Posts Tagged ‘Cara Terreri’

Breast Pump Recycling Programs – Good for Families, Good for the Earth!

October 20th, 2015 by avatar

By Cara Terreri, CD(DONA), LCCE

Breast Pump Recycling (1)If you are a childbirth educator, doula, lactation consultant, midwife or doctor who works with expectant families, one of the topics you may be discussing with them as their birth day draws near is the acquisition of a breast pump. You may make suggestions on which pump will best suit their needs, let them know that breast pumps are considered durable medical equipment under the Affordable Care Act and are provided at no charge to them, and even provide instruction on how and when to use it, along with information on breast milk storage.  Do you realize that you can also provide information on what to do with that breast pump when it is no longer needed in the family?  There are several programs that offer breast pump recycling programs and families and the environment will benefit if they were utilized more.  Cara Terreri, Community Manager for Lamaze International’s Giving Birth With Confidence blog shares information that you can pass on to parents, helping them to keep breast pumps out of the landfills and support recycling efforts. – Sharon Muza, Community Manager, Science & Sensibility

Breast pumps are an expensive — and important — piece of equipment for many breastfeeding parents. But what happens when families aree done with their breast pump — like not going to have more children done? Do they sell it? Donate it? Recycle it? Trash it? Let’s take a look at the options.

Selling A Used Breast Pump

Families may have spent significant money on their high quality double electric pump — it would be nice to see some of that money back in their pocket! Be aware that many breast pumps are designed as “single use” pumps, which means that they are not created to be safely used by another person. The reason is, these pumps use what is known as an “open system,” which means that there is not a barrier to stop milk (even tiny particles) or moisture from traveling up into the pump’s motor. There is no way to fully clean or sterilize these kinds of pumps — even if the pump’s new owner purchases new tubing and plastic parts. The good news is that many, many breast pump brands sell pumps with closed systems. That said, even a closed system pump can be problematic when passing along to someone else. The motor can be weak, which affects the pump’s ability to operate as it should, causing less suction. A weak pump can impact a breastfeeding parent’s milk supply! If a parent does consider selling their pump, be sure to let the new user know that it’s used and for how long. Many lactation consultants will test a pump’s suction for free, which is something that can be done before selling.

Donating A Used Breast Pump

When considering donating  used breast pump, all of the information above applies. Families can donate a used pump directly to another family, or seek out an organization that will give it to a parent in need. Be forewarned, however, that many non-profit organizations will not be able to accept a used pump due to liability and health concerns, even if it is a closed system pump. A parent’s best bet is to connect with other families in their community, or perhaps a charity or community organization, to find a family in need.

Recycling A Used Breast Pump

Good news! There are now two pump manufacturers who offer recycling. Medela developed the Medela Recycles program, which allows families to ship their electric Medela pump for free back to the company, where they will then break down the pump and recycle all components appropriately. With each recycled pump Medela receives, they support the donation of new hospital-grade, multi-use breastpumps and supplies to Ronald McDonald House Charities® (RMHC®). This helps provide parents with high quality pumps hospital during their stay at a Ronald McDonald House, which helps ease the transition for families caring for a baby in the NICU. The recycled pumps are not re-used or re-sold in any way.

Hygeia, who promotes “No Pumps in Dumps™,” also offers a pump recycling program. Depending on the pump’s age and model, Hygeia may refurbish the pump and provide it to a mom in need (or work with an agency to do so), or if a pump can’t be refurbished, they will recycle it appropriately. Hygeia also recycles pump parts replaced when servicing customers’ pumps. Hygeia’s pumps are a closed system designed to be used by multiple families when each breastfeeding parent has their own “Personal Accessory Kit.”

If a family owns a pump made by one of the many other manufacturers, families should contact them directly to find out if they offer a way to recycle their pump. If not, recycle the pump’s plastic pieces appropriately and then take the electronic components to a facility or business that recycles electronics.   Often communities and municipalities hold recycling events where community members and drop off electronics to be recycled for free.  Families should monitor local news sources for upcoming recycling opportunities.

Throwing Away A Used Breast Pump

With the many safe and eco-friendly options available for getting rid of used breast pump, families don’t have to throw it away! And really, they shouldn’t — with the amount of garbage in our landfills, trashing a recyclable breast pump is not a good option.

Babies, Breastfeeding, Childbirth Education, Guest Posts, Newborns , , , , , , ,

Sharon Muza – Community Manager for Science & Sensibility Receives Lamaze International Media Award

September 24th, 2015 by avatar

By Cara Terreri, CD(DONA), LCCE

cara and sharon lamaze media award

Sharon Muza & Cara Terreri receive Lamaze International 2015 Media Award

One of the highlights of the recent Lamaze International/ICEA 2015 Joint Conference in Las Vegas, was being awarded the Lamaze International Media Award for 2015.  The purpose of the Lamaze International Media Award is for Lamaze International to honor individuals or organizations that present normal, physiologic birth and/or Lamaze International in a positive light in the mass media. It is given to a blogger or journalist who has worked hard to provide both consumers and professionals with accurate information on current best practice.  Both Cara Terreri, the Community Manager of Giving Birth With Confidence, Lamaze International’s consumer blog, and I were 2015 recipients.  Cara and I interviewed each other for both blogs this week so we could share the news.  Today, you find Cara’s interview of me, and tomorrow on GBWC- I interview Cara. Check out both blogs and learn a bit more about the Community Managers behind the two Lamaze International blogs – including some fun facts. – Sharon Muza Community Manager, Science & Sensibility

Cara Terreri: How long have you been the Community Manager for Science & Sensibility?

Sharon Muza: I have been the Community Manager with Science & Sensibility since May, 2012, and have written or edited more than 200 posts for the blog. Yowza!

CT: What else do you do professionally in addition to this position?

SM: A lot! I hold many birth related jobs in Seattle, WA and sometimes it is hard to keep track! I am an independent childbirth educator and I teach some specialized classes that I developed like “VBAC YOUR Way,” “Labor YOUR Way” and “Cesarean YOUR Way” along with a lot of private classes. I am a certified birth doula, and also a birth doula trainer for the Simkin Center, Bastyr University, which offers a DONA Approved workshop. I teach a seven week out of hospital birth series for the fabulous Penny Simkin, as part of her teaching team. I am a consulting instructor for Parent Trust for Washington Children’s childbirth education group – Great Starts, where we have over 30 childbirth educators working. I am a trainer for Passion for Birth, a Lamaze approved program that trains childbirth educators. I rent birth tubs, sell rebozos and TENS units and conduct advanced doula trainings on a variety of topics both locally and on the road. I offer editing and copywriting services, typically for other birth related businesses. I also present at both local and international conferences and sometimes do a bit of writing for other online publications. In between all that, I work on a variety of smaller projects that come and go. I am really a serious multi-tasker when it comes to my employment. A true freelancer. You can learn more about me at SharonMuza.com

CT: How did you feel when you learned that you had received the Lamaze International 2015 Media Award?

SM: Robin Elise Weiss, President of Lamaze International, called to tell me initially, and I was stunned speechless, which doesn’t often happen. I was honored and amazed and feel very, very grateful for the recognition. It makes all the hard work feel very worthwhile. I am still smiling and beaming with pride.

CT: What do you enjoy about writing and managing the blog?

SM: Writing and managing the blog means that I have to work hard at staying current with new research as it comes out, which truly helps me to know what best practices are, and I believe makes me a better educator and doula. I also get to work with fabulous writers and researchers who are guest bloggers and regular contributors, and that collaboration is very enjoyable. I very much enjoy other contributions I get to make to the Lamaze International organization, including developing and contributing to some of the online classes, participating in the Lamaze Institute for Safe & Healthy Birth projects and providing feedback on other ongoing projects.

CT: What are some of the challenges of this position?

SM: I think one of the biggest challenges as Community Manager for Science & Sensibility is that no sooner do I finish one blog post then I am focused on the next one and the next one and so on.  It is challenging to keep up with the editorial calendar. Also, I find it challenging to really dig deep into the research and understand the studies, which can be thick with facts, assumptions and statistics.  And deadlines.  Always deadlines.

CT: Where do you get inspiration for post topics?

SM: I do a lot of reading, I subscribe to over 400 blogs and news feeds (I cried when Google Reader went away a few years ago) and I have a ton of Google alerts set up for a variety of different topics. I also receive ideas and suggestions from researchers and contributors. Readers of the blog often email me with suggestions as well. Sometimes there is a topic that I want to learn more about, so I either research and write a post or contact an expert in that subject matter to ask them to share their expertise.

CT: Do you have a top post or two that you are really proud of or is a particular favorite? Why?

SM: Personally, I really love the “Welcoming All Families” series that I started in 2012 that explores how educators and other birth professionals can make their classrooms, practices, and services a welcome place for a variety of diverse clientele. I look forward to that occasional series continuing in the future. My new favorite is the 2015 series I started, “Brilliant Activities for Birth Educators” where each month I, along with other educators, share interesting and engaging activities that educators can use in their classrooms when working with families. My heart is in teaching and that series really excites me. I have tried several of the ideas written by others and they have been a big hit with the families I work with.

CT: What’s the most visited/read post on the blog?

SM: Last time I checked, it was a blog post written by Mindy Cockeram, LCCE – “The Red/Purple Line: An Alternative Method for Assessing Cervical Dilation Using Visual Cues” first posted in 2012.  I wouldn’t have expected this, but this post has had the most visitors of all the posts ever published on the blog.

CT: What do you hope the readers of the blog take away from your posts?

SM: My hope is that readers of the blog will be able to learn about and understand just a small portion of the research that is constantly being published and has the potential to affect maternal-infant health. I hope that readers will find information that they can synthesize and share with the families they work with in a helpful way. I also hope that readers enjoy the blog, find it useful and continue to read it.

cara sharon robin lamaze media award 2015CT: What are some of your favorite blogs that you enjoy reading yourself?

SM: This is a hard question to answer, as I really read a lot of blogs.  I have several food/cooking blogs that I enjoy, and I also am very interested in zero waste living (reducing garbage, recycling, upcycling and repurposing) so I read several blogs related to that.  Then a whole host of maternal infant health blogs.  Some blogs on being a better educator and teacher. But mostly hundreds of blogs on the childbearing year written by consumers and professionals.

CT: What is the last book you read of a professional nature?

SM: The most recent book I read of a professional nature was “The Science of Mom” in order to edit a recent book review on Science & Sensibility by contributor Ann Estes.  For fun, I am reading one of Mindy Kaling’s books and have a graphic novel about Julia Child on hold at the library for me.  I am a big library user – both “real” books and electronic books I can check out for the Kindle.

CT: What are some exciting plans for the blog in the future?

SM: I would love to add some more contributors to the line up on the blog – are you interested in writing for Science & Sensibility? Let me know! I have a few other ideas up my sleeve; readers will have to stay tuned to see what turns up!

CT: What is something unusual or fun about you that readers don’t know?

SM: I love good coffee – as soon as my feet hit the ground in the morning! People who know me understand it is best to wait to talk to me until I have started my one (and only one) very strong, large cup that I drink each day. I love to laugh, I am a wee bit sarcastic (which is not always appreciated), and am normally change adverse. I love routine! I have a degree in Biology with a concentration in Fisheries, and have been about 1600 feet down to the bottom of the ocean in a two man submersible. It is very dark down there!  When I was growing up I wanted to be a pilot/lawyer/marine mammalogist – all together.

2015 Conference, 2015 Lamaze & ICEA Joint Conference, Awards, Childbirth Education, Giving Birth with Confidence, Guest Posts, Lamaze International, Lamaze News , , , , , ,

Congratulations to Cara Terreri and Lamaze Parent Blog – Giving Birth With Confidence

June 23rd, 2015 by avatar

Congratulations Giving Birth withWhile Science & Sensibility is geared primarily for birth professionals and health care providers, Lamaze International also has a long running blog that is written by Cara Terreri, specifically with the expectant family in mind.  Giving Birth with Confidence (GBWC) offers families a wonderful mix of posts that highlight current best practice and evidence based information, fun and lighthearted topics for the pregnant and parenting crowd, and regular pregnancy week by week features that showcase development and concerns as a people move through their pregnancies.  One of my favorite topics on the GBWC blog is the “Great Expectations” series which follows a pregnant person through their pregnancy and birth, with regular posts documenting the progress, emotions and circumstances that are arising for the featured family.

I am not the only one that thinks that the Giving Birth with Confidence Blog is the bomb!  Healthline recently named Giving Birth with Confidence one of the top pregnancy blogs for 2015.  Cara Terreri has been writing the GBWC blog since its inception, and the honor is well deserved.  You may recall Cara from some posts she has done on this blog, as we followed her on her path to becoming a Lamaze Certified Childbirth Educator.  She has also been a guest blogger here on other topics.

I asked Cara some questions about her experience as writer and community manager for the Giving Birth with Confidence Blog and share her answers with you here now.

Sharon Muza: What do you hope that parents take away from reading the Giving Birth with Confidence blog?

Cara Terreri: I hope that parents  take away from GBWC that birth is a normal part of life, not an illness or fearful event, and in fact, that it can be an exhilarating, amazing, and beautiful experience. I also hope they take away practical information to help prepare for and shape their experience.

SM: What are some of the challenges that you see when writing a blog geared for parents in the childbearing year?

CT: I can identify two challenges — giving topics the detail they deserve without overwhelming parents with information. That’s a challenge childbirth educators often face in classes, too. The other is presenting information in a non-biased, non-judgmental way. It can be easy for my opinion to creep in when I should be presenting “just the facts, ma’am.”

SM: There has never been more online information available to parents – what distinguishes GBWC from other online resources?

CT: Evidence based information, first and foremost. Followed by a tendency to address important issues and choices women face, not just what’s “hot” or “trendy.”

SM: What have been some of your favorite posts of all time?  What about the favorite posts of the readers?

CT: My favorite posts come from the expectant moms who participate in our Great Expectations series, an every-other-week chronicle of their pregnancy. Often, the posts just contain thoughts and reflections of pregnancy, motherhood, and birth, which is just perfect. Our readers, interesting enough, tend to click through most to our post about Lamaze breathing, which provides clarity on how Lamaze teaches breathing as a coping mechanism in labor. Families might come to us to learn about breathing, but they leave with so much more!

SM: Why should childbirth educators and other birth professionals share this blog with the families that they work with and encourage them to become regular readers?

CT: Birth professionals and CBEs can trust the content, when they recommend it to the families they work with. It supports and mirrors what is taught in a Lamaze class. Our content is also easy to read and understand.

I hope that you will share this blog with the families you teach or work with, so that they can receive the information and community that GBWC offers to readers.  If you have suggestions for future post topics, would like to be a guest blogger or have some helpful feedback, please contact Cara directly.

cara headshotI would like to invite all of you to join me in congratulating my friend and colleague Cara Terreri and the Giving Birth with Confidence blog on a job well done!  I know that many families are better prepared and better informed as a result of the exceptional information that is shared on the blog.  Make sure that the families that you work with are aware of this valuable resource.  This recognition is well-deserved and I am delighted that you have received it.  I look forward to more posts on the topics that are important to families everywhere.

Awards, Babies, Giving Birth with Confidence, Lamaze International, Lamaze News , , ,

Series: Brilliant Activities for Birth Educators – Postpartum Survival Kit – Helping Families Be Ready for Life with a Newborn

May 26th, 2015 by avatar

By Cara Terreri, LCCE

PSK BABEMay’s Brilliant Activities for Birth Educators idea is all about the postpartum period.  Lots of families don’t realize that good childbirth classes not only prepare families for the labor and birth but can be a wealth of information about the first weeks with a new baby.  Today on Science & Sensibility, Cara Terreri, LCCE shares her classroom activity to help families get ready for what happens after the birth – when they bring that new little one home. – Sharon Muza, Science & Sensibility Community Manager 


The postpartum period is an important component of childbirth education. As we know, preparation for the birth of a child isn’t enough. And unfortunately in our culture, postpartum needs aren’t given a lot of attention, which means that parents often feel unprepared, confused, and frustrated during the early days and weeks after baby comes home.

For my childbirth classes, I developed a fun and interactive activity to introduce and discuss the many topics related to postpartum. The exercise can be a stand-alone activity (in a refresher childbirth class) or used as an opener to more in-depth activities and lessons on postpartum in an entire series. My inspiration for creating the “Postpartum Survival Kit” was the wonderfully humorous “Postpartum Robe,” a trademark teaching tool from Teri Shilling, MS, CD(DONA), IBCLC, LCCE, Passion for Birth founder and Lamaze educator, as well as Lamaze Childbirth Educator Seminar trainer.

The Postpartum Survival Kit (PSK) consists of a large plastic container with lid (mine also includes a handle, which helps for easy transport), and includes 23 items representing different issues or experiences a family may encounter during the postpartum period. The items represent everything from the physical recovery after birth (peri bottle, thick menstrual pad, and hemorrhoid cream) to emotional issues, like the importance of finding “me time” and postpartum mood disorders.

How It’s Used

In my classes, after introducing the topic of the postpartum period, I bring out the PSK, pass it around, and instruct families to take out 2-3 items (depending on the number of students in class). I then introduce the PSK and talk about how the different items represent typical encounters and issues during the postpartum. We then go around the room and each couple is asked to share the items they pulled and offer an explanation of their significance. Some items are more obvious, like the sleep mask for the importance of getting sleep when you can; some elicit giggles and awkward moments, like the KY jelly which represents the possible need for vaginal lubrication during intercourse if the parent is breastfeeding; and some items are confusing, like the mini manicure kit (taking “me time”) and the red golf ball (size of postpartum clots, what’s normal and what’s not).

photo 2When students share their items, I jump in when they (or the other students) cannot accurately describe the item’s meaning. I also open the floor for discussion with open-ended questions like “How would you cope?” and “What kind of support would you need if this should happen to you?” and “Who could you call on for help?” Depending on the size of your class, this exercise can take up a good amount of time, so be sure to plan appropriately and be prepared to reel in side discussions should it get off course.


Parents in my classes really enjoy this exercise. I get a lot of laughs, bewildered looks, and “lightbulb” moments. It’s always interesting to see how often the non-birth parent accurately describe the significance of items in this exercise – there have been many moments where the pregnant person is stumped, but the partner knows. In these instances, the exercise provides reassurance to both parents that the knowledge on what to expect during postpartum is intuitive. Additionally, I have found that this tangible exercise helps reinforce learning and memory when we talk more in depth about postpartum issues later in the class.


The PSK exercise can be modified in several ways. I’ve used it in coordination with a worksheet, which could also be turned into a competition between families. If using in a private class, you can have each family member take turns with each new item. You could also use the exercise as an interactive teach-back. Ask each family to take out 2-3 items, learn about their significance (offer assistance if they are completely stumped), and then return to the next class and teach the other students.

The PSK also could be replicated for use in teaching the stages of labor and breastfeeding. Create a similar, smaller kit for each stage of labor and/or breastfeeding and begin the segment with the kit. For example, a Transition Kit may include a focal point, washcloth, water bottle, and mini bullhorn (to signify the “take charge” routine). 

Contents & Creating Your Own

The fun part about creating a PSK is making it uniquely your own! Some of the items will naturally be the same (lochia pad, hospital underwear, peri bottle, breastfeeding pads, for example), but others are limited only by your creativity! Consider the ways in which you can demonstrate postpartum mood disorders, changing emotions, dividing up hours in the day, eating nutritious food, sleep, etc. Items included in my Postpartum Survival Kit are:

  • Water bottle – keeping hydrated
  • Hospital underwear and pad – postpartum bleeding
  • Peri bottle, Dermaplast, and ice pack – perineal healing
  • Elastic abdominal brace – cesarean healing and core strengthening
  • Plate with balanced meal – postpartum nutrition
  • Ibuprofen – normal aches and pains
  • Hemorrhoid cream – a not uncommon postpartum issue
  • Stool softener – this is an important concern for many!
  • KY Jelly – lubrication issues
  • Condoms – postpartum fertility/birth control
  • Eye mask – getting sleep
  • Small red balloon paired with giant red balloon – involution, postpartum tummy
  • Hand mirror with puzzled/confused face – postpartum mood disorders (“I don’t recognize myself”)
  • Laminated speech bubble with “helpful” advice – dealing with influx of family/friend advice
  • Cloth breastfeeding pads – leaking nipples
  • Stuffed heart toy with wide open arms – finding and accepting support
  • Do not disturb door hanger – limiting visitors is ok; family time is important
  • Small baby doll with a heart and question mark on her tummy – conflicting emotions a baby often brings
  • Encouragement flags – encourage and praise your partner
  • Manicure kit – making time for yourself
  • Pill box modified to read “house, partner, work, baby care, errands, etc.” and filled with 24 beads, divvied up into the different compartments – how will you divide your time

 What else might you add to your customized Postpartum Survival Kit? There are many ways to teach about adapting to and surviving the postpartum weeks.  How do you teach about the postpartum period in your childbirth classes?  What activities have you found effective?  Share with all of us in the comments section.  If you have a “BABE”  to share in future posts – please contact me and let’s talk. – SM

Note/Disclaimer: The use of the acronym “BABE” (Brilliant Activities for Birth Educators) is not affiliated with, aligned with or associated with any particular childbirth program or organization.

About Cara Terreri, LCCE

© Cara Terreri

© Cara Terreri

Cara is a Lamaze Certified Childbirth Educator, doula, and site administrator for the Lamaze parent blog, Giving Birth with Confidence. She teaches and works in Myrtle Beach, SC, where she lives with her husband and three children. You can learn more about Cara at Simple Support Birth.


Childbirth Education, Giving Birth with Confidence, Guest Posts, Series: Brilliant Activities for Birth Educators , , ,

Because… A Poem Honoring Cesarean Awareness Month

April 9th, 2015 by avatar

CAM 2015 GBWCGiving Birth with Confidence is the sister blog to Science & Sensibility, Lamaze International and is geared for parents and new families.  Cara Terreri, ( you may remember Cara, we followed her journey to becoming an LCCE) has been the Community Manager there since the blog was first established in 2008.  I always point the families in my classes to Giving Birth with Confidence because I know that they will find evidence based information along with great inspiration to push for a safe and healthy birth.

Cara recently wrote and published a poem on Giving Birth With Confidence to commemorate Cesarean Awareness Month (April), and it really spoke to me.  Since April is also National Poetry Month, I wanted to share her poem with you, in hopes that you might pass on and share with the families you work with.  Because 1 in 3 is too many.


1 in 3 is too many

Recovery is hard

My birth was still a birth

I want to have a VBAC

My scar still hurts

I was separated from my baby

My doula supported me in the OR

I didn’t have a choice

I got to experience skin to skin with my baby right away

I made the choice this time

I wish I would have known

I feel cheated

My doctor never told me this could happen

It’s going to be OK

My sister said this was easier anyway

My midwife made the right decision to transfer to the hospital

Friends told me at least I had a healthy baby

I have postpartum depression

It was the best decision for my birth

My husband has scars too

I’m embarrassed

My doula wasn’t allowed back into the OR

I failed the one thing I’m supposed to be able to do as a woman

My mom had one too; I guess it was meant to happen

I know my doctor helped me make the best decision

I want more for my daughter

I am a source of courage and support for others who have gone before me and those who will go after me

I did the best that I could with the knowledge I had at the time

I’m doing better now

My baby is beautiful

My body is strong

I am resilient

My birth matters

By Cara Terreri

cara headshot


Cesarean Birth, Childbirth Education, Depression, Giving Birth with Confidence, Guest Posts, Infant Attachment, Newborns , , , , , ,

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