Dear Anatomy & Physiology Professor

Yesterday I finished a 12 week anatomy and physiology 2 part course. At the end I posted my professor a note in the discussion area.

I have enjoyed both Anatomy classes and have learned lots of information valuable for the various things I do. I am a birth doula, birth educator, La Leache League Leader, parent educator and more. I do have some ideas about the labor and birth chapter which I meant to contact you about. I'll still try to do that before the discussion areas get closed. 

Thank you,

Jennifer

The professor responded, "I'm glad you enjoyed the course and look forward to your input!"

So I spent a considerable amount of time yesterday going carefully through her lectures and formulating my response. I posted it into the discussion area as I had no other way to connect with her. I found out this morning that she took it down and sent me this reply, 

"To Jennifer,

Thank you for the information.  I am not able to keep that type of post up in the Discussion Area, but I read it carefully and copied and pasted it into a Word document for further review.  I am looking forward to checking out the references you included.  I think the pendulum has swung some on medication during childbirth.  When I was having my children (my oldest is 33 and my youngest is 18), women were encouraged to avoid medication if possible, while women in my mother's generation were significantly medicated.  Now, it seems that epidurals are used almost routinely, rather than reserved for special situations.

http://americanpregnancy.org/labornbirth/epidural.html

I think it's very important for women and their partners to learn as much as they can about pregnancy and childbirth, understand the pros and cons of different types of pain relief, think about their ideal situation for labor and delivery, and then discuss their wishes and concerns with a physician who comes highly recommended and who they trust.  

Thanks again for the info!"

I couldn't agree more. Women should learn all about the pros and cons, safety and risks of ALL medical procedures before they give birth but NOT in an anatomy and physiology class. In an anatomy and physiology class they should learn how a woman's body works without any outside interference. How her musculoskeletal, integumentary, sensory, hormonal, chemical and nervous systems work in concert to bring a baby into this world. 

Here is what I posted on the discussion board:

I have some thoughts about the sections in your lectures which cover normal vaginal birth. Let me explain my background. I have been a doula for over 20 years. In case you aren't familiar with this profession, a doula supports couples during the entire birth process and into the early postpartum period as well. I have been at over 100 births. Some have happened in homes and birth centers, but the majority of my clients have chosen to birth in a hospital setting. I have seen lots of babies come into this world vaginally and some via cesarean section. Along with this I am a birth educator and La Leche League Leader. La Leche League International has been educating and supporting breastfeeding women for over 50 years. They have the most up to date information and studies on lactation, breast milk, and breastfeeding. As a Leader I am trained to support mothers who desire to breastfeed through facilitating meetings and providing one-on-one support.

Throughout your classes I have been impressed with how well you explain the body's systems both anatomically and physiologically. The more I know about the human body the more amazing its abilities seem to me. I am very passionate about women, birth and families. It is very important to me that women are given accurate information about their body's birthing and breastfeeding abilities. Unfortunately in our culture women know very little about birth and what they are told is not at all from an anatomical and physiological stand point. Instead it is heavily mixed with cultural beliefs with no regard for science. Unfortunately I believe your section on birth is skewed in this manner. Women need to know how we were designed to give birth. If they then choose to use medical and pharmacological props or interventions that will be an educated cultural choice. As this is an anatomy and physiology course, I am hoping you will consider taking a more physiologic approach to how you present birth to women. Please understand I am NOT advocating women should birth without skilled help at the ready. How much they use or need that help will depend on their unique situation. I want them to learn what their bodies are capable of doing. 

Here is what I have learned from watching women, keeping up with the latest science, and opening my mind to see past our current birth culture. Women are designed anatomically to labor and birth in upright positions. Left to their own instincts it is very rare indeed for a woman to choose to lie down to birth, especially on her back. Imagine a woman choosing to lie flat on her back to defecate or urinate. Most un-medicated women will choose to stand, semi-squat, full squat or be on their hands and knees. Unfortunately all of your graphics clearly show the supine position. This position is brought about through the use of pain medication and for doctor and hospital convenience. It is considered normal only because of cultural influences on the physiologic birth process. Anatomically it flattens the pelvis and doesn't allow for the sacrum and coccyx to move out of the way of the descending head. It also immobilizes both of the illiac bones making it harder for them to spread laterally giving the additional space needed for the baby. You mention the doctor placing the woman in a semi upright position but as long as her bottom is against the surface of a bed she will be hampered in her abilities to birth unassisted, but unassisted is what we are anatomically and physiologically designed to do.

In your course you say the doctor will tell the mother when second stage has begun. But anatomically when a mother is un-medicated she does not need to be told when to begin pushing. When the baby descends to a certain point in the pelvis he naturally triggers the fetal ejection reflex in mom. Just as when you need to vomit you know you are about to vomit. No one needs to tell you it is time or how to do it. No one needs to say how long each vomiting session should last. This is exactly like the 2nd stage of labor. The mother, even a first time mother, will spontaneously begin to push with her diaphragm and abdominal muscles. She will not be able to help it. She will not be able to stop herself. She will naturally tend to push 3 times during each contraction for approximately 6 seconds. This amount of time works physiologically for the baby. When a mother is pushing she tends to hold her breath to bear down. This breath holding reduces the available oxygen to the baby. Six seconds is an amount of time that babies tolerate well. Longer than that can cause a drop in oxygenated blood with a corresponding rise in fetal heart rate as they physiologically struggle for homeostasis. 

The un-medicated mother will know when she is crowning from the burning sensations she will feel. Most mothers stop pushing and cry out. This releases the vaginal muscles and allows for the last stretching. I agree with you that it can be helpful for a provider to gently put counter pressure on the head to keep it from coming so quickly mom’s vaginal tissues tear but this is not how the system was designed. It was designed for the mother to birth like other mammals, without assistance. Further there have been many studies done that show that an episiotomy does not keep a woman from tearing. As a matter of fact they all agree that a woman is more likely to have a 3rd or 4th degree tear if she has an episiotomy. Currently most doctors only do an episiotomy if the baby's heart rate is dropping into the danger zone. In this situation it can be life-saving.  

When the baby's head appears the supine or semi-reclined position necessitates a care provider to hold the head so the head doesn't flop backward, hyper extending the baby's neck. When a mother births in a squat the head stays perfectly in line with the body as it hangs down. In your lecture you say the doctor will rotate the baby's shoulders but most babies rotate without any assistance. It is part of the anatomical fit between mother and baby that causes them to sort of cork screw out. It is only if their shoulder is stuck under the pubic bone that this doesn't happen. Finally rather than a doctor needing to catch the baby as you suggest, the mother is capable of reaching down and catching the baby as it pops out after the body rotates into position. I have witnessed this. 

As to the physiological process, you mentioned the hormones oxytocin and prostaglandin but equally important in the process are dopamine and endorphins. This combination of dopamine, endorphin and oxytocin is the same combo released during orgasm which causes intense pleasure and a feeling of floating. In labor this powerful chemical combination changes the laboring woman's perception of the pain allowing her to endure much more than she would otherwise. On top of that she is chemically driven to bond with her new baby as soon as he or she emerges. This is a very important feed-back loop which pitocin and an epidural disrupt. It has consequences for the next phase, mothering the baby outside the uterus.

The latest studies all show conclusively that immediate skin-to-skin contact is what we are physiologically designed for rather than taking the baby away even briefly and presenting it back to mother as a wrapped bundle. The mother and baby should continue to be considered one biologic unit. They share bacteria, hormones, body fluids, antibodies, fats and proteins. A neonate has no ability to self-regulate. He does this through his mother. Hearing the mother's heart beat and feeling the rise and fall of her breath regulates his heart rate and respiration. It keeps the levels of adrenalin and cortisol at their appropriate levels; enough to cause the baby to be hyper alert without causing him physical stress. Science has proven babies should not be taken away or wrapped in blankets. This is part of the WHO Baby Friendly Initiative. Their goal is to have all babies go immediately onto their mother’s abdomen or chest unless they need life saving measures. Normal suctioning doesn't count as life-saving. If needed this can be accomplished quite easily on the mother while baby remains skin-to-skin. They are to stay this way undisturbed for the first 2 hours of life so that all of the above sharing and regulation can occur. If you haven't watched a video on delivery self-attachment yet you will be amazed! We are much more like other mammals than we have given our babies credit. When un-medicated, undisturbed, and left skin-to-skin with mom they move themselves into position and find the nipple, latch on, and begin feeding. I just attended a conference where I was blown away by the latest info about epigenetics and breastfeeding. Breastmilk contains, histones, lepten, and microRNA, which all pass to the baby. They attach into their genes and change how the genes are expressed. This is an important further step in passing on genetic information from one generation to the next.  

The third stage is more easily accomplished if baby stays with mom. This triggers further oxytocin release, especially if the baby latches and begins to nurse, which stimulates the placenta to fully separate and then keeps blood flow to the amount which brings mom back to homeostasis. She loses the extra blood she created to maintain the pregnancy which she no longer needs. There is no need for "a little bit of pitocin" as you have taught unless the mom actually IS bleeding too much. Again our physiology is miraculously designed to take care of most contingencies. Only when it is not able to do its job successfully should we vary from this amazing design which you clearly have so much respect for.

Finally I want you to imagine what would physiologically occur if the mother and neonate were all alone immediately after birth. What would the mother do? Would she immediately clamp and cut the umbilical cord as you have stated the is done in our hospitals? Highly unlikely. Therefore what is supposed to occur? As you detailed so well, the baby's circulation and respiration have major changes that need to happen. These will generally take place quite peacefully without any gasping or stress to the baby. There is significant pressure around the baby's chest when it is squeezing through the vagina. When the baby is born there is therefore a significant drop in pressure which causes air to try to rush into the lungs. Also there are nerves in the skin of the neonates face which, when exposed to air for the first time, trigger him to breath in. This is why babies can be born under water and not drown. They do not attempt to breathe until their face is lifted out of the water. Further as long as the cord and placenta are intact and still pulsing the neonate continues to receive oxygenated blood from the mother through the placenta. The cord is covered with a substance called Warton's Jelly. When the air hits the cord it dries this out and triggers the cord to slowly stop pulsing. Meanwhile inside the baby his body is working to close the foramen ovale and reroute the blood. Most cords will pulse for 5 to 10 minutes after birth and placentas stay adhered to the wall for anywhere from 15 to 30 minutes. This gives the baby buffer time. I don't believe in this scenario there is a fall in blood PH, but I could be wrong. This also gives the mother/baby system time to bring their blood exchange into homeostasis with the neonate receiving exactly the right amount of blood. If you clamp the cord too soon you will leave 1/3 of the fetal blood in the placenta. This blood is needed by the neonate for many reasons. They are discussed in one of the links below. 

Thank you for listening and thank you for expanding and deepening my knowledge of the human body. I'm very glad I took this class. If you wish to ask me further questions about labor, birth or breastfeeding please email me at jenniferstoverdoula@gmail.com.

A standing unassisted birth video: https://www.youtube.com/watch?v=zFMHB4RqpjI  

An MRI study of Pelvimetry in 3 positions:

http://www.ajronline.org/doi/pdf/10.2214/ajr.179.4.1791063

Further explanation about up right positions: http://www.givingbirthnaturally.com/birth-positions.html

Discussion of labor hormones and how catecholamines disrupt the natural hormonal cascade:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595201/  

Fetal Ejection Reflex: http://www.wombecology.com/?pg=fetusejection

Delayed cord clamping: http://www.scienceandsensibility.org/?p=5730

The requirements for a hospital to become Baby Friendly certified:http://www.babyfriendlyusa.org/about-us/baby-friendly-hospital-initiative/the-ten-steps

Importance of skin-to-skin contact: http://www.medscape.com/viewarticle/806325

Breast Crawl video: https://www.youtube.com/watch?v=zrwfIcPB1u4   

I hope dear reader you found this information helpful to you. Please feel free to share it with others. You can link to this blog or share it via Facebook. Even copy and paste it into an email or on your own web site. Please remember to attribute it to me.

California Measles Outbreak; What's a Parent to Do?

Yesterday I caught the tail end of Dave Congalton on the radio talking with a local pediatrician who has written a new e-book about baby's first year. She was adamant about vaccinations and was sure that if parents were simply told the facts by their doctor they would automatically want to vaccinate. During the short time I was listening, 2 other docs called in to FULLY support vaccinations.                                 
She also said we were having a measles epidemic in California. At that point I called in. I asked her how many cases there actually were. She backed off and said she shouldn't have called it an epidemic but an outbreak. I told her I thought the cases were in vaccinated people. She said no they were unvaccinated. (Keep reading to see she and I were both right and wrong on that one.) She said this kind of bad information was the problem with the internet spreading false info. She accused parents of getting poor information off the internet and then being too frightened to do the right thing for their kids. So this morning I went to the internet to see what I could find out about measles in CA. Here is some info you should know.

Facts on California's measles outbreak
From the CDC web site:
"Measles causes fever, runny nose, cough and a rash all over the body. About one out of 10 children with measles also gets an ear infection, and up to one out of 20 gets pneumonia. For every 1,000 children who get measles, one or two will die."                

Also from our government:                                                
"HEALTH ADVISORY – February 19, 2014

14 Measles Cases in the State of California in 2014

Fourteen cases of measles with onset in 2014 have been reported to California Department of Public Health. (In all of 2013, 189 people have been reported to have the disease. This represents the second largest number of cases in the U.S. since measles was eliminated in 2000.)
Among the 2014 California cases, four case-patients had traveled outside of North and South America, with three traveling to the Philippines. Nationally, an increase has been noted in the proportion of measles cases with travel to the Philippines. Measles cases from recent years have reported travel to Germany, France, England, India, and China, among other destinations.

Of the 2014 California case-patients without international travel, three had contact with known measles cases, two had contact with international travelers and five are under investigation to identify potential sources.

Of the 12 cases with known measles vaccination status, 8 were unvaccinated (7 were intentionally unvaccinated and 1 was too young to be vaccinated). That means 4 were vaccinated and 8 were not. So a third of the cases were in vaccinated people and 2/3 in unvaccinated. Why are vaccinated people getting sick? Had they only had the initial vaccine and not the booster or did they fave both shots and the life-long immunity they said we would have isn't turning out to be true? 

Please note they are NOT talking about deaths or even tell us how severe the cases were; simply that they had measles.

The last large outbreak of measles in the U.S. occurred during 1989-1991, with 17,000 cases of measles and 70 deaths in California.

Let's compare this to influenza. For the 2013-2014 flu season the California Department of Public Health says there were 332 deaths in California. 

Efforts to increase immunization rates in the 1990s were successful and endemic transmission of measles in the U.S. was eliminated in 2000.

Here is what eliminated actually means. In 2000 there were 86 cases in the US and 19 in California. 

 In 2013-2014, a large measles outbreak in the Philippines has resulted in over 1700 cases and 21 deaths. This outbreak has led to measles importations to Australia, Canada, the UK, and in many U.S. states. Additionally, measles is currently circulating in most regions of the world outside of North and South America."

In 2013 there were 189 cases of measles in the US and 15 cases in California. There were NO deaths. Now I want you to think about the numbers of people you know in California who had the flu this year. We probably each know at least 15 people. Of the California measles cases, 11% needed to be hospitalized, so 17 people were seriously ill. Pneumonia was the reason for hospitalization for 4 of the cases. It is important for pregnant mothers to note that 2 of these hospitalizations were for pregnant women and 1 miscarried. Let's look closer. Ninety-nine percent were import associated. In other words there was contact with someone who brought the virus into the US from abroad or was in contact with someone who was in contact with someone who had been abroad. Another interesting item is that 8% of the cases were in vaccinated people. 

How Does This Compare to the Flu?

Let's see what Web MD says about the flu:

Here's a rundown of some important flu statistics, based on the best available data.

Percentage of the U.S. population that will get the flu, on average, each year: between 5% and 20%.
That is with the current flu vaccination rate. So what percentage of the US population is 159 measles cases? The US Census Record says there are 316.99 million people in the US. So last year's outbreak was .00005% of people in the US.

Number of Americans hospitalized each year because of flu complications: 200,000, on average.
Remember there were 17 people hospitalized for measles complications last year. The last big outbreak of measles occurred from 1989-1991. Each year there were approximately 18,000 cases in the US with approximately 3,600 hospitalizations. 

The number of people who die each year from flu-related causes in the U.S.: ranges from 3,000 to 49,000.
During the last big outbreak of measles in the US approximately 41 people died each year.

In the U.S., influenza and pneumonia were the eighth leading cause of death in males in 2009.

Number of flu vaccine doses available in the U.S. for the 2013-2014 flu season: Between 135 and 139 million.
That means that if all the doses get used they will have vaccinated 44% of the population for flu. The federal government wants a 90% vaccine rate for measles and they say are meeting or exceeding that goal! Less than 1% of young children are not vaccinated  and most of the unvaccinated kids are for economic reasons. So what percent of all the kids in the US are not vaccinated due to parental choice? I couldn't find that number. Obviously it is less than 1%. 

So where does all this fear come from? Most of it stems from one situation in New York where many people in one extended family became ill with measles. This family had chosen not to vaccinate due to philosophical reasons. They had family members who traveled to Europe and brought home an unwelcome souvenir. In total there were 65 cases of measles in New York. Here is the final word of why the the CDC is concerned:  "imported measles cases can result in large outbreaks, particularly if introduced into areas with pockets of unvaccinated persons."

From the National Vaccine Information Center:
(this is the organization which the medical establishment is talking about when they say crazy 
anti-vaccine people)  
"In 1960, three years before the first measles vaccine was licensed in the U.S., there were 380 deaths from measles recorded."            

Are vaccines safe or not?
Now let's explore the possible side effects from getting the MMR vaccine. Remember very little in life is 100% safe so with life there is risk. What are those risks?

From the CDC: 
"Moderate Problems
Seizure (jerking or staring) caused by fever (about 1 out of 3,000 doses)
Temporary pain and stiffness in the joints, mostly in teenage or adult women (up to 1 out of 4)
Temporary low platelet count, which can cause a bleeding disorder (about 1 out of 30,000 doses)

Severe Problems (Very Rare)
Serious allergic reaction (less than 1 out of a million doses)
Several other severe problems have been reported after a child gets MMR vaccine, including:
Deafness, long-term seizures, coma, or lowered consciousness, and permanent brain damage
These are so rare that it is hard to tell whether they are caused by the vaccine.
(Please note they give us NO numbers)

From the National Vaccine Information Center: 

"Common side effects from the MMR vaccine include low-grade fever, skin rash, itching, hives, swelling, reddening of skin, and weakness. Reported serious adverse reactions following MMR vaccination include seizures, brain inflammation and encephalopathy; thrombocytopenia; joint, muscle and nerve pain; gastrointestinal disorders; measles like rash; conjunctivitis and other serious health problems.

As of March 1, 2012, there have been 898 claims filed in the federal Vaccine Injury Compensation Program (VICP) for injuries and deaths following MMR vaccination, including 56 deaths and 842 serious injuries. (Again we have no numbers of doses of vaccines to help us understand what percentage of doses; or true level of risk. I'm not even sure if these numbers include multiple years.)

Using the MedAlerts search engine, as of July 9, 2012 there have been 6,058 serious adverse events reported to the Vaccine Adverse Events Reporting System (VAERS) in connection with measles vaccine since 1990, with over half of those occurring in children 3 and under.

Evidence has been published in the medical literature that vaccinated persons can get measles because either they do not respond to the vaccine or the vaccine’s efficacy wanes over time and vaccinated mothers do not transfer long lasting maternal antibodies to their infants to protect them in the first few months of life."

There are other theories about vaccines long term risks beyond immediate reactions. None of these, as far as I know, have been proven. Conversely I don't know that there are any long-term studies on vaccine safety. Questions out there which I feel bear looking into are the potential vaccine/autoimmune disease link. Especially after seeing that the CDC says one of the moderate immediate reactions can be pain and stiffness in the joints in teens and women. Autoimmune diseases are definitely on the rise. Is this caused by vaccines? The anti-vaccine group would like you to think so. As far as I know we have no scientific studies to definitively make that connection yet. I want long term studies done. I want studies done on bundled vaccines, not individual vaccines. I don't believe the scientific community has done enough research into the possible synergistic effects of bundling vaccines. I think the fact that we now have potential humans to do matched studies on right here in America is fantastic. I don't want studies with unvaccinated people from third world countries compared to people in the developed world. I want us to follow long-term some of the now unvaccinated US kids and a matched group of vaccinated US kids. Let's really find out some concrete answers. Until then I'm not sure anyone knows. 
                                                                                               
What's a parent to do?
Parents need to make wise choices for their children. Are you planning to travel outside the US? Will you be having world travelers come into your home or be in contact with them in some other way, such as, airplanes, buses, trains, or hotel rooms? Perhaps you want to vaccinate. Perhaps 2 measles deaths in a 1000 cases is too high a risk for you to comfortably take as a parent. As doctors love to say (the doctor on the radio yesterday said it too) when it is your child 1 death is too many. Of course they NEVER factor in that, 1 death from a vaccine reaction is also 1 death too many for any parent. What is important to me is that you have solid information to make your own best choices. 

Then I want you to find a doctor who will listen to you as a parent, help educate you and then will allow you to make your choices without shaming you in any way; or worse yet fire you as a client. I want to take a moment to acknowledge one such local pediatrician, Dr. Renee Bravo. Here is what one of my "Whole"istic Mamas said about a recent visit. 

"Just wanted to share my positive experience yesterday. I've known Dr Bravo for probably 25 years & have been bringing my children to him since my 1st was born almost 11 years ago. I respect him & think he's a great person. Yesterday I brought baby #4 in for her 2 mos checkup. I was really nervous to tell him I didn't want vaccines for my baby since I'd unknowingly vaccinated my other 3 children & thought he might possibly hassle me like his associate did. When he asked about shots for this visit I declined & he said "no problem, whatever you want to do I'll support!" He said we could do delayed vaccines (he said he really likes Dr. Sears schedule), even more delayed, or none at all, just let him know. Then he said "you know you really only need most of these if you're traveling to a 3rd world country anyway." No hassle, no debate, just pure support. Yet another reason why I respect him!"

I know this was a lot to read but it is important that all of us base these kinds of parenting decisions on a real understanding of the facts. 

Next, since it is "going around", I wanted to give you info on how to tell if your child has measles and what your doctor can do. If you think you or your child has measles, or you have been exposed to measles, the sooner you go to your doctor the better if  you want to utilize their help. 

IMPORTANT: Do NOT go to your doctor without FIRST calling. Let them know you think your child has been exposed to or come down with measles. Ask IF they wish you to come in and HOW they plan to minimize risk to their other clients. Babies do not get vaccinated for measles until they are 12 months old. Therefore the kids most vulnerable to having difficulty fighting off the infection are not vaccinated.   

What do measles look like?
From the Mayo Clinic web site:

Description: a red, blotchy rash that usually appears first on the face and behind the ears, then spreads downward to the chest and back and finally to the feet.

Measles signs and symptoms appear seven to 14 days after exposure to the virus. Signs and symptoms of measles typically include:
Fever
Dry cough
Runny nose
Sore throat
Inflamed eyes (conjunctivitis)
Sensitivity to light
Tiny white spots with bluish-white centers found inside the mouth on the inner lining of the cheek, called Koplik's spots
A skin rash made up of large, flat blotches that often flow into one another
The infection occurs in sequential stages over a period of two to three weeks.

Infection and incubation. For the first seven to 14 days after you're infected, the measles virus incubates. You have no signs or symptoms of measles during this time.

Nonspecific signs and symptoms. Measles typically begins with a mild to moderate fever, often accompanied by a persistent cough, runny nose, inflamed eyes (conjunctivitis) and sore throat. This relatively mild illness may last two or three days.

Acute illness and rash. The rash consists of small red spots, some of which are slightly raised. Spots and bumps in tight clusters give the skin a splotchy red appearance. The face breaks out first, particularly behind the ears and along the hairline. Over the next few days, the rash spreads down the arms and trunk, then over the thighs, lower legs and feet. At the same time, fever rises sharply, often as high as 104 or 105 F (40 or 40.6 C). The measles rash gradually recedes, fading first from the face and last from the thighs and feet.

Communicable period. A person with measles can spread the virus to others for about eight days, starting four days before the rash appears and ending when the rash has been present for four days.
When to see a doctor


What if I think my child has measles?

More from Mayo
Call your doctor if you think you or your child may have been exposed to measles, or if you or your child has a rash resembling measles.

No treatment can get rid of an established measles infection. However, some measures can be taken to protect vulnerable individuals who have been exposed to the virus.

Post-exposure vaccination. Nonimmunized people, including infants, may be given the measles vaccination within 72 hours of exposure to the measles virus, to provide protection against the disease. If measles still develops, the illness usually has milder symptoms and lasts for a shorter time.
Immune serum globulin. Pregnant women, infants and people with weakened immune systems who are exposed to the virus may receive an injection of proteins (antibodies) called immune serum globulin. When given within six days of exposure to the virus, these antibodies can prevent measles or make symptoms less severe.

Medications

Fever reducers. You or your child may also take over-the-counter medications such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin, others) or naproxen (Aleve) to help relieve the fever that accompanies measles. Don't give aspirin to children because of the risk of Reye's syndrome — a rare but potentially fatal disease.

Antibiotics. If a bacterial infection, such as pneumonia or an ear infection, develops while you or your child has measles, your doctor may prescribe an antibiotic.

Vitamin A. People with low levels of vitamin A are more likely to have a more severe case of measles. Giving vitamin A may lessen the severity of the measles. It's generally given as a large dose of 200,000 international units (IU) for two days.

How do you tell if it is measles or chicken pox? 
Also from the Mayo Clinic site:

Chickenpox infection usually lasts about five to 10 days. The rash is the telltale indication of chickenpox. Other signs and symptoms, which may appear one to two days before the rash, include:

Fever
Loss of appetite
Headache
Tiredness and a general feeling of being unwell (malaise)Once the chickenpox rash appears, it goes through three phases:

Raised pink or red bumps (papules), which break out over several days
Fluid-filled blisters (vesicles), forming from the raised bumps over about one day before breaking and leaking
Crusts and scabs, which cover the broken blisters and take several more days to heal
New bumps continue to appear for several days. As a result, you may have all three stages of the rash — bumps, blisters and scabbed lesions — at the same time on the second day of the rash. Once infected, you can spread the virus for up to 48 hours before the rash appears, and you remain contagious until all spots crust over.


The disease is generally mild in healthy children. In severe cases, the rash can spread to cover the entire body, and lesions may form in the throat, eyes and mucous membranes of the urethra, anus and vagina. New spots continue to appear for several days.

What if my child has Chicken Pox?

Most children do not need to see a doctor other than to tell you they have chicken pox. When do you need to see a doctor?

From the CDC:
For people with chickenpox at risk of serious complications, call a health care provider if the person:
is older than 12 years of age
has a weakened immune system
is pregnant
develops any of the following:
fever that lasts longer than 4 days
fever that rises above 102°F (38.9°C)
any areas of the rash or any part of the body becomes very red, warm, or tender, or begins leaking pus (thick, discolored fluid), since these symptoms may indicate a bacterial infection
extreme illness
difficult waking up or confused demeanor
difficulty walking
stiff neck
frequent vomiting
difficulty breathing
severe cough

Good luck with your decision and good parenting!

How to Not Gain My Trust

Dear Doctor,

You will not gain my trust by pigeon-holing me at an unrelated professional public event and in a loud confrontational tone telling me I don’t know what I am talking about. Do you realize how disrespectful it is to assume that if people just knew what you know they would obviously agree with you?

You will not gain my trust by going on and on with rarely a break long enough for me to get in a word. This was not a respectful rational dialogue between two equally intelligent individuals. Instead it was an overly emotional barrage of highly charged personal experiences bound up with concern for your own children.

You will not gain my trust by not being considerate of time and place. Did you give any thought to the fact that you were in the middle of an organization that has worked very hard to establish trusting relationships between often competing parties by keeping our focus on the ways in which we agree, respectfully sharing information, and focusing on a common goal? Did you take a moment to consider that I was about to get up in front of a room full of people and speak? Luckily I am confident enough to be gracious to you, while not backing down in my defense of parents who you feel make the wrong choice about vaccine, and immediately after still get up and give a caring, warm introduction for a woman I greatly admire. Did you know that about me? No because you don’t know me at all.

You will not gain my trust by not being conscious of who else is around you and how they might be affected by our exchange. Did you know that it was mortifying to me that the evening’s presenter, a professional who inspires me, was listening to you? Did you never give it a moment’s thought that sitting all around you might be parents who have chosen not to vaccinate or are following less traditional vaccination schedules? How do you think this made them feel? Do you think you gained their trust?

As I said to you that night you are obviously sincere in your concern about the potential for children to become ill and die because of parents choosing not to vaccinate. I can tell you care deeply. I too care deeply. It is very important to me that I give out as accurate information as I can to parents and prospective parents. What they do with that information is up to them. I believe in their abilities to make good choices for their children. In the past when it has been brought to my attention that I may have printed inaccurate statistics I have gone back and taken a second look at my original information and, with guidance by far better statisticians than I, I have made corrections as needed. Based on the discrepancies between your numbers and mine I am reviewing my original measles outbreak post, my sources and the original numbers, and will be posting an up-date. I will also be working on a post as to how the medical establishment as a whole lost our trust. Unfortunately you, dear doctor, did nothing to re-gain mine.

  

A New Path Down an Old Road

Like many mothers, the road I started down after the birth of my son has taken me places I never expected. I have reinvented myself many times in the process or perhaps the road has reinvented me. Threads from my past lives weave together and my tapestry gets richer and deeper, mellowing with age.

Many years ago my body lay broken upon the jagged shores of my deepest passion, riding horses. Just as with the birth of my son I was once again confronted with the limits of the medical model. In this case if they couldn't visualize it with their many tests, quantify it, and label it, it didn't exist therefore they had nothing to offer me as a path back to health. They would happily prescribe pain medication for the rest of my life or refer me to a psychologist because the pain was obviously in my head not in my back. My search for a way out of pain led me to a deeper understanding of many modalities; acupuncture, chiropractic, watsu, myofascial release, spinal decompression, Feldenkrais body work, hormone balancing, and craniosacral therapy. All have been instrumental in my journey toward a pain free life.

Our lives lead us many places. Mine lead me to Cayucos to the door of CranioSacral Therapist, Celeste Varas de Valdes. The combination of her amazing ability to "read" my body, the gentleness of her touch, and the profound response of my body as I floated out of pain were incomprehensible to me. How could this be? I told my husband she was a wizard. How could she hardly touch me and have such an amazing healing effect?

Celeste encouraged me to read John Upledger's book "Your Inner Physician and You." Upledger is the founder of CranioSacral work. Actually I believe he may be a re-discoverer of a wisdom known through the centuries and across many cultures. I bought the book but consciously chose to never open it. I wanted to learn on an experiential level. It is easy for me to get in my head, to get caught up in intellectual learning. I wanted this to be clean unfettered learning through my own body's experience.

As my body began to heal I became more drawn to the how and whys of cranio work. Celeste patiently answered my questions. Next my path brought a chance to learn more at a California Midwifery Conference. I attended an all day workshop by Carol Gray introducing cranio work for pregnant moms and infants. After that I was convinced I wanted to learn more about how to incorporate this modality into my doula work. Time, expense and timing, i.e. life, kept this from happening.

A few years later I was offered an opportunity to watch at the hands-on part of an Obstetric 1 CranioSacral Training at Sukha Wellness Center in Avila. I was graciously allowed to try putting my hands on one of my pregnant clients who was there for demonstration purposes. I was astonished at all that I could "feel" going on inside her; the blockages and tensions. I put my hands on clients all the time, hugs, massages, counter pressure, or just holding a hand. This was completely different. It was tuning into a vibration and letting her body gently move me in a dance. The crazy part is she was lying completely still upon a massage table. No one else looking could see the swirling movement under my hands as her body gently unwound.

Interesting, but now what? I was busy going down a new path, working on earning my La Leche League
Leadership and learning as much as I could about breastfeeding. The more I immersed myself in the world of breastfeeding the more concerned I became. Listening to so many postpartum mothers who were struggling to breastfeed; to do what should have been a simple natural act. Something that every mare I helped foal never had a problem doing. Rarely, a mare will reject her foal completely, but no mare who allows her foal to latch has problems. Foals don't have latching or sucking issues. If you feed the mare right she has plenty of milk and the foal has no problems transferring that milk from the teat to his tummy. So why were so many of our mothers caught up in the pumping, bottling, exhaustion merry-go-round?

I am a question asker. If something doesn't add up for me I ask people I trust, who have more knowledge than I, why this doesn't add up. Lactation Consultant, Julie Merrill, kindly loaned me the book "The Impact of Birthing Practices on Breastfeeding" by Kroeger and Smith. I read that book cover to cover and in its pages I discovered all the research explaining why. I immediately incorporated what I learned into educating my class and doula clients. I was inspired to try harder than ever to support pregnant mamas in ways that would keep them off the self defeating merry-go-round. That didn't feel like enough to me. More moms needed to know. So I helped create and present the community event, Beating the Booby Traps.

Wait! This is supposed to be about cranio right? Took you right down the path with me didn't I? With an out of work husband there was no time or money to think about cranio. Then last May, with the financial help of LLL and labor and delivery nurse, Janell Todd, I attended La Leche League Conference. One lecture I chose to attend was given by Alison Hazelbaker assessing Tongue-tie, a condition which wrecks havoc on breastfeeding. It was presented over 2 days. The first day all the SLO Leaders went. The second day I think I was the only one who continued. I don't know why I went. She said she was going to present how to tell the difference between a real tie and a "faux" one. I thought it would just be more assessment tools. Well her assessment tool was to do CRANIO work on the infants and after several sessions re-assess for tongue function. Turns out she was a CranioSacral Therapist as well as a Lactation Consultant. An incredibly high percentage of tongue-ties were fixed with this gentle non-surgical technique. The pieces all slid into place for me. Now I knew what I wanted to do. It isn't enough to try to help moms say no to procedures which can impact their births and their breastfeeding. It isn't enough to give technical and emotional support to moms struggling unsuccessfully to feed their little ones. I want to actually help the babies and now I know how. I need to become trained in CranioSacral Therapy for infants. These babies are literally crying out for this kind of work.

Again money and time were blocking my path. Thank you to David and Mary Sage Sennewald of Sukha who gifted me a partial scholarship so I could attend CranioSacral I last month. Thank you to Alyssa Nixon and baby Finley for birthing before October 17th!

So now what? Well this path looks fairly long and I'm already finding roadblocks but I am determined. I've attended 2 study groups since the 4 day training. I ordered my books on-line yesterday. I think I have found a used massage table so I can practice on my family and friends. I can't even begin the Obstetric or Pediatric training until I have passed Cranio II and Somato Emotional Release. I'm trying to find a way to get my anatomy studies done without having massage therapists "in training" practice on me. This is something I know my body can not handle. Then there is the legal stuff about setting up a business which involves touching people. Yesterday I was so depressed. All I could see were the roadblocks. Today I'm cracking open the pages of "Your Inner Physician and You".

Celeste's Keep In Touch: http://www.craniosacralthpy.com/

David and Mary Sage's Sukha Wellness Center: http://sukhawellnesscenter.com/

Listen to National Experts: What the Birthing Women of San Luis Obispo Need to Think About!

These posts originally appeared as my Food for Thought series on Facebook. I wanted to provoke the women of San Luis Obispo county into thinking about their birth and parenting choices. By quoting directly from books I wish to stimulate discussion and encourage women to seek out information and become more educated. My hope is you will empower yourself through this process.

“Our lives begin to end 

the day we become silent about things 

that matter.”

~ Martin Luther King, Jr. 

from his unforgettable

 "I Have a Dream" speech

Doctor or midwife: How to choose which is right for you.

Baby Bonding and Attachment: Getting Parenting off to a good start.

Induction and Due Dates: What you need to know to keep anyone from scaring you into a decision.

Understanding Risks: Learning more so you can choose the risks you are most comfortable taking.

Parenting in Labor: Things to know about the decision to use pain medication.

Labor & Birth: Things to remember about normal labor and birth.

A Positive Cesarean Birth

Approximately 10% of women will truly need to give birth to their babies via surgery. For most of the women in this country this is far from a positive experience. Their babies are born behind a screen and then are moved to a plastic box, called an isolette, far enough away the mothers can't really see them. Once they are checked over and determined to be breathing ok, they are wrapped up so only their tiny faces are visible and given to their dads sitting next to the mothers' heads. The mothers who are lying flat desperately want to at least see their babies' faces. The dads try to find a way to accomplish this with their floppy newborns. Mothers crane their necks trying to catch a glimpse of their babies' gaze. They are biologically driven to look deep into their babies' eyes and connect. In just a few minutes dads and babies are whisked away to a nursery. All the other normal biologic functions which kick into gear as soon as the mothers have given birth are disrupted. These are called claiming behaviors. We are meant to smell our babies, kiss our babies, touch our babies. We are meant to look them over from head to toe and to count each tiny finger. And of course to put the baby to our breast and begin the breastfeeding relationship. Our senses and our babies are heightened at the moment of birth. We are both exquisitely aware of each other. We are meant to connect on a deep emotional, biological, chemical level; a connection which will last a life time. But for most mothers around the world having cesarean babies they get none of these. By the time they get to really see their babies they have been washed and dressed and are deeply asleep; too sleepy to breastfeed for  hours.

For a different perspective on the cesarean birth experience please watch this video. Then talk to your doctor, your midwife, your doula, your husband, and your hospital. You and your baby have a right to the most natural positive birth possible. You can make this happen!

"Whole"istic Mamas Support for After Your Baby Arrives

You are invited to join my "Whole"istic Mama and Papas parenting support and social group! 

For the last twenty years I have been asked by moms who had attended my birth classes if  I would please start a mom support group after their babies came. Unfortunately I was too busy raising my son, being a wife, birth educator, doula, foreign exchange student teacher/coordinator and horse trainer and community birth advocate to say yes. In 2012 I finished my La Leache League leadership training and finally decided they were right. Moms who were choosing to parent from an attached perspective needed more support in our community. 

Because I have always viewed parenting as a dynamic constantly evolving experience I purposely chose to not call the group "attachment parenting". I wanted to encourage a broader spectrum of mamas to feel welcome. So I created the term "Whole"istic Parenting which I felt better reflected my views of parenting the whole child. At our meet ups and in our face book group I encourage mamas to make conscious choices for their child's physical, intellectual and emotional health. Research shows these are not distinct areas but are forever inseparably intertwined. 

The group offers mama-to-mama support and information sharing, as well as a social outlet with several park or play dates a month. The conversation is free flowing, covering whatever is on the minds of the attending mamas from sleep issues, balancing family needs, extended family, nutrition, traditional and alternative health providers, education, communication and more. As a veteran working mom, past home and public schooling parent, and La Leche League leader I gently offer guidance and resources. I ultimately believe mamas know the right path to choose for their unique family situation when given a small amount of nonjudgmental information and encouragement to listen to their heart. To receive invitations to our Blanket Babies & Toddler Time meet ups and join the on-line group feel free to friend me on face book and request to join.

Get Inspired

"Never doubt that a small group of thoughtful committed citizens can change the world; indeed it is the only thing that ever has." Margaret Mead, woman, daughter, wife, mother and controversial cultural anthropologist.



Inspired? Join the Birth & Baby Resource Network or International Cesarean Awareness Network. You can find the info about meetings in the side bar under Meet Me or go to my Labor of  Love Virtual Rally event page and find out the next step.

I am a Community Lactivist

I believe in breastfeeding both for the healthy growth of a child and the healthy growth of a mother. When a new mother breastfeeds she learns to watch and listen to her child's cues. These simple facial expressions, body movements and vocalizations which trigger our innate response to nurture are the start of a life long conversation...

See community lactivism in action and read more about why as a doula and La Leche League leader I support breastfeeding women.Here. 

Speaking for Midwives at SLO's Historic Celebration

This is Nora Lewis the certified nurse midwife who caught my son at Sierra Vista Hospital in 1990. That birth changed my life forever and set me on the path to becoming a doula. When it was over I had many hurt and angry feelings and a million questions. After being part of many women's births over the years I have grown in my understanding of what occurred during my own labor and have come to a new perspective and deep appreciation for my midwife. Working side by side with many different midwives has given me a great respect for the women who answer the midwifery call and dedicate their professional lives to helping women all around the world. I was honored to give a speech about midwifery at the Birth & Baby Resource Network's historic celebration for the International Day of the Midwife and I was very grateful to be able to publicly thank Nora Lewis for her courageous stand with me that long ago August day.
My Speech.

Midwifery; a David and Goliath Tale

The story of midwifery in America is a classic power struggle for women’s rights, respect and choice; a tale of the clash of women’s culture and values with the male dominated spheres of science, medicine and finance. It is an ugly story laced with racism and class war fare. This struggle continues to walk the halls of political power and sits in insurance industry board rooms today.
It began as the eighteenth century was drawing to a close and the science of medicine was on the rise. Men for the first time began to move deeply into the privacy of the birth room, a place that in most cultures around the world is traditionally populated almost exclusively by women. This slow and determined encroachment into what had previously always been a woman’s world began the battle.

Before men became involved American midwives had always held a place of respect within their communities. Their skill at helping women during the birth process was of vital importance to all in the community. Women were encouraged to stay mobile as long as possible during the birth, the pain of the process was recognized but not believed to be insurmountable, the passage of time was noted but there were no standardized graphs labors had to abide by, and women utilized up-right physiologically sound positions for pushing a baby out.


When male doctors took over this all changed. Pain relieving drugs were used as an inducement to have doctors attend women’s births. These medications changed the balance of power forever; stripping the woman’s innate abilities. She became an object to practice medicine upon; someone who needed her baby delivered to her like a pizza instead of using her own physical power to bring her baby forth. Soon untested scientific “theories” blended with necessities created by using pain medications and women were routinely being cut and babies were being pulled out with forceps.

As the prestige of the medical profession rose, so did their power. In the end it came down to dollars and cents. In order to corner the market doctors began a campaign to stamp out midwifery. First they created a belief that birth was a medical event which could only be safe if attended by a physician. Doctors traveled in the upper circles of society. They convinced bankers, lawyers and other prominent society men to avail themselves of the best that the science of modern medicine could offer for their wives by using a physician. Men controlled the medical schools and women were not allowed to attend so female care providers slowly began to die out. In the early twentieth century not satisfied yet, they convinced the government to begin a propaganda campaign slandering midwives as dirty, illiterate, and ignorant. Eventually only poor women or newly arrived immigrants were still turning to midwives for care.


Meanwhile another huge shift in health care in our country was taking place. Hospitals were on the rise, with their bureaucracies, standardizations, schedules and sanitization of birth. Women were told it was best when labor began to leave their homes, where they had some control, and travel to a hospital, where they had no control. Hospitals lead to the immediate separation of the newborn from its mother and scheduled feedings. These disruptions in the process along with the drugs created babies who could not suck effectively, needing to be force fed from bottles. Soon the women of America thought their bodies were so defective they couldn’t even breastfeed their own children. Meanwhile the practice of midwifery was outlawed in most states.


But it’s hard to hold good women down. It is hard to stop women from answering the call to serve women; especially women in need. In the 1920’s nurses began to step forward to get additional training in the skills required to help low income women, the rural and urban poor. These were women who couldn’t pay doctors and hospitals, therefore providing them care did not threaten the medical establishment’s monopoly. They eventually founded specialized nurse midwifery schools and associations. From this branch was born the certified nurse midwife. In the 1960’s couples living on communes had turned their backs on many forms of the “establishment”. These female rebels began to birth their babies at home with the help of other women in their communities. The daring women who answered this call eventually became highly trained homebirth midwives. It took courage to be a midwife, to practice midwifery without a license. Not only could you lose everything, your home and your practice, you could be thrown in jail. In our county one traditional midwife was brought up on charges and convicted in 1982. Over time this branch of midwifery also adopted standards for training, created associations and worked hard to become legal once again. In California the legal battle culminated in 1993 in the creation of a system to license out of hospital midwives but it took 4 more years for the first group of midwives to be licensed by the state medical board.


All midwives are still fighting for the right to work as autonomous, respected members of the birth provider community. Whether they are CNMs who have made the choice to work in a doctor’s practice under his supervision because even if they could find a company willing to cover them medical malpractice insurance is prohibitive, or the LMs who can’t get insurance company’s to reimburse their clients for basic care the struggle continues. The California Medical Board is currently reviewing whether to change the language in the regulations governing LMs to allow them to order the life saving medications and tools they need to attend birthing women. And so the struggle continues.


This year on May 5th, the International Day of the Midwife, the women and their families who have been cared for so well for so many years by our community’s midwives will gather in Mission Plaza to honor 41 courageous, tireless, and caring professional women. The Birth & Baby Resource Network along with the co-sponsors of this year’s Birth & Baby Fair wish to invite you to join us at 10:30 for this historic event in the annuls of San Luis Obispo women’s rights.


Participate in BBRN’s on-line Midwifery Project at: www.bbrn.org.
Learn More about the History of Midwifery:
A Midwife’s Tale; Martha Ballard her Diary by Laurel Thatcher Ulrich
Motherwit; an Alabama Midwife’s Story by Onnie Lee Logan
Listen to Me Good; the Life Story of an Alabama Midwife by Margaret Charles Smith
Birth Matters; a Midwife’s Manifesta by Ina May Gaskin
A Short History of Midwifery: from Midwife Info an independent internet resource 
I am a Midwife, a movie trailer by the Midwives Alliance of North America
Fiction with Midwifery themes:
The Midwife's Apprentice by Karen Cushman
The Red Tent by Anita Diamant
Midwives by Chris Bohjalian

A Midwife's Story by Penny Armstrong and Sheryl Feldman

Understanding Risk

Whose Risk are We Talking About?

"We must never underestimate the power fear of litigation holds over obstetricians. In my experience, as a motivational force it over shadows their desire to lower the maternal mortality rate." 

~ Dr. M. Wagner

The "Risks" of Home Birth: Why haven't we heard about this? 

"We now have good, solid scientific evidence that makes clear that planned home birth attended by a midwife is a perfectly safe option for the 80 to 90 percent of women who have had normal pregnancies...This study is by far the largest scientifically valid study of planned home birth ever conducted...In summary this prospective, highly reliable study, which followed the course of more than 7,000 pregnant women planning home births attended by CPMs (Certified Professional Midwives), collected data on more than 5,000 who intended home birth at the initiation of labor. Among these women, the obstetric intervention rates were far below the rates reported in low-risk hospital births. The combined intrapartum/neonatal death rate (babies dying during labor, birth or shortly following birth) was as low or lower than rates reported for low-risk hospital births. And the maternal mortality rate was zero." ~ Dr. Marsden Wagner Born in the USA. 

When I looked up this study I found that 12.1% of the women ended up needing to be transported to the hospital but many of the transported women still didn't need a cesarean. Of the total low-risk home birth women in the study only 3.7% needed a c-section. How does that compare with our hospitals? Visit my Hospital Statistics post to find out.

If this study was published in the Boston Medical Journal in 2005 (six years ago!) why don't more people know about it? Why isn't the whole medical community talking about it, trying to understand what this means about how hospital-based birth is conducted? Why aren't they trying to understand the lessons that can be learned from home birth and how to incorporate those lessons into their practices? To read more about this study visit the Boston Medical journal web site. 

Which Local Hospital is the Safest?

Why would the same OBs who delivered babies at Sierra Vista for years, before they had a Neonatal Intensive Care Unit, now being telling women that French Hospital is unsafe because they don't have a NICU? They never told women in the past they needed to go out of town to a hospital with a NICU to safely deliver their babies. Just saying??? Did you know both hospitals have special baby respiratory therapists at births as a safety precaution? Did you know the same pediatricians and neonatalogists will go to either hospital if a baby arrives in need of their services? 

Hospital Versus Home Birth: Accepting the fact of risk

"If the obstetric tribe says that out-of-hospital birth is not "safe", the implication, of course, is that a hospital birth is safe, which is not true. Newborn babies die in hospitals every day, sometimes because someone made a mistake. When the obstetrics establishment implies that this doesn't happen, the family naturally feels deceived when it does happen." More from Marsden Wagner's 'Born in the USA'.

One of the hallmarks of a good out-of-hospital midwife is that she explains that there are risks to birth and is clear that the parents need to be willing to accept those risks. The reality is with life comes the risk of death no matter where you are or who you are. 

I am a Community Lactivist

I believe in breastfeeding both for the healthy growth of a child and the healthy growth of a mother. When a new mother breastfeeds she learns to watch and listen to her child's cues. These simple facial expressions, body movements and vocalizations which trigger our innate response to nurture are the start of a life long conversation.With support the new mother comes to trust her baby's ability to know when they have a need and what it is they need. As she learns she can meet these needs through breastfeeding she gains confidence both in her mothering abilities and her baby's abilities. As she learns to let go of the need to quantify these abilities through weighing, measuring or lines on a chart she starts down the path of mothering wisdom. This path can teach her to relax. It can teach her to rely more on her child's wisdom than on professional experts. It can teach her she is more a witness to her child's life unfolding than a director. She is more an access to the resources needed  for her child to play their unique heart song than the leader of the band. Breastfeeding can be the key to a new way of parenting for life.

It is because I believe this in my heart that I am a Community Lactivist. I express my commitment to all the breastfeeding mothers out there by being an active member of several organizations that support breastfeeding in our community; La Leche League, Birth & Baby Resource Network and Central Coast Breastfeeding Coalition. I am proud to say San Luis Obispo has a very high breastfeeding initiation rate. Unfortunately like most of the country there is a steep drop off from the second week to two months. We have lots of support groups and resources in our community and yet women still can't seem to make it through the challenging first six to eight weeks and into the months of breastfeeding bliss. As Lactation Consultant Julie Merrill said at Thursday's Farmer's Market, "It breaks my heart to see so many babies in strollers with bottles." The Coalition has just printed a new breastfeeding resource brochure full of places, people, books and web sites mothers can turn to for guidance and encouragement. Look for their green and white cover around town, at your doctor or midwife's office and baby stores. 

This baby wants all new mommies to have this brochure!

Stepping out of the shadows

Breastfeeding mothers need our support. We need to step out of the shadows and take a stand that breastfeeding is normal; formula feeding is abnormal. Babies need to feed when they need to feed and mothers need to feel comfortable attending to those needs; even in public. This is a national health issue. By continuing to pay money to formula companies we are draining our economic resources, environmental resources and our nations future health. Don't be blinded by the "Well I was formula fed and I turned out ok", way of thinking. Look around you we have an obesity epidemic, while cancer, diabetes, and heart disease run rampant in our nation. We are overly dependent on antibiotics and medications. While these may not be the direct result of formula feeding the studies clearly indicate that all of these could be lessened if we only chose to breastfeed for the first few years of our children's lives. I firmly believe some day we will look back on these years of our nation suckling at the teat of the Nestle Corporation and compare it to the time of America's romance with cigarettes.

Our bodies grow smarter healthier babies.

August is National Breastfeeding Awareness Month. If you see a mom nursing her child, give her a thumbs up and a friendly smile. Each day she chooses to breastfeed she is giving her child a wonderful gift and performing a patriotic duty.

We gave a new meaning to "flash" mob at SLO's popular Thursday night Farmer's Market.An special thank you to Robyn Berry Photography.

Lactivistas come in all ages.

Educating the public on the benefits of breastmilk.

Demonstrating the miraculous work our breasts were perfectly designed to do.

Every baby deserves a booby!

Learning one generation to the next.

 Thank you to the mamas who chose to bare it all last night to demonstrate what breasts were actually designed to do.

Inspiring a new mommy.                BREASTFEEDING It Rocks!

 

Read about how I managed to juggle working and breastfeeding here.

This month's La Leche League meetings:

Monday, August 13th at 10 am:

Santa Lucia Birth Center 4251 S. Higuera Street in San Luis Obispo
Topic: Nutrition and Weaning

Monday, August 27th at 7 pm:
Santa Lucia Birth Center
Topic: Baby Arrives

Look for Los Osos meetings to start back in September!