Staci Bishop

Thursday, October 18, 2012

REVIEW: The Doula Book (Klaus, Kennell)

The Doula Book: How a Trained Labor Companion Can Help You Have a Shorter, Easier, and Healthier Birth 
By: Marshall H. Klaus, M.D.; John H. Kennell, M.D.; and Phyllis H. Klaus, C.S.W., M.F.T.

I think this is a fantastic read for parents. I was expecting this book to me more like The Birth Partner but it seems it was written more for parents than it is for doulas. As a birth professional, I appreciated the information given as it makes a case for having a doula present during labor and delivery. However, it didn't necessarily teach me anything new. With that being said, there was some helpful information found in the appendix of the book, which does pertain specifically to doulas and appears to be written to our perpective. 

The authors site several studies and show how doulas can have a positive impact on a woman's pregnancy, birth experience, post partum period and breastfeeding relationship. They give several scenarios of how a birth doula will benefit the family and serves as a compliment to the father. Having a doula present 
  • reduces the need for cesarean section, 
  • shortens the length of labor, 
  • decreases the pain medication required,
  • enhances bonding and breast-feeding. 

As I was reading the text, I found some information to be a bit outdated as the book was first published in 2003. However, a little research led me to find that a 3rd edition has just been released this year, which contains more content and updated pictures. If you are considering this book, I would highly recommend seeking the latest edition. You will be able to identify it by the new cover. 

Saturday, September 8, 2012

Reading Roundup 9/8 (Perineum & Vaginal Exams)

Here are a few articles I've come across as it relates to vaginal exams before or during labor as well as perineal care before and during delivery.

Is Peri Massage Necessary in Pregnancy? - Gives an excellent step-by-step guide for perenium massage. Note: You can also use olive oil or coconut oil (my favorite!)

STUDY: Perineal Massage - Conclusion: "Perineal massage is an effective approach to increasing the chance of delivery with an intact perineum for women with a first vaginal delivery but not for women with a previous vaginal birth."

Stop Doing Kegels: Real Pelvic Floor Advice for Women (and Men) - This is one of my top recommendations for pregnant women. Squatting is very beneficial in pregnancy and labor & delivery!

Episiotomy, 'A Little Snip' Childbirth Routine, Curbed by New Guidelines - "Clinical trials conducted in the '80s and '90s found that episiotomy cuts can, in fact, turn into even deeper lacerations during delivery, damaging the area around the rectum. " <---- Then why is this still happening routinely?!

How to Know When Vaginal Exams in Pregnancy and Labour are Useful and When They are Harmful - "While this can be a very useful procedure to find out very useful information, women also need to understand the full picture." I am not a fan of vaginal exams for curiosity sake. This article covers why.

The Myth of a Vaginal Exam - Even vaginal exams have risks (mainly infection) and they do not have to be a part of routine prenatal care.

Monday, September 3, 2012

Improving Birth - Nashville Rally


Today, I got to check an item off my Bucket List.

Attend a rally for something I believe in.

CHECK!
ImprovingBirth.org set up rallies all across America today for Labor Day and I was priviledged to attend the event in Nashville.

The Purpose - The National Rally for Change is to encourage and insist that all maternal healthcare providers practice evidence-based care.
Despite the weather, we had a fantastic turnout! I was also lucky enough to meet Mickey Jones of Nine Months & Beyond who gave an amazing speech right before we took to the street with our signs!
I was certainly encouraged and I know others were as well. I feel like we are on the verge of a huge movement of change for maternity care in America and I'm excited to be a part of it.
Here is the local news coverage: