30 September 2010

DoulaMomma childbirth classes

a new series starting:

DATES: Sundays, October 10, 17 & 24 (depending on class size, an additional date may be added)

TIME: 3:30-6 thereafter

WHERE: Maplewood, NJ

check my website/email for registration form & more information

welcome baby Gabe!

Gabriel Mark, born 9/29/10, 7lb8oz and a full head of hair. Wow - did you make your folks and grandparents work for it, little guy! You are born to parents who are strong and funny and so very filled with love...you have SO many people who are thrilled that you are here, healthy and handsome!

Welcome to the world...I'm giving you a nickname: Baby Gabe-y!!


20 September 2010

who needs vaginal exams? check the purple line!

According to an abstract of a small study, maybe vaginal exams will become less common as a means of assessing dilation:
Vaginal examination (VE) and assessment of the cervix is currently considered to be the gold standard for assessment of labour progress. It is however inherently imprecise with studies indicating an overall accuracy for determining the diameter of the cervix at between 48-56%. Furthermore, VE's can be unpleasant, intrusive and embarrassing for women, and are associated with the risk of introducing infection. In light of increasing concern world wide about the use of routine interventions in labour it may be time to consider alternative, less intrusive means of assessing progress in labour. The presence of a purple line during labour, seen to rise from the anal margin and extend between the buttocks as labour progresses has been reported. The study described in this paper aimed to assess in what percentage of women in labour a purple line was present, clear and measurable and to determine if any relationship existed between the length of the purple line and cervical dilatation and/or station of the fetal head.

Here is another thought: let's use our ears to listen to the sounds the woman is making, watch how she is acting and see how she looks overall. It doesn't always work, but I bet it's accurate more than 48-56% of the time!