August 27, 2008
Volume 10, Issue 18
Midwifery Today E-News
“International Midwifery”
Subscribe • Print Page
Search Archive • Index

Welcome to Midwifery Today E-News !


Midwifery Today Online Store

You need these books from Motherbaby Press

Survivor MomsSurvivor Moms: Women's Stories of Birthing, Mothering and Healing after Sexual Abuse—Suitable for both caregivers and pregnant survivors, this book will help anyone whose life has been touched by this serious problem.

Placenta: The Gift of LifePlacenta: The Gift of Life—The role of the placenta in different cultures, and how to prepare and use it as medicine.

Read more about Motherbaby Press.



This issue of Midwifery Today E-News is brought to you by:

Look below for more info!



Midwifery Today Conferences

From Beginning Midwifery to Mexican Massage Techniques…

…you'll learn a lot when you attend one of the full-day classes at our conference in Bad Wildbad, Germany, October 2008. Other full-day sessions you can choose from include "Improving Your Practice with Research, Insights and Realities," "Labor Support for Doulas and Midwives" and "Midwifery Skills Update."

Learn more about the Germany conference and get a complete program.


Learn now you can nurture a better future through birth!

Attend our conference in Eugene, Oregon, in March 2009. You'll be able to choose from a rich offering of how-to classes, as well as classes on skills development, massage and sexual abuse issues.

Learn more about the Eugene conference and get a complete program.

In This Week’s Issue:


Quote of the Week

"I get up every morning determined to both change the world and have one hell of a good time. Sometimes this makes planning my day difficult."

E.B. White (1899–1985)


Are you enjoying this issue of Midwifery Today E-News? Then show your support by making a donation of $3 or more.


The Art of Midwifery

I remember the first time I was introduced to the technique of placing a piece of the birthing mother's placenta under her tongue to help control excessive blood loss, especially in a case where the labor had been long and exhausting. Having been raised on a farm, I was well aware of the instinctual habit of other mammals to eat their afterbirth and had been told how important it was for them to be strong and safe.

My work in rural villages and with closely knit groups like immigrants, Mennonites, ethnically displaced peoples and back-to-earth subcultures taught me that many wimyn have retained their instinctual nature to birth upright, vocalize, immediately embrace their young and prefer a piece of their own placenta for life-threatening complications like postpartum hemorrhage.

Sister MorningStar
Excerpted from the upcoming book, The Power of Women


ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to mtensubmit@midwiferytoday.com.


Send submissions, inquiries, and responses to newsletter items to: mtensubmit@midwiferytoday.com.


RSS Feed Subscribe to the Birth Products RSS feed for information about the products available from Midwifery Today. Find out what's new, what's on sale and more.

RSS Feed Subscribe to the Web Updates RSS feed to stay on top of what's new or highlighted on the Midwifery Today Web site. Be alerted when conference programs go online, new articles are posted and more.

Research

A study of 154 mothers and babies in Guadalajara, Mexico, found that babies who are mainly breastfed for the first six months of life were less likely to have gastrointestinal (GI) problems than those babies that were mainly formula-fed (18% versus 33%). The bad news is that they also have more likelihood of having iron deficiency, putting them at risk of anemia. If the mothers had high iron stores, the babies were at less risk; unfortunately, 28% of Mexican women have low iron stores and anemia.

One of the researchers pointed out that prior studies have found that "breastfed babies don't become anemic if their cords are not cut too soon." Delaying the cut for as little as two minutes can help improve the baby's iron status and confer other benefits.

— Medline Plus, http://www.nlm.nih.gov/medlineplus/news/fullstory_67142.html, accessed 18 Jul 2008


Please support our advertisers!

FREE BOOK: Birth, A Conscious Choice

This book by Pregnancy Success Coach Hannah Bajor will help you understand the energy dynamics of pregnancy, infertility and miscarriage.

Stressed, overwhelmed, depressed or out of balance? Get genuine phone coaching and healing. Hannah also offers specialized healing for infertility, miscarriage and pregnancy complications.

Download YOUR FREE BOOK: http://www.PregnancySuccessCoach.com



Midwifery and Birthing in Peru

Within Andean traditional culture, the conception of the body is different from that of Western biomedicine. The body is not understood as a machine, but as an integrated whole, with all of its parts interrelated. The body and its kawsay (vital energy in the Quechua language) are in communion with nature, the deities and other human beings; everything is connected to everything. Therefore, good living is based on living in balance.

This conception is made manifest in the practices of Andean traditional midwives, who have a holistic vision of pregnancy and birth. According to their tradition, birth is in itself a ritual, where different aspects of Andean culture and tradition take form, especially the sacredness of fertility and the abundance generated by the complementarity between the feminine and the masculine. Therefore, birth takes place in the intimacy of home, with the presence of the midwife and close relatives only. Natural birth in a vertical position is encouraged so that the baby is received close to Pachamama or Mother Earth. Other rituals are also present, for example, the burying or burning of the placenta. The relationship between the traditional midwife and the birthing woman is horizontal. The midwife serves as a guide and supports the woman in trusting her own body to accomplish this task.

Most Andean women prefer to die at home when complications arise, rather than going to the health post or hospital. They know they will be discriminated against and mistreated, they won't feel comfortable and they will be blamed (along with their midwives) for having been attended at home with these traditional midwives. This is also what impedes these midwives from referring their birthing women to the local health centers or hospitals, in cases of emergency. Also, in most cases the local community health centers don't provide Emergency Obstetric Care (EmOC), which should be available to all Peruvian women if complications arise during labor. Both cultural barriers and lack of access to EmOC together explain why we have one of the highest maternal mortality rates in South America—185 maternal deaths for each 100,000 babies born alive. The nutritional condition of most of these women (many of whom have anemia) also makes them more vulnerable to complications.

As I witnessed with a group at the community of Huillcarpay at Cusco, Andean women long for the traditional medical knowledge that is being lost, especially knowledge of healing plants and Andean traditional midwifery practices. They feel very uncomfortable at the "cold hospitals, where they have to give birth lying down, and where they aren't treated as equals," where their power over themselves and their bodies is diminished. Now they have no choice, because their midwives have passed away.

Cynthia Ingar
Excerpted from "Midwifery and Birthing: Women in Peru," Midwifery Today, Issue 85
View table of contents / Order the back issue


Please support our advertisers!

advertiserConception, Pregnancy & Birth—the journey that shapes our lives

An inspiring one day event presented by renowned expert Anna Verwaal. Discover how a baby's womb experience imprints them for life. Learn how a parent's own prenatal and birth experience may affect them during the birth of their child, discover ways of healing. Sunday, October 12, 9 am – 5 pm, screening of Orgasmic Birth at 6:30 pm. Call 973-763-2288 or register on-line at www.shaktinj.com/shaktima.htm



Products for Birth Professionals

843

You'll witness the joy of homebirth…

…when you watch two families share their birth experiences on Sage Femme's DVD, Home Birth: The Spirit, The Science and The Mother. This beautiful, empowering DVD is designed to help dispel the misconceptions about homebirth and midwives. It features interviews with three doctors: Marsden Wagner, MD, Jeanine Tgettis, DC, and Fred R. Duhart, DO. Order your copy today and learn why the home is a joyful, empowering and safe place to give birth. Order the DVD.


Preserve the Memory of Your Pregnancy!

Use this belly cast kit to create a three-dimensional cast of your pregnant belly. Then leave it plain or decorate to suit your personal style.

The kit makes a fine gift for a pregnant mom. Or, surprise the expectant grandparents with the beautifully-decorated finished cast. Order a kit.

belly cast kit

The Hemorrhage HandbookBe Prepared for Hemorrhage
 
Order "The Hemorrhage Handbook" and you'll learn the tricks, remedies and philosophy of care involved in hemorrhage and hemorrhage prevention during the childbearing year. Buy the book.


Rediscover the hidden wisdom of birth.

Let Birth Be Born Again

Read Let Birth Be Born Again for information that will help you restore birth to its rightful place as a safe, simple and exciting family event. Author Jean Sutton says, "Most women, mothers and midwives have deep inside them the 'women's wisdom' of generations gone before. It tells us that what is happening is not right, and makes us uncomfortable as we carry out the protocols laid down for us." This book helps us rediscover this hidden wisdom. Click here.


Midwifery Today Magazine Issue 71What is MIDWIFERY TODAY magazine? A 72-page quarterly print publication filled with in-depth articles, birth stories from around the world, stunning birth photography, news, reviews and more.
Subscribe.



Don't miss the story of midwives as surgeons in Mozambique on Wide Angle, a program by PBS, which can be viewed in its entirety online here. According to the Web site, "'Birth of a Surgeon' travels to Mozambique where, for the first time, midwives are being trained in advanced life-saving surgery. Suffering from an acute shortage of doctors, Mozambique has launched bold grassroots initiatives that have cut the maternal death rate in half."

This amazing documentary shows a very different take, hopefully a trend, on how to deal with maternal and fetal mortality in a developing country. Rather than rule them out, with language such as "traditional birth attendant" and claims that they cannot be trained, Mozambique is further training nurses and midwives to make a difference.


Please support our advertisers!

"Living and Dying in a Long-Term Care Facility: Notes from a Nursing Home Doctor"

Author Gilah Silber is a geriatrician who birthed her babies at home despite pressures and preconceptions of her own profession. The book gives a riveting and eye-opening account of life at its other end—the nursing home. A must-read for anyone who believes in choice and personal responsibility. Buy it on Amazon.



Web Site Update

Read this article excerpt from the most recent issue of Midwifery Today newly posted to our Web site:
The "Rule of 10" Versus Women's Primal Wisdom—by Lydi Owen

"There is a rule of labor that forbids a woman to push with contractions until her cervix is completely dilated to 10 cm. Women are warned that to push before this doorway is completely open and out of the way will result in a swollen and/or torn cervix. … If this is indeed the truth, then why do most women during labor have an irresistible urge to begin bearing down before dilation is complete?"


Advertising Opportunities

Direct Mailing Opportunity

Reach thousands of customers quickly and easily with Midwifery Today's Holiday Pack Direct Mailing. Let us do the work for you with this Holiday tradition. [ Learn More ]

Advertise at Midwifery Today's International Conference

Reach a targeted international market by advertising at Midwifery Today's conference in Bad Wildbad, Germany. By advertising at "The Epic Journey of Midwifery and Birth" you can reach a global audience. [ Learn More ]

Midwifery Today E-News

Do you have a Web site? Does reaching more than 14,000 potential customers sound appealing? An ad in Midwifery Today E-News, our free biweekly electronic e-mail newsletter, gets your message out and sends customers directly to your Web site. Each issue is archived and continues sending more customers in the future. [ Learn More ]

Contact our Advertising Director at: ads@midwiferytoday.com
View more advertising options at: http://www.midwiferytoday.com/ads/


Question of the Week

Do you have a question for other readers? Please help us with questions for future issues of e-news, so that others can learn from our experiences. Send your response to mtensubmit@midwiferytoday.com with "Question of the Week" in the subject line.


ed page graphicStart or continue your midwifery education!

Are you an aspiring midwife who's looking for the right school? Are you a practicing midwife who would like learn more? Visit our Education Opportunities page to discover ways to start or continue your education.



Question of the Week Responses

Q: I have always checked my patients with a rim or anterior lip, allowed laboring down as much as possible and then made a two push attempt to reduce the lip. Is this wrong? I have been practicing labor and delivery nursing for 18 years. It was explained to me that this was not an acceptable practice and, although I had a fabulous outcome, I was severely reprimanded because administration could find nothing to support this practice. HELP! Any ideas on how to support myself?

— Deborah Belty, RN, MS in Maternal/Child

A: I have studied and am a practicing nurse-midwife in Israel for the last 26 years. The common way to deal here with an anterior lip of cervix is to push it behind the head in between contractions and hold it during the contraction while the woman is asked to push. Usually it works and the baby will be born soon after, unless the lip is due to a posterior or asynclitic presentation. Then it will probably come back again until the baby gets into a better position. It can often save a woman half an hour to an hour of a painful transition if you succeed in passing the lip. I have never had any problems with this procedure and although painful for the woman, it seems worth it as it really speeds up the birth.

— Ilana Shemesh


Responses to any Question of the Week may be sent to E-News at any time. Write to mtensubmit@midwiferytoday.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.


Think about It

Transparency in Maternity Care Project of the Coalition for Improving Maternity Services (CIMS):

The Birth Survey, the brainchild of CIMS' Grassroots Advocates Committee, is poised to transform the way in which women identify and choose their maternity care providers and birthing facilities. Through The Birth Survey, women share feedback on their maternity care providers and birthing institutions with other women in their communities to help them to make informed choices about childbirth. Already, women have reviewed more than 1000 New York City physicians and midwives, and 24 hospitals and birthing centers. Starting Aug. 1, 2008, The Birth Survey will be available to women nationally to review their providers and birthing institutions. Become a The Birth Survey Ambassador to help spread the word and/or collect data by e-mailing info@thebirthsurvey.com.


Love birth? You need Midwifery Today magazine!



Feedback

Because misoprostol ("miso," "Cytotec") is being used more and more—without informed consent and without being FDA-approved for use on pregnant women, a mother, Maddy Oden—who lost her daughter and grand-daughter because of this drug—has developed this Web site for us all.

Maddy started the Tatia Oden French Memorial Foundation after her daughter, Tatia, and Tatia's daughter, Zorah, died after being given Cytotec. The foundation is dedicated to empowering woman, specifically in the area of childbirth. The Web site is www.tatia.org and the e-mail is zorah@tatia.org.

Please keep this site in mind and refer your friends and clients to it.

Jeannie B


Only letters sent to the E-News official e-mail address, mtensubmit@midwiferytoday.com, will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered.


Classified Advertising

Since 1976, Natural Life Magazine has been trusted by readers around the world who want to create greener, healthier lifestyles for themselves and their families. Visit: www.NaturalLifeMagazine.com


Tell our readers about your business. Just $35/issue ($125 for four) gives you 30 words to promote your products or services. http://www.midwiferytoday.com/ads/enews.asp or ads@midwiferytoday.com


Remember to share this newsletter

You may forward it to as many friends and colleagues as you wish—it's free!

Want to stop receiving E-News or change your e-mail address? Or would you like to subscribe? Then please visit our easy-to-use subscription management page.

On this page you will be able to:

  • start receiving any of our e-mail newsletters
  • stop receiving any of our e-mail newsletters
  • change the version (text or HTML) that you receive
  • change the e-mail address to which newsletters are delivered

If you have difficulty, please send a complete description of the problem, including any error messages, to our newsletter.


Learn even more about birth!

Midwifery Today Magazine—mention code 940 when you subscribe.

 1-Year Subscription2-Year Subscription
United States$55$105
Canada / Mexico$65$125
All other countries$75$145

E-mail inquiries@midwiferytoday.com or call 1-800-743-0974 to learn how to order.

Or subscribe online.


How to order our products mentioned in this issue:

Secure online shopping

We accept Visa and MasterCard at the Midwifery Today Storefront.

Order by postal mail

We accept Visa; MasterCard; and check or money order in U.S. funds.

Midwifery Today, Inc.
PO Box 2672
Eugene, OR 97402, USA

Order by phone or fax

We accept Visa and MasterCard.

Phone (U.S. and Canada; orders only):  1-800-743-0974

Phone (worldwide):  +1 541-344-7438

Fax:  +1 541-344-1422


E-News subscription questions or problems

Editorial submissions, questions or comments for E-News

Editorial for print magazine

Conference

Advertising

For all other matters

All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site.


Midwifery Today E-News is published electronically every other Wednesday. We invite your questions, comments and submissions. We'd love to hear from you! Write to us at: mtensubmit@midwiferytoday.com. Please send submissions in the body of your message and not as attachments.


Disclaimer

This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.

Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.

Copyright Notice

The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.

© 2008 Midwifery Today, Inc. All Rights Reserved.


Midwifery Today: Each One Teach One!