|August 13, 2008|
Volume 10, Issue 17
|Midwifery Today E-News|
“Weight Gain in Pregnancy”
|Subscribe • Print Page|
Search Archive • Index
Welcome to Midwifery Today E-News !
Midwifery Today Online Store
Midwifery Today E-News is only a sample of what you'll find in Midwifery Today magazine. Subscribe and you'll receive a 72-page quarterly print publication filled with in-depth articles, birth stories from around the world, stunning birth photography, news, reviews and more.
This issue of Midwifery Today E-News is brought to you by:
Look below for more info!
Midwifery Today Conferences
Take an epic journey with Midwifery Today.
Come to our conference in Bad Wildbad, Germany, October 2008. You'll learn about midwifery and birth from a variety of teachers, including Gail Hart, Mary Zwart, Michel Odent, Cornelia Enning, Ina May Gaskin, Suzanne Colson, Elizabeth Davis and Debra Pascali-Bonaro. Plan now to attend!
What do you want to learn about birth and midwifery?
When you attend our conference in Eugene, Oregon in March 2009 you'll be able to choose from a wide array of important subjects. Planned classes include:
In This Week’s Issue:
Quote of the Week
"The correlation between poverty and obesity can be traced to agricultural policies and subsidies."
— Michael Pollan
Are you enjoying your copy of Midwifery Today E-News? Then show your support by making a donation of $3 or more.
The Art of Midwifery
We must relearn to trust the feminine, to trust women and their bodies as authoritative regarding the children they carry and the way they must birth them. When women and their families make their own decisions during pregnancy, when they realize their own wisdom regarding birth and its place in their lives, they have a foundation of confidence and sensitivity that will not desert them as parents.
There is an inverse relationship between the amount of technology used in a woman's birth and her subsequent self-esteem: The greater the number of interventions, the less well she regards herself postpartum. On the other hand, women happy with themselves in birth eagerly go on to embrace the responsibilities of mothering. The triumph of birthing on their own terms leads to new depths of self-love and self-respect, emotions readily translated to their babies.
ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to email@example.com.
Send submissions, inquiries, and responses to newsletter items to: firstname.lastname@example.org.
Research to Remember
A study of pregnancy in women who were morbidly obese, compared to women of normal weight, showed poor perinatal outcomes. Preeclampsia was determined to occur at a rate of nearly five times as frequently; meconium aspiration, fetal distress and low Apgar scores were also seen more often. In addition, interventions were more frequent, including three times the number of cesareans, a 34% increase in instrumental deliveries, and more inductions. Babies were also more likely to be born preterm.
— Obstetrical & Gynecological Survey 59(7): 489–491, July 2004
Please support our advertisers!
Weight Gain in Pregnancy
Weight gain in pregnancy is a frequent concern among our clients who want to know how much to gain and at what rate. Some want to know why they need to put on what seems to many of them to be an inordinate amount.
Body Mass Index (BMI) is a better indicator of maternal nutritional status than is weight alone. The BMI is readily determined with the use of a pocket calculator by dividing weight in pounds by height in inches, dividing by height in inches again and then multiplying by 705. (Editor's Note: You can find an online BMI calculator at www.cdc.gov/nccdphp/dnpa/healthyweight/assessing/bmi/adult_BMI/english_bmi_calculator/bmi_calculator.htm; or, if you prefer to use metric units, at www.cdc.gov/nccdphp/dnpa/healthyweight/assessing/bmi/adult_BMI/metric_bmi_calculator/bmi_calculator.htm.)
Underweight women should be encouraged to gain weight slightly greater than one pound a week in the second and third trimesters, for a total of 28–40 lb. Overweight women should gain slightly greater than half a pound a week, for a total weight gain range of 15–25 lb. Obese women are counseled to gain at least 15 lb., to optimally support their pregnancy…. (Note: This 15 lb. rule is being re-evaluated, with some advocating weight maintenance and others even weight loss for morbidly obese women; until studies are done, the jury is still out.)
The BMI is a useful tool based on available research and scientific literature giving clients another way of approaching a healthy pregnancy with optimal outcome. The BMI is easily used and can be taught to clients for life-long weight evaluation.
Please support our advertisers!
Products for Birth Professionals
From 1992 to 2006, the rate of pregnant women who were overweight prior to the pregnancy (based on body mass index [BMI]) increased from 32.4% to 43.8%, while the percentage of those who started out underweight decreased from 17.0% to 11.1%. In addition, those who gained more than the ideal weight (determined by starting BMI) increased from 33.2% to 43.2%, while those who gained less than the ideal amount decreased from 35.0% to 24.9%.
— 2006 Pregnancy Nutrition Surveillance, Summary of Trends in Maternal Health Indicators, Centers for Disease Control
Please support our advertisers!
Web Site Update
Read this article excerpt from the most recent issue of Midwifery Today newly posted to our Web site:
"When is a 'choice' truly a choice, and when is it not? Recently, I received an e-mail from a VBAC client. "When I agreed to have a cesarean, was I really making a choice?" she asked. "First of all, I, the chooser, was not truly informed; second, my doctor lied to me. Third, my insurance company limited my choices in many ways. Many of us women are so acculturated as to be unable to think outside the box, so if our insurance doesn't pay for midwives or cover homebirth, we think we can't choose it.'"
On-line Holiday Coupon Page
Just in time for the holiday season. Use our on-line Holiday Coupon page to pass savings onto your customers. [ Learn More ]
Direct Mailing Opportunity
Reach thousands of customers quickly and easily with Midwifery Today's Holiday Pack Direct Mailing. Let us do the work for you with this Holiday tradition. [ Learn More ]
Midwifery Today E-News
Do you have a Web site? Does reaching more than 14,000 potential customers sound appealing? An ad in Midwifery Today E-News, our free biweekly electronic e-mail newsletter, gets your message out and sends customers directly to your Web site. Each issue is archived and continues sending more customers in the future. [ Learn More ]
Question of the Week
Q: I am in my third trimester of pregnancy and my husband is complaining that I am snoring—sometimes so loud that he has to sleep in another room. Is this related to the pregnancy? Will it stop once I have the baby? Is there anything I can do in the meantime to minimize or stop it?
— Sue Miller
SEND YOUR RESPONSE to email@example.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
Please support our advertisers!
Question of the Week Responses
Q: A dear friend of mine was just diagnosed with colon cancer. I'm breastfeeding my 22-month-old and have heard about breast milk helping people with cancer (especially with chemo) but am having a hard time finding info on the subject. I would appreciate any advice or knowledge about cancer patients drinking breast milk. Thanks.
— Eden Robertson
A: I pumped milk for a while for a lady who had cancer. Don't know all the details, but I know she was able to contact a milk bank in California and get a shipment of milk to supplement what I was pumping for her. I know her doctors were impressed with her progress for a while.
A: Hi, I saw your question and thought I would help you along! http://www.wfaa.com/sharedcontent/dws/news/localnews/tv/stories/wfaa080215_lj_breastmilk.c618de8d.html
— Tonya C Buffington
Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.org. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Think about It
"Until the evidence demonstrates that medically elective cesarean delivery optimizes outcomes for mothers and their infants, perinatal nurses must advocate for vaginal delivery as the optimal mode of birth." That is the conclusion on a recent review of issues related to medically elective cesarean delivery published in the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN 36(6): 605–15). This excellent review is must-reading for nurses and midwives (as well as obstetricians) who work in hospitals with pregnant and laboring women. It provides a comprehensive summation of various studies relating to vaginal versus cesarean delivery—in all its permutations—with substantial references. The authors address medical risks and benefits to mothers and babies, complications, mortality, loss of reproductive capability, psychosocial risks and benefits, professional opinions and economic impact.
While the recommendation that nurses advocate for vaginal delivery may pit them against obstetricians and institutional policies that stand to benefit from cesareans, it really is the only ethical stance they can take. This is in contrast to the American College of Obstetrics and Gynecology's (ACOG) insincere claim that medically elective cesareans should be accepted, based on principles of "patient autonomy" and "informed consent." (We know that if they consistently viewed women's childbirth choices that way, hospital-based breech birth and VBACs would be much more common than they are now.)
I highly recommend that birth care providers and educators obtain a copy of this article, and references as needed, to help the moms they serve understand why vaginal birth is best.
Please support our advertisers!
Hello, I am a nurse and a health writer, and one of my blogs, Womb Within (WW), is dedicated to the subject of pregnancy and health. I have a doula who is writing some fabulous posts for the blog and I was hoping to find a midwife (or a few) who would like to write a piece for the blog every so often. The goal would be to educate the visitors at WW to learn about the role of midwives and perhaps incorporate this into their own experiences.
If you would like to check out the site, it is at www.wombwithin.com. Please feel free to e-mail me with any questions you may have.
— Marijke Vroomen-Durning, RN
Only letters sent to the E-News official e-mail address, email@example.com, will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered.
Natural Child Magazine: green, healthy living from pregnancy through birth and early childhood. Intelligent, trustworthy information and inspiration for combining parenthood and planethood! Home birth, cosleeping, breastfeeding, organics and more. Visit www.NaturalChildMagazine.com
Remember to share this newsletter
You may forward it to as many friends and colleagues as you wish—it's free!
Want to stop receiving E-News or change your e-mail address? Or would you like to subscribe? Then please visit our easy-to-use subscription management page.
On this page you will be able to:
If you have difficulty, please send a complete description of the problem, including any error messages, to our newsletter.
Learn even more about birth!
Midwifery Today Magazine—mention code 940 when you subscribe.
E-mail firstname.lastname@example.org or call 1-800-743-0974 to learn how to order.
How to order our products mentioned in this issue:
Secure online shopping
We accept Visa and MasterCard at the Midwifery Today Storefront.
Order by postal mail
We accept Visa; MasterCard; and check or money order in U.S. funds.
Midwifery Today, Inc.
Order by phone or fax
We accept Visa and MasterCard.
Phone (U.S. and Canada; orders only): 1-800-743-0974
Phone (worldwide): +1 541-344-7438
Fax: +1 541-344-1422
E-News subscription questions or problems
Editorial submissions, questions or comments for E-News
Editorial for print magazine
For all other matters
All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site.
Midwifery Today E-News is published electronically every other Wednesday. We invite your questions, comments and submissions. We'd love to hear from you! Write to us at: email@example.com. Please send submissions in the body of your message and not as attachments.
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 2008 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!