Case Study on Continuous Support During Birth

by Rosie Moore | Sep 27, 2018 | Uncategorized

Most recently I was contacted by a mother to be who was interested in having a doula at her birth.  She was very excited to have a natural childbirth because she had heard about horror stories when women went into labor and their doctor rushed them through the delivery.  Much to her disatisfaction, she was told that she could not have a doula and her family in the room at the time of delivery, she had to make a choice because the doctor did not want that many people watching.  I let her know that the choice was ultimately hers as we are not friends or family but we are part of the medical team helping the moms to be through labor and delivery.  She decided that she would go with her family in the room and hope for the best.

Delivery day came and she was very excited to give birth, what she did not anticipate was being in labor for almost 2 days with a failure to progress.  She received her epidural the minute that she arrived there and she thought surely she would deliver within a few short hours.  Well, she notes that was not the case after she failed to progress.  The Epidural slowed the labor down and because she was bed bound, she was not able to put all the labor tips into action to help herself along.  She ended up with a C-section for failure to progress.  The good part is that both mom and baby are doing great, the sad part as she put it was that she was never given an opportunity to try to birth her baby naturally before she was offered an epidural the minute she walked in the door.

The benefits of having a doula documented by the 2017 Cochrane Review indicated that having continuous support for women during childbirth, showed positive outcomes when a doula was part of the birth team.  When a doula is present, it decreases the chances of having pain medications, c sections, and it helps the mother have a positive birth experience that she will remember for life.

Here is the study that was done by the Cochrane Review https://www.cochrane.org/CD003766/PREG_continuous-support-women-during-childbirth

• Review: 26 studies on the effectiveness of continuous support during labor, which can include doula assistance. The studies included more than 15,000 women from a variety of backgrounds and circumstances.
• Results: “Continuous support during labor may improve outcomes for women and infants, including increased spontaneous vaginal birth, shorter duration of labor, and decreased cesarean birth, instrumental vaginal birth, use of any analgesia, use of regional analgesia, low five-minute Apgar score, and negative feelings about childbirth experiences. We found no evidence of harms of continuous labor support.”
• Quick birth terminology lesson: “Analgesia” refers to pain medication and “Apgar score” is how babies’ health is assessed at birth and shortly afterward — the higher the score, the better.The researchers also looked to see if the type of support made a difference. They wanted to know—does it matter who birthing persons choose for continuous support? Does it matter if they choose a midwife, doula, or partner for continuous support? The researchers were able to look at this question for six outcomes: use of any pain medication, use of Pitocin during labor, spontaneous vaginal birth, Cesarean, admission to special care nursery after birth, and negative birth experiences.For two of these outcomes (designated with asterisks*), the best results occurred when a birthing person had continuous labor support from a doula– someone who was NOT a staff member at the hospital and who was NOT part of their social network. The researchers found that overall, people who have continuous support during childbirth experience a:
  • 25% decrease in the risk of Cesarean; the largest effect was seen with a doula (39% decrease)*
  • 8% increase in the likelihood of a spontaneous vaginal birth; the largest effect was seen with a doula (15% increase)*
  • 10% decrease in the use of any medications for pain relief; the type of person providing continuous support did not make a difference
  • Shorter labors by 41 minutes on average; there is no data on if the type of person providing continuous support makes a difference
  • 38% decrease in the baby’s risk of a low five minute Apgar score; there is no data on if the type of person providing continuous support makes a difference
  • 31% decrease in the risk of being dissatisfied with the birth experience; mothers’ risk of being dissatisfied with the birth experience was reduced with continuous support provided by a doula or someone in their social network (family or friend), but not hospital staff

  The rate of special care nursery admissions was no different between people who received continuous support and those who received usual care. The rate of Pitocin was also no different but there was a trend towards more Pitocin with continuous support from hospital staff and less Pitocin with continuous support from a doula.

If you have questions about your birthing plan, contact us for a complimentary 20 minute call to discuss your concerns 407-760-1662 or email us at info@windermerebabyandfamily.com

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Source: Rosie’s Nurse Corner

The Benefits of Hiring A Doula

by Rosie Moore | Sep 24, 2018 | Uncategorized

Doulas provide emotional, physical, and educational support to expectant mothers during the labor process and postpartum.  The doula is professionally trained in childbirth with the purpose of helping women have safe, memorable experiences and empowering a birth the way the mother desires.

The doula services begin typically a few months before the birth in order to establish a relationship with the expectant mother.  Having the relationship early allows the doula to answer any questions that the mother and father have prior to delivery, ease any anxiety, and assist in developing a birth plan.

During labor, the doula will provide the mother with comfort measures, position changes, breathing techniques, and partner involvement in the birthing process.  A doula leads to a better birth outcome and helps to reduce complications for both mother and baby.    Doulas use touch and massage as a means to decrease stress and anxiety during labor.  They use the sound of their voice to have the mother focus during the difficult stages of labor allowing this moment to engage the birth partner on the focal point.

The Benefits of Hiring A Doula

by Rosie Moore | Sep 24, 2018 | Uncategorized

Doulas provide emotional, physical, and educational support to expectant mothers during the labor process and postpartum.  The doula is professionally trained in childbirth with the purpose of helping women have safe, memorable experiences and empowering a birth the way the mother desires.

The doula services begin typically a few months before the birth in order to establish a relationship with the expectant mother.  Having the relationship early allows the doula to answer any questions that the mother and father have prior to delivery, ease any anxiety, and assist in developing a birth plan.

During labor, the doula will provide the mother with comfort measures, position changes, breathing techniques, and partner involvement in the birthing process.  A doula leads to a better birth outcome and helps to reduce complications for both mother and baby.    Doulas use touch and massage as a means to decrease stress and anxiety during labor.  They use the sound of their voice to have the mother focus during the difficult stages of labor allowing this moment to engage the birth partner on the focal point.

Food Trends with Michael Lodge

by 27 Miracles | Mar 25, 2017 | Uncategorized

The Association of Bridal Consultants had their monthly meeting at Westgate Lakes Resorts this past week and the topic of the day was “Food Trends.” Corporate Director of Food and Beverage Michael Lodge shared the 2017 trends of the year.

The trends that are showing up for this year include creating a theme with the food selections that are made for the wedding.

Having Brinner( Breakfast for dinner) for example why make a plain waffle, how about adding chicken and turning it into a gourmet dish good enough to serve at a wedding.

The food color for 2017 is purple.  You will see a lot of eggplant, purple potatoes and cauliflower to name a few.

Food trucks are still in from 2016, with the different types of foods that they offer, if the wedding venue allows them onsite, this is a great way to do something different at a wedding.

Donuts and donut holes as a give away at the wedding or as the dessert in exotic flavors is an up and coming 2017 trend.

Mini appetizers and dessert shooters, salads in martini glasses and other vegetables such as a cucumber wrap are showing up at weddings.

Food stations are taking a step up from the food already placed out for the guests to serve themselves, now the food stations are becoming interactive with the chef preparing it right there in front of you so that it is fresh instead of pre-cooked.   Now you can still have DIY guest stations for instance, a Smores station lends itself to a perfect after party treat as the party is starting to wind down in the last hour of the night.

Edible forks and spoons in appetizers is trending now so that silverware is not needed for appetizers.  This goes along with comfort foods for mini appetizers.

Cocktails are at times named after the bride and groom at a wedding.  Some of these cocktails are nonalcoholic and contain fruit in them, for example champagne and blueberries.  Some cocktails are named after the event instead of a person.  These are  signature drinks.

With all the trendy chefs coming out of LA, Chicago and New York, they are creating a dining experience that you will never forget.  As a wedding and event planner, it behooves the planner to get with the catering management at the venue to discuss the meal for the event.  The one thing that makes or breaks a wedding is the kitchen staff.  The staff only has one chance to make a memory for that couple.

So as a bride, when you get engaged, after the family is aware,  contact your wedding planner so that together you can plan a unique wedding that says “this is your day.”

The Association of Bridal Consultants would like to thank Corporate Director of Food and Beverage Michael Lodge of Westgate Lakes Resort for sharing “Food Trends” with the wedding industry professionals.

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We would also like to Thank

Photography:   Captured by Belinda

Videography: Treasured Moments

Flowers: The Flower Studio

Linens: RJ Glamour and Innovation

Cupcake Dessert: Sprinkles

Media Photography: Orlando Style Magazine/Brion Price

Venue: Westgate Lakes Resort

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