Category: Uncategorized

Poco Loco

IMG_0224Bueno, ha sido poco de loco aquí. Varios nacimientos, una nueva compañera quien también es partera profesional, empezando la nueva Asociación de Partería de Yucatán, y gallinas! Tantos cambios muy interesantes. Entre todos ellos, estamos planeando la celebración de la primera Conferencia “Maternidad Respetada” en octubre usando lo que ganamos para empiazar la construcción de nuestro centro de maternidad!

Estoy súper emocionada por ello. Estamos haciendo un recaudación de fondos para la conferencia/exposición para poner el pago inicial, de modo que podamos mantener la fecha y comenzar a vender algunas estands. Estamos con la esperanza de tener una amplia gama de participantes, y anticipar una gran corona (más de 5.000 personas). Vamos hacerlo la segunda o tercera semana de octubre de 10:00am -10: 00 pm el sábado y domingo. Vamos a tener varios platicas de profesionales de la salud materna y familiar.

Estoy súper emocionada de comenzar la recaudación de fondos para este evento y el centro de maternidad, todo con la esperanza de hacer el parto natural más accesible a las todas las mujeres aquí en Mérida.

Si usted desea donar, tiene varias opciones. Puede utilizar una tarjeta de crédito o PayPal aquí o si desea depositar en Oxxo, por favor WhatsApp (9999.91.23.16) mí, y yo le enviará el número de cuenta. También puede donar a través de GoFundMe. También puede donar en persona en mi consultorio aquí en Mérida. Además, siempre estamos aceptando cositas de bebé y suministros de nacimiento por nuestros mamas con becas de parto. La mayoría de estas madres son menores de 18 años o madres solteras con recursos limitados.

Por favor, compartir con quien pueden y no se olvide hacer una donación hoy!

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!

 

El Poder de la Mente Durante el Parto

shiny-brain-1150907-1279x1065A veces las mujeres no se dan cuenta de lo importante que es para entrar en el nacimiento con una buena mentalidad. Hay cosas que suceden en la vida que no esperamos afectar a nuestro nacimiento. Nuestros cuerpos y mentes están conectadas tan íntimamente. Cuando hay un trauma en su vida, un trauma sexual, una muerte reciente, un miedo desde hace mucho tiempo, todas estas cosas pueden realmente hacerle daño a su experiencia del parto. Esperando una cesárea, pero “intentar” un parto vaginal, sólo causará mucho trabajo, un dilatado período que se traduce en dolor y una cesárea.

Durante el embarazo, mucha gente va a tratar de infundir miedo en ti. Especialmente si usted es una mamá por primera vez, es posible creer en ellas. ¡Háblame! Vamos a hablar de el tema. Vamos a ser honestos y hablar a través de sus preocupaciones. Sus miedos o traumas son importantes para su experiencia del parto. No las ponga a un lado o tratar de ocultarlos porque los bloques mentales durante el parto causa la dilatación de pérdida de sustentación. No vaya a pensar en el nacimiento de una cesárea como su alternativa. Las cesáreas son para emergencias. Son un gran cirugia abdomenal. Las cesáreas tienen consecuencias a largo plazo, efectos secundarios. El parto vaginal es cómo se entregan los bebés durante miles de años. Este alarmismo que está tan entrelazada en nuestra cultura nacimiento actual solo unas pocas décadas. Recuerde que su cuerpo sabe qué hacer. Cesáreas no son la manera de los bebés del nacimiento. Las cesáreas son el último recurso para salvar a los bebés o madres en un riesgo médico. Sólo deben suceder el 15% de las veces, no el 85-95% de los nacimientos.

Dar a luz no se detiene naturalmente. Las mujeres, naturalmente, no dejan de dilatación. Estas son las consecuencias de los miedos y traumas que tenemos en nuestra mente y no quieren o no puede dejar ir. Ser fuerte y tratando de no llorar no hace su nacimiento mejor. Liberar sus preocupaciones, gemir, llorar. Esto le ayudará durante el parto, no obstaculizar. Nadie allí te juzgará. Estamos allí para apoyar a través de la dolorosa, hermosa experiencia más impresionante, alegre en su vida. Este dolor no es un mal dolor. No trate de escapar de el. Ir con el, aceptarlo, permita que se haga lo que tiene que hacer. Una vez que suelte sus miedos y aceptar lo que está sucediendo, respirando a través de ellos, derramando algunas lágrimas; Esto es cuando la alegría de parto comienza. Esto es cuando las contracciones son los más eficaces. Algunas mujeres que lloran por una cortada de papel sienten poco dolor durante el parto. Algunas mujeres que experimentan dolor diario y tienen un alto nivel de dolor, sufren en gran medida a través de las contracciones. Nunca se sabe cómo se va a manejar el trabajo de parto. La persona que eres en la vida diaria no se predice como vas ser durante la experiencia del parto. El nacimiento es hermoso, alegre, increíble. Sí, más que probable, usted tendrá dolor. Pero no es un mal dolor. El dolor viene de la mano de una mujer. Edúcate tu mismo. No se limite a ser una merced de otras historias de los pueblos, creencias y miedos. Usted es una mujer, usted es una madre. Saber es poder.

Por mas información a cerca de partos naturales y partos en agua visita www.sarathemidwife.com/saralapartera

Contracciones Antes De Las 40 Semanas

risto_pekkala_pregnant_belly_clip_art_23294Es normal tener contracciones de práctica durante el embarazo, antes de la semana 40. Se llaman contracciones de Braxton Hicks. Las contracciones Braxton Hicks ayudan a su cuerpo preparar por el parto. El trabajo de parto prematura o la amenaza de aborto son diferentes a contracciones de práctica.

¿Cuál es la diferencia entre Braxton Hicks o el labor prodrómica y el parto prematuro?

Las contracciones no se consideran verdaderas a menos que causen el cuello del útero que se dilate. Si las contracciones no son regulares o dolorosas, es muy poco probable que van a causar dilatación. Si las contracciones aumentan en frecuencia, duración, y intensidad pueden ser verdaderas. Las contracciones que causan cambios del cervix (o el cuello del útero) normalmente duran por mas de 60 segundos y ocurren cada dos a cinco minutos por mas de dos horas. Con las contracciones efectuosas, normalmente sientes dolor en la pelvis o la espalda baja. Si hay flujo aguado, sangre, o si el bebe ya no mueve segun su costumbre, habla a su partera profesional o medico.

Si usted tiene el trabjo de parto prematuro, es importante hablar con su médico sobre la suspensión de los medicamentos antes de las 36 semanas para permitir que su cuerpo entra en el trabajo de parto naturalmente, cuando llegue el momento. Si toma medicamentos para detener las contracciones durante todo el embarazo, no va entrar el trabajo de parto cuando el bebé está listo.

Ninguna medicina que toma una mujer es libre de efectos secundarios. Hablando de una medicina muy comun, Dactil, tambien los tiene, efectos como estreñimiento, rubor, sequedad de la piel y de la boca, tenesmo vesical, midriasis, anomalías electroencefalográficas, crisis de glaucoma agudo, fiebre, hipertensión ocular, hiposecreción bronquial, lagrimal y nasal, y a dosis altas bloqueo aurículoventricular y delirio, disuria y taquicardia, alucinaciones visuales, desorientación temporoespacial, excitación e inestabilidad, arritmia, eritema, pirosis, trastornos del habla y del equilibrio, vértigo y vómito,agitación, alucinaciones auditivas, cicloplejía, fotofobia, hipotensión ortostática, ideas paranoicas, lentitud en la generación de ideas, micropsia, trastornos de la atención y somnolencia. 

Cada mujer tiene el derecho de cuestionar su preveedor de salud acerca de las decisiones que afectan a usted y su bebe.

Pelvic Pain

black-4-1500881-640x480Today we are tackling pelvic pain. It is a common complaint for women, and recently, I was asked how I could treat this problem. Often, the pain has an explanation, but there are times where no diagnosis is given. There is a protocol often followed to diagnose pelvic pain and certain important considerations when deciding how to move forward. It is important that your care provider acknowledges your complaints. It may sound obvious, but I cannot tell you how many times a woman has told me that I her fourth (or more) provider that she has looked to for answers. My first question is, does it come (or worsen) at certain times during your cycle? If there is a hormonal component, it can point us away from certain ailments and towards others. From there, I will ask about what makes the pain worse, for example, does it get worse during intercourse? Does it get worse while walking or laying down flat? Then what makes it better? Heat? Medications? Baths? After this, we will discuss details that can effect the treatment plan. The first step is for me to order both an ultrasound and lab testing. These tests take about 24-48 hours to come back. If further testing is needed, we will move to an MRI. In the mean time, it is helpful to use heat packs and anti-inflammatory medications. Once there is more information, we can discuss our next step. You do not have to feel this pain forever. Working together, we can find an answer! Make an appointment today!

 

When Other Mother’s Attack

mother-1499674-1280x1280When Other Mother’s Attack

In nursing, we have a saying: “eating our young.” This means older, experienced nurses are just mean or overly critical of the new generation of nurses. This is, luckily starting to go out of style, but still exists. I am sure it exists in many different professions, not only nursing. It also exists in mothers. New mothers (or any woman walking around with a baby or a pregnant belly) is suddenly fair game for all sorts of unsolicited advice, criticism, and apparently uninvited touching.

This happens to us all, but it happened today in a way that really surprised me. First, my youngest baby is just barely 2 months old, second, he is a screamer. So when he falls asleep, it is a blessing. Today, I was walking in a store with my little one sleeping in my left arm. He was finally asleep and in his favorite position. He was kind of upright, with his head tilted back against my forearm. A woman rushed up to us (common right) I thought to see his cute lil face. However, when she got to us, she lifted my little one’s head upright talking about “Shame on you, you need to support his head, he is going to get hurt.” Here is the key – she lifted his head. She not only touched him, she physically moved him. I was livid. With 4 other kids under 7 with me, I had a good excuse to walk away quickly but it took all my self-control to hold my tongue. I said, “No!” and walked away quickly. I know that many women have the same issue, but I question the root of the problem. What makes people believe that new mothers or pregnant women need to constantly be “taught” things. I am interested in seeing some opinions here.

Personally, I really try to only give my opinions or ideas when asked or if a woman is saying that she has no idea what to do. An interesting situation came up the other day, when I was in the doctor’s office with my mother. There was a woman seemingly desperate to get her toddler daughter to eat some unflavored Greek yogurt. Well, of course the nurse in the reception area felt the need to comment about how the mother should give her child those “children’s, flavored yogurt drinks.” The mother looked down and said, “I want her to eat healthy,” to which the nurse responded “It is healthy enough and at least she will eat it.” The mother shyly began to put the yogurt away. I felt bad that she was embarrassed, so I spoke up, “I feed my kids Greek yogurt too. It has so much more protein, right? And no food coloring or fake flavors, right?” She literally brightened up as she nodded. “My kids were reluctant to eat it at first too, but I just added fresh fruits or a few spoonfuls of organic jam or jellies and they eat it much better that way.” She replied kindly and we started talking. She was a very young mom, trying to make healthy decisions for her young daughter, and being publicly torn down by a healthcare professional must have felt awful.

Instead of criticizing, we, women really should applaud each other, encourage each other, and support each other for all the different decisions we are able to make. Breast, bottle, vaccines, no vaccines, organic, not organic, we are mostly doing the best we can and no one is perfect anyone, so why all the fighting? We are women. We can discuss our differences and disagree with each other and then hug and laugh about things we have in common.

What do you do in situations like this? Does anyone find random, unsolicited advise helpful? What about when strangers touch your belly or your children without asking?

Postpartum Depression

Postpartum Depression

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Today I finally finished my article on postpartum depression. It was difficult to let go and finally publish it. I have a personal attachment with this topic. I struggled with postpartum depression after a few of my children. The last episode was by far the worst. While I had a relatively good support system, I still had a very difficult time during the postpartum period. I cried all the time, I did not want to get out of bed, I wanted to die, I had very bad thoughts. When it came to caring for the new baby, I did not even want to look at, never mind take care of, my own newborn. I felt horrible that I was so horrible.

It took me a while to work through this and I was not surrounded by people who understood what I was going through, but they loved me and tried to support me. There were those people close enough to me to judge my interaction with my new addition. Some judged me very harshly, while others tried to “help” me. My baby was forced into my arms by those thinking they were helping. “Just think about the good qualities” was something I heard more than once. I am sorry, but what “good qualities” can a severely depressed woman appreciate enough to magically cure herself? There were nasty look and comments, it was all so not-helpful. But then, there were those words of encouragement, reminding me that this would pass, reminding me that soon, this would be over. And it did, and now it is over, and thank God, I did not have that experience again. I am now bonded to all my beautiful children and I can now appreciate each one’s unique good qualities.

Women who are going through postpartum depression are not doing it intentionally. The feelings they are having towards motherhood or their new child are probably only adding to her feelings of inadequacy and guilt. They need love, support, and above all, they need to not be judged. They need a shoulder to cry on and someone with whom to go for walks. They also need someone to hold their baby while they eat their favorite meal in peace. They need someone who cares enough to get them help.

What Kind of Midwife Are You?

As a midwife, I treasure my time with women. I became a midwife to help women, to empower women, to be a presence in time of uncertainties and joys. I decided to go into midwifery instead of becoming an OB/GYN because I was drawn into the sanctity of birth, the midwifery model of care, treating the whole woman, and not just her symptoms. So, I never thought I would be writing a blog… Those who know me, know how I fear blogging, it was not something I believe I can do easily. But here I am, writing my first blog post! I should share some of my midwifey thoughts so here goes…

What kind of Midwife are you?

Something I was recently asked- “What kind of Midwife are you?” I answered with my professional title “I am a Certified Nurse-Midwife, so I am a registered nurse and a Master’s educated advanced practice nurse.” “No,” she replied, “Are you into natural remedies or do you do hospitals and prescriptions and that kind of thing?” Well, I had never really thought of how I identified my “kind of midwifery.” I didn’t know what to say, so I responded with the first thing that came to my mind “Both, I guess.” As I considered this question later, I was glad that was my answer. I am trained in advanced pharmacology and can write prescriptions with the best of ’em, but I also know and use herbs, teas, oils, and alternative therapies and I am not afraid to recommend them. As a midwife, I have the luxury to get to know the women I serve, get to know their preferences and needs. This is awesome and one of the best things about being a midwife. The sad thing about many doctor’s, including online doctor services, is that usually, they are not able to spend enough time to deliver the care that is personal and centered around women. Now I know an even better answer “I am whatever kind of midwife my client needs.” The women who come to me with their urgent care needs are the women who decide what kind of midwife I am at that moment and I love being able to have that flexibility. I love to educate my clients, but beyond that, what they decide goes (safety first of course). I would never push Tums on someone who prefers using marshmellow tea and vice versa.

Now that we know what kind of midwife I am, lets find out what kind of blogger I turn out to be… Hopefully a helpful one!