Birth Boot Camp® Natural Childbirth Education Classes - Online and Instructor-

How Birth Boot Camp Supports Midwives


 

One thing that is very important to us at Birth Boot Camp is supporting and encouraging the midwifery model of care. We are honored to have a very experienced and insightful midwife, Melody Morrow, CPM, as a member of our Advisory Board. Why is Melody so excited about Birth Boot Camp? She has seen the classes improve outcomes for her clients. Here are a few of her words. Thank you, Melody, for your support!

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Birth Boot Camp childbirth education has had an incredible impact on my midwifery practice.  As a midwife, I have found that the midwifery clientele has shifted recently and become more mainstream. Women are now choosing midwifery care that haven’t necessarily researched and taken responsibility for their choices in birth. Some just want to try a waterbirth because it looked cool on television. What this means for me as a midwife is that if I take these clients, I have to make sure they are properly educated before the birth.  If they don’t receive that education, I will likely be spending many, many more hours with them in pre-labor, labor and possibly a traumatic transport to the hospital.

I began to require that all my primips and women birthing outside the hospital for the first time take a childbirth class. While something was better than nothing, I didn’t necessarily notice a significant difference in outcomes for my clients who took a short class (4-6 weeks). However, I did notice that clients who took a longer Birth Boot Camp class did often have very different outcomes. Women were less fearful and more determined. They participated in their care and were making informed choices. Dads were providing excellent, confident support throughout pregnancy and, noticeably, in labor. Moms who would have otherwise had epidurals or C-sections, were having unmedicated births.

I believe Birth Boot Camp will enhance and support your work as a midwife because:

1. It promotes and affirms the midwifery model of care.  The Birth Boot Camp curriculum is based on the Mother Friendly Childbirth Initiative.  What they teach aligns perfectly with how I practice.

2. It gives parents 10 weeks of intentional education.  This enables parents to make appropriate decisions for their care and increases their ownership of responsibility. In short, more families “own” their birth choices.  Education lasts approximately 18-24 hours, so they simply have time to learn what they need.

3. The live classes promote peer support, encouragement and determination.  Think of these couples meeting for 10 solid weeks to learn about birth with like-minded people and a dedicated teacher who has done it before.  They are supported and positive about their birth and having more of their emotional needs met.

4. Someone else, besides you, is encouraging the same things you want them to hear.  Good nutrition, exercise, positioning, and much more are all things they are learning about OUTSIDE of your visits, not just during them.  My clients are more likely to be intentional in caring for themselves when they are given directed information, statistics, etc. and discussing these things with their partner and other birth workers.

5. Dads become more confident, involved and less fearful.  A confident and involved dad really helps with mom’s well-being.  Many clients will become even more passionate and appreciative of the choices they are making, even if they don’t have their desired outcome.

6. It is contemporary. The films are current and interesting.  The topics concerning birth and interventions are up-to-date.  In class, they discuss babywearing, cloth diapering, chiropractic care, doulas, Spinning Babies™, and other things that we want our clients to know about, but may not have time to fully teach them.  Their class will connect them to resources that I might not be able to.

7. It forces couples to stop and focus on their pregnancy in this fast paced world.  Couples connect with their pregnancy and with each other. They discuss issues and they come to an understanding. They appreciate their baby and the experience together.  I wish every couple did this!

 8. Knowledge is power. This means less confused, fearful phone calls and false labor runs for you.

In short, when my couples access the kind of quality childbirth education provided by Birth Boot Camp they have a better birth experience, my job is easier, and if things don’t go as they planned, they are comforted in knowing that they did all they could.  This kind of childbirth education truly makes a difference.

Melody Morrow, CPM, LM, BBCI loves babies and birth. Since 1998 she has attended over 1,100 births and assisted in the training of over 70 midwifery students. She is passionate about preventative, respectful care for mothers, babies, and their families. Melody works in Texas at Edenway Birth Center as the administrator and senior consulting midwife. She is enthusiastic about her calling and loves to help empower families as they become informed and educated about their choices during their maternity and birth experiences.

Oxytocin

 

What is Oxytocin?

Oxytocin is an amazing little hormone.

Even if you don’t know what oxytocin is, you probably notice its effects each day. Oxytocin is sometimes referred to as the “love hormone” and it has a unique role in many of life’s important events. Oxytocin is released by activities such as cuddling, nursing, massage, and lovemaking. Even hair brushing and chocolate can encourage oxytocin release. However, the largest release of this hormone is usually at the moment of birth.

The emotional and physical importance of Oxytocin-

The impact of oxytocin is twofold. First- it has an incredible emotional impact. As you probably guessed, it is often present when we do things that have a special ability to bind us to others. Oxytocin release during nipple stimulation (such as while nursing a baby) serves to bond us powerfully to our children. The incredible oxytocin “high” that is experienced at the time of birth causes a fierce attachment to our child and an overwhelming desire to love and protect them. The emotional impact of oxytocin is powerful in romantic relationships as well as the parent/child dynamic.

Second – it has an important physical component. The surge of oxytocin causes contraction of the uterus both during labor and after the birth. This is not only beneficial, but can actually be lifesaving, as it prevents excessive blood loss.

Oxytocin and your labor-

Imagine the typical charts of labor that you may have seen. Labor is often depicted as coming in waves or hills. Each contraction lasts for around a minute and is followed by a longer break. As time goes on, the contractions get longer and the breaks get shorter.

But what causes these rushes of contractions? What stimulates them? The answer is fairly simple- oxytocin. Produced in your brain, oxytocin is rhythmically pulsed throughout the body. This is, in part, why contractions come in waves with a break between them. (Note that a labor stimulated or sped by an IV drip of Pitocin may not follow this pattern. Pitocin is what artificial oxytocin, often delivered via an IV, is called.)

It is important to understand what can stimulate oxytocin during labor (relaxation, massage, nipple stimulation), because you can use this knowledge to speed or encourage good, strong labor, if necessary. The same things that make you open to oxytocin reception and production (feeling loved, safe, and secure) can help encourage healthy labor.

Think of the uterus at the time of birth. This large, powerful, and muscular organ has been stretched to capacity to hold a full term baby. Suddenly, as the baby delivers, it is empty and must quickly shrink down to a much smaller size. Let’s not forget that the uterus, during pregnancy, has a large organ (the placenta) attached to it on the inside. Shortly after the birth of the baby, the placenta detaches and delivers. The spot of placental attachment within the uterus leaves, what really is, a large wound. This place (the spot where the placenta was attached) is where we see blood loss from at the time of birth.

Now, if you have a large, stretched out organ with a large wound within it, how do we reduce the size of that wound and thus reduce subsequent blood loss? The answer is simple- we must quickly shrink the organ (the uterus) and thus the wound (the place where the placenta was attached). Oxytocin serves this special purpose. The contractions it causes (remember how strong they are at the time of birth?) help to quickly shrink the uterus and limit blood loss.

As a new mom often notices, the days after birth are not without contractions. Every time a new mom nurses her baby, these post-baby contractions (often called “after-pains”) may be felt. While they may be uncomfortable, after-pains serve an important purpose – they help the uterus continue to shrink down so that mom’s blood loss is minimized.

You can see that oxytocin is important to our day to day life but particularly vital during childbearing and the years after. Oxytocin emotionally helps us feel bonded and attached to our children. It also serves to protect the life of mom by helping minimize her blood loss postpartum.  There is a lot to love about the “love hormone.”

Cloth Diapers – Not What Your Mama Used

I am going to tell you a story about how I decided to cloth diaper. In 2002, I had a friend that was pregnant with her first. At the time she was also recently single and broke. She had said that she was going to cloth diaper to save money. When she went to Babies R Us the only thing that was available were prefolds and cruddy plastic pants. Ask any grandma, plastic pants suck. They always have, they always will. They are reminiscent of a shower cap with leg holes. Except this shower cap was designed to keep the moisture in. HA! Slightly disappointed in what was available at big box retailers, I turned to the internet. I quickly found Fuzzibunz. At the time I thought they were the coolest thing ever, but alas was not inspired enough to run out and have a baby.

Fast forward to 2010, I am pregnant and reminded of my find 8 years prior. Yes, Fuzzibunz have been around that long. So I jumped online and found that there was much more than just Fuzzibunz, there were Fuzzibunz, GroVia, AppleCheeks, bumGenius, and more. I was quickly overwhelmed with the options available. I was completely aware of prefolds (ref afore mention friend) but fitteds, pockets, and all in ones were a completely new ballgame.           

When I told my husband that I wanted to cloth diaper, he quickly told me that I was a complete lunatic. My husband is the second out of five boys. He remembered cloth diapering with those sucky plastic pants, prefolds, and pins. The conversation went a little like this:

“I am not washing diapers out in the toilet,” he told me.           

“But honey we can cloth diaper at home and disposable while we are out. We will save a ton of money.” I replied

“You are crazy. I don’t care how much money we save. I am not swirling anything in the toilet.”           

“Ok fine, we can cloth diaper at home and disposable while we are out, and *I* will take care of the laundry. You just change the diaper.”

“Whatever, but I still think you are crazy”

So that is what we did. We started out in pockets, but I wasn’t thrilled with fit or absorbency. Still confused by the difference between a fitted and an all in one, I decided to attend a Cloth Diaper 101 at my Chiropractor’s office. We picked up a couple All in Ones, a GroVia and a Bottombumpers . 

Within a few weeks, my husband was helping me stuff our stash of pocket diapers.  He exclaimed, “Just be done with this and go with the All in Ones!” HE was hooked. From that point on, my son was in cloth 100% of the time.

Now when my husband hears somebody is having a new baby, the first thing he asks is if they will be cloth or conventional diapering. The average answer is similar to what his was in the beginning. Now his response to their objections is simple…”Cloth is awesome!”

 

Credit: Valerie Cannon Photography

 

Tiffany, owns and operates the Fort Worth Cloth Diaper store, Simple Baby. She is an advocate for natural birth, breastfeeding, and real diapers. She is a chapter leader for Tarrant County Birth Network, the largest chapter of Birth Network National in the nation. For more information about cloth diapers be sure to visit the Simple Baby Cloth Diaper Encyclopedia.

4 Simple Ways to Prepare for Natural Birth

Congratulations on your pregnancy!  Many women desire a natural birth but preparing for one can seem overwhelming.  Here are some wonderful tips for preparing yourself for the best natural birth possible.  There is so much you can do to ready yourself and your family for birth.  With these four simple things: education, nutrition, birth place, and birth team, you will be more able to make your goal a reality.  

#1-Education-  Probably the most important step in preparing for natural birth is to educate yourself as much as possible.  Just as with breastfeeding, the more you know about the benefits of natural birth for you and your baby, the more motivated you will be to follow through and prepare accordingly.

Of course there is a plethora of information out there on birth.  How do you trudge through it and find the diamonds among the coal?  First, a comprehensive childbirth education program is a must.  Look for one that is longer rather than shorter.  A weekend “crash course” cannot possibly give you all the information that you need to navigate policies, stay low risk and prepare properly for the birth you want. 

Look for natural childbirth classes that cover staying low risk, nutrition and exercise, relaxation techniques, choosing a care provider and birth place, the stages of labor, preparing your partner, common policies and procedures, breastfeeding and newborn care, and possible complications and how to avoid them. 

Not only will a good birth class help prepare you, it should prepare your partner as well.  In all honesty, your partner’s preparation is tantamount.  If they are frightened or simply unaware of normality, it will inevitably impact the birth negatively. 

In addition to preparing your partner, your natural birth instructor will be able to guide you to find the best books, websites, even care providers and doulas in your area.  Think of a childbirth instructor as somebody on the “inside.”  They have been there and done that and now they can help you accomplish the same thing.  (Our instructors are well trained women who have had natural births, themselves.  You can see a list of their requirements here.)

#2-Nutrition-  As you will quickly learn, preparing your body for a natural birth is just as important as preparing your mind.  Your body will go through some drastic changes as it grows first a placenta, then a baby, adds fluid, almost doubles its blood volume and prepares for future breastfeeding. 

Eating properly means not just avoiding refined foods such as sugars, white flours, packaged foods and chemical sweeteners, it also means adding the right foods into your diet.  Daily nutrition should include several servings of greens (broccoli, spinach, kale, asparagus, etc), citrus foods (oranges, tomatoes, kiwis, bell peppers), vegetables and fruits (celery, cucumbers, bananas and apples), whole grains (spelt, quinoa, oatmeal), eggs, complete protein sources (meats or other combined proteins such as beans and rice) and dairy (milk, Greek yogurt, keifer). 

Women are amazed at how much better they feel when eating properly during pregnancy. Many common pregnancy ailments disappear. Great nutrition and adequate protein can even help eliminate morning sickness.  Your childbirth instructor can provide you with a complete system to chart your nutritional intake and make corrections, if needed.  You can also find many phone apps with which you can keep track of your daily nutrition throughout pregnancy. 

Great nutrition will help your body and your baby be ready for a natural birth.  Many care providers believe that common ailments that surface at the end of pregnancy and often lead to induction or C-section can actually be avoided with optimal nutrition.

#3-Choose Your Birth Place Carefully-   One of the most important choices, as you prepare for a natural birth, is your choice of birth place.  Many factors play into this decision from insurance coverage to proximity.  Women often have three main choices available to them when it comes to birth place:  hospital, birth center or home.  The birth place that works best for you and your family will be influenced by many things, from cost to your own health to where you feel most emotionally comfortable. 

Wherever you choose to birth, be sure that the policies are not so prohibitive that they make natural birth nearly impossible.  Some important policies to look for are:

  • Women are encouraged to eat and drink in early labor.
  • Vaginal exams are kept to a minimum.
  • Women are encouraged to move about in labor.
  • IV’s are only given when necessary.
  • Breastfeeding is supported.
  • They have a low C-section rate. 

In a birth center, you may want a hospital nearby in case of transfer and an environment in which you feel comfortable and supported.  If choosing a home birth (as with any other birth place), you will want to carefully choose your midwife. Look specifically for someone with experience, skills or certification that you feel comfortable with. 

While it may be tempting to choose a birth place simply because it is close, doing things because they seem “easy” is an often regretted decision for birthing women.  A nearby hospital with a sky high induction and C-section rate will greatly increase your chances for the same.  In the case of an unwanted and/or unneeded cesarean section, a shorter drive for a birth place can yield a much longer recovery.  Choose your birth place carefully. 

#4-Choose Your Team Well-  You won’t win the Super Bowl with a football team made up of expert karaoke singers and you won’t get a natural birth with a team of care providers who specialize in surgical birth.  Choosing your birth team carefully is one of the best ways to ensure you get a natural birth.  Sometimes, even when a mother is knowledgeable and physically prepared, things can fall apart for her in labor if her team doesn’t support her decisions. 

So how do you find this pro-natural birth team of supporters?  Asking your childbirth instructor is a great way to start.  As a woman experienced in birth and engaged in the local birth community, she should have a list of resources to provide you with. 

There are many people who will make up your birth team. All of these people will influence your birth experience.

A great doula (a woman trained to support a birthing mother) can be a fabulous resource for both the laboring woman and her partner.  She can provide emotional and physical support, an experts view on supportive care providers, and may act as a sounding board for advice. 

Another good person to have on your team is a Webster Certified chiropractor.  Chiropractic care during pregnancy (and even birth) can help ensure the pelvis is well aligned so that it can move for a faster and more comfortable birthing experience with a better positioned baby.  This alone can help avoid many problems that prevent natural birth. 

Probably most important of all is your choice of care provider.  Your doctor or midwife will make decisions when you can’t and will be there for the final moments of birth.  It is vitally important that this person be both trustworthy and skilled.  If you are a low risk woman, you may want to consider midwifery care.  Midwives often work in hospitals (thought many can be found working in a home birth or birth center environment) and their approach to birth tends to be more supportive of  natural choices. 

You CAN Have an Amazing Birth!  Choosing a natural birth is a wonderful decision. With the right choices and preparation, we believe that most women can achieve this goal.  (Check out our stats from our students!)  Proper education, excellent nutrition, and careful choice of your birth team and your birth place are all things that can make your choice of a natural birth more attainable.  When all is said and done, sometimes things don’t go exactly as planned.  But, when we have done our best and chosen a care provider that we trust, we can rest assured that we did everything possible to accomplish our goal.

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