Tuesday, September 28, 2010

The Weather and Midwives

IT WAS 107 DEGREES YESTERDAY!

I call that super unfair when you're 36 weeks pregnant. Today it's only 90, but super humid, so I got in the kiddie pool with Claire this morning at 10 am. I was a little self-conscious because our only yard is the front yard, but I got over it quickly because it felt so nice!

Only 4 more weeks to go till D-day! I'm excited, but a little overwhelmed, because I still feel like I have a lot to do to get the house ready for Jude.

For those of you who don't know, we're having him at home with a midwife. Claire was also a planned homebirth, but I was transfered to the hospital at the very end because my water had been broken for too long (36 hours!) We're confident that this time we won't need a transfer. Our midwife has never had to send a 2nd time mom to the hospital, and she says she won't let me ruin her record! haha! I have been receiving regular chiropractic care this time around to try and make sure everything is ideal for this little man to come nice and efficiently. Having experienced both the midwifery model of care as well as common obstetrical practice with Claire's birth, I can say that the difference was like night and day! At home, I spent the first 9 cm of labor in relative comfort, surrounded by calm, quiet support. My comfort plummeted and my stress sky-rocketed as I was ushered into the hospital, hooked up to all the monitoring equipment (and then bothered continuously because the monitor had slipped and wasn't recording), shot full of pitocin, and yelled at by the OB!

To anyone who is pregnant, or will be pregnant, I warmly encourage you to check out midwifery care as one of your options! Our insurance is covering the birth at in-network rates (90% paid for!) and in many areas midwives also practice in hospitals, for those of you who want/need the reassurance of that setting.

Some more stats on Midwifery for those that are interested:
  • Midwife means "with woman". It comes from an English translation of the German word "mit wife" and for many centuries has been used to describe the individual who was "with women" in childbirth. Midwives have been the primary caretakers of birthing women and their newborn babies throughout history. The oldest known reference to midwives can be found in the Old Testament in the book of Genesis.
  • Midwives consider birth a natural event in women's lives. Midwifery is based on the belief that childbirth is a natural, healthy process and that most women are fully capable of giving birth. Midwives see pregnancy as part of the full spectrum of life's experiences, and they believe women have the right to a fulfilling, as well as a safe, childbirth experience.
  • Midwifery care involves judicious use of technology. Women avoid the risks, discomfort, and disruption that unnecessary procedures impose, yet have the opportunity to use available technology if needed.
  • Midwives practice in hospitals, free-standing birth centers, and homes.
  • The safety of midwifery care has been established by a large body of research. In 1998, the National Center for Health Statistics released its findings that the risk of infant mortality occurring in the first 28 days of life was 33% lower for births attended by certified nurse midwives. It also found that the risk of a low birthweight infant was 31% lower.
  • Out of hospital births for low-risk pregnancies attended by midwives result in caesarean section rates of only 3-4% versus a national average of 19% in 2000. (According to a 2009 CDC study, the current national c-section rate is actually 31.8% and has risen every year for the last 11 years)
Resources:
http://www.expectantmothersguide.com/library/philadelphia/EPHmidwives.htm
http://www.cfmidwifery.org/pdf/cesarean2x.pdf
http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_12.pdf
http://www.washingtonmidwives.org/midwife_reasons.shtml#top

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