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Childbirth-Having a Water birth PDF Print E-mail
Stages of Growth - Pregnancy

Generally, the term water birth covers any labor following which the mother gives birth while sitting in a tub or pool of warm water. Occasionally, a mother will go through labor while sitting in a pool or tub of warm water only to get out and deliver outside of the water. This process is also referred to as water birth, though a more accurate description would be water labor. The practice of immersion during labor has generated intense debate. Proponents of water birth stress that the birth is less traumatic for the baby, more relaxing for the mother and reduces pain in both parties. Those against water birth have focused their research on the increased potential for infection and a slowing of the labor process. Studies aimed at targeting both the positive and negative effects of water birth are ongoing and continue to accumulate numbers aimed at establishing an acceptable database to provide definitive statements.

Waterbirths can occur in most environments where deliveries are handled. Hospitals should be contacted ahead of time by expectant parents to see if they permit water births in their maternity wards. When contacting a hospital for a water birth, it is beneficial to inquire about the birthing tub. If a hospital does not offer the services of a birthing tub, one can be rented. There are a number of retailers who rent water birth tubs, usually for around $350. Physicians who encourage their patients to undertake a water birth may have alternate arrangements in the evemt a hospital will not accommodate the water birth. The doctor's office may serve as a suitable and common place for the practice of water birth. Water birth pools are usually about 25 inches deep, and come in varying sizes to accommodate either the mother or the mother and the father. There are hard-sided versions as well as inflatable pools, which boasts higher levels of comfort and ease of movement within.

Mothers who have experienced water birth often claim that the water is relaxing and soothing throughout labor. The buoyancy of the human body helps to float the mother somwhat during a water birth. With a lessening of the weight so commonly associated with discomfort during pregnancies, water births enable the expectant mother to change positions more easily. Less distress while changing positions helps to keep blood pressure low, which is also a function of the body encouraged by immersion in water. Weightlessness promotes improved circulation, which advocates of water birth claim is beneficial to the uterus and, in turn, lessens the pain expeerienced by the mother. By heating the water in which the baby will be born, there is less of a shock to the body than the dry, cold hospital air. Advocates of water birth claim that the smooth transition from the liquids of the womb to the warm water of a birthing tub relaxes the baby and lowers its stress through delivery. It is considered by many to be a much more comforting environment than immediate exposure to the lights and sounds of a delivery room.

Those who resist water birth as a wise method of delivery focus on several arguments to support their discouragement of the process. One negative effect of water birth that has been widely contested is the belief that water will increase the likelihood of infection. Proponents of water birth claim that today's practices of constant disinfection and sterility make infection highly unlikely. Another negative associated with water birth is the child's inhalation of water during birth. Though there is no evidence to support such a theory, some pediatricians and obstetricians do believe the child could be inhaling water while still in the birth canal, or at least during the period of time they are in the water between the womb and the surface. Mothers who are infected with the herpes virus, pregnant with multiples or in labor prematurely should shy away from water birth as a means of delivery. The risks involved with these pregnancies imply that the best practice is to have a doctor's field of visions completely clear, with an ability to examine the child immediately after birth without the slow ascent water birthing creates. Herpes is a virus that survives well in the water, and proves easily trasferrable in such an environment. Any expectant mother who has been diagnosed with any blood disease associated with excessive bleeding should also refrain from the practice.

 
Hiring a childbirth Doula PDF Print E-mail
Stages of Growth - Pregnancy

Today a childbirth doula refers to a trained professional who has experience in childbirth. A cChildbirth doula is normally a woman (there are a few that are male) who supports the pregnant woman and her family through the final stages of a pregnancy. A doula’s main responsibility is to support the laboring mother.

A mother is never alone during labor or delivery, but is assisted by the professional.  Non-medical treatment is provided; therefore, vaginal exams, fetal heart tones and vital signs are not checked.  The childbirth doula is not there to replace your physician or midwife. A doula is there to help lend support, give advice.  The doula focuses on the mother’s needs of motivation, encouragement, sense of peace and pampering when it is needed most.

It should be noted that some hospitals do not allow non-family , such as doulas to be in attendance during labor.  This is more of the exception than the norm, but you should check with the facility where you plan on delivering in advance.   Also, if you should require a c-section you doula may not be allowed in the operating room. 

Choosing the best team to help in your labor and childbirth has great affect on your overall experience, which is why many women are now choosing a childbirth doula.

When starting your search for a childbirth doula, first consider what it is you want from your doula. Do you want comfort while in labor? Expertise with twins? Knowing exactly what you want is the first step to make sure you have the proper help and guidance. Many times a caregiver, physician or close friends can provide recommendations.  Sometimes a good doula can even be found by an online search.

When first meeting with a prospective childbirth doula, have a list of questions that you would like to ask. Try to ask things that will give you more insight on how the doula will provide you support. Even ask questions about what she enjoys most and finds the most challenging in what she does. The more questions that you ask will help you find the best doula for you.

Some Points About a Childbirth Doula that Some Women Have Cited:

1. Affordable. Services range from $600 to $900 depending on where you live.
2. Convenience. A doula can home to your home for early labor.
3. Flexibility. Prices and options are all flexible.
4. Fewer episiotomies.
5. Reduces the desire to have pain medication.
6. Helps you get through the fear of childbirth by continual education and support.
7. Reduces labor time.
8. Reduces risks of hospitalization and health complications for the baby.
9. Reduces anxiety levels.
10. Enhances the birth experience.
11. One-on-one support.
12. Assists with breast feeding.
13. Decreases risks of cesarean section
14. Provides better mother-infant interaction.
15. Aids in creating as well as maintaining a birthin

 

 

 

 

 
Tampa Bay VBAC PDF Print E-mail
Stages of Growth - Pregnancy

When it comes to having a VBAC (Vaginal Birth After C-Section) it is very important to research and get as much information as possible.  A mother deciding between a c-section of VBAC should weigh all her options and know the risks for each.  

Women who have had 1 c-section  and women who have had 2 c-sections and a history of vaginal delivery are candidates for a VBAC.

C-sections are major surgery which requires the cutting of the abdominal muscles and the uterus for the delivery of the baby.  Because it is a major surgery a c-section does have risks.  The risks increases with each additional c-section a mother has.  

It would seem that having a vaginal birth would be the first option, but rupture of the uterus is potentially fatal risk to having a VBAC. 

ACOG has an online pamphlet that is accessible online that gives more information about VBACs
It is recommended that VBACs be performed in facilities equipped to handle an emergency c-sections if the need arises.   Some women have had been able to have successful VBACs in birthing centers and at home.  Not all women who have attempted a VBAC have been able to have one.

Throughout the state of Florida and the Tampa Bay area there are several midwives that are VBAC providers.

The Florida Friends of Midwives have provided a List of Midwives throughout the State that provides VBACs to expectant moms.   Some also do provide VBA2C to moms.


There are also obstetricians that will perform a VBAC or a VBA2C.

Resources

VBAC Providers

VBAC Information from Other web sites

VBAC Birth Stories

Those that want to attempt a VBAC may want to hear about other mom’s VBAC birth stories.  Here are some links around the internet concerning VBAC birth stories.

 
Children’s Hospital Oakland Scientist First to Show Certain Pregnant Women at Risk for Iron Overload PDF Print E-mail
Stages of Growth - Pregnancy

(May 31, 2006) Study proves current recommendations for iron supplementation can cause birth complications

A new study conducted by researchers at Children’s Hospital Oakland Research Institute (CHORI), in close collaboration with scientists at the National Institute of Perinatology in Mexico, is the first to show that the current iron supplement recommendation for pregnant women who are not anemic is too high and could lead to birth complications for infants such as premature birth and low birth weight. This new research conflicts with recommendations from the World Health Organization (WHO) and the Centers for Disease Control (CDC). It is hoped that the results of this study will lead to new recommendations from both organizations.

The study, featured in the May issue of Archives of Medical Research, suggests that pregnant women who are not anemic should take iron supplements weekly rather than daily. Women who are anemic have low levels of healthy red blood cells and need higher doses of iron supplementation. The study shows that pregnant women who are not anemic and follow the recommended daily dosage can suffer from iron overload and are more likely to experience birth complications.

Iron deficiency is common among women of childbearing age. Consequently, doctors have ordered daily supplements of 60 to 120 mg of iron to prevent or correct anemia and iron deficiency during pregnancy. “What happens is that excess iron in pregnancy can drive the hemoglobin levels above desirable levels, so that by the end of the second trimester of pregnancy, 27 percent of the non-anemic women in our study had hemoglobin levels that were undesirably high,” said Fernando Viteri, MD, Scientist at Children’s Hospital Oakland Research Institute (CHORI). “In these women, the risk of delivering premature babies or newborns with low birth weight quadrupled.”

In contrast, only 7 percent of the women on weekly supplements developed high hemoglobin levels. The reason for the weekly dose – and in far smaller amounts – is biological and corresponds with the turnover of the intestinal lining, which renews itself every five to six days. The fresh cells are programmed to absorb iron according to the person’s iron reserves and needs. The cells absorb more if reserves are depleted and less if they are adequate. Dr. Viteri’s research concludes that iron supplementation is still beneficial, but must be regulated based on whether a woman is anemic.

 
Pregnancy Calendar PDF Print E-mail
Stages of Growth - Pregnancy

Babies Online's Free Week by Week Pregnancy Calendar - An indepth look at fetal development by trimester or week-by-week.

Pregnancy.org's Interactive Pregnancy Calendar

iVillage.com pregnancy calendar

Kids Health Pregnancy Calendar

BabyCenter.com pregnancy Calendar

JustMommies.com Pregnacy Calendar

AmericanBaby.com Pregnancy Calendar

Pregnancy Calendars are interactive, fun, and educational. There are pregnancy calendars offered from numerous sources. Some pregnancy calendars are interactive, while others are static.

Interactive calendars will give information about each day of the pregnancy. Information given from the interactive pregnancy calendar is based on data inputted by the user; this may be the date of the last period, the due date, or the conception date.

These calendars try to be as specific as possible, but it is just one tool that can be used during pregnancy. The tool tries to be as specific as possible, but without knowing the all the details of the pregnancy they may sometimes come up short. The best source of information is your health care provider.

 
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