Whether you’re a first-time mom or mom of many, having a baby brings with it many different emotions, perhaps the most common of which is worry. Mom’s worry. If you are expecting, you’re probably pondering the type of delivery you would like to have. Many women are opting for more natural births that can be performed in the home with as little medical intervention as possible.
This trend is becoming increasingly more common for second-time moms, having tried a traditional birth once, are more open to trying something more natural the second time around.
If you are considering a natural birth, you will undoubtedly want to know more about midwifery and doula practices. As a midwife or doula will tell you, there are many differences between a traditional or medically-managed birth versus a natural childbirth either at home or in the hospital.
Midwives
A midwife may deliver your baby in your home or in a hospital. This depends in part upon her credentials. Midwives can be accredited or non-accredited. Accredited midwives generally have the option of performing hospital or home births, whereas non-accredited midwifes traditionally practice only within the home. Keep in mind that a midwife’s title will reveal some information related to her educational background, certification and practice.
Most certified midwives have accreditation that includes schooling and apprentiship. A certified nurse midwife usually also requires an RN and BSN degree, though there are exceptions to the rule. Depending on a midwife’s credentials, they may deliver your baby in a hospital or in your home.
Non-accredited midwives are also schooled and apprenticed in natural birthing processes, but traditionally have less schooling or are not credentialed in the same manner as accredited midwives. They are not, for example, required to uphold regulations, and therefore there is less documentation related to their skills and abilities. If you are expecting your first baby, it might bring you more peace of mind to work with a certified midwife.
Doulas
A wonderful addition to the birthing process is working with a doula. A doula is also often referred to as a labor coach or assistant. Doulas have been credited with relaxing many soon-to-be moms during the labor process. Doulas work to reduce your stress level while in labor so as to produce a delivery with fewer complications and problems. A doula will attend to you continually throughout the birthing process. Like midwives, a majority of doulas are certified as childbirth assistants. To find a doula near you, contact the Doulas of North America or DONA association. A midwife might be able to recommend a doula for you.
Doulas are credited with aiding laboring women in many ways. Services traditionally offered include:
* physical comfort techniques
* aromatherapy
* massage
* meditation
* breathing assistance
* labor positions education
* assistance with birth plan development
* pre-natal and post-natal physical and mental support
* childcare during labor
Generally, services vary according to practice.
Many moms-to-be worry that having a doula present means there is no place for their husbands. Ask any doula however, and she’ll tell you this is not the case. She will attend to the mom to be as much or as little as necessary, while at the same time allowing dad to partner in the labor process as much or as little as he likes.
Showing posts with label midwife. Show all posts
Showing posts with label midwife. Show all posts
Monday, March 8, 2010
Wednesday, March 3, 2010
Birth Plans
In the happy haze of early pregnancy, you're probably already thinking of baby names and planning to shop for baby clothes. The reality of labor and birth may seem extremely far off — which makes this the perfect time to start planning for the arrival of your baby by creating a birth plan that details your wishes.
What's a Birth Plan?
The term birth plan can actually be misleading — it's less an exact plan than a list of preferences. In fact, the goal of a birth plan isn't for you and your partner to determine exactly how the birth of your child will occur — because labor involves so many variables, you can't predict exactly what will happen. A birth plan does, however, help you to realize what's most important to you in the birth of your baby.
While completing a birth plan, you'll be learning about, exploring, and understanding your labor and birthing options well before the birth of your child. Not only will this improve your communication with the people who'll be helping during your delivery, it also means you won't have to explain your preferences right at the moment when you're least in the mood for conversation — during labor itself.
A birth plan isn't a binding agreement — it's just a guideline. Your doctor or health care provider may know, from having seen you throughout the pregnancy, what you do and don't want. Also, if you go into labor when there's an on-call doctor who you don't know well, a well thought-out birth plan can help you communicate your goals and wishes to the people helping you with the labor and delivery.
What Questions Does a Birth Plan Answer?
A birth plan typically covers three major areas:
1. What are your wishes during a normal labor and delivery?
These range from how you want to handle pain relief to enemas and fetal monitoring. Think about the environment in which you want to have your baby, who you want to have there, and what birthing positions you plan to use.
2. How are you hoping for your baby to be treated immediately after and for the first few days after birth?
Do you want the baby's cord to be cut by your partner? If possible, do you want your baby placed on your stomach immediately after birth? Do you want to feed the baby immediately? Will you breastfeed or bottle-feed? Where will the baby sleep — next to you or in the nursery? Hospitals have widely varying policies for the care of newborns — if you choose to have your baby in a hospital, you'll want to know what these are and how they match what you're looking for.
3. What do you want to happen in the case of unexpected events?
No one wants to think about something going wrong, but if it does, it's better to have thought about your options in advance. Since some women need cesarean sections (C-sections), your birth plan should probably cover your wishes in the event that your labor takes an unexpected turn. You might also want to think about other possible complications, such as premature birth.
Factors to Consider
Before you make decisions about each of your birthing options, you'll want to talk with your health care provider and tour the hospital or birthing center where you plan to have your baby.
You may find that your obstetrician, nurse-midwife, or the facility where they admit patients already has birth-plan forms that you can fill out. If this is the case, you can use the form as a guideline for asking questions about how women in their care are routinely treated. If their responses are not what you're hoping for, you might want to look for a health provider or facility that better matches your goals.
And it's important to be flexible — if you know one aspect of your birthing plan won't be met, be sure to weigh that aspect against your other wishes. If your options are limited because of insurance, cost, or geography, focus on one or two areas that are really important to you. In the areas where your thinking doesn't agree with that of your doctor or nurse-midwife, ask why he or she usually does things a certain way and listen to the answers before you make up your mind. There may be important reasons why a doctor believes some birth options are better than others.
Finally, you should find out if there are things about your pregnancy that might prevent certain choices. For example, if your pregnancy is considered high risk because of your age, health, or problems during previous pregnancies, your health care provider may advise against some of your birthing wishes. You'll want to discuss, and consider, this information when thinking about your options.
What's a Birth Plan?
The term birth plan can actually be misleading — it's less an exact plan than a list of preferences. In fact, the goal of a birth plan isn't for you and your partner to determine exactly how the birth of your child will occur — because labor involves so many variables, you can't predict exactly what will happen. A birth plan does, however, help you to realize what's most important to you in the birth of your baby.
While completing a birth plan, you'll be learning about, exploring, and understanding your labor and birthing options well before the birth of your child. Not only will this improve your communication with the people who'll be helping during your delivery, it also means you won't have to explain your preferences right at the moment when you're least in the mood for conversation — during labor itself.
A birth plan isn't a binding agreement — it's just a guideline. Your doctor or health care provider may know, from having seen you throughout the pregnancy, what you do and don't want. Also, if you go into labor when there's an on-call doctor who you don't know well, a well thought-out birth plan can help you communicate your goals and wishes to the people helping you with the labor and delivery.
What Questions Does a Birth Plan Answer?
A birth plan typically covers three major areas:
1. What are your wishes during a normal labor and delivery?
These range from how you want to handle pain relief to enemas and fetal monitoring. Think about the environment in which you want to have your baby, who you want to have there, and what birthing positions you plan to use.
2. How are you hoping for your baby to be treated immediately after and for the first few days after birth?
Do you want the baby's cord to be cut by your partner? If possible, do you want your baby placed on your stomach immediately after birth? Do you want to feed the baby immediately? Will you breastfeed or bottle-feed? Where will the baby sleep — next to you or in the nursery? Hospitals have widely varying policies for the care of newborns — if you choose to have your baby in a hospital, you'll want to know what these are and how they match what you're looking for.
3. What do you want to happen in the case of unexpected events?
No one wants to think about something going wrong, but if it does, it's better to have thought about your options in advance. Since some women need cesarean sections (C-sections), your birth plan should probably cover your wishes in the event that your labor takes an unexpected turn. You might also want to think about other possible complications, such as premature birth.
Factors to Consider
Before you make decisions about each of your birthing options, you'll want to talk with your health care provider and tour the hospital or birthing center where you plan to have your baby.
You may find that your obstetrician, nurse-midwife, or the facility where they admit patients already has birth-plan forms that you can fill out. If this is the case, you can use the form as a guideline for asking questions about how women in their care are routinely treated. If their responses are not what you're hoping for, you might want to look for a health provider or facility that better matches your goals.
And it's important to be flexible — if you know one aspect of your birthing plan won't be met, be sure to weigh that aspect against your other wishes. If your options are limited because of insurance, cost, or geography, focus on one or two areas that are really important to you. In the areas where your thinking doesn't agree with that of your doctor or nurse-midwife, ask why he or she usually does things a certain way and listen to the answers before you make up your mind. There may be important reasons why a doctor believes some birth options are better than others.
Finally, you should find out if there are things about your pregnancy that might prevent certain choices. For example, if your pregnancy is considered high risk because of your age, health, or problems during previous pregnancies, your health care provider may advise against some of your birthing wishes. You'll want to discuss, and consider, this information when thinking about your options.
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