Category

Clinical
From time to time, we have lab companies come in and present information about new testing and technology available to offer our clients.   As we sat in the presentation, the complex ethical questions were apparent – especially as we started to consider the future application of the developing technology.  With the availability of more...
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Guess what?  Eating, drinking and moving in labor promotes a more effective labor!  And there is a new study to support what we have known in the birth center setting for a while… We predict the next study will evaluation the benefits of proper hydration while exercising.  Ha. Ha. Here is the study citation and...
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A recent study finds that women with a low vitamin B12 are more likely to have a preterm birth.  The study, published in the American Journal of Epidemiology, also found that low maternal vitamin B12 led to low birth weight in newborns as well.  Low birth weight and preterm births are a leading cause of...
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Weekly vaginal checks starting at 36 weeks?  Frequent vaginal checks in labor?  Does this policy give your provider important clinical information – or is this an obstetric ritual that exists simply because it hasn’t been questioned? Vaginal checks in labor can be uncomfortable and intrusive.  Amy Wright Glenn wrote a two-part series Dear OB: It’s...
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A recent study published in the American Journal of Obstetrics & Gynecology looked at the differences in outcomes between elective induction of labor at 41 weeks and expectant management until 42 weeks.  The conclusion of this study was: In a large randomized clinical trial among low risk women, we found no statistically significant differences between...
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Have you wondered what those crazy pregnancy dreams mean? I had several vivid dreams during my pregnancy with my second son (sorry, Robert!) and would have loved to use this article to decipher what I was sorting out in dreamland. Julie Revelant with FoxNews.com shares a fascinating list of the most common pregnancy dreams and...
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We came across an interesting opinion piece in the New York Times discussing the benefits of a conversation “placebo” –  the evidence supports that substantial portion of “healing” comes from the communication and connection with the patient. Under the Midwifery Model of Care, the conversation between provider and client is an essential component of partnership...
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ACOG released new guidance advising providers to consider “low tech, high touch” approach to care for low-risk women.  The Midwifery Model of Care as delivered in the birth center setting has studied this approach, and our data also supports the low-intervention approach as providing a SAFER model of care, avoiding the risk of unnecessary intervention. ...
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A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of