• WOW Factors of Breastfeeding

    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…

  • Chain response to Shock

    When Catastrophe Happens and Response to Shock Occurs

    During shock, the entire body begins to communicate.  The Pulmonary Response System sends a message to the lungs – the lungs call the respiratory rate to speed up – the respiratory rate sends a message to the CO2 to get out of Dodge. The Cerebral Response System sends a message to the Cerebral Vascular System to maintain a MAP of 50-100 mm/Hg. The Renal Response System has a network of communication much like Social Media.  The Renal Response System communicates with its buddies the Adrenal Glands to produce Renin.  Renin communicates with Angiotensin I.  Angiotensin I just passes the buck on to Angiotensin II.  Angiotensin II has some work to…