JANUARY 2005

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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

affiliated with

Mercy Jeannette Hospital
January 2005 Newsletter


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The Blessed Birth of Elsa Pearl

Elsa is only 2 days old, but I have been dreaming of the chance to get to write my birth story. I enjoyed reading and getting inspired by reading other birth stories in the Family Nurse Midwives newsletters. My first birth experience, in Denver, Colorado, was not a "dream birth" because it was filled with interventions, beginning with an epidural at 8cm which left me with no feelings for the pushing stage. We were disappointed and knew the next time we would surround ourselves with a better support team who would want to help us achieve a natural childbirth. Even though the first birth experience was not ideal, I knew I could not wait to get pregnant again-to be a vessel of life for another gift from God.

We moved back to Pennsylvania in October to live closer to our families. I was so excited to find Family Nurse Midwives. I met with Sandy to see if they were a good fit, and right away I knew that this was the place for us. Our prenatal care was phenomenal and so personal. I felt like I could ask any question and could talk about anything with Gretchen and Sandy. They really helped us get through some major transitions not only with our pregnancy, but also with moving. They spent so much time with us and we never felt rushed. I loved checking out books in the office library. Our two year old, Grace, loved hearing the heartbeat and especially playing with all of the toys in the office.

Although we had a slightly challenging first trimester, we were blessed with a healthy pregnancy. Along the way, we took Jan Mallak's Childbirth Crash Course, which was amazing. We had taken 8 weeks of classes in Denver and we still learned so much just in the two weeks with Jan. She is the "Mac Daddy of Childbirth!" Jan set us up with a doula named Michelle who was another blessing to have at our birth. Our big day came so quickly and the days leading up to it were filled with anticipation, joy, and excitement.

On Wednesday, September 08, I woke up feeling some pretty interesting things. I had been dilated to 3cm and 80 percent effaced at my last appointment. We had another appointment that morning at 11:30 AM. We decided to bring everything with us in case this was the real thing. I had been tricked a few times already into thinking it was the big day, but this time it was! Gretchen checked me and I was 5cm and 100 percent effaced. We decided not to drive back to Ligonier and just to spend some time around Jeannette to make sure it was really happening. We went to Target!!! Grace played with all the toys while I had consistent contractions seven minutes apart. I cracked up thinking that people probably did not even realize what a special day it was for us. I always used to say the day of birth is so amazing. Everyone else is just at work or home or shopping at Target while you are bringing life into the world." How ironic that we shopped at Target on such a special day!

My parents and our doula, Michelle, met us at the midwives' office. Grace went home to take a nap and wait to hear the news with Gram and Pappy. We walked around the hospital area a bit more and then things really got going. I was unable to walk through my contractions. We headed over to the hospital around 3:30 PM and got settled in. It was so nice to have Michele with me while Scott took care of all the bags and such. I labored leaning over the birth ball and leaning into Scott. Scott's smell was like aromatherapy, and I just kept breathing in that little nook of his neck. I did not feel comfortable sitting on the ball, but leaning over it was great. It was so important to know what I was going to do when the contractions came. Breathing through them was vital, and at the end of each one it was a major rush to have made it through. I also used a lot of vocalization and swaying which felt good when it really hurt. Michelle really encouraged me to keep moaning and that I should not be embarrassed... that helped alot! We used the shower for about 45 minutes, but I got a little overheated and came out. I actually laid down through some contractions which I did not expect to do, but it was helpful to get my energy back. I was tired. Gretchen checked me around 7 PM, and I was a bit discouraged to find I was only 6cm. I was hoping to hear more. Everyone stayed positive and focused on my progression. The news meant I should get up and try something else. I was going to walk in the halls, but just never made it. We did a few contractions with the ball again and decided to get back into the shower. We were listening to a Christian CD from our church in Denver and certain lyrics kept me going, such as "You are my strength when I am weak. You are the treasure that I seek. You are my All in All" I knew that God was with us during that labor. I kept praying to Hail Mary during each contraction, or I would think "God please let me give to Your plan for labor to show that You designed it so perfectly to allow us to bring forth a life from our bodies" It is such a miracle now to think about how prayer helped me through labor. Things picked up a lot when I went back in the shower and Michelle and Scott were really encouraging me. Now that I think about it, with each contraction, they would massage my back and put pressure or just let me hold their hands. Michelle would remind me that I was going to get to see my baby soon. It was all so supportive. I knew that I could do it and that helped me stay on top of each contraction. Then, I wanted to get checked again because I felt some urges to push a little. It just felt good to push through a contraction. Gretchen gave us the best news when she said I was 9CM!!! I knew I was going to make it!!!! I thanked her a lot and we tried a new position for the next few contractions. It felt great to have an arm on the neck of both Scott and Michelle and my left foot on a stool. I would lean on the bed in between and stand up again when the contractions came.

After some time, Gretchen worked her magic by helping me through the hurdle of an anterior lip. During a contraction, she manipulated my cervix to open up the last centimeter. It worked!!! My water broke. It was warm and gushed onto the bed, and it felt good. Gretchen was so calm and so great and so encouraging. I remember one time not hearing Gretchen and asking frantically, "Where is Gretchen?" I just needed to know that she was nearby. I was unsure since I had never felt the pushing stage, and Gretchen really helped me figure out exactly where to push by cheering for me really hard when I hit the right spot. I also remember my labor nurse, Sherry, coming right into my face and saying "It is okay. Just push through the burn" WOW-helpful advice!! Michelle helped to video the baby coming out since I wanted Scott near me. I also remember Scott just quivering, almost in tears, watching in amazement and saying, "Oh my goodness" He was really moved by the whole experience and I could feel his pride for me and the joy for the new life in his voice. Touching the head was another great piece of encouragement and I knew I was almost done. I will always remember the way it felt, so warm and soft. Michelle also reminded everyone that I wanted to use a mirror. The baby's head looked wrinkled and it was filled with cute fuzzy black hair.

Gretchen worked her magic again with the help of the nurses to "unstick the shoulders."She moved me into a better position and promised that if I gave our one last big push that we could see our baby and find out whether it was a boy or girl. It worked !! Scott announced the sex, but I did not actually hear him because I was shouting out loud to everyone in the room "I love you all! I could not believe I did it. Are you sure it is over?" They put the baby on my chest immediately. Then, I felt the warm umbilical cord and she was soooooooooo soft against my skin. I looked down and said "It is a girl", not knowing that it was old news. Our labor nurse, Sherry, was super supportive and allowed us to bond for a long time. Elsa cried a lot, but it was because she was so alert and healthy and happy!!! Sherry helped us nurse together for the first time. We were hooked!

Our experience at the Family Birth Place was amazing. We loved the small time atmosphere and felt personally cared for by everyone. It was fantastic compared to the feel of the "baby factory" in Denver. Scott got breakfast in the morning and we loved our candlelight dinner! All the nurses were so sweet and kind. They let me nurse Elsa throughout the hearing test, and she passed so much quicker that way. We were also blown away by the hand knit hat that a generous volunteer makes for the newborns. I can just see her knitting away and wondering who would be wearing the next little cap. She has no idea how special her gift was to our family. Family Birth Place just rocks!!! If God blesses us with more children, we hope to have them there.

I came away with a small tear on my old episiotomy which was just a reminder about how much better my birth was this time. The recovery has already been a hundred times easier than my first experience. I owe all of this to my support team especially the midwives, Gretchen and Sandy, and Scott. I also feel that having such a positive birth experience is helping me through the post partum phase. I just feel such a sense of accomplishment and renewed self-confidence and peace with myself. I know I can tackle small daily problems and I draw from my birth the ability to relax and pray through my little dilemmas each day. We are overwhelmed and humbled by God's greatness in blessing us with such an amazing journey to meet Elsa Pearl. We praise Him for his amazing design for women's bodies and thank Him for surrounding us with these special angels (Gretchen, Sandy, Sue, Jan, Michelle, Sherri and all the nurses, and especially little Elsa Pearl)!!

Becky, Scott, Grace and Elsa Lieb
Ligonier, Penna.

 

 

Blankets for Babies Campaign
We would like to Thank all of those who took the time to drop off Blankets during Nurse Midwifery Week. All donations were deeply appreciated. All donations were sent to the American Red Cross to be forwarded to local flood victims. The next campaign will be during Nurse Midwifery Week, first week in October of 2005. We will also be hosting another patient reunion get together during that week so mark your calendats Details will be available in our Fall 2005 Newsletter

 

Angel in The Waters
Our office has recently made a great find with a book entitled "Angel in the Waters" It is a simple, easy to read book with beautiful illustrations which depicts life inside the womb from the child's perspective. This book is very Pro- Life and makes a wonderful shower gift. Our office currently has 2 copies which are available to read in our office. If you wish to purchase your own copy of the book, simply call Toll Free 1-800-888-9344 or order online at www.sophiainstitute.com. The entire book can be read online at www.angelinthewaters.com

 

Early Pregnancy Classes
If you are an expectant mom between 8 and 28 weeks, you may want to consider coming to one or both of the Early Pregnancy Classes now being offered. Jan Mallak, certified childbirth educator and doula with 25 years of experience, will be teaching the two classes which will run from 7-9 PM and cost 20.00 each. Couples are encouraged to come together. The dates scheduled for 2005 are February 02 & 09 and April 20th &27th and these topics will be included.

Class One-Group introductions, discomforts, fetal development, warning signs, nutrition, weight gain, activity, exercise and sexuality

Class Two-Including the family, choices for childbirth, relaxation activity, value of education and other health partner options

The value in attending these types of classes begins with basic information. Pregnancy should be a time of fact-finding and decision-making. Having a baby will be one of the most significant events in a woman's life. The better prepared she is to handle it, the more confident and comfortable she will be with her new role. By educating herself, the mom will develop into a good consumer which continues to benefit her and the family. Developing a positive attitude about the birth and life after also influences how she will deal with postpartum and early parenting. Remembering that this is what her body was intended to do helps her to develop a sense of mastery when it comes to the challenges of birth and beyond. The combination of proper attitude, preparation and skills results in more successful mothering and parenting.

Nutritious snacks will be served each night and a packet of related handouts will be provided. A catalog for ordering reasonably priced childbirth related books and products will be provided. Come join in the learning and sharing with other women during the earlier months of your pregnancy. Call Jan at 724-327-6063 or Sue at 724-527-9159 for more info or to register. This class is open to the public, so pass the word !!!!

 

The Birth of Deianarra Louise

Our beautiful miracle made her way into the world, not exactly in the way we had planned, but Deianarra Louise Swearman is all the more precious to us. She was worth every last effort and I find myself staring at her with a love that I have never known before for another being and undoubtedly will never feel again. I never believed parents when they said that there is an instant love, unlike any other when one becomes a parent. Now my husband Chris and I both know....there is.

Our daughter was conceived about three days after my husband and I moved back from South Carolina. My pregnancy was pretty uneventful, I enjoyed daily walks with Chris and our boxer Noodles until the last few weeks before my due date. Unexpectantly my blood pressure began to creep up about my 37th week of pregnancy. From there I was in every few days to Mercy Jeannette for fetal Non Stress Tests. Gretchen and Sandy wanted to make sure that Deianarra was doing just what she has supposed to. Each and every time her heart beat was beautiful and we were sent home relieved.

By the week of October 18, 2004, my blood pressure was still high. We then tallked with Gretchen who let us know that since my blood pressure was higher that induction may be the best way to go. So after talking it over extensively with Gretchen and with Chris, I decided to be induced.

On October 22, 2004, we arrived at 7:30 At Mercy Jeannette, and I was started on Pitocin. At 12:30 PM Gretchen said that I was progressing nicely, effacing a bit more and dilating to two centimeters, we decided to break my water. It was odd; after it was done I felt this immense responsibility come over me, as if this was really going to happen. I was going to be responsible for this little person and I suppose it began to sink in finally.

I have to admit the contractions grew in intensity. I felt that I would not be able to handle them. My family began to arrive, and I could not have gotten through the evening without my Dad, who offered his hand that I could squeeze as they built. My husband was afraid of me breaking his hand and I think I would have!! My progress was slow, and at 10:30 PM, Gretchen came in and asked me how I wanted to proceed. I was at a standstill, and had been for about two hours. We decided to stop the Pitocin and get some rest. In the middle of the night, however I started to have contractions on my own, but they were irregular. By morning, she called Dr. Khalil to assess my situation, but by that time, I was so exhausted. Chris and I discussed the situation and decided to have a C-Section. I got a shower as the O.R. was being readied and I was taken in. At 9:10 AM, our baby girl was born. I do not remember much about everything going on, just a pure giddiness when I heard that lusty cry from behind the sheet.

Even though we had not planned on our birth the way it happened. Looking back all that really mattered was having a healthy baby. We thank from the bottom of our hearts, Sandy, Gretchen, Sue and Dr. Khalil and all of the wonderful nurses at Mercy Jeannette. Also my wonderful husband, Chris, he made laps with me along the hall, and was with me throughout the whole labor. Without everyone, I would not have had the nurturing care that I desired when looking for someone to deliver our baby. We owe our family to all of you!!

Jennifer Swearman, Greensburg, Pa

 

New Books Donated to Our Library

We been very fortunate to have had several great books donated to our library during the last few months and we would like to thank those who were very generous to do so. Our library is a very important element of our practice and all our patients enjoy borrowing books. The following books have been donated:

Mayo Clinic Complete Book of Pregnancy and Baby's First Year
The Mother of all Baby Books by Ann Douglas
What to Expect the First Year by Arlene Eisenberg
What To Expect When You are Expecting by Arlene Eisenberg

Donated by Suzanne Taleff
Working Woman's Lamaze Handbook by O Robinsweet
The New Parent by Dr. Mirian Stoppard
Eating Right for Two by Diane Klein
Conception, Pregnancy and Birth by Dr. Miriam Stoppard

Donated by Rebecca Florey
The Realistic Resolution

 

 

New Year Thoughts

With each new year, how many of us make zealous resolutions only to abandon it a few hours, days or weeks later? Here are some ideas to make that resolution realistic, whether you are focusing on diet and exercise or simply trying to change your ways in another area.

So many of us jump into a New Year's Resolution because we are excited. The fresh beginning of the New Year gives us the opportunity to reflect and realize different areas that need improvement in our lives (Not to mention we think about all that holiday food we ate and want to get rid of those extra pounds we gained).

The key to success is planning and goal setting. This may sound a little boring, but it is vital for focus. Write down your goal. It becomes a promise to yourself. If you are motivated, a contract with yourself is enough. For others, it is a little more difficult to stay the course. If this sounds like you, recruit a group of family and friends to hold you accountable. Start with a small goal and move ahead once you have achieved this step. Plan how you will get from step one to step two. For example, if you begin a new diet, it is a good idea to decide what you want to eat in advance and have those foods available. Otherwise, when you find yourself rushed, you are more likely to grab for the quick and easy bag of chips or cookies instead of a healthier alternative.

To build upon this concept, if you are proactive, you can set yourself up for success. Try setting aside a day to gather what you need to make that goal a reality. For example, spend a Sunday afternoon to cook different meals and utilize the "stash" for the rest of the week. Merely prepare your meals in advance!! The freezer and microwave are great tools to save you time.

Keep a journal to log your progress. Journaling can pinpoint areas of weakness that you do not even realize. This can also be a useful tool to track progress.

A personality or physical overhaul is far too much to ask of anyone. Whether you are working on removing a word or phrase in your vocabulary, taming a bad habit, or making a healthy change, focus on one thing at a time. If your desire is to lose that holiday weight, remember that a guide to follow is 1 1/2-2 pounds per week for women and 2-3 pounds per week for men. You can not expect to lose 30 pounds in two weeks or even a month. This is both unhealthy and unrealistic. Gradual weight loss offers greater long-term success.

Weight loss, nutrition, and performing exercise correctly and efficiently can be overwhelming. There is so much information out there that a simple concept can become quite complex. Educate yourself. If your budget will allow, hire a professional to help you meet your goals.

It can be difficult to adhere to a regimen if your heart is not in it. During that planning phase, be certain to consider your personality and schedule. Remember to focus on progress, NOT perfection. We will all have set-backs on "the journey". Take a moment to learn from your mistakes. Stay the course.

Sometimes we need to promise a reward to ourselves to see the journey to the end. When you meet the goal, honor that promise to yourself. If you encounter adversity, transform it into energy that will fuel you. Keep those who encourage you close by. Just by asking you how you are doing or what progress you have made, these people will be holding you accountable. Sometimes we are more prone to adhere and improve when someone is watching.

The resolution, like the New Year, is only the beginning. The journey itself is up to you. You may at some point question why you are working so hard because you do not notice any change. But someone else will notice, and that person will most likely say something to you about it. Imagine the elation when you feel when others see that you are different!! (Keep in mind that a change should be made for yourself and not for others.) Use this energy to keep you going or to start the cycle all over again. This journey never really ends because there is always a way that we can grow and improve ourselves.

This January, keep these tips in mind when you say to yourself. "This year I am going to __________________.:" Believe in yourself, set yourself up for success, and make the change. You CAN do this!!

Article written by Dawn Waltman, who is a certified A.F.A.A. Personal Trainer and Group Fitness Instructor. She is a mother of three small children and has had personal experience with tremendous weight loss. Dawn offers one-on-one or small group training in the weight room or aerobics studio. She teaches aerobics, yoga, pilates, kickboxing ect. To get in touch with Dawn or to learn more about the services she provides, contact her at 724-515-4998 or at dawnwaltman@comcast.net

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