Blog - Dr. Kate Naumes||Holistic Wellness
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21 Nov What is the Home Birth Experience Like?

Lincey KnoxAs you can imagine we have a lot of newly pregnant women here at Holistic Wellness. It’s a huge perk of the job! I frequently discuss birth options with my newly pregnant clients. Should I have a home birth, birth center birth, hospital birth? Should I use a certified professional midwife (CPM), a certified nurse midwife (CNM), or an M.D.? I’m excited for you to read the following post regarding the safety of midwife attended birth from midwife and guest blogger Lincey Knox, LM, CPM

What is the Home Birth Experience like?

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When a woman is empowered to set the tone for her own labor and birth she will naturally desire a safe and relaxing atmosphere.

In a home birth setting, the client is surrounded by the scents, sounds, and familiarity (own bed, bathroom, etc) that she is accustomed to, adding to her sense of safety and security. Feeling safe and allowing one’s body to relax and surrender to the natural process of labor is important. “It is safe to say that a woman should give birth in a place she feels is safe…For a low-risk pregnant woman this can be at home…” The relationship built between client and midwife facilitates a sense of trust and security and is an important aspect of safety in home births. Trusting the caregiver allows a woman to focus on the task before her rather than being concerned about what procedures may be done to her or the baby, which you find in most hospital settings. Midwives provide woman-centered care for low risk pregnancies. A midwife enters the home of her client with an attitude of respect continuing to facilitate a feeling of trust and safety as the woman labors and births at home.

Studies show risk in home birth is equal to or lower than the risk of delivering in a hospital and is associated with a much lower occurrence of intervening procedures during labor and delivery.

“Recognizing the evidence that births to healthy mothers, who are not considered at medical risk after comprehensive screening by trained professionals, can occur safely in various settings, including out-of-hospital birth centers and homes.”

In the right setting, with a low risk mother/baby pair and a trained and trusted midwife home birth is safe. Research your options and find a midwife that supports you in choosing what is best for you and your baby!

For other blogs in this series please see:  The Midwifery Model of Care and Is Midwife Attended Birth Safe?

Byline: Lincey Knox, LM, CPM

For those seeking additional information, the paper, Care in Normal Birth: a practical guide from the World Health Organization is an amazing resource.

****** If you’re not pregnant yet, pre-conception care is what you do to prepare yourself to become pregnant. Come learn how to enhance your health in preparation for optimal fertility, a healthy full-term pregnancy, a straightforward labor, a rapid recovery, successful breastfeeding – and of course,a bright, healthy beautiful baby! Learn how nutrition, changes in body composition, exercise and sleep can positively impact female and male fertility and impact the health of any future pregnancy. 

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10 Nov Is Midwife Attended Birth Safe?

Lincey Knox, MidwifeAs you can imagine we have a lot of newly pregnant women here at Holistic Wellness.  It’s a huge perk of the job!  I frequently discuss birth options with my clients. Should I have a home birth, birth center birth, hospital birth? Should I use a certified professional midwife (CPM), a certified nurse midwife (CNM), or an M.D.?   I’m excited for you to read the following post regarding the safety of midwife attended birth from midwife and guest blogger Lincey Knox, LM, CPM

Is Midwife Attended Birth Safe?

Is Midwife Attended Birth Safe? As a midwife, this is probably the question I hear most often. While the mother generally asks about the more relational aspects of care, the father is often more concerned with the impact a home birth will have on the family’s finances – and more importantly – the safety of his wife and child. As a midwife, one of my greatest responsibilities is to help my clients make informed choices by presenting them with accurate facts and the most up to date information available. Midwives are advocates and a source of support for mother and baby.

Planned home births are chosen by more and more women. The questions surrounding the safety of home birth are currently at the forefront of several studies. Women who receive care with a midwife are receiving woman-centered, personalized care that empowers women to make informed choices about their prenatal care and labor preferences.

So what are the studies saying? Almost all of the studies examined showed that women who had a planned home birth with a midwife had significantly less vaginal tears, postpartum hemorrhages, episiotomies (3.1% v. 16.9%), and labors ending in cesarean deliveries (7.2% v. 11%).  With home birth deliveries there are fewer unnecessary antepartum interventions for both the mother and the baby.

OUTCOMES FOR NEWBORNS:

Depending on the study you read, you will find conflicting reports. Some studies show that the risk of home birth is too great to consider it safe, while others show that the incidence of neonatal death (death of a baby between days 1 and 28) and the rate of medical interventions are much lower at home compared to at the hospital.  Where the studies differ is in the outcome for the newborn. Some studies show that neonatal mortality rates are higher for women that choose a planned home birth with a midwife. However, it is important to point out that not all of these studies used “planned” home births in compiling their data. A planned home birth is safer than an unplanned home birth and should not be lumped together in the same category of home birth.  An unplanned home birth is often an unattended birth and thus the mother and baby are at increased risk as there is no provider attending to the mother/baby pair.  In addition, there are strict guidelines that midwives use in order for a mother/baby pair to qualify for a home birth. In cases where working within the safety of these parameters can not be assured, then a birth center or hospital birth is recommended for the safety of both mother and baby.

A study entitled “Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician” conducted in Canada looked at home births with midwives vs. hospital births. This study showed perinatal death at a rate of 0.35 per 1,000 births for home births and 0.64 per 1,000 births for hospital births,. The study also showed other benefits of home birth including less need for neonatal resuscitation, decreased meconium aspiration, and decreased need for NICU admittance. The safety of the baby is reliant on the health of the mother, risk factors associated with her pregnancy, the overall feeling of safety and trust of the client in her caregiver, and the education and experience of the midwife attending the birth.

Stay tuned for part II of this blog!

References:

1 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742137/
2 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742137/
http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Planned-Home-Birth
4 http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Planned-Home-Birth
5 http://www.nct.org.uk/birth/home-birth-safe
6 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742137/
7 http://www.ncbi.nlm.nih.gov/pubmed/9271961

****** If you’re not pregnant yet, pre-conception care is what you do to prepare yourself to become pregnant. Come learn how to enhance your health in preparation for optimal fertility, a healthy full-term pregnancy, a straightforward labor, a rapid recovery, successful breastfeeding – and of course,a bright, healthy beautiful baby! Learn how nutrition, changes in body composition, exercise and sleep can positively impact female and male fertility and impact the health of any future pregnancy. 

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08 Sep What are Xenoestrogens?

hormone balance xenoestrogens

Here at holistic wellness we get at least one call each day asking if Dr. Naumes, ND can help rebalance female hormones.  Some of these women have acne, others PCOS, still others have painful menstrual cycles or have never felt right after pregnancy.  Through an individualized approach using nutrition, exercise, appropriate laboratory testing, botanical remedies, detoxification and supplementation we can help correct imbalances.

Here’s a tiny snippet on why detoxification is important:

Xenoestrogens are substances that biologically function like estrogen but are not identical to the hormones we make in our body.  There are three kinds of xenoestrogens: naturally occurring ones such as saponins in the yam species, deliberately manufactured estrogen analogues such as HRT or oral contraceptives, and substances manufactured for a different purpose but possessing estrogen-like properties.  Women should be aware of avoidable exposure and actively support their body’s detoxification process if they want to rebalance their helter skelter hormones.

A few of the many sources of xenoestrogens include intravaginal spermicide, make-up, canned foods containing BPA, dental sealants, baby bottles, plastic food wrap and containers, herbicides, pesticides  and detergents whose alkyl phenols release estrogenic byproducts upon degradation.  Because these substances persist in the body, they can lead to hormone imbalances over long periods of time.  Pollutants acting as xenoestrogens will disrupt the body’s healthy balance of hormones and interfere with normal liver function, the ramifications of which are extensive and far-reaching.  Preservatives in cosmetic products such as parabens are easily absorbed through the skin and accumulate in breast tissue.  Since xenoestrogens are impossible to completely avoid, optimizing their metabolism should be addressed.

The beauty of Naturopathic Care is that it can address many possible contributors to hormone imbalance.   Through an individualized approach using nutrition, exercise, appropriate laboratory testing, botanical remedies, detoxification and supplementation to correct imbalances, hormone imbalances can often be improved.   

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18 Aug Organic Garden

“A consecrated space experientially reminds you that there is much more to life than you think”  -Sadhguru

Digging in the Dirt

We here at Dr. Kate Naumes || Holistic Wellness have exciting news. We are planting an organic laboratory garden and will also be offering cooking classes for kids and adults in which we use food from our garden in our classes! Steve, James and their crew at Eat The Yard are helping us to get going.

We want to lead and support our clients to nurture themselves – physically, emotionally, and spiritually – so that our clients have the freedom to be their best selves. We believe that healthy women are the hub of a healthy world, and as healthier women we bring forth healthier and happier generations. What better way to support our clients to exercise, relax, and connect to the earth than through gardening and cooking?

So, on Day 1 of our garden project, we amended the soil in the backyard so that the soil could support the growth of healthy plants. Our soil was depleted. So depleted in fact, that we could not have grown healthy plants. The first day was spent getting rid of as much of the trash as possible and then digging out 6-12 inches of yucky dirt.

Mulching

Day 2 was focused on replenishing the soil. What was our basic plan for amending the soil?  The main plantings areas were filled with compost from Living Earth, a professional bedding mix – aka ‘landscape mix’ – including green sand, topsoil, expanded shale and sharp sand. Next, a layer of wood chips were laid down to help hold in moisture and eventually degrade into healthy soil.  Lastly, the entire backyard was inoculated with compost tea, rock dust, and oyster mushroom spores.

Watering

I can appreciate the loose analogy between improving our soil and improving our own internal  gastrointestinal and detoxification systems health. Sometimes our gastrointestinal and detoxification systems are so out of balance that we have to start with a detox (i.e remove the top 6-12 inches of yucky soil). Then we need to rebuild good GI health with the proper combination and timing of digestive enzymes (mushroom spores), probiotics (compost tea), healthy clean whole foods (compost & landscape mix), while replenishing with minerals (rock dust) and electrolytes (wood chips).

In short, if we remove the unhealthy things from our bodies/soil and put good stuff into our bodies/gardens it becomes possible to actually get good stuff back!  Can’t wait to share our organic laboratory garden and cooking classes!  

flowers

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