Archive for the ‘Shelley’s Blog’ Category

Most expectant parents have heard about SIDS and the “safe sleep” guidelines which include your newborn sleeping on a flat surface in their own bed.  CDC Safe Sleep Guidelines  This is the safest place for your newborn. Many babies will happily sleep close to you but in their own bed….and many do not!!

What if they don’t sleep well there? What is every time you put them in their bassinet they cry? What if night after night you are up every hour, battling your newborn trying to get them to sleep in their own space? What is this goes on for weeks? Months?

An exhausted parent isn’t safe either. So what’s a new parent to do? Let’s talk about a taboo topic: Bed Sharing.

In many other cultures across the world, bed sharing is the norm. But there are many differences also in those cultures that may make bed sharing safer. For instance, people tend to sleep on the floor on mats (not squishy memory foam beds) and they do not consume alcohol or drugs. They do not smoke and are exclusively breastfeeding. So is it the bed sharing that increases SIDS risk, or perhaps are there other factors involved? Research has shown that the location alone is not necessarily what increases SIDS risk, and that bed sharing within certain parameters may be a safe alternative to the recommended safe sleep guidelines. La Leche League has an excellent article about the “Safe Sleep 7”.  https://www.llli.org/the-safe-sleep-seven/

Bottom line– every family will be making a decision about where their baby sleeps, based on their lifestyle, preferences, and their own babies. It’s important for families to have information about alternatives, so that they can make informed decisions about what is right for their own family!

 

 

In honor of World Doula Week I’ve been thinking about what I wanted to express– with over 25 experience as a birth and postpartum doula, what needed to be said that hasn’t already? What do families “need” to know? What do doulas “need” to hear? Then I listened to the Evidence Based Birth Podcast interview with Dr. Amber Warmsley (OBGYN) and had my “aha” moment… The interview doesn’t talk about doulas AT ALL. Not even 1 reference. But the interview is all about what doulas are all about, which is #1 supporting PEOPLE through pregnancy, birth and postpartum in all aspects of who they are- their body, mind and soul. And #2 that doulas encourage their clients to seek evidence based information, and make decisions that fit best with their family… which includes options that perhaps are not mainstream, like birth centers or home-births, or bed-sharing. Doulas recognize that there is no ONE answer that is right for everyone, and that “safety” is really a subjective word. If you haven’t already listened to this podcast, I highly encourage you to do so, even if you are far away from being pregnant or having babies. It will make you think! (And I’ll totally admit, I have a serious doula crush on this OB!) Happy World Doula Week to all my colleagues out there, and thank you to all the other professionals who support the work we do!
https://evidencebasedbirth.com/evidence-based-ob-gyn-care-with-dr-amber-warmsley/
EBB 168 - Evidence-based OB-GYN care with Dr. Amber Warmsley - Evidence Based Birth®

After a long labor, we finally gave birth to a website! With the help/support of a good friend/doula colleague and web designer, we are proud to announce www.realdealbirth.com is live! Now families can find out more about our classes, look at a calendar and inquire about classes directly. Amanda and I offer LIVE virtual childbirth education in small groups that are personal, informative and fun!

4 Week Virtual Prepared Childbirth series – $175 per couple

MON 6:30-8:30pm – Jan 11, 18, 25, Feb 1FULL    TUES 6:30-8:30pm -Jan 5, 12, 19, 26 FULL

MON 6:30-8:30pm – Feb 8, 15, 22, Mar 1        TUES 6:30-8:30pm – Feb 2, 9, 16, 23

MON 6:30-8:30pm – Mar 8, 15, 22, 29        TUES 6:30-8:30pm – Mar 2, 9, 16, 23

MON 6:30-8:30pm – Apr 5, 12, 19, 26        TUES 6:30-8:30pm – Mar 30, Apr 6, 13, 20

MON 6:30-8:30pm – May 3, 10, 17, 24        TUES 6:30-8:30pm – Apr 27, May 4, 11, 18

 

Breastfeeding Basics & Newborn Care- 2.5 hour virtual class- $75/couple

Thursday 6:30-9pm – Jan 14              Thursday 6:30-9pm – Feb 11

Thursday 6:30-9pm – Mar 11                Thursday 6:30-9pm – Apr 8

Thursday 6:30-9pm – May 13

 

Preparing to VBAC – 2 hour virtual class – $60/couple

Thursday 7:00-9:00pm – Jan 21                Thursday 7:00-9:00pm – Mar 18

Thursday 7:00-9:00pm – May 20

 

Labor Skills Refresher Class – 2 hour virtual class -$60/couple

Thursday 7:00-9:00pm – Feb 18            Thursday 7:00-9:00pm – Apr 15

 

to inquire about availability please email Real Deal Birth directly at realdealbirth@gmail.com

4 week virtual Comprehensive Childbirth series — $150 per couple

 

MON 6:30-8:30pm – Jul 27 & Aug 3-17        TUES 6:30-8:30pm – Aug 11-25 & Sep 1

MON 6:30-8:30pm – Aug 31 & Sep 14-28         TUES 6:30-8:30pm – Sep 8-29

MON 6:30-8:30pm – October 5-26            TUES 6:30-8:30pm – Oct 6-27

MON 6:30-8:30pm – November 2-23            TUES 6:30-8:30pm – November 3-24

MON 6:30-8:30pm – Nov 30 & Dec 7-21        TUES 6:30-8:30pm – December 1-22

 

Preparing to VBAC – One 2 hour session – $50/couple

Thursday- September 3  6:30-8:30pm        Thursday – November 5  6:30-8:30pm

 

Labor Skills (refresher class) – One 2 hour session – $50/couple

Thursday – September 17  6:30-8:30pm        Thursday – November 19  6:30pm-8:30pm

 

Breastfeeding Basics and Newborn Care- One 2.5 hour session $60/couple

Thursday – August 13  6:30-9:00pm            Thursday – September 10  6:30-9:00pm

Thursday – October 8  6:30-9:00pm            Thursday – November 12  6:30-9:00pm

Thursday – December 10  6:30-9:00pm

My friend and colleague, Amanda Wyszkowski and I have partnered together to provide comprehensive, quality Childbirth Preparation in a virtual classroom! Beginning April 14th we will offer a 4 week series designed to prepare couples for any birth- regardless of where you are planning to deliver, or what your ideal birth looks like… We’ll give you the honest, straight talk you want to hear. These classes are live with an instructor, not pre-recorded.

Together, we have nearly 40 years of experience in the birth field… have attended hundreds of births as doulas. Our goal is to answer your questions, offer techniques to help you manage labor pain, understand the potential for medical interventions, and learn how to make decisions that fit best for you, your birth, and your baby.

You can get more info about our classes and upcoming schedule here. The Real Deal Prep for Birth and Parenting.

My support group for expectant and new mamas has a new home! New Mama Happy Hour now meets in the classroom at OBGYN North 12221 Renfert Way ste 330 Austin Tx 78758 from 11am-12:30pm every Wednesday.

https://www.facebook.com/newmamahappyhour

This FREE group is “drop in” style and unstructured. We usually do some quick introductions first and then dive in. What do new moms want to talk about?

Sleep (or lack thereof), baby sleep patterns, sleep regressions, safe sleep, sleep training, sleep, sleep, sleep!

Challenges of new motherhood, stay at home moms, returning to work moms and all the feelings that go along with all that

Changes in our relationships, including partner, but also our extended family and friends

Breastfeeding, bottle feeding, formula feeding, pumping, milk storage,  introducing solids

Ways we can take care of ourselves (and why this is so important)

Ways we can help our partners be better parents/helpers/spouses

A safe place to share, vent, cry or just have some adult conversation. Bring your lunch or a snack. Don’t worry about putting on makeup or changing out of your yoga pants– you are welcome just the way you are!

 

 

I am honored to be chosen as one of the maternity wellness professionals recommended in the Feb 2020 issue of Tribeza magazine!

Tribeza Wellness Guide 2020

While the debate will always continue about the safety of homebirth vs hospital birth, a recent meta analysis of 14 studies which included 500,000 women concluded that in LOW RISK women, home birth did not pose a higher risk for either moms or babies than LOW RISK women in a hospital setting. The Authors concluded:

Planned home birth is a reasonable option that should be available to childbearing women as part of the maternity care system, and to achieve optimal outcomes, home birth practitioners should be integrated into the maternity care system.

We still have a long way to go in the United States in offering options to childbearing women– but hopefully this is a step in the right direction! Read more here: https://www.lamaze.org/Connecting-the-Dots/Post/research-review-systematic-review-finds-no-increase-in-adverse-outcomes-with-planned-home-birth-1

A recent ACOG article made the following recommendations, which have been part of the Lamaze Healthy Birth Practices for some time now! For low risk women in labor, it is recommended that women wait until active labor before being admitted, have freedom to move around and change positions to maintain comfort and enhance labor progression, to utilize non-pharmaceutical pain management techniques such as massage and/or water immersion, to do intermittent fetal monitoring, follow your body’s urges to push (not forced long breath holding) and – for those desiring it- 1:1 physical and emotional support from a doula! There are a few more details in the article as well- but the big message is- if you are low risk, limiting routine interventions is best for both mother and baby outcomes- things like routine IV’s, continuous electronic fetal monitoring, and amniotomy have NOT been shown to improve outcomes.

Ultimately – talk to your provider about what is best for you and your baby. Open up communication with him/her about your desires or wishes. Find out what is “routine” for their practice or the hospital where you’ll be delivering. (Birth centers and homebirth midwives generally follow the low intervention protocol- unless a medical situation warrants interventions) Stay involved in your care and make decisions if those “routines” apply well to your scenario. Don’t be afraid to speak up for what you want!

Here is the BRAIN acronym I use in my classes when we talk about medical interventions in birth:

B- Benefits- tell me how this could help me, my baby, or my labor

R- Risks- tell me about the potential risks/side effects or trade offs for this procedure/treatment

A-Alternatives- what else should I consider (including non-medical alternatives)

I-Intuition- how do you feel about this intervention?

N-Not now- if not an emergency, take some time to think about it, discuss your options with your support team, or just wait and see what happens!

 

 

Does a doula really make a difference?
Families report having a postpartum doula improved breastfeeding outcomes, increased their confidence as parents, helped them get better sleep, and improved their emotions, including reducing symptoms of depression and anxiety.