Thursday, October 15, 2009

Dr. Washington Hill is Featured Activist for Florida Planned Parenthood

Dr. Washington Hill, MD, FACOG, one of our distinguished panelists for Maternal Health Care in the 21st Century: Sarasota and Beyond, was recognized as the September 2009 Featured Activist for Florida Planned Parenthood. The following an excerpt from Dr. Hill's column, 'In His Own Words.'

As an OB/GYN physician, I learned long ago the importance for women of all ages to be educated about their bodies and about pregnancy-how it occurs and how to prevent it from occurring. That is the big mission of Planned Parenthood, to combine medical services for women and families with education. An educated patient is better prepared than one who is not, and that includes teens: girls and boys.

Planned Parenthood fulfills its mission of providing medical services, education and advocacy efforts extremely well every day and that is why I believe in speaking up for them whenever I can.

I also believe in choice. I’ve taken care of women who didn’t have a choice of when to become pregnant. Some of them got sick and some died. When I was in medical school, I remember seeing patients sick from septic abortions from unplanned pregnancies. When I was at Temple University, I remember going to the ER and seeing women who had made attempts at self-termination and done it very dangerously. Fortunately, these life threatening medical emergencies are rare now in the United States, but back in those days, were common.

When I worked for Planned Parenthood in Oakland, CA , many years ago, I helped women with family planning, terminations and tubal ligations. A woman should be able to choose these options for herself. It’s her body.

I learned to respect women’s decisions and their right to make their own choices. I feel that is the right thing to do. I believe deeply in Planned Parenthood’s work of education, choice, and prevention and that is why I do everything I can to advocate for them.

Tuesday, October 13, 2009

Interview on WSLR's Women Matters

Click here to listen to Jane Blanchard's interview with Sonia Pressman Fuentes and me, featuring special musical guests Carmela Pedicini and Tanya Radtke. We discussed Maternal Health Care in the 21st Century: Sarasota and Beyond, and maternal health care issues facing Sarasota today. Thank you so much, Jane, for having us on your program!

Maternal Health Care Featured on WSLR's Women Matters Tonight at 6:00pm

Tune in to your community radio station, WSLR 96.5 LPFM, at 6:00 pm as Women Matters hostess Jane Blanchard welcomes Sonia Pressman Fuentes, co-founder of the National Organization for Women (NOW), and me on her program to talk about maternal health care, and about the upcoming panel discussion Maternal Health Care in the 21st Century: Sarasota and Beyond.

Sonia and I will be addressing the following topics:
  • What is maternal health care?
  • What are some facts about maternal health that our listeners should know?
  • What alternatives are there to maternal health care ? What is available in Sarasota?
  • Insurance and maternal health care. Explain.
  • Is midwifery safe?
  • What is the Safe Motherhood Quilt and what does it represent?
  • Tell us about the upcoming panel discussion Maternal Health Care in the 21st Century: Sarasota and Beyond.
  • What will be some of the topics discussed and who are the panelists?
  • Who are the sponsors of this program and how did they become involved?
Women Matters is a discussion talk show exploring matters of interest to women. The goal is to to inform and empower women and expand the women's perspective by providing a feminist point of view. The format may include guest speakers, reviews of articles/book/movies, notices, news, and etc. on topics about or by women. Additionally, each week the show features original music by local female musicians. The program will be recorded and available in the program's audio archives. Thank you for listening, and thank you for supporting your community radio station!

Saturday, October 10, 2009

Sarasota Welcomes HypnoBirthing Founder

"When you change the way you view birth, the way you birth will change."
-Marie F. Mongan

I am thrilled to announce that in attendance for the upcoming Safe Motherhood Quilt Presentation, Maternal Health Care Panel Discussion, and An Evening with Ina May Gaskin, will be Marie ("Mickey") Mongan, founding director of the HypnoBirthing Institute.

Marie Mongan, M.Ed., M.Hy., of Chichester, New Hampshire, is an award-winning hypnotherapist, who brings to her classroom over thirty years' experience in education and counseling on the college level and in the private sector. She has recently relocated to Florida's east coast, and is coming to Sarasota to participate in the events at the end of this month.

Ms. Mongan is a former college dean who, early in her career, was named one of five outstanding educational leaders in New Hampshire and was awarded a Ford Foundation Fellowship to Harvard University.

Marie (best known as "Mickey") is licensed as a counselor and is certified as a hypnotherapist, hypnoanesthesiologist, and instructor of hypnotherapy. She holds several awards for distinguished service and achievement in the practice of hypnosis and is the 1995 recipient of the National Guild of Hypnotists President's Award. In 2000 she was presented with the coveted NGH Charles Tebbetts Award for her contribution in "shedding the light" and advancing the awareness of hypnosis. In 2005 she became the first woman ever to receive the highest award given by the National Guild: the Rexford L. North Award.

Mickey is the mother of four adult children, all born in the late 50s and early 60s. She experienced all four labors without labor medication, using the theories of Dr. Jonathan Dye, of Buffalo, New York, and Grantly Dick-Read, of the UK, two pioneers in natural childbirth. Two of her birthings were entirely free of anesthesia at a time when it was unheard of, and her husband was by her side in both the labor room and the delivery room. Her book, HypnoBirthing--A Celebration of Life, was written in 1989; her latest book, HypnoBirthing--The Mongan Method is now available in leading book outlets and through the HypnoBirthing Institute.

HypnoBirthing is as much a philosophy as it is a technique. The concept of HypnoBirthing is not new, but rather a rebirth of the philosophy of birthing as it existed thousands of years ago. This philosophy was recaptured in the work of Dr. Grantly Dick-Read, an English obstetrician, who in the 1920s was one of the first to forward the concept of natural birthing. The method teaches that in the absence of fear and tension, or special medical circumstances, severe pain does not have to be an accompaniment of labor.

HypnoBirthing clients gain an understanding of how the birthing muscles work in perfect harmony when their bodies are sufficiently relaxed and they are able to trust birth. HypnoBirthing teaches women how to achieve this kind of relaxation, free of the resistance that fear creates, and how to use natural birthing instincts for a calm, serene and comfortable birth.

Trained HypnoBirthing educators are successfully teaching women and their birthing companions to trust birth and release all fear and limiting thoughts. HypnoBirthing practitioners can be found in 27 countries throughout the world.

Ms. Mongan will be available following Maternal Health Care in the 21st Century: Sarasota and Beyond for questions about her pioneering work in this field.

Tuesday, October 6, 2009

Florida Licensed Midwives Week

Governor Charlie Crist has signed a proclamation observing October 5 through the 9 as Licensed Midwives Week in the State of Florida, upholding midwives for being “dedicated to the care of pregnancy and childbirth and treat[ing] each woman’s pregnancy according to her unique physical and personal needs.” Governor Crist’s proclamation also recognized midwives for their role in the need to “improve birth outcomes in the State of Florida and ensure that women are given proper care and treatment in all phases of childbirth.”

In honor of this week, Florida Friends of Midwives (FFOM), a non-profit grassroots organization dedicated to promoting and supporting the practice of midwifery in Florida, will be hosting various community events throughout the state this month to celebrate the more than 110 Licensed Midwives in the Sunshine State.

Florida Licensed Midwives Week coincides with National Midwifery Week, a time to recognize the contributions of Certified Nurse Midwives (CNMs), Certified Midwives (CMs) and Certified Professional Midwives (CPMs) nationwide. The American College of Nurse Midwives (ACNM) publicly announced the week with an introduction to midwifery. “The heart of midwifery care for women and newborns lies more in the nature of that care than in its specific components. Midwifery practice has a firm foundation in the critical thought process and is focused on the prevention of disease and the promotion of health, taking the best from the disciplines of midwifery, nursing, public health and medicine to provide safe, holistic care.”

Midwives have a long and valued history in Florida. The state first passed legislation to license direct-entry midwives in 1931. In the 77 years since, Florida’s licensed midwives have continued to tirelessly serve the families of Florida and to ensure the continued availability of safe, evidence-based birthing options for Florida’s families. In 1992, Governor Lawton Chiles declared the first-ever Licensed Midwives Week. More women than ever before are seeking out licensed midwives for maternity care. According to the latest data from the Florida Council of Licensed Midwifery, births managed by Licensed Midwives in the state grew by about 5.5% from 2005 to 2006.

“We are honored every day to serve Florida’s mothers, babies, and families,” says Sarasota Licensed Midwife Alina Vogelhut, LM. “It means so much for our profession to be honored by Governor Charlie Crist and the State of Florida.”

Midwifery in Florida
In Florida, two types of midwives are allowed to practice: Certified Nurse-Midwives and Licensed Midwives (a Florida state licensure), also known as direct-entry midwives. Throughout the state, about 11.2 percent of births are estimated to be managed by midwives, rather than by OB-GYNs. Many birth centers and midwives have reported a significant increase in business in the past year. This increase is believed to be a result of various factors, primarily a greater number of women seeking alternative birthing choices due to an unhealthy increase in caesarean sections and other unnecessary interventions that frequently occur in hospital settings. In a 2006 report on Florida Licensed Midwives, midwives had a caesarean section rate of 6.3 percent compared to a 36.64 percent statewide average in hospitals the same year.

About Florida Friends of Midwives
Florida Friends of Midwives is a non-profit grassroots organization dedicated to promoting the Midwives Model of Care and supporting the practice of midwifery in Florida. Florida Friends of Midwives was formed to support midwives who offer safe, cost-effective, evidence based care to Florida's families. For more information, please visit www.flmidwifery.org.

Friday, October 2, 2009

BIRTH STORY: Exceptional Emergence

(by Kate Adams, about the 15 minute birth of Luke Irwin, born 10.01.07)

After several weeks of deliberation you finally decided it really was time to be born! I spent the day having contractions, much like those that I had been having for weeks, waiting all day for them to become more intense. Every few minutes they came, but always the same. After a very anxious day we called our midwife, Harmony, to come visit and help us to understand what was happening. We learned I was making progress, but we thought that because it was so manageable that it might be some time, perhaps days, before true active labor would begin. We agreed that if things changed we'd call, and set our plans for the evening as lots of resting and early to bed. The contractions continued to come throughout the night, but I could sleep in between and it seemed that they were losing strength and coming farther apart. Then at 1:4something I jumped up out of bed from being very asleep. It was as though the volume had been turned WAY UP and labor had definitely changed. My water broke, and I woke up Kenny to tell him. I went to the bathroom, relieved that finally we knew our baby would be here soon.

Kenny went to call Harmony (1:47), and while he was on the phone and running around grabbing things another contraction came and my legs began to tremble. I only made it half way back to our bed, and felt pushed to all fours by the next wave. Kenny was changing the sink over so he could fill the pool when I told him that there wasn't going to be time for the tub, and began asking him what was happening to me. He looked at me with worried eyes and told me that I was doing a great job, and then continued to run around the house trying to get things ready. I told him that I needed the ottoman to lean on (while he was rushing about). With the next wave I felt the baby's head pushing against me and told Kenny to come and look, that he was coming! He did, and suddenly realized why I was making such a commotion (truly I am not dramatic without necessity). He called Harmony back, who rushed out her door also now knowing that this was not going to be a typical birthing.

Kelsea woke up and wobbled to our bedroom door clutching her blanket and dolly. Her eyes were so wide; trying to figure out what Mommy was doing making all that noise in the middle of the night. Kenny called her to him and she came and sat on his lap, the two of them behind me when his head started to crown, slowly going in and out and then emerging completely. Kelsea started to shudder, so Kenny explained that it was just the baby coming and that Mommy was okay. Then she reached out to touch his head and said “BABY!” as loud and proud as could be. She then got very excited for the rest of him to arrive. I felt his warm wet head too, and kept asking Kenny if he looked okay, so worried that being born was hurting him. With the next contraction he was fully born into his father’s hands. It was exactly 2 o’clock in the morning.

And it was how the scriptures say, “A woman, when she is in labor, has sorrow because her hour has come; but as soon as she has given birth to the child, she no longer remembers the anguish, for joy that a human being has been born into the world. John 16:21”. We laughed and kissed and cried all at once at this little miracle that was now in our arms. We did it together, on our bedroom floor of all places, and it seemed like the most natural and wonderful thing in the whole wide world. I guess we were all in a bit of shock trying to decide what to do next when Kenny’s phone started to ring. Harmony was on the other end and heard Luke’s first noises before Kenny could say what had happened.
Kenny helped me to the bed and laid Kelsea down beside me and hormones fuzz the rest of the story out. I know it wasn’t long before Harmony arrived and instilled a calm where there had been chaos, setting about checking on us all. There was still work to be done, a placenta to deliver, cord to cut, water to boil (really!). Dad and Minna arrived, greeted our new family member, prepared food and did a number of other noisy but beneficial things in the kitchen. There were stitches for me; they hurt, despite best efforts to make that part of the experience pain free. Little man was measured and weighed, found to be not little, and admired from all around. It was decided that he did not look like a Keegan at all, and would be called Luke instead. There was also Jodi, who fairy godmother like made things clean and said nice things about our naughty cat (he climbed in Harmony’s bag!). Before the sun was up a great many things had been accomplished and everyone hugged and said goodbyes and left us to live happily ever after.

Luke Irwin Adams measured 20 ½ inches long, had a head 13 inches around, and weighed 8 pounds and 4 ounces.

Wednesday, September 30, 2009

Future SMH Labor and Delivery Rooms

Yesterday, I took a tour of the model Labor & Delivery and NICU rooms for the new replacement patient bed tower at Sarasota Memorial Hospital. This project is scheduled for completion in the fall of 2012. Taking me through the rooms were Debra Boterf, R.N., Business Manager for Women's and Children's Services, and Sheree Davidson, who is guiding tours for the public through next week.

First, we visited a model NICU unit. The privacy of the rooms and inclusion of family space is an improvement over the current unit, and it seems this allows for more personal interaction with the babies, from both the families and the nursing staff. I asked about the possibility of parents sleeping in the rooms with their infants, and I was assured there would be ample room for cots and privacy.
Next, we visited a model Labor & Delivery room. All Labor & Delivery rooms will have couches and seating for family members. The infant warmers are right near the doors, Debra explained, so that the mothers could see their babies from their beds. This was modeled after the Labor & Delivery Unit at Tampa General Hospital. I suspect this decision was actually driven by a need for efficiency by the hospital staff.
The Labor & Delivery room I saw is a 'normal' room, but there will also be three 'low-risk rooms' included in the expansion, which Debra pointed out on the floor plan. These low-risk rooms will include Jacuzzi tubs, wide hallways for increased mobility with intermittent fetal monitoring, and an adjacent family lounge. This is a very big step in a positive direction. I commend Sarasota Memorial wholeheartedly for creating an environment of support for movement during labor, alternative pain relief (water), and space for doulas, friends and families.
The current building that houses Labor & Delivery, the Mother Baby Unit, and the NICU is over fifty years old, and has seen several expansions. These expansions have resulted in a piecemeal situation where the rooms differ from one to the next, making the job of the nursing staff more difficult than necessary. During the schematic design phase for the new replacement tower, the staff nurses were consulted and had integral design input. The result of this input is what looks like a huge improvement in efficiency. For example, there will be nursing stations between every two NICU beds, and all obstetric units will be on adjacent floors with private connecting elevators.

If this increased efficiency translates to increased continuity of care, low nurse to patient ratios, and genuine support of non-interventive normal birth, perhaps we will also see a much-needed decline in Sarasota Memorial Hospital's c-section and induction rates.

If you would like to tour these rooms, please call Sheree Davidson at 917-9000, extension 1804 or email her at sheree-davidson@smh.com to make your appointment. Tours will only be available for another week or so, as the building which houses the mock rooms is being torn down October 15th to allow the construction of the new tower to begin.