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Remembering Elizabeth Noble and Her Contributions to Maternal Infant Health

January 7th, 2015 by avatar
© Elizabeth Noble

© Elizabeth Noble

Elizabeth Noble, author, presenter, teacher, and advocate for mothers, babies and families, passed away last week after spending time in hospice care.   Elizabeth was a highly respected physical therapist and internationally recognized expert on, and an advocate for, the normal physiology of pregnancy, birth and postpartum. Born and raised in Australia, Elizabeth received degrees in physiotherapy, philosophy and anthropology before she moved to the United States in 1973.  In 1977, Elizabeth founded the Section on Women’s Health for the American Physical Therapy Association.  In 1979, Elizabeth also founded the Maternal and Child Health Center in Cambridge, MA, along with Cambridge Physical Therapy.  She was the director of these organizations until 1990.

Elizabeth Noble authored eight books; Essential Exercises for the Childbearing Year (her most well known), Having Twins and More, Childbirth with Insight, Marie Osmond’s Exercises for Mothers to Be, Marie Osmond’s Exercises for Mothers and Babies, Primal Connections, The Joy of Being a Boy, and Having Your Baby by Donor Insemination.  Many of these books have been translated into several other languages.

Elizabeth created several multimedia productions (videos, DVDs and CDs) that included Inside Experiences, Channel for a New Life, BabyJoyExercises and Activities for Parents and Infants, Essential Exercises for the Childbearing Year and Marie Osmond’s Exercises for Mothers-to-Be and Pelvic Power.

Elizabeth authored  several articles, chapters and forewords and was a member of the editorial board of the International Journal of Pre- and Perinatal Psychology and Medicine, and Primal Renaissance: The Journal of Primal Psychology. A former Director of the Association for Pre- and Perinatal Psychology and Health, she has served on the boards of many organizations such as ICEA, The Toronto Birth Center, Center for Loss in Multiple Pregnancy, and Dancing Through Pregnancy®.

Elizabeth was the creator of “Instructor Training in Prenatal and Postpartum Exercises” a three day course geared for professionals.  She presented this frequently all over the world.

Some of her well known lectures and presentations included:

  • Optimal Health
  • Deskercises
  • Say What You Mean!
  • Pelvic Power: An Evening Public Presentation
  • Pre- and Perinatal Origins of Mental and Physical Health
  • Preventing Professional Burnout: Personal Growth for Maternity Care Providers
  • Hands-on Pelvic Assessment & Treatment
  • Prenatal Preparation
  • Empowerment Challenges for Expectant and New Parents
  • Psychophysical Aspects of Pain in Labor
  • The Pregnancy Playshop:  Weekend Childbirth Intensive for Expectant Parents
  • New Dimensions in Support for Childbearing Year
  • Childbirth Preparation and Unfulfilled Transitions
  • Reproduction and Birth in A Technological World
  • Marching Backward: The Malaise in the Natural Childbirth Movement
  • The Power of Knowing: Psychological Strategies for Expectant Parents and Maternity Care Providers
  • Tapping the Unconscious Mind
  • Inside Experiences: Guided Recall for Birth & Before
  • Reproductive Technology
  • Anonymous Donor Gametes and Genealogical Bewilderment
  • Multiple Pregnancy
  • Fetal Surveillance and the Nocebo Effect: Recommendations for a Normal Pregnancy, Vaginal Birth Optimal Outcome.
  • Pre and Perinatal Loss of a Twin
  • Bonding with Multiples
  • Sharing Space: Twinship Experiences in the Womb

Elizabeth’s dear friend and colleague, Nancy Wainer, CPM, had this to say about Elizabeth Noble:

Liz was quite unique- well-educated, well-read, well-traveled, well-spoken, opinionated (because she was educated!) and feisty. She was extremely articulate and was most dedicated to mothers and babies.

Liz took excellent care of herself – her diet/nutrition was excellent and she exercised regularly. She was mindful.  She had so many things she wanted to accomplish in her lifetime, both professionally and personally. It seems so unfair to those of us who knew her that she was stricken with this dreaded and painful disease, cancer, and that she succumbed this past week. For the past decades, she has been a driving force for mother and babies and and natural living (having had her own home birth in a tub outside on a beautiful day at her’s and Leo’s lovely home in Harwich) and was knowledgeable about so many aspects of birth that made her a true pioneer/trail blazer. She was cut out of a very special mold and her absence will be surely be felt in our circles. Her list of accomplishments are a mile long, and should have been another full mile. Rest in peace, dear Liz… rest in peace.

© Elizabeth Noble

© Elizabeth Noble

The Section of Women’s Health (APTA) recognized Elizabeth by establishing The Elizabeth Noble Award, given yearly to an APTA member in good standing who has provided extraordinary and exemplary service in the field of women’s physical therapy.

Many in the birth world are very familiar with all of Elizabeth Noble’s many contributions to mothers and babies and had the deepest respect for her significant accomplishments.  Her voice and her knowledge cannot be replaced and will certainly be missed.  All of us at Science & Sensibility and Lamaze International offer our condolences to the Noble family.

Babies, Childbirth Education, Newborns , ,

Become a Lamaze International Member and Reap the Benefits

January 2nd, 2015 by avatar

Join Lamaze NowDid you remember to renew your Lamaze International membership?!  Membership runs with the calendar year, but if it slipped your mind at the end of 2014, don’t hesitate to join or renew now!  You do not have to be a childbirth educator to be a Lamaze International member and support the organization. Here are twelve reasons why everyone should join and become a member of Lamaze. Renew or join now!  Please note: If you are a certified LCCE or are recertifying, your membership is now provided at no cost with your certification/recertification fees, so be sure you are taking advantage of all these benefits as part of your certification.

1. Supporting the Lamaze International Mission

The mission of Lamaze International is to advance safe and healthy pregnancy, birth and early parenting through evidence and advocacy. Our vision is “knowledgeable parents making informed decisions.”

I am a childbirth professional, working with birthing families, new doulas and new childbirth educators.  I find that Lamaze’s mission aligns so well with my own, and how I create my classes and work with families and birth professionals.  I am proud to say that I am a member of Lamaze and an LCCE.  I think that many of today’s families and birth professionals can also respect and relate to Lamaze’s mission and find that their values are in sync with what Lamaze offers to the maternity world.  Your membership dollars, combined with other members’ financial support help Lamaze to fulfill this very important mission.

2. Journal of Perinatal Education

The Journal of Perinatal Education (JPE) is a quarterly journal mailed to the home of all Lamaze members and is  filled with relevant, current research that can change the way you teach or practice.  The JPE offers you insights into current maternity trends, access to in-depth articles and the opportunity to learn from international experts.  The JPE is read by childbirth educators, doulas, midwives, RNs, Doctors, Lactation Counselors and other professionals. Additionally, as a Lamaze member, you have access to back issues of the JPE online.

3. FedEx Office Discounts

Being a member of Lamaze International allows you to receive a  fantastic FedEx Office (Kinko’s) discount that has the opportunity to provide you with significant savings.  All of the discounted services that I use yearly offer me savings that exceed the price of my yearly membership.  I am amazed at the level of savings on some of the products and services I use for my business printing and shipping needs.

4. Reduced Fees for Lamaze Products and Events

As a member of Lamaze, you receive member discounts when you register for the annual conference, free continuing education webinars (contact hours available for an additional fee*) and other Lamaze materials in the Online Education Store.

5. Birth: Issues in Perinatal Care Journal Discounts

Birth is published quarterly and Lamaze members receive a 50% discount on both the hard copy journal and the online journal. Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, psychologists, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.

6. Your Lamaze Classes Listed on Lamaze Website

If you are a Lamaze Certified Childbirth Educator and a current Lamaze member, your childbirth classes can be listed on the Lamaze International website for parents, in the “Find a Lamaze Childbirth Class” section so that those families looking for a childbirth class can locate your offerings. Increase your class enrollment with this members only benefit.

7. Full Cochrane Library Access

Lamaze International members have full access to the Cochrane Library, a collection of databases containing independent evidence to inform healthcare decision-making.  The Cochrane Library is considered the gold standard of evidence based information and if you are looking for the most up-to-date research on topics relevant to obstetrics and maternity care, breastfeeding and newborn issues, this is the ideal place to find the information you are looking for.

8. Lamaze Forums and Community

As a Lamaze International member, you have member access to our professional forums, on-line communities and discussion groups, where you can share teaching ideas, learn how your peers feel and respond to different topics of interest and collaborate with professionals around the world, from the comfort of your own home or office.

9. Members Only Teaching Resources

When you join Lamaze International, you are provided access to teaching handouts and resources to share with your students, and a variety of class-enriching resources to make your course more relevant, useful and informative to the families that you are working with. You can find printable handouts and infographics, and discover new teaching ideas and curriculum.

10. Supporting Lamaze Improves Maternity Care Worldwide

LCCEs attend the DONA Conference
Photo Credit HeatherGail Lovejoy

When you purchase a Lamaze membership, Lamaze International can pool your dollars with other members’ dollars and use some of this income to support and collaborate with other organizations that are leading the way in changing maternity care around the world for the better.  Lamaze International supports and collaborates with the Coalition for Improving Maternity Services (CIMS), Childbirth Connection and others.  Additionally, Lamaze can send representatives to international conferences to represent Lamaze International, create networking opportunities for all of us, collaborate with other maternity leaders and further work to fulfill the mission of Lamaze International and improve birth for women everywhere.

11.  Access to Online Webinars

Lamaze International offers online webinars with leaders in the field of maternal/infant health that are free to Lamaze members and provides contact hours that can be used toward LCCE recertification.  Additionally, these continuing education hours are accepted by other birth organizations as well.

12. A Deductible Business Expense

My membership fee is a deductible business expense and by purchasing it before the end of the year, I can deduct the cost on my taxes.

Where else can a membership in a maternal infant organization produce such tangible benefits and savings for you and combine with other membership funds to improve maternity care worldwide?  I am proud and excited to renew my Lamaze International membership every year and invite you to renew yours, if you haven’t already.  If you are not a member of Lamaze, then now is the time to join, so that you can reap the professional benefits for the full calendar year.  For a full list of member benefits , please see the member benefits page on the website. Don’t hesitate, join or renew now!

Can you share how being a Lamaze International member has benefited you? Why are YOU a Lamaze member?  Tell us what it means to you in the comments section.

* Updated 1/3/2015 to reflect 2015 policy and program changes.

 

Lamaze International, Lamaze News , ,

Best in Birth for 2014

December 30th, 2014 by avatar

By Cara Terreri, LCCE

Best of  BirthAs the year winds down this week, many will take stock of the best and worst of happenings throughout the year. In the world of maternity care, there are several notable and promising advances, discoveries, and recommendations in care practices. ICYMI (in case you missed it), we’d like to share the best in birth for 2014.

The Journal of Midwifery and Women’s Health released important new U.S. research on the outcomes of home birth entitled Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009.” This was the first study on outcomes of home births since 2005. For a in-depth review of the study, check out this and this.

In February, the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine issued a joint Obstetric Care Consensus Statement: Safe Prevention of the Primary Cesarean Delivery. The statement aims to change the way practitioners manage labor in an effort to reduce the cesarean rate, and was considered by many a major game changer in how women are cared for in labor. The ACOG press release is here, which provides more detail of the study. Science & Sensibility covered it here.

Evidence Based Birth a well-respected resource site for birth practices, published the article, “Evidence for the Vitamin K Shot in Newborns,” which examines Vitamin K deficiency bleeding (VKDB), a rare but serious consequence of insufficient Vitamin K in a newborn or infant that can be prevented by administering an injection of Vitamin K at birth. The article helps to clear up many misconceptions and questions surrounding the Vitamin K shot.  Sharon Muza interviews Rebecca on this topic here.

Lamaze International launched a series of online parent classes that cover a variety of topics on pregnancy, birth, and breastfeeding. The online classes are presented in an interactive, engaging format with unlimited access so you can complete the class at your own pace. They provide vital information, and are recommended to be followed up with a traditional, in-depth childbirth class. Topics covered include, VBAC, Six Healthy Birth Practices, and Breastfeeding Basics.  A Pain Management and Coping Skills class will be released shortly in the new year.

The journal Birth published a study that compared the difference between nonpharmacologic (aka: non-drug) pain management during labor with more typical pain relief techniques. Results showed that nonpharmacologic pain relief techniques can reduce the need for medical interventions. Read an in-depth review here.

The “family-centered cesarean” birth continued to emerge as an option for more families as new providers and hospitals adopted practices to facilitate the approach. For more information, check out the Family Centered Cesarean Project and this article.

Out-of-hospital (OOH) births rates continued to increase, according to a report from the National Center for Health Statistics released this year. The report also showed that OOH births generally had lower risk than hospital births, with lower percentages of preterm birth and low birth weight.

Work continued on human microbiome (aka: healthy gut bacteria) research, and further investigation is underway on the impact of cesarean birth and infant gut bacteria colonization, and the potential benefits of artificially transferring mother’s bacteria to baby.

What other groundbreaking maternal infant topics do you feel made a big leap in 2014?  Share the topic and any relevant links in our comments section.

About Cara Terreri

cara headshotCara began working with Lamaze two years before she became a mother. Somewhere in the process of poring over marketing copy in a Lamaze brochure and birthing her first child, she became an advocate for childbirth education. Three kids later (and a whole lot more work for Lamaze), Cara is the Site Administrator for Giving Birth with Confidence, the Lamaze blog for and by women and expectant families. Cara continues to have a strong passion for the awesome power and beauty in pregnancy and birth, and for helping women to discover their own power and ability through birth. It is her hope that through the GBWC site, women will have a place to find and offer positive support to other women who are going through the amazing journey to motherhood.

ACOG, Childbirth Education, Evidence Based Medicine, Guest Posts, Lamaze International, New Research , ,

New Lamaze Infographic on Labor Support and Doulas!

December 23rd, 2014 by avatar

Lamaze International has been periodically releasing a comprehensive series of infographics designed to help consumers understand maternal infant best practices.  These easy to read, evidence based infographics can help families to know the facts and supports the “Push for Your Baby” campaign that can help improve birth outcomes.

doula info 1

The newest infographic covering the topic of labor support helps families to understand that building a great support team, including adding a professional doula, can reduce the risk of unwanted interventions and non-medically needed cesareans.  “Who Says Three’s A Crowd”  lets families know that while health care providers can offer emotional support and physiological comfort measures, their responsibilities and patient load may prevent them from offering the continuous support that has been shown to reduce cesareans, need for pitocin, epidurals and improve satisfaction with the birth experience.

Lamaze International’s Healthy Birth Practice #3 “Bring a loved one, friend or doula for continuous support” goes into further detail about the benefits of having good labor support, and includes a short but informative video that supports the third birth practice.  The labor support infographic is a very simple and attractive learning tool that educators can use to teach from or make available in handouts or on the classroom wall for passive learning.

doula info 2

Available infographics include:

Lamaze International provides links to specific infographics for viewing online and makes them available in downloadable “pdf” or “jpeg” formats. Check out the Lamaze International Professionals website here, specifically the infographics page, to see all the infographics.  Parents can find them at the “Push for Your Baby” website.

Have you checked out the infographics?  Have you shared them with your students and clients?  Which one is your favorite?  How do you use them for teaching?  We’d love to hear from you!

Childbirth Education, Doula Care, Evidence Based Medicine, Healthy Birth Practices, Lamaze International , , , , , ,

Series: Building Your Birth Business: Improve Your Online Presence

December 18th, 2014 by avatar

By Janelle Durham, MSW, LCCE

Screen Shot 2014-12-17 at 8.41.49 PMAs we move into the new year, you may be considering starting your own independent childbirth education or birth related business.  Maybe you already have such a business already established but are looking to take it to the next level. Today’s post is part of a new series: Building Your Birth Business. Check out the first post in the series, “Online Marketing for Birth Professionals – A Beginner’s Guide here.

 Perhaps the organization you work for would like to grow their offerings geared toward families in the childbearing year.  Janelle Durham. MSW, LCCE, a birth and parent educator, working for several programs in the Pacific Northwest has put together this beginner’s guide to improving your online presence.  This resource can help you to get started in establishing your name and business on the internet, and how to make yourself “findable” when people are searching for you or the type of services you provide. – Sharon Muza,  Science & Sensibility Community Manager

What is online presence?

For the purposes of this article, here’s what I mean:

  • If people search for your business / organization by name, will they find you?
  • If people search for businesses like yours online (your “competitors” or colleagues), will they also discover you?
  • If there are people who are in the right demographic for your services who might benefit from your services someday but aren’t looking for them yet OR people are searching for information related to your work: will they stumble across your name from time to time, building “brand familiarity” so when they do need services, they think of you?
  • When people read about you online (on your site or elsewhere) will they get a good impression? A bad impression? Or a confusing mix of information?

How important is online presence?

The internet has become one of the primary ways that people find information. 93% of American adults age 30 – 49 use the internet.  57% of adults access it on their phones. Of people age 30 – 49, 82% use social media.  63% of Facebook users use it every day.  And they use it to find available services in their area. When searching for a physician, 66% look online (internet searches and online directories), 38% use the physical yellow pages, and 4% newspaper. When searching for a restaurant, 82% look online, 17% in the physical yellow pages, and 14% newspaper. (And I must note, the source of this data is heavily invested in physical yellow pages. They don’t share the demographics for their data, but I would guess that if limited to the 30 – 49 year old age group, the numbers for internet use may be even higher, and physical yellow pages and newspaper much lower.)

social mediaAnd internet users are not just searching for physicians and restaurants. Expectant parents and new parents are also searching online for information and support services. I work with a childbirth education organization that is very established in the community, with lots of community partnerships. When we ask our students how they found our classes, 75% were from professional referrers (care providers, hospitals we contract with, doulas), 3% were from family or friends, but 21% found us online through web searches or through links to our website. If you are a new business without lots of local referrers yet, you would likely see an even higher percentage of your clients coming in through the web. And if you advertise online, that will help you connect with even more potential clients online.

Tips for Improving your Online Presence

Here are some tips. Some of these steps would take you minutes to complete. And most do not require any technical knowledge.

1.  Have a website

If you don’t already have a website, just search online and you’ll find plenty of basic tutorials to get you started. DON’T go and hire a developer to build you a very complex site that you can’t maintain yourself. DO choose a DIY software that’s easy to work with and inexpensive to maintain so that you can keep it up-to-date easily. (I use WordPress.com and would recommend it but there are plenty of other good options.)

2.  Put essential information on your website

Make sure all the basic information someone would need to know about your business or services is on your website somewhere. For example, list your location! You’d be surprised how many sites fail to list the location of the business, or list the neighborhood without listing city and state. Don’t assume that people know what your services are – define them! Learn more about essential content here.

3.  Include important keywords on your site

Put yourself in the shoes of a potential client. Imagine they are doing a web search for services like yours. Think of all the words they’d be likely to type in. (And synonyms for those words.) Then make sure those words appear on your site somewhere. Learn more.

4. Write an effective page title and description

When you look at search results, you’ll notice each listing has a title for the page it links to and a brief description of what you’ll find there. What title and description is it displaying for your webpage? You want to make sure it’s the best it can be. If you are able to edit the HTML code for your site, you can write your own meta-title and page description there. If not, you can change the content of your site to affect the title and description. Learn more.

5. Claim your business

If you “claim your business” on Google, Bing, and in any important local directories, it makes it easier for those search engines to find you and places your listing higher in the results. It’s really easy! Learn how.

6. Check your web presence

You need to know what happens when someone searches for you. What do they find? Use a browser in “private mode” where it doesn’t remember what you’ve searched for before. Then type in the terms people would type in if they were looking for you. Learn whether you appear on review sites and in internet directories, then check those sites to see what they say about you. Learn whether there are other services with names similar to yours that you could be easily confused with. Think about what you could put on your website to differentiate yourself from them. Learn more on how to search and what to search for here.

Optional ideas

Add related content to your website

You might choose to only have the basic info about your services on your website. That’s totally fine. But many people choose to include articles or a blog on topics related to their services. This could help people find your site when searching for related information. For example, a birth doula might include articles on morning sickness, or choosing a care provider, or things to buy for baby. A potential client might search for that info, find your article on it, and then look around your site more to learn more about who you are and what you do. Also, if you do write that content, encourage other people to link to it.

Network with others

Talk to your employees, your colleagues, your clients, your students, other professionals in related fields, and so on. Encourage them to include a link to your website on their website; encourage them to share your Facebook posts; ask if you can guest-write an article for their blog, invite them to re-blog your posts. More links to your site from other sites help improve your web presence.

Establish a presence on other social media

Create a Facebook page! (That’s the dominant social media at this time for the 30 – 49 year old age group.) Consider also: google plus and LinkedIn if you’re aiming at older, educated professionals, Pinterest if you want to reach women (moms especially), Tumblr, and instagram for the 25 and unders. Twitter for very wired folks. Learn more about the different platforms here and their audiences here and here. To learn about setting up accounts in any of these systems and maximizing your visibility, just do web searches.

Also, be sure your various accounts are linked up. For example, for my WordPress.com blog More Good Days with Kids, whenever I post something it automatically puts a post about it up on my Facebook page, Google plus, Twitter and LinkedIn. Really the only one I actively maintain is the Facebook page but I know links are appearing in all those places.

Get started now

Most of the social service providers I know got into this work because we want to do direct work with our clients. Most don’t want to deal with marketing, or think about websites. But if you think your services benefit parents, then the best way to reach and benefit more parents is to take a few minutes to improve your web presence. If you don’t think you can do all the steps listed above, at least do one!

About Janelle Durham

Janelle headshotJanelle Durham, MSW, LCCE. Janelle has taught childbirth preparation, breastfeeding, and newborn care for 14 years. She trains childbirth educators for the Great Starts program at Parent Trust for Washington Children, and teaches young families through Bellevue College’s Parent Education program. She is a co-author of Pregnancy, Childbirth, and the Newborn and writes blogs/websites on: pregnancy & birth; breastfeeding and newborn care; and parenting toddlers & preschoolers. Contact Janelle and learn more at www.janelledurham.com

 

Childbirth Education, Guest Posts, Series: Building Your Birth Business , , ,