FALL 2002

WOMAN TO WOMAN
A Publication of Family Nurse Midwife Associates
520 Jefferson Avenue, Suite 520
Jeannette, Pennsylvania 15644
724-527-9159
www.JDMH-midwives.com

 

Fall 2002 Edition

 

You are cordially invited to attend our Open Houses to learn about Midwives and their commitment to Quality, Compassion and Listening to Women of all ages, whether pregnant or not. Learn simple ways to take charge of your health. These Open Houses are scheduled for Wednesday, October 02, 2002 at 7PM and Wednesday, October 30th, 2002 at 7PM. Several other events have been scheduled during the month of October and are listed on our web site at www.JDMH-midwives.com.
The Birth of Colton

It has been 6 months since by beautiful little boy was born. It seems just like yesterday, yet it also feels like he has always been a part of my life! My pregnancy was pretty much like my first with my three year old Brooke. I suffered from hyperemesis and anemia, and feeling like none in the world could understand what I was going through! I had many people tell me "Welcome to Pregnancy", when I told them how sick I was. People just could not understand what I was going through because they had only ever experienced normal "morning sickness". I did not eat or drink anything for days at time, and ended up at the hospital so severely dehydrated that my lips and mouth looked like a lizard's and I could barely walk. Thank heaven for Sandy !! She called me at home often and checked on me. She had also gone through this and understood exactly what I was dealing with. I finally had someone with the fire it would put in me when someone uttered comments like " Oh it can not be that bad. Every woman goes through it" or "Yeah, I know how you feel, I was a little queasy too"

Compared to that everything else in my pregnancy was pretty easy to deal with. My labor had to be helped along, though, at 41 weeks, so I was given cervidle. Even though I was practically not effaced or dilated at all, it worked. During labor though, my son's heartrate kept dropping, and I started to feel what felt like a constant contraction in my back. His head was down, sideways, which anyone who has ever had true back labor, would know how unpleasant this is!! In the end it turned out that my son's cord was tightly around his neck. Luckily for me, Sandy had anticipated this being the problem and had me labor on all fours, this being the only way that my baby's heart rate stayed up. She was a true friend to me during all this. She put me in the shower, rubbed and pushed on my back during contractions, and was actually up in bed with me helping me get through contractions. I can not imagine going through my birth without her. I ended up with a perfect little 8lb 10oz, boy, in addition to my beautiful little girl. I have a wonderful little family now, for which Sandy will always be a part of. Thank you so much, Gretchen, Nancy and Sandy.

Tammy Stenson, California, PennaNurse Midwifery

 

 

 

A Modern Approach to an Age Old Art
Midwifery is an ancient art that has been recorded since the earliest biblical times. Before OB/GYNs, labor and delivery wards and Ultrasounds, there were midwives. The term "Midwife" is translated in English to mean "with woman". Traditionally midwives have played, and continue to play, an essential role in the birth practice of women internationally. In the United States, traditional midwifery had been virtually eliminated from widespread use by 1940. This occurred because of a variety of reasons, but primarily as birth moved from the home to hospital environments, midwives were blocked from practicing. Lack of formal training and professional organization also contributed to the near eradication of the traditional midwife in this country.

Through the vision of one woman from Kentucky, Mary Breckenridge, midwifery was revived in the United States. She studied the English model of the nurse midwife and founded the Frontier Nursing School Service in 1925 based on that model. Through careful documentation, she was able to show the safe and effective care offered by the nurse midwives. Other organizations followed suit and enhanced and promoted nurse midwifery through education, focusing on largely disadvantaged women in both rural and urban settings. These experiences provided clear evidence that nurse midwifery could significantly reduce maternal and infant mortality, especially in under serviced areas.

Nurse Midwives are educated and licensed as both registered nurses and midwives. All nurse midwives are educated at the graduate level and many have Masters Degrees. In addition, all Certified Nurse Midwives have passed a national certification examination. Nurse Midwives practice within the health care system in collaboration and consultation with other health care professionals, as necessary, providing gynecological care, family planning and maternity care to women. Nurse Midwives offer women the best of both worlds, holistic, health promoting care, with established access to physician care in the unusual event of complications. Research has confirmed the high level of safety and client satisfaction provided by Nurse Midwives. Numerous studies have demonstrated that women cared for by a Nurse Midwife can expect the same level of safety as they can from a physician. In 1995, the Public Citizen's Health Research Group reported that births attended by Nurse Midwives were half likely to result in a cesarean section as those attended by physicians. In 1996, Nurse Midwives attended more than 200,000 births in the United States. The American College of Nurse Midwives is the national organization representing over 6,000 midwives.

Although Nurse Midwives are trained in medicine, they approach pregnancy, labor and birth as a natural life cycle process, emphasizing the strengths of the mother. Nurse Midwives specialize in the normal birth and have a holistic viewpoint. Prenatal care, monitoring the health of the women and baby, and maintaining a healthy pregnancy are important focuses. Prenatal visits are designed to give plenty of time for questions and teaching. Family involvement is supported and encouraged. The addition of a new family member is considered an opportunity to bring families closer together.

Women attended in labor by Nurse Midwives are encouraged to change position or walk in labor. This usually improves comfort and speeds the labor. Other comfort measures such as hydrotherapy, massage, music and emotional support of loved ones are tailored to the individual woman. Nurse Midwives provide consistent support and evaluate progress throughout labor and birth, and are present to provide assistance if needed. In addition to nonpharmacologic comfort measures, pain medication and epidurals are also available if desired by the mother.

After the baby is born, the Nurse Midwife examines the baby and provides post partum care and teaching as the family adjusts to the new addition. Nurse Midwives also provide well woman gynecological care, family planning services, annual breast and pelvic exams. .

Family Nurse Midwife Associates practice at Jeannette District Memorial Hospital and have been doing so since 1991.

 

Mind Over Labor Books
Our office currently has several copies of our book "Mind Over Labor" still out and are overdue. These books are given to all of our patients at around 36 weeks. We would like to have them returned prior to delivery, that way they are available for the next patient. If you have a copy currently still out, please take the time to return it as soon as possible. Thank you


Movie Time
In celebration of birth and Nurse Midwifery Week, our office will be showing some wonderful childbirth videos. These are all open to the public and show times are as follows. Wednesday, October 02, 2002 7PM "Todays CNM". This video will assist women and expectant mothers in making important decisions concerning their health care and the well being of their families. This video will be a part of our Open House Celebration and those attending are welcome to stay afterwards to pick up an Informational Packet and to ask questions regarding our practice Monday, October 07th at 7:30. "Born in the USA". This one Hour Documentary shows clearly where we need to go to create a healthier and more peaceful society, starting right at the beginning of the life cycle. This video will be followed by a mini movie entitled "The Use of Water for Labor and Birth" which will last approximately 23 minutes. Wednesday, October 09th at 7:30. "The Miracle of Life" This one hour film takes you through an incredible journey as a new life begins. Wednesday, October 16th at 7:30 PM "Giving Birth, Challenges and Choices". Have your ever seen a baby being born? A wonderful natural childbirth? Do you have fears or doubts about birth? If you plan to have a baby or care about someone who will, this video will take you on a magical journey!! This video was created by Suzanne Arms


Moms Group to Meet
Our Moms Group will again begin meeting on Wednesday, October 23rd at 7PM. This is a great opportunity to meet other new moms and to learn some new things from one of our many speakers Dr. Danielle Marra and Dr. Molly Puckett of Village Chiropractic will be speakers. They will be discussing nutrition and safe supplementation for both pregnancy and breastfeeding. In consideration of our guest, please RSVP by 5PM on the 23rd so that may have adequate materials ready


Prenatal Childbirth Crash Course
Jan Mallak will be providing her next two childbirth crash course series on Nov 13th and 20th and again on January 8th and 15th. Reservations required by calling Sue at 724-527-9159 or Jan at 724-327-6063. In depth information on these classes are available in your prenatal packet or online at www.JDMH-midwives.com. Her brochure is on information table in waiting area.

 

Lamaze Prepared Childbirth Class
The next open class is slated for November 05th-December 03rd and will be held in Founders Hall on the ground floor of JDMH. Due to a high response to these classes, it is best to register early in your pregnancy. The main emphasis of this class is preparation for labor and delivery. Other topics include variations and problems, medications and anesthetics, fetal monitoring and postpartum adjustment. For those unable to attend the evening classes, Weekend Lamaze Classes are also available. There is a 75.00 charge for the Lamaze Class and a 45.00 charge for the Lamaze Refresher Class. The Refresher classes are available on the 2nd, 3rd and 4th evening of the Tuesday Series only. Classes can be scheduled by calling Centralized Scheduling at 724-527-9100. We need your help

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