Archive for ‘Postpartum’

February 25, 2012

Best Perinatal Articles

I’m consistently referencing a list full of articles that I find to be the most fascinating and helpful during the perinatal stages (on top of my blog, of course, lol).  I wanted to start a list for myself, rather than just bookmarking, and decided a blog would be the best way to share this with others – and for future reference.  I haven’t added all that I love, but have added some that are fresh on my mind for now.  I will continuously update this as I find new, impressive, articles – and if there are any that you love, please message those to me and I will review and add as I see fit!  Enjoy and happy learning!

Pregnancy

Labor & Birth (And Immediate Postpartum)

Breastfeeding

Postpartum & Parenting

Christianity as it Relates to Perinatal Events

Websites that I Love & Have Too Many Great Articles To List Separately

December 12, 2011

MOV Birth Statistics

The following is a list of birth & c-section rates in the Mid Ohio Valley.*

Marlene Waechter, CPM
500+ Total Births
3% C-Section Rate
97% Vaginal
90% – VBAC
8% – Hospital Transfer
0.2% – Perinatal Mortality
0% – Maternal Mortality
1.8% – Premature Births
99.7% – Breastfeeding Initiation (99.5% continue for 4+ mnths)

Marietta Memorial – Marietta, OH
614 Total Births – 2005
24% C-Section Rate
461 Vaginal – 75%
6 VBAC – 1%
69 Primary C-section – 11%
78 Repeat C-section – 13%

St. Joeseph’s – Parkersburg, WV
344 Total Births – 2005
22% C-Section Rate
262 Vaginal – 76%
6 VBAC – 2%
50 Primary C-section – 14.5%
26 Repeat C-section – 7.5%

Camden Clark – Parkersburg, WV
1266 Total Births – 2005
28% C-Section Rate
897 Vaginal – 71%
5 VBAC – 0.3%
186 Primary C-section – 15%
178 Repeat C-section – 14%

Obleness – Athens, OH
633 Total Births – 2008
36% C-Section Rate (+6% from 2005)
406 Vaginal – 64%
0 VBAC (2005 report shows no VBAC’s attempted, no info on 2008)
126 Primary C-section – 20% (+1% from 2005)
101 Repeat C-section – 16% (+5% from 2005)

WomenCare Birth Center – Hurricane, WV
Total Births -
C-Section Rate
Vaginal -
Primary C-section -
Repeat C-section -

CAMC W&C – Charleston, WV
3098 Total Births – 2005
42% C-Section Rate
1789 Vaginal – 58%
11 VBAC – .3%
855 Primary C-section – 28%
443 Repeat C-section – 14%

http://www.wvdhhr.org/bph/oehp/hsc/pubs/vital05/vs_22.htm

*Our c-section rate is very high in this area (as is in the rest of the country). Please note, simply because the percentage is lower, doesn’t necessarily mean the hospital is more “birth friendly.” You must take into consideration the amount of births that occur in that hospital all together. You must also consider these are only statistics, and your experience will be based on your education, care provider, nurses on staff, and any other labor assistance that may be available to you. Do your own research, get input from people in the area, and create a birth plan that will be placed in your file. Take a hospital tour of any hospitals that you’re interested in, and research the pros and cons. Your location choice will have just as much impact on your birth as your care provider. This is updated as often as possible and reflects the most recent data I’ve been able to obtain; the year of data collection is noted in the total births section for each hospital.

November 25, 2011

Babywearing

Babywearing provides an easy way to integrate baby into your life by offering options to keep the little one close to your heart where they’re comfortable, skin-to-skin to regulate temperature, easy nursing access, and flexibility so you can be hands free for cooking, cleaning, shopping, eating, and many other tasks new mothers may find difficult while adjusting to life with a new baby.

Babywearing is a beneficial type of kangaroo care that keeps babies close, stimulates physical, emotional, and mental development and helps babies, particularly preemies, where studies show they gain weight and are healthier than those who are not worn.

Many moms are getting into the trend of high quality carriers to ensure their child’s safety, but aren’t quite sure which one to buy.  There are a variety of carriers to choose from; finding your style only takes a little bit of research.  It is best if you can try a few before buying them, but here is a breakdown of the basic styles:

Wrap

A wrap is super soft and flexible with a lot of versatility.  There are adjustable types as well as pre-wrapped styles offering something for everyone.  These wraps distribute the weight very well, and have no points that compress the body creating extreme comfort at almost every stage of wearing.

The adjustable types consist of a very long piece of fabric that allows multiple wrapping methods and easily grow with the baby from birth (even preemies).  The pre-wrapped are easier to get the hang of, and have much less fabric, but only fit the baby well at one stage, and may not go between care givers easily because of body shape differences. 

Wraps are often the best for the newborn stages, but are not recommended for back-carrying because of safety. 

Sling

A sling style carrier seems less intimidating than a wrap and is worn over one shoulder and across the body.  These may be a pouch-type of just fabric, or may have a clasp, like a ring, to adjust and tighten to fid the child.  They often require some support of the care giver with an extra hand, but are super fast to get on and off.  Be cautious of low-grade slings that don’t allow the baby’s head and neck to extend or their back to be fully supported.  These may not be great for extended wear because the weight isn’t distributed, but make short shopping trips much easier, and safer, than carrying the baby in the car seat. 

Soft Structured Carrier

These carriers are typically the easiest and support the baby well – especially as the baby gets older and into toddlerhood.  These carriers are often preferred by the dads.  They usually have a large panel of fabric, some adorned with pouches and hoods, and are tied or buckled to stay secure.  These adjustable carriers are excellent for extended wear like hiking, and many are useable from newborn through about 45lbs (though many need a newborn insert for those smaller stages).  Be sure to avoid the “crotch-dangling” carriers that support the baby by the groin rather than separating the legs as they would naturally go when holding your child.  This is especially important for a newborn as it is easy to dislocate the legs/hips and prevent proper physical development.

Once you’ve found the style (or often styles) you prefer, there are just a few basic safety guidelines (which may seem a little too logical, but they need to be pointed out) you’ll want to think about when you wear your baby:

  • Use your carrier according to the manufacturer’s instructions including baby’s height and weight and inspect for defects before wearing.
  • Practice with a doll to get comfortable with your carrier.
  • Be sure baby can breathe – their chin should not fold against their chest & fabric should not cover their face.
  • Be careful of your activity using the same activity precautions as you would while pregnant.
  • Do not wear your baby while driving or riding in a vehicle or sleeping.
  • Be sure baby’s exposed areas are protected from outside elements.
  • Be cautious of what baby can reach, and what can touch your baby especially while cooking or if baby is worn on your back.
  • Be sure anyone carrying your baby can assess risk, knows how to use your carrier, and understands babywearing safety.
  • Position your baby close enough to kiss & in a way that mimics how you would naturally hold them with just your arms.  Baby’s back should be straight & the head and neck well supp­­orted.

So, those are the basics.  My personal favorites are the Moby or Boba Wrap and the Boba Soft Structure Carrier, and if I were going to pick just one, I would pick a wrap like the Moby or Boba Wrap (formerly known as the SleepWrap).  I recommend parents attend a babywearing workshop, or get together with a group of babywearing moms and try on a few styles.

October 18, 2011

Placentophagy

Oh, those crazy birth junkies!  What will they think of next?  Placentophagy is the act of consuming the placenta… yup, that beautiful regenerative organ – the tree of life – your baby’s life force for the 10 months within the womb.  This organ, so often discarded as a biohazard can have so many health benefits postpartum, considering consumption should be a part of your research during the prenatal period.

Research into placentophagy is in the baby stages, so there isn’t a lot of factual data available; however, most feedback from mothers who’ve consumed their placenta report positive feedback – especially regarding milk supply and avoiding depression or baby blues.  After 3rd stage (birth of the placenta), a small portion can be cut off and used to stop or simply prevent a postpartum hemorrhage.  Simply placed under the tongue, or between the gums and cheek, oxytocin, and other hormones, quickly seep into the bloodstream and stop excessive bleeding almost immediately.  Even when swallowed, we see the same effects.  (Note, mama doesn’t want to start chewing the chunk of placenta – just close your eyes and swallow).  Some midwives will mix up a milkshake to make the placenta more palatable, and mimic what many other mammals do after birth – consume the entire placenta to balance the hormones postpartum.  Oxytocin is not only the “love hormone” but is also the hormone that regulates your contractions throughout labor.  Oxytocin in its synthetic form is known as pitocin or syntocinon (depending where you live) and is routinely used to induce or augment labor, and also used in an injection form during a managed 3rd stage or to stop a postpartum hemorrhage.  Synthetic oxytocin, however, does not cross the maternal blood-brain barrier, and as a result does not have the same affects on milk supply and positive mood as the natural forms of oxytocin.

My midwife for my 2nd birth recently told me a story about her milk cow.  She had birthed many calves before, and after each one (cows being vegetarian, keep in mind) her cow would “gobble up the whole thing” and would produce about 5 gallons of milk a day.  During one particular birth, some dogs came near her, fighting, and scared her.  Being the sensitive mammal that she is (just like humans), the cow tensed up, and ended up retaining her placenta.  After a few days and no placenta, the midwife went in to obtain the placenta – which the cow did not consume.  She noted that this was the only time the cow ever struggled with milk supply issues, hardly producing any milk at all, and acted sort of depressed and different after this birth.  Something to think about.

A great site for information on placentophagy is Placenta Benefits.info.  However, let’s list some of the theorized benefits here of the hormones, vitamins, and minerals that benefit the mother through consumption:

  • Vitamins B6 (Energy, Reduces Depression Symptoms)
  • Iron (Builds blood, Reduces Fatigue)
  • Protein (Builds blood, Body’s Building Block)
  • Corticotropin-Releasing Hormone (Reduces Depression Symptoms)
  • Oxytocin (Milk Ejection Reflex, Relaxation/Love/Bonding Hormone)
  • Rh-negative mothers eat to prevent sensitization for future pregnancies

Preparing the placenta for consumption is very easy.  You can hire a Certified Placenta Encapsulation Specialist, your doula may provide this service, or you can even just do it yourself (Click Here to order a kit).  The main thing is, just like meat you’d buy from the store – a raw placenta can go bad and needs to be cared for with this in mind.  It needs to be double bagged, and refrigerated as soon as possible after birth, and the closer to birth it is “processed” for consumption, the better.  If it is not being processed within 24 hours, you may want to freeze it, and then thaw it until you have time. 

In its raw form, the placenta – just like any other food – will retain more of its nutrients.  Some moms choose to eat it raw, like oysters.  If eating small portions over a long period of time, the placenta can be frozen and thawed in little sections.  The main thing when “processing” is to not think of it, really, like a “placenta” but any food or meat that you would prepare.  Sometimes it seems so foreign that we don’t think it can be such an easy process.

When processing, you’ll thoroughly rinse the placenta – removing all the membranes, and discarding the umbilical cord. 

Holly Poulson (who processes placentas in the Mid-Ohio Valley region – for $100), likes to make art prints and show her moms the “Tree of Life” with the umbilical cord.  However, during my birth, my midwife removed all the membranes and umbilical cord after the birth to help speed up the processing – so we have more of a “Bush of Life” – still beautiful nonetheless.

After rinsing, you’ll cook it up – steaming is best, just like with retaining the nutrients in vegetables, and will look like a small roast when it is done… or if you’re disgusted of the process like my husband, you’ll likely describe it similar to a brain. 

Of course, you can simply eat it like a steak at this point – but if you can’t quite stomach that, then go on to the next step.  For me, the smell was the odd thing about the whole process.  It isn’t horrible – but has that strong hamburger smell that seems to be a little “off” because you know it isn’t hamburger…

 

Then, slice it into half-inch slivers and dehydrate for about 8-10 hours (until crunchy).  If you don’t have a dehydrator, just put it in your oven on the lowest temperature.  Some moms choose to skip the steaming/cooking and go straight to the dehydrator – although the steaming does help to thoroughly cook the placenta and ensure any bacteria…etc. isn’t present.  If you don’t cook it – it will take much longer to dehydrate.

After dehydrating, use a food processor, coffee grinder, or blender and blend into a fine powder.  Some pieces will remain big if they were a little over-cooked, and you can chop these up by hand or just throw them out.  Then, you can put the powder in a jar and use it just like a protein powder in drinks or over food – but most choose to encapsulate them for easier consumption.  Most moms will get somewhere around 100 capsules – just depends on the size of your placenta and the size of the capsules you use (these would be size 00).

The placenta is best consumed within the first weeks following birth, but can be saved to counteract other depression or low-energy times, and even stored until menopause to naturally balance the hormones during this transitional stage.  Typically, you’ll take 3-6 daily (1-2 capsules, 3-times a day), and monitor how you feel.  For me, personally, I feel better taking a very small amount as taking more than 3 daily seems to provide me with too much progesterone and oxytocin and caused me to be engorged with milk and very emotional.  Granted, there are a lot of other factors that could be playing into is – but, it seems as though I feel a lot better now that I’ve been taking less – and I’m now down to 1 a day.  Not all placentas have the same nutritional or hormonal contents because they are directly related to the individual mother, her hormone levels during pregnancy, and her nutritional intake during pregnancy.  So, with this in mind – understand that you may need to adjust your daily dose – which may actually mean taking less rather than more.  Just remember – when you decide to stop consuming the placenta, slowly “wean” yourself – or the dramatic shift in hormones will produce the opposite result – such as fatigue, irritability, or migraines.  Although, I also know of moms who will deal with the headaches…etc., so that they can save the pills for a really low day.  Either way, the point is to understand that quitting “cold turkey” can result in some less than desireable outcomes.

I have yet to find any information on placentophagy after a medicated birth.  However, I believe it is safe to assume that because a mother, after a medicated birth, will have lower levels of oxytocin, any risks of medications being retained in the placenta would not outweigh the benefits – and she may likely benefit more than those with an unmedicated birth.  You may, however, want to be sure your placenta is in a healthy state before consuming – which is easily done by asking your care provider.

Not into placentophagy but still want to counterbalance postpartum changes?  Remember that rest, good nutrition, and adequate hydration help the body to naturally function well – including balancing hormones.  Dark greens, adequate protein, and a balanced diet that helps build blood levels is very effective at preventing depression and fatigue.  Preparing for your postpartum with freezer meals can reduce unecessary stress – as can a babymoon or limiting visitors and phone calls.  Consider the help of a postpartum doula (like Gentle Beginnings if you’re in the Mid-Ohio Valley) to provide emotional support and help with things around the house (especially after a cesarean birth).  Some mothers choose to take Omega-3 Fish Oils (a high quality brand) for prevention & treatment of depression.  Likewise, treating depression with St. John’s Wart can also be very effective – especially when avoiding traditional depression medications (please research herbs before consuming – especially during pregnancy and if breastfeeding). 

The way I see it – having the option to consume the placenta is well worth it.  My honest opinion – I don’t believe they help everyone, and from personal experience I can see how the body can naturally balance the hormones without placentophagy – but I think they help the majority of moms in a variety of ways.  Simple discarding or just planting under a tree felt like such a waste to me, and I would much rather have the option to consume than wish I had encapsulated and not had the chance.  Because most moms report positive effects, and so many moms have such immediate results regarding baby blues and milk supply, it seems crazy to just let this wonderful organ go to waste.

What was your experience with your placenta postpartum?

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