Those who cross my path

I meet a lot of people. Work. Play. and even minding my own business. Many different personalities and beliefs and goals and levels of getting along. I have learned on thing about relationships of any kind--to not hang on to them when its time to let go.
People come into my life for a many reasons-- but its always about me TO me. Yes, i may help someone or be there for someone or even cause change but ultimately for me it is about me.
Why has this person come into my life? Even for a brief moment, I know its about me and what I am suppose to take from this encounter. It could be as simple as I dont need this drama/person/energy in my life right now and can i walk away? to they have shown me a facet of life I did not know about to heart energizing I adore this person forever experiences. When i create boundaries of my own space I will always have those people who try to break those boundaries--am i allowing them to or can i say NO! As I set out my goals in life I will have those people who will try and distract or nay-say my desires--can i out up my hand and say NO! to them? I will have those come to me with love and encouragement and even a night of exquisite love--can i say YES! to them and just allow it to be THAT without demanding it to be more and more?
Looking at each person and what they have to offer me is vital in keeping ME from expecting too much or even blaming myself when I am feeling hurt or rejected or betrayed. Each person is a voice from the Divine/Me signaling me about my life and what I am suppose to be doing. Each person is a physical manifestation of the Divine/Me to guide me, remind me,get my attention and delight me with my own realizations.

So..

ACOG will start keeping track of all transfers from a HB.
Cause of course they are curious and concerned..and just wanna help.

They sure dont want the public to know THEIR stats and their issues....

Walk for Midwives

www.alabamabirthcoalition.org

On October 3, I will be joining citizens from across our state in the Alabama Birth Coalition’s Walk for Midwives. This special statewide event will raise awareness and funds to help us work for greater access to midwives and better maternity care in Alabama.

You know first-hand how important midwives are to healthy mothers, babies, and families. You know the benefits of care with a midwife:
• Individualized education, counseling, and prenatal care
• Continuous assistance during labor and delivery
• Support of natural, physiologic birth
• Respect for your birth choices
• Postpartum and breastfeeding support
This holistic, evidence-based care is why midwives consistently have such good outcomes for the mothers and babies they serve.

But did you know that not all Alabama families have access to midwives?

Alabama families who wish to deliver out-of-hospital are often surprised and distressed to learn that while they may legally birth out-of-hospital, any midwife they hire to attend them risks prosecution. Families are forced to choose among difficult and limited options. Some find a midwife who is willing to risk prosecution to attend the birth. Some choose to birth in the hospital though they would prefer a midwife. Some travel to birth in states that license midwives. Some give birth unassisted.

Alabama families deserve better birth options than this. That’s why I am walking for midwives.
Will you join me?

There are two ways you can help:
• Come walk with me and many other committed citizens in the Walk for Midwives on October 3. There will be walks in Huntsville, Cullman, and Birmingham – check out ABC’s website for locations and starting times.

• Please sponsor me for the walk by sending a donation of $25, $50, $100 or more today. The Walk for Midwives is part of ABC’s campaign to raise $55,000 to support our vital public policy and educational work. Can you help us reach this goal?




P.S. One generous family has offered to donate $25,000 in matching funds for donations to the Walk for Midwives. That means every dollar you give will be matched, dollar for dollar if you give now!


Please note that donations to the Alabama Birth Coalition are not deductible as charitable contributions for federal income tax purposes.

Ignorance abounds

birth at home


The ignorant statements this dr makes is sad.... there is no research to back her stupid thoughts up like babies drowned and how dirty a waterbirth is...

The Big Push

will be in Birmingham. It is a concentrated summit to bring ideas and action to getting midwifery passed as legal in this state.
How to bypass the good ole boys, the religious dogma, the medical misogyny and passive submissiveness of the women in the state. Too often I hear " well my Dr is a Christian so......... In this pause it is a given that ALL is allowed because of a persons religious beliefs. As if being a Christian prevents a dr from EVER emotionally manipulating a woman into giving consent, or that he does not give CS, or episiotomies or inductions unless GOD himself says its ok..... its a copout of being responsible for KNOWING and ACCEPTING how ones birth goes.
Will this Summit help?? I dont know but I think the camaraderie will be nice and a few days with other radical and like minded women WILL be rejuvenating.

Pit to distress

The "newest" assault being made on laboring women has been outed. Cranking up it until the baby is stressed in order to get that CS the Drs is antsy to do is now being made aware of.
SO how many babies must suffer? or women suffer? before Drs STOP abusing us? Or even further we stop allowing MEN to control out births? When do we as women say..WE HAVE HAD ENOUGH ABUSE!!!!
Check out these sites:
Keyboard Revolution

2006 Article


“Pit to distress” appears on page 182 of the textbook Labor and Delivery Nursing by Michelle Murray and Gayle Huelsmann. In this example, the onus is on the nurse to defend the patient from the doctor if he or she sees the order “pit to distress” by immediately notifying the supervisor or charge nurse."

""Pit to distress was mentioned in the comments of the post My Rant on Pitocin on Knitted in the Womb after the blog’s author, a former chemist and doula, was scolded by an anonymous OB nurse for not understanding the difference between microunits and milliliters when it came to dosing Pitocin.

I’m a trained chemist. I hold a bachelors degree in biochemistry, did some course work towards a masters in chemistry, and worked for 6 years in an R&D lab in the specialty chemicals industry. I probably know WAY more about different units of measure than you do. I used “microunits” and “milliliters” in my discussion appropriately.

I’m not sure why I have to resuscitate a newborn to have “been there,” but since it seems to be very important to you, I’ll talk about it. 90% of the time labor should go just fine, with no need for resuscitation—this according to the World Health Organization. Of the other 10%, not all of them would require newborn resuscitation. If you’ve found that a large percentage of the births you’ve been at have required resuscitation, perhaps you should look at the medical interventions that might be causing that. From my end, the only clients I’ve had who had babies who required resuscitation were cases where there had been “Pit to distress.”

Inductions Not safe or needed??

Indications for induction of labour: a best-evidence review

E Mozurkewich, J Chilimigras, E Koepke, K Keeton, VJ King, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA Correspondence: Dr E Mozurkewich, F4835, PO Box 0264, Mott Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0264, USA.

Email mozurk@umich.edu

Accepted 2 November 2008. Published Online 4 February 2009.

Background: Rates of labour induction are increasing.

Objectives: To review the evidence supporting indications for induction.

Search strategy: We listed indications for labour induction and then reviewed the evidence. We searched MEDLINE and the Cochrane Library between 1980 and April 2008 using several terms and combinations, including induction of labour, premature rupture of membranes, post-term pregnancy, preterm prelabour rupture of membranes (PROM), multiple gestation, suspected macrosomia, diabetes, gestational diabetes mellitus, cardiac disease, fetal anomalies, systemic lupus erythematosis, oligohydramnios, alloimmunization, rhesus disease, intrahepatic cholestasis of pregnancy (IHCP), and intrauterine growth restriction (IUGR). We performed a review of the literature supporting each indication.

Selection criteria: We identified 1387 abstracts and reviewed 418 full text articles. We preferentially included high-quality systematic reviews or large randomised trials. Where no such studies existed, we included the best evidence available from smaller randomised trials and observational studies.

Main results: We included 34 full text articles. For each indication, we assigned levels of evidence and grades of recommendation based upon the GRADE system. Recommendations for induction of labour for post-term gestation, PROM at term, and premature rupture of membranes near term with pulmonary maturity are supported by the evidence. Induction for IUGR before term reduces intrauterine fetal death, but increases caesarean deliveries and neonatal deaths.

Evidence is insufficient to support induction for women with insulin-requiring diabetes, twin gestation, fetal macrosomia, oligohydramnios, cholestasis of pregnancy, maternal cardiac disease and fetal gastroschisis.

Authors’ conclusions: Research is needed to determine risks and benefits of induction for many commonly advocated clinical indications.

Keywords: Best evidence, indications, induction.

Please cite this paper as: Mozurkewich E, Chilimigras J, Koepke E, Keeton K, King V. Indications for induction of labour: a best-evidence review. BJOG 2009;116:626-636