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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 , ,

Series: Journey to LCCE Certification – Mission Accomplished!

December 4th, 2014 by avatar

By Cara Terreri, LCCE

 photo credit: kevin dooley via photopin cc

photo credit: kevin dooley via photopin cc

If you have been following Cara Terreri in our Series: Journey to LCCE Certification, you know Cara was last seen hard at work preparing for the LCCE examination.  I received good news from Cara yesterday, and wanted to share her update with you.  Please join me in congratulating Cara on successfully passing the Lamaze exam and receiving the credentials “LCCE”.  I would like to congratulate all of you who also received news of your passing score.  You should be proud of your accomplishments.  If others would like to explore becoming a Lamaze Certified Childbirth Educator, please check out our certification page on the website for information on how to start. – Sharon Muza, Science & Sensibility Community Manager.

The final days

At the culmination of nearly two years, the longest part of which was the last five weeks waiting to hear news, the results are in… I passed the exam and am now a Lamaze Certified Childbirth Educator! Though I felt confident in my knowledge and abilities, self-doubt crept in during the weeks leading up to the exam. I amped up my studying and review time in order to feel more sure in my knowledge. Walking through the door of the testing site, my nerves took a back seat and I felt ready.

My test experience

My test-taking experience was, overall, positive. Many of the questions were reasonable and fair, and for a good number of them, I quickly found the answer. For other questions, however, I really had to closely read the question and think hard about my answer. I could always narrow it down to two answers – it was those last two that really tested my knowledge! The testing system allows you to “flag” a question if it’s one you want to go back and review. Two hours into the exam, I was finished answering questions. I was more than thankful for the additional hour to review the questions I had flagged. For two questions, I felt strongly about sending feedback to staff, a feature available to me during the test.  This feature made me feel like the test was truly created to be fair and open to my feedback. When the test results were released, I was pleased to see that a question had been eliminated, and I was hopeful that it might have been one of the questions I flagged.

Lamaze core values

cara lcceLamaze prides itself on promoting evidence based information and the LCCE exam is no different – questions are created fairly (not intentionally tricky), and cover a wide range of in-depth information that a competent and effective childbirth educator should possess. As someone who writes on behalf of Lamaze for parents everywhere, and as a budding educator and doula, holding the LCCE credential is invaluable. It provides added credibility, yes, but perhaps more importantly, it holds me accountable. Ongoing education is so critical in our field! Throughout the years since working with Lamaze, I’ve come to learn so much about the organization in comparison to others. It’s the level of dedication and commitment to education that encourages me to grow further with Lamaze as my foundation.

What’s next

Now that the exam is complete, the real work begins! Since moving and settling into a new community, I now am ready to create a business plan for 2015 and begin teaching locally. My earlier professional goals centered around doula work, but until I can solidify extended child care, that will have to wait. Teaching classes, however, is very doable and it’s also something I truly enjoy.

Did you also pass the exam?  Share your good news in our comments section and let us know what your next steps are!  Where will you be teaching?  What type of classes?  Let us knw! We want to celebrate with you and wish you all the best as you start your work as an LCCE. – SM

About Cara Terreri

Cara 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.

 

Childbirth Education, Guest Posts, Lamaze International, Series: Journey to LCCE Certification , , ,

Series: Journey to LCCE Certification – Countdown to the Lamaze Certified Childbirth Educator Exam

September 25th, 2014 by avatar

By Cara Terreri, BA, Community Manager for Lamaze International’s Giving Birth With Confidence blog

Cara Terreri has been documenting her path to become a Lamaze Certified Childbirth Educator since taking her workshop in August of 2012, in our series: Journey to LCCE Certification. Today ,we have another update as she prepares to sit for the exam next month.  The LCCE credentials are the gold standard for childbirth educators and Cara, along with many other men and women worldwide, are seeing the culmination of learning and preparation coming to a close with an exam date scheduled for late October.  Get an update on Cara and share your exam tips for Cara and others in our comments section. Interested in becoming an LCCE? Find out more. – Sharon Muza, Community Manager, Science & Sensibility.

© Cara Terreri

© Cara Terreri

Since my last installment, my life has taken a near 180 degree turn. Birth work still remains my professional priority and passion of course, but after a huge move out of state, I will now pursue doula work and childbirth education – as well as take the LCCE exam — in Myrtle Beach, SC. When I would have been preparing to take the exam in April in Atlanta, I was in the thick of selling my house, packing out, and preparing my family to move to the East Coast. Thankfully, Lamaze gives you the option to defer taking the exam.

With one month to go until the exam date, I am spending my afternoons and evenings poring over the pages of the Lamaze Study Guide, in particular, the “review” sections for each core competency. Reviewing key questions help me to understand my weak points (pregnancy complications and prenatal tests) and give me a tighter focal point for studying. To further boost my knowledge, I attended the fantastic Lamaze International/DONA International joint conference (“confluence”) last week – the timing couldn’t have been better! The insightful sessions echoed many of the themes throughout the Study Guide. But perhaps most important, I was able to speak directly with several LCCEs about their experience with the exam. I heard things like “fair,” “read questions closely,” “common sense,” and “you’ll do great!”

In the days to follow, I plan to take the Exam Prep Course from Lamaze, which includes a practice test. I feel fairly confident about my depth of knowledge, but this is like the extra bit of insurance I want before the big day.

Of course, taking the LCCE exam is just the tip of the iceberg for me professionally, since having relocated to a new area. Now that my kids are in school and we’re more settled, my goal is to build relationships with local educators, doulas, and lactation professionals, along with moms and families. Lots of work to do, and I’m so energized by my drive to help women and families, I want to do it all! But I remind myself that the key is to help, not help everyone. This will likely be my life’s work and because it is not my sole source of income currently, I do as much as I can that works into my stage and place in life.

Readers, I would love to hear your thoughts on the Lamaze exam! Any last-minute tips? Suggestions for studying?  How to calm those last minute jitters? And of course, positive thoughts in my (and all the exam test takers) direction would be much appreciated next month on “game day”!  I will update readers after I take the exam.  And of course, will share my results – hopefully a passing grade.

About Cara Terreri

Cara 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.

 

2014 Confluence, Childbirth Education, Giving Birth with Confidence, Lamaze International, Series: Journey to LCCE Certification , , , ,

Lamaze International’s Parents Blog – Giving Birth with Confidence Seeks Your Expertise!

July 31st, 2014 by avatar

 My friend and colleague, Cara Terreri, is the Community Manager for the sister blog to Science & Sensibility, “Giving Birth with Confidence,” Lamaze International’s blog geared for expectant and new families.  Cara is looking for some guest writers, and that just might be you!  Read on to find out more.  – Sharon Muza, Community Manager, Science & Sensibility

Are you a maternal/child health professional with something to say or a passion to share? Giving Birth with Confidence, the Lamaze blog for parents, is seeking new voices to share relevant, up-to-date information with expectant parents everywhere. My name is Cara Terreri, and I manage and write for the Giving Birth with Confidence blog. I rely on my guest writers to share a range of topics and expertise with our readership. Guest posts on the blog can address a wide variety of topics pertinent to pre-conception, pregnancy, birth, postpartum, breastfeeding, and early parenting, and should be written in lay language, easily understood by the average person. Generally, articles are kept to a length of 1,000 words or less, but if the topic requires more, we can accommodate. Links, references and resources should be used where appropriate, and pictures (to which you own rights) are always appreciated! Below are a few topics on our current wish list, but please don’t hesitate to contact me with other ideas. 

  • growing research on the importance of colonizing baby’s gut after cesarean birth
  • options/choices if you experience a still birth
  • breastfeeding pain — difference between “normal” discomfort and pain, and what the pain could signal
  • resources for women on medicare and/or WIC during pregnancy/prenatal care
  • family centered cesarean
  • understanding fetal heart tones during labor (what are staff looking for with each 15 minute strip?)
  • rebozo 101 in labor
  • how to bond with your baby if you’ve been separated (NICU stay, etc)
  • relationship matters – during pregnancy, after birth
  • issues unique to single parents

We are also searching for our next Great Expectations blogger. If you or someone you know is in their first or early second trimester and would like to blog through their pregnancy experience (2 posts per month, through the first month postpartum), let us know!

Contact Cara Terreri to inquire about all guest writing opportunities.

Giving Birth with Confidence, Guest Posts, Uncategorized , ,

Series: Journey Towards LCCE Certification – Update: Preparing for the Exam

March 11th, 2014 by avatar

By Cara Terreri, BA, Community Manager for Lamaze International’s Giving Birth With Confidence blog

Many of you may be busy preparing to sit for the exam that, will, upon passing, bestow the credentials; Lamaze Certified Childbirth Educator (LCCE) after your name.  The exam will be held during the 23-25th of April, 2014.  For some of you, this has been a long time coming and you have been working steadily working towards your goal.  For others, it has been a whirlwind of workshops and prep and observed teaching.  Regardless, now the exam date is nearing.  We have been following Cara Terreri, the community manager for Lamaze International’s parent blog, Giving Birth with Confidence, on her journey to become Lamaze certified in a regular series on this blog.  Read all of the posts to get the back story on Cara’s childbirth educator journey. Today, Cara updates us as she is counting down the days to the exam.  If you were considering taking the exam, but thought you missed the deadline, please be aware that the registration deadline has been extended until March 17th!  There is still time for you to register!  Contact the Lamaze International Certification Associate for questions and information about the process or to register for the April exam. -Sharon Muza, Science & Sensibility Community Manager

good luck signAs the April Lamaze Certified Childbirth Educator exam date draws closer, I finding myself knee deep in studying. Of course, this is on top of finishing certification requirements for DONA, serving existing doula clients, teaching private childbirth classes, blog writing and management at Giving Birth with Confidence, and of course, my personal life. But who doesn’t have a full plate these days?

There are times when I question my choice to take on this path at a time when my children are young, my days are full, my patience is worn, and my energy wanes. And then, I wrap up teaching a class to first-time parents, and the dad turns to me and says enthusiastically, “Wow, I feel like I learned so much in a short amount of time – this was awesome!” There’s nothing like instant positive feedback to feel a renewed sense of purpose. I never thought I would enjoy the experience of teaching as much as I actually do – I love helping families build their own path to birth and discover confidence that previously didn’t exist. It is because of this desire that I feel an even stronger imperative to complete my Lamaze certification. It’s important to demonstrate to families that what I teach is evidence based and proven.  This is the foundation of today’s Lamaze.

So here I am, committed to my path, and working to fit it all in. I spend my evenings and mornings huddled over the Lamaze Study Guide, with a notebook at my side, jotting down important items – in particular, anything that is unfamiliar or not yet a solid part of my knowledge bank. The Study Guide has been most helpful in identifying several new (to me) reading materials (as well as many that are familiar, including resources from Science & Sensibility!  It’s designed in such a way that reading resources are either hyperlinked directly from the PDF so you can easily click through to the source, or they are included at the end each module. Each module also contains in-depth review questions to that serve as a quiz on the material just covered.

Perhaps most valuable to my confidence in preparing for the exam is the 20+ hours I’ve spent already teaching couples (not to mention the countless hours I’ve spent preparing and researching my curriculum and setting up my business). I feel confident that a good portion of the exam will be testing information that I know, live, and breathe on a daily basis. Of course, there is always more to learn, but I do feel more prepared than if I had not been teaching.

As this is my last update until after I sit for the exam, I would appreciate any words of encouragement – or better yet, study tips! Thanks for taking interest in my journey and supporting me along the way.

Cara- I wish you good luck on the upcoming exam.  I know you are well prepared and understand the material.  My tip for you is to know that you have done your best to prepare, you are ready, and I hope that you feel confident when you test.  Just like labor and birth – one question/contraction at a time!  To all of you who are also preparing at the same time, I wish you well and much success on this next big step.  I invite readers to share their best tip and well wishes for Cara and all the others registered for the exam,  in our comments section below.- SM

About Cara Terreri

Cara 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.

 

 

Childbirth Education, Guest Posts, Lamaze International, Series: Journey to LCCE Certification , , , , , , , ,