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Obesity and Midwifery Practice Issues

I did not want to leave the topic of obesity without talking about how it affects midwifery practice. Because of the increased cost, time and risk involved in providing care to an obese woman, some obstetricians have BMI restrictions for their practice – instead requiring women with high BMIs attend a high risk, maternal fetal [...]

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Midwives and Obesity

This week we have been talking about pre-pregnancy obesity. We looked at the increasing rates of obesity, then talked about the physiology of obesity and how it increases risks during pregnancy. Today we will turn our attention to what midwives can do. How do we provide the best evidence-based care for obese women? Midwives don’t [...]

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Reducing Risks of pre-pregnancy Obesity

We discussed the increased risks of pre-pregnancy obesity, and the physiology behind those risks. Today we will look at how to reduce those risks. The problem is that reducing risk is out of the midwives hands. Really, the answer seems to be that you have to somehow convince the woman to make the dietary and [...]

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Pre-pregnancy Obesity and Risks

We have been discussing pre-pregnancy obesity, and today we turn our attention to the effects of obesity on pregnancy.  Before we begin, I just want to make sure we recognize the difference between pre-pregnancy obesity and excess gestational weight gain. Both bring increased risk to pregnancy, but they are different risks. Which brings up another [...]

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Obesity Physiology and Pregnancy Risks

Yesterday we looked at the increased rates of obesity in the past twenty years. Today we will try to answer the question – Does Obesity Matter?  Can you be healthy and obese? Measuring Obesity Before we go any further, I want to make sure we are all defining obesity the same. Obesity is defined as [...]

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Pre-Pregnancy Obesity

I promised last month to come back to our discussion about obesity and midwifery, and I am keeping that promise. Our discussion is going to stay focused on pre-pregnancy obesity, and we will start today by discussing the increase in obesity.  Tomorrow we will begin to talk about the increased risks for mother and baby, [...]

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Did you have a traumatic childbirth experience?

A Study out of the University of the Sunshine Coast is looking for parents, both men and women, over 18 years old who feel the birth experience with their child was traumatic. From the website: The volunteers will be invited to complete an online survey containing 121 questions which will take approximately 20 to 30 [...]

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May 26th, 2014 Research

Midwifery School Isn’t Perfect

Last week,   At Your Cervix wrote an interesting post about the things she wishes she had learned in Midwifery School. A great read for anyone still in school, or planning to attend school soon.  Why?  Because it can help you focus time on learning these things. I add extra agreement to points 2 and [...]

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May 25th, 2014 Training

Is a satisfied patient the goal?

A friend posted this article today, which reminded me of a growing problem in health care–patient satisfaction isn’t correlated with better patient outcomes. [In fact, the most satisfied patients are 12 percent more likely to be hospitalized and 26 percent more likely to die, according to researchers at UC Davis. “Overtreatment is a silent killer,” wrote Dr. William Sonnenberg in [...]

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An aspring Midwife to Watch

I had the extreme pleasure of landing on the Urban Village Midwife blog tonight. I was instantly connected to Sherry Payne — this is a woman whose midwife heart beats like mine. Research, disparities, increasing midwifery workforce…and she comes at it from a community health perspective. In case you are thinking this is “just” a [...]

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