby's hand. Credit:Getty Images/TongRo Images Inc
Jeanne talks with director of Childbirth Connection programs at the National Partnership for Women and Families about The Quality Care for Moms and Babies Act and the March for Moms. Learn more about your ad choices. Visit megaphone.fm/adchoices
Vonda Gates is the organizing member of Prepared Childbirth of Tifton, has been a childbirth educator since 1991, and a DONA-certified doula since 1993. She currently serves the ICEA Executive Committee and is the primary coordinator of the ICEA Professional Childbirth Education Program Update Online program. This episode is a must-listen for birth educators looking to improve their classes and take new approaches. Listen and Learn: Three objectives you need to use to evaluate your birth classes The importance of using adult-learning principles in structuring your class How building rapport with your clients can create a more successful birth education class Tips on pursuing a career in childbirth education The ICEA ”circle of care” that revolves around the clients Related Products Understanding Curriculum Understanding Birth Book + Web App Resources: "Evidence-based Maternity Care: What It Is and What It Can Achieve" (2008) Childbirth Connection Eight resources listed at the Childbirth Connection website at the "Advocates and Professionals"
Vonda Gates is the organizing member of Prepared Childbirth of Tifton, has been a childbirth educator since 1991, and a DONA-certified doula since 1993. She currently serves the ICEA Executive Committee and is the primary coordinator of the ICEA Professional Childbirth Education Program Update Online program. This episode is a must-listen for birth educators looking to improve their classes and take new approaches. Listen and Learn: Three objectives you need to use to evaluate your birth classes The importance of using adult-learning principles in structuring your class How building rapport with your clients can create a more successful birth education class Tips on pursuing a career in childbirth education The ICEA ”circle of care” that revolves around the clients Related Products Understanding Curriculum Understanding Birth Book + Web App Resources: "Evidence-based Maternity Care: What It Is and What It Can Achieve" (2008) Childbirth Connection Eight resources listed at the Childbirth Connection website at the "Advocates and Professionals"
Guest: Dr. Sarah Buckley, a family physician in Brisbane, Australia, trained in family physician obstetrics and an authority on the hormonal physiology of childbearing. In this episode, we will cover: the 4 main hormones of birth and how each plays a role in "Mother Nature's Superb Design" for mother-baby bonding and mother healing how skin-to-skin, the baby's the breast crawl and cord clamping are hormone mediated and can be affected if the natural hormonal cascade is interfered with during birth the importance of the "Baby Moon" after birth - for both you and baby Resources mentioned in the conversation: Dr. Sarah Buckley's website: www.SarahBuckley.com her Hormonal Physiology of Childbearing report - http://transform.childbirthconnection.org/reports/physiology/ sign up to get her free eBook, Ecstatic Birth and other updates: http://sarahbuckley.com/subscribe-to-sarahs-updates get Dr. Buckley's free ebooks for parents: About Dr. Sarah Buckley: Dr. Sarah Buckley is a family physician in Brisbane, Australia, trained in family physician obstetrics. She is the author of the internationally best-selling book Gentle Birth. Gentle Mothering and the scientific report Hormonal Physiology of Childbearing, published with Childbirth Connection. Sarah’s work supports parents and professionals to be well informed, to listen to their hearts and instincts, and to acknowledge the rightful place of parents as the real experts in their bodies, babies and families. Sarah is currently combines mothering her four children with her work as a writer and lecturer on pregnancy, birth and parenting. See www.sarahbuckley.com and www.gentlenaturalbirth.com
In this episode of Yoga | Birth | Babies, I speak with author and Lamaze Program Co-Director, Dr. Judith Lothian. We explore the idea of pain for a purpose in childbirth. Dr Lothian offers her insight as to how women can use the pain of labor to inform their body how to move, moan and get lost in “nature’s narcotic,” Please enjoy! In today’s Episode: How Dr. Lothian got started on the path to being a childbirth educator.Her deep involvement with the Lamaze Institute.The three major hormones of labor and their role in ensuring labor functions well.How pain is central to the natural design of childbirth.Helping women to trust the pain and listen to their body’s desire to move, moan, and breathe.What happens when we take the pain away, does that hinder the progress of labor?Exploring an article Dr Lothian wrote, “In a very real sense, the pain of each contraction becomes a guide for the laboring woman.” The difference between pain and suffering in childbirth.How a woman can identify pain that is purposeful rather than that which may indicate back labor or that something is wrong.Ideas and advice for a woman who is overwhelmed by the fear of pain in labor.About Dr. Lothian: Judith Lothian, Ph.D., R.N.,FAAN Graduate Chair and Professor – Graduate Dept. Seton Hall University College of Nursing Dr. Lothian has been a maternal/child nurse, childbirth educator, and an advocate for birthing women for over 4 decades. The focus of her practice has been childbirth education. She is currently the Chair of the Certification Council for Lamaze International that is responsible for developing the international certification examination for Lamaze certified childbirth educators. She is also the Associate Editor of the Journal of Perinatal Education and write a regular column for the JPE. Her advocacy work includes national leadership positions in Lamaze International and national work with Childbirth Connection, the American College of Nurse Midwives,and the Coalition for Improving Maternity Services. Dr. Lothian is the co-author of The Official Lamaze Guide: Giving Birth with Confidence. Her research interests are breastfeeding and childbirth. She is currently completing a qualitative research study of the experience of home birth for women and their midwives. https://nyclamaze.com Learn more about your ad choices. Visit megaphone.fm/adchoices
This week on Yoga | Birth | Babies, I interview award-winning medical writer and internationally known speaker, Henci Goer. Henci and I discus the new ACOG (The American Congress of Obstetricians and Gynecologists) statement “Approaches to Limit Intervention During Labor and Birth.” Expectant mothers and birth workers will find this conversation enlightening and important. Topics covered: *General thoughts on the new ACOG statement “Approaches to Limit Intervention During Labor and Birth.” *The new benchmark for describing early labor, shifting from the traditional 0-3 cm to 0-6cm. Is this concept being put into action? *Understanding and interpreting of the suggestion for Term Premature Rupture of the Membranes. Will it lessen immediate intervention for low risk women? *Applying the recommendation for intermittent monitoring as the gold standard of care. *What does ACOG mean with their statement about nonpharmacologic and pharmacologic techniques. Pain is subjective and coping skills vary, can scientific date really quantify how a woman is coping with nonpharmocogical pain managements? *Second stage birth positions. Can women and care providers work together to explore other birthing positions other then the traditional position of on their back “Laboring down”, an explanation of what that and Henci’s interpretation of this in the ACOG statement. Using the new guidelines from ACOG to help women advocate for herself in a traditional hospital setting *Places our community can find Henci and learn more about what she is up to! The ACOG statement we’re referencing: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Approaches-to-Limit-Intervention-During-Labor-and-Birth Fact Sheet from Childbirth Connection: New Professional Recommendations to Limit Labor and Birth Interventions: What Pregnant Women Need to Know https://www.google.com/url?hl=en&q=http://www.nationalpartnership.org/research-library/maternal-health/professional-recommendations-to-limit-labor-and-birth-interventions.pdf&source=gmail&ust=1491659422747000&usg=AFQjCNGSHq_qllrUZTZzWhoq8f6hrBLcog More about Henci: Henci Goer, award-winning medical writer and internationally known speaker, is an acknowledged expert on evidence-based maternity care. Her first book, Obstetric Myths Versus Research Realities, was a valued resource for childbirth professionals. Its successor, Optimal Care in Childbirth: The Case for a Physiologic Approach, won the American College of Nurse-Midwives “Best Book of the Year” award. Goer has also written The Thinking Woman’s Guide to a Better Birth, which gives pregnant women access to the research evidence, as well as consumer education pamphlets and articles for trade, consumer, a Learn more about your ad choices. Visit megaphone.fm/adchoices
Listen NowFor decades the US has experienced the highest infant mortality rate of high income countries. The US also ranks poorly on other birth outcomes such as pre-term births, low birth weight and Caesarean sections. Infant mortality rates for non-hispanic blacks is twice that of the national average. In sum, about 25,000 infants die each year in the United States. During this 37 minute interview Dr. Lubic explains briefly nurse midwifery and its peri-natal goals, she discusses at some length the gradual acceptance of nurse midwives from the 1930s through the 1960s, the Family Health and Birth Center's "care in a social context" and birth outcomes its achieved, i.e., a 66% reduction in both pre-term births and Caesarean sections and a 75% reduction in low birth weights. For more on midwifery outcomes see this recently published article in the Journal of Midwifery & Women's Health: http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12003/fullDr. Lubic's midwifery career began in 1962 when she was graduated from the country's first nurse-midwifery program, the Maternity Center Association in NYC. In 1970, Dr. Lubic became General Director of the Association (now called Childbirth Connection) and opened the first state-licensed birthing center in the country in 1975. Eventually the Morris Heights Childbearing Center opened in the South Bronx, bringing quality obstetric care to underserved, low-income women. The moneys she received from a MacArthur Foundation genius award enabled her to replicate her NYC midwifery model in 2000 by opening the Developing Families Center in Washington, D.C. Among other numerous credits and awards Dr. Lubic was elected to the National Academy of Sciences' Institute of Medicine and is the recipient of its Lienhard Award. The American Academy of Nursing, also in 2001, named her a Living Legend. The American College of Nurse-Midwives honored her with the Hattie Hemschemeyer Award. In 2006, the American Public Health Association conferred its Martha May Eliot Award and she also is the recipient of eight honorary doctorate degrees. Dr. Lubic was awarded a nursing degree from the U. of Pennsylvania and was graduated from Columbia University with a Ph.D. in applied anthropology. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
A special edition of Progressive Parenting. I will be speaking to Debra Pascali Bonaro about Empowered Birth, what it means to her and how women everywhere can have an empowered birth, and how we can advocate for ourselves and eachother as advocates and sisters on this planet. Debra is Co-Chair of the International MotherBaby Childbirth Initiative, which works in collaboration with global leaders and groups to reduce maternal and infant mortality and improve care for mothers, babies, and families. She serves on the Board of Directors for Childbirth Connection and is a DONA-approved doula trainer. She coauthored Nurturing Beginnings: Mother Love’s Guide to Postpartum Home Care for Doulas and Outreach Workers and received Lamaze International’s Elizabeth Bing Award in 2002.
The Director of Programs at Childbirth Connection makes the case for stakeholders from across the health care system to join in making health system improvements that foster more reliable delivery of evidence-based maternity care.
Guest: Maureen Corry, Ms. Host: Bruce Japsen There is a national consensus on standards for perinatal care, but what does that mean and how did these come about? Maureen Corry, executive director of the ChildBirth Connection tells host Bruce Japsen of the Chicago Tribune about coming changes in perinatal standards at hospitals and how these measures should lead to improvements and provide consumers more information. Physicians, too, will be able to get an insight on how to prepare for this future movement.
Guest: Maureen Corry, Ms. Host: Bruce Japsen The National Quality Forum has endorsed 17 perinatal standards to measure and improve quality of care. Maureen Corry, executive director of the Childbirth Connection, talks with host Bruce Japsen of the Chicago Tribune about these coming measures and what they will mean to child-birthing families and their physicians.
Guest: Maureen Corry, Ms. Host: Bruce Japsen New data suggests that nearly one in five women suffers postraumatic stress following labor and delivery; however, the postpartum experience of new mothers runs the gamut, oftentimes meaning little or no support. Maureen Corry, executive director of the Childbirth Connection, tells host Bruce Japsen of the Chicago Tribune about issues facing these women and their medical care providers.