Wednesday, August 14, 2013

About Pregnancy & Childbirth: What are you allowed to name your baby?

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What are you allowed to name your baby?
Aug 14th 2013, 08:13

Wide Eyed Baby with a Hat

The news all over is about how a judge in Tennessee ordered a young baby to have his name changed from Messiah, citing that the Christian's Jesus was the only Messiah. I honestly can't see this holding up in higher courts, though it's certainly not the first time a name change has been court ordered. The case I remember most was from a few years ago when a 9 year old girl asked a judge to have her name changed. She was so embarrassed by her name that she asked her friends to call her K.  Her parents chosen name for her? Talula Does the Hula from Hawaii.  Yes, that's pretty bad.

The truth is, there are bad baby name choices made every day.  But what's a bad name choice for me, might be a great name choice for you.  I don't forsee lots of people having to change names because of judges. That said, should anyone have to change their names based on what the courts say? Is there any name that is really that bad? I mean, even Talula had asked for a name change, not just someone randomly doing it for her. Is the religious aspect an appropriate one? After all, there are babies named Adonai and Muhammad, even Jesus (no matter how you pronounce it).

There aren't many laws on the books about naming babies. Most of the legal proceedings that you hear about are adults changing their names who are denied.  In some states you have to spell out numerals, some you have to have letters only, no symbols.  Other than that - it's all fair game.

What's your take?

Related:

What are you allowed to name your baby? originally appeared on About.com Pregnancy & Childbirth on Wednesday, August 14th, 2013 at 08:13:47.

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Tuesday, August 13, 2013

About Pregnancy & Childbirth: Induction of Labor and Autism: Is there a link?

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Induction of Labor and Autism: Is there a link?
Aug 13th 2013, 05:33

Pitocin

There has been a lot of speculation in recent years as to what causes Autism, particularly as it relates to preconception, pregnancy and birth. When looking back at a few of the topics I've covered, it ranged from mom's weight to pregnancy fevers to dad's age to closely spaced pregnancies. This week another new study looked at the induction of labor, augmentation (speeding up) of labor and the combination of the two as possible culprits in the risks of Autism.

The authors found a correlation between the use of induction/augmentation (using Pitocin and other forms of medicinal induction) with a higher rate of Autism, even after balancing everything out for many factors.

Now before you panic, while this study had large numbers, it's based on a chart review. Historically these aren't incredibly accurate for a variety of reasons, including simply bad charting. Even the authors say not to panic or change what we're doing but to instead look at it some more. The practical person in me says you should do what I've always advised: avoid unnecessary intervention, for a variety of reasons.

If you do not need to be induced for a medical indication, consider simply waiting, even if you're tired of being pregnant or uncomfortable. Waiting until labor begins on its own in a healthy pregnancy with a healthy baby is always best for all involved. It tends to provide the fewest risks to mom, baby and labor. The same is true here. If you have a medical reason why labor needs to begin now, consider all of your alternatives with your practitioner and make the healthiest decision for your baby, which may be to induce labor.

If you are in labor and it's taking awhile, consider trying other things before jumping to Pitocin to help speed up labor. This can even include waiting, which often requires patience, something labor women anxious to meet their baby don't have an abundance of for the most part, I know I rarely did. This allows you the peace of mind that you did everything you could to help have the safest birth with what limited knowledge we have available today. So in 20-30-40 years when this all gets sorted out, you'll know you made the best decision you could at the time with what knowledge we do have on hand today. In the end, that's all we've got.

What are your thoughts? Is this study being handled in a fear mongering way in the popular press or just reporting the news? Is this something you worry about?

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Source:

Gregory, S. G., Anthopolos, R., Osgood, C. E., Grotegut, C. A., & Miranda, M. (2013). Association of autism with induced or augmented childbirth in North Carolina birth record (1990-1998) and education research (1997-2007) databases. JAMA Pediatr, -. doi: 10.1001/jamapediatrics.2013.2904

Photo © REW

Induction of Labor and Autism: Is there a link? originally appeared on About.com Pregnancy & Childbirth on Tuesday, August 13th, 2013 at 05:33:47.

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Monday, August 12, 2013

About Pregnancy & Childbirth: Hospital Hire May Lower Cesarean Rates

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Hospital Hire May Lower Cesarean Rates
Aug 12th 2013, 07:08

Mother, Father, Doctor in Labor

There is a new kid on the block in some hospitals, and it's someone you likely haven't met yet - the laborist. A laborist is much like a hospitalist, someone who doesn't have a practice outside of the hospital, but merely sees patients who are in the hospital, in conjunction with their own midwife or physician. This is someone who can walk in an see you to discuss options without having to leave their patients waiting in the office. They can be there quickly, should your baby decide to make an appearance sooner than predicted. And, the work a set number of hours and go home, allowing for the next laborist on duty to show up. Sounds nice, right?

Certainly there are benefits to having a laborist for many reasons and not just for the practitioners that they back up. I prefer working with a laborist, someone who specializes in birth, as opposed to having the emergency room physician have to attend a really rapid birth. While skilled, they don't have the nuances of birth that they practice on a daily basis, and it's obvious in some of the things that happen more frequently. (In my own experience as a doula, I see more episiotomies when an ER doctor is called, where I feel, and have been told later by the physician, it might have been avoided.) The biggest problem for moms is that they frequently have had no contact with the laborist prior to labor, so no relationship. Most moms assume that their doctor or midwife will be the person catching their baby. The relationship that they've built was designed to help them trust the person with whom they've seen with important moments. That said, many women wind up with an on call doctor anyway, with whom that may or may not have had contact.

That said, a new study shows that using a full time laborist model might help hospitals reduce the number of cesareans births that are done. One place I really see this being beneficial is for hospitals that do vaginal births after cesarean (VBAC). Since many require the doctor or midwife to be in the facility for the entire labor, it can be a burden on them, causing them to restrict the numbers of VBAC clients that they see or being fast to say that they are ready to perform a repeat cesarean. Having a laborist can reduce the strain on these practitioners, allowing more moms to labor freely. The same is true for physicians who are worried that a mom may require intervention in the wee hours of the night, someone is there to take care of them, thus preventing the need for a preemptive intervention.

Your thoughts? Have you had a laborist in your birth? Does your hospital use this model?

Related:

Source:

Am J Obstet Gynecol. 2013 Jul 25. piiS0002-9378(13)00656-X. doi: 10.1016/j.ajog.2013.06.040.

Photo © Dreamstime

Hospital Hire May Lower Cesarean Rates originally appeared on About.com Pregnancy & Childbirth on Monday, August 12th, 2013 at 07:08:43.

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Wednesday, August 7, 2013

About Pregnancy & Childbirth: Length of Pregnancy Can Vary

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Length of Pregnancy Can Vary
Aug 8th 2013, 01:19

Monthly Calendar Circled Date

I have to admit, that even writing those words makes me snicker. While there is a study out this week on the length of human gestation or pregnancy varying - it seems like old news. We have often talked about due dates in terms of being the guesswork within certain parameters. This study does little to further what we already know. What they did do was to look at gestation length from the standpoint of ovulation.

So many times women do not know when they ovulated, therefore the practice of using the "average" of the first day of the last menstrual period (LMP) became fairly standard. In fact, while ovulation based prediction would be more accurate, even when women know this date, many doctors still go by the LMP. This study looked at just over 100 babies born to well educated, younger, women who had no problems getting pregnant and no health histories. This means that they study results may not be applicable to you. While I don't want to say the study doesn't offer much, it is a nice starting point for future research. I would love to see women be able to use information they gather from ovulation as a way to help predict when their baby will be born, it would give us better luck but also wider windows and hopefully less panic on the part of all involved.

What are your thoughts on the study or using ovulation to predict the due date?

Source:

Jukic, A.M., Baird, D.D., Weinberg, C.R., McConnaughey, D.R., & Wilcox, A.J. (2013). Length of human pregnancy and contributors to its natural variation. Human Reproduction. doi: 10.1093/humrep/det297

Photo © Dreamstime

Length of Pregnancy Can Vary originally appeared on About.com Pregnancy & Childbirth on Thursday, August 8th, 2013 at 01:19:19.

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Tuesday, August 6, 2013

About Pregnancy & Childbirth: Do Extroverts Breastfeed Longer?

About Pregnancy & Childbirth
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Do Extroverts Breastfeed Longer?
Aug 7th 2013, 00:58

Breastfeeding Toddler

While it is recommended that babies be breastfed a minimum of one year by the American Academy of Pediatrics, we know that only slightly more than a quarter of babies in the United States are still nursing at this point. So, the next obvious place to start looking is to why women make it to the year mark and others don't. So this new study looked at slightly more than 600 women in interviews. If the mother had listed herself as an extrovert, she was more likely, not only to have breastfed, but to have done so for longer.

I can certainly say that we all know someone who fits into this category, but the truth is that it's only one question or piece to a very large puzzle. Maybe the introverts didn't even show up this day - like me. While one person does not a study make, I do want to point out that when my family found out I was breastfeeding, they asked me if I blindfolded the baby while she nursed. That is how much of an introvert I am. (I didn't.) I also breastfed plenty long, more often than not, past the 12 month mark.

But this isn't really about me, nor the 600+ women in the study. It's about finding all these pieces and putting them together. I think it may be easier for an extrovert to ask for help, particularly if it was unexpected or intense. It can also be overwhelming to be needed by someone 24/7, as moms are for all babies. So, here's what I say, breastfeed and get the support you need, the way you need it, and meet your own goals. Don't let studies like this bother you. It's meant more for puzzlers at this point. If it causes you anxiety - drop it!

So, are you an introvert or extrovert? How long did you or do you plan to nurse? What could someone do to help you meet your goals?

Source:

Amy Brown. Maternal trait personality and breastfeeding duration: the importance of confidence and social support. Journal of Advanced Nursing, 2013; DOI: 10.1111/jan.12219

Photo © Fotolia

Do Extroverts Breastfeed Longer? originally appeared on About.com Pregnancy & Childbirth on Wednesday, August 7th, 2013 at 00:58:19.

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About Pregnancy & Childbirth: Overzealous Dads in Pregnancy

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Overzealous Dads in Pregnancy
Aug 6th 2013, 15:22

Dad Inspecting Pregnant Belly

Normally you hear about women who are obsessed with pregnancy.  The truth is, sometimes the men are just as bad as the women.  A dad who suffers from being overzealous might be too involved in the pregnancy.  Perhaps he's one of the "dreaded" me who constantly refer to every pregnancy symptom as something that "we" experience rather than just the mom-to-be.

So what's the scoop in your house?  Which one of you wears the overzealous pants?

Related:

Photo © iStockPhoto

Overzealous Dads in Pregnancy originally appeared on About.com Pregnancy & Childbirth on Tuesday, August 6th, 2013 at 15:22:24.

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About Pregnancy & Childbirth: Join Me for a Breastfeeding Twitter Chat

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Join Me for a Breastfeeding Twitter Chat
Aug 6th 2013, 10:52

Today from 1-2 p.m. ET. I'll be talking breastfeeding with the March of Dimes at @RobinPregnancy. We are using the hashtags #pregnancychat and #wbw13. Come to ask questions, share stories and more!

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Join Me for a Breastfeeding Twitter Chat originally appeared on About.com Pregnancy & Childbirth on Tuesday, August 6th, 2013 at 10:52:07.

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