Archive for the ‘Did You Know?’ Category

The Bishop’s Score for Labor Readiness

Sunday, November 28th, 2010

If your midwife or doctor are contemplating inducing your labor, they will use the Bishop’s Score to see how ready you are. The Wikipedia article goes into detail about scoring. Keep in mind that your cervical readiness will be looked at: how ripe, how thin, how dilated, how anterior. As well as how engaged your baby’s head is in your pelvis (station). The modified Bishop’s Score takes into account previous vaginal births, if your bag of waters is intact, if you are diagnosed with pre-eclamsia and other things. The higher the score, the easier and more likely an induction of labor will work.

Keep in mind that your labor should be induced only if there are medical indications for doing it. If you can avoid having your labor induced, do so! It is easier to avoid an epidural when you go into labor on your own.

Hazards of Labor Induction

Thursday, October 7th, 2010

When you and your doctor first come up with your baby’s due date, it seems a long way off. Then you learn that you are expecting your baby at full term to be born between gestation week 38 through week 42. Four weeks! That seems like a very large target, easy to hit! It is when you get closer, like week 37 or overdue, like week 41 that going into labor at the right time seems more difficult.

Once of the most common complications to a vaginal birth is labor induction. Avoid it if you can! Here is a fact sheet you can download and share with your caregiver on the dangers of induction. It can also be found on motherfriendly.org.

Some of the hazards are:

  • First time mothers have twice the likelihood of cesarean birth with induction instead of starting labor naturally. (Study done of women induced at 41 weeks.)
  • Women who have had prior vaginal births increase their likelihood of cesarean birth five times if their cervix is not ready for labor prior to inducing labor.
  • All labor induction agents can cause uterine hyperstimulation which can lead to fetal distress.
  • inducted labors are usually more painful and increase the likelihood of a mother requesting an epidural.

The fact sheet has other details including a comparison of  cervical ripening agents. Why should you care about this? Many women go into labor naturally after 41 weeks. They are considered “overdue” and the topic of labor induction will come up. It is nice to have facts and studies behind your decision making process.

Thank You for Nursing In Public!

Monday, October 4th, 2010

Nursing In Public (N.I.P.) is a helpful way to change our culture from a bottle/formula feeding culture into a breastfeeding culture. New moms often feel shy about nursing in public, but keep in mind that:

  • You don’t know who you will be inspiring. The waitress who serves you today may be a mother tomorrow.
  • Children who see nursing as a normal activity will remember that when they are having children.
  • There are people who get worried or offended, but they need to learn to get over it. Victorian Americans used to be afraid to show an ankle. Who cares about showing an ankle now?
  • Babies are born to breastfeed and moms need to be able to be in public. Q.E.D.

Twin Births

Thursday, September 30th, 2010

All births are special but twin births are more so. In our area, the largest percentage of twins births are cesarean births. A twin pregnancy is always classified as a “high risk” pregnancy. There are two outcomes more likely with twin births in our area, first — prematurity and second a cesarean birth.

If you are pregnant with twins a doula can help you before, during and after your births. If you stay healthy throughout your pregnancy you greatly increase your likelihood of staying pregnant to 37 weeks or longer. Your doula can also help you prepare your best possible choice for birthing. If you are hoping for a vaginal twin birth, the alignment of the twins is the most important thing. Also, choose your caregiver with care. Some OB’s have experience with twin vaginal births and some do not. Find one who does and who will help you with yours.

After your babies are born, a doula can help you with breastfeeding, both in the hospital and at home. Breastfeeding twins might seem daunting at first, but once you have mastered your technique it will save you loads of time and money! It will also help you with bonding and nurturing your twins. So get support early and then enjoy!

Premature Cesarean: How a Doula Can Help

Tuesday, September 28th, 2010

I saw a podcast from one mother, Jen, describing her experience with her second birth, a scheduled cesarean. Her doctor assured her that 37 weeks’ gestation was long enough for a cesarean, and her child was actually born at week 38. However, her child was not ready to be born and was in the NICU for two weeks — the time it would have taken him to get to full term, 40 weeks.

One of the things that troubled her was that she didn’t even know the questions she should have been asking her doctor until after she had all her problems.  A pregnant woman relies upon the sound medical advice of her caregiver. Yet she also has to be an informed consumer. We talk about how to be an informed consumer of healthcare in detail in our book Doulas’ Guide to Birthing Your Way.

A woman’s doula will usually help her with the information she needs to access situations that she hasn’t already thought of. Because a doula deals with different doctors and midwives who practice in different ways, she should have good insight into the kinds of questions a mom should ask if scheduling a cesarean is a decision she needs to make. Doulas do help moms avoid unnecessary cesareans. Then if a mom does need a cesarean, she can feel more confident that it was a necesssary cesarean.