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Crazy times…

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(Español aqui)

Well, it has been kind of crazy here. Several births, a new midwife partner, starting the Midwifery Association of Yucatan, chickens! So many exciting changes. Among them all, we are planning on holding the first “Respected Birth” Conference in October, proceeds going towards building our birth center!

I am super excited about it. We are fundraising for our conference/expo to put the down payment, so that we can hold the date and start selling some booths and tables. We are hoping to have a wide range of participants, and anticipate a large crown (over 5,000 people). We are going to be having it the second or third weekend in October from 10:00AM -10:00PM Saturday and Sunday. I am super excited to start fund raising for this event and the birth center, all in the hopes of making natural birth more accessible to women everywhere.

If you would like to donate to the efforts, you have several options. You can use a car or paypal here or if you would like to deposit at Oxxo, please WhatsApp (9999.91.23.16) me, and I will send you the account number. You can also donate via GoFundMe. You can also donate in person at my Merida location. We also are always accepting baby and birth supplies for our birth scholarship mama’s. The majority of these moms are under 18 or single mothers with limited resources.

Please share with as many people as you want to and don’t forget to make a donation today!

 

Primary Care in Midwifery

A Certified Nurse-Midwife’s Role in Primary Care

c0dce58dEvery day, more and more woman are choosing to see alternative care. In the past, physicians authority has not been questioned; their opinion was the only consideration. This is changing. Now, woman are seeking a more personalized experience, they are becoming more autonomous in their healthcare. Having a provider who is not only well trained, but also respects a woman’s control over her own healthcare, is more important than ever. When a woman believes she has a yeast infection, she may want someone to tell her exactly how it should be trerated, but she may also want someone who is able to discuss all treatment options, including natural remedies.

As certified nurse-midwives in the United States, we receive advanced training in assessing, diagnosing, and treating primary care concerns. With this training, we are then able to offer the women we serve a safe alternative to a primary care physician. We are able to help support the woman’s chosen lifestyle as she makes the decision that is best for her unique situation. Respecting her wishes for her care are of utmost importance.

Another consideration is safety. There is a reason that a woman feels that she needs to seek a professional opinion. We have advanced nursing practice degrees and have completed rigorous clinical requirements. We are qualified to give safe, sound medical advise. When doing so, we do expect our clients to ask questions, but we can also be trusted to give the best medical advise possible. In cases that are beyond our legally regulated scope of practice, or even our personal comfort zone, we will (just as any medical provider) recommend that you seek care with a specialty provider. This is why online midwifery care works in primary and urgent care situations. If you have a cold, you may want Tamiflu, but you may want elderberry tea. SaratheMidwife.com offers personalized, flexible, dependable healthcare on your schedule. Make an appointment today!

¿Por qué Partería? 5 Razones para considerar la Partería…

¿Por qué Partería? 5 Razones para considerar la Partería…

maternity-photos-1245233-1279x858Cuando te enteras de que estás embarazada, es un tiempo lleno de emociones. Planeada o no, todos tenemos ese momento de sorpresa, “¿es cierto?” Es posible que sentistes asustada, gozada, alegría, dudosa, o enfadada. Bueno, confíame, todos esos sentimientos (y muchos mas) son absolutamente normales. Una vez que ya estas más cómoda con la idea, te das cuenta en todas las cosas que ahora tienes que decidir.

Una de esas cosas es, ¿quién va a ser tu proveedor de atención durante el embarazo? ¿Con quién quieres estar cuando tu bebé viene al mundo? Entonces, ¿por que una partera profesional?

1- Parteras creen que la mama tiene el control.

Sólo recuerdate, tu estas en control. Este es tu cuerpo, tu familia, tu decisión. Tal vez has tenido una cesárea y no deseas volver a hacerlo. Tal vez usted tiene pensamientos de un parto natural en el agua, o en su cama, rodeado de los que has seleccionado para apoyarle. En este momento tan delicado, no sientes miedo o temor por que vas estar en un entorno familiar y cómoda. Tu conoces a tu propio cuerpo, tu confías en ti misma. Tu cuerpo fue diseñado para ayudar a esta pequeña criatura (que ha estado creciendo dentro de ti durante 40 semanas, más o menos) hacer su viaje hacia el mundo exterior. En esta odisea, quieres alguien que confía en ti tanto como tu. Alguien que educa y faculta a hacer tu propia decisión, en lugar de tratar de controlarte. Las parteras, estamos aquí para apoyarte.

2-Las Parteras tienen la paciencia para esperar hasta que tu cuerpo y tu bebe están listos.

Quieres alguien que espera pacientemente, todo el tiempo preparada en caso de que algo no vaya de acuerdo con el plan. Esto es por qué quieres una partera profesional. Siempre mirando, siempre esperando, siempre preparada.

3- Partería es una vocación de a dentro de nuestras almas, no sólo un trabajo.

Es por esto que soy una enfermera-partera certificada. Estoy aquí para presenciar el milagro que es dando a luz. No estoy aquí para intervenir, a menos que sea necesario. Estoy aquí para apoyar y educar. miro cuando nace una familia, guío al bebé a través del paso de la comodidad oscura a un mundo nuevo y brillante. Enseño a los que te rodean algunas cosas que se pueden hacer para que se te haga un poco más fácil. Tengo la bendición de ser una partera.

La idea de esto es lo que me mantuvo motivada por más de ocho años en la escuela. Es lo que me mantiene escribiendo este blog (en español!), y es de lo que sueño por las noches.

4- Sabemos cómo se siente.

Después de haber tenido tantos hijos, sé lo que está pasando. Como mujer, entiendo los sentimientos, las hormonas y los cambios físicos. Sé como se siente al no estar segura de lo que está ocurriendo en mi propio cuerpo. Sé como se siente al querer algo tanto, mientras que todos a su alrededor no están de acuerdo.

5- Sabemos lo que estamos haciendo.

Durante el embarazo, voy a estar monitoreando tu presión arterial, pruebas del laboratorio y ultrasonidos. Voy a escuchar el corazón del bebé en cada cita, y voy a medir el crecimiento de la pequeña. Si algo está mal, voy a consultar con el obstetra con quien trabajo y juntos, yo, tú, tu pareja o persona que tu quieres, y el médico vamos a llegar a un plan.

Una vez que estas en el parto, voy a seguir vigilando a ti y al bebé, hasta que sea tiempo para que el bebé venga. Voy a ayudar a coger al bebé y, probablemente, llorar un poco.

Por lo tanto, es por eso que la Partería es una decision excelente. Es por esto que creo que cada mujer merece la atención individualizada de una partera profesional. Alguien que te acompañe en el camino, dirigiendo suavemente tus pasos cuando sea necesario, y alguien que nunca juzga y sólo toma el control cuando sea necesario por razones de emergencia.

Seguridad de Partos en Casa

Seguridad

Mi "Birth Bag"
Mi “Birth Bag”

Hoy es mi primer post en español. Esto es un poco de miedo para mí, ya que escribir en español no es mi punto fuerte. Mi esposo me lo va a leer para asegurar que no escribo algo grocero! El tema de hoy es la seguridad. He tenido muchas familias que me preguntan: “¿Qué sucede en caso de una emergencia?” Por lo tanto, voy a tratar de responder a esta pregunta. En primer lugar, verdaderas emergencias son muy raras en los partos en casa con una partera atenta y educada. Estamos entrenadas para la detección de riesgos y podemos evitar muchas complicaciones mediante la comunicación con nuestras pacientes y asegurandonos de que tomamos solamente mujeres con bajo riesgo y sanas. Tomo las mujeres de mayor riesgo en un hospital en el que tengo apoyo por si algo no esta bien.

En un parto en casa, si algo sale mal, yo soy entrenada para eso. Tengo el equipo de emergencia para la mamá y el bebé, incluyendo oxígeno, equipo de reanimación pediátrica y por adultos, medicamentos para la hemorragia, equipos para la hidratación intravenosa, y mucho más. Yo llevo dos o más de casi todo. Tengo mis certificaciones de reanimación neonatal y adulto y mi equipo está siempre listo. Antes del nacimiento, la familia y  yo hacemos un “plan de seguridad”. Esto incluye decidir dónde ir en caso de emergencia (el hospital más cercano) y donde íbamos a ir en caso de una situación que no sea de emergencia. Tengo dos GPS’s disponibles. Requiero de un vehículo (aparte del mío) con el tanque lleno de gasolina esté disponible en todo momento. También explico que no voy a estar conduciendo, ya que me quedo con la madre y / o del bebé para asegurar que se mantengan estables durante el transporte. El nacimiento es un acontecimiento imprevisible. Las cosas suceden que nadie puede tener en cuenta antes de que sucedan, pero yo reso mucho también.

El nacimiento es inherentemente seguro, el cuerpo de una mujer sabe lo que está haciendo. Depende de mí para monitorear la mamá y el bebé y asegurarse de que el milagroso proceso va bien y que yo sepa qué hacer si no lo hace. Siempre estoy feliz de mostrar a los padres mi equipo y el contenido de la misma, sólo para ponerlos un poco más tranquilos. Por favor, hágamelo saber si usted tiene cualquier temor o dudas, no asume que el parto en casa es aterrador y peligroso!

Por mas informacion puedes empiazar aqui o aqui.

 

It’s Been a While…

It’s Been a While…

Well, it has been two weeks since my last post. In the past two weeks, I have made huge strides with my new practice. I have new home birth patients, I have new hospital privileges, new back up physicians, pediatricians, just a whole network of people supportive of a women’s right to birth where and how they want! I met with the most amazing doula ever – just so many blessings! Hopefully, we will be welcoming a new addition in the next couple weeks here too! I am so glad that we are where we are, when we are here. I am also glad that my online midwifery service is getting more momentum, slowly but surely. My study will also be starting this week. Honestly, I am so glad to be here and able to help pioneer this amazing profession as we fight for the women here. I am hoping to be able to get a student here soon as well. I really believe God has given me a nitch here and the practice will continue to grow!

I got an interesting question this week – when will I return to fertility while breastfeeding? That really depends on so many things! First, how often are you breastfeeding? You need to be feeding at least every 4 hours, AROUND the clock. Have you gotten your period? While you will ovulate before you notice a period, simply bleeding does not mean you are ovulating. However, you should consider other birth control if you have had a period after your baby has been born. How long ago was baby born? Generally, if your little one is over 6 months old, you should be using another form of birth control. Personally, I recommend if you do not want to get pregnant after a baby, to use condoms because many women experience ovulation before getting a period, or while pumping (even if you pump every 4 hours). I believe it is a good idea to think about back up birth control if you have any doubts about becoming pregnant now.

 

 

The New Year

The New Year

 

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This year is going to be great! I am excited that my new practice is taking off, I am full of babies in my home, I am still able to breastfeed my 18 months old and my 3 month old (well in 2 days he will be 3 months) and we are going to start our new garden. We had a great one before we moved and now we are going to start slowly and build up another awesome one! My husband has a new career opportunity that will hopefully be very fruitful as well. My research study (something I have wanted to do forever) is in the works as well! There are so many reasons to make this a fantastic year! I am going to continue in my eating raw journey (my family and I eat 85% raw – yes, 85%, not 75, lol) and the exercising my mom and I do daily (we did take a break over the holidays though, back to work today!) and my mom’s surgery this year. It is exciting that I have my husband, who is wonderful and my beautiful children with me. I love the people I am with, the town we moved to is really growing on me and the more we see of it, the more I like it! I got to see lot’s of fireworks last night, which makes everything better too!

Health-wise this year, remember, after the fun of your new years resolution to exercise, eat better, or fill-in-the-blank wears off, your body still needs those things, so don’t stop! Think about incorporating some of these habits into your daily life. Hopefully, we can all get a little healthier this year. I hope you all had a great, safe New Year’s Eve and got some rest today! I am going to go watch Bodyguard with my daughter while my little boys nap. Have a fantastic Day today!!

 

New Research Study!

New Research Study

Help improve healthcare for women!One of my biggest passions is supporting and advocating for survivors of domestic violence and rape. In my day-to-day practice, I see how the thoughtless, routine actions of some women’s healthcare providers hurt women. Every woman deserves to be treated with respect and every provider needs to understand that this is our body, and they are invading one of the more personal places (if not the most personal place) we have. When this is understood, care can continue. It is my goal to establish real, across-the-board, guidelines to help women who are assessed as having experienced some kind of abuse. To this end – I have decided to begin a research study and publish my findings. I am currently in the “beg for volunteers” phase.

I understand how sensitive and touchy this subject can be for many women. That being said, I am hoping that women may find this a way to empower themselves as they recover from their unique trauma. When someone takes your power and dignity away, (for the limited time they did) it is so hard to live with that everyday. When we go see a doctor (or yes, even a midwife) who treats us as though they hold the power and we have no ownership of our bodies, it is easy to slip back into that moment and relive the trauma. We are doing this study to take our voices, and our power, and demand to be treated with the respect and dignity we deserve as women, not only for those who have those experiences, but also because a provider does not always know who did or did not have that experience and no women should feel violated by their provider.

In addition to the practice guidelines that I hope to establish, I am also interested in finding correlations between a history of violence and any healthcare problems experienced later in life. If you or someone you love would like to participate, please click here.

 

Oh, boy, oh, boy

Oh, Boy, Oh, Boy

Today, someone asked me about circumcision, or more appropriately called- genital cutting. Boy or girl, modern day genital cutting is nothing compared to what it was when it was first instituted. It kills over 100 boys annually. No, not in the third world, not in poor hygiene situations- in US hospitals. Therefore, I am firmly opposed. The US is also the only first world country where routine genital cutting is performed. Canada and Australia stopped in the ’50’s. When someone asks me if they should do this to their son, I applaud them for looking into it and then I recommend they watch a video of what is going to happen to their son.

While working in a hospital when I was 18, on a pediatric unit, I was cursed with the task of assisting with this procedure. Now, as an 18 year old girl, I had no idea that this was optional. I had the erroneous belief that it was something that HAD to be done. After the procedure, swore I would never do that to my child, and then I started actually looking into it. After doing research, I became even more convinced, and three boys later, I am glad I decided not to do it. After all, only a little over 30 – 50% of boys in the US are cut now, meaning all those classic “locker room” arguments are pointless now. The study about HIV rates being lower in cut men? Thanks to long term studies in Africa – debunked in 2008! It’s prettier? That’s an argument I have heard before, my response to that is a blank stare. How else can I respond to that one… So concerned with your babies sexual function? Cutting has many known and proven effect on sexual pleasure for both the man and his partner. “Female sexual dysfunction (often in the form of dryness) may be “diagnosed” because the woman is sleeping with a cut man whose member has decreased sensitivity, a hardened head, and an exposed coronal ridge that sucks out moisture. Perhaps it is over diagnosed in preference to changing the practice too many Americans infallibly believe is good for their sons.” (see article).

Take home point: it is not your penis, so…. Also, I do not believe in shaming or judging other people, so please do not bash, as I also restrain from bashing.

If you are debating – check out these links:

A summation of the effects

Elephant in the Hospital (video)

What is Circumcision and What is in Not?

Anatomy of a Healthy Penis