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Lamaze International Introduces Online Parent Learning Center!

July 24th, 2014 by avatar

Screen Shot 2014-07-23 at 2.37.54 PMLamaze International has been working hard for many decades to make childbirth education classes available and accessible to a wide variety of women and their families.  Our training programs provide opportunities for men and women all around the world to complete a workshop and become a Lamaze Certified Childbirth Educator (LCCE) in the hopes that these educators can go on to teach Lamaze classes in their communities.  Despite new educators being added to the ranks all the time, many families are unfortunately still not able to find a Lamaze class in their community.  Some families, for a variety of reasons, may be unable to logistically attend an in-person class.

“This new online parent education initiative supports a key strategic imperative in Lamaze International’s newly adopted strategic framework – Innovate Education and Expand to the Childbearing Years. Through optimizing digital technology, expanding content offerings and providing online delivery, we hope to reach more women earlier in pregnancy and throughout their childbearing years with Lamaze education.” – Michele Ondeck, Lamaze International President

Lamaze International is pleased to announce that families who cannot attend an in-person class now have another option for Lamaze childbirth education.  The Lamaze Online Parent Center launches their first class, “Safe and Healthy Birth: Six Simple Steps” this week.  This online class offers an opportunity for parents to learn about the practices that support safe, normal, healthy birth and is based on the the Six Healthy Birth Practices that we all know so well and teach about in our classes.

This first online class has been developed by Lamaze International subject matter experts using the innovative online learning platform created by Thought Industries. Great care has been taken to create an online class that is interactive, engaging, informative and offers evidence based information in an easy to learn, understandable way for parents desiring an online option for their childbirth class.  Discussion forums, downloadable documents that support the curriculum, videos, interactive activities, stories, quizzes and more all come together to create an enriching online learning environment.

Parents participating in this online class are encouraged at many points to seek out an in-person Lamaze class in their community to access the skills and expertise of local LCCEs to help them to have a safe and healthy birth.

Screen Shot 2014-07-23 at 2.39.13 PM

The concept of online learning is more attractive than ever for today’s parents who view their smart phones, tablets and laptops as the perfect devices for accessing information when and where they want it. We are poised to meet the need of this new style of learner with our Lamaze Online Parent Center.  Birth professionals and families can explore the class in a quick preview and discover all the material that is covered.  Families can enroll right away and start and move through the class at their convenience. Families can also sign up to receive notification when the additional classes are launched.

After the launch of the “Safe and Healthy Birth: Six Simple Steps” online class, families will be able to participate in additional classes scheduled to be launched later this summer.  The new class topics will include “Prepared for Pregnancy: Start Off Right,” “VBAC: Informed and Ready” and “Breastfeeding Basics.”

 ”This initiative sets the stage for broader engagement with parents through online education, offering content in bite size pieces. It creates opportunities for educators to engage with parents in the online classes as moderators, to use as pre-work or an add-on to in person classes or private consultations, to serve as content experts for future class development, and as a referral source for in-person Lamaze classes where they are available.” - Lamaze International Education Council Chair Allison Walsh

Take a moment to look around the Lamaze Online Learning Center, peek at the pilot course and consider how these online classes can be an asset for parents to take advantage of, in addition to in-person participation. The “Prepared for Pregnancy: Start Off Right” course will hopefully generate primary interest in Lamaze offerings and motivate more families to seek out classes offered by Lamaze Certified Childbirth Educators local to them. As always, you can count on Lamaze International to continue to be a leader in evidence based childbirth education.

 

Childbirth Education, Healthy Birth Practices, Lamaze International, Push for Your Baby , , ,

Lamaze Releases Useful New Infographic: “No Food, No Drink During Labor? NO WAY!”

July 22nd, 2014 by avatar

piece Lamaze_RestrictedFoodDrinkInfographic_FINALToday, Lamaze International releases their newest infographic “No Food, No Drink During Labor? NO WAY!” This useful infographic is available on both the Lamaze International for Professionals website and the Lamaze Parents website. The most recent Listening to Mothers III survey indicated that 60% of women did not drink and 80% did not eat during labor! (DeClercq, 2013) The common practice of restricting food and drink for laboring women is outdated and not supported by evidence.  Unfortunately, most laboring women still face resistance from health care providers and facilities when they desire to eat or drink during their labor.

Lamaze International is hosting a Twitter Chat today, July 22nd, 2014 at 9 PM EST.  Professionals and parents are invited to participate in this live Twitter discussion moderated by Kathryn Konrad, MS, RNC-OB, LCCE, FACCE (@KkonradLCCE) and Robin Weiss, PhDc, MPH, CPH, CD(DONA), CLC, LCCE, Lamaze International’s President Elect. Tonight’s topic is “Restrictions in Labor” including this infographic on eating and drinking along with last month’s infographic on moving in labor (“We Like To Move It, Move It!”) Follow the hashtag #LamazeChat.  New to participating in a Twitter chat?  Check out this article for information on how to participate and get the most out of your experience.

Lamaze International’s Healthy Birth Practices, first released in 2009, discussed in great length the benefits to moving and changing position in labor in the 2nd Healthy Birth Practice: “Walk, Move Around and Change Positions Throughout Labor“ as well as the risks to restricting food and drink in the 4th Healthy Birth Practice: “Avoid Interventions That Are Not Medically Necessary.”

These useful infographics complement the Healthy Birth Practices, are easy to share on social media and can be used in the classroom as a poster to help parents to understand how to have the safest and healthiest birth possible.

Won’t you take a moment to check out this newest infographic and share with the expectant families that you work with!  Consider sharing it on your favorite social media outlet (Facebook, Twitter, Pinterest, Instagram) and making it available in your classrooms!

If you have an interesting way you are using these infographics, or would like to just share your thoughts on the infographic topics, please let us know in the comments section. I would love to hear how you use this info in your practice.

Click here to download the newest infographic “No Food, No Drink During Labor? NO WAY!”

You may access all the infographics available here!

References

Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2013). Listening to mothers III: Pregnancy and birth. New York, NY: Childbirth Connection.

Childbirth Education, Evidence Based Medicine, Healthy Birth Practices, informed Consent, Lamaze International, Maternity Care, Medical Interventions, Push for Your Baby , , , , ,

Evidence Supports Celebrating the Doula! Happy International Doula Month!

May 15th, 2014 by avatar
© Serena O'Dwyer

© Serena O’Dwyer

May is International Doula Month and I am delighted to recognize and celebrate this important member of the birth team today on Science & Sensibility.  A birth doula is a trained person (both men and women can be and are doulas) who supports a birthing person and their family during labor and birth with information, physical and emotional support and assistance in women finding their voice and making choices for their maternity care. A postpartum doula is a trained professional who supports the family during the “fourth trimester” with emotional support, breastfeeding assistance, newborn care and information along with light household tasks as postpartum families make adjustments to caring for a newborn in the house.  Birthing families  traditionally have received support from family and community going back hundreds of generations.  In the early to mid 20th century, as birthed moved from home to hospital, the birthing woman was removed from her support. In 1989, the first doula organization, PALS Doulas was established in Seattle, WA, and then in 1992, DONA International was founded by by leaders in the childbirth and maternal infant health field.  Since then, many other training and professional doula organizations have been created around the world and the number of doulas trained and available to serve birthing and postpartum families has grown substantially.

© J. Wasikowski, provided by Birthtastic

© J. Wasikowski, provided by Birthtastic

Doulas and childbirth educators have similar goals and objectives – to help birthing families to feel supported, informed , strong and ready to push for the best care for themselves and their babies.  Some childbirth educators have trained as doulas as well, and may work in both capacities.  It can be a wonderful partnership of mutual trust and collaboration.  In fact, Lamaze International, the premier childbirth education organization and DONA International, the gold standard of doula organizations have joined together to offer a confluence (conference) jointly hosted by both organizations in Kansas City, MO in September, 2014. An exciting time for networking, continuing education, learning and fun with members of both organizations.

© Sarah Sweetmans

© Sarah Sweetmans

While the profession has grown considerably since those early days, the most recent Listening to Mothers III survey published in 2013, indicates that only 6 percent of birthing families had a trained labor support person/doula in attendance at their birth. (Declercq, 2013)  The most recent systematic review on the impact of doulas on a woman’s birth experience found that birthing women supported by a doula were:

  • more likely to have spontaneous vaginal births
  • less likely to have intrapartum analgesia or regional analgesia
  • less likely to report dissatisfaction
  • more likely to have shorter labors
  • less likely to have a cesarean
  • less likely to have an instrumental vaginal birth
  • less likely to have a baby with a low five minute Apgar score

There were no adverse effects reported. (Hodnett, 2013)

When the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal- Fetal Medicine (SMFM) released their groundbreaking “Safe Prevention of the Primary Cesarean Delivery” Obstetric Care Consensus Statement in February 2014, one of their key recommendations to reduce the primary cesarean rate in the USA was the continuous presence of a doula at a birth. (Caughey, 2014)

Continuous Labor and Delivery Support

Published data indicate that one of the most effective tools to improve labor and delivery outcomes is the continuous presence of support personnel, such as a doula. A Cochrane meta-analysis of 12 trials and more than 15,000 women demonstrated that the presence of continuous one-on-one support during labor and delivery was associated with improved patient satisfaction and a statistically significant reduction in the rate of cesarean delivery. Given that there are no associated measurable harms, this resource is probably underutilized. – ACOG/SMFM

dianne hamre doula

© Dianne Hamre by Kristen Self Photography

Doulas do a great job of supporting mothers, partners and families during the childbearing year and helping to improve outcomes for mothers and babies. The research shows it, the experiences of families confirms it and now ACOG recognizes the important role that a trained doula has in reducing the cesarean rate in the United States.  Childbirth educators can share this with students and maybe the next time birthing families are surveyed, the number of families choosing to birth with a doula with have risen significantly!

Doulas, thank you for all you do to support families!  You are providing a much needed service and improving the birth experience for families around the world.  We salute you!

How do you discuss doulas with the families you teach and work with?  Do any educators have doulas come in to help during class time?  Please share your experiences and let us know how it works out for you and your students and clients.

References

Caughey, A. B., Cahill, A. G., Guise, J. M., & Rouse, D. J. (2014). Safe prevention of the primary cesarean delivery. American journal of obstetrics and gynecology, 210(3), 179-193.

Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2013). Listening to Mothers III: Pregnancy and Birth; Report of the Third National US Survey of Women’s Childbearing Experiences. New York, NY: Childbirth Connection.

Dekker, Rebecca. “The Evidence for Doulas.” Evidence Based Birth. N.p., 27 Mar. 2013. Web. 14 May 2-14.

Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD003766. DOI: 10.1002/14651858.CD003766.pub5.

 

 

 

2014 Confluence, Childbirth Education, Confluence 2014, Doula Care, Healthy Birth Practices, Lamaze International, Maternity Care, Newborns, Push for Your Baby, Research, Uncategorized , , , , , , , , ,

The Childbirth Educator’s Role in The Cesarean Epidemic: 10 Steps You Can Take Now!

April 29th, 2014 by avatar

As Cesarean Awareness Month (April 2014) comes to a close, I wanted to share ten things that childbirth educators can do in their childbirth classes to support families to avoid unneeded cesareans, help families to have a cesarean birth that is respectful and family centered and support families who give birth by cesarean, (planned or unplanned) both during the birth, in the postpartum period and when planning future births.

1. Birth plan exercises

Have your birth planning/birth choices activity include preferences for a cesarean birth.  Allow parents the option to select items such as delayed cord clamping, skin to skin in the operating room, delaying newborn weights and measurements, and more.  While these may not be available options in all areas, encouraging discussion amongst families and their health care providers is a good place to start.  Additionally, consider role playing a cesarean section in class and discuss ways to make the procedure family friendly.  Remember to suggest ways that the partner and other support people can best support mother and baby during the surgery. Consider sharing “The natural caesarean: a woman-centred technique” video so families can explore options for a family friendly cesarean birth.

2. Access teaching resources on the Lamaze International website

Lamaze International offers some great teaching resources on cesareans for educators on their website and for families on the Lamaze International parent site.  There are two infographics that cover the topic of cesarean sections; “Avoiding the First Cesarean” and “What’s the Deal with Cesareans.”  You might consider showing the brand new infographic video to your families in class. At only 3 minutes long, it does a great interactive job of highlighting important information. In addition to using these materials in class, encourage families to explore them more thoroughly at home.

3.  Provide current statistics

Access and share statistics about national and provincial or state cesarean rates and VBAC rates, along with local rates for facilities and providers if available.  Help your families to understand the difference between overall cesarean rates and primary cesarean rates and why facilities caring for high risk mothers or babies might have higher rates.  Make sure that you are providing the most current information available, and update your figures when new numbers are released. Encourage discussion in class with families who are considering changing birth location or providers if they feel so inclined.

4. Encourage the use of birth doulas

The addition of trained labor support has been shown to reduce common interventions and cesareans. (Hodnett, 2012)  Take some time during class to share how doulas can help support both the laboring woman and her partner and team.  Provide resources for families to locate doulas (DONA.org and DoulaMatch.net are two such lists that come to mind) and briefly share information on questions to ask a doula during an interview, so the families are prepared.

cam two ribbon5.   Share current best practice information

Be sure that the information in your classes is current, accurate and based on best practices and evidence.  Know the sources of the information you cover.  Make sure it is up to date and verifiable.  Have a short list of favorite online resources to share with families, including Lamaze International’s Giving Birth with Confidence blog- written specifically for parents.  Utilize the references that make up the Six Healthy Birth Practices, there is a citation sheet for all six of the birth practices.

6. Support the midwifery model of care

Share information in your classes about the midwifery model of care, which has been shown to be an appropriate choice for healthy, low risk women.  Let your class families know how to find a midwife by using the search functions on the American College of Nurse-Midwives website and information on finding a midwife on the Citizens for Midwifery website.

7. Have meaningful class reunions

If your childbirth class includes a reunion, create a space for all the families to share their stories, both the vaginal births and the cesarean births.  Honor the work that the families did to birth their babies and celebrate their intention and teamwork.  Highlight their shining moments and let them know that you recognize how hard they worked.  Model excellent listening skills and support all the families as they share their birth stories.

8. Provide support group information

Make sure that all families that leave your class have been given resources for a support group for women who birth by cesarean section.  Access the International Cesarean Awareness Network (ICAN) to find the nearest local ICAN chapter website or Facebook group. Or refer the families to the main ICAN Facebook page.  VBACFacts.com also has a large peer to peer support network active on Facebook as well.

9.  Share postpartum resources

Families that birth by cesarean section might find themselves needing additional support from professionals during the postpartum period.  Be sure that they have resources to find lactation consultants, mental health counselors, postpartum doulas, physical therapists and other professionals that might be useful for healing emotionally and physically from a cesarean section.  In the throes of postpartum hormones, exhaustion, sleep deprivation and physical recovery, having to hunt down appropriate professionals can be a daunting task for any new families, never mind a mother recovering from surgery with a newborn.

10.  Offer a cesarean only class

Some families know they will be needing a cesarean for maternal or infant health circumstances and are hesitant about taking the standard childbirth class, feeling like they won’t fit in.  While they may not be needing the coping skills or comfort techniques and pushing positions that you cover in the typical childbirth class, they do need information about the cesarean procedure, pain medication options, recovery, breastfeeding and newborn care/procedures and informed consent and refusal information, among other things.  Having a class designed with their needs in mind can help them to make choices that feel good to them and participate in the community building that is such an important part of childbirth classes.

Don’t underestimate the role of the childbirth educator (you!) to offer evidence based information, appropriate resources, respectful dialogue along with skills and techniques to help women to have the best birth possible, avoid a cesarean that is not needed and recover and heal  while feeling supported with options for future births.  Thank you for all you do to help women to avoid cesareans or if needed, have the best cesarean possible.

References

Hodnett, E. D., S. Gates, et al. (2012). “Continuous support for women during childbirth.” Cochrane database of systematic reviews: CD003766.

Cesarean Birth, Childbirth Education, Giving Birth with Confidence, Healthy Birth Practices, Lamaze International, Maternal Quality Improvement, Maternity Care, Medical Interventions, Midwifery, Practice Guidelines, Vaginal Birth After Cesarean (VBAC) , , , , , , ,

Is Your Favorite in the Top Five? – Science & Sensibility’s Five Most Popular Posts

March 13th, 2014 by avatar

I have been working as Science & Sensibility’s Community Manager for a few weeks shy of two years.  The past two years have been one of great growth for me personally, as I have stretched myself to explore and more clearly understand research related to maternal infant health. I have “labored” to choose topics that are of interest, current and relevant to our readers. I have deeply enjoyed supporting and collaborating with the many gifted writers who have been kind enough to share their wisdom and their words with all of us. I have welcomed and enjoyed the reader comments and shared discussions with many readers, as they made their opinions, thoughts and viewpoints known.  I have learned along with all of you, as readers asked questions of the blog writers and clarified their understanding of topics.  It has, to put it simply, been a fantastic and fun time.

As I reflected on the past two years , I wondered what have been the most popular posts on the blog, since Amy Romano wrote the first post on Science & Sensibility back in Spring of 2009.  I took a look and found some surprises.  I thought it would be interesting to share the top five posts and ask you, the reader – what posts have been your favorites?  The ones you share with students, clients and patients over and over? The ones you most enjoyed reading?

Top Five Posts on Science & Sensibility

#5. Research Review: Facilitating Autonomous Infant Hand Use During Breastfeeding

© Raphael Goetter

© Raphael Goetter

This post reviewed research by Catherine Watson Genna, BS, IBCLC, RLC and Diklah Barak, BOT that demonstrated that babies use their hands at the breast for many purposes, including stabilizing their neck and head for feeding, causing the nipple to become erect and increasing maternal oxytocin which facilitates delivery of milk to the infant.  The research paper included great photographs and links to videos documenting this behavior.  All the more reason to encourage mothers to unswaddle babies prior to feeding to allow them to do what they do best.

 

 

#4. Help New Mothers Breastfeed in Comfort: Nordstrom Converts Any Bra Into A Nursing Bra for a $10 Fee

Creative Commons Photo: Children's Bureau Centennial.  WPA Project 1938

© Children’s Bureau Centennial. WPA Project 1938

This post shared the little known fact that some Nordstrom stores in the USA would convert a woman’s favorite bra into a nursing bra for a small fee.  Many women find it difficult to find a comfortable nursing bra and are sad to need to stop wearing their favorites.  Now they may not have to.  We heard from lots of readers that not all stores offer this service and the price may vary. Updates would be welcome.

 

 

 

 

#3.  Safe Prevention of the Primary Cesarean Delivery: ACOG and SMFM Change the Game

acog wordlThis recent post by Judy Lothian, Phd, RN, LCCE, FACCE, highlighted the newly released ACOG and SMFM Consensus statement discussing 18 points that these organizations stated would help to reduce the number of primary cesareans being performed.  This statement was groundbreaking in its language, suggestions and proposed modifications to current obstetrical practice, backed up by evidence and certainly in line with much of the research behind Lamaze International’s Six Healthy Birth Practices.

 

#2. What Is the Evidence for Induction for Low Amniotic Fluid in a Healthy Pregnancy?

“It is standard of care in the U.S. to induce women with isolated oligohydramnios at term.” Image Source: http://www.flickr.com/photos/drewesque/2608674753/sizes/l/in/set-72157605814668384/

© drewesque

This post by Rebecca Dekker, Phd, RN, APRN of Evidence Based Birth was a comprehensive research review looking at outcomes of expectant management vs active management of low amniotic fluid in a healthy term pregnancy, as well as the reliability of the most common methods for assessing amniotic fluid volume.  Lots of great information to help women understand the risks and benefits and determine how they would like to proceed if they are faced with this decision at the end of their pregnancy.

 

 

#1 .  The Red/Purple Line: An Alternate Method For Assessing Cervical Dilation Using Visual Cues

marked purple lineThis post, written by Mindy Cockeram, LCCE is the most popular post ever published on Science & Sensibility.  Mindy reviewed and discussed the research on the the red/purple line that may be seen between the butt cheeks/natal cleft and the changes to this line as cervical dilation changes during labor.  This topic was simply fascinating to readers – and shared widely.  Professionals and consumers sent in pictures and discussed in the comments section their own observations.

 

Are you surprised by the top five posts on Science & Sensibility?  Do you have different favorites?  What else would you like to see covered in the future on this blog?  We welcome your input, your comments, suggestions and are interested in your favorite all time posts!  Share your thoughts and suggestions in our comments section below.

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