ProfessionalLaborSupport-Pt3

doula at workMONITRICE /MIDWIFE’S ASSISTANT

The Monitrice can assist in providing a continuity of care, from pre-pregnancy through post-partum. They are trained in all the basic skills that a midwife is trained, but without the certifications to actually “catch” the baby.

At the point of a woman going into labor, the Monitrice/Midwife’s Assistant attends the birth in the manner of a Doula. See the blog post: ProfessionalLaborSupport-Pt1 regarding how a Doula assists in childbirth.

A Monitrice/Midwife’s Assistant:

-Assists women with the pre-pregnancy and fertility issues they may have, along with natural birth control methods.

-Has knowledge of local resources

-Monitors the pregnancy with training in taking the blood pressure, FHT, and urine collection
They enter the labor room in a Doula capacity.

-Assist with neonatal care

-Supports breastfeeding of the baby

-May assist in post-partum care

-Knows alternative complimentary methods for pregnancy and childbirth

 

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ProfessionalLaborSupport-Part2

mom and babyChildbirth Educator

The childbirth educator teaches and assists women in understanding the nature of childbirth, from pre-conception through the first year of baby’s life.  The information they give assists women in having a better and safer birth experience.

The professional Childbirth Educator trained at Birth Arts International adheres to the “Midwifery Model” of care, as outlined by MANA. This is where I am training (and near completion of).

Here are some things that may be covered:

  • Nutrition – preparation to conceive, during pregnancy, and post-partum
  • Pre-natal tests: What is required and why
  • Exercise: for optimal health, and to tone muscles in preparation for birth, as well as post-partum exercises
  • Stages of labor
  • Interventions
  • C-sections and VBAC
  • Neonatal care (newborn baby care)
  • Breastfeeding

Even second-time mommies can benefit from classes.  It helps you to have a better / safer birth to review information.

Childbirth Educators can assist in labor, in a much similar way that a Doula would.  They can answer your questions and assist after the baby is born.

 Part 3: Midwifery

Why Breastfeed?

 

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WHY BREASTFEED?

Cow milk is for calves, human breast milk is for babies. It has the best nutrients for baby. Breastfeeding has benefits for both baby and the mother.

Benefits For Baby

Breast milk is a safeguard against allergies (those babies who get allergies would be worse). Human milk protects against infections, inhibits the growth of virus’ and bacteria in baby.
It is helpful in the development of baby’s jaw and facial structure. It encourages normal weight gain, which assures a less-likelihood of obesity later in life. The developing brain and nervous system of the baby also is benefited.

Benefits For You

Breast feeding without supplementation delays menstruation for six months or more. During this time the chances of getting pregnant is practically nil.

Studies have shown that women who breastfeed their babies, for even a few months, are less likely to develop breast cancer, than if a woman does not breastfeed. It also protects against ovarian cancer, urinary tract infections, and osteoporosis.

The hormones released when you begin to breastfeed assists in the reduction of the size of the uterus after giving birth (Oxytocin) and assists in the bonding process of mother and baby. As does the close contact made between mother and baby.

Oxytocin is also a powerful antidepressant. The act of breastfeeding and its subsequent release of Oxytocin is shown to assist in the reduction of post-partum depression.


FREQUENCY AND DURATION OF FEEDING

Allowing the baby to nurse as often as baby needs to nurse, is the best way. In the beginning this may mean about every two hours, from the beginning of one feeding to the beginning of the next. This assures your supply of milk will come in, and that you meet the baby’s needs.

When a feeding pattern is established, all seems right in the world! But if you suddenly are dealing with a more frequent urgency of the baby to feed, this is not an indication baby is “dissatisfied” or your milk is not sufficient to meet the baby’s needs. It means that baby is working to increase the supply, to meet his/ or her demands. It is normal. You do not need to supplement, nor do you need to begin to feed baby foods.

The length of the feeding depends on the baby’s interest and response. At first baby will seem to be starving and suck eagerly, then after about 10 minutes doze off or lose interest. It is at this point you should burp the baby and change the diaper if necessary. Afterwards, you can switch to the other breast.

WORKING AWAY FROM HOME

To succeed at breastfeeding and working, it’s good to find people will support your goal of breast-feeding when you return to work whose words emphasize being successful at working and breast-feeding, not failing.

A Childbirth Educator can assist you (I personally have experience with working and breastfeeding successfully with two of my babies). You can also call the La Leche League, or visit the online site.

medela manual breast pumpDon’t wait until a week or two before you’re going back to work. Do your information gathering and learn all you can ahead of time.

For success, you will need a good breast pump (The picture above is one of the recommended types and brands). You will need to use your break time and express your milk. If you take with you to work a decent and yet small cooler or even an insulated lunch bag you should be able to keep the milk for later use.

 

SAVING YOUR MILK FOR LATER USE

Breastmilk has the remarkable ability to slow bacterial growth. It will stay fresh safely at room temperature (66 to 72 degrees) for up to ten hours.

It can also be kept in the refrigerator for up to eight days. If you need longer storage, it can be frozen for up to two weeks. Use a separate container (that has been cleaned) for each expression. These can later be combined, once cooled.

Use bottles that are designed for nursing babies. Otherwise the baby may develop what is known as “nipple confusion” and not suck sufficiently at the breast. Brands (all of these simulate the human nipple), such as: Mimijumi Very Hungry (mixed reviews / highest priced), Avent Naturals, Medela Calma (Can be purchased at Amazon / BPA free), and the Playtex Ventaire (some mothers say it leaks), plastic Philips Avent (BPA free that can be purchased at Amazon). All of the aforementioned brands are tooted as having little to no problems with “nipple confusion”.

Remember you are working to simulate the nursing atmosphere. Make sure your babysitter understands the concept of holding the baby as if feeding at the breast and that they should not be propping the bottle for baby.

 

REFERENCES:

Korte, Diana and Roberta Scaer. A Good Birth, A Safe Birth. (1992) Harvard Common Press.

La Leche League International. The Womanly Art of Breastfeeding, 7th Rev. ed. (2004)

Katelynne Shepard. Breastfeeding Problems.com. http://www.breastfeeding-problems.com/breastfeeding-hormones.html