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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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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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Encouraging Pregnant Women to Exercise

When I was teaching childbirth education classes, a common question was “what type of exercise is the best?” I did my best to encourage women that ANY exercise was better than none – but the focus always seemed to come back to finding that one exercise that they SHOULD be doing. If they didn’t like […]

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Advocating for Black Women’s Breastfeeding

The Black Mother’s Breastfeeding Association provides an local resource for families in the Detroit, MI area, and a great model for meeting the needs of a community of mothers.  Check out this great advocacy video they placed on YouTube: Knocking Down Barriers: Reclaiming a Breastfeeding Tradition.  

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What I did with my winter vacation…

I have to admit, I wasn’t quite prepared for a new semester to start.  It didn’t help that instructors didn’t have readings available until the day of class so I couldn’t be a week ahead (my comfort zone).  What really had me not prepared was that I actually spent my break doing something for me. […]

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Cleaning Advice

I was reflecting on the advice I often hear for pregnant women and housework.  There is nothing necessarily bad about doing housework while pregnant – no more than any other time – although pregnancy does cause some interesting challenges.  What I struggle with is that the advice is usually to have your partner pick up […]

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Us and Them; We or They

I heard it again today, “They won’t let me….” Whenever I hear someone talking about “they” or “them,” my ears begin to perk up because I know there is more to the story than I am being told.  Here are the things that go through my mind. 1. Does this woman understand what she was told […]

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Deciding What to Share When Educating

I’m preparing for two upcoming conferences where I will be presenting.  The first is a conference for Christian midwives where I will be providing a clinical update on menopause.  The second is a conference for nurse midwives where I will present a poster of my original research. As I finalize my work for these two events, I […]

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On Touching and Being Touched

I am in the process of reviewing for my certification exam – the test that will prove I can be trusted by the community to be safe and competent as I work with families to maintain their optimal health.  This is such an interesting experience for me as I realize how much I have learned […]

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