Breastmilk Composition

I've shared before a list with the many benefits of breastmilk, but sometimes a visual aid helps!

Here are two photos of milk pumped for the same baby at different ages - the yellow one from the week he was born, the white from a couple months of age. As you can see the difference in color (due to fat content) is significant, and the yellow milk is in part due to the change from colostrum to straight milk:

Isn't that amazing? And just for fun a photo of the squishy baby who grew so plump thanks to that breastmilk:

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Sweet Boys

I visited with these handsome little guys today and talked about their arrival with their beautiful mother. I wasn't able to get pictures of just the two of them when they were born, so I asked if I may get a photo of them today. Knowing they are identical had me looking for tiny details to differentiate between them - the size of their cheeks, a little fold in the ear, their hair. They are gorgeous, and I'm still in awe at the chance I had to witness their birth and now to see them grow.

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Gift for Dad

From a birth I attended last week, after they stamp baby's feet onto the certificate they stamp them onto a special scrub shirt they provide for dad. What a sweet memento!

Frisco doula

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Special Scars – Katie Perez

Katie Perez is a wife and mom to 4, a birth doula, apprentice midwife, and had a vba3c with an inverted T incision in August of 2009. She now sits on the board of directors for the non-profit organization Special Scars~Special Women.

In 2009 I found myself unexpectedly pregnant with our 4th child. We hadn't planned to have any more children because since my first child was born by inverted T cesarean, I was always told I'd always have to have very unwanted cesareans to deliver any future babies. The second and third cesareans were awful enough to make that decision pretty final in my mind. But here is was, pregnant and desperate to find other options, and as crazy as it sounds, I believed I could VBAC successfully. I prayed and researched, knowing full well there were considerable risks to a fourth cesarean, and destiny led me to my doctor and to the yahoo support group which is now called Special Scars~Special Women, which is just for women like me. I found women who had incisions just like mine and had gone on to have successful VBACs anyway. Long story short, I had a perfect VBA3C with a less than 6 hour labor on a warm Sunday morning in August.

Not long after I had a burning desire to help other women safely VBAC, and to avoid unnecessary cesareans in the first place, and I began feeling the call to go into midwifery. But with an infant at home, we were not ready for that commitment of training yet, so I got my doula certificate and doula'd for close to 2 years before starting my midwifery apprenticeship. In this time, the yahoo support group grew and we added a facebook group. In June of 2011 we became an official non-profit organization, for which I now sit as a board member.

Special Scars~Special Women is an organization dedicated to supporting women with unusual cesarean or myomectomy scars and helps them make informed consent decisions regarding their future pregnancies by educating and research.

What exactly is a Special Scar? Special Scars are incisions (or sometimes tears) in the uterus other than the typical low transverse incision. They can include classical incisions, inverted or upright T incisions, low verticals, plus sign scars, scars from a previous myomectomy (a procedure to remove fibroids from the uterus), or tears or extensions of the low transverse which can be lateral or vertical. Special Scars from cesareans are performed most often due to prematurity or malposition of the baby.

Amongst our members we have had close to 50 special scar VBACs in the history of the group. Our bodies truly are amazing! Yes, the risks of choosing a VBAC after a special scar are higher than after a low transverse, but many choose to plan a VBAC anyway for various individual reasons, including the significant risks involved with multiple cesareans. The group does not encourage or discourage any particular way to birth, but encourages the mothers to examine the research available and make the best educated, informed decision they can for themselves and their families, and they are supported in that decision. Long term goals for the organization include conferences and studies in the coming years.

To learn more, visit the website SpecialScars.org, and our public facebook page here: https://www.facebook.com/specialscars
We are also on pinterst: http://m.pinterest.com/specialscarsinc/
and our support group links for moms who have special scars here:
facebook: https://www.facebook.com/groups/394689410782/?notif_t=group_activity
and yahoo: http://health.groups.yahoo.com/group/Special_Scars-Special_Women/?yguid=347970953

I met Katie through our mutual doula and through our membership in ICAN of North Texas. She's a wonderful source of information and inspiration and I've been honored to learn from her on my doula journey!

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Three Babies Born Today

These are 2 of the 3 babies I watched enter the world in a 10 hour time period today. Their moms are heroines, their fathers are heroic partners, the photos make me cry (yes, I know - I took them.) πŸ™‚ It was an overwhelming, glorious, humbling, surreal experience today. I think I've slept six hours in the last 3 days... and I feel so blessed.

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Compassionate Service – Blessing a Family in Need

I'm sharing this from our family blog to offer ideas on how we can serve a family experiencing a high risk pregnancy, having an infant in the NICU, or helping any family welcoming home a new baby. I hope this will help you get inspired on how you can care for another family. Maybe they are struggling with postpartum depression, maybe they don't have a strong network, maybe you just know a mom is struggling. I'm so grateful for the care we received and I love having these ideas to help me pay it forward!

We have been unbelievably blessed with help throughout our pregnancies and postpartum stages. We've had loving friends and family bring meals over when I was too sick in the first trimester to cook, when I was on bedrest, and postpartum when I was struggling with PPD or just exhaustion and throughout Bennett's entire NICU stay. Our church calls it compassionate service and there is usually someone in each congregation called to oversee that program and coordinate the help but much of our help came from very, very thoughtful people that helped us out because they are that wonderful and kind and always serving others. (And I hope and strive to be that thoughtful!) When I went flat with Bennett at 10 weeks gestation friends started to bring over meals and they continued throughout the three months of bedrest, c-section and homecoming, and his entire four month stay in the hospital right until he came home and then they still kept bringing meals. They were incredible. Help came from family, friends, complete strangers at church when we were in new wards - we've been very, very blessed! And we've also gleaned some brilliant ideas from these meals over the years so here are some ideas if you have the chance to bless others! These are not my ideas, I claim no credit - these were things we were fortunate to receive. πŸ™‚

Continue reading

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My Doula Loves Me!

Here are just a few of the sweet babies whose births I've attended this year:

I had these shirts custom made and I only wish I had ordered more! They've been such a fun gift to share with families.

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Monitrice Services – Abbie Spreier

What is a monitrice? How does her role differ from that of a doula or midwife?

A midwife is a primary care provider who offers complete prenatal, birth, and postpartum care. A doula gives physical, emotional, and informational support to families throughout the childbearing year. A monitrice combines these roles by offering the traditional support of a doula in addition to performing clinical skills (such as taking maternal blood pressure, analyzing fetal heart tones, and assessing cervical dilation) during labor.

A monitrice is often a midwife or a nurse hired to help the family labor at home as long as possible before transferring to the chosen care provider and birthplace (usually the hospital). The main difference between a midwife and a monitrice is that the monitrice is not in a position of primary responsibility for the birth (monitrices don’t catch babies except in the case of a precipitous birth).

The main doula certifying organizations (DONA, CAPPA, ALACE) have a written scope of practice that prevents the doula from performing any clinical skills while serving a family. Like a doula, a monitrice provides education to the family, assists with comfort measures during the birth, and helps with breastfeeding; however, the monitrice is also trained to provide clinical assessment of the health of mother and baby. This can be very reassuring to families (particularly first time parents and women choosing a vaginal birth after cesarean (VBAC)), and allow them to stay out of the hospital longer, thus avoiding many interventions and increasing the likelihood of a natural, vaginal birth.

Abbie Spreier
405.919.5700
www.nurturingbirths.com

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Best Doula Nominee!

You know it's official when they send you a button to include on your webpage. πŸ™‚

DFWChild Best for Moms and Babies Voting

I've been nominated in the Best Doula for 2013 contest and if you click on the link above you can even go vote for me! As a new doula I'm really honored to be included alongside some AMAZING doulas who have mentored me over the last year. Go vote, for whomever you feel so included - this helps let other parents know who the great care providers and birth locations are. Make your voice be heard!!

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Safe Baby Wearing Tips

Baby-wearing saved my sanity and kept my little one safe! Those are pretty huge claims, but I believe them absolutely. Five of my six babies wanted to be held at all times, which made navigating daily life rather tricky. Wearing them snuggled against me in a carrier kept my arms free, enabling me to do things like eat! Wash dishes, read a story to my other children, take a walk while pushing a stroller, and basically having my arms free for parenting when my baby needed me close. It also helped ensure my newborn's safety when those adoring older siblings wanted to come "play" with the defenseless little one.

Whatever type of baby carrier you ultimately decide on - and I advise you to try on as many as you can in advance - here are some basic guidelines to help make sure your baby is worn as safely and securely as possible. Click on the link below for a handy PDF, and happy baby-wearing!

Tips for safe baby wearing PDF.

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