One of the key aspects of the involvement of doula support is that they provide emotional and other support by maintaining a “constant presence” throughout labor, providing specific labor support techniques and strategies, encouraging laboring women and their families, and facilitating communication between mothers and medical caregivers. Studies examining the impact of continuous support by doulas report significant reductions in cesarean births, instrumental vaginal births, need for oxytocin augmentation, and shortened durations of labor (Campbell, Lake, Falk, & Backstrand, 2006; Klaus & Klaus, 2010; Newton, Chaudhuri, Grossman, & Merewood, 2009; Papagni & Buckner, 2006; Sauls, 2002). Continuous support also has been associated with higher newborn Apgar scores (greater than 7) and overall higher satisfaction by mothers with the birthing process (Sauls, 2002). Others report that many of these effects occurred when support was provided by someone other than an attending nurse (Rosen, 2004; Sakala, Declercq, & Corry, 2002; Sauls, 2002).
The evidence suggests that it is likely more than the emotional, physical, and informational support doulas give to women during the birthing process that accounts for the reduced need for clinical procedures during labor and birth, fewer birth complications, and more satisfying experiences during labor, birth, and postpartum (Meyer, Arnold, & Pascali-Bonaro, 2001; Wen, Korfmacher, Hans, & Henson, 2010). Klaus and Klaus (2010) argue that the modern hospital birthing process tends to be highly interventionist, taking away decision making from mothers. This results in many unwanted and, in many cases, unwarranted procedures. Medical providers sometimes prefer women to be compliant and recommend procedures to ward off pain and discomfort. However, these actions may actually interfere with birth outcomes, with mothers counseled to focus on their comfort and not necessarily on the possible implications of those interventions on the birth of their baby, the baby’s immediate health, or on later complications from these procedures. A doula serves as a mother’s advocate, providing a woman a sympathetic but informed ear for the choices that the birthing staff may ask her to make during the birthing process (Hazard, Callister, Birkhead, & Nichols, 2009; Papagani & Buckner, 2006). The doula empowers decisions that are made in the best interest of both the mother and her child (Breedlove, 2005; Deitrick & Draves, 2008).
Studies that examine the relationship between birthing mothers and their doulas report consistently positive experiences (Deitrick & Draves, 2008; Hazard et al., 2009; Koumouitzes-Douvia & Carr, 2006). Other studies have noted positive effects into the postpartum period. Newton et al. (2009), for example, found among a sample of Latina women giving birth at a Boston hospital that mothers supported by doulas were more likely to breastfeed their newborns and to delay first infant formula feed. Similarly, Nommsen-Rivers, Mastergeorge, Hansen, Cullum, and Dewey (2009) reported that in comparison to a group of women receiving standard care (n = 97), a doula-paired group of women (n = 44) experienced significantly shorter periods of labor, less instances of instrument-assisted birth, and better Apgar scores (greater than 7) at 1 minute postpartum. The doula mothers also experienced earlier onset of lactogenesis (within 72 hours postpartum) and were more likely to breastfeed their babies at 6 weeks. In a study of 2,174 expectant mothers receiving doula services compared with a sample of 9,297 receiving standard care, Mottl-Santiago and associates (2007) also found higher rates of breastfeeding and early initiation rates among the doula-supported mothers.
Few studies have investigated the birth outcomes associated with and without the support of a doula. Campbell et al. (2006), in a study of 300 doula-supported and 300 nondoula-supported low income women giving birth between 1998 and 2002 at a perinatal care hospital in New Jersey, found that doula mothers had significantly shorter lengths of labor, more cervical dilation, and higher Apgar scores at 1 and 5 minutes. No differences were reported in birth weight or in rates of cesarean births or epidural anesthesia.
The purpose of this study is to present a comparative analysis of birth outcome results of two groups of mothers served by the same childbirth education program. The groups are defined by one receiving pre-birth assistance from a certified doula and the other representing a sample of birthing mothers who elected not to work with a doula birthing coach.
Vernix Caseosa is a waxy white substance found coating the skin of newborn babies. This coating protects an unborn baby’s skin from chapping or wrinkling from the amniotic fluid and protects your baby’s skin from infections while in the womb. It can also assist as a lubricant while passing through the birth canal.
A delayed bath is just was it says....delaying your newborns 1st bath. It’s no secret that babies can look quite messy immediately following birth. You might see blood, and even small traces of meconium. You can lightly wipe these off without removing the Vernix. The Vernix can be gently massaged into your newborn over the course of time up until you have decided bathing is appropriate.
The W.H.O recommends delaying a newborns first bath for at least 24 hours in a 2013 study, stating that the vernix provides a mechanical and chemical barrier to the skin, protects the infant from infection, and improves skin barrier function. It has also been shown to regulate newborn body temperature, blood sugar levels (McInerney, C. M., & Gupta, A., 2015) and shows an increase in breastfeeding exclusivity (Preer, et al, 2013).
The amount of Vernix Caseosa on your baby’s skin decreases the closer you get to your due date. It’s normal for full-term babies to have the substance on their skin. You may notice that if you deliver past your due date, your baby may have less of the coating.
Premature babies tend to have more vernix caseosa than full-term babies.
If delayed bathing is not for you, you may want to consider "Swaddled Immersion". The is a method of bathing recommended by AWHONN, as a safe and well-tolerated mode of bathing compared with sponge bathing. A swaddle immersion bath is bathing the newborn while they are loosely swaddled in a blanket. The newborn and the blanket are immersed together into a tub of water in which the water covers both baby and blanket to the baby’s shoulder.
The placenta is the only disposable organ in the human body. It fulfills the functions of lungs, kidney, gut and liver for babies while in utero.
The placenta begins to form around week 6 of fetal development and has completed its formation by around week 12.
The average size of a full term placenta is around 9 inches in diameter and around 0.8 inches in thickness. Placenta size can vary drastically. Sometimes they are small enough to fit in the palm of your hand, sometimes they will be over 10 inches in diameter. Some are larger in diameter but thin, some are small in diameter but very thick. The important part is that it does the job it was intended to do. On average, the placenta will occupy around 30% of the uterine wall. The average weight of a full term placenta is around 1-1.5 lbs.
It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate maternal and fetal circulations, and is an important endocrine organ producing hormones that regulate both maternal and fetal physiology during pregnancy.
The placenta connects to the baby via the umbilical cord. The umbilical cord has three separate functions. Primarily, it serves as a blood source for your baby. This is especially important because the fetus is unable to breathe (having neither functioning lungs nor an oxygen source) and allows the fetus to obtain the oxygen it needs to live.
It was reported that 80–100 mL of blood transfers from the placenta to the newborn in the first 3 minutes after birth and up to 90% of that blood volume transfer was achieved within the first few breaths in healthy term infants.
Delayed cord clamping offers the most benefits to preterm infants, but it also benefits full-term babies and mothers.
A 2015 study looked at 263 4-year-olds. Overall, the children whose cords were clamped three or more minutes after birth scored slightly higher on an assessment of fine motor skills and social skills than the children whose cords were clamped 10 seconds or less after birth.
Delayed clamping may reduce the need for blood transfusions and improve circulation in premature babies. It helps lower the risk of bleeding in the brain and necrotizing enterocolitis, an intestinal disease that affects almost 5 to 10 percent of premature infants.
20 mins vs 3-minute delay
INSURANCE PLANS ACCEPTED FOR
* Clear Health Alliance
* Molina Healthcare
* Simply HealthCare
* Sunshine Health
* United HealthCare