Showing posts with label pre-natal class. Show all posts
Showing posts with label pre-natal class. Show all posts

Saturday, February 11, 2012

Article: Is My Fetus Well?

Fetal movement counting has been proven to be a safe in telling the condition of the fetus. It is a test that a pregnant mother can do all by her self. It is based on the premise that a healthy fetus has several periods of activities in a day so that no movement or a sudden distinct decrease in the movement may mean a decrease of oxygen to the baby. Some obstetricians may ask their patients to routinely perform this while others only suggest this if the mother is considered high risk and there is concern for the baby’s well-being.

Fetal movement counting is done late in the pregnancy, on the third trimester and usually on the thirty second gestational week and onwards unless your care giver sees it necessary to perform earlier. There have been conflicting studies about the conclusions of the test. Some show that there has been a decrease in the number of stillbirth from low risk women while others do not show any distinct advantage. A disadvantage may be in the length of time it takes to do the test, usually as long as an hour or so a day and every day for a given period of time. It may also cause needless anxiety to the mother wondering if her baby is moving or not and if it may mean her baby is not well. This increase in the level of anxiety is sometimes deemed as unnecessary pressure on the overly concerned mother especially since there has been no clear improvement in the results of the outcome. However, the advantages are; it is non invasive and easy to do. It is also convenient because one does not have to go to the hospital or her doctor’s clinic to perform the test. Best of all it is cost efficient. Other mothers find it amusing since they get to know the activity levels and movement patterns of their baby.

It is normal for babies to move several times during the day. Some are remarkable active while others are not so active. They have several active movements when they are awake and quiet periods when asleep characterized by less movement. Reduced activity is felt in the latter part of the pregnancy however it does not slow down remarkably. Other wise this may mean there is valid concern and it is best to advice your care provider who may perform more tests to rule out the problem. A nonstress test may be performed or even an early delivery if necessary. When observing the fetal movement counting, we are actually looking for a marked decrease in the movement. However if a dramatic increase in activity is monitored over a few hours, it is also note worthy and must be reported as well. This could mean a decrease in the oxygen of the fetus which could perhaps be a result of a placental problem or pressure from the umbilical cord.

The method is very simple. It is done to keep track of the number of movements your baby does. One possible way is the count-to-ten method. Set aside a certain time each day where you can be relax and undisturbed so you can focus on your baby’s movement. Chose that period in the day where you observe the baby moves the most. Usually it is in the evenings after dinner. It may also be the most convenient time. Chart the movement daily, roughly at the same time. Do not worry if you miss a day every now and then. When you are ready to begin, choose a comfortable position. Start to record the time it takes for your baby to move ten times. Hiccups are not included. Sometimes it could be a long squirm and other times a quick kick. A long movement must be distinctly recorded from the start of the movement to the end of the movement and is considered only one score even if there were several fast kicks that came along with it. This varies on an individual basis. If your baby is asleep, you may try to wake him up by making a loud noise or you could wait until he is awake. The important thing to note is how your baby’s number of movements compare with his own chart and not with another’s. If there has been no activity within twelve hours, report this to your doctor. 

Sunday, October 30, 2011

Birth Story: Toni Asti, H's Natural Birth Story, P198

T. A. & B. P.    PCC 198
For my first ever blog post, I would like to share H's birth story. The start of my journey to Motherhood and beyond.


July 2 2011.Saturday


0445
My water bag broke. Woke up to the feeling of water trickling down. In my mind I know that it's showtime. H will make her grand entrance today. H has perfect timing, because just the day before I was given the 'all-clear' signal from my OB, no more UTI,  I can give birth without any worries....



I would like to take this opportunity to thank my family and B's family for the support. The medical team  of MMC's Delivery Room, the nurses, the interns and of course my OB, Dra. Carla Espina-Castro and our Pediatrician Dra. Pamela Caedo.

I would also like to thank Ms. Chiqui Brosas-Hahn for sharing her knowledge about natural childbirth. Attending this class, prepared us and really made my journey through childbirth faster and easier. You may inquire class schedules through her website.

And of course, Thank you Lord, for the safe and relatively uncomplicated delivery of H and for giving us a beautiful, chubbylicious, baby girl.

Article: Skin to Skin Contact of a Newborn to his Mother is Essential

A new mom is skin to skin with baby in the labor room.
Photo © iStockPhoto


SSC should be a routine practice in the hospital. As soon as the baby is born, he should be placed on his mothers chest with his bare skin against hers and them being covered together with a blanket to keep them warm.

Studies have show a lot of advantages with this process. To mention some of them are;
1.) cardio-respiratory stability was achieved sooner
2.) mother's maternal attachment to the baby was keener
3.) mothers touched their babies with affection more during  breastfeeding and so breastfeeding outcome was better
4.) more maternal oxytocin were released
http://www.ncbi.nlm.nih.gov/pubmed?term=Matthiesen+2001+oxytocin
5.) Babies are kept warmer.
http://www.ncbi.nlm.nih.gov/pubmed/12725547

There is something magical that happens that the eyes cannot see when mother and baby is together and not separated at birth. There is no better place where infants belong then in their mothers arms. I say no to unnecessary intervention at birth and to immediate skin to skin bonding of infant's at birth.

Saturday, October 29, 2011

Birth Story: Chami & Robbie Candelaria, Photos of Hospital Procedure for CS.



Thanks to Chami & Robbie Candelaria
8 hours ago
Chami Candelaria
  • Hi Chiqui!!! Thank you ha! Yes, pls do! We really wanted to have a normal delivery but i have bicornuate uterus and its safer to deliver via cs! Even then, the class opened our minds to what could happen during birth (we really expected for the worst) that's why we were very much prepared during the big day! Haha you can see how relaxed we were! And few weeks before giving birth, i was in and out of the hosp and was advised to have bed rest due to pre-term contractions! During those times, robbie would coach me on the appropriate breathing techniques! =)Now, baby and I are in excellent condition









Article: by Chiqui Brosas, How Is The Bradley Method Different From The Lamaze Method?

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Do you have a high tolerance for pain? Is your husband gutsy enough to be by your side telling you how to breathe while you are on labor? Do you wish to give birth naturally i.e. without pain medications? If you answered yes to at least one of these questions, then you are likely to be more comfortable with the Bradley method for birthing. 
I have been teaching childbirth classes for eighteen years. Attended several ICEA (International Childbirth Education Association) conventions in the USA. Finished a full course of the Bradley Method as an instructor and have used the Lamaze method in my earlier births. Knowing that new couples are always eager to learn everything they can about their child’s birth, preparing for it is but natural. The best way to gear a couple on what to expect during childbirth is to attend a birthing class. The two most popular birthing methods are the Bradley and the Lamaze methods. Albeit both techniques lead to the same outcome-the birth of a couple’s little bundle of joy, the two differ in several aspects- the most significant of which is the issue of pain management. Below are some of the most significant differences between the Bradley method and the Lamaze method which can help a couple decide which method will best work for them, in case they decide to attend such class:
Date founded by obstetricians: The Bradley Method, popularly known as the husband-coached childbirth, is ahead of the Lamaze method only by a few years. For Dr. Robert Bradley started the Bradley method in 1947 in the USA while the Lamaze Method, popularized by Marjorie Karmel’s book“Thank You, Dr. Lamaze,” was introduced in France by Dr. Fernand Lamaze in 1951. Popularized by Marjorie Karmel through her book, Thank You, Dr. Lamaze.
Labor Partner: It was Dr. Bradley who paved the way for the husband to be with his wife in the labor & birthing room while the Lamaze , nine years thereafter, adopted the use of a monitrice or an assistant, other than the husband, to accompany the laboring mother.
Breathing: The Bradley method uses one kind of breathing from the beginning of labor to its end. It espouses a normal, rhythmic and abdominal breathing exercise aimed to ease tension on the muscles allowing the laboring mother to relax. It is the kind of breathing one uses while asleep. The Lamaze method, on the other hand, uses three altered breathing states - one breathing technique for each phase of labor.
Pushing: On the second stage of labor, or the phase wherein the baby is ready to come out and say hello, a Bradley trained mother is only taught to hold her breath to push the baby out of her womb while a Lamaze trained mother may be taught to hold or exhale while pushing.
Focus: Bradley uses internalization to control the pain of birthing. A mother is taught how to stay in tuned with her body and to focus on staying relaxed during labor while allowing her to welcome each contraction. The birthing mother has her eyes closed, thus the appearance of being asleep. The Lamaze method, on the contrary, uses more externalization. The mother tries to stare at a focal point during labor and resorts to different kinds of breathing to distract her attention from labor.
Comfort measures: Both methods resort to different massages and changing positions in labor.
Usual number of classes: There are twelve sessions ( or a minimum of eight classes if request is approved by the academy) in the Bradley Method and they are more focused on the naturalness of labor and birth, the way Mother Nature intended the birth to be. The Lamaze Method has six sessions. It is more liberal with regard to pain medication along with other medical interferences.
Success rate in giving birth naturally: Bradley aims for a 90% drug free or medical intervention free birth with over 80% average of success rate. The results of the births of the Bradley students are sent back to the American Academy of Husband Coached Childbirth which are then tabulated. In a statistic made out of 14,000 of Dr. Bradley’s patients, 94% of them were unmedicated. Only 3% required intervention because of medical reasons while the remaining 3% required cesarean operations.
Success rate for natural birthing is not being tabulated by the Lamaze method. When asked why, the best known Lamaze teacher and co-founder of ASPO ( American Society for Phychoprophylaxis in Obstetrics), the main office for training Lamaze teachers, Elizabeth Bing, wrote in her book Six Practical Lessons for an Easier Birth says, "I have often been asked the number of successes and failures among my students. I want you to realize that I do not accept the concept of failure in regard to women I prepare for childbirth. Before we train in our method, we all start off a point I call minus zero. Everyone of you will achieve zero plus, and this will be your point of total success." 
Studies show that a better informed mother on the birthing process is more likely to have a faster and an uncomplicated birth. Hence, attending a birthing class is ideal, choosing what class to attend, however, depends on the method which best matches the couple’s values, needs and level of commitment. No matter what method is chosen, always remember that each birthing is arduous but special. The ordeal makes the mother more empowered and the couple more bonded especially with the addition of a cute family member. This is regardless of one’s pain tolerance, or who the person she is with while on labor, or the use of any medication or intervention. At the end of the day, it is a healthy baby and mother that all matters. Happy birthing!

Article: by Chiqui Brosas, Thank You Hubby!


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The Importance of a Husband during the delivery of his child
By Chiqui Brosas-Hahn*

“It takes two to Tango.”
Cliché. Yes, yet very applicable especially for birthing couples. No, we are not talking about who is to blame for the addition of another family member but of the ability of the mother to successfully hurdle a painful, energy-draining, and emotionally wrenching phase of her life, in one piece. Knowing that childbirth causes significant physical, emotional and even spiritual strain to the mother, there is no better support to be had than that coming from the father of her child.
Gone are the days when spouses/partners are shunned from the delivery room and are made to succumb to the agony of waiting and are merely constrained to just pace back and forth to pass time until the baby finally comes out. Modernized methods of childbirth, particularly the Bradley method being the first staunch proponent of a husband’s presence inside the delivery room, paved way to allow a partner or a family member to be beside the birthing mother to support the latter go through labor. In fact, studies show that having a partner or a close friend or relative beside the mother aside from the usual physician reduces the Caesarean rate by 50%, the epidural rate by 60%, forceps deliveries by 30%, and length of labor by 25%. Also, having a supportive partner or doula dramatically increases the chances of a successful breastfeeding for longer periods of time and reduces, if not eliminate, postnatal depression.
So what makes the presence of a partner during the delivery sensible? First, the husband’s mere presence provides comfort and support for the wife. Second, the husband can ensure that the wife’s birth plan, especially her preferences, is essentially followed. Third, the delivery enables the husband to bond with the child immediately at birth.
My hubby was there when I had our first child and I can tell you it has been a kind of bond between us.”- This kind of comment is often usual from a mother who experienced childbirth with the father of her child beside her. The comfort and support extended by the husband while the wife is in labor is unimaginable. Scientists explain that the continuous support from the husband promotes the steady release of endorphins in the mother, causing her to relax and ultimately dramatically decrease the amount of pain she experiences. Contrary to a mother who handles labor all by herself, the anxiety alone initiates adrenaline response which shuts down endorphin release.
When the pain kicks in and I'm screaming for an epidural, he would be the one to deal with the nurses and tell them NO.” The husband can be the wife’s second line of defense. His being there by the wife’s side reassures her that she would be getting the birth she always wanted especially during her lowest and weakest moments when she is susceptible to giving up. Since the couple loves and trusts each other, the wife can depend on the husband to make decisions for the her.
Lastly, witnessing a child's birth is a life-changing event for most fathers. This enables them to realize how hard it is to bring a child into this world, learn how vulnerable he is and how dependent he can be of his parent’s care and love.
Many mothers vouch for the soothing and reassuring effect of having someone assist them during their pregnancies. Considering the advantages of such, it is high time for couples to make real their vow that they will be together through thick and thin—hence, now is the best time to mull over a husband-coached childbirth. Happy birthing!     
       
*Chiqui Brosas-Hahn is a USA Trained Childbirth Educator, having attended several International Childbirth Education Association conventions in the USA and having finished a full course of the Bradley Method as an instructor. She has been teaching childbirth classes for at least eighteen years. 

Birth Story: Rej Hahn-Siy, Princess, Now is Not the Right Time to Give Birth!





It was the first time I visited someone confined in St. Lukes Medical Center (SLMC) in Global City http://www.stluke.com.ph/. It's beautiful, modern, new and clean.

My daughter called me last Wednesday evening asking how a contraction feels like. She thinks she has been experiencing a few of them. I asked if she has been timing them and for how long has it been that way. She wasn't sure but they seemed regular and has been that way for over a while. The problem is, her tolerance to pain is high. (Plus based on how much I know her, she is a brave and tough cookie... though she may seem very quiet, reserved and fragile).

I asked if she had called her OB Gyn. She was actually given a tablet to take and advised to rest in bed... but it wasn't helping. She wanted to know if she had to go to the hospital. I thought, it's better to know. Better safe than sorry. If it's false then she doesn't have to worry, she will just be sent home and no harm done. So, yes I told her to go to the hospital to have herself checked just in case she was indeed contracting. It was too early to give birth, 27 weeks! No way! It'll be too risky to have the baby this early. I called her after a few hours and true enough she has having preterm contractions and was advised to stay in the high risk room where she was attached on a fetal monitor for continuous monitoring with an i.v. drip. She was to be on complete bed rest.

I visited her the following morning and got to meet her charming, energetic, young, pretty OB. She wanted to be certain my daughter's cervix was not dilating so she had an ultrasound done externally and internally. Thank goodness she was not funneling. Cervix was intact.

The following day she was in the suite, no more i.v., bed rest and fetal monitor, just the 3 times a day oral tablet to stop the contractions. I went to visit her and she said she noticed at around 5pm she was having moderate to mild contractions again of around 3 mins. apart. Back to the intensive care unit, i.v., fetal monitor and complete bed rest. She was given an intramuscular injection to help mature the baby's lungs just in case she continues to labor and baby is born earlier. She will have another dose the following day.

As I watch my Princess, I'm so very proud of her. She is such an obedient, cooperative, uncomplaining, calm patient. She does everything her doctor tells her. i believe this is so because she loves her baby so much and intends to keep her till full term. I'm just as proud to say that her hubby on the other hand is so supportive, concerned and caring. When I look at both of them, I can't help notice how compatible they are. I admire the love and respect they show each other. I thank God for His goodness and faithfulness in their lives.

It's amazing how in some ways my daughter is different from me and how in some ways we're alike. I carried all my children to full term with no experience of preterm labor what so ever! To me, that proves to show that every mother is different, unique and special. Please pray with me for my Princess to reach to full term and for a healthy baby girl.

Wawa Colour


Birth Story: Have Baby, Will Prepare: Childbirth Class

Congratulations on your birth! It was a good thing your labor was fast, 8 hours! I like the fact that you are a "gold pusher". Imagine, in just 3 pushes she was out and crying! Good job indeed! I'm so very proud of you. I'm so happy that the birth classes helped you. 


http://tonisummersunshine.blogspot.com/2011/10/have-baby-will-prepare-pt-2.html

Friday, October 28, 2011

Article: by Chiqui Brosas, Rooming In is the Answer

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“Breastfeeding was actually the primary reason why I preferred to room in with my child,” says Maggie Gochuico, 32, who gave birth to her first child Daniel 3 ½ years ago. “It was very convenient for me since I could sleep while breastfeeding. Plus, I didn’t have to go to the nursery anymore. And my child easily learned how to breastfeed.”

Sounds simple isn’t it? In fact, most mothers really want to get hold of their babies once they are born. They cuddle, kiss and never grow tired of watching them.

In 1Samuel 1:23B in the bible, Hannah nursed her son, Samuel, and took care of him until he was weaned before she brought him to Eli, the high priest, to be given to the Lord as she promised to serve Him. Even Hannah realized the importance of being with her son from birth until he was weaned.

I believe babies were never meant to be separated from their mothers, especially after birth. They thrive and grow better when they are beside their mothers. They are better nurtured and nourished. They feel safer, contented and more secure in their mother’s arms. Through my years of teaching childbirth classes, I have noticed these babies to be happier and quieter. A lot of other mothers who have also roomed in and breastfeed have commented on this.

Here are nine reasons why ROOMING IN your new born is essential.

Recovery is Faster. You, as a mother, get a head start in breastfeeding; hence, the breast milk comes out earlier, which is good for her baby. Furthermore, recovery for the mother is much faster since she gets to breastfeed more often and as a result, her uterus can return to its original shape and size much faster.

On the job training. The mother can learn about her baby's sleeping patterns, different cues and cries, how to carry and burp her baby and how to give him/her a bath. The adjustment from the hospital to the home is smoother and easier.

One-on-one basis. Caring for the baby is on a one on one basis unlike in the nursery where the nurse is caring for several babies. This results to peace of mind for the mother since she gets to see her baby all the time and the common concern regarding switching of babies is not likely.

Mother’s arms keep babies warm. Newborn babies don’t have the control over their temperature so it’s very essential that they may be kept dry and warm. One way of doing so is to have them under their mother’s wings. Putting a cap on his head and covering the baby with a warm blanket also help. Plus, contact with your baby’s skin can keep him/her warm.

Increased sleep. Many mothers claim that when they have their child in the room with them, they don’t get to sleep as much as when the baby is in the nursery. But recent research has revealed that it’s quite the opposite. Knowing that the baby is safe and sound in their arms make mothers actually snooze better.

Not have to rush. Entitled to privacy, the mother has all the time she wants to be with her baby. She is more comfortable in her room and does not have to rush.

Great bonding. A bond develops between father and baby, the mother and her newborn. This is the best way to start a family unity. This is the first sign of a relationship – you are telling your newborn child that you are more than his parents, that you love him unconditionally. Besides, if you don't room in with your baby, the father does not get the chance to touch or hold his/her baby right away. He only gets to see him from the glass window of the nursery. The immediate family, the eager grand parents and siblings can also interact with the baby and have a close encounter with him/her.

Immediate advice. The mother can get to talk and see the pediatrician every time he/she visits the baby. She is able to ask all the questions about her baby right there and then.

Needs are met immediately. And more important, the mother has immediate access to her baby and can attend to her infant’s needs immediately.

            So whether you are thinking of forming that all-important relationship with your child or just want to breastfeed your new infant immediately, think of rooming in. It’s the best way to give your child a healthy start.




Photos courtesy of Johanna Sampan
http://www.facebook.com/photo.php?fbid=3314092210239&set=a.3313927926132.8100366.1206182919&type=3&theater

Article: by Chiqui Brosas,Benefits of Delaying Umbilical Cord Clamping

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In my Prepared Childbirth Class, during our discussion of the birth plan with the pregnant couples, we tackle possible options they want to happen in their births which they will then discuss with their obstetricians. One of the more interesting topic we talk about is the possibility of cutting the umbilical cord by the husband after the birth of his baby. This comes as a surprise to many of them since they never thought that this could be a possibility while some squirm at the thought of it. I think maybe it is because of the thought of the blood gushing out from the cord after it is cut or perhaps the pain and injury they fear they may inflict on their newborn and/or their wife. I quickly assure them that the cord is first clamped a few inches away from the baby before it is cut and that the cord has no nerves in them, thus mother and infant will not experience any pain when it is cut. Many of them feel assured, but by the looks on their faces, many of the fathers still seem doubtful whether they will be brave enough to do such courageous act when the times comes. There are still a few others who feel they are confident enough and are sure they want to do it. Some how there seems to be some honor and pride in being able to say, “I cut my baby’s umbilical cord.” My oldest daughter who was in one of my births cut her sister’s umbilical cord. Believe it or not, I cut my daughter’s cord on my last birth and boy was it tough!

Recently I was asked in class the question regarding the early cutting of the umbilical cord. The couple said they researched on it and have read a couple of things about its negative side effects to the newborn. I quickly remembered what a pediatrician once told me a few years back about the effects in the delay in my request in cutting my baby’s umbilical cord. She said it was one of the reasons why my baby developed jaundice. I was very curious about her comment and wondered about it in my mind. I did not know if I believed it or not, but since she was the doctor, I just left it at that. I wondered how our grand mothers gave birth in the past and how their umbilical cord and placenta were handled. My student’s question opened a can of worms and I determined to investigate some findings about this matter. If they were implying to request this from their obstetrician as a possible option, I needed to site to them some findings to back them up since I myself am a firm believer in the naturalness of birth.

During second stage when the baby is born, the doctor waits for the baby to cry to take his first breath from his lungs, then she would immediately cut the umbilical cord. This is the common practice here today. In the uterus the fetus has been getting adequate oxygen supply all throughout the pregnancy from its umbilical cord whose other end is attached to the placenta. It is correct to state that the newborn is retrieving his blood supply from his placenta which happens to be attached in his mother’s uterus rather than to think that he is actually receiving blood from his mother.

After the birth of the baby, the umbilical cord continues to get blood from the placenta allowing him to transition from his capsulized bag of water to the outside world where he starts to breath on is own using his lungs. When the transfer of blood from his vein is completed, the blood vessels shot down and the placenta detaches itself voluntarily. In the past our grand mothers would just leave the umbilical cord and placenta attached to their babies wrapped on a diaper until it would dry up and fall off on its own. The birth was more gentle and unrushed.

Here are a few things I’ve gathered from my research regarding delayed umbilical cord stripping that can be done for a healthy normal birth that is free from complications.
By George M. Morley, MB., CH. B, July 1998 * OBG Management. “While exploring the feasibility of saving placental blood for autologous NICU transfusion, the author found a disturbingly obvious alternative: If cord clamping is delayed to permit normal placental transfusion, the need for newborn transfusion often could be eliminated.
The debate on cord clamping dates back at least to 1801, when Erasmus Darwin noted that it would be "very injurious" to tie "the navel-string" too soon and urged that clamping be delayed until the infant has breathed repeatedly and all cord pulsation ceased. The cord tie is viewed as insurance against blood loss after the vessels have closed.”
In 1993, a study by Kinmond et al…“found no increased jaundice, plethora, hyperviscosity, or polycythemia using this method. Yet fear of late clamping persists because physicians have been conditioned to believe that these complications are caused by placental over-transfusion. Cord stripping has become tantamount to malpractice.”
In Wien Klin Wochenschr. 1985 May 24;97(11):497-500. [Article in German], Hohmann M. States that…“Late cord clamping allows a redistribution of placental blood to the fetus within 3 minutes…Blood volume and blood pressure of the fetus are elevated after placental transfusion. The increased blood volume correlates with the effective renal blood flow. There is no difference between cardiovascular parameters 6 hours post partum in infants subjected to early or late clamping of the cord. Nevertheless, erythrocyte volume and oxygen capacity remain high during the first days of life in infants with late cord clamping. Conclusion: In normal deliveries the cord should be clamped after 1 to 2 minutes. In premature infants, however, placental transfusion is advantageous because the incidence of respiratory distress syndrome is lower with late clamping.”
In Z Geburtshilfe Perinatol. 1982 Apr-May;186(2):59-64. [Article in German] Künzel W. States that…“From the historical point of view, cord clamping has been performed in natural child birth some time after the fetus has been delivered and after the expulsion of the placenta. In 1877 already Hayem could show that in late cord clamping (LC) the concentration of erythrocytes in the newborn blood is elevated if compared to early clamping (EC) of the unbilical cord. It was concluded that this  was a result of placental transfusion…The newborn responds to placental transfusion with an increase of hemoglobin and hematocrit, an elevated blood pressure, although significant differences in cardiac output could not be established. Renal function is increased and effective renal blood flow associated with the blood volume of the newborn…In conclusion: "In order to give the newborn the blood, that it needs physiologically cord clamping should be performed not immediately after birth, but one should wait as long until the umbilical vein has been empty and is collapsed." (Bumm 1902).”
Today the umbilical cord is know to have a rich supply of stem cells which could be collected and harvested for future use to restore bone marrow back to the deficient child and experiments continue to discover many other uses for the stems cells. I think, if the birth of a baby is uncomplicated, the mother must be allowed to let her newborn rest in her caring arms and delay cord clamping to maximize the benefits of the fresh source of blood and stem cells. This should be done safely for as long as it is medically possible and neither of their health are compromised.
Other interesting readings to support delayed clamping:
1) George M. Morley, MB., CH. B "Cord Closure: Can Hasty Clamping Injure the Newborn?", OBG Management - July 1998
2) Z Geburtshilfe "Cord clamping at birth - considerations for choosing the right time" Perinatol 1982 Apr-May;186(2):59-64
3) Saigat, Saroj, et al. "Placental Transfusion and Hyperbilirubinemia in the Premature" PEDS 49:3 – March 1972
4) Walsh, S. Zoe "Maternal Effects of Early and Late Clamping of the Umbilical Cord" LANCET – 11 May 1968
5) De Marsh, QB, et al "The Effect of Depriving the Infant of its Placental Blood", JOUR AMA ? 7 June 1941

Article: by Chiqui Brosas, Kegel All The Way



It is part of a woman’s responsibility to stay healthy and strong all throughout her pregnancy. The muscles that get affected most during labor are the pelvic floor and abdominal muscles. These muscles have to be conditioned to speed up her postpartum recovery but more importantly to be able to use these muscles efficiently during labor.
During pregnancy the added weight of the baby in her uterus produce pressure on the pelvic floor muscle and may allow it to sag. Needless to mention the relaxing effect on the muscles and joints brought about by the hormones produced during pregnancy. Exercise can help lessen the heavy throbbing feeling brought about by her present condition and even during post partum.

This simple exercise was invented by a German gynecologist, Dr. Arnild H. Kegel (1894-1981). It involves the pelvic floor muscles or what you call the pubococcygeal muscle. This muscle has been commonly referred to as the kegel muscle. At the time Dr. Kegel discovered this exercise, he did not realize the many benefits it brought. Now we know the extreme importance of this exercise in pregnancy as well as after. It is a must that should be taught in every childbirth preparation class even if no other exercise is taught. This exercise must be a life time practice done by women and even men.

Here are just a few reasons why the exercise is so important to perform.
1. It strengthens and tones the pelvic floor muscles allowing them to stretch comfortably
    in labor. Not allowing it to be cut during and episiotomy.
3. Improves circulation of blood in that area.
2. The laboring woman learns how to control the pelvic floor area allowing them to relax
    during labor thus minimizing the pain and making birth easier and quicker. 
3. Relieves pelvic floor congestion especially during the third trimester when her baby is
    much heavier.
4. It is responsible for the female sexual climax as control increases stimulation during
    love making and enhances pleasure for your husbands as well.
5. Strengthening and toning of these muscles have helped minimize incontinence
    especially in older women and also help prevent bladder and uterine prolapse. There is
    also less probability in developing urinary track infection amongst them.
6. For men, this exercise can likewise help in incontinence especially among older men
    and help control the muscle used in the erection of their penis.

How to locate the muscle.
The kegel muscle is like a hammock that carries the bladder and uterus of a woman. It is connected infront of the pubic bone and runs all the way to the back on the coccyx or tail bone. To find the muscle, try to stop your urine midstream. If you are able to do it, then you have found the muscle. If that does not work, it may help to insert a finger inside your vagina and to squeeze. This gives the women a good sense of control and strength of the muscles. You may also involve your husband by contracting your pelvic floor muscles during love making and getting feed back from him.

How the exercise is done.
It is very easy to do but also very easy to forget. One would have to incorporate it in her lifestyle. It might help to cut out “stick on notes” with the printed word, “kegel” and to put them in various parts of your house that you frequently visit to remind you to do it, like your bathroom mirror, your kitchen sink, your dinning table, and even in your office table and the dash board of your car. You can decide to do it every time you are driving while waiting on a stop light or even every time after you urinate .

There are two ways you could do this exercise. You may do this staggered or opt to do it straight in one sitting. However, if you chose the latter one, you may do this only after you have gotten used to the exercise after a week or two. If this is the first time you will do this exercise, I suggest you do it staggered. It is a muscle and it could get sore if you push yourself to do too much at one time. You can do ten kegel’s five times spread out during the day and slowly increase the number of times per week, maybe increasing it to fifty every week, until you arrive at two hundred times per day. Two hundred times would be hard to count so I suggest for you to time yourself for five minutes doing it straight, but do this only after a few weeks of trying it out. Whatever works best for you, either staggered or straight, is fine so long as you do this exercise daily for life. You can do this exercise in any position, sitting down, standing up or laying down. No one will ever know.

The condition of your pelvic floor muscles are of a life time significance. So kegel fifty to one hundred times daily for life!

Article: by Chiqui Brosas, Is My Fetus Well?

                             http://www.webmd.com/baby/ss/slideshow-fetal-development


Fetal movement counting has been proven to be a safe in telling the condition of the fetus. It is a test that a pregnant mother can do all by her self. It is based on the premise that a healthy fetus has several periods of activities in a day so that no movement or a sudden distinct decrease in the movement may mean a decrease of oxygen to the baby. Some obstetricians may ask their patients to routinely perform this while others only suggest this if the mother is considered high risk and there is concern for the baby’s well-being.

Fetal movement counting is done late in the pregnancy, on the third trimester and usually on the thirty second gestational week and onwards unless your care giver sees it necessary to perform earlier. There have been conflicting studies about the conclusions of the test. Some show that there has been a decrease in the number of stillbirth from low risk women while others do not show any distinct advantage. A disadvantage may be in the length of time it takes to do the test, usually as long as an hour or so a day and every day for a given period of time. It may also cause needless anxiety to the mother wondering if her baby is moving or not and if it may mean her baby is not well. This increase in the level of anxiety is sometimes deemed as unnecessary pressure on the overly concerned mother especially since there has been no clear improvement in the results of the outcome. However, the advantages are; it is non invasive and easy to do. It is also convenient because one does not have to go to the hospital or her doctor’s clinic to perform the test. Best of all it is cost efficient. Other mothers find it amusing since they get to know the activity levels and movement patterns of their baby.

It is normal for babies to move several times during the day. Some are remarkable active while others are not so active. They have several active movements when they are awake and quiet periods when asleep characterized by less movement. Reduced activity is felt in the latter part of the pregnancy however it does not slow down remarkably. Other wise this may mean there is valid concern and it is best to advice your care provider who may perform more tests to rule out the problem. A nonstress test may be performed or even an early delivery if necessary. When observing the fetal movement counting, we are actually looking for a marked decrease in the movement. However if a dramatic increase in activity is monitored over a few hours, it is also note worthy and must be reported as well. This could mean a decrease in the oxygen of the fetus which could perhaps be a result of a placental problem or pressure from the umbilical cord.

The method is very simple. It is done to keep track of the number of movements your baby does. One possible way is the count-to-ten method. Set aside a certain time each day where you can be relax and undisturbed so you can focus on your baby’s movement. Chose that period in the day where you observe the baby moves the most. Usually it is in the evenings after dinner. It may also be the most convenient time. Chart the movement daily, roughly at the same time. Do not worry if you miss a day every now and then. When you are ready to begin, choose a comfortable position. Start to record the time it takes for your baby to move ten times. Hiccups are not included. Sometimes it could be a long squirm and other times a quick kick. A long movement must be distinctly recorded from the start of the movement to the end of the movement and is considered only one score even if there were several fast kicks that came along with it. This varies on an individual basis. If your baby is asleep, you may try to wake him up by making a loud noise or you could wait until he is awake. The important thing to note is how your baby’s number of movements compare with his own chart and not with another’s. If there has been no activity within twelve hours, report this to your doctor. 

Article: by Chiqui Brosas, Sex and Pegnancy


This is a topic a lot of couples are reluctant and/or embarrassed to discuss with their doctor. It is however a very important issue. Couples should discuss it between themselves and be open and truthful about your feelings. There may be women who may lose their sexual urges as their body changes. There are women who feel fat and undesireable as their abdomen grows. There is also the problem of finding the right position that would be comfortable for the couple. The couple should also discuss it with their doctor to find out if the woman is having a normal pregnancy or is she at high risk for complications.

If the couple decides that both are still open to intimacy, there are couple of warnings. If they choose to have oral sex, the man should refrain from blowing into the vagina as it may cause air embolism. That is the blockage of the blood vessel by an air bubble. It may be fatal to both mother and baby. Another warning is that if the man suspects that he may have an infection (STD), he should refrain from intimacy.

Most common question is, "Will it be safe for the baby?" Most definetly yes. Your baby is protected by the amniotic sac which is a thick bag holding the baby and the fluids. The other common question is, "Can we have sex until the baby is due?" Yes if there are no contraindications or if your care provider has not asked you to refrain from having sex. Having an orgasm can stimulate contractions. Also, the semen contains prostaglandins that can prepare you for labor plus antibodies that can be good for you. The third most common question is, " What position is best?" You and your partner may want to experiment on what is the most comfortable for you both.  Laying on your side (spooning position) may be the best. But feel free to be creative.

Of course if you experience pain, spottting/bleeding, discharge or prlonged orgasm, you need to call your doctor immediately.

For those who choose to abstain from sex during pregnancy, I would recommend spooning, kissing and caressing. I guarantee that these activities is equally enjoyable.
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