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Labor/Birth

January 3, 2017 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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An External Cephalic Version (ECV) is one option open to people whose babies are breech. However, if a person has had a prior cesarean, they may be told that this is not an option for them. The evidence does not support excluding those with a prior cesarean from an ECV.... Read More
December 27, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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The American College of Obstetricians and Gynecologists released an updated Committee Opinion "Delayed Umbilical Cord Clamping After Birth" which provides a revised recommendation to the previous statement that was released in 2012. The current recommendation is to wait at least 30-60 seconds.... Read More
December 13, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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The Healthy Children Project and the video series "Happy Birth Day" is a collection of six birth stories that you can share with families to give them a peek into what birth is really like and to reinforce what they have learned in their childbirth class. Sharon Muza reviews them today.... Read More
December 9, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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One thing that frequently gets left out when discussing cesareans in childbirth classes is the options that birthing families have when giving birth by cesarean. Sharon Muza shares some resources for cesarean birth planning.... Read More
November 17, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Today, November 17th is World Prematurity Day, and all of November is Prematurity Awareness month. According to the March of Dimes Peristats Data Center, preterm birth, defined as a baby being born before the completion of 37 weeks gestation, affects nearly 10% of pregnant people.... Read More
November 3, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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The American College of Obstetricians and Gynecologists (ACOG) Committee Opinion No. 679, “Immersion in water during labor and delivery,” was released at the end of October and Barbara Harper, founder and director of Waterbirth International discusses this new update.... Read More
September 22, 2016 by Henci Goer, BA
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The advance publication of an analysis of United States maternal mortality data back in August created a stir that has been reverberating through the internet ever since, spurred on by the publication of other relevant studies and a report during the same time period.... Read More
September 1, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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There are some fantastic facts about pregnancy, childbirth and the new baby, that when shared, always gets a lot of "oohs" and "ahs" from everyone. Here are the top ten amazing facts about the childbearing year.... Read More
July 14, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Birth by the Numbers just released the newest video in their occasional video series and this time Dr. Eugene Declercq and his team are providing valuable information about current home birth trends in the United States.... Read More
July 7, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Everyone knows that real estate is no bargain in Northern California. It turns out that giving birth ain't cheap either. New research on the cost of childbirth in the nation's 30 largest metropolitan areas was just released,... Read More
June 14, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Childbirth educators, we have a problem. When ACOG changed the definition of the start of active labor from 4 cm to 6 cm of dilation, we failed to change our collective thinking about how we interpret and teach the phases of labor in our childbirth classes.... Read More
June 9, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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The National Vital Statistics System, a division of the National Center for Health Statistics, released preliminary 2015 birth data for the United States, and we can consider the news to be stable if not positive in most areas. We highlight ten important stats for you today.... Read More
June 7, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Parent Melissa Krawecki shares her story of HELLP syndrome, loss of her beloved daughter Ava, and the near loss of her own life in her recent book, "In the Shade of Ava’s Tree (2015, Praeclarus Press). Kaitlin Lewis, of Praeclarus Press interviews Melissa about her experience.... Read More
May 19, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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May is International Doula Month and this month's Brilliant Activities for Birth Educators is all about how childbirth educators can incorporate a doula and the doula's skills at useful points during a childbirth class.... Read More
May 17, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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May is Preeclampsia Awareness Month and today on Science & Sensibility, Preeclampsia Foundation Director of Community Relations Laney Poye provides a look at four important things that childbirth educators and other birth professionals can share to educate families about preeclampsia.... Read More
May 12, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Lamaze has shared, reviewed and discussed research articles on the topic of out of hospital birth. Use this compilation of S&S posts from experts, including researchers, midwives, doctors and others on the topic of home birth safety for your own use and to share with families.... Read More
April 28, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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As April comes to a close, so does Cesarean Awareness Month.  Science & Sensibility rounds up a plethora of Cesarean and VBAC resources for birth professionals to have handy at their fingertips for students and clients. Are you familiar with all of these useful sources for evidence based info?... Read More
April 26, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Our April Brilliant Activities for Birth Educators activity honors Cesarean Awareness Month which occurs annually. Lamaze Educator Katherine Steen shares an effective activity – "Cesarean Pie" that educators can use to help families gain more knowledge about cesareans as they prepare for their birt... Read More
April 12, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Just in time for Cesarean Awareness month, Consumer Reports is releasing an investigation into cesarean section rates of more than 1,200 hospitals across the country. And the results are sobering.... Read More
March 29, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Rebecca Dekker, PhD of Evidence Based Birth released a new article today – “The Evidence for Advanced Maternal Age” which examines and summarizes the current research available on the topic of pregnancy and birth at the age of 35 years old or beyond. The age at which people are having their first ch... Read More
February 3, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Lamaze International has created a very extensive selection of online classes for expecting families.  Currently there are eight classes in the online catalogue, from a free early pregnancy class-Prepared for Pregnancy: Start Off Right to parenting classes, breastfeeding instruction and even a VBAC... Read More
January 31, 2016 by Anne Estes, PhD
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By Anne M. Estes, PhD,  Illustrations by Cara Gibson, PhDIn recent years, there has been much discussion about the impact of our high cesarean rate and downstream affects on the baby, short and long and term.  Dr. Maria Dominguez-Bello and her colleagues have been leading the way in attemp... Read More
January 27, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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By Christina Gebel, MPH, LCCE, Birth Doula [caption id="attachment_8324" align="alignleft" width="300"] @ Dianne Hamre[/caption]Today on Science & Sensibility, blogger and researcher Christina Gebel submits an Op-Ed piece in response to a recent Slate article written by Elissa Strauss.  Str... Read More
January 18, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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By Jeanette McCullochIn the past month, two new studies have been released - one in the New England Journal of Medicine (NEJM), the other in the Canadian Medical Association Journal (CMAJ) - comparing out-of-hospital birth outcomes to hospital birth outcomes. These studies join a growing body of lit... Read More
January 13, 2016 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
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Contributor Deena Blumenfeld takes a field trip to a history museum that fills the cup of those that love medical anthropology and the lore of the practice of midwifery and obstetrics in the recent (and not so recent) past.  She shares her experience and a review of her trip to the Dittrick Mus... Read More
January 11, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
Last week, Childbirth Connection, a program of the National Partnership for Women & Families, and Choices in Childbirth released an informative and useful issue brief: Overdue: Medicaid and Private Insurance Coverage of Doula Care to Strengthen Maternal and Infant Health. Both of these orga... Read More
January 6, 2016 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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In the past month, two new studies have been released - one in the New England Journal of Medicine (NEJM), the other in the Canadian Medical Association Journal (CMAJ) - comparing out-of-hospital birth outcomes to hospital outcomes. These studies join a growing body of literature that consistently s... Read More
January 4, 2016 by Henci Goer, BA
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By Henci Goer�[T]he best evidence in answer to the wrong question is useless.� Menticoglou & Hall 2002Last week, a new study was published in the New England Journal of Medicine titled "Planned out-of-hospital birth and birth outcomes." This study looked at the safety of... Read More
December 23, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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At this time of year, waiting for a baby can be extra challenging and often comes with a lot of pressure from friends, family and health care providers to interfere with the natural timing that comes with waiting for the baby to start the labor. Lamaze International's first Healthy Birth Practice -... Read More
December 21, 2015 by Henci Goer, BA
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New research came out on December 1 that challenged the established assumption from the World Health Organization that a 10-15% cesarean rate was the "sweet" spot beyond which more harm was done than good. "Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality" made some bi... Read More
December 16, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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A recent research paper, Relationship Between Cesarean Rate and Maternal and Neonatal Mortality was published on December 1, 2015 in the Journal of American Medical Association (JAMA).  This new study calls into question the long standing World Health Organization recommenda... Read More
December 13, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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On Monday, December 7th, Lamaze International convened 13 representatives from government and healthcare organizations to its Roundtable in Washington, D.C. to discuss the role that evidence based childbirth education has in improving childbirth outcomes. The Roundtable provided participants an oppo... Read More
November 30, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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 I appreciate Lamaze International for many reasons, and one reason is that they continually provide useful new material for childbirth educators to integrate and adapt for their classes and curriculum.  Additionally, this information is also available directly to consumers on the parent s... Read More
November 18, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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November is Prematurity Awareness Month and November 17th was World Prematurity Awareness Day. This month's Brilliant Activities for Birth Educators post is about preventing prematurity, the events of late pregnancy and the importance of waiting for labor to begin on its own. As they do every year,... Read More
November 12, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Today we conclude our three part series on Cesarean Birth after Cesarean, written by Pamela Vireday, who is an occasional contributor to Science & Sensibility. In this series, Pamela examines the topic of women who experience a Cesarean Birth after a Cesarean.... Read More
November 4, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
8 Comments
By Pamela Vireday "Although the world is full of suffering, it is also full of the overcoming of it." - Helen KellerI am delighted to share with you a three part series that begins today, written by Pam Vireday, who is an occasional contributor to Science & Sensib... Read More
October 26, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
"...The problem for anesthesiologists is that our practice guidelines on obstetric anesthesia are strongly worded, and state that women can not eat during labor. We can't ethically design a large enough study to answer this question, so we will have to wait for expert opinion to change." - Paloma To... Read More
October 14, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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October is Pregnancy and Infant Loss Awareness Month.  Today, October 15th, is also a special day of remembrance.  As a childbirth educator and a doula, I have worked with several families over the years who have experienced losses while taking a childbirth class with me, after the class e... Read More
October 12, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Last week, the National Center for Health Statistics (NCHS), part of the Centers for Disease Control (CDC) released 2014 information from the National Vital Statistics System, which works collaboratively with the NCHS.  This information comes from birth certificates and captures all births that... Read More
September 14, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
12 Comments
[caption id="attachment_5630" align="alignleft" width="324"] http://www.flickr.com/photos/eyeliam/7353095052/[/caption]�Planned Home VBAC in the United States, 2004�2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making� came out on... Read More
September 9, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
[caption id="attachment_10034" align="alignleft" width="200"] � Jennie Joseph[/caption]Today on Science & Sensibility, we have the opportunity to meet our final Lamaze/ICEA 2015 plenary speaker- Jennie Joseph, LM, CPM.  This British born midwife is the founder and executive dire... Read More
September 7, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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The countdown to the Lamaze/ICEA 2015 Conference in Las Vegas is in single digits and the excitement is building. I recently had an opportunity to interview plenary conference speaker Elan McAllister, founder of Choices in Childbirth, an education and advocacy group for pregnant people and their fam... Read More
August 17, 2015 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
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By Deena Blumenfeld, ERYT, RPYT, LCCE Part of a parent�s job description is to worry about their children. In doing so, parents can help the child maintain their physical health and their emotional wellbeing. However, when the line is crossed into fear based parenting; they may beco... Read More
July 29, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
[caption id="attachment_9884" align="alignleft" width="409"] � Sharon Muza[/caption]Time for another post in the "Brilliant Activities for Birth Educators" series.  The purpose of this monthly series is to share engaging, interactive and effective teaching ideas that childbirth educ... Read More
July 27, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Today on Science & Sensibility, we continue with our occasional series: Welcoming All Families by examining how an educator might make their class inviting for the Orthodox Jewish family who attends. There are rich traditions and customs that are unique to observant Jewish families and... Read More
July 13, 2015 by Henci Goer, BA
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Today on Science & Sensibility, contributor Henci Goer takes a look at a systematic review released in spring that examined the impact of elective inductions on the cesarean rate.  Sound analysis or a house of cards?  Looking closer at the studies reviewed provides insight into how the... Read More
June 29, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
Today I am sharing our Brilliant Activities for Birth Educators idea for June!  "Should I Stay or Should I Go Now?"- submitted by Lamaze Certified Childbirth Educator Mindy Cockeram. The Brilliant Activities for Birth Educators series contain fun and interesting ideas that childbirth educators can u... Read More
June 15, 2015 by Henci Goer, BA
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Neel Shah, Harvard Medical School assistant professor and practicing obstetrician, commenting in the New England Journal of Medicine Perspectives section -  "A NICE Delivery - The Cross-Atlantic Divide over Treatment Intensity in Childbirth", agrees with new United Kingdom National Institu... Read More
June 7, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Lamaze International is delighted to announce the launch of their new "Pregnancy to Parenting" mobile app for families.  This just released app is meant to be a comprehensive evidence based resource for people to use during the childbearing year and is free to anyone who downloads it.  In addition t... Read More
May 11, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
By Eleni Z. Tsigas

May is Preeclampsia Awareness Month and the journal Obstetrics and Gynecology highlighted some new research published by doctors and researchers at the California Maternal Quality Care Collaborative that demonstrated that the majority of preeclampsia-related deaths could have bee... Read More
May 6, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
By Kim James, BA, BDT(DONA), CD(PALS), ICCE, LCCE

May is International Doula Month and Lamaze International recognizes the importance of labor support. (Note - there are both birth and postpartum doulas who work with families during the childbearing year. We are grateful for the work that they both... Read More
May 4, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
Lamaze International and Science & Sensibility join with other partners around the world to celebrate International Day of the Midwife.  This global celebration is observed every year on May 5th and was officially recognized by the International Confederation of Midwives in 1992. (Read Judith Lothia... Read More
April 29, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
8 Comments
Today, in our monthly series "Brilliant Activities for Birth Educators," I would like to share one of the activities that I do in my Lamaze class to help families feel prepared for a cesarean section. Most families in my classes are planning a vaginal birth, but it never hurts to be prepared should... Read More
April 27, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
24 Comments
By Anne Estes, PhD, Illustrated by Cara Gibson, PhD

There has been much discussion and burgeoning research on how the mode of birth affects the microbiome of the infant (and later on the adult).  It is becoming clear that how babies are born impacts the type of bacteria that take up residence in an... Read More
April 20, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
© Patti Ramos Photography

As we have mentioned earlier this month, when Jen Kamel discussed placenta accreta as a downstream risk factor of the increasing cesarean rate, April is Cesarean Awareness Month and the World Health Organization (WHO) has come out with a new statement (WHO Statement on Cae... Read More
April 14, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
6 Comments
Today on Evidence Based Birth, occasional contributor Rebecca Dekker, Phd, RN, APRN, provides a comprehensive research review –  Induction for Going Past your Due Date: What does the Evidence Say?  I had an opportunity to preview the article and ask Rebecca some questions about her most recent proje... Read More
April 12, 2015 by Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
5 Comments
"Sheila Kitzinger is a giant upon whose shoulders we will stand on as we continue our important work for women and their babies. She will be sorely missed." - Judith Lothian

Sheila Kitzinger passed away on April 12th at her home in Oxfordshire, England after a short illness  Ms. Kitzinger was 86 ye... Read More
April 8, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
Giving 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... Read More
April 2, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
11 Comments
By Jen Kamel

 April is Cesarean Awareness Month (CAM), and throughout the month, Science & Sensibility will be covering issues that are directly related to the number of cesareans (1,284,339 in 2013) performed every year in the United States.  To start our CAM series off, Jen Kamel, founder of VBAC... Read More
February 25, 2015 by Henci Goer, BA
20 Comments
[caption id="attachment_9242" align="alignleft" width="332"] � HoboMama[/caption]An article in The New York Times Opinion Pages - Room for Debate was released on February 24th, 2015.  As customary in this style of article, the NYT asks a variety of experts to provide essays on... Read More
February 23, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Lamaze International is very pleased to announce the release of their fourth and newest online Lamaze childbirth education course for expectant families.  This newest offering, "Labor Pain Management: Techniques for Comfort and Coping" provides families with coping skills for all the stages and... Read More
February 18, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
6 Comments
Lamaze International has released a new infographic; "Can Good Intentions Backfire in Labor? A closer look at continuous electronic fetal monitoring (EFM). This infographic is suitable for childbirth educators, doulas and birth professionals to use and share with clients and students.Many birthing p... Read More
February 11, 2015 by Andrea D. Lythgoe, LCCE
6 Comments
Today, in our monthly series, "Brilliant Activities for Birth Educators," regular contributor and LCCE Andrea Lythgoe shares a fantastic, interactive idea for helping families to better understand the different positions their baby can be in and the abbreviations used to refer to these positions.  ... Read More
January 26, 2015 by Henci Goer, BA
9 Comments
By Henci GoerIn October, Author Henci Goer wrote an article for Science & Sensibility, Epidural Anesthesia: To Delay or Not To Delay - That is the Question - examining the impact of the timing of an epidural on labor and birth.  Today Henci looks at some new research, Epidural ana... Read More
January 21, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
Last week, Dr. Sarah Buckley in coordination with Childbirth Connection released a new research report, "Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies and Maternity Care."  This massive tome gathers in one place, all the current information available on the ro... Read More
January 14, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
By Michele Ondeck,RN, MEd, IBCLC, LCCE[caption id="attachment_9108" align="alignleft" width="300"] � Sarah Buckley[/caption]Sarah Buckley is a family doctor, mother of four, and author of the bestselling book Gentle Birth, Gentle Mothering. She has been writing and lecturing about t... Read More
January 12, 2015 by Penny Simkin, PT, CD(DONA), CCE
7 Comments
by Penny Simkin, PT, CD(DONA)Today, a long awaited report written by Dr. Sarah Buckley, "Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care" is being released by Childbirth Connection. In this valuable report, Dr. Buckley gathers the most current res... Read More
January 8, 2015 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
9 Comments
By Kyndal May, MFA, LMP, CD(DONA), BDT(DONA), LCCEToday on Science & Sensibility, we start a new series on teaching ideas and techniques for you to use in your birth classes. The Brilliant Activities for Birth Educators series will bring you exciting and innovative methods to teach the topi... Read More
December 22, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
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 t... Read More
November 19, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
Today on Evidence Based Birth, occasional contributor Rebecca Dekker, Phd, RN, APRN, provides a comprehensive research review - What is the Evidence for Inducing Labor if Your Water Breaks at Term?  When membranes are released at term, before a woman is in labor, this is referred to as pre... Read More
November 17, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
By Melissa Harley, CD/BDT(DONA), LCCENovember is Native American Heritage Month and LCCE Melissa Harley shares some interesting facts about the rich culture included in some of the varied childbearing year traditions observed by some of the U.S. tribes.  There are many different tribal nat... Read More
November 12, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
By Pam ViredayPam Vireday, an occasional contributor to Science & Sensibility reviews the recent study by Katy Kozhimannil, PhD and colleagues that examined the differences in cesarean rates between over a thousand hospitals in the USA.  Consumers of maternity care quite possibly... Read More
November 3, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
6 Comments
As a follow up to Henci Goer's recent analysis of the the Cochrane Systematic Review of the just released epidural study - Early versus late initiation of epidural analgesia for labour,  I wanted to share the newest Lamaze International infographic "Is An Epidural My Only Option?" geared f... Read More
October 22, 2014 by Henci Goer, BA
9 Comments
By Henci GoerUnless you have been "off the grid" on a solitary trek, surely you have read and heard the recent flurry of discussion surrounding the just released study making the claim that the timing of when a woman receives an epidural ("early" or "late" in labor) made no difference in the ra... Read More
September 29, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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 In July, 2009, former blog community manager Amy Romano wrote about the Cochrane systematic review of intrapartum antibiotics for mothers with GBS colonization.  The researchers recently went back and did another review of for new literature and updated their research.  Melissa Garve... Read More
September 1, 2014 by Penny Simkin, PT, CD(DONA), CCE
8 Comments
By Penny Simkin, PTRegular contributor, Penny Simkin developed the roadmap of labor as a teaching tool.  Today, Penny shares how she uses the roadmap of labor to help families in her childbirth classes to understand normal labor from a physiological standpoint. She hopes that her students will... Read More
July 21, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Today, 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% o... Read More
July 17, 2014 by Henci Goer, BA
3 Comments
Today, contributor Henci Goer reviews a recently published study in the journal Birth, that compared the outcomes of births in women who received non pharmacological pain management techniques with women who received the “usual care” treatment.... Read More
May 28, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
By Nasima Pfaffl, President, Citizens for Midwifery

© Richard Kimbrough Childbirth education students are typically attending classes in the last trimester of their pregnancy. Most likely, they have established care with a health care provider months ago. Families may receive care from obstetrician... Read More
May 14, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
© 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 durin... Read More
May 4, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
May 5th has been recognized as the International Day of the Midwife since 1992. The International Confederation of Midwives (ICM) supports, represents and works to strengthen professional associations of midwives throughout the world.  The purpose of this day is to celebrate midwifery and to bring... Read More
April 28, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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© Andrea Lythgoe

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 su... Read More
April 23, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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By Elias Kass, ND, CPM, LM

© Tammi Johnson

Critical Congenital Heart Defect screening can help identify and save the lives of newborns born with previously undetected but serious malformations of the heart that can significantly impact them as they transition to life on the outside.  Families can... Read More
April 21, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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By Tamara Hawkins, RN, MSN, FNP, IBCLC, CHHC, LCCE

© Sharon Muza

April is Cesarean Awareness Month (CAM).  In a post earlier this month, I shared my favorite websites for birth professionals to learn and share with students and clients about cesarean prevention, recovery, vaginal birth after cesar... Read More
April 14, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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© HBCS

While home birth has a proven safety record in countries outside the U.S., some attribute that to the fact that, in other countries, home birth takes place in the context of an integrated health care system. It is critical that all of the stakeholders in the maternal health care system are w... Read More
April 9, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
April is Cesarean Awareness Month, an event meant to direct the American publics attention to the United States high cesarean rate. 32.8% of all birthing women gave birth by cesarean in 2012. A cesarean delivery can be a life-saving procedure when used appropriately, but it takes ones breath away... Read More
April 7, 2014 by Andrea D. Lythgoe, LCCE
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Today, Andrea Lythgoe, LCCE and doula, takes a look at the peanut ball as a tool for promoting labor progress for women resting in bed or with an epidural.  Many more facilities are making this new tool available to laboring women. Childbirth educators will benefit by understanding how to teach pean... Read More
April 2, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
By Jessica English, LCCE, FACCE, CD(DONA), BDT(DONA)

Today's research examines the factors that influenced women who chose home birth for the subsequent child, after their previous child was born in a hospital.  Lamaze Certified Childbirth Educator Jessica English, along with midwifery colleagues j... Read More
March 31, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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NOTE:  This post was posted as an APRIL FOOLS JOKE ON 4/1/2014.   Please take it in the lighthearted manner in which it was intended.



Are you a childbirth educator looking to add a skill to your childbirth educator repertoire? Lamaze International is pleased to offer a groundbreaking continuing e... Read More
March 26, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
28 Comments
By Barbara Harper, RN, CLD, CCE, DEM, CKC, CCCE

On March 20th, 2014, the American Academy of Pediatrics Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists Committee on Obstetric Practice released a joint clinical report entitled Immersion in Water During Labo... Read More
February 18, 2014 by Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
58 Comments
I hope that readers of Science & Sensibility (and anyone working in the field of maternal infant health) are sitting down.  Be prepared to be blown away.  ACOG and SMFM have just released a joint Obstetric Care Consensus statement that has the potential to turn maternity care in the USA on its end.... Read More
February 11, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
5 Comments
If you are in any way familiar with Lamaze International, hopefully you are aware of the Six Healthy Birth Practices.  Many years ago, I fell in love with these nifty "guidelines" that supported and reinforced everything that I had been teaching in my childbirth classes. These six care practices pro... Read More
February 3, 2014 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
29 Comments
By Barbara Katz Rothman, PhD

 Today, I am delighted to share with you an essay on risk written by sociologist and author Barbara Katz Rothman, PhD.  There has been much discussion and debate on two papers just published in the Journal of Midwifery and Women's Health, using the MANA Stats V2.0 data... Read More
January 29, 2014 by Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
106 Comments
Today's post on Science & Sensibility coincides with the release of a long awaited study looking at the home birth data collected by the Midwives Alliance of North America MANAStats project, 2004-2009.  Judith Lothian, PhD, RN, LCCE, FACCE reviews the research that examines outcomes of... Read More
January 8, 2014 by Walker Karraa, PhD
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By Walker Karraa, PhD

It is thought that traumatic childbirth affects up to 34% of all birthing women, but frequently there is inadequate prenatal preparation for what to do if an individual woman has this experiences and scant resources for women seeking support and help.  The experiences are mini... Read More
December 18, 2013 by Henci Goer, BA
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[caption id="attachment_7712" align="alignleft" width="261"] Image Source: � Sharon Muza[/caption]Today, author Henci Goer takes a look at a new Cochrane Systematic Review; "Maternal positions and mobility during first stage labour" and finds that the results of this review support the 2... Read More
November 25, 2013 by Henci Goer, BA
8 Comments
 Regular contributor Henci Goer examines the most recent study on the safety of home birth in the United States.  When taking a closer look at the data analysis done by the authors, there are concerns not addressed in the study, that raise issues that cause the study's conclusions to be qu... Read More
November 20, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
4 Comments
[caption id="attachment_7606" align="alignleft" width="353"] Click image to see full size[/caption]The health concerns that affect preterm babies are well documented and much is known about the impact of an early birth on the long term health of children.  Some of these issues were discussed in... Read More
November 18, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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November 17th is recognized as World Prematurity Day and many maternal-infant health organizations share research, blog posts, information, fact sheets, videos and other resources on the topic to be used by professionals and consumers alike. The purpose of the  international effort has been to... Read More
November 10, 2013 by Walker Karraa, PhD
3 Comments
Today, November 11th is Veteran's Day in the United States and Americans honor those who have served and continue to serve in the Armed Forces in order to protect our country.  Today on Science & Sensibility, regular contributor Walker Karraa, PhD, takes a look at the impact serving in batt... Read More
November 6, 2013 by Christine H Morton, PhD
2 Comments
By Christine Morton, PhDWhat accounts for the dramatic rise in cesarean delivery in the United States over the past two decades? In her new book, Cut it Out: The C-Section Epidemic in America, sociologist Theresa Morris addresses this question by going to the source: she interviewed maternity clinic... Read More
November 4, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
10 Comments
By Rebecca Dekker, PhD, RN, APRNOccasional Science & Sensibility contributor Rebecca Dekker of www.EvidenceBasedBirth.com examines the practice of Moxibustion to help turn breech babies head down.  Rebecca looks at what the current research shows on this ancient treatment for turning babies... Read More
October 9, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
Lamaze International has long been a leader in providing resources for both parents and birth professionals that promote safe and healthy birth for women and babies.  Evidence based information, appealing handouts, useful webinars for both parents and professionals, continuing education opportu... Read More
October 2, 2013 by Henci Goer, BA
7 Comments
The 20 minute electronic fetal monitoring strip is a "right of passage" for any woman being admitted to the hospital in labor.  But is this automatic 20 minute strip evidence based?  Regular Science & Sensibility contributor Henci Goer takes a look at a recent Cochrane systematic revie... Read More
September 25, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
61 Comments
by Wendy Gordon, CPM, LM, MPH, MANA Division of Research, Assistant Professor, Bastyr University Dept of MidwiferyMidwife Wendy Gordon shares with Science & Sensibility readers why the recent home birth research using 5 minute Apgar scores does not produce reliable data that consumers... Read More
September 19, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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If you are a birth professional who works with families exploring their VBAC options, then you will want to let them know about this *free* Lamaze International for Parents webinar on this very topic.Lamazes latest webinar will answer some of these pressing questions expecting parents have as they... Read More
September 9, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
I recently had the opportunity to review a book published in January, 2013, written for birthing families. The Complete Illustrated Birthing Companion; A Step-by-Step Guide to Creating the Best Birthing Plan for a Safe, Less Painful, and Successful Delivery for You and Your Baby.  This book is... Read More
September 4, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
It was with great sadness that I read about the death of Dr. John Kennell on August 27, 2013 in Cleveland, OH.  Dr. Kennell, a pediatrician and researcher, had a long history of contributions to the field of maternal infant bonding and attachment, especially at birth and in the early postpartum... Read More
September 2, 2013 by Henci Goer, BA
8 Comments
Regular Science & Sensibility contributor and author Henci Goer takes a look at the recent Cochrane review "Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour" to determine if the researchers found any new information on the benefi... Read More
August 28, 2013 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
5 Comments
Today on Science & Sensibility, regular contributor Deena Blumenfeld takes a look at the recent study that examined a link between induction and augmentation of labor with an autism diagnosis in those same children during their school years.  Did you have a chance to read the study?  T... Read More
August 21, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
By Richard N. Waldman, MDThe Lamaze International Annual Conference is being held October 11-13, 2013 in New Orleans, LA.  "Let the Good Times Roll for Safe and Healthy Birth" is the theme and there is a fabulous line up of speakers and events planned.   Birth professionals who serve women... Read More
August 19, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
Last week, I had the opportunity to interview Amber McCann, a keynote speaker for the 2013 Annual Lamaze International Conference. Today, I am delighted to share with you a recent interview with our second keynote speaker, Dr. Richard N. Waldman, an obstetrician and gynecologist at St. Joseph's in S... Read More
August 5, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
4 Comments
As World Breastfeeding Week continues, the role of the midwife in promoting and facilitating breastfeeding for new mothers is examined. Midwifery clients and their babies exceed national breastfeeding rates compared to the general population and our authors today, Jill Breen, Jeanette McCulloch and... Read More
July 31, 2013 by Kathleen Kendall-Tackett
3 Comments
Science & Sensibility, Lamaze International and our contributors are proud to support  World Breastfeeding Week 2013, running August 1-7.  The Sixth Healthy Birth Practice- "Keep mother and baby together- It's best for mother, baby and breastfeeding" stresses the importance of getting... Read More
July 29, 2013 by Henci Goer, BA
14 Comments
 Today on Science & Sensibility, regular contributor Henci Goer takes a look at a new retrospective study looking at the potential relationship between cesarean birth and endometriosis development in the mother in the years after her surgery.  Did you know that research indicates an in... Read More
July 10, 2013 by Jacqueline Levine, LCCE,FACCE,CD, CLC
2 Comments
Regular contributor, Jacqueline Levine, shares her experiences teaching Lamaze classes and ponders the responses to the question "Why have you come to this class?" The responses motivate her to continue to teach evidence based information and provide families with the resources they need to have a s... Read More
July 8, 2013 by Henci Goer, BA
27 Comments
 Today, regular contributor, Henci Goer takes a look at the recent study on prescribing bed rest for the prevention of preterm birth.  Despite not preventing a premature baby, and even possibly increasing the likelihood, it is still routinely recommended for pregnant women.  Please en... Read More
June 19, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
4 Comments
On Tuesday, I highlighted the news that teen birth rates have dropped significantly. Our occasional series on welcoming all families continues today by examining the issue of teaching childbirth education classes for teen parents.  Teenagers and very young adults may be part of your student pop... Read More
May 20, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
3 Comments
[caption id="attachment_6726" align="alignleft" width="320"] http://flic.kr/p/7bofet[/caption]I taught hospital based childbirth classes for 6 years prior to changing gears and teaching independently in my community.  Teaching evidence-based information and current best practice in my hospital... Read More
May 13, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
5 Comments
Childbirth Connection's Listening to Mothers Initiative just released the Listening to Mothers III (LTMIII) results late last week.  For the third time in the past 11 years, this organization has gone out and queried women on a variety of topics related to pregnancy, birth, postpartum and... Read More
May 8, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
Childbirth Connection has just released the Listening to Mothers III study today, and will holding a press conference shortly to share the results.  I plan to listen in and read the study thoroughly to see what the mothers have to say!  Look for a complete post early next week evaluat... Read More
May 7, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
This Thursday 1-2 pm ET, you are invited to speak with national health care leaders about findings from Listening To Mothers III -- the third in a series of major national studies that examines women's maternity experiences from before birth through the postpartum period. Among many other findings,... Read More
May 1, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
24 Comments
By Geradine Simkins, CNM, MSN, Executive Director of Midwives Alliance of North AmericaThis week, the American Academy of Pediatrics released a policy statement on home birth. While the statement affirmed "the right of women to make a medically informed decision about delivery", many advocates expre... Read More
April 15, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
In recognition of Cesarean Awareness Month, I want to share an interview with Christa Billings, the president of International Cesarean Awareness Network (ICAN).  For over 30 years, ICAN has had an international presence and through peer to peer support and many volunteer hours, has worked... Read More
April 8, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
6 Comments
]Occasional Science & Sensibility contributor Rebecca Dekker of Evidence Based Birth has spent the last month writing a blog article about Group B Strep and it is finally here! In her painstaking but clear... Read More
April 3, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
April is Cesarean Awareness Month (CAM) and that presents a wonderful opportunity to share resources for cesarean prevention and recovery as well as Vaginal Birth after Cesarean (VBAC) support.I am a co-leader of the Seattle chapter of the International Cesarean Awareness Network (ICAN) and teach cl... Read More
April 1, 2013 by Christine H Morton, PhD
5 Comments
by Christine H. Morton, PhD and Monica Basile, PhD, CPM, CD(DONA), CCE (BWI)Last month there were great discussions after a study was published by the University of Minnesota, examining the potential cost savings to Medicaid if doulas worked with Medicaid clients, helping to reduce intervention... Read More
March 27, 2013 by Christine H Morton, PhD
11 Comments
by Christine H. Morton, PhD and Monica Basile, PhD, CPM, CD(DONA), CCE (BWI)Last month there were great discussions after a study was published by the University of Minnesota, examining the potential cost savings to Medicaid if doulas worked with Medicaid clients, helping to reduce interve... Read More
March 20, 2013 by Henci Goer, BA
16 Comments
 Regular contributor Henci Goer, author of several books including Optimal Care in Childbirth as well as the expert on Lamaze International's "Ask Henci" site, takes a look at a recent study that examines the wide divergence in cesarean rates amongst U.S. hospitals.  Read Henci's take... Read More
March 19, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
PR News announced this week that Lamazes Push for Your Baby campaign was a co-winner for the 2013 Nonprofit PR Award for Digital PR and Marketing.The Push for Your Baby campaign worked to provide expecting mothers with key information they needed to push for a safe and healthy birth for their baby.... Read More
March 18, 2013 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
7 Comments
[caption id="attachment_6409" align="alignleft" width="300"] � http://flic.kr/p/bS581K[/caption]Regular contributor Deena Blumenfeld shares her recent experience with a "research" article that washed over social media outlets and was shared and discussed by many birth professionals.  ... Read More
March 11, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
10 Comments
by Wendy Gordon, CPM, LM, MPH, MANA Division of Research, Assistant Professor, Bastyr University Dept of MidwiferyToday, occasional contributor, midwife and researcher Wendy Gordon, LM, CPM, MPH, Midwives Alliance Division of Research, shares some insights into some of the fascin... Read More
February 20, 2013 by Amy M. Romano, RN,CNM
18 Comments
 [caption id="attachment_6261" align="alignleft" width="282"] http://flic.kr/p/4v3Zeh[/caption]Last April, the ABIM Foundation, with Consumer Reports and other partners, drew national attention to overuse of ineffective and harmful practices across the health care system with their Choosin... Read More
February 13, 2013 by Henci Goer, BA
17 Comments
[caption id="attachment_6218" align="alignleft" width="226"] Photo by Patti Ramos Photography[/caption]In my January Science and Sensibility blog post, I answered the question Can We Prevent Persistent Occiput Posterior?" but because it wasnt relevant to the study that prompted the post, and... Read More
February 11, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
1 Comment
"Our goal is not to have every mother birth at homeour goal is to encourage parents to gather quality information, to gain exposure to a philosophy that screams trust in mothers and trust in babies, and to provide parents who do plan a homebirth to be well equipped with an understanding of how to t... Read More
February 4, 2013 by Walker Karraa, PhD
13 Comments
By Walker KarraaRegular contributor Walker Karraa interviews Jennifer Carney, a mother of two, who suffered from eclampsia at the beginning of her third trimester.  Jennifer shares her real life story, on the heels of a favorite character's similar experience on the popular TV show "Downton Abb... Read More
January 28, 2013 by Henci Goer, BA
56 Comments
Today, regular contributor Henci Goer, co-author of the recent book, Optimal Care in Childbirth; The Case for a Physiologic Approach, discusses a just published study on resolving the OP baby during labor through maternal positioning.  Does it matter what position the mother is in?  Can we... Read More
January 23, 2013 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
14 Comments
In the occasional series on Welcoming All Families, we have explored how to make our classes and practices welcoming for women of size and lesbians.  Today on Science & Sensibility, Certified Nurse Midwife Simon Adriane Ellis shares how to offer care and classes that are sensitive... Read More
January 7, 2013 by Christine H Morton, PhD
20 Comments
By Christine H. Morton, PhD "Experienced nurses practicing in a nurse-managed labor model have the potential to change patient outcomes." Today, on Science & Sensibility, Christine Morton, PhD takes a look at a study examining the role of nurses in helping to achieve a vaginal birth...... Read More
December 24, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
5 Comments
[caption id="attachment_5934" align="alignleft" width="320"] http://flic.kr/p/5Rws3i[/caption]Holidays are a time when many of us gather with with family and friends, when hearts are open, tables are full, spirits light and oxytocin flows just from being with those we care about and sharing meals an... Read More
December 19, 2012 by Christine H Morton, PhD
2 Comments
By Christine H. Morton, PhDThe American Congress of Obstetricians and Gynecologists (ACOG) has undertaken the reVITALize Project and they want your help, thoughts and input. A significant revolution is underway in maternity care.  With increased attention on maternal health outcomes,... Read More
December 17, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
38 Comments
By Rebecca Dekker, PhD, RN, APRN of Evidence Based BirthDo you talk about perineal massage with your students, clients and patients and state that perineal massage during pregnancy will/will not reduce tearing during birth?  today, Rebecca Dekker, of Evidence Based Birth takes a look at th... Read More
December 10, 2012 by Walker Karraa, PhD
2 Comments
By, Walker KarraaRegular contributor Walker Karraa has written an excellent three part series on Perinatal Mood and Anxiety Disorders (PMAD) and what the childbirth educator or birth professional can do to help women get the help they may need when dealing with mental illness during the pr... Read More
December 5, 2012 by Walker Karraa, PhD
9 Comments
By Walker KarraaRegular contributor Walker Karraa has written an excellent three part series on Perinatal Mood and Anxiety Disorders (PMAD) and what the childbirth educator or birth professional can do to help women get the help they may need when dealing with mental illness during the prenatal and... Read More
December 3, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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By Cara Terreri, BA, Community Manager for Lamaze Internationals Giving Birth With Confidence blogToday is the second post in an occasional series on Science & Sensibility, Journey to LCCE Certification.   We are following Cara Terreri as she progresses on the path to become a... Read More
November 28, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
52 Comments
by Wendy Gordon, LM, CPM, MPH, Midwives Alliance Division of ResearchToday, midwife and researcher, Wendy Gordon, LM, CPM, MPH, Midwives Alliance Division of Research, takes a look at the recent article in the American Journal of Obstetrics and Gynecology that shared the authors' view of the appropr... Read More
November 18, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Science & Sensibility would like to let readers know of another free webinar opportunity that is coming up at the end of the month.  The Medicaid and Medicare Services (CMS) Innovation Center is offering an hour webinar titled "Strong Start For Mothers & Newborns - Reducing Early Electi... Read More
November 7, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
5 Comments
Continuing along in our occasional series on "Welcoming All Families" to our childbirth classes, this two part guest post is written by Pam Vireday,  creator of the Well-Rounded Mama blog.  Today, Pam shares how to promote optimum outcomes at the births of plus sized mothers. Cli... Read More
October 22, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
26 Comments
Today's post is a fascinating interview that took place between Rebecca Dekker, PhD, RN, APRN of Evidence Based Birth and Kyoung Suk Lee, PhD, MPH, RN, APRN. Rebecca asked Dr. Lee to provide a review of the Wax Home Birth Meta-Analysis, as an "unbiased outsider", but highly skilled researc... Read More
October 8, 2012 by Mindy A. Cockeram, LCCE
92 Comments
By Mindy Cockeram, LCCEToday's blog post is written by Mindy Cockeram, LCCE.  Mindy explores the "mystical" red/purple line that has been observed to provide information about cervical dilation without the need for a vaginal exam. - SMWhen couples in my classes are learning techniques for copin... Read More
September 6, 2012 by Christine H Morton, PhD
11 Comments
Today's post is by regular Science & Sensibility contributor, Christine Morton, PhD, who is a medical sociologist and has researched and written about disparities in maternal health for many years.  Today, Christine takes a look at why women of color in the United States are facin... Read More
August 29, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
89 Comments
By Rebecca L. Dekker, PhD, RN, APRNToday's post on the Evidence for Induction for Low Amniotic Fluid in a Healthy Pregnancy is a guest post by blogger Rebecca Dekker, owner of  the fairly new blog in the birth world, Evidence Based Birth that has been  very well received and enjoyed b... Read More
August 27, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
8 Comments
As summer draws to a close, each day becoming a little bit shorter and the nights just a little bit cooler, many of us are remembering recent fun summer events, vacations, and relaxing times with families and friends.  Labor Day is looming next weekend, offering a long weekend for many of us an... Read More
August 15, 2012 by Penny Simkin, PT, CD(DONA), CCE
27 Comments
By Penny Simkin, PT, CCE, CD(DONA)In a two part series examining the recent research that stated that natural childbirth is a major cause of  Posttraumatic Stress Disorder,  our guest bloggers, Penny Simkin and Dr. David White, look at how the media may be sensationalizing the to... Read More
July 26, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
In May of this year, three leading midwifery organizations, American College of Nurse Midwives (ACNM), Midwives Alliance of North America (MANA) and National Association of Certified Professional Midwives (NACPM) jointly released a statement titled "Supporting Healthy and Normal Physiologic Chi... Read More
July 11, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
34 Comments
Todays guest post is written by Dr. Mark Sloan, pediatrician and author of Birth Day: A Pediatrician Explores the Science, the History and the Wonder of Childbirth.  Dr. Sloan takes a look at impact of cesarean birth on normal gut bacteria.   SMWhen I first learned some years ago th... Read More
July 4, 2012 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
6 Comments
When the study titled Elective birth at 37 weeks of gestation versus standard care for women with an uncomplicated twin pregnancy at term: the Twins Timing of Birth Randomised Trial came out on June 13, 2012 both the BJOG:An International Journal of Obstetrics and Gynaecology in... Read More
July 2, 2012 by Christine H Morton, PhD
5 Comments
Guest post by Science & Sensibility contributer Christine H. Morton, PhD(Full disclosure:  the organization I work for, CMQCC, has been working with representatives from the Preeclampsia Foundation over the past year on the CMQCC task force developing a Preeclampsia Toolkit, and I am a big... Read More
June 20, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
21 Comments
Today's guest post is written by Dr. Mark Sloan, pediatrician and author of Birth Day: A Pediatrician Explores the Science, the History and the Wonder of Childbirth.  Dr. Sloan takes a look at the study released in May, 2012 examing the relationship between Cesarean deliveries and obesity... Read More
June 18, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
18 Comments
Guest post by Ami Burns, CD(DONA), LCCE, FACCE "What To Expect When You're Expecting" authored by Heidi Murkoff and contributer Sharon Mazel, is now in its all-new fourth edition, with over 17 million copies in print, and been a perennial favorite on The New York Times' bestseller lis... Read More
June 7, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
5 Comments
A Guest Post by Anna Deligio, MSW, LCCE, CD(DONA)Today's post is the second in an occasional series on welcoming all families to your childbirth class and honoring the diversity that different family models bring to pregnancy, birth and parenting.  You can read the first part in this... Read More
June 6, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
2 Comments
Giving Birth with Confidence, Lamaze International's blog and go-to resource for expecting and new parents has joined with a new organization, PATTCh, (Prevention and Treatment of Traumatic Childbirth) to share the new "Traumatic Birth Prevention & Resource Guide" with GBWC readers and all of us... Read More
June 4, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
32 Comments
Guest post by Cathy Busha, MSWThis post is the first in an occasional series on CBE teaching strategies that embrace the diverse populations that take childbirth classes.  Childbirth educators that want to welcome all families to their classes will find information and resources in the ser... Read More
May 28, 2012 by Henci Goer, BA
12 Comments
A recent study of elective induction at term purports to show that it would reduce perinatal mortality without affecting spontaneous birth rates, although it would increase admission to a special neonatal care unit if done before 41 weeks. The study, conducted in Scotland, analyzed outcomes of 1,271... Read More
May 21, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
7 Comments
Lamaze International has released a new campaign, "Push for Your Baby!" that demonstrates the key role that childbirth educators have in providing the tools for mother and families to ask for and receive the best care possible for their pregnancy, labor and birth.Along with the "Push for Your Baby"... Read More
May 17, 2012 by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA)
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Did you know that Lamaze is launching a new campaign called Push for Your Baby? Its an effort to encourage women to speak up and push for better care for themselves and their babies, and to spotlight the role that childbirth education has in equipping women with the information they need to be ac... Read More
May 1, 2012 by Kathy Morelli
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In January of 2012, Marian MacDorman and her colleagues compiled a data brief for the United States Department of Health & Human Services, Center for Disease Control and Prevention, National Center for Health Statistics. This brief, entitled Home Births in the United States, 1990- 2009, noted la... Read More
April 29, 2012 by Kathy Morelli
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We wrap up Cesarean Awareness Month and acknowledge the week of International Midwifery Day with a post about an initiative to  create a VBAC Friendly Hospital, led by midwives.ln honor of Cesarean Awareness Month, Lakeisha Dennis, the Chapter Leader of International Cesarean Awareness Network... Read More
April 24, 2012 by Kathy Morelli
8 Comments
A guest post by Deborah Issokson, Psy.D.Childbearing is a vulnerable process.Regardless of our profession within the childbirth world, we are working to facilitate an experience that has a positive emotional outcome accompanied by a healthy psychological adjustment to motherhood. It is incumbent upo... Read More
April 17, 2012 by Henci Goer, BA
23 Comments
How Long Can Labor Safely Be?By regular contributor, Henci GoerA few weeks ago Kathy Morelli wrote an S&S blog post about a study comparing labor patterns in the 1960s with labor patterns today. The contemporary data were collected by the U.S. Consortium on Safe Labor (CSL), a collection of 19 h... Read More
April 10, 2012 by Kathy Morelli
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As a childbirth professional or an expectant parent, do you wonder about the multitude of pain management techniques offered for childbirth?As part of the Cochrane Collaboration, Leanne Jones and eight of her colleagues (2012) has published new research synthesizing divergent data constructs and sum... Read More
April 8, 2012 by Walker Karraa, PhD
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By our regular contributor, Walker Karraa, MFA, MA, CD(DONA)A recent (2012) study published in the Archives of Disease in Childhood: FetalNeonatal Edition contributes to the growing awareness that partners are negatively impacted by traumatic childbirth. The first study of its kind, Being there: a... Read More
April 5, 2012 by Kathy Morelli
4 Comments
A guest posting by Jill Wodnick, MAHudson Perinatal Community Doula Valerie Inzinna explains,[caption id="attachment_4310" align="alignright" width="300" caption="Istock/SuriyaPhoto"][/caption]I first met Tina (not her real name) in January. She was nervous, scared and very much alone. We took Lama... Read More
April 1, 2012 by Kathy Morelli
33 Comments
New research was published in the American Journal of Obstetrics and Gynecology. Katherine Laughon, MD, and her colleagues, D. Ware Branch, M.D., Julie Beaver, M.S, and Jun Zhang, Ph.D., M.D., (2012) examined differences in childbirth labor patterns over the past fifty years, comparing data from a l... Read More
March 27, 2012 by Henci Goer, BA
15 Comments
The headline on a recent BBC News health article reads: Planned repeat C-sections safer. The article goes on to report on two studies that appear to support that conclusion, but do they really? Lets see what the article says and follow with a look at the actual studies. One of the studies, the B... Read More
March 19, 2012 by Henci Goer, BA
7 Comments
Last month yet another study appeared reporting that compared with first vaginal birth, first cesarean increased the likelihood of late antepartum fetal death in the next pregnancy. The study encompassed 10,712 women with one prior birth who had pregnancy duration of 34 weeks or more and were carryi... Read More
March 12, 2012 by Lisa D Baker, LCCE FACCE BSc BEd
1 Comment
On February 15th, the Cochrane Library published a new review comparing cardiotocography (CTG) to intermittent auscultation of fetal heart rate on admission to the labor ward for assessment of fetal well-being (1). The results of the review support current recommendations from healthcare providers w... Read More
February 23, 2012 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
2 Comments
A new study has been making the rounds of the popular news sites.  The abstract - 65: Neonatal outcomes associated with intended place of birth: birth centers and home birth compared to Hospitals  The abstract of the study is published in AJOG It was presented at the Society for Maternal-F... Read More
February 21, 2012 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
3 Comments
A Guest post by Lucy Juedes LCCEThird Stage Components for Discussing with CaregiversIt will be important for the caregiver to share his/her perspectives and usual care of the Third Stage with expectant parents, as well as what the parent might expect from colleagues and the policies of the birth si... Read More
February 20, 2012 by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
6 Comments
A guest posting by Lucy Juedes LCCEActive, Expectant, and Mixed Management for Placenta Delivery, Hospital BirthsPostpartum Hemorrhage is a major cause of maternal death worldwide.  International health experts are successfully using a specific combination of protocols, called Active Management... Read More
January 6, 2012 by Kimmelin Hull, PA, LCCE
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This past September, news hit the popular media that several Oregon state hospitals introduced a hard stop on elective deliveriesincluding elective cesarean sectionsprior to 39 completed weeks of gestation, with the potential to decrease the incidence of late term premature birthbirth occurring... Read More
January 5, 2012 by Kimmelin Hull, PA, LCCE
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In November, 2011, Centers for Disease Control and Prevention released their preliminary National Vital Statistics data for 2010.  Included in this data is a minor decrease in cesarean section ratesfrom 32.9 percent in 2009 to 32.8 percent in 2010representing the first drop in this mode of ch... Read More
January 4, 2012 by Kimmelin Hull, PA, LCCE
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According to Glanz, Rimer and Viswanath in Health Behavior and Health Education (2008):Change strategies are most effective and likely to be sustained when they are directed at multiple levels of the organization, while simultaneously taking the external environment into account. (p. 337)  Thi... Read More
January 3, 2012 by Kimmelin Hull, PA, LCCE
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Maternal Mortality through the Lens of Psychosocial TheoryThe quandary of pregnancy-related death in our country is a complex one with numerous variables at play.  Breaking this public health challenge into two broad categories, systems and individuals, allows us to apply the constructs of a fe... Read More
January 2, 2012 by Kimmelin Hull, PA, LCCE
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Last week, we featured the five-part completion of Christine Morton and Kathleen Pine's assessment of the current Maternal Quality Care landscape in the United States.  What a great way to close out the year by scrutinizing the measures our nation is taking--at both the federal and community le... Read More
December 22, 2011 by Henci Goer, BA
22 Comments
The other day, while looking through my issues of Birth for something else, I ran across a commentary* written by Lamaze teacher Betsy Adrian on why she was leaving the field after five years. She writes:I realize now that my feelings of burn-out are much more than simply boredom with repeating myse... Read More
December 20, 2011 by Amy M. Romano, RN,CNM
4 Comments
As someone who is knowledgeable about pregnancy and birth, I often hear from far-flung friends and relatives who have questions. The questions run the gamut: Can I take this medication?, Do I really need to be induced?, What does this test result mean? But I hear in these questions a much more... Read More
December 8, 2011 by Kimmelin Hull, PA, LCCE
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News, new research and interesting tidbits... Saving Pregnant Women One Device at a TimeOf course the blogosphere lit up last week with the release of yet another study about a piece of technology pegged to save women from the dangers of childbirth.  This new device, a compilation of MRI... Read More
December 6, 2011 by Henci Goer, BA
21 Comments
 As Kimmelin Hulls recent blog post reported, we have another study to add to the short list (de Jonge 2009); Janssen 2009) of studies of: planned home birth, with a qualified home birth attendant, in women eligible for home birth at labor onset, that had a comparison group of simi... Read More
November 30, 2011 by Amy M. Romano, RN,CNM
2 Comments
[Editor's note:  Amy Romano recently shared the following thoughts on Childbirth Connection's Transforming Maternity Care site.  Those of you who missed reading Amy's review of a recent study pertaining to the maternal emotional outcomes associated with preterm birth will surely benefit fr... Read More
November 29, 2011 by Kimmelin Hull, PA, LCCE
23 Comments
The much-anticipated Planned Place of Birth study out of the UK emerged last week in the British Medical Journal.  As I complete a Biostatistics course for my Masters of Public Health ~ Maternal & Child Health program, I have to admit:  this study, including the wealth of data contain... Read More
November 23, 2011 by Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
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Last week Congresswoman Lucille Roybal-Allard spoke in the House of Representatives applauding the consensus document produced by the Home Birth Consensus Summit in Warrenton, Va. in October. The document was read into the Congressional Record.   Congresswoman Roybal-Allard noted that hist... Read More
November 17, 2011 by Kimmelin Hull, PA, LCCE
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The news is off the press and circulating the blogosphere:  According to the preliminary 2010 data released by the Centers for Disease Control and Prevention, the U.S. cesarean section rate has actually dropped compared to the finalized 2009 data.  In fact, most of the maternity-related ra... Read More
November 15, 2011 by Kimmelin Hull, PA, LCCE
7 Comments
With the recent Homebirth Summit that took place in Warrenton, VA October 20-22, our country has witnessed increased attention on the state and incidence of this birthing option in the United States.  The Summit organizers have published the outcomes of the event, including Consensus Statements... Read More
November 7, 2011 by Kimmelin Hull, PA, LCCE
5 Comments
Science & Sensibility readers may recall the Maternal Obesity from all Sides series* we did a few months ago.  Last week, while walking my dog and catching up on a few news podcasts, I heard this story on NPRs Morning Editiona segment that was a part of the news outlets series on Obesity... Read More
October 21, 2011 by Kimmelin Hull, PA, LCCE
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UPDATE:  The homebirth summit is underway, as we speak.  With numerous stake holders at the table together in Warrenton, VA , including OBs & FPs, midwives, nurses, insurers, childbirth educators, administrators, doulas, public health professionals, legislatures, and researchers...ther... Read More
October 18, 2011 by Joni Nichols
8 Comments
As pregnant women navigate the internet in search of a caregiver and a place to birth, some may end up opening a web page describing a birth center, and read a description such as:Imagine being respected for your choices of where and how to birth your family. The lights are dimmed, the room is quie... Read More
October 6, 2011 by Kimmelin Hull, PA, LCCE
2 Comments
All pregnant women deserve to have access to compassionate, evidence-based maternity care which inherently supports the normalcy of labor and birthand remains poised to effectively handle the occasional circumstance when birth strays from normal.  They deserve to be cared for by well-trained m... Read More
September 29, 2011 by Kimmelin Hull, PA, LCCE
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Last week, we highlighted the highly talked about study pertaining to fear of childbirth and its downstream consequences, published recently in the Scandinavian journal  Acta Obstetricia et Gynecologica Scandinavica.  This week, I'd like to draw your attention to some other interesting stu... Read More
September 27, 2011 by Amy M. Romano, RN,CNM
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[Editor's note:  This article by Amy Romano was originally posted on Childbirth Connection's Transforming Maternity Care site, September 12, 2011 and is re-purposed with permission.] When I recently updated Childbirth Connections VBAC or Repeat C-Section Topic to reflect the findings of a... Read More
September 26, 2011 by Kimmelin Hull, PA, LCCE
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The ResearchSeveral interesting studies have recently been published in the Scandinavian journal, Acta Obstetricia et Gynecologica Scandinavica (some of which I will cover in a subsequent post).  The greatest one of interest, which has garnered much media attention lately is the study about fea... Read More
September 22, 2011 by Kimmelin Hull, PA, LCCE
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The Trig Medical company has a seemingly altruistic goal in mind: to reduce the risks involved with childbirth while improving the outcome of pregnancy and lowering the overall cost of obstetrical care.  Their newest product promises nothing short of this.  The LaborPro is an ultrasound-ba... Read More
September 22, 2011 by Liz M. Demaere, RN,BN, LCCE
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New technology claims to be a breakthrough in non-invasive labor progress monitoring, using ultrasound and GPS-like imaging to determine pelvic diameter, cervical dilation, and the position and descent of the baby.  LaborPro claims that their advanced technology can reduce inaccuracies inhere... Read More
September 6, 2011 by Amy M. Romano, RN,CNM
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[Editor's note:  This post by Amy Romano is re-purposed here with permission, having  initially appeared on Childbirth Connection's Transforming Maternity Care blog site on Monday, August 15.] Theres a big gap between our current maternity care system and the high-quality, high-value... Read More
August 31, 2011 by Kimmelin Hull, PA, LCCE
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Warning:  no science will be discussed in this particular post.  This is all about sensibilitythe sensibility of mothers. How many of you have participated in a BOLD (Birth on Labor Day) production of the play Birth?  How many have attended one?  (Im assuming, here, yall... Read More
August 31, 2011 by Liz M. Demaere, RN,BN, LCCE
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A year ago, my partner Alex Wakeford and I came up with an idea. We wanted to make a film that would change the world.More specifically, we wanted to create a film that would galvanize an army of birth warriors to help revolutionize birth around the world.Our journey really began three years ago wit... Read More
August 23, 2011 by Kimmelin Hull, PA, LCCE
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In April of 2010, Dr. Tricia Pil--one of our regular contributors--posted the story of her third child's birth, an experience riddled with medical errors that nearly cost her and her son their lives.  Dr. Pil's story, originally published in the online medical journal Pulse: voices from the hea... Read More
August 2, 2011 by Kimmelin Hull, PA, LCCE
2 Comments
A recent New York Times article highlighted this Cochrane Collaboration review about the use of Pitocin in labor.The review looked at eight randomized controlled studies including a total of 1,338 low-risk women experiencing spontaneous labor at term (parity was not defined) with an eye toward analy... Read More
June 28, 2011 by Jacqueline Levine, LCCE,FACCE,CD, CLC
1 Comment
Mother and Child ReunionThe goal of Lamaze Healthy Birth Practice #6, Keeping Mother and Baby Together  Its Best for Mother, Baby, and Breastfeeding is to encourage and support mothers so they may confidently insist that they not be separated from their newborns, and be allowed to have ample opp... Read More
June 20, 2011 by Joanne I Leigh-Murfin, RN, LCCE
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Its probably fair to say that most women who decide to have an epidural during labor dont consider its possible impact on breastfeeding. Perhaps this is because no thought is given generally to any possible links between drugs and breastfeeding success (or otherwise). Instead, both pregnant (or la... Read More
May 26, 2011 by Kimmelin Hull, PA, LCCE
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[Editor's note:  This is Part Three of our in-depth interview with childbirth researcher  H�l�ne Vadeboncoeur, author of the recently released in English book, Birthing Normally After a Cesarean or Two. To read Parts One and Two, of this interview, go here.] Scienc... Read More
May 25, 2011 by Kimmelin Hull, PA, LCCE
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[Editor’s note:  Today presents Part Two of the three-part interview with childbirth researcher  Hélène Vadeboncoeur, author of the recently released in English book, Birthing Normally After a Cesarean or Two. To read Part One of this interview, go here.]... Read More
May 24, 2011 by Kimmelin Hull, PA, LCCE
1 Comment
[Editor's note:  For the remainder of this week on Science & Sensibility, we will feature an in-depth, three-part interview with childbirth researcher  H�l�ne Vadeboncoeur, author of the recently released in English book, Birthing Normally After a Cesarean or Tw... Read More
May 17, 2011 by Kimmelin Hull, PA, LCCE
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Introducing&.the concept of the natural cesarean&I have struggled with whether or not to post on this YouTube video for some time.  The title, in and of itself, is aggravating.  And I dont mean from a judgmental standpoint, but simply from a realistic standpoint:  cesarean birthwh... Read More
May 14, 2011 by Joni Nichols
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If we limit the discussion of birthing positions to those that can be easily described, classified,  sketched and/or photographed we have quite an array at our disposal:standingSitting variantsSide-lyingKneelingSquatting variants (including lap squatting)Asymmetrical upright positions (standin... Read More
April 28, 2011 by Walker Karraa, PhD
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Join me in this amazing opportunity to learn about culturally competent maternity and postpartum care for Muslim women.  Educator and postpartum mental health advocate Hajara Kutty shares invaluable religious and cultural context for birth and postpartum care in Islamic families.   Pa... Read More
April 27, 2011 by Liz M. Demaere, RN,BN, LCCE
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[Editor's note:  This second segment of Ms. Magan's Legal Corner Q&A, focusing on informed consent, makes a great resource for childbirth professionals to share with their clients in the event that questions surrounding hospital policies/procedures comes up]A ReviewIn my first post, I talke... Read More
April 26, 2011 by Kimmelin Hull, PA, LCCE
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The Spring (20.2) issue of the Journal of Perinatal Education is already upon us, and this months Continuing Education Module is by our own Judith Lothian, PhD, RN, LCCE, FACCE.In her article, Lamaze Breathing:  What Every Pregnant Woman Needs to Know, Dr. Lothian reviews the history of the La... Read More
April 11, 2011 by Darline Turner-Lee
10 Comments
On February 17, 2011, The US Food and Drug Administration issued warnings to the public stating that injectable Terbutaline, a potent bronchodilator indicated for the treatment of acute airway narrowing, should not be used for the long term prevention of preterm labor. The FDA now rec... Read More
April 5, 2011 by Kimmelin Hull, PA, LCCE
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Giving Birth With Confidence's Cara Terreri has just issued a call for international birth stories--for a new series entitled, "Healthy Birth Around the World."Says Terreri, "Our hope is to be able to enlighten and encourage moms and families with stories that show how birth is different  and in m... Read More
April 3, 2011 by Kimmelin Hull, PA, LCCE
3 Comments
Just when one might think the controversy over the Wax et al planned homebirth vs. planned hospital birth study might be dying down, it is instead heating up again.The American Journal of Gynecologyin which the study was originally published in September, 2010released its April 2011 issue last Fri... Read More
March 30, 2011 by Christine H Morton, PhD
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The mother's womb is replaced by the womb of culture, which, comfortably or uncomfortably, cradles us all (Robbie Davis-Floyd 1992: 149). Pregnancy, birth, breastfeeding these practices are simultaneously natural and universal,  connecting women across the world and over history. They ar... Read More
March 28, 2011 by Kimmelin Hull, PA, LCCE
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In my recent response to the editor about an article published in Clinician Review (which, by the way, still remains unanswered), I discussed my beliefs on why more than just pregnant women, and the birth workers with whom they interact, ought to care about pregnancy and birth.  Last week, duri... Read More
March 23, 2011 by Amanda Blaz DPT
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The final post in this blog series will examine the pros and cons of assuming a lateral lying position during the second stage of labor as compared to dorsal lithotomy position. Anatomical implications, perineal outcomes, and orthopedic concerns will all be addressed.Anatomical implicationsAs discus... Read More
March 9, 2011 by Kimmelin Hull, PA, LCCE
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"Its all about a healthy baby and a happy mommy.The drugs dont cross over the placenta and dont affect your baby.A lot of times [an epidural] can help with pushing&When youre in a lot of pain, youre not in control, and thats when you do a lot of tearing.When a Hollywood glam TV doctor i... Read More
March 7, 2011 by Joanne I Leigh-Murfin, RN, LCCE
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[Editor's Note:  This book review is provided to Science & Sensibility by guest contributor, Christina Hurst-Prager, childbirth educator, doula, breastfeeding counselor and therapist.]This book is a true gift for all pregnant women and their partnersand all who are in one way or another in... Read More
March 3, 2011 by Michael Klein MD
3 Comments
[Editor's Note: This is the last in a series of three posts by Dr. Michael Klein regarding the research behind risks, benefits and realities of epidural analgesia.  To read Dr. Klein's first two posts, go here and here.]Not all women are alike in labour and delivery:Because the experience of la... Read More
March 1, 2011 by Amanda Blaz DPT
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In this second post of the series comparing positions during 2nd stage of labor, the squatting position will be investigated.  There are many advantages to the laboring mother assuming an upright position, mostly due to the assistance of gravity.  As discussed in the previous post, the dor... Read More
February 27, 2011 by Penny Simkin, PT, CD(DONA), CCE
1 Comment
[Editor's note:  This is part two of Ms. Simkin's post on childbirth-related Post Traumatic Stress Disorder.  The post is long and detailed--every word worth reading.  Set aside ample time to read this article: such that devouring, versus skimming, might be accomplished.  Birthin... Read More
February 24, 2011 by Michael Klein MD
3 Comments
This post is the second in a series by Dr. Michael Klein.  You can find the first installment of this series here.Research into the consequences of epidural useWhether the benefits of epidural analgesia outweigh the potential risks has been the subject of many controversies over recent decades.... Read More
February 21, 2011 by Jacqueline Levine, LCCE,FACCE,CD, CLC
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Science & Sensibility welcomes new contributor,  Jackie Levine, as she shares with us her thoughts and compilation of the latest industry research about doula care. Why is Labor Support So Important?Ordinary intuition informs us, without reference to any study, that human touch and supporti... Read More
February 20, 2011 by Henci Goer, BA
2 Comments
Recently, weve seen some buzz on the internet about a new book, Epidural Without Guilt. Childbirth Without Pain by Gilbert Grant, an anesthesiologist. At least one other blogger has disputed his logic, so I thought Id weigh in on the evidence basis for his claims.Dr. Grant says that according to h... Read More
February 17, 2011 by Kimmelin Hull, PA, LCCE
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Last month, Lamaze published a press release entitled, Why Choosing Free Range Labor May Make Birth Easier.  As we continue re-visiting the Six Healthy Birth Practices on Science and Sensibility, today I invite you to think about Healthy Birth Practice #2: Walk, move around and change positio... Read More
February 14, 2011 by Penny Simkin, PT, CD(DONA), CCE
6 Comments
Science & Sensibility welcomes new contributor, Penny Simkin, PT, CCE, CD(DONA).  Thank you for sharing your decades-long experience and expertise with us! IntroductionAfter the health of mother and baby, labor pain is the greatest concern of women, their partners, and their caregivers. Nur... Read More
February 10, 2011 by Tricia Pil
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Right or wrong, the customer is always right.Marshall Field"Customers don't expect you to be perfect. They do expect you to fix things when they go wrong." Donald Porter, British Airways"If the shopper feels like it was poor service, then it was poor service." Mark Perrault, Rally StoresIve of... Read More
February 3, 2011 by Kimmelin Hull, PA, LCCE
7 Comments
Believe me, the time is well-worth it.  Before you open the following video link, set aside 50 minutes of uninterrupted time to watch Dr. Nicholas Fogelson's Grand Rounds lecture, in which he makes the case before his colleagues regarding the research supporting delayed umbilical cord clamping &... Read More
February 2, 2011 by Michael Klein MD
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This is the beginning of a three-part series of posts from family practice physician, pediatrician , neonatologist and Senior Scientist for the Centre for Developmental Neuroscience and Child Health and the Family Research Institute, Dr. Michael Klein, who will share this thoughts and analysis... Read More
January 27, 2011 by Kimmelin Hull, PA, LCCE
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It really is a joy and, I believe, imperative to spend time sharing childbirth success stories amongst those of us who dedicate our professional lives to improving childbirth experiences and outcomes for women all around the globe.  This year's first blog carnival is about just that:  cele... Read More
January 26, 2011 by Amy M. Romano, RN,CNM
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Its not hard for women to find advice and recommendations to avoid induction of labor except when medically necessary.  But what do those words mean and who decides when an induction is medically necessary?Lamazes Healthy Birth Practice Paper cites ACOG Guidelines that define medical induct... Read More
January 17, 2011 by Amanda Blaz DPT
2 Comments
Please welcome new Science & Sensibility contributor, Amanda Blaz, DPT.  Amanda is a Physical Therapist in south central Montana and has recently completed her Certificate of Achievement in Pregnancy and Postpartum Physical Therapy (CAPP-OB) from the Section on... Read More
January 5, 2011 by Kimmelin Hull, PA, LCCE
5 Comments
In the last issue of the American Journal of Obstetrics & Gynecology, a large Norwegian study was published by Camilla Haavaldsen MD, et al, which looked at the association of fetal death in relation to maternal age and length of gestation.  It is, after all, no secret that in many cultures... Read More
December 26, 2010 by Joni Nichols
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Each month, the Science & Sensibility community will review one of Lamazes Six Healthy Birth Practices in sequential order.  Today, new S&S contributor Joni Nichols will discuss Healthy Birth Practice #1:  Let Labor Begin on Its Own. Reviewing the very first recommendation of the... Read More
November 30, 2010 by Kimmelin Hull, PA, LCCE
22 Comments
Recently, Boston.com featured this article as proof that an increasing number of women are spending more time worrying about their appearance during and after childbirth, than the birth process itself.  Of course, those of us who have participated in childbirth in one form or another will likel... Read More
October 10, 2010 by Amy M. Romano, RN,CNM
23 Comments
This post is part of the forthcoming Grand Rounds Blog Carnival at e-patients.net. Contributors were asked to write a post "inspired by, supportive of, or critiquing an article in the Journal of Participatory Medicine." I chose as my inspiration Gilles Frydman's Patient-Driven Research: Rich Opportu... Read More
September 23, 2010 by Amy M. Romano, RN,CNM
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There is a growing movement, backed up by evidence, practice guidelines, and efforts by agencies including the March of Dimes, the Institute for Healthcare Improvement and the Joint Commission, to reduce elective inductions, especially those occurring before 39 completed weeks of gestation.Media cov... Read More
September 2, 2010 by Amy M. Romano, RN,CNM
36 Comments
[caption id="attachment_1456" align="aligncenter" width="350" caption="The levator ani is a muscle, not a clinical outcome."][/caption]Ok, ok, I've heard from enough of you about the study purportedly showing that epidurals protect the pelvic floor, I suppose it's time to write up what I think about... Read More
August 24, 2010 by Henci Goer, BA
25 Comments
Iatrogenic (adjective): induced in a patient by a health care provider's activity, manner, or therapy. An iatrogenic disorder is caused by medical personnel or procedures or develops through exposure to a health care facility.Iatrogenic norm: a defined range of normal values for a biological pro... Read More
August 16, 2010 by Amy M. Romano, RN,CNM
84 Comments
The (in)famous Wax home birth meta-analysis hit the scene over a month ago. But the buzz doesn't seem to be dying down. In the weeks since the original pre-publication and press release, editors at The Lancet and BMJ have both weighed in, and there's a steady stream of media attention. While all of... Read More
July 17, 2010 by Sharon Dalrymple, LCCE, FACCE, RN, BN, Med
7 Comments
[Editor's Note: This marks the beginning of our coverage of the 5th International Normal Labour & Birth Research Conference, taking place July 20-23 in Vancouver. Sharon Dalrymple, staff development nurse, prenatal educator, doula, and Lamaze's first Canadian president, will present a sessio... Read More
June 12, 2010 by Jeannette T Crenshaw, DNP, RN, IBCLC, NEA-BC, FAAN, LCCE, FACCE
5 Comments
[Editor's note: This is a guest post from former Lamaze International President, Jeannette Crenshaw. When Jeannette told me about the video she reviews in this post, I knew I wanted to highlight it as part of the Sixth Healthy Birth Blog Carnival. I recall  one birth I attended as a midwife, I... Read More