by Jan Mallak, 2LAS, ICCE-CD, CD-PCD(DONA), CPD
A doula is a woman experienced in childbirth who is specially trained to provide various kinds of support for the mother before, during and/or after the birth. The term comes from the ancient Greek who called a female servant chosen to attend the expectant lady of the household the doula.
A movement to bring back this age old tradition began in 1992 when Doulas of North America was founded. Since then several other organizations have emerged or expanded to offer doula training and certification ICEA (International Childbirth Education Association), CAPPA (Childbirth and Postpartum Professional Association), ALACE (Association of Labor Assistants and Childbirth educators). All can be found on the internet and are a wealth of information regarding what a doula is, how to locate one, what costs are involved and how to find the right “fit” for you.
There are three types of doulas: antepartum (before birth), birth (during) and postpartum (after). The antepartum doula is the newest kind of doula who assists the high risk mother while still pregnant. The woman may be restricted to bed for medical reasons and therefore unable to care for herself or others. The antepartum doula can provide mother/child care, do light housekeeping, run short errands and prepare nutritious meals. She educates the mother about pregnancy, birth or postpartum and provides her with local resources/referrals. She can also lend an ear to help the mother deal with the additional fears associated with a high risk pregnancy and possible outcomes. And, most importantly, she helps keep the family on schedule so their lives can flow more smoothly even if “mom is down.”
A postpartum doula does much the same as the antepartum doula, but after the baby comes. Her roles are similar but helping the family transition into their new life with the baby is now the focus. Education often takes the form of “on the job training” since the baby has specific needs that have to be met RIGHT NOW! Bathing, dressing, changing, swaddling, feeding, burping and entertaining the baby are some of those immediate needs. And, not everyone feels very accomplished in those areas. So, the doula steps in to educate, guide and facilitate the family’s comfort and confidence with their new roles.
Breastfeeding is on the rise, so assistance with nursing is another function of the postpartum doula. Many women lack breastfeeding role models or reliable resources. So, having an experienced and knowledgeable guide is a valuable benefit for them. Postpartum depression is also on the rise so having someone around who knows how to prevent, recognize or deal with postpartum mood disorders can literally save lives. Sometimes a woman’s birth experience can influence her mental state so debriefing afterwards can be very therapeutic. Doulas are trained to be good listeners, assess a woman’s well being and refer if warranted. No medical care, advice or interpretations are ever provided by any type of doula. But, identifying red flags and providing expert resources and referrals is integral to a doula’s duties.
A birth doula is quite different from the other two types of doulas. She specifically helps a woman prepare for the birth, deal with it and recover from it. She provides 5 types of support: physical (like being a personal handmaiden), emotional (like being a trusted friend), informational (like being a walking textbook), mediatorial (like being a nurturing protector) and spiritual (like having a special woman to woman connection).
Every woman’s response to labor is different so the doula must be able to meet her client’s particular needs. Meeting before the birth, working on a birth vision together (like a birth plan), going to an appointment, attending the birth and visiting afterwards creates a trust relationship that develops over time. This results in comfort with the doula and confidence in the process so the mother tends to have a safe, satisfying and successful birth.
Research since 1980 shows that there are many benefits to having doulas - shorter labors, less interventions used, fewer cesarean deliveries done, more successful breastfeeding and decreased postpartum depression to name a few. Even though a doula can dramatically reduce the cost associated with births, insurance companies do not routinely cover their fee. Some couples participate in a tax-free employee benefit plan which reimburses for medical expenses not usually covered by traditional health insurance. Doula fees are sometimes paid in that case. It’s always worth a call/letter to your insurance company or employer to investigate this possibility.
Since giving birth is a rite of passage for a woman, pregnancy, delivery and postpartum should be a special time for the mother. By hiring a doula/doulas to assist during this unique phase in a woman’s life, she can truly feel well educated, supported and assisted. After all, generations of women have been helping other women to prepare for and to deal with being a new mother. Why not consider taking advantage of a system that has worked for hundreds of thousands of years?
________________________________________
Editorial provided by Jan S. Mallak, 2LAS, ICCE-CD, CD-PCD(DONA), CPD. Jan has over 25 years in the baby business. She is the founder/coordinator of “Heart & Hands” Doula Service which is the largest, oldest and only doula group in the Pittsburgh area to offer all 3 kinds of doulas. Jan is also an educator, doula trainer, speaker, author and birth consultant.
Friday, July 31, 2009
Thursday, July 30, 2009
Help Smooth the Transition into Parenthood, Become a Postpartum Doula
Do you love working with babies? Do you love supporting and educating new families? Then, a career as a postpartum doula might be right for you!
CAPPA Postpartum Doula Training With Darla Burns.
Dates: November 7th and 8th, 2009.
Where: Glendora, CA, United States.
Time: 9:00am to 5:00pm both days.
Cost: $350.00 and includes the training manual.
Email: douladarla@sbcglobal.net
Information: Training information can be found at www.douladarla.com/trainings.html.
Policies: No refunds unless trainer cancels class due to low attendance.
Notes: Certification packets, CAPPA membership fees, videos, books and exam processing fees are not included in the training costs. These are extra and can be purchased through the CAPPA Shop at http://www.cappa.net/miva/merchant.mv.
Need to pay with credit card? No problem! You can pay for your training through Paypal. Contact Darla for more info.
What is a Postpartum Doula?
A postpartum doula is a woman who assists the new mother, baby, and the rest of her family within the first few weeks after the birth of the baby. Postpartum doulas should be good with children, patient, non-judgmental, and knowledgeable about newborn care and breastfeeding. The postpartum doula may offer the following:
About Darla Burns:
Darla Burns, CCCE, CPD, CLE, CAPPA Faculty, has been supporting women and families as a birth doula since 1990 and was certified by DONA in 2003. Finding that she also loved working with the families after they delivered, she then became a CAPPA certified postpartum doula in 2004. Soon thereafter, she became a certified childbirth educator and lactation educator. Her love of working with families and sharing her knowledge with others led her to her position as a faculty member for CAPPA. When she's not doing doula work, she spends her time with her husband and two great kids.
CAPPA Postpartum Doula Training With Darla Burns.
Dates: November 7th and 8th, 2009.
Where: Glendora, CA, United States.
Time: 9:00am to 5:00pm both days.
Cost: $350.00 and includes the training manual.
Email: douladarla@sbcglobal.net
Information: Training information can be found at www.douladarla.com/trainings.html.
Policies: No refunds unless trainer cancels class due to low attendance.
Notes: Certification packets, CAPPA membership fees, videos, books and exam processing fees are not included in the training costs. These are extra and can be purchased through the CAPPA Shop at http://www.cappa.net/miva/merchant.mv.
Need to pay with credit card? No problem! You can pay for your training through Paypal. Contact Darla for more info.
What is a Postpartum Doula?
A postpartum doula is a woman who assists the new mother, baby, and the rest of her family within the first few weeks after the birth of the baby. Postpartum doulas should be good with children, patient, non-judgmental, and knowledgeable about newborn care and breastfeeding. The postpartum doula may offer the following:
About Darla Burns:
Darla Burns, CCCE, CPD, CLE, CAPPA Faculty, has been supporting women and families as a birth doula since 1990 and was certified by DONA in 2003. Finding that she also loved working with the families after they delivered, she then became a CAPPA certified postpartum doula in 2004. Soon thereafter, she became a certified childbirth educator and lactation educator. Her love of working with families and sharing her knowledge with others led her to her position as a faculty member for CAPPA. When she's not doing doula work, she spends her time with her husband and two great kids.
Wednesday, July 29, 2009
Get Published in The CAPPA Quarterly
Do you wish you could share your expertise with more birthing and postpartum families? Do you have an outlet to reach your audience? Want to share ideas and information with other professionals?
The CAPPA Quarterly online publication speaks to professionals from all over the world and from all walks of life. Those who publish with us are not remunerated, however there are many benefits including continuing education units for recertification, the sharing of information and experience, and free exposure.
CAPPA's mission is to offer comprehensive, evidence-based education, certification, professional membership and training to childbirth and lactation educators, and antepartum, labor and postpartum doulas. CAPPA seeks to forge positive and productive relationships between organizations that support healthy, informed family choices.
Who is qualified to write for the CAPPA Quarterly?
Childbirth and postpartum professionals are a diverse network of women from all age groups and lifestyles, with varying professional expertise in which they enjoy sharing their passion and knowledge about related women’s health issues.
Please visit us online at www.cappa.net/quarterly.php for more information.
###
Michelle Schnaars, CCCE, CHBE
CAPPA Director of Publications
www.cappa.net/quarterly.php
www.facebook.com/doulamichelle
The CAPPA Quarterly online publication speaks to professionals from all over the world and from all walks of life. Those who publish with us are not remunerated, however there are many benefits including continuing education units for recertification, the sharing of information and experience, and free exposure.
CAPPA's mission is to offer comprehensive, evidence-based education, certification, professional membership and training to childbirth and lactation educators, and antepartum, labor and postpartum doulas. CAPPA seeks to forge positive and productive relationships between organizations that support healthy, informed family choices.
Who is qualified to write for the CAPPA Quarterly?
Childbirth and postpartum professionals are a diverse network of women from all age groups and lifestyles, with varying professional expertise in which they enjoy sharing their passion and knowledge about related women’s health issues.
Please visit us online at www.cappa.net/quarterly.php for more information.
###
Michelle Schnaars, CCCE, CHBE
CAPPA Director of Publications
www.cappa.net/quarterly.php
www.facebook.com/doulamichelle
Teleseminar with aurthor Ananda Lowe about Labor Inductions
Ananda Lowe, doula, birth expert, and Bantam Books author, is pleased to announce this upcoming class, which you may join for only $10 from any location where there is a telephone. CEUs available.
Please forward to those who may be interested.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
Class fee is only $10. You may participate on this call from anywhere in the United States (or anywhere in the world). This course is eligible for continuing education credits for ALACE/ToLABOR, CAPPA, DONA, and HypnoBirthing members.
--------------------------------------------------------------------------------
Do You Dread Inductions? -- Medical inductions are on the rise, causing birthing women and labor support providers to spend additional hours or days in the hospital, unable to labor at home as long as possible, anchored down to tubing and susceptible to other interventions, including the possibility of increased vaginal exams, increased risk of infection, the need for an unplanned epidural, and anxiety about the unexpected. What can mothers do prenatally to "prepare" for an unplanned induction?
Which scenarios would make an induction necessary for the mother and baby's safety (rather than a convenience) , and what can be done to reduce the chances of these situations? We will discuss the psychological response to an induction, and techniques to remain confident and optimistic about labor with an induction. We will also discuss the fear that an induction will lead to a cesarean, and how to maintain focus on cesarean prevention and a positive birth experience.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
************ ********* ********* ********* ****
Class fee is only $10. You may participate on this call from anywhere in the United States (or anywhere in the world). This course is eligible for continuing education credits for ALACE/ToLABOR, CAPPA, DONA, and HypnoBirthing members.
Ananda Lowe has been a leader in the national doula movement since 1995. For seven years, she was Assistant Director of ALACE, the oldest doula training organization in North America. She is also a student midwife. She is co-author of the groundbreaking book The Doula Guide to Birth, published by Bantam Books in 2009.
To register or for more information, contact Ananda at ananda@thedoulaguid e.com. Thank you.
************ ********* ********* *********
Please forward to those who may be interested.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
Class fee is only $10. You may participate on this call from anywhere in the United States (or anywhere in the world). This course is eligible for continuing education credits for ALACE/ToLABOR, CAPPA, DONA, and HypnoBirthing members.
--------------------------------------------------------------------------------
Do You Dread Inductions? -- Medical inductions are on the rise, causing birthing women and labor support providers to spend additional hours or days in the hospital, unable to labor at home as long as possible, anchored down to tubing and susceptible to other interventions, including the possibility of increased vaginal exams, increased risk of infection, the need for an unplanned epidural, and anxiety about the unexpected. What can mothers do prenatally to "prepare" for an unplanned induction?
Which scenarios would make an induction necessary for the mother and baby's safety (rather than a convenience) , and what can be done to reduce the chances of these situations? We will discuss the psychological response to an induction, and techniques to remain confident and optimistic about labor with an induction. We will also discuss the fear that an induction will lead to a cesarean, and how to maintain focus on cesarean prevention and a positive birth experience.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
************ ********* ********* ********* ****
Class fee is only $10. You may participate on this call from anywhere in the United States (or anywhere in the world). This course is eligible for continuing education credits for ALACE/ToLABOR, CAPPA, DONA, and HypnoBirthing members.
Ananda Lowe has been a leader in the national doula movement since 1995. For seven years, she was Assistant Director of ALACE, the oldest doula training organization in North America. She is also a student midwife. She is co-author of the groundbreaking book The Doula Guide to Birth, published by Bantam Books in 2009.
To register or for more information, contact Ananda at ananda@thedoulaguid e.com. Thank you.
************ ********* ********* *********
Postpartum depression
By Mayo Clinic staff
--------------------------------------------------------------------------------
Original Article:http://www.mayoclinic.com/health/postpartum-depression/DS00546
--------------------------------------------------------------------------------
Definition
The birth of a baby can trigger a jumble of powerful emotions, from excitement and joy to fear and anxiety. But it can also result in something you might not expect — depression.
Many new moms experience the baby blues after childbirth. An estimated 10 percent of new moms experience a more severe form of emotional distress known as postpartum depression. Rarely, an extreme form of postpartum depression known as postpartum psychosis develops after childbirth.
Postpartum depression isn't a character flaw or a weakness. Sometimes postpartum depression is simply part of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms — and enjoy your baby.
Symptoms
Signs and symptoms of depression after childbirth vary depending on the type of depression.
Baby blues
Signs and symptoms of the baby blues — which last only a few days or weeks — may include:
■Mood swings
■Anxiety
■Sadness
■Irritability
■Crying
■Decreased concentration
■Trouble sleeping
Postpartum depression
Postpartum depression may appear to be the baby blues at first — but the signs and symptoms are more intense and longer lasting, eventually interfering with your ability to care for your baby and handle other daily tasks. Signs and symptoms of postpartum depression may include:
■Loss of appetite
■Insomnia
■Intense irritability and anger
■Overwhelming fatigue
■Loss of interest in sex
■Lack of joy in life
■Feelings of shame, guilt or inadequacy
■Severe mood swings
■Difficulty bonding with the baby
■Withdrawal from family and friends
■Thoughts of harming yourself or the baby
Postpartum psychosis
With postpartum psychosis — a rare condition that typically develops within the first two weeks after delivery — the signs and symptoms are even more severe. Signs and symptoms of postpartum psychosis may include:
■Confusion and disorientation
■Hallucinations and delusions
■Paranoia
■Attempts to harm yourself or the baby
Causes
There's no single cause for postpartum depression. Physical, emotional and lifestyle factors may all play a role.
■Physical changes. After childbirth, a dramatic drop in estrogen and progesterone may contribute to postpartum depression. The hormones produced by your thyroid gland also may drop sharply — which can leave you feeling tired, sluggish and depressed. Changes in your blood volume, blood pressure, immune system and metabolism can lead to fatigue and mood swings.
■Emotional factors. When you're sleep deprived and overwhelmed, you may have trouble handling even minor problems. You may be anxious about your ability to care for a newborn. You may feel less attractive or struggle with your sense of identity. You may feel that you've lost control over your life. Any of these factors can contribute to postpartum depression.
■Lifestyle influences. Many lifestyle factors can lead to postpartum depression, including a demanding baby or older siblings, difficulty breast-feeding, exhaustion, financial problems, and lack of support from your partner or other loved ones.
Risk factors
Postpartum depression can develop after the birth of any child, not just the first. The risk increases if:
■You have a history of depression, either during pregnancy or at other times
■You had postpartum depression after a previous pregnancy
■You've experienced stressful events during the past year, including illness, job loss or pregnancy complications
■You're experiencing marital conflict
■You have a weak support system
■The pregnancy is unplanned or unwanted
The risk of postpartum psychosis is higher for women who have bipolar disorder.
When to seek medical advice
If you're feeling depressed after your baby's birth, you may be reluctant or embarrassed to admit it. But it's important to tell your doctor. If the signs and symptoms of depression don't fade after a few weeks or if they're so severe that they interfere with your ability to complete everyday tasks, call your doctor. Early intervention can speed your recovery.
If you suspect that you're developing postpartum psychosis, seek medical attention immediately. Don't wait and hope for improvement. Postpartum psychosis may lead to life-threatening thoughts or behaviors.
Tests and diagnosis
To distinguish between a short-term case of the baby blues and a more severe form of depression, your doctor may ask you to complete a depression-screening questionnaire. Blood tests can help your doctor determine whether an underactive thyroid is contributing to your signs and symptoms.
Complications
Left untreated, postpartum depression can interfere with mother-child bonding and cause family distress. Children of mothers who have untreated postpartum depression are more likely to have behavioral problems, such as sleeping and eating difficulties, temper tantrums and hyperactivity. Delays in language development are common as well.
Untreated postpartum depression can last up to a year or longer. Sometimes untreated postpartum depression becomes a chronic depressive disorder. Even when treated, postpartum depression increases a woman's risk of future episodes of major depression.
Treatments and drugs
Treatment and recovery time vary, depending on the severity of your depression and your individual needs.
Baby blues
The baby blues usually fade on their own within a few days to weeks. In the meantime, get as much rest as you can. Accept help from family and friends. Connect with other new moms. Avoid alcohol, which can make mood swings worse. If you have an underactive thyroid, your doctor may prescribe thyroid medication.
Postpartum depression
Postpartum depression is often treated with counseling and medication.
■Counseling. It may help to talk through your concerns with a psychiatrist, psychologist or other mental health professional. Through counseling, you can find better ways to cope with your feelings, solve problems and set realistic goals. Sometimes, family or marital therapy also is helpful.
■Antidepressants. Antidepressants are a proven treatment for postpartum depression. If you're breast-feeding, it's important to know that any medication you take will enter your breast milk. However, various antidepressants can be used during breast-feeding with little risk of side effects for your baby. Work with your doctor to weigh the potential risks and benefits of specific antidepressants.
■Hormone therapy. Estrogen replacement may help counteract the rapid drop in estrogen that accompanies childbirth, which may ease the signs and symptoms of postpartum depression in some women. Research on the effectiveness of hormone therapy for postpartum depression is limited, however. As with antidepressants, weigh the potential risks and benefits of hormone therapy with your doctor.
With appropriate treatment, postpartum depression usually goes away within a few months. In some cases, postpartum depression lasts up to a year. It's important to continue treatment after you begin to feel better, however. Stopping treatment too early may only lead to a relapse.
Postpartum psychosis
Postpartum psychosis requires immediate treatment, often in the hospital.
When your safety is assured, a combination of medications — such as antidepressants, antipsychotic medications and mood stabilizers — may be used to control your signs and symptoms. Sometimes electroconvulsive therapy (ECT) is recommended as well. During ECT, a small amount of electrical current is applied to your brain to produce brain waves similar to those that occur during a seizure. The chemical changes triggered by the electrical currents can reduce the symptoms of depression, especially when other treatments have failed or when you need immediate results.
Treatment for postpartum psychosis can challenge a mother's ability to breast-feed. Separation from the baby makes breast-feeding difficult, and some medications used to treat postpartum psychosis aren't recommended for women who are breast-feeding. If you're experiencing postpartum psychosis, a team of health care providers will help you work through these challenges.
Prevention
If you have a history of depression — especially postpartum depression — mention it to your doctor as soon as you find out you're pregnant. Your doctor will monitor you closely for signs and symptoms of depression. Sometimes mild depression can be managed with support groups, counseling or other therapies. In other cases, antidepressants are recommended — even during pregnancy.
After your baby is born, your doctor may recommend an early postpartum checkup to screen for signs and symptoms of postpartum depression. The earlier postpartum depression is detected, the earlier treatment can begin. If you have a history of postpartum depression, your doctor may recommend antidepressant treatment immediately after delivery.
Lifestyle and home remedies
Postpartum depression isn't generally a condition that you can treat on your own — but you can do some things for yourself that build on your treatment plan. In fact, taking good care of yourself can help speed your recovery.
■Make healthy lifestyle choices. Rest as much as you can. Include physical activity, such as a walk with your baby, in your daily routine. Eat healthy foods — plenty of fruits, vegetables and whole grains. Avoid alcohol.
■Set realistic expectations. Don't pressure yourself to do everything. Scale back your expectations for the perfect household. Do what you can and leave the rest. Ask for help when you need it.
■Make time for yourself. If you feel like the world is coming down around you, take some time for yourself. Get dressed, leave the house, and visit a friend or run an errand. Or schedule some time alone with your partner.
■Avoid isolation. Talk with your partner, family and friends about how you're feeling. Ask other mothers about their experiences. Ask your doctor about local support groups for new moms or women who have postpartum depression.
Remember, the best way to take care of your baby is to take care of yourself.
Alternative medicine
Little research has been done on complementary and alternative therapies for postpartum depression. Although some data is available, it's not definitive.
If you'd like to try a complementary or alternative therapy for postpartum depression, share your wishes with your doctor. He or she can help you weigh the benefits and risks of specific therapies, such as:
■Acupuncture. Acupuncture helps promote deep relaxation, and sometimes even sleep. This may help relieve the fatigue that accompanies postpartum depression.
■Omega-3 fatty acids. Omega-3 fatty acids are known to support infant brain development during pregnancy. Some research suggests that omega-3 fatty acids — whether eaten in fish and other seafood or taken as a nutritional supplement — may help relieve postpartum depression as well.
■Massage therapy. Some studies suggest that massage therapy may be helpful for postpartum depression.
■Creative arts. Art, music and drama therapy have been suggested as possible ways to relieve postpartum depression, perhaps by providing a supportive, relaxed environment, offering new ways of expression or encouraging positive behavior changes.
Some studies suggest that the herb St. John's wort may be helpful for mild to moderate depression, although there's been no research published on St. John's wort and postpartum depression specifically. It's best to avoid St. John's wort if you're breast-feeding. St. John's wort may cause colic, drowsiness or lethargy in a nursing baby.
June 7, 2008
© 1998-2009 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
--------------------------------------------------------------------------------
Original Article:http://www.mayoclinic.com/health/postpartum-depression/DS00546
--------------------------------------------------------------------------------
Definition
The birth of a baby can trigger a jumble of powerful emotions, from excitement and joy to fear and anxiety. But it can also result in something you might not expect — depression.
Many new moms experience the baby blues after childbirth. An estimated 10 percent of new moms experience a more severe form of emotional distress known as postpartum depression. Rarely, an extreme form of postpartum depression known as postpartum psychosis develops after childbirth.
Postpartum depression isn't a character flaw or a weakness. Sometimes postpartum depression is simply part of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms — and enjoy your baby.
Symptoms
Signs and symptoms of depression after childbirth vary depending on the type of depression.
Baby blues
Signs and symptoms of the baby blues — which last only a few days or weeks — may include:
■Mood swings
■Anxiety
■Sadness
■Irritability
■Crying
■Decreased concentration
■Trouble sleeping
Postpartum depression
Postpartum depression may appear to be the baby blues at first — but the signs and symptoms are more intense and longer lasting, eventually interfering with your ability to care for your baby and handle other daily tasks. Signs and symptoms of postpartum depression may include:
■Loss of appetite
■Insomnia
■Intense irritability and anger
■Overwhelming fatigue
■Loss of interest in sex
■Lack of joy in life
■Feelings of shame, guilt or inadequacy
■Severe mood swings
■Difficulty bonding with the baby
■Withdrawal from family and friends
■Thoughts of harming yourself or the baby
Postpartum psychosis
With postpartum psychosis — a rare condition that typically develops within the first two weeks after delivery — the signs and symptoms are even more severe. Signs and symptoms of postpartum psychosis may include:
■Confusion and disorientation
■Hallucinations and delusions
■Paranoia
■Attempts to harm yourself or the baby
Causes
There's no single cause for postpartum depression. Physical, emotional and lifestyle factors may all play a role.
■Physical changes. After childbirth, a dramatic drop in estrogen and progesterone may contribute to postpartum depression. The hormones produced by your thyroid gland also may drop sharply — which can leave you feeling tired, sluggish and depressed. Changes in your blood volume, blood pressure, immune system and metabolism can lead to fatigue and mood swings.
■Emotional factors. When you're sleep deprived and overwhelmed, you may have trouble handling even minor problems. You may be anxious about your ability to care for a newborn. You may feel less attractive or struggle with your sense of identity. You may feel that you've lost control over your life. Any of these factors can contribute to postpartum depression.
■Lifestyle influences. Many lifestyle factors can lead to postpartum depression, including a demanding baby or older siblings, difficulty breast-feeding, exhaustion, financial problems, and lack of support from your partner or other loved ones.
Risk factors
Postpartum depression can develop after the birth of any child, not just the first. The risk increases if:
■You have a history of depression, either during pregnancy or at other times
■You had postpartum depression after a previous pregnancy
■You've experienced stressful events during the past year, including illness, job loss or pregnancy complications
■You're experiencing marital conflict
■You have a weak support system
■The pregnancy is unplanned or unwanted
The risk of postpartum psychosis is higher for women who have bipolar disorder.
When to seek medical advice
If you're feeling depressed after your baby's birth, you may be reluctant or embarrassed to admit it. But it's important to tell your doctor. If the signs and symptoms of depression don't fade after a few weeks or if they're so severe that they interfere with your ability to complete everyday tasks, call your doctor. Early intervention can speed your recovery.
If you suspect that you're developing postpartum psychosis, seek medical attention immediately. Don't wait and hope for improvement. Postpartum psychosis may lead to life-threatening thoughts or behaviors.
Tests and diagnosis
To distinguish between a short-term case of the baby blues and a more severe form of depression, your doctor may ask you to complete a depression-screening questionnaire. Blood tests can help your doctor determine whether an underactive thyroid is contributing to your signs and symptoms.
Complications
Left untreated, postpartum depression can interfere with mother-child bonding and cause family distress. Children of mothers who have untreated postpartum depression are more likely to have behavioral problems, such as sleeping and eating difficulties, temper tantrums and hyperactivity. Delays in language development are common as well.
Untreated postpartum depression can last up to a year or longer. Sometimes untreated postpartum depression becomes a chronic depressive disorder. Even when treated, postpartum depression increases a woman's risk of future episodes of major depression.
Treatments and drugs
Treatment and recovery time vary, depending on the severity of your depression and your individual needs.
Baby blues
The baby blues usually fade on their own within a few days to weeks. In the meantime, get as much rest as you can. Accept help from family and friends. Connect with other new moms. Avoid alcohol, which can make mood swings worse. If you have an underactive thyroid, your doctor may prescribe thyroid medication.
Postpartum depression
Postpartum depression is often treated with counseling and medication.
■Counseling. It may help to talk through your concerns with a psychiatrist, psychologist or other mental health professional. Through counseling, you can find better ways to cope with your feelings, solve problems and set realistic goals. Sometimes, family or marital therapy also is helpful.
■Antidepressants. Antidepressants are a proven treatment for postpartum depression. If you're breast-feeding, it's important to know that any medication you take will enter your breast milk. However, various antidepressants can be used during breast-feeding with little risk of side effects for your baby. Work with your doctor to weigh the potential risks and benefits of specific antidepressants.
■Hormone therapy. Estrogen replacement may help counteract the rapid drop in estrogen that accompanies childbirth, which may ease the signs and symptoms of postpartum depression in some women. Research on the effectiveness of hormone therapy for postpartum depression is limited, however. As with antidepressants, weigh the potential risks and benefits of hormone therapy with your doctor.
With appropriate treatment, postpartum depression usually goes away within a few months. In some cases, postpartum depression lasts up to a year. It's important to continue treatment after you begin to feel better, however. Stopping treatment too early may only lead to a relapse.
Postpartum psychosis
Postpartum psychosis requires immediate treatment, often in the hospital.
When your safety is assured, a combination of medications — such as antidepressants, antipsychotic medications and mood stabilizers — may be used to control your signs and symptoms. Sometimes electroconvulsive therapy (ECT) is recommended as well. During ECT, a small amount of electrical current is applied to your brain to produce brain waves similar to those that occur during a seizure. The chemical changes triggered by the electrical currents can reduce the symptoms of depression, especially when other treatments have failed or when you need immediate results.
Treatment for postpartum psychosis can challenge a mother's ability to breast-feed. Separation from the baby makes breast-feeding difficult, and some medications used to treat postpartum psychosis aren't recommended for women who are breast-feeding. If you're experiencing postpartum psychosis, a team of health care providers will help you work through these challenges.
Prevention
If you have a history of depression — especially postpartum depression — mention it to your doctor as soon as you find out you're pregnant. Your doctor will monitor you closely for signs and symptoms of depression. Sometimes mild depression can be managed with support groups, counseling or other therapies. In other cases, antidepressants are recommended — even during pregnancy.
After your baby is born, your doctor may recommend an early postpartum checkup to screen for signs and symptoms of postpartum depression. The earlier postpartum depression is detected, the earlier treatment can begin. If you have a history of postpartum depression, your doctor may recommend antidepressant treatment immediately after delivery.
Lifestyle and home remedies
Postpartum depression isn't generally a condition that you can treat on your own — but you can do some things for yourself that build on your treatment plan. In fact, taking good care of yourself can help speed your recovery.
■Make healthy lifestyle choices. Rest as much as you can. Include physical activity, such as a walk with your baby, in your daily routine. Eat healthy foods — plenty of fruits, vegetables and whole grains. Avoid alcohol.
■Set realistic expectations. Don't pressure yourself to do everything. Scale back your expectations for the perfect household. Do what you can and leave the rest. Ask for help when you need it.
■Make time for yourself. If you feel like the world is coming down around you, take some time for yourself. Get dressed, leave the house, and visit a friend or run an errand. Or schedule some time alone with your partner.
■Avoid isolation. Talk with your partner, family and friends about how you're feeling. Ask other mothers about their experiences. Ask your doctor about local support groups for new moms or women who have postpartum depression.
Remember, the best way to take care of your baby is to take care of yourself.
Alternative medicine
Little research has been done on complementary and alternative therapies for postpartum depression. Although some data is available, it's not definitive.
If you'd like to try a complementary or alternative therapy for postpartum depression, share your wishes with your doctor. He or she can help you weigh the benefits and risks of specific therapies, such as:
■Acupuncture. Acupuncture helps promote deep relaxation, and sometimes even sleep. This may help relieve the fatigue that accompanies postpartum depression.
■Omega-3 fatty acids. Omega-3 fatty acids are known to support infant brain development during pregnancy. Some research suggests that omega-3 fatty acids — whether eaten in fish and other seafood or taken as a nutritional supplement — may help relieve postpartum depression as well.
■Massage therapy. Some studies suggest that massage therapy may be helpful for postpartum depression.
■Creative arts. Art, music and drama therapy have been suggested as possible ways to relieve postpartum depression, perhaps by providing a supportive, relaxed environment, offering new ways of expression or encouraging positive behavior changes.
Some studies suggest that the herb St. John's wort may be helpful for mild to moderate depression, although there's been no research published on St. John's wort and postpartum depression specifically. It's best to avoid St. John's wort if you're breast-feeding. St. John's wort may cause colic, drowsiness or lethargy in a nursing baby.
June 7, 2008
© 1998-2009 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
Hygeia Breastpumps - Why I Carry Them
July 28th at 11:52pm
Jennifer Mossholder
www.DOULAMOM.com
Hygeia features Green breastpumps for new parents who are concerned about the growing problem of proliferating landfills with baby products.
With the US birth rate topping 4 million newborns every year, conservative estimates are that at least 2 million breastpumps are purchased annually by new parents. Most of these pumps end up in landfills even though they may have been used for just a few days or weeks. The leading breastpump manufacturers have designated these pumps as single-user devices, and the FDA states that these type of pumps can be not be shared between mothers.
Hygeia, has a “Go Green solution”. The Hygeia EnJoye™ Breastpump was designed and is registered with the FDA as a multi-user product. When a Hygeia consumer no longer needs her breastpump, it can be re-used by a friend or family member when each mother has her own personal accessory set. This means fewer pumps in the landfills.
Re-usable breastpumps are not new to hospitals which use expensive durable medical breastpumps that few consumers can afford to buy or want to carry around. The breakthrough is Hygeia’s adaptation of this leading hospital technology into a consumer retail product that’s portable, economical and safe for re-use between mothers. All the parts that touch a mother or her milk are part of her personal accessory set.
In addition to less pumps in the dumps, the Hygeia EnJoye breastpump features an optional reusable lithium ion battery. This rechargeable battery will last for up to four hours of use, and is another Green feature. Competitive breastpumps typically use multiple AA batteries that end up in landfills after use.
Hygeia is committed to the environment and making the earth a Greener place for new parents and babies.
Sharing Hygeia Breastpumps
Statement of Pump Re-Use
FDA Cleared
Hygeia’s Breastpumps are engineered and designed for multiple users when each mother has their own personal accessory set. All of Hygeia Breastpumps have been reviewed and registered with the Food and Drug Administration (FDA) as multi-user pumps.
Longest Warranty
Hygeia Breastpumps provide proven performance and feature robust construction found in hospitals. All our pumps are warranted for three years, the longest time for any personal-use breastpump on the marketplace. Investing in a top-quality Hygeia breastpump is a particularly good option when you're planning to have more children or to share your pump with friends/family members who have their own personal accessory sets.
Ecologically Sound
All Hygeia breastpumps are ecologically sound and designed for sharing between mothers when each has her own personal accessory set. However, many non-Hygeia purchased breastpumps are just designed for one mother and are then tossed into the trash. Increasingly people all over the world realize that reuse of items is more environmentally friendly and the Green way to go.
Hygienic
All Hygeia Breastpumps are designed for reuse between mothers when each has their own personal accessory set. Our personal-use breastpumps feature a unique bacteria/virus filter which is designed to block bacteria, viruses and fluid from entering the pump or causing cross contamination. All the parts that touch a mother or her milk are part of her personal accessory set.
Hygeia Pumps are also extremely easy to clean with disinfectants/cleaners such as Cavicide®, a convenient, ready-to-use, high-level disinfectant that is effective against TB, HBV, viruses, bacteria and fungi.
Jennifer Mossholder
www.DOULAMOM.com
Hygeia features Green breastpumps for new parents who are concerned about the growing problem of proliferating landfills with baby products.
With the US birth rate topping 4 million newborns every year, conservative estimates are that at least 2 million breastpumps are purchased annually by new parents. Most of these pumps end up in landfills even though they may have been used for just a few days or weeks. The leading breastpump manufacturers have designated these pumps as single-user devices, and the FDA states that these type of pumps can be not be shared between mothers.
Hygeia, has a “Go Green solution”. The Hygeia EnJoye™ Breastpump was designed and is registered with the FDA as a multi-user product. When a Hygeia consumer no longer needs her breastpump, it can be re-used by a friend or family member when each mother has her own personal accessory set. This means fewer pumps in the landfills.
Re-usable breastpumps are not new to hospitals which use expensive durable medical breastpumps that few consumers can afford to buy or want to carry around. The breakthrough is Hygeia’s adaptation of this leading hospital technology into a consumer retail product that’s portable, economical and safe for re-use between mothers. All the parts that touch a mother or her milk are part of her personal accessory set.
In addition to less pumps in the dumps, the Hygeia EnJoye breastpump features an optional reusable lithium ion battery. This rechargeable battery will last for up to four hours of use, and is another Green feature. Competitive breastpumps typically use multiple AA batteries that end up in landfills after use.
Hygeia is committed to the environment and making the earth a Greener place for new parents and babies.
Sharing Hygeia Breastpumps
Statement of Pump Re-Use
FDA Cleared
Hygeia’s Breastpumps are engineered and designed for multiple users when each mother has their own personal accessory set. All of Hygeia Breastpumps have been reviewed and registered with the Food and Drug Administration (FDA) as multi-user pumps.
Longest Warranty
Hygeia Breastpumps provide proven performance and feature robust construction found in hospitals. All our pumps are warranted for three years, the longest time for any personal-use breastpump on the marketplace. Investing in a top-quality Hygeia breastpump is a particularly good option when you're planning to have more children or to share your pump with friends/family members who have their own personal accessory sets.
Ecologically Sound
All Hygeia breastpumps are ecologically sound and designed for sharing between mothers when each has her own personal accessory set. However, many non-Hygeia purchased breastpumps are just designed for one mother and are then tossed into the trash. Increasingly people all over the world realize that reuse of items is more environmentally friendly and the Green way to go.
Hygienic
All Hygeia Breastpumps are designed for reuse between mothers when each has their own personal accessory set. Our personal-use breastpumps feature a unique bacteria/virus filter which is designed to block bacteria, viruses and fluid from entering the pump or causing cross contamination. All the parts that touch a mother or her milk are part of her personal accessory set.
Hygeia Pumps are also extremely easy to clean with disinfectants/cleaners such as Cavicide®, a convenient, ready-to-use, high-level disinfectant that is effective against TB, HBV, viruses, bacteria and fungi.
Tuesday, July 28, 2009
Before, During and After: Services for Families
Quick News:
If you sign up for any service we have listed on our website www.doulamom.com, between July 18, 2009 and December 31, 2009 you are automatically entered into our drawing for a $400.00 in home (or studio) photography package from Angela Pursell ( www.angelapursell.com)
We now offer more than doula support! We have Fuzzi Bunz Cloth Diapering System, Sleepy Wraps Baby Carriers, Belly Casting, Blessingways.....more!
Did you know that among the seven doulas affiliated with Before, During & After we have 21 children and 1 grandchild?!?
Before, During & After is the only authorized dealer in PA for the Hygeia Breastpump Line.
We now offer our assistance to moms in DE, MD, NJ and PA.
Breastfeeding Assistance Video:
http://www.youtube.com/watch?v=PCt6neyEfVk
From Susun Weed, a foremost expert in the Herbalist Traditions
--
Jennifer Mossholder
www.DOULAMOM.com
If you sign up for any service we have listed on our website www.doulamom.com, between July 18, 2009 and December 31, 2009 you are automatically entered into our drawing for a $400.00 in home (or studio) photography package from Angela Pursell ( www.angelapursell.com)
We now offer more than doula support! We have Fuzzi Bunz Cloth Diapering System, Sleepy Wraps Baby Carriers, Belly Casting, Blessingways.....more!
Did you know that among the seven doulas affiliated with Before, During & After we have 21 children and 1 grandchild?!?
Before, During & After is the only authorized dealer in PA for the Hygeia Breastpump Line.
We now offer our assistance to moms in DE, MD, NJ and PA.
Breastfeeding Assistance Video:
http://www.youtube.com/watch?v=PCt6neyEfVk
From Susun Weed, a foremost expert in the Herbalist Traditions
--
Jennifer Mossholder
www.DOULAMOM.com
Posh Pads and World Breastfeeding Week
World Breastfeeding week is 1-7 of August
This is a wonderful week to celebrate healthy babies and mother's Aug 1-7. POSH Pads wants to let you know about this wonderful organization promoting and supporting womens rights to breastfeed around the world. http://worldbreastfeedingweek.org/
A few reasons women don't breastfeed:
1. Lack of confidence
2. Embarrassment of breastfeeding in public
3. Loss of freedom
4. Influence of Family and Friends
Women need support from family, friends and the public as a whole. It's normal, natural and beautiful! We know it's not always easy, but with the help and support of family, friends and professionals, it can be a wonderful experience for both mother and baby.
Advantages for the baby:
1. Nutritional
2. Immunologic advantages
3. Prevention of allergies & asthma
4. Bonding and Psychosocial effects
5. Intellectual development
Advantages for the mother:
1. Economics
2. Uterine involution
3. Prevention of breast cancer (premenopausal)
4. Postpartum weight loss
Please share this information with all of your family and friends.
With Hugs and Breast Wishes!
~Robyn and Jessica
POSH Pads LLC
This is a wonderful week to celebrate healthy babies and mother's Aug 1-7. POSH Pads wants to let you know about this wonderful organization promoting and supporting womens rights to breastfeed around the world. http://worldbreastfeedingweek.org/
A few reasons women don't breastfeed:
1. Lack of confidence
2. Embarrassment of breastfeeding in public
3. Loss of freedom
4. Influence of Family and Friends
Women need support from family, friends and the public as a whole. It's normal, natural and beautiful! We know it's not always easy, but with the help and support of family, friends and professionals, it can be a wonderful experience for both mother and baby.
Advantages for the baby:
1. Nutritional
2. Immunologic advantages
3. Prevention of allergies & asthma
4. Bonding and Psychosocial effects
5. Intellectual development
Advantages for the mother:
1. Economics
2. Uterine involution
3. Prevention of breast cancer (premenopausal)
4. Postpartum weight loss
Please share this information with all of your family and friends.
With Hugs and Breast Wishes!
~Robyn and Jessica
POSH Pads LLC
Monday, July 27, 2009
The CAPPA Quarterly and You
Remember the CAPPA Quarterly the next time you’re looking to publish one of your articles.
CAPPA's online Quarterly publication speaks to professionals from all over the world and from all walks of life. Those who publish with us are not remunerated, however there are many benefits including continuing education units for recertification, the sharing of information and experience, and free exposure. You can learn more about the CAPPA Quarterly online at www.cappa.net.
CAPPA's mission is to offer comprehensive, evidence-based education, certification, professional membership and training to childbirth and lactation educators, and antepartum, labor and postpartum doulas. CAPPA seeks to forge positive and productive relationships between organizations that support healthy, informed family choices.
Please email Michelle Schnaars, CAPPA Director of Publications if you have any questions at doulamichelle@comcast.net.
###
Michelle Schnaars, CCCE, CHBE
CAPPA Director of Publications
www.cappa.net/quarterly.php
www.facebook.com/doulamichelle
CAPPA's online Quarterly publication speaks to professionals from all over the world and from all walks of life. Those who publish with us are not remunerated, however there are many benefits including continuing education units for recertification, the sharing of information and experience, and free exposure. You can learn more about the CAPPA Quarterly online at www.cappa.net.
CAPPA's mission is to offer comprehensive, evidence-based education, certification, professional membership and training to childbirth and lactation educators, and antepartum, labor and postpartum doulas. CAPPA seeks to forge positive and productive relationships between organizations that support healthy, informed family choices.
Please email Michelle Schnaars, CAPPA Director of Publications if you have any questions at doulamichelle@comcast.net.
###
Michelle Schnaars, CCCE, CHBE
CAPPA Director of Publications
www.cappa.net/quarterly.php
www.facebook.com/doulamichelle
The first week of August is World Breastfeeding Week
By Michelle Schnaars
for the CAPPA Blog at www.cappa.net
“The World Breastfeeding Week (WBW) is the greatest outreach vehicle for the breastfeeding movement, being celebrated in over 120 countries. Officially it is celebrated from 1-7 August. However, groups may choose other dates to make it a more successful event in their countries.” -WABA
www.worldbreastfeedingweek.org
As professionals we have the opportunity to encourage our clients to breastfeed their newborns. Extended breastfeeding, up to toddler age and beyond, also has health benefits for mother and child. If we encourage breastfeeding mothers will be more likely and even prepared to breastfeed their children in the event of an emergency when clean water and formula may not be available. WABA (World Alliance for Breastfeeding Action) aims to educate both families and professionals on breastfeeding in normal situations and in the event of an emergency.
Hurricanes Katrina, Rita and Gustav taught us that breastfeeding is more than a life choice it is a matter of health. Babies and young children will die after a disaster for the simple fact that there might not be any available formula, or clean water to feed them. In the after-math of these hurricanes mothers who were breastfeeding their own children offered to breastfeed the babies and children of other mothers, so their children would have food, and live.
Breastfeeding offers many benefits including:Breastfeeding can save a family between $1,160 and $3,915 per year, depending on the brand of formula.
Breastmilk provides immune support which helps protect infants from germs and illness. Infant formula cannot match the exact chemical makeup of human milk, especially the cells, hormones, and antibodies that fight disease.
Exclusive breastfeeding through 6 months reduces the risk of SIDS by up to 50% (Venneman, 2009).
Colostrum, the thick yellow first breastmilk made during pregnancy and just after birth, will give the baby the best start at life. It is known as "liquid gold." It is very rich in nutrients and antibodies that protect the baby.
Breastmilk changes over time to meet the baby's needs: it contains the right amount of fat, carbohydrates, water, and protein that is needed for a baby's growth.
Breastmilk is easier to digest than formula.
Premature babies do better when breastfed compared to premature babies who are fed formula.
Unlike human milk straight from the breast, infant formula has a chance of being contaminated.
A mother can satisfy her baby's hunger right away with breastfeeding.
Breastfeeding requires a mother to take some quiet relaxed time for herself and her baby, helping them bond. Physical contact is important to newborns and can help them feel more secure, warm, and comforted. Breastfeeding mothers may have increased self-confidence and feelings of closeness and bonding with their infants.
The CAPPA CLE Program
The purpose of the CAPPA Lactation Educator Program is to provide childbirth professionals comprehensive training in breastfeeding education. Working in many fields, the CAPPA CLE’s provide support and advocacy for families across the United States and internationally. They can be found teaching breastfeeding classes in hospitals and private settings, as WIC peer counselors, as educators on hospital postpartum floors, working as breast pump rental technicians and in breastfeeding support stores, and facilitating breastfeeding and postpartum support groups - just to name a few. Many of our CAPPA CLE’s also use this certification to round out their labor and postpartum doula services and knowledge to ensure they are providing the highest quality services for breastfeeding support. For more information on the trademark of the CAPPA CLE and entering the program, please click here.
Breastfeeding information for both parents and professionals can be found at http://www.breastfeedingwa.org/wbw, and www.llli.org. And CAPPA Lactation Education Training schedules can be found at http://asp.cappa.net/www/trainings/trainings.asp.
for the CAPPA Blog at www.cappa.net
“The World Breastfeeding Week (WBW) is the greatest outreach vehicle for the breastfeeding movement, being celebrated in over 120 countries. Officially it is celebrated from 1-7 August. However, groups may choose other dates to make it a more successful event in their countries.” -WABA
www.worldbreastfeedingweek.org
As professionals we have the opportunity to encourage our clients to breastfeed their newborns. Extended breastfeeding, up to toddler age and beyond, also has health benefits for mother and child. If we encourage breastfeeding mothers will be more likely and even prepared to breastfeed their children in the event of an emergency when clean water and formula may not be available. WABA (World Alliance for Breastfeeding Action) aims to educate both families and professionals on breastfeeding in normal situations and in the event of an emergency.
Hurricanes Katrina, Rita and Gustav taught us that breastfeeding is more than a life choice it is a matter of health. Babies and young children will die after a disaster for the simple fact that there might not be any available formula, or clean water to feed them. In the after-math of these hurricanes mothers who were breastfeeding their own children offered to breastfeed the babies and children of other mothers, so their children would have food, and live.
Breastfeeding offers many benefits including:Breastfeeding can save a family between $1,160 and $3,915 per year, depending on the brand of formula.
Breastmilk provides immune support which helps protect infants from germs and illness. Infant formula cannot match the exact chemical makeup of human milk, especially the cells, hormones, and antibodies that fight disease.
Exclusive breastfeeding through 6 months reduces the risk of SIDS by up to 50% (Venneman, 2009).
Colostrum, the thick yellow first breastmilk made during pregnancy and just after birth, will give the baby the best start at life. It is known as "liquid gold." It is very rich in nutrients and antibodies that protect the baby.
Breastmilk changes over time to meet the baby's needs: it contains the right amount of fat, carbohydrates, water, and protein that is needed for a baby's growth.
Breastmilk is easier to digest than formula.
Premature babies do better when breastfed compared to premature babies who are fed formula.
Unlike human milk straight from the breast, infant formula has a chance of being contaminated.
A mother can satisfy her baby's hunger right away with breastfeeding.
Breastfeeding requires a mother to take some quiet relaxed time for herself and her baby, helping them bond. Physical contact is important to newborns and can help them feel more secure, warm, and comforted. Breastfeeding mothers may have increased self-confidence and feelings of closeness and bonding with their infants.
The CAPPA CLE Program
The purpose of the CAPPA Lactation Educator Program is to provide childbirth professionals comprehensive training in breastfeeding education. Working in many fields, the CAPPA CLE’s provide support and advocacy for families across the United States and internationally. They can be found teaching breastfeeding classes in hospitals and private settings, as WIC peer counselors, as educators on hospital postpartum floors, working as breast pump rental technicians and in breastfeeding support stores, and facilitating breastfeeding and postpartum support groups - just to name a few. Many of our CAPPA CLE’s also use this certification to round out their labor and postpartum doula services and knowledge to ensure they are providing the highest quality services for breastfeeding support. For more information on the trademark of the CAPPA CLE and entering the program, please click here.
Breastfeeding information for both parents and professionals can be found at http://www.breastfeedingwa.org/wbw, and www.llli.org. And CAPPA Lactation Education Training schedules can be found at http://asp.cappa.net/www/trainings/trainings.asp.
La Leche League of TC Hosts their 2nd Annual Spring Fling
Denise Punger wrote
at 10:19pm on July 15th, 2009
LLL of TC Hosts their 2nd Annual Spring Fling
In Celebration of World Breastfeeding Week
LLL of the Treasure Coast
will host their 2nd annual
Sling Fling
everyone invited
Presenting the latest in baby wearing fashions
How-to tutorials
Wraps, slings, pouches, structured carriers
& simple pieces of cloth
Sponsored by local physician
Dr. Denise Punger, MD FAAFP IBCLC
Author of the hit sensation(thanks Lauren :) ),
PERMISSION TO MOTHER
Saturday, August 15, 2009
Morningside Library
2410 SE Morningside Blvd.
Port Saint Lucie, FL 34952
10:00 a.m. – 1:00 p.m.
$10 suggested donation includes 3 raffle tickets
Please bring a healthy snack to share
RSVP recommended
(772) 233-1883 (772) 460-0347
(click here to see photos from last year)
Models are needed for the the babywearing fashion show.
http://permissiontomother.blogspot.com/2009/07/lllof-tc-hosts-their-2nd-annual-spring.html
at 10:19pm on July 15th, 2009
LLL of TC Hosts their 2nd Annual Spring Fling
In Celebration of World Breastfeeding Week
LLL of the Treasure Coast
will host their 2nd annual
Sling Fling
everyone invited
Presenting the latest in baby wearing fashions
How-to tutorials
Wraps, slings, pouches, structured carriers
& simple pieces of cloth
Sponsored by local physician
Dr. Denise Punger, MD FAAFP IBCLC
Author of the hit sensation(thanks Lauren :) ),
PERMISSION TO MOTHER
Saturday, August 15, 2009
Morningside Library
2410 SE Morningside Blvd.
Port Saint Lucie, FL 34952
10:00 a.m. – 1:00 p.m.
$10 suggested donation includes 3 raffle tickets
Please bring a healthy snack to share
RSVP recommended
(772) 233-1883 (772) 460-0347
(click here to see photos from last year)
Models are needed for the the babywearing fashion show.
http://permissiontomother.blogspot.com/2009/07/lllof-tc-hosts-their-2nd-annual-spring.html
Sunday, July 26, 2009
Classes for New and Expectant Parents: Cloth Diapering, Baby Carriers, Breastfeeding, and more
August 9th at 4:00 pm.
Babywearing and Cloth diapering workshop
Come over to learn about options in cloth diapering and babycarriers. You can touch, see and try on many types of carriers and handle cloth diapers.
We will go over the benefits to babywearing and cloth diapering.
The cost of this event is $20.00 per person/couple.
August 16th at 4:00 pm
Birth plan workshop
At this workshop we will review the benefits of having a birth plan.
You will write up your own birth plan, using a birth plan template.
The cost of this event is $20.00 per person/couple
August 29th at 4:00 pm
Breastfeeding Class
Are you planning on breastfeeding your baby? If so, come to this class to learn what the benefits are and how to make breastfeeding work for you. We will go over latch, positions and possible things that can occur.
The cost of this event is $35.00 per person/couple
Peacefull Beginnings also offers private classes and workshops. as well as Lactation services. Please inquire for rates and availability.
Please visit www.peacefulbeginnings.com for registration and more information.
Babywearing and Cloth diapering workshop
Come over to learn about options in cloth diapering and babycarriers. You can touch, see and try on many types of carriers and handle cloth diapers.
We will go over the benefits to babywearing and cloth diapering.
The cost of this event is $20.00 per person/couple.
August 16th at 4:00 pm
Birth plan workshop
At this workshop we will review the benefits of having a birth plan.
You will write up your own birth plan, using a birth plan template.
The cost of this event is $20.00 per person/couple
August 29th at 4:00 pm
Breastfeeding Class
Are you planning on breastfeeding your baby? If so, come to this class to learn what the benefits are and how to make breastfeeding work for you. We will go over latch, positions and possible things that can occur.
The cost of this event is $35.00 per person/couple
Peacefull Beginnings also offers private classes and workshops. as well as Lactation services. Please inquire for rates and availability.
Please visit www.peacefulbeginnings.com for registration and more information.
Saturday, July 25, 2009
Animal-Friendly Fashion Blog VaVaVaVegan.com
Jennifer Holsman PRESS RELEASE
FOR IMMEDIATE RELEASE
Animal-Friendly Fashion Blog VaVaVaVEGAN.com Launches
NATIONAL - In July 2009, fashion blog VaVaVaVEGAN.com officially launched, spreading the word about animal-friendly choices. Along with fun and funky styling, VaVaVaVEGAN.com raises awareness about the power of conscious consumerism. Founder Jennifer Holsman boasts sass and wit as she blogs away about her personal favs and passionate causes. She hopes this initiative will change the world - or at least the way they shop. When it's so easy to stay trendy and remain cruelty-free -- why not? You could be saving a life! Consider VaVaVaVEGAN your personal resource for keeping the VaVaVaVOOM! in vegan fashion.
For more information about VaVaVaVEGAN.com, press inquiries, or freelance writing services, contact Jennifer Holsman at info@vavavavegan.com.
FOR IMMEDIATE RELEASE
Animal-Friendly Fashion Blog VaVaVaVEGAN.com Launches
NATIONAL - In July 2009, fashion blog VaVaVaVEGAN.com officially launched, spreading the word about animal-friendly choices. Along with fun and funky styling, VaVaVaVEGAN.com raises awareness about the power of conscious consumerism. Founder Jennifer Holsman boasts sass and wit as she blogs away about her personal favs and passionate causes. She hopes this initiative will change the world - or at least the way they shop. When it's so easy to stay trendy and remain cruelty-free -- why not? You could be saving a life! Consider VaVaVaVEGAN your personal resource for keeping the VaVaVaVOOM! in vegan fashion.
For more information about VaVaVaVEGAN.com, press inquiries, or freelance writing services, contact Jennifer Holsman at info@vavavavegan.com.
Recall Issued for All Stabilet Infant Warmers
Neil Osterweil
Authors and Disclosures
Published: 07/23/2009
July 23, 2009 — Medical device maker Draeger Medical Inc, working with the US Food and Drug Administration (FDA), has issued a recall of all Stabilet Infant Warmer models because of the potential for serious injury to patients and/or caregivers from their continued use.
The FDA and Draeger recommend that the devices be immediately removed from service and replaced as soon as possible.
In January 2008, a fire injured an infant in a Minnesota neonatal unit; it has since been determined by independent investigators that the Hill-Rom Stabilet model 1250 was the likely ignition source.
However, all models are involved in the recall, said Draeger spokeswoman Glenyce Scott-Hoglund in an interview with Medscape Medical News. The model numbers are 200, 300, 1250, 1500, 200/3000, 2000, 2200/3200, 3000, and 3200. About 6200 total infant warmer units were manufactured by Hill-Rom from the mid-1980s through 1998. Service and support for the units was discontinued in 2003. Draeger acquired Hill-Rom in 2004.
According to an alert from MedWatch, the FDA's safety information and adverse event reporting program, "immediate actions required include:
Locate and identify the devices listed in this notice.
Remove the referenced devices from service as soon as possible.
Once removed from service, the warmers should be rendered unusable by removing the heating element and the power cord. These warmers should not be used or sold for any other purpose.
If an infant is currently receiving therapy from one of the referenced devices, consider the risk of moving the patient before changing to an alternative mode of therapy."
Draeger has issued a recall notification to all known users of the affected models.
More information is available on the MedWatch Web site.
Authors and Disclosures
Journalist
Neil Osterweil
Neil Osterweil is a freelance writer for Medscape.
Authors and Disclosures
Published: 07/23/2009
July 23, 2009 — Medical device maker Draeger Medical Inc, working with the US Food and Drug Administration (FDA), has issued a recall of all Stabilet Infant Warmer models because of the potential for serious injury to patients and/or caregivers from their continued use.
The FDA and Draeger recommend that the devices be immediately removed from service and replaced as soon as possible.
In January 2008, a fire injured an infant in a Minnesota neonatal unit; it has since been determined by independent investigators that the Hill-Rom Stabilet model 1250 was the likely ignition source.
However, all models are involved in the recall, said Draeger spokeswoman Glenyce Scott-Hoglund in an interview with Medscape Medical News. The model numbers are 200, 300, 1250, 1500, 200/3000, 2000, 2200/3200, 3000, and 3200. About 6200 total infant warmer units were manufactured by Hill-Rom from the mid-1980s through 1998. Service and support for the units was discontinued in 2003. Draeger acquired Hill-Rom in 2004.
According to an alert from MedWatch, the FDA's safety information and adverse event reporting program, "immediate actions required include:
Locate and identify the devices listed in this notice.
Remove the referenced devices from service as soon as possible.
Once removed from service, the warmers should be rendered unusable by removing the heating element and the power cord. These warmers should not be used or sold for any other purpose.
If an infant is currently receiving therapy from one of the referenced devices, consider the risk of moving the patient before changing to an alternative mode of therapy."
Draeger has issued a recall notification to all known users of the affected models.
More information is available on the MedWatch Web site.
Authors and Disclosures
Journalist
Neil Osterweil
Neil Osterweil is a freelance writer for Medscape.
We're Having a Baby Shower
We're Having a Baby Shower!: Sunday, October 18, 2:00 pm
The Healing Point, 215 W. Church Road, Ste 112,
King Of Prussia PA 19406
O'Bambino of Doylestown, PA is coming to Before, During & After to help you register for your baby! This is NOT your typical baby registry!
O'Bambino showcases the latest maternity fashions, infant, nursing goods, Organic crib mattress, organic bedding, bisphonol free, phthalate- free line of bottles, an all natural & organic line of skin & body care products as well as many more organic & traditional products.
Bring your moms, friends and sisters: this is bound to be a great event!
Refreshments will be served and we suggest an RSVP to jenn@doulamom.com or andrea@obambino.net
The Healing Point, 215 W. Church Road, Ste 112,
King Of Prussia PA 19406
O'Bambino of Doylestown, PA is coming to Before, During & After to help you register for your baby! This is NOT your typical baby registry!
O'Bambino showcases the latest maternity fashions, infant, nursing goods, Organic crib mattress, organic bedding, bisphonol free, phthalate- free line of bottles, an all natural & organic line of skin & body care products as well as many more organic & traditional products.
Bring your moms, friends and sisters: this is bound to be a great event!
Refreshments will be served and we suggest an RSVP to jenn@doulamom.com or andrea@obambino.net
Thursday, July 23, 2009
Guidelines on Labor Induction Revised
Laurie Barclay, MD
Authors and Disclosures
July 23, 2009 — On July 21, the American College of Obstetricians and Gynecologists (ACOG) issued revised guidelines on when and how to induce labor in pregnant women. The updated recommendations are published as a Practice Bulletin, "Induction of Labor," in the August issue of Obstetrics & Gynecology. The bulletin aims to guide physicians regarding their choice of induction methods that may be most suitable in specific settings and to elucidate the safety requirements, risks, and benefits of various regimens to induce labor.
Benefits vs Risks of Labor Induction
For the last 2 decades, the rate of labor induction in the United States has more than doubled, with more than 22% of all pregnant women in 2006 having labor induced. This increase in use necessitates a careful review of indications, risks, and benefits.
The goal of labor induction is to stimulate uterine contractions before the spontaneous onset of labor, resulting in vaginal delivery. The benefits of labor induction must be weighed against the potential maternal and fetal risks associated with this procedure. When the benefits of expeditious delivery are greater than the risks of continuing the pregnancy, inducing labor can be justified as a therapeutic intervention.
"There are certain health conditions, in either the woman or the fetus, where the benefit of inducing labor is clear-cut," coauthor Susan Ramin, MD, from the University of Texas Medical School in Houston, said in a news release. "And, there are some nonmedical situations in which induction also may be prudent, for instance, in rural areas where the distance to the hospital is just too great to risk waiting for spontaneous labor to happen at home."
Recommendations Based on Sound Evidence
Based on evidence from methodologically sound outcomes-based research, the bulletin attempts to review current methods for cervical ripening and for inducing labor and to summarize the efficacy of these approaches. Also highlighted are indications for and contraindications to inducting labor, pharmacologic characteristics of various agents used for cervical ripening, regimens used for labor induction, and the requirements for safe clinical use of these techniques.
The bulletin authors searched the MEDLINE database, the Cochrane Library, and ACOG's own internal resources and documents to identify pertinent English-language articles published between January 1985 and January 2009. Although articles reporting results of original research were given priority, review articles and commentaries were also consulted, as were guidelines published by organizations or institutions such as ACOG and the National Institutes of Health. However, abstracts of research presented at symposia and scientific conferences were excluded. Expert opinions from obstetrician-gynecologists were used when reliable research evidence was not available.
Indications for Labor Induction
Possible indications for labor induction may include gestational or chronic hypertension, preeclampsia, eclampsia, diabetes, premature rupture of membranes, severe fetal growth restriction, and postterm pregnancy. However, physicians should decide whether labor induction is warranted on a case-by-case basis, after consideration of maternal and infant conditions, cervical status, gestational age, and other factors.
Contraindications to labor induction include transverse fetal position, umbilical cord prolapse, active genital herpes infection, placenta previa, and a history of previous myomectomy.
When labor induction is deemed necessary, the gestational age of the fetus should be determined to be at least 39 weeks, or there must be evidence of fetal lung maturity.
The first step in labor induction is cervical ripening using drugs or mechanical cervical dilators to dilate the cervix sufficiently before labor is induced. The next step is to induce labor using oxytocin, membrane stripping, rupture of the amniotic membrane, or nipple stimulation.
Misoprostol, which is approved for treatment of peptic ulcers, is often used off-label for cervical ripening as well as for labor induction. In women who have had any previous cesarean delivery, however, inducing labor with misoprostol may increase risk for uterine rupture and should therefore be avoided.
Clinical Recommendations
Specific clinical recommendations and conclusions, all based on good and consistent scientific evidence (level A), are as follows:
For cervical ripening and labor induction, prostaglandin E (PGE) analogues are effective.
When labor induction is indicated, low-dose or high-dose oxytocin regimens are appropriate.
Regardless of Bishop score, the most efficient method of labor induction before 28 weeks of gestation appears to be vaginal misoprostol. However, infusion of high-dose oxytocin is also an acceptable option.
For cervical ripening and induction of labor, an appropriate initial dose of misoprostol is approximately 25 µg, with frequency of administration not to exceed 1 dose every 3 to 6 hours.
For induction of labor in women with premature rupture of membranes, intravaginal PGE2 appears to be safe and effective.
In women with previous cesarean delivery or major uterine surgery, the use of misoprostol should be avoided in the third trimester because it has been linked to a greater risk for uterine rupture.
The Foley catheter is a reasonable, effective option to promote cervical ripening and labor induction.
An additional clinical recommendation, based on limited or inconsistent evidence (level B), is that misoprostol, 50 µg every 6 hours, to induce labor may be appropriate in some situations. However, higher doses are linked to a greater risk for uterine tachysystole with fetal heart rate (FHR) decelerations and other complications.
As a proposed performance measure, the guidelines authors suggest that the percentage of patients in whom gestational age is established by clinical criteria when labor is induced for logistic or psychosocial indications.
"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.
Authors and Disclosures
Journalist
Laurie Barclay, MD
Laurie Barclay, MD, is a freelance writer and reviewer for Medscape.
Disclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships.
Authors and Disclosures
July 23, 2009 — On July 21, the American College of Obstetricians and Gynecologists (ACOG) issued revised guidelines on when and how to induce labor in pregnant women. The updated recommendations are published as a Practice Bulletin, "Induction of Labor," in the August issue of Obstetrics & Gynecology. The bulletin aims to guide physicians regarding their choice of induction methods that may be most suitable in specific settings and to elucidate the safety requirements, risks, and benefits of various regimens to induce labor.
Benefits vs Risks of Labor Induction
For the last 2 decades, the rate of labor induction in the United States has more than doubled, with more than 22% of all pregnant women in 2006 having labor induced. This increase in use necessitates a careful review of indications, risks, and benefits.
The goal of labor induction is to stimulate uterine contractions before the spontaneous onset of labor, resulting in vaginal delivery. The benefits of labor induction must be weighed against the potential maternal and fetal risks associated with this procedure. When the benefits of expeditious delivery are greater than the risks of continuing the pregnancy, inducing labor can be justified as a therapeutic intervention.
"There are certain health conditions, in either the woman or the fetus, where the benefit of inducing labor is clear-cut," coauthor Susan Ramin, MD, from the University of Texas Medical School in Houston, said in a news release. "And, there are some nonmedical situations in which induction also may be prudent, for instance, in rural areas where the distance to the hospital is just too great to risk waiting for spontaneous labor to happen at home."
Recommendations Based on Sound Evidence
Based on evidence from methodologically sound outcomes-based research, the bulletin attempts to review current methods for cervical ripening and for inducing labor and to summarize the efficacy of these approaches. Also highlighted are indications for and contraindications to inducting labor, pharmacologic characteristics of various agents used for cervical ripening, regimens used for labor induction, and the requirements for safe clinical use of these techniques.
The bulletin authors searched the MEDLINE database, the Cochrane Library, and ACOG's own internal resources and documents to identify pertinent English-language articles published between January 1985 and January 2009. Although articles reporting results of original research were given priority, review articles and commentaries were also consulted, as were guidelines published by organizations or institutions such as ACOG and the National Institutes of Health. However, abstracts of research presented at symposia and scientific conferences were excluded. Expert opinions from obstetrician-gynecologists were used when reliable research evidence was not available.
Indications for Labor Induction
Possible indications for labor induction may include gestational or chronic hypertension, preeclampsia, eclampsia, diabetes, premature rupture of membranes, severe fetal growth restriction, and postterm pregnancy. However, physicians should decide whether labor induction is warranted on a case-by-case basis, after consideration of maternal and infant conditions, cervical status, gestational age, and other factors.
Contraindications to labor induction include transverse fetal position, umbilical cord prolapse, active genital herpes infection, placenta previa, and a history of previous myomectomy.
When labor induction is deemed necessary, the gestational age of the fetus should be determined to be at least 39 weeks, or there must be evidence of fetal lung maturity.
The first step in labor induction is cervical ripening using drugs or mechanical cervical dilators to dilate the cervix sufficiently before labor is induced. The next step is to induce labor using oxytocin, membrane stripping, rupture of the amniotic membrane, or nipple stimulation.
Misoprostol, which is approved for treatment of peptic ulcers, is often used off-label for cervical ripening as well as for labor induction. In women who have had any previous cesarean delivery, however, inducing labor with misoprostol may increase risk for uterine rupture and should therefore be avoided.
Clinical Recommendations
Specific clinical recommendations and conclusions, all based on good and consistent scientific evidence (level A), are as follows:
For cervical ripening and labor induction, prostaglandin E (PGE) analogues are effective.
When labor induction is indicated, low-dose or high-dose oxytocin regimens are appropriate.
Regardless of Bishop score, the most efficient method of labor induction before 28 weeks of gestation appears to be vaginal misoprostol. However, infusion of high-dose oxytocin is also an acceptable option.
For cervical ripening and induction of labor, an appropriate initial dose of misoprostol is approximately 25 µg, with frequency of administration not to exceed 1 dose every 3 to 6 hours.
For induction of labor in women with premature rupture of membranes, intravaginal PGE2 appears to be safe and effective.
In women with previous cesarean delivery or major uterine surgery, the use of misoprostol should be avoided in the third trimester because it has been linked to a greater risk for uterine rupture.
The Foley catheter is a reasonable, effective option to promote cervical ripening and labor induction.
An additional clinical recommendation, based on limited or inconsistent evidence (level B), is that misoprostol, 50 µg every 6 hours, to induce labor may be appropriate in some situations. However, higher doses are linked to a greater risk for uterine tachysystole with fetal heart rate (FHR) decelerations and other complications.
As a proposed performance measure, the guidelines authors suggest that the percentage of patients in whom gestational age is established by clinical criteria when labor is induced for logistic or psychosocial indications.
"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.
Authors and Disclosures
Journalist
Laurie Barclay, MD
Laurie Barclay, MD, is a freelance writer and reviewer for Medscape.
Disclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships.
Monday, July 20, 2009
Ananda Lowe Teleconference for Birth Professionals & Moms
Subject: Ananda Lowe Teleconference for Birth Professionals & Moms
Ananda Lowe, doula, birth expert, and Bantam Books author, is pleased to announce this upcoming class, which you may join for only $10 from any location where there is a telephone. CEUs available.
Do You Dread Inductions? -- Medical inductions are on the rise, causing birthing women and labor support providers to spend additional hours or days in the hospital, unable to labor at home as long as possible, anchored down to tubing and susceptible to other interventions, including the possibility of increased vaginal exams, increased risk of infection, the need for an unplanned epidural, and anxiety about the unexpected. What can mothers do prenatally to "prepare" for an unplanned induction?
Which scenarios would make an induction necessary for the mother and baby's safety (rather than a convenience), and what can be done to reduce the chances of these situations? We will discuss the psychological response to an induction, and techniques to remain confident and optimistic about labor with an induction. We will also discuss the fear that an induction will lead to a cesarean, and how to maintain focus on cesarean prevention and a positive birth experience.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
Ananda Lowe, doula, birth expert, and Bantam Books author, is pleased to announce this upcoming class, which you may join for only $10 from any location where there is a telephone. CEUs available.
Do You Dread Inductions? -- Medical inductions are on the rise, causing birthing women and labor support providers to spend additional hours or days in the hospital, unable to labor at home as long as possible, anchored down to tubing and susceptible to other interventions, including the possibility of increased vaginal exams, increased risk of infection, the need for an unplanned epidural, and anxiety about the unexpected. What can mothers do prenatally to "prepare" for an unplanned induction?
Which scenarios would make an induction necessary for the mother and baby's safety (rather than a convenience), and what can be done to reduce the chances of these situations? We will discuss the psychological response to an induction, and techniques to remain confident and optimistic about labor with an induction. We will also discuss the fear that an induction will lead to a cesarean, and how to maintain focus on cesarean prevention and a positive birth experience.
This class is open to doulas, midwives, and mothers. Wednesday, August 5 at 7:30-9 PM Eastern time.
Win a $400 photography session!
by Jennifer Mossholder
Angela Pursell, Photographer - Custom Photo Session...Maternity or Newborn Angela Pursell, Premier Philadelphia Area Child and Family Photographer
Angela Pursell is a premier photographer in the eastern Pennsylvania tri-state area with an emphasis on child and family photography.
As you look through her portfolio, you will be able to feel Angela's passion for photographing children and their families in her unique documentary style. She has a professional yet uninhibited approach to her images bringing out the soul and personality of her subjects.
Her natural/artificial light studio is located outside of Doylestown in Gardenville, Pennsylvania, Bucks County. She can also come to your home or any location of your choice. A session at your home is a great opportunity for Angela to capture your family where life happens. Photographing kids in their natural environment gives her a wonderful opportunity to interact with them capturing them just as they are. She is excited to be able to offer either or both options to her clients.
In addition to family photography, Angela is available for editorial and commercial work as well as and modeling headshots and portfolios.
The package you can win is as follows:
Two - 8"x10"s, Four 5"x7"s, 25 Wallets and 25% off of all future sessions and prints for 1 year; on location or studio sessions available
To enter win, simply hire a Before, During & After Doula Service associated doula for labor and birth, postpartum work or childbirth education between Saturday, July 18 and Thursday, December 31 and you will be entered. (You do not have to deliver before 12/31/2009, but you must contract with a doula before that date!)
Angela Pursell, Photographer - Custom Photo Session...Maternity or Newborn Angela Pursell, Premier Philadelphia Area Child and Family Photographer
Angela Pursell is a premier photographer in the eastern Pennsylvania tri-state area with an emphasis on child and family photography.
As you look through her portfolio, you will be able to feel Angela's passion for photographing children and their families in her unique documentary style. She has a professional yet uninhibited approach to her images bringing out the soul and personality of her subjects.
Her natural/artificial light studio is located outside of Doylestown in Gardenville, Pennsylvania, Bucks County. She can also come to your home or any location of your choice. A session at your home is a great opportunity for Angela to capture your family where life happens. Photographing kids in their natural environment gives her a wonderful opportunity to interact with them capturing them just as they are. She is excited to be able to offer either or both options to her clients.
In addition to family photography, Angela is available for editorial and commercial work as well as and modeling headshots and portfolios.
The package you can win is as follows:
Two - 8"x10"s, Four 5"x7"s, 25 Wallets and 25% off of all future sessions and prints for 1 year; on location or studio sessions available
To enter win, simply hire a Before, During & After Doula Service associated doula for labor and birth, postpartum work or childbirth education between Saturday, July 18 and Thursday, December 31 and you will be entered. (You do not have to deliver before 12/31/2009, but you must contract with a doula before that date!)
Friday, July 10, 2009
Pitocin
By Jenn Riedy
The blog-o-sphere is buzzing right now about a practice called “Pit to Distress.” Apparently Keyboard Revolutionary started it all with her post, which was quickly followed by Unnecesarean the same day. Now both of these blogs are written by “lay women”–that is, “JUST” moms, not medical professionals. So I was quite happy to see one of my favorite L&D nurse blogs jump into the fray–Nursing Birth. The Nursing Birth piece should be required reading for ANY woman who is planning a hospital birth, so that she doesn’t let this happen to her.
Pitocin seems to be almost synonomous with hospital labors anymore. I wonder how many women who labor actually manage to get through without using it at some point. One client I had switched OB practices because she had been informed that when she arrived at the hospital in active labor she would be put on Pitocin. No waiting to see how labor was progressing and if it was really needed…it was just the policy of this practice to use Pitocin on all laboring women. Medical staff will often explain away any concerns with the use of Pitocin by saying that it is just a synthetic form of the same medication that your body produces. Which is true. But that doesn’t mean that putting it into an IV is the same as letting your body produce it!
I’ve seen some “interesting” things happen with Pitocin in my doula experience.
* One mom was induced with Pitocin, and just when she seemed to be making progress, the Pitocin was turned off, and she was eventually taken for a cesarean for “failure to progress.” At that point she was only 12 hours into her induction, which started at 0 cm, and she was 9 cm dialated. I never did figure out how that was failure to progress.
* One mom asked for her Pitocin to be turned off until after her epidural was in place (anesthesiologist was with another woman, and my client just didn’t know how much longer she could handle the Pit), and the nurse said that she couldn’t do that without the Dr’s consent. Funny, but I thought in America mentally competent adults could refuse any medication.
* One mom told her nurse that she didn’t want the Pitocin drip turned up any further, the nurse said something to the effect of “yeah, it’s rough stuff,” and then went over to the IV pump and began upping the dose. The father stepped up and said “she said she didn’t want it raised anymore,” and the nurse got a shocked look on her face and said “oh, I thought you were just joking.”
* One mom had not responded to multiple attempts to induce labor with prostaglandins, so was put on an IV drip of Pitocin. Her drip rate was doubled every 15 minutes, until I went out to the nurse’s station and commented to the care provider about the intensity of her contractions. The care provider said “this is what labor is” without even observing the woman’s contractions. She did come into the labor room a few minutes labor, observed a contraction, and then quietly turned the drip down. The woman went from 4 cms to 10 cms in less than 2 hours. This inspired me to research recommended Pitocin dosing, and I learned that this woman had been started on 2-4 times the recommended starting dosage, and the dose she was at when I commented to the care provider was actually 160% higher than the level of oxytocin that would “mimic natural labor.” Even the dose that it was turned back to was 20% above the level that was described as “rarely needed.” This woman also had a post-partum hemorhage.
* I’ve only had two clients have cesareans for fetal distress. Both were on Pitocin at the time.
One of the major problems I have with the use of Pitocin is how strongly it is generally used. It is usually used at strengths MUCH greater than what the body would naturally produce. In the case of my client, it got to nearly 3 times the strength the body would naturally produce. Here is an excerpt from the 3rd page of the package insert on Pitocin:
The initial dose should be 0.5 – 1 mU/min (equal to 3-6 ml of the dilute oxytocin solution per hour [10 units oxytocin in 1000 ml saline was suggested a few paragraphs earlier “piggy backed” with plain saline]). At 30-60 minute intervals the dose should be gradually increased in increments of 1-2 mU/min…[. Once] the desired frequency of contractions has been reached and labor has progressed to 5-6 cm dilation, the dose may be reduced by similar increments.
Studies of the concentrations of oxytocin in the maternal plasma during oxytocin infusion have shown that infusion rates up to 6 mU/min give the same oxytocin levels that are found in spontaneous labor. At term, higher infusion rates should be given with great care, and rates exceeding 9-10 mU/min are rarely required. Before term, when the sensitivity of the uterus is lower because of lower concentration of oxytocin receptors, a higher infusion rate may be required.
Water intoxication with convulsions, which is caused by the inherent antidiuretic effect of oxytocin, is a serious complication that may occur if large doses (40 to 50 milliunits /minute) are infused for long periods.
The blog-o-sphere is buzzing right now about a practice called “Pit to Distress.” Apparently Keyboard Revolutionary started it all with her post, which was quickly followed by Unnecesarean the same day. Now both of these blogs are written by “lay women”–that is, “JUST” moms, not medical professionals. So I was quite happy to see one of my favorite L&D nurse blogs jump into the fray–Nursing Birth. The Nursing Birth piece should be required reading for ANY woman who is planning a hospital birth, so that she doesn’t let this happen to her.
Pitocin seems to be almost synonomous with hospital labors anymore. I wonder how many women who labor actually manage to get through without using it at some point. One client I had switched OB practices because she had been informed that when she arrived at the hospital in active labor she would be put on Pitocin. No waiting to see how labor was progressing and if it was really needed…it was just the policy of this practice to use Pitocin on all laboring women. Medical staff will often explain away any concerns with the use of Pitocin by saying that it is just a synthetic form of the same medication that your body produces. Which is true. But that doesn’t mean that putting it into an IV is the same as letting your body produce it!
I’ve seen some “interesting” things happen with Pitocin in my doula experience.
* One mom was induced with Pitocin, and just when she seemed to be making progress, the Pitocin was turned off, and she was eventually taken for a cesarean for “failure to progress.” At that point she was only 12 hours into her induction, which started at 0 cm, and she was 9 cm dialated. I never did figure out how that was failure to progress.
* One mom asked for her Pitocin to be turned off until after her epidural was in place (anesthesiologist was with another woman, and my client just didn’t know how much longer she could handle the Pit), and the nurse said that she couldn’t do that without the Dr’s consent. Funny, but I thought in America mentally competent adults could refuse any medication.
* One mom told her nurse that she didn’t want the Pitocin drip turned up any further, the nurse said something to the effect of “yeah, it’s rough stuff,” and then went over to the IV pump and began upping the dose. The father stepped up and said “she said she didn’t want it raised anymore,” and the nurse got a shocked look on her face and said “oh, I thought you were just joking.”
* One mom had not responded to multiple attempts to induce labor with prostaglandins, so was put on an IV drip of Pitocin. Her drip rate was doubled every 15 minutes, until I went out to the nurse’s station and commented to the care provider about the intensity of her contractions. The care provider said “this is what labor is” without even observing the woman’s contractions. She did come into the labor room a few minutes labor, observed a contraction, and then quietly turned the drip down. The woman went from 4 cms to 10 cms in less than 2 hours. This inspired me to research recommended Pitocin dosing, and I learned that this woman had been started on 2-4 times the recommended starting dosage, and the dose she was at when I commented to the care provider was actually 160% higher than the level of oxytocin that would “mimic natural labor.” Even the dose that it was turned back to was 20% above the level that was described as “rarely needed.” This woman also had a post-partum hemorhage.
* I’ve only had two clients have cesareans for fetal distress. Both were on Pitocin at the time.
One of the major problems I have with the use of Pitocin is how strongly it is generally used. It is usually used at strengths MUCH greater than what the body would naturally produce. In the case of my client, it got to nearly 3 times the strength the body would naturally produce. Here is an excerpt from the 3rd page of the package insert on Pitocin:
The initial dose should be 0.5 – 1 mU/min (equal to 3-6 ml of the dilute oxytocin solution per hour [10 units oxytocin in 1000 ml saline was suggested a few paragraphs earlier “piggy backed” with plain saline]). At 30-60 minute intervals the dose should be gradually increased in increments of 1-2 mU/min…[. Once] the desired frequency of contractions has been reached and labor has progressed to 5-6 cm dilation, the dose may be reduced by similar increments.
Studies of the concentrations of oxytocin in the maternal plasma during oxytocin infusion have shown that infusion rates up to 6 mU/min give the same oxytocin levels that are found in spontaneous labor. At term, higher infusion rates should be given with great care, and rates exceeding 9-10 mU/min are rarely required. Before term, when the sensitivity of the uterus is lower because of lower concentration of oxytocin receptors, a higher infusion rate may be required.
Water intoxication with convulsions, which is caused by the inherent antidiuretic effect of oxytocin, is a serious complication that may occur if large doses (40 to 50 milliunits /minute) are infused for long periods.
Tuesday, July 07, 2009
Items of InterestShare
Today at 10:07am
On the Mindful Mama website this past week I was interested to read an article called Five Things Every Woman Should Know Before Giving Birth.
Written by the author of a fairly new book titled Homebirth in the Hospital, she suggests 6 "C's" for having a "homebirth in the hospital":
First, take responsibility for your choices.
Expect communication to be open and flowing both ways
Pay attention to continuity of care
The confidence you have in your provider and in your birth team is essential.
In any hospital, there must be control of protocols...I can not stress this point strongly enough: Protocols are the most disempowering aspect of modern maternity care, giving the message that our bodies don’t really know how to have babies without someone else managing the process for us.
Finally, the sixth C to consider, the one that should never be allowed into a birth: conflict. Conflict releases stress hormones that work against the powerful hormones that facilitate birth. Humans are mammals, and no mammal gives birth easily when fearful or in an unsafe situation. If you resolve most issues long before your first contraction, you shouldn’t have to fight for your choices while you are in labor.
The author is also interviewed in a video clip on the site about Finding Your Power in Birth:
Also from Mindful Mama is another short Penny Simkin video called Alternative Ways to Relieve Labor Pain (she teaches a hand massage technique):
Finally, I'm a little behind in mentioning this, but a Letter to the Editor from OBOS director Judy Norsigian regarding Evidence-Based Labor and Delivery Management was published in the American Journal of Obstetrics and Gynecology in May. The conclusion of the letter was: "In the absence of adequate evidence, we believe that the American College of Obstetricians and Gynecologists should retract its strong opposition to home births."
--
Molly
CfM Blogger
On the Mindful Mama website this past week I was interested to read an article called Five Things Every Woman Should Know Before Giving Birth.
Written by the author of a fairly new book titled Homebirth in the Hospital, she suggests 6 "C's" for having a "homebirth in the hospital":
First, take responsibility for your choices.
Expect communication to be open and flowing both ways
Pay attention to continuity of care
The confidence you have in your provider and in your birth team is essential.
In any hospital, there must be control of protocols...I can not stress this point strongly enough: Protocols are the most disempowering aspect of modern maternity care, giving the message that our bodies don’t really know how to have babies without someone else managing the process for us.
Finally, the sixth C to consider, the one that should never be allowed into a birth: conflict. Conflict releases stress hormones that work against the powerful hormones that facilitate birth. Humans are mammals, and no mammal gives birth easily when fearful or in an unsafe situation. If you resolve most issues long before your first contraction, you shouldn’t have to fight for your choices while you are in labor.
The author is also interviewed in a video clip on the site about Finding Your Power in Birth:
Also from Mindful Mama is another short Penny Simkin video called Alternative Ways to Relieve Labor Pain (she teaches a hand massage technique):
Finally, I'm a little behind in mentioning this, but a Letter to the Editor from OBOS director Judy Norsigian regarding Evidence-Based Labor and Delivery Management was published in the American Journal of Obstetrics and Gynecology in May. The conclusion of the letter was: "In the absence of adequate evidence, we believe that the American College of Obstetricians and Gynecologists should retract its strong opposition to home births."
--
Molly
CfM Blogger
Monday, July 06, 2009
Labor Doula Training Workshop
A Special Touch Presents A Cappa Approved Labor Doula Training In West Memphis, Arkansas
5 Sets Left
3 day workshop
Dates: July 24, 25, & 26th, 2009
Friday, Saturday 9a—4p --Sunday 9a—1p
Location: Glenn P Scheottle Medical Education Center
200 W. Tyler St.
West Memphis, Arkansas 72301
Cost: $275.00
Sign Up By July 10, 2009 and the cost is $250.00
Trainer: Angie Whatley, RN, CCCE, CLD
Cappa Approved Labor Doula Faculty Member
Doula Training will cover
CAPPA Scope of Practice
Benefits of a Doula
Birth Options and writing a Birth Plan
Stages of Labor
Comfort Measures for each stage
Medical Interventions
Unmedicated/Medicated Births
Informed Consent
Advocacy and Communication Skills
Difficult Labor Situations
Unexpected Outcomes
Postpartum and Breastfeeding
Getting Started in your career as a Doula and Marketing
The prenatal Interview
And much, much more!!!
Teaching Techniques Used
Videos/DVDs
Power Point
Role Play
Modeling
Hands On
Scenarios
Tools Used
Birth Ball
Rebozo
Massage
Relaxing Techniques and Breathing
Comfort tools
With today’s economy this is a great opportunity for extra income.
If you love working with women and babies and are compassionate you will love this opportunity.
You can register through the CAPPA website at www.cappa.net under workshop trainings
For more information or assistance please call 870-735-5527 ext 225
For lodging information, or with questions, please email arwhatley@uams.edu.
Wednesday, July 01, 2009
Cord Clamping Danger to Babies
By Lucy Johnston HEALTH EDITOR, Daily Express Weekend – Dec, 16, 2007
CLAMPING a newborn baby's umbilical cord too soon after birth can lead to oxygen deprivation and may explain the dramatic rise in autism, scientists have warned.
Groundbreaking research suggests the routine practice of cutting the cord quickly after delivery may reduce an infant's supplies of oxygen and nutrient rich blood in the crucial minutes before they start breathing.
Specialists now believe that in vulnerable infants this is leading to brain hemorrhaging, iron deficiencies and mental impairment, including autism, a mental condition characterized by extreme loneliness and a desire for sameness. Experts say this now affects up to one in 100 children … a sevenfold rise over the past decade.
Last night. David Hutchon, consultant obstetrician at Darlington Memorial Hospital who has studied the effects of cord clamping said: "Babies are being put at risk by clamping the cord too quickly.
"The blood and oxygen supplies in the baby are rapidly decreasing during the minutes after birth. Infants need an increased blood volume to till their lungs and the rest of their organs that are coming into use.
He added: "In susceptible infants, early cord clamping and the lack of blood to the baby increases the risk of brain hemorrhage and breathing problems. This could help explain the rise in autism. Why are we doing it?"
He added that he considered the modern practice of early cord c1amping to be "criminal" in particularly vulnerable and undernourished infants. And he said, "Obstetricians are more likely to clamp early than midwives. It is perhaps significant that autism seems to be more prevalent in babies who were delivered by an obstetrician.”
Umbilical cords are now clamped almost immediately ... before 30 seconds in many hospitals because over the last 20 years doctors have increasingly believed this could reduce the risk of mothers bleeding to death.
However: a growing number of experts, including Mr Hutchon, believe the risks to the baby outweigh the potential harm to the mother. They say at least three minutes should elapse before the cord is cut to allow the mother's blood from the placenta to continue to flow into the baby until its breathing is more established.
Their theory is borne out by recent research. In one major study, involving more than 1,900 newborns and published in the Journal of the American Medical Association, delaying cord clamping for two minutes reduced the risk of anemia by half and low iron levels in the blood by a third.
Eileen Hutton, assistant dean of midwifery at McMaster University in Hamilton, Canada, who carried out the research, said: "These benefits extend beyond the early neonatal period."
Another study carried out by Andrew Weeks, and published in the British Medical .Journal had similar findings: Dr Weeks, senior lecturer in Obstetrics at the University of Liverpool and practicing obstetrician at Liverpool Women's Hospital, told the Sunday Express: "I delay the cutting of the cord. This is especially important for premature babies who have fragile blood vessels. The lack of blood supply could theoretically lead to autism.
"There is evidence to show it [immediate clamping] can damage a baby but none to show it can benefit."
Patrick O'Brien, spokesman for the Royal College of Obstetricians and Gynecologists said: “The latest research does suggest parents should be given a choice and it should be discussed routinely in antenatal classes.”
Birth injuries caused by immediate clamping of the umbilical cord are explained and discussed fully at the following web sites:
www.autism-end-it-now.org
www.birth-brain-injury.org
www.cordclamp.com
CLAMPING a newborn baby's umbilical cord too soon after birth can lead to oxygen deprivation and may explain the dramatic rise in autism, scientists have warned.
Groundbreaking research suggests the routine practice of cutting the cord quickly after delivery may reduce an infant's supplies of oxygen and nutrient rich blood in the crucial minutes before they start breathing.
Specialists now believe that in vulnerable infants this is leading to brain hemorrhaging, iron deficiencies and mental impairment, including autism, a mental condition characterized by extreme loneliness and a desire for sameness. Experts say this now affects up to one in 100 children … a sevenfold rise over the past decade.
Last night. David Hutchon, consultant obstetrician at Darlington Memorial Hospital who has studied the effects of cord clamping said: "Babies are being put at risk by clamping the cord too quickly.
"The blood and oxygen supplies in the baby are rapidly decreasing during the minutes after birth. Infants need an increased blood volume to till their lungs and the rest of their organs that are coming into use.
He added: "In susceptible infants, early cord clamping and the lack of blood to the baby increases the risk of brain hemorrhage and breathing problems. This could help explain the rise in autism. Why are we doing it?"
He added that he considered the modern practice of early cord c1amping to be "criminal" in particularly vulnerable and undernourished infants. And he said, "Obstetricians are more likely to clamp early than midwives. It is perhaps significant that autism seems to be more prevalent in babies who were delivered by an obstetrician.”
Umbilical cords are now clamped almost immediately ... before 30 seconds in many hospitals because over the last 20 years doctors have increasingly believed this could reduce the risk of mothers bleeding to death.
However: a growing number of experts, including Mr Hutchon, believe the risks to the baby outweigh the potential harm to the mother. They say at least three minutes should elapse before the cord is cut to allow the mother's blood from the placenta to continue to flow into the baby until its breathing is more established.
Their theory is borne out by recent research. In one major study, involving more than 1,900 newborns and published in the Journal of the American Medical Association, delaying cord clamping for two minutes reduced the risk of anemia by half and low iron levels in the blood by a third.
Eileen Hutton, assistant dean of midwifery at McMaster University in Hamilton, Canada, who carried out the research, said: "These benefits extend beyond the early neonatal period."
Another study carried out by Andrew Weeks, and published in the British Medical .Journal had similar findings: Dr Weeks, senior lecturer in Obstetrics at the University of Liverpool and practicing obstetrician at Liverpool Women's Hospital, told the Sunday Express: "I delay the cutting of the cord. This is especially important for premature babies who have fragile blood vessels. The lack of blood supply could theoretically lead to autism.
"There is evidence to show it [immediate clamping] can damage a baby but none to show it can benefit."
Patrick O'Brien, spokesman for the Royal College of Obstetricians and Gynecologists said: “The latest research does suggest parents should be given a choice and it should be discussed routinely in antenatal classes.”
Birth injuries caused by immediate clamping of the umbilical cord are explained and discussed fully at the following web sites:
www.autism-end-it-now.org
www.birth-brain-injury.org
www.cordclamp.com
CAPPA and the Economy
Childbirth and Postpartum Professional Association
July 1, 2009
Dear Childbirth Educators and Doulas,
As a Childbirth Educator or Doula, you may be thinking of broadening your education and certification options in order to keep your business running successfully in the current economy. CAPPA has many options that may appeal to you!
CAPPA would like to introduce our organization to you and take a moment to tell you about our certification programs for childbirth educators and doulas. Many educators and doulas from other organizations have obtained dual certification with CAPPA as a way to increase their marketing audience, thus growing their businesses. Over the last few months, you may have heard that some childbirth organizations have been struggling financially and have even closed. CAPPA wants to assure you that our organization is thriving, financially sound and debt free. With this assurance you can feel comfortable that CAPPA will be there to support you long term.
Childbirth and Postpartum Professional Association (CAPPA) is an internationally known and respected childbirth organization, offering training and certifications for childbirth educators and doulas all over the world for over 10 years. CAPPA has over 2000 members. CAPPA offers professional training, certification and support to Childbirth Educators, Lactation Educators, Labor Doulas, and Postpartum Doulas.
CAPPA has a unique program that fits the needs of childbirth educators and/or doulas seeking to transfer their certification or obtain a dual certification with CAPPA.
For the Childbirth Educator
This CAPPA program is called the DUAL Transfer Childbirth Education Program.
For the Doula
This CAPPA program is called the DUAL Transfer Labor Doula Program.
These programs are only available through CAPPA.
CAPPA is offering a substantial discount to Childbirth Educators and Doulas for a limited time.
These CAPPA programs are designed for those educators and doulas who have previous certification and experience. CAPPA will recognize your experience so that you do not have to begin the entire certification process again.
These programs allow educators and/or doulas to take the CAPPA open book exam, and earn your CAPPA certification as a childbirth educator (CCCE) and/or labor doula (CLD) at a very low cost.
Here are the details:
For the Childbirth Educator
Become a member of CAPPA (45.00)
Enter certification program by purchasing the dual childbirth educator certification program, available in our shop (150.00)
Submit proof of your childbirth educator certification by turning in a copy of your certificate with your completed CAPPA open book test.
Read three books from the required reading list, this is a very large list of popular childbirth and pregnancy books. If you have previously read any 3 on the list, you may use those books.
Pass the test on childbirth education topics included in your packet. The test is an open book test.
Total Cost is:
45.00 membership fee
150.00 Exam fee
Total : 195.00
CAPPA has waved the usual 75.00 processing fee for a limited time.
For the Labor/Birth Doula
Become a member of CAPPA (45.00)
Enter certification program by purchasing the dual labor doula certification program, available in our shop (150.00)
Submit proof of your labor doula certification by turning in a copy of your certificate with your completed CAPPA open book test.
Read three books from the required reading list, this is a very large list of popular childbirth and pregnancy books. If you have previously read any 3 on the list, you may use those books.
Pass the test on childbirth topics included in your packet. The test is an open book test.
Total Cost is:
45.00 membership fee
150.00 Exam fee
Total : 195.00
CAPPA has waved the usual 75.00 processing fee for a limited time.
If you have any questions please feel free to call the CAPPA office at 1-888-692-2772 A CAPPA faculty member will be happy to answer all your questions.
We invite you to join CAPPA and become a valued member of the CAPPA organization. CAPPA members also enjoy our FREE yearly childbirth conference. CAPPA is proud to offer excellent training and support to childbirth professionals world wide. Please visit the CAPPA web site and get acquainted with CAPPA.
Sincerely,
The CAPPA Faculty
CAPPA
--------------------------------------------------------------------------------
email: info@cappa.net
phone: 1-888-MY-CAPPA
web: http://www.cappa.net
July 1, 2009
Dear Childbirth Educators and Doulas,
As a Childbirth Educator or Doula, you may be thinking of broadening your education and certification options in order to keep your business running successfully in the current economy. CAPPA has many options that may appeal to you!
CAPPA would like to introduce our organization to you and take a moment to tell you about our certification programs for childbirth educators and doulas. Many educators and doulas from other organizations have obtained dual certification with CAPPA as a way to increase their marketing audience, thus growing their businesses. Over the last few months, you may have heard that some childbirth organizations have been struggling financially and have even closed. CAPPA wants to assure you that our organization is thriving, financially sound and debt free. With this assurance you can feel comfortable that CAPPA will be there to support you long term.
Childbirth and Postpartum Professional Association (CAPPA) is an internationally known and respected childbirth organization, offering training and certifications for childbirth educators and doulas all over the world for over 10 years. CAPPA has over 2000 members. CAPPA offers professional training, certification and support to Childbirth Educators, Lactation Educators, Labor Doulas, and Postpartum Doulas.
CAPPA has a unique program that fits the needs of childbirth educators and/or doulas seeking to transfer their certification or obtain a dual certification with CAPPA.
For the Childbirth Educator
This CAPPA program is called the DUAL Transfer Childbirth Education Program.
For the Doula
This CAPPA program is called the DUAL Transfer Labor Doula Program.
These programs are only available through CAPPA.
CAPPA is offering a substantial discount to Childbirth Educators and Doulas for a limited time.
These CAPPA programs are designed for those educators and doulas who have previous certification and experience. CAPPA will recognize your experience so that you do not have to begin the entire certification process again.
These programs allow educators and/or doulas to take the CAPPA open book exam, and earn your CAPPA certification as a childbirth educator (CCCE) and/or labor doula (CLD) at a very low cost.
Here are the details:
For the Childbirth Educator
Become a member of CAPPA (45.00)
Enter certification program by purchasing the dual childbirth educator certification program, available in our shop (150.00)
Submit proof of your childbirth educator certification by turning in a copy of your certificate with your completed CAPPA open book test.
Read three books from the required reading list, this is a very large list of popular childbirth and pregnancy books. If you have previously read any 3 on the list, you may use those books.
Pass the test on childbirth education topics included in your packet. The test is an open book test.
Total Cost is:
45.00 membership fee
150.00 Exam fee
Total : 195.00
CAPPA has waved the usual 75.00 processing fee for a limited time.
For the Labor/Birth Doula
Become a member of CAPPA (45.00)
Enter certification program by purchasing the dual labor doula certification program, available in our shop (150.00)
Submit proof of your labor doula certification by turning in a copy of your certificate with your completed CAPPA open book test.
Read three books from the required reading list, this is a very large list of popular childbirth and pregnancy books. If you have previously read any 3 on the list, you may use those books.
Pass the test on childbirth topics included in your packet. The test is an open book test.
Total Cost is:
45.00 membership fee
150.00 Exam fee
Total : 195.00
CAPPA has waved the usual 75.00 processing fee for a limited time.
If you have any questions please feel free to call the CAPPA office at 1-888-692-2772 A CAPPA faculty member will be happy to answer all your questions.
We invite you to join CAPPA and become a valued member of the CAPPA organization. CAPPA members also enjoy our FREE yearly childbirth conference. CAPPA is proud to offer excellent training and support to childbirth professionals world wide. Please visit the CAPPA web site and get acquainted with CAPPA.
Sincerely,
The CAPPA Faculty
CAPPA
--------------------------------------------------------------------------------
email: info@cappa.net
phone: 1-888-MY-CAPPA
web: http://www.cappa.net
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