In a Nutshell..... Why do I do this?



Last Friday, I rode with the midwife I assist to do our home visit with one of our clients. We typically make a home visit before the birth so we can familiarize ourselves with the route - makes it so much easier than driving cold turkey in the dark- and we get the sense of the layout of the home in terms of the birth. This was a repeat client but she had moved since her last birth. It took a bit of doing to get there and it was a lovely rural type setting. The weather was warm and the sky was clear and blue. She greeted us with her toddler. We chatted and toured her cozy home. Then we did the prenatal appointment- belly check, fetal heart tone check, urine check, blood pressure check- etc. Her little one showed us some of his toys. I admired some of her homemade toys and she showed me how to do the blanket stitch in order to finish the edge of her handmade doll. We lingered a bit and I remembered her last birth. I'm very much looking forward to attending this birth. We hugged goodbye and waved as we slowly drove out of the driveway. I looked out the window as they stood there watching us leave. For me- the next time I see her she will be in the midst of labor, as I'm typically not called until labor is advanced. The midwife precedes me and calls me to assist when she needs me which is usually later in labor. The mama looked so beautiful with her round belly and her precious little one was standing there by her side. It was as it should be. I felt almost moved to tears and I thought " We have the best job in the world!"Every woman deserves this type of prenatal care. We get to know the family. We listen with respect and true interest. The midwife builds a relationship with the mama and the family. When labor begins we attend as invited caregivers. We will be the supporters of the process. The birth will be attended with care and attention. The family unit is respected and supported. The baby will be gently and lovingly welcomed into the arms of his/her mama and in his/her own home. I love home birth. Love it love it love it.Post partum care is equally wonderful. They don't have to go anywhere. We leave them settled in in their own bed. Personal attention. Family support. Breastfeeding support. In addition to the personal visits there is the continual availability for phone consultations. Midwifery does not leave mothers and babies in the lurch. I'm so proud to have a share in this model of care. I wish this type of care for all families.So, there it is..... I love this work. It never grows old. As is the case with this family we build a history with our clients. What a privilege. If only more women availed themselves of this dignifying and respectful model of care. As a nurse part of my role is education. I feel the need to make this model known as an option. I'm using this blog as one way to accomplish that goal.
Posted by Helen at 9:43 PM 0 comments

Monday, May 19, 2008

More Benefits of Breastfeeding

Breastfeeding 'may cut arthritis'
Women who breastfeed for more than a year reduce their chance of rheumatoid arthritis by half, research suggests.

Sweden's Malmo University Hospital compared 136 women with the condition to 544 without for the Annals of Rheumatic Diseases study.

They found women who had breastfed for 13 months or more were half as likely to develop rheumatoid arthritis as those who had never breastfed.

Those who breastfed for between one and 12 months had a 25% decreased risk.

The study also found that simply having children and not breastfeeding did not seem to protect the women against developing rheumatoid arthritis.

Around 400,000 people in the UK have the condition.


The surprising results from this research demonstrate how much more we need to know about rheumatoid arthritis and its causes
Rachel Haynes, Arthritis Care

The study notes that women have more than a two-fold higher incidence of rheumatoid arthritis than men.

It is known that breastfeeding is linked to raised levels of a hormone called oxytocin, which can reduce stress hormone levels, lower blood pressure and induce well-being.

However, breastfeeding also raises levels of another hormone - prolactin - which is known to stimulate the immune system, and may actually raise the risk of rheumatoid arthritis.

Different results

Professor Alan Silman, medical director of the Arthritis Research Campaign, said the study shows different results from previous studies.

"In the past we have shown that breastfeeding was a risk factor for developing rheumatoid arthritis in a small group of women soon after giving birth to their first child.

"This is slightly different in that it looks at longer-term risk. One explanation could be that women who breastfeed may lead healthier lifestyles than women who don't, but we don't know the mechanisms that would explain this fully, and not enough work has been done in this area."

Rachel Haynes, from the voluntary organisation Arthritis Care, said: "The surprising results from this research demonstrate how much more we need to know about rheumatoid arthritis and its causes."

But she added: "It is important that women feel able to make informed choices by balancing their lifestyle with the full range of evidence about the pros and cons of breastfeeding."

The Infant Feeding Survey, published in May last year, showed that most women are failing to follow government advice, with fewer than one in 100 women breastfeeding exclusively for the first six months.

While 76% of UK mothers started out breastfeeding - a rise of 7% since 2000 - most resort to formula milk within weeks.

Fewer than half of mothers are still breastfeeding by the time their child is six weeks old, and only a quarter do so at six months.

The study also looked at the role of the contraceptive pill, which has been previously suspected of cutting the risk of rheumatoid arthritis.

It has been thought the pill could offer a protective effect because it contains hormones that are also raised in pregnancy.

But the research found that taking oral contraceptives did not offer the women less chance of developing the disease.

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/1/hi/health/7395810.stm

Published: 2008/05/12 23:03:34 GMT

© BBC MMVIII

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