June 6, 2012
Volume 14, Issue 12
Midwifery Today E-News
“International”
Subscribe • Print Page
Search Archive • Index

Welcome to Midwifery Today E-News !


MT magazineSave $5 on a one- or two-year Midwifery Today subscription…

…and keep birth information coming to your house all year! This is just one of the special offers on our Spring into Savings page. Check them out and start saving. Offer expires June 30, 2011.



Midwifery Today Online Store

MT online store

Learn about birth and midwifery around the world!

Check out this selection of internationally-themed products, including back issues, audio tapes and other products.



This issue of Midwifery Today E-News is brought to you by:

Look below for more info!



Improve your midwifery skills!

Germany conferenceAttend the two-day Midwifery Skills pre-conference class at our conference in Bad Wildbad, Germany, this October. Topics covered include fear, counseling, prenatal care, twins, avoiding labor complications, second stage, Mexican techniques and much more! Check the program for more information, then register for one or both days!

Learn more about the Germany conference.

In This Week’s Issue


Quote of the Week

Birthing is the most profound initiation to spirituality a woman can have.

Robin Lim


Shop for yourself, shop for a friend, and give to Midwifery Today!

Use iGive, where with every transaction a portion goes to benefit Midwifery Today, Inc. Raise a penny (or more) per search and generate donations from any of the 700+ stores listed with iGive, ranging up to 26%. Also, check out the new searchable coupons and deals, where you will find all available, up-to-the-minute offers and specials.
Start here: http://www.igive.com and select Midwifery Today, Inc., as your cause in step 1. (It only takes a minute.)


The Art of Midwifery

Midwives are the guardians of normal birth. Yet in these times, we may have forgotten what normal is. We are certain that a close bond between mother and child is normal. My experience is that Lotus birth facilitates that bond. Yes, it is inconvenient to move around with the baby attached to her placenta. So mother lies in, close to the baby and placenta; breastfeeding is established in this sacred circle of quiet, restful seclusion. Yes, few visitors feel welcome while the placenta is still attached. It is during this space out-of-time that family may be invented, while the new mother reinvents herself.

Ibu Robin Lim, excerpted from “Lotus Birth: Asking the Next Question,” Sharing Midwifery Knowledge, Tricks of the Trade, Vol. IV, A Midwifery Today book


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 mtensubmit@midwiferytoday.com.


Send submissions, inquiries, and responses to newsletter items to: mtensubmit@midwiferytoday.com.

Jan’s Corner

Global Midwifery Council Update

The Global Midwifery Council is busy doing what we can to change birth practices around the world. We have several task forces designed to do the work of the council, such as fundraising, education, letter writing, public relations, and international treasure and recognition awards (Betty-Anne Daviss recently received the first Lifetime Achievement Award). More task forces will be added as the need arises. We have our letter of introduction ready to send out to different groups and organizations. Since you, the readers of E-News, are an important group, we have included the letter of introduction below. If you feel led to help with GMC, please e-mail me at jan@midwiferytoday.com because we need more workers in the field! Feel free to share this letter with your colleagues.


Dear esteemed partners in global maternal health,

We are writing to introduce the Global Midwifery Council, which is an international humanitarian organization of midwives and their supporters investigating birth and midwifery around the world. The council’s goal is to ensure that safe and respectful midwifery care during childbirth is available to every woman in the world.

Mothers and babies do best in an environment conducive to respect for the physiology of birth, and conscious, mother-centered midwifery has been shown to serve that need. The Global Midwifery Council analyzes birth conditions worldwide to help retain, establish or reestablish midwifery care.

The council also strives to do the following:

  • Receive and respond to needs and requests about birth issues around the world.
  • Maintain a “Situation Room” where we centralize communication and analyze information about birth-related conditions globally.
  • Promote midwifery models which provide safe, humane, respectful, culturally-appropriate birthing care.
  • Work to strengthen midwifery education.
  • Work in association with sister midwifery organizations around the world and provide an international network of experienced midwives and supportive caregivers.
  • Respond to specific educational needs and requests to help develop and support local midwifery.

We look forward to working with you in the future. If there is anything we can do to help your organization, please contact us.

Sincerely,
Gail Hart, Elena Piantino, Carol Gautschi, Sharon Evans and Jan Tritten
Board members of Global Midwifery Council
Route de Vernier 94 1219
Geneva, Switzerland
GMC Headquarters
globalmidwiferycouncil.org

Jan Tritten, mother of Midwifery Today

Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.

Midwifery Today on Facebook: facebook.com/midwiferytoday
Jan on Facebook: facebook.com/JanTrittensBirthPage
International Alliance of Midwives on Facebook: facebook.com/IAMbirth
Birth Is a Human Rights Issue: facebook.com/birthisahumanrightsissue
Midwifery Education: Caring and Sharing: facebook.com/MidwiferyEducation


News and Research

Care Improved by a Checklist

Childbirth in an Indian hospital just got safer by implementing a simple 29-item checklist.

The checklist includes such things as washing hands before an exam and using a sterile blade when cutting the umbilical cord.

Drs. Atul Gawande and Jonathan Spector of the Harvard School of Public Health are testing whether checklists paired with training and education can help improve health outcomes in delivery rooms in the developing world.

“The burden of preventable deaths in moms and babies, particularly in low-resource settings, is enormous,” said Spector.

A larger study will be done, with the help of $14.1 million from the Bill & Melinda Gates Foundation, in which researchers will track about 170,000 births in 120 Indian hospitals. Half of the births will use the World Health Organization Safe Childbirth Checklist program. That study will better prove whether the checklist indeed reduces the number of deaths in childbirth.

— Conaboy, Chelsea. “Study: Checklist improves care at childbirth in Indian hospital.” The Boston Globe. May 17, 2012. http://www.boston.com/whitecoatnotes/2012/05/17/study-checklist-improves-care-childbirth-indian-hospital/0xz9UuJ1ekUbGw80owkNON/story.html


Please support our advertisers!

advertiserClinical Practice Guidelines for Midwifery & Women’s Health, Fourth Edition

A trusted quick reference guide to midwifery and well woman care. Convenient and easy-to-use, this new edition encompasses traditional, empiric, and evidenced-based practice to meet the needs of a broad range of new and experienced practitioners and patients. Order today and save 20% at http://go.jblearning.com/CPG4E with Promotion Code TharpeMT.



Featured Article

Training Traditional Midwives

Editor’s Note: For this international edition of E-News, we asked Midwifery Today’s country contacts the following question: What are the top five points you always impart when training traditional midwives?


PHILIPPINES

The top five points we always impart in training Traditional Birth Attendants are:

  1. The importance of aseptic technique
  2. Early diagnosis of signs and symptoms that need to be referred
  3. Timely referral (when necessary)
  4. Advise pregnant mother to have at least four regular check-ups throughout her pregnancy
  5. Provide tender loving care and be culturally sensitive

Cecilia Banca Santos


GHANA

I have yet to train traditional midwives, but I think these points are very important:

  1. Availability of basic delivery items
  2. Infection prevention skills
  3. Prompt referrals
  4. Listening to the mother
  5. Networking with peers and other players in the birth world

Florence Okra


EGYPT

The top five are:

  1. The importance of doula in labor and birth
  2. How to help women with prolonged labor and posterior presentation
  3. How to avoid episiotomies
  4. Natural pain management
  5. The importance of preparation for labor and birth including antenatal classes, exercise, nutrition

Hanaa Kassem


UGANDA

  1. Assess immediate need for emergency obstetric care, e.g., anti-convulsants, anti-hypertensives, postpartum hemorrhage, obstructed labor, and call for help immediately
  2. Assess any other danger signs in the pregnant mother and refer immediately
  3. Protect the mother from any danger caused by you, e.g., sepsis, tears, prolonged labor
  4. Communicate to the mother, family or attendant when necessary
  5. Only work within your means and involve the mother in the decisions you make

Edwidge Kezaabu


Please support our advertisers!

advertiserMidwives, Doulas, CBEs
and Allied Health

2012 Practitioner Certified Thought Field Therapy (TFT) trainings: San Diego July 28–31 and Calgary August 11–14

TFT is a highly effective method for eliminating fears, anxiety, trauma and stress within the whole human system (be it emotional, mental, physical and/or spiritual). A powerful tool to offer your clients throughout pregnancy, birth and beyond. Please e-mail pia.cowley@gmail.com or see www.tapping-into-life.com for course details.



Featured Products

Enjoy the birth stories of three couples

Homebirth Stories

Just $18, this 42-minute DVD will show you various ways of giving birth, including waterbirth and squatting. The couples also discuss why they decided that homebirth was the best option for them. The audio in Homebirth Stories is in Hebrew; the subtitles are in English. To Order


Know someone who wants to be a midwife?

Beginning Midwives PackageGive her the Beginning Midwives Package! Designed especially for aspiring midwives, this package includes a one-year subscription to Midwifery Today magazine, the book Paths to Becoming a Midwife: Getting an Education and the new audio-CD set Beginning Midwifery. And all at a discount off the individual prices plus shipping is included in the package price. To order


Get step-by-step instruction on the maternal exam

Order Maternal Exam for the Student Midwife, Part I, and you’ll receive a two-disc DVD set that provides comprehensive instruction for both beginning students and practicing midwives. Topics covered include palpation of the breasts and abdomen, Leopold’s maneuvers, fundal height measurement and the correct procedure for taking fetal heart tones. Colorful illustrations, detailed descriptions and live demonstrations add to the usefulness of this package. To order

Maternal Exam for the Student Midwife, Part II, The Pelvic Exam is also available.

book cover

Make sure you get the whole story.

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. Subscribe. Midwifery Today Magazine

Mexican Art Expresses the Joy of Birth
Decorate your walls with four colorful Mexican art prints celebrating birth and midwifery. These lively creations also make wonderful gifts.
Click here to order.

Mexican art print Mexican art print Mexican art print Mexican art print


Placenta rituals, remedies and recipes…

…are what you’ll find in Placenta: The Gift of Life. Read this book to discover the various ways placentas have been used by people around the world and throughout the ages. You’ll also find 15 recipes that will show you how to use the placenta in ointments, essences and other remedies for a variety of ailments. Placenta: The Gift of Life is a book from Motherbaby Press, an imprint of Midwifery Today. Get the book.

Placenta: The Gift of Life


Web Site Update

Read these article excerpts from the current issue of Midwifery Today, Spring 2012:

  • The Role of the Shy Hormone in Breastfeeding by Michel Odent
    Excerpt: The best way to summarize what we already know is to claim that oxytocin is the “shy hormone”: it behaves like a shy person who does not appear among strangers or observers.
  • Kangaroo Care by Kim Wildner
    Excerpt: In order to adequately explore Kangaroo Care, it is helpful to first define certain practices, concepts and verbiage through the perspective of ethnopediatrics. We will also examine the source of conventional ideas on premie care so that we might compare and contrast the rationale and efficacy behind both ways of attending to our most fragile of babies.

ed page graphic

Start or continue your midwifery education!

Are you an aspiring midwife who’s looking for the right school? Are you a practicing midwife who would like to learn more? Visit our Education Opportunities page to discover ways to start or continue your education.



Advertising Opportunities

Save Money with Midwifery Today Quarterly Print Magazine Contracts

Did you know that we offer discounts on multiple insertion contracts? Save up to 20% by prepaying for four or more display ads with Midwifery Today quarterly print magazine. With ads starting at $100, there is one for every budget. [ Learn more here. ]

Reach thousands with a Web column ad!

Be included in our heavily trafficked website with a Web column ad. For just $200 a month your ad (linked to your website) can be seen on our article pages and our archived Midwifery Today E-News newsletter pages. [ Learn More ]

Contact our Advertising Director at: ads@midwiferytoday.com
View more advertising options at: http://www.midwiferytoday.com/ads/


Wisdom from the Web

As midwives, we use many tools. Most of them are of the simple variety—fetoscopes, blood pressure cuffs, stethoscopes, etc. But I have noticed the benefit of a tool that is way simpler than any of those things. This tool is also more sensitive than anything made of steel or rubber. This tool can tell me a ton of information, not by what it physically detects, but in the way this tool communicates with the “unspoken.” Can you guess what it is? My hands.

— Indie Birth, a website dedicated to providing “intellectual fuel for free-thinking mommas”
http://www.indiebirth.com/the-best-tools-a-midwife-could-ask-for/


Why does the hip squeeze work? During labor, the pressure of the baby’s head on the pelvis stretches the pelvis. The hip squeeze pushes the pelvis back into a relaxed position relieving the pressure of the stretch.

— Birthing Naturally, a free source of information about pregnancy and birth
http://www.birthingnaturally.net/cn/technique/hipsqueeze.html


Back pain is a common pregnancy complaint, often worsening as the weight of the uterus (and the baby in it) increases. Prenatal yoga strengthens the muscles that support this weight, taking pressure off the lower back. Many women experience irritation of the sciatic nerve during pregnancy, and yoga can also be great for this. The pigeon pose and half-moon pose can stretch this area to relieve pain, and inversions can help make space in the pelvis to lessen irritation.

— Babble, for a new generation of parents
http://www.babble.com/pregnancy/pregnancy-health/prenatal-yoga-pregnancy-health-benefits/?page=2


If you’d like to share a bit of wisdom from the Web, please send a 4–5 sentence excerpt, accompanied by a link, to mtensubmit@midwiferytoday.com.


Get the whole story!
Subscribe to Midwifery Today magazine!


Conference Chatter

Bad Wildbad Conference

We are always looking for the next best place around the world to have an International Midwifery Today conference. We want, first of all, to change the world of birth with these events. That is, to bring information, insights and ideas for change to a couple hundred birth practitioners who then take it back to their countries. This extends the reach greatly as we have from 35 to almost 45 different countries represented at our European conferences. Even at our domestic conferences, we have the blessing of receiving midwives and doulas from many countries.

This year we are going back to Germany, our favorite venue as we search for more new places to host international conferences both in Europe and around the world. But don’t take my word for it. Lori Lester Luyten says, “Bad Wildbad is my absolute favorite conference venue ever!”

Gail Hart, a more eloquent writer than I am, describes it this way:

The Bad Wildbad Midwifery Today conferences are a sort of perfect way to recharge your batteries. It’s a way to experience a wonderful midwife conference with a great inexpensive vacation. Bad Wildbad is a truly lovely small German town at the edge of the Black Forrest. It is built along both sides of a small river and is nestled between steep hillsides. A funicular rail-car carries you up to hiking trails above in the forest itself. Sweet, intimate cafes serve great food, but also make you feel at home because most of them actually are the homes of the restaurateurs.

The spas—oh my, the spas! They are comfortable and relaxed, mostly older buildings with pools and large or small tubs fed from the hot springs, which run right into the town. The sizes range from personal soakers all the way to swimming pool-size! For a small price, you can purchase a spa-pass, which allows you to climb in for a soak whenever you feel the need. Some of the best discussions and impromptu midwife classes occur while gathered in that wonderful warm water. Bad Wildbad is a picture-postcard lovely town. A midwife conference there seems to heal both body and spirit!


We also have two wonderfully talented, excellent new teachers to replace Ina May and Stephen Gaskin, who cannot make it this year. You will not be disappointed though. Diane Goslin has done over 6000 births and brings a very high level of teaching to the conference. She works a lot with Amish families and has a tremendous amount of experience with very complex births. Gail Tully does Spinning Babies classes. I had the privilege of taking her amazing workshop. Spinning Babies is about optimal fetal positioning through conditioning of the mother’s body. Gail has developed a program of balance, gravity and movement in pregnancy and labor to help mom and baby be partners in birth. You will learn things from her no one else is teaching. She teaches in the sweetest and friendliest manner, as does Diane! We hope to see you there for a fun, educational and relaxing time that just may revive your birth soul!

— Jan Tritten


reading MT graphic

Expanding your personal library?

How about expanding your local library with books that encourage natural and instinctual birth? How much information about natural and instinctive birth is at your library? As a patron of a library, you have a say about what books they carry. Let your library know you want natural birth and midwifery materials to be available. Your library is your resource. Use it.



Stories

While doing my clinicals as a student midwife at an Indian health service hospital, an 18-year-old laboring woman was totally in labor-land and felt the need to stand up to labor in late first stage. She was naked and standing on the bed with a squat bar in front of her for reference. The nurse, my preceptor and I were standing around the bed spotting her when the pediatrician walked in to check on progress, since mom was only 36 weeks along. We were all amused at the look on his face, but the mom was totally unaware of him. He left, and a short while later she squatted on the bed and caught her own baby.

— Linda Stobinski-Johnson


Classified Advertising

Tell our readers about your business. Just $37/issue ($135 for four) gives you 30 words to promote your products or services. http://www.midwiferytoday.com/ads/enews.asp or ads@midwiferytoday.com


E-News Subscription Information

Remember to share this newsletter—it’s free! You may forward it to as many friends and colleagues as you wish—just be sure to follow the copyright notice.

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:

  • start receiving any of our e-mail newsletters
  • stop receiving any of our e-mail newsletters
  • change the version (text or HTML) that you receive
  • change the e-mail address to which newsletters are delivered

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.

 1-Year Subscription2-Year Subscription
United States$55$105
Canada$65$125
All other countries$75$145

E-mail inquiries@midwiferytoday.com or call 1-800-743-0974 to learn how to order.

Or subscribe online.


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.
PO Box 2672
Eugene, OR 97402, USA

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

Conference

Advertising

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: mtensubmit@midwiferytoday.com. Please send submissions in the body of your message and not as attachments.


Disclaimer

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.

Copyright Notice

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.

© 2012 Midwifery Today, Inc. All Rights Reserved.


Midwifery Today: Each One Teach One!