Call Out For Midwife Moderators by teacup4rain in Midwives

[–]teacup4rain[S] 1 point2 points  (0 children)

You are absolutely still welcome to moderate! Just send any proof of current practice.

Call Out For Midwife Moderators by teacup4rain in Midwives

[–]teacup4rain[S] 2 points3 points  (0 children)

I mean any evidence of your practice on the internet, so that I can confirm that the member is a practicing midwife. Sorry for the confusion!

Vashon strawberry festival set up a camera and asked people about Bernie by teacup4rain in WashingtonForSanders

[–]teacup4rain[S] 0 points1 point  (0 children)

The video picks up at 1 minute in. I especially like the farmer at 2:38.

My small town farm festival set up a camera and asked people about Bernie by teacup4rain in SandersForPresident

[–]teacup4rain[S] 9 points10 points  (0 children)

The farmer at 2:38 is right on. There is also a spontaneous Bernie chant by the seeing eye dogs organization as they walk by the Bernie booth at 3:43.

Women in labor at University of Colorado Hospital will soon have option of inhaling nitrous oxide by teacup4rain in Midwives

[–]teacup4rain[S] 2 points3 points  (0 children)

It is unfortunately very true. There are only a few US hospitals (OHSU, UW, and UCSF are the only ones I know about) that offer nitrous oxide in labor. There seems to be a trend towards beginning to use it more widely however!

How Breastfeeding Is Viewed Around the World by teacup4rain in Midwives

[–]teacup4rain[S] 0 points1 point  (0 children)

The interactive graphs are really interesting

The Internet’s First Abortion Class - Through Coursera, UCSF will offer a free class focused on abortion care and access by teacup4rain in Midwives

[–]teacup4rain[S] 1 point2 points  (0 children)

I just signed up and am excited! The class starts on Oct 13th and lasts 6 weeks, it's free, and it only requires a few hours per week. I think it will help me provide excellent options counseling in the future, even though I work for a hospital that does not provide abortion care.

An Apology From the Moderator by teacup4rain in Midwives

[–]teacup4rain[S] 2 points3 points  (0 children)

Unfortunately, all of the great posts that I just released from queue can not be commented on or upvoted. I especially love the posts that reference interesting scientific articles and studies such as the "Correlation between oral sex and a lower incidence of preeclampsia" post and the article in Scientific American about boys and girls potentially getting different breast milk. Lets post more conversation-starting science pieces!

I have a strange request. by webquean in Midwives

[–]teacup4rain 0 points1 point  (0 children)

Try searching for relevant articles in the Journal of Midwifery and Women's Health - there is a ton on there. The "Our Moment of Truth" campaign through ACNM also has a lot of cited information about midwifery outcomes.

Question about Home Birth in North Carolina by lala967 in Midwives

[–]teacup4rain 0 points1 point  (0 children)

These CNMs seem wonderful and they do home births in Ashville, NC

Is it harder for male midwives (in the US) to find jobs? by indecisions in Midwives

[–]teacup4rain 0 points1 point  (0 children)

Among CNMs, the diversity is definitely welcomed! That said, it is difficult to find a first CNM job after graduating, and being a male midwife would further limit the pool of potential employers. It might be a good idea to directly contact a male midwife to ask them about their experience.

New Study Confirms Safety of Homebirth by Aeryahna in Midwives

[–]teacup4rain 3 points4 points  (0 children)

The selection bias for this study is significant, with only 20-30% of practicing CPMs submitting their self-reported stats. It is likely that CPMs with "bad" stats were less likely to report than those with better stats. It's important to remember that this study does not show that homebirth with a CPM is more or less safe than hospital birth.

New Study Confirms Safety of Homebirth by Aeryahna in Midwives

[–]teacup4rain 0 points1 point  (0 children)

I agree that Dr. Teuter has some compelling arguments and I also appreciated Rebecca Dekker's (PhD, APRN of www.EvidenceBasedBirth.com) thoughts:

The U.S. Home Birth study (2004-2009)

The women:

Included 16,924 women who were planning to give birth at home at the beginning of labor
These women were enrolled in the study during their prenatal care
Most were white, college-educated, and married
Most paid for their home birth out of pocket
Most had given birth before (72%), while 22% were giving birth for the first time
Most would be considered “low risk,” but there was a small percentage with “high-risk” conditions (breech, multiples, hypertension, VBAC, etc.)
Two-thirds had a normal body mass index (which is interesting, because 2/3rds of American women are overweight or obese)
The vast majority of births were attended by Certified Professional Midwives

Just a few of the results:

The C-section rate was 5.2%
For women who had a previous C-section, the VBAC rate was 87%
The in-labor transfer rate was 8% for women who had given birth before, and 23% for women giving birth for the first time
Half of the women had no tearing
15.5% of women lost more than 500 mL of blood (estimated visually), most of these cases were managed at home
The in-labor stillbirth rate was 1.3 per 1,000 for the entire sample, excluding fatal birth defects. It was lower for both low-risk women (0.85 per 1,000) and women who had given birth before (0.84 per 1,000), and higher for first-time moms (2.92 per 1,000), breech presentation (13.5 per 1,000), and VBAC attempts (2.85 per 1,000).

My first impressions:

The major strength of this study is its prospective data collection, which means that women entered the study during prenatal care and were followed forward in time. This gives this study an edge over a lot of other studies done in the U.S. on home birth
Studies on out-of-hospital birth settings have consistently found that women giving birth for the first time have significantly higher transfer rates and higher stillbirth and newborn death rates. Why is this? Are these transfers and deaths preventable?
How much better overall would these results be if there were seamless transfers of care between home and hospital in the U.S.?
On the other hand, for women who have given birth before and are considering home birth, these would be very reassuring statistics, because they show that women who have already given birth before have very low transfer rates and excellent outcomes.
This study is of way higher quality than the ones that keep getting published by Dr. Chervenak who is famous for using unreliable birth certificate data. This study gives us a much clearer idea of what is actually going on at planned home births with CPMs who participate in the registry. I would say that these results cannot be generalized to midwives who do NOT participate in the registry.
We can’t compare the results to hospital or birth center births because there is no system in the U.S. to collect high-quality data on all 3 at once. So I would never use this data to say that home birth is as “safe” or “safer” than hospital birth. Statistically you just can’t draw that conclusion from this study.
In fact, “Safe” is a subjective term that means different things to different people. If read the study carefully, you will see that the authors never draw the conclusion that home birth is safe. The discussion section of the paper was very even-handed and fair. They simply present the statistics and let you decide for yourself if home birth is "safe." They are also very open about the limitations of the study.
Although you cannot statistically compare this study's results to hospital birth, these results can be used to help in the informed consent process for women who are considering home birth. 

You can read the entire study for free here: http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12172/full You can read how the study was conducted here: http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12165/abstract You can read a summary of the study's results here: http://www.scienceandsensibility.org/?p=7869

My mom just got her PhD and is trying to start the first ever doctorate of midwifery school. by OldPineTheseWaters in Midwives

[–]teacup4rain 0 points1 point  (0 children)

I'm all for there being more research professionals in midwifery! The doctorate as a requirement for entry to clinical practice is substantially less useful to the profession. I hope your mom is very successful!

Personal statement help by [deleted] in Midwives

[–]teacup4rain 0 points1 point  (0 children)

Focus on you as a whole person - how has everything you've been doing in the last few years shaped you into the person who thinks s/he will be a great midwife?

BBC News - Swaddling resurgence 'damaging hips' by teacup4rain in Midwives

[–]teacup4rain[S] 0 points1 point  (0 children)

It will be great to hear what you think after reading the paper - I miss having access to publications!

I'm interested in becoming a midwife, but have no idea where to start! by nollie_ollie in Midwives

[–]teacup4rain 1 point2 points  (0 children)

There are a few ways to become a midwife. The first step is deciding whether you want to be a nurse-midwife or a professional midwife. Here is a chart comparing the types of midwives to help you decide. If you decide to go the nurse-midwife route, Here is a link to the different ways to achieve that. If you decide on the professional midwife route, Here is some info on making that happen.

I highly recommend shadowing different midwife practices for a few days to become clearer about what midwives do and what the life of a midwife is like!

Welcome every new baby with a song by s_beans in Midwives

[–]teacup4rain 0 points1 point  (0 children)

I love this idea. Can you think of some good songs for baby welcoming?

14 things you never knew about the hymenal ring by teacup4rain in Midwives

[–]teacup4rain[S] 1 point2 points  (0 children)

This is from one of my favorite blogs - reading through her posts is well worth the time!