birth center, birth team, Breastfeeding, Fear, First Baby, Home Birth, hospital birth, Lactation Consultant, Lip tie, Midwife, Midwife's Assistant, Newborn, Newborn Exam, Normal Newborn Weight Loss, Nurse, OB, Pediatrician, Postpartum, Supplementation, Tongue tie

Testing Tuesdays: Tongue and Lip Ties

Photography: Daniela Rey Awareness around tongue/lip ties and breastfeeding problems has increased recently, but there’s still confusion.   In 2015 I shadowed Bobby Ghaheri, ENT on a day of revisions. I learned I’m not qualified to diagnose and treat ties. Many aren’t. I’ve heard midwives, peds, and even some LCs state that baby has no tie… Continue reading Testing Tuesdays: Tongue and Lip Ties

AROM, birth center, birth team, Cervical Checks, cervical dilation, Degrees of vaginal lacerations, Epidural, Episiotomy, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, hospital birth, Labial tears, Labor, Long hours, Long Labor, Midwife, Midwife's Assistant, Newborn, Nurse, OB, optimal fetal positioning, Patient Safety, start-and-stop contractions, Trauma, trauma informed care, Vaginal Exam

November 2nd, 2019: LABORING TOGETHER

You know what’s super fun as a midwife? Watching both parents work as a team to meet their baby.  The laboring person tells us what they need. The partner shows up creatively and intentionally, despite being nervous or feeling a little lost.  Laboring Together is a specialized intensive for couples who desire an unmedicated birth… Continue reading November 2nd, 2019: LABORING TOGETHER

birth center, birth team, Fear, Home Birth, hospital birth, Midwife, Midwife's Assistant, Newborn, Newborn Exam, Newborn Hearing Screen, Nurse, OB, Pediatrician, Postpartum

Testing Tuesdays: Newborn Hearing Screening

My mom got her MA in speech pathology when I was little and she took me to school with her to save on childcare. Having seen so many kids and adults struggle with speech disorders, I feel extra passionate about referring my clients for hearing screens. Baby begins to use sound as soon as they… Continue reading Testing Tuesdays: Newborn Hearing Screening

Fear, First Baby, Home Birth, hospital birth, Midwife, Midwife's Assistant, Newborn, Newobrn exam, Nurse, OB, Pediatrician, Uncategorized, Vitamin K

Testing Tuesdays: The Vitamin K Shot

With Lauren Archer from Love of a Little One For parents of a healthy, term newborn, the Vitamin K shot tends to give parents a lot of worry. Here’s some info: The placenta won’t provide much K to your baby, breast milk is low in K, and baby doesn’t have the gut bacteria to make… Continue reading Testing Tuesdays: The Vitamin K Shot

fetal sex, First Baby, Gender reveal, Home Birth, hospital birth, Midwife, Nurse, OB

Finding out the Fetal Sex, Or Not, and Why I Hope We Can All Just Relax

(The phrase "gender reveal" has become a popular way of saying, "to find out whether your baby is a boy or a girl." However, a baby's genitalia at birth is actually its assigned "sex," with "gender" being a social construct that the baby may or may not identify with later in life. It is also… Continue reading Finding out the Fetal Sex, Or Not, and Why I Hope We Can All Just Relax

APGAR, birth center, birth team, First Baby, Home Birth, hospital birth, Midwife, Midwife's Assistant, Newborn, Nurse, OB, Pediatrician, Postpartum

Testing Tuesday: APGARS!

Baby’s First Test: The APGAR APGAR scoring was developed in 1952 by Dr. Virginia Apgar who noticed that providers didn’t have a standardized way of evaluating a baby after birth. She created the APGAR score (a handy acronym that is also her name) to get everybody on the same page. Since then, the APGAR score… Continue reading Testing Tuesday: APGARS!

birth center, birth team, Cervical Checks, cervical dilation, Failure to Progress, Fear, First Baby, Home Birth, hospital birth, Labor, Long Labor, Midwife, Midwife's Assistant, OB, Patient Safety, Pelvic floor, start-and-stop contractions, Vaginal Exam

The Beautiful and Mysterious Resting Phase

"OHMYGODIWANTTOPUUUUUUUSH!!!!" This was Zoey's second baby and second planned home birth. She was 37 years old, had an uncomplicated pregnancy, and had been in fairly meandering labor - contractions maybe 4-5 minutes apart, at their most frequent, since 2 AM. Her last cervical check, at 4 AM, had her at 4 cm. Her sudden announcement… Continue reading The Beautiful and Mysterious Resting Phase

Degrees of vaginal lacerations, Episiotomy, First Baby, Husband stitch, Labial adhesions, Labial tears, Midwife, OB, Pelvic floor, Perineal healing, Prolapse, Scar tissue, Silver nitrate, Stitches, Uncategorized, Vaginal atrophy, Vaginal Exam, Vaginal tear, Wound healing

All The Things That Can Happen to Your Pelvic Floor After Baby (And What to Do!)

Fear of pelvic floor damage during birth is reasonable, especially given the existence of Mother's Day cards like this: http://www.omgcards.co.uk Prevention of pelvic floor damage is a worthwhile topic out of the scope of this post. Most care providers have their bag of tricks they use (evidence-based or not) that they believe will reduce tearing… Continue reading All The Things That Can Happen to Your Pelvic Floor After Baby (And What to Do!)

birth center, birth team, Co-Dependency, Home Birth, hospital birth, Labor, Long hours, Long Labor, Midwife, Midwife's Assistant, Nurse, OB, Patient Safety

Gambling with Safety: Hours Worked and Quality of Care

On April 16th, 2019, Washington Senator Maureen Walsh (R) stated she didn't support a bill that would give nurses mandatory, uninterrupted rest breaks. Her hesitation was rooted in her belief that in districts like hers, where hospitals are small (fewer than 25 beds), nurses have plenty of down time, and thus are not in need… Continue reading Gambling with Safety: Hours Worked and Quality of Care