• Induction of Labor
    Article,  New Grad Maternal Child Program

    Birthing – Yesterday, Today, and Tomorrow

    Back in the 1940’s having a baby was a scary event for mothers. Mother’s called their doctors when they thought they were in labor.  The doctor determined if Mother should come to the hospital.  When mothers arrived at the hospital the nurse prepared her for Labor and Delivery.  The nurse gave the mother an enema.  This was done to keep fecal material from contaminating the vaginal area.  The nurse then shaved the perineal area of pubic hair.  Pubic hair was believed to be a source of bacteria.  Fathers were allowed to be with the mother but had no idea what to do or how to support the mother during the…

  • WOW Factors of Breastfeeding
    Article

    WOW – Love with Your Brain

    The capacity and desire to form emotional relationships is related to the organization and functioning of specific part of the human brain.  Just as the brain allows us to see, smell, taste, think, talk, and move, it is the organ that allows us to love-or not to love.  The systems   in the human brain that allow us to form and maintain emotional relationships develop during infancy and the first years of life.  Experiences during this early vulnerable period of life are critical to shaping the capacity to form intimate and emotionally healthy relationships.  Empathy caring, sharing inhibition of aggression, capacity to love and a host of other characteristics of a…

  • AWHONN Intermediate Fetal Monitoring Classes
    Article

    Ready for Intermediate Fetal Monitoring

    Intermediate Fetal Heart Monitoring is a 2 day course packed with lots of great information to empower you to care for a laboring mother.  We will learn how to perform the Leopold maneuver on a gravid woman to determine fetal presentation, lie, and point of maximal intensity of the uterus for fetal auscultation with a pregnant manikin.   We will learn how to place the fetal spiral electrode and the uterine catheter with a manikin with a vaginal canal.   We will discuss the causes of abnormal fetal and maternal occurrences – remember the VEAL CHOP in Basic Fetal Heart Monitoring?   Cheryl’s admission will be discussed.  She will have…

  • The Value of Breastmilk
    Article

    What’s the BIG Deal with Breastfeeding?! A lot actually…

    To assist a new mother on breastfeeding was frustrating for me because I didn’t know how to teach the mother how to get her baby to latch and suckle. It was far easier to feed the baby formula. Newborns can present with a lot of difficulties in the first 24 hours after birth. We discuss more about the challenges Baby and Mom have to overcome in Adaptation of the Newborn and Postpartum – A Time of Transition. I have learned so much about breastfeeding and the advantages of breast milk versus formula and have become passionate about breastfeeding.  I have learned the value of breast milk for the infant to have…

  • WOW Factors of Breastfeeding
    Article

    WOW – The Emotional Glue

    The most important property of humankind is the capacity to form and maintain relationships. These relationships are absolutely necessary for any of us to survive, learn, work, love and procreate.  Human relationships take many forms but the most intense, most pleasurable and most painful are those relationships with family, friends and loved ones.  Within this inner circle of intimate relationships, we are bonded to each other with “emotional glue” – bonded with love.  Reference Bruce Perry – Bonding and Attachment in Maltreated Children. WOW

  • Article

    Parents and Clinical Practice Council

    Parents Present During Invasive Procedures – Take it to your Clinical Practice Council. When working for a family practice physician, I learned the significance of maternal or fraternal presence with an invasive procedure.  This physician was emphatic that the father of the infant be present during a circumcision.  He would allow the mother to stay in the waiting room but the father must be with his newborn son during the circumcision. We told the father what we will do and what he, as the father, would do to comfort the infant.   It became the father’s job to talk to his child and use the pacifier during the procedure.  Therefore, the…

  • Article

    Ready for Basic Fetal Monitoring?

    I spent a great deal of time learning to the read an EKG, but once I understood the dynamics, I loved to use my skills in EKG Interpretation.  When I set out to understand Fetal Monitoring Interpretation the dynamics were so different.  This learned skill was difficult, but once understood, I loved to use my skills in Fetal Monitoring Interpretation. To read a fetal heart monitor you have 2 graphs to understand that needs to be interpreted in conjunction.  The upper graph records the fetal responses and the lower graph records the uterine contractions.  You then learn how the correlation of uterine contractions affects the infant’s heart rate. The infant’s…

  • Article

    Breastfeeding during Emergencies

    Protect and Support Lactating Mothers Natural disasters, manmade catastrophes, pandemics, and individual disasters may occur anytime without warning.  During these extraordinary and unplanned situations the health and wellbeing of humans are at risk and the most vulnerable population is infants and children.  During a disaster: Disease and death rates for children under 5 are higher than any group. 90% of deaths occur after the emergency due to diarrhea. 10 million children under the age of 5 die annually and 22% are due to diarrhea.   According to the World Health Organization more than 80% of deaths occur after the initial event.   After an emergency occurs the environment becomes contaminated…