The post Expansion of Midwifery Program at Bon Secours St. Francis appeared first on RichmondMom.com.
]]>Today, many women in the U.S. are choosing a midwife to attend the birth of their baby. To meet these increasing requests for midwifery care, The Woman’s Center at Bon Secours St. Francis Medical Center offers a team of certified nurse midwives to support women throughout their entire pregnancy and childbirth. The midwifery program at St. Francis has been in existence since the hospital’s founding in 2005 and is the only program of its kind located south of the James River in Richmond.
“Modern midwifery has expanded well beyond just being present to assist when the baby is born,” said Melanie Hartman, CNM, The Woman’s Center at St. Francis. For starters, she and the other midwives are registered nurses with master’s degrees, post-master’s training and board certification by the American College of Nurse-Midwives. Bon Secours’ philosophy on the role of midwifery is another key differentiator. “We take a more holistic family-centered approach to health care during pregnancy that demonstrates our understanding of women’s unique physical, emotional and spiritual needs at this exciting time in their lives,” she added.
According to Hartman, all mothers-to-be will meet every member of the midwifery team at St. Francis— currently there are four—throughout the course of their pregnancy. When labor begins, one of the midwives will support the mother during the entire process and attend the birth at St. Francis. “That’s our firm commitment to the women in our care,” she explained.
Along with the team approach, another unique feature of midwifery at St. Francis is the Centering Pregnancy program, which celebrates a woman’s unique pregnancy experience while also helping her to engage with a community of women who have similar due dates. Each two-hour Centering Pregnancy session, led by the midwives and held at routine prenatal care intervals, is dedicated to a particular topic such as nutrition, stress management or lactation, among other topics related to prenatal and infant care.
“Our mothers in this program form strong bonds that last long after childbirth,” noted Hartman. “They stay connected by email and Facebook so that they can give each other advice and encouragement as their children grow. It’s very empowering for women to gain confidence and to take such an active role in health care for themselves and their babies.”
Meg Gomez knew she wanted to be with a midwifery program in a hospital setting for the birth of her three children, and she participated in the Centering Pregnancy program with her third child. “I enjoyed sharing my experiences with the women who were having their first baby, and I gleaned things from them, too,” she said. “The transparency in a group care setting was so important. We realized that we all have the same goals and fears, and we are in this together. During my pregnancies and labor, the midwives were there to support me, advocate for me, coach me and believe in me. Midwifery is about the total birth experience, and they were so accommodating and treated me so lovingly.”
Along with the Centering Pregnancy program, there are a number of comprehensive services offered by the midwifery program for women at all ages and stages of life including:
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]]>The post Bon Secours Now Offers Ambulatory Fetal Monitors for Low-Intervention Births appeared first on RichmondMom.com.
]]>Until recently, pregnant women had to be unhooked from a fetal monitoring system if they wanted to move around, but that’s no longer the case. With with introduction of ambulatory fetal monitors, women can be more mobile instead of bed-bound during labor.
Bon Secours Richmond Health System is committed to providing women who desire low-intervention childbirth with the best possible experience. In an effort to expand on that effort, they now have 11 high-tech ambulatory fetal monitors that allow women to move around freely outside of their hospital room while the baby is monitored wirelessly by health care professionals. Seven of the 11 fetal monitors are available at St. Mary’s Hospital, three are at St. Francis Medical Center and one is at Memorial Regional Medical Center.
Lightweight and cordless with a long strap, the monitor can be carried like a shoulder purse or it can hang from the IV pole, resulting in an increased range of motion for women in childbirth. “Patients love it because they can walk around the labor and delivery unit and be assured that the baby’s heartbeat and the mother’s contraction pattern are still being watched carefully,” said Kasondra Miller, RNC-OB, C-EFM, Bon Secours St. Mary’s Hospital. “This also helps labor to progress more naturally by letting gravity do the work. A big benefit of the ambulatory fetal monitor is its ability to distract the mother-to-be from labor pain as she strolls the halls of the hospital.”
Cara Golish Hartle, M.D., OB/GYN with Virginia Physicians for Women, said, “More and more women are seeking solutions to help them cope with pain while letting labor progress on its own as long as possible. The doctors and nurses at Bon Secours have embraced the low-intervention birth model and wanted to provide safe, effective tools, including ambulatory fetal monitors and nitrous oxide, for women who request them.”
“We are so pleased to be expanding our low-intervention birthing tools into several of our Richmond-area hospitals to support women who are exploring options for less medication during labor,” said Julie Reagan, administrative director for women’s services at Bon Secours Virginia Health System. She noted that nitrous oxide has been offered at St. Mary’s since March 2014 and was recently expanded to both St. Francis Medical Center and Memorial Regional Medical Center. “Our goal is for every woman having a baby at St. Mary’s, St. Francis or Memorial Regional to create her own personal childbirth story and to feel successful and satisfied about the experience.”
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]]>The post Nitrous Oxide Program Expansion appeared first on RichmondMom.com.
]]>A few months ago we posted a Q&A with Dr. Alice Hirata about nitrous oxide as a form of pain management during labor. At the time, St. Mary’s Hospital and St. Francis Medical Center were the only two facilities in Virginia to offer it. This past November, Bon Secours Richmond Health System sent out a press release detailing the expansion of nitrous oxide as well as a testimonial from a patient who successfully used it during labor.
PRESS RELEASE: Bon Secours Richmond Health System is expanding the availability of nitrous oxide, an effective low-intervention tool for pain management during labor, into several hospitals throughout the Richmond region. Nitrous oxide has been offered at St. Mary’s Hospital since March 2014 and is now in the labor and delivery areas at St. Francis Medical Center and Memorial Regional Medical Center.
According to Dr. Cara Golish Hartle, OB/GYN with Virginia Physicians for Women, more and more women desire to create a unique birthing experience that includes low-intervention options for handling pain and letting labor progress on its own before medications, such as an epidural, are administered. “Today’s women have grown up feeling empowered to accomplish anything that they set out to do, and for some of them, this includes having a baby in the most natural way, if possible,” she said. “The doctors and nurses at Bon Secours have embraced the low-intervention birth model and wanted to support women by offering safe, proven tools such as nitrous oxide to help them manage pain during labor and delivery.”
A year ago, St. Mary’s was the first hospital in Virginia and one of the few hospitals nationwide to offer nitrous oxide to birthing women. A blend of 50 percent nitrous/50 percent oxygen is inhaled as needed, when contractions become more intense, to take the edge off the pain and enable women to stay completely awake and in control throughout labor.
“The longer you can go without the epidural, the shorter the labor,” said Dr. Hartle, who was on the medical team that brought nitrous to St. Mary’s after observing it in use at Vanderbilt University Medical Center. “Nitrous can help women accomplish a low-intervention birth if that’s what they want to do. Then, if they choose to use nitrous as a bridge to an epidural, they are satisfied that every option was attempted.”
At St. Mary’s, there were 200 requests for nitrous oxide during the first seven months of 2015, which already equals the total number of requests in 2014. “Nitrous is gaining in popularity as women hear friends talk about their positive experience with it, when they read about it online and when they learn more about how it works and what to expect,” added Dr. Hartle, who requested nitrous during the recent birth of her child. “It’s the perfect tool for some women. I encourage all of my patients to keep an open mind about nitrous as option to cope with pain.”
One patient, Jamie Roy and her husband, Brent, selected St. Mary’s Hospital for labor and delivery for a very specific reason. “We knew that St. Mary’s offered low-intervention options for pain management, and I really wanted an unmedicated delivery,” she said, knowing firsthand from her daughter Hazel’s birth a few years ago that this type of delivery could be quite painful. She prepared for the birth of her second child by engaging the services of a doula along with requesting nitrous oxide to help control pain and an ambulatory fetal monitor— another low-intervention birthing tool—to allow more freedom of movement.
“Nitrous made a huge difference,” she stated. “I felt some pain with contractions, but I could handle it and stay completely engaged in every aspect of labor. I also liked being able to walk around with the monitor instead of being confined to bed.”
Brent added, “I could really see that she was calmer and less apprehensive about contractions, and she could move around more which helped her labor progress.”
“I had a great doula who set the mood in the room to keep me relaxed and rested for this memorable occasion, and the nurses at St. Mary’s were great cheerleaders throughout the process,” said Jamie. “This birth experience with my son, Harvey, was everything I could have hoped for.”
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]]>The post VCU Hosts Richmond Premiere of The Mama Sherpas appeared first on RichmondMom.com.
]]>It had been a while since I sat in a VCU lecture hall. But on a Thursday night, I found myself sitting in a lecture space once again, this time with midwives, doctors and doulas, along with filmmaker Brigid Maher to watch The Mama Sherpas, a documentary aiming to bust myths about midwifery in America.
The film focuses on midwives working in hospitals as a part of a “collaborative care” model, meaning they work in conjunction with doctors to provide a safe, low-intervention birth with healthier outcomes for both mom and baby.
The screening at VCU felt a little bit like preaching to the choir. VCU midwives attended 386 births in 2014 alone; and over 1,000 Richmond mothers have gone through the CenteringPregnancy program at VCU since it began in 2005. It appears that the collaborative care program has been working; VCU’s c-section rate is far below the national average. To take it a step further, VCU, among the midwives, boasts a low epidural rate as well.
Despite preaching to the choir however, The Mama Sherpas is a lovely film for anyone interested in the birth industry. The film features many birth stories, including VBAC (Vaginal Birth After Cesarian) and breech births, highlighting that the doctors and midwives worked together to provide the best outcomes. There were beautiful moments and even some tears while watching the film (yes even among this group). Even after 4 kids, I felt slightly wistful watching brand new babies being slipped into the arms of tired, but elated mothers.
If you’d like to learn more about delivering at VCU, visit vcumom.com
To learn more about The Mama Sherpas or to watch the movie online, visit TheMamaSherpas.com
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]]>The post Nitrous Oxide During Labor: Richmond Top Doc Answers Our Questions appeared first on RichmondMom.com.
]]>You might have heard a lot about the epidural as a form of pain relief… but you may not have heard as much about the return of a different kind of pain relief -nitrous oxide, commonly known as laughing gas.
Commonly used in the UK and throughout the rest of Europe, nitrous oxide is self administered and is made of a 50/50 blend of nitrous oxide and oxygen. Surprised it wasn’t offered to you before? That’s because St. Mary’s and St. Francis are one of the few hospitals, nationwide, and the only ones in Virginia to offer nitrous oxide as a form of pain management to birthing women.
Richmond Top Doc, Dr. Alice Hirata took some time out of her busy schedule at Virginia Women’s Center to answer our questions about nitrous oxide and it’s use during labor.
Rmom: Nitrous oxide for labor has been around for quite a long time (over 50 years) why has it recently gained popularity?
Dr. Hirata: I think nitrous got overlooked in the United States for years because births became hospital-based procedures and stronger alternatives, like epidurals and twilight sleep, became available. More recently, couples are realizing the risks associated with over medicated, highly procedural deliveries. Allowing space, time and more natural support for the birth process frequently leads to beautiful, safe vaginal births. Simpler can be better. This movement includes nitrous oxide or laughing gas as another tool to offer aid in the natural birth process.
Rmom: Does the use of nitrous oxide prohibit me from walking, using the tub, or using other labor positions?
Dr. Hirata: Nitrous oxide is quick acting and very simple to use. The laboring woman has full control of how much gas she’d like to use as she holds a mask to her face and only breaths as much gas as benefits her. The gas can be used intermittently or regularly over a short span of time or several hours. The gas is cleared by a tube attached to the wall so it limits use to about 10 feet. That’s why it can’t be used in tub or shower. The woman can use it in bed, standing, on a birthing ball and right up to the time of birthing or getting an epidural. It’s use is very flexible especially because it clears from her body very rapidly.
Rmom: Do I have to choose between using nitrous oxide or an epidural?
Dr. Hirata: Nitrous can be used along with numerous support measures and doesn’t preclude a woman getting an epidural.
Rmom: Do I need to tell my doctor before I go into labor that I plan on using nitrous oxide for pain relief? At what stage of labor can nitrous oxide be used?
Dr. Hirata: It’s helpful if a laboring couple share with their caregivers their interest in possibly using nitrous. That way an easy consent can be reviewed early in labor and there be no delay in the woman receiving this option should it become desired as a labor progresses. Typically it’s best to hold off on use of nitrous until the woman is finding that other comfort measures are no longer helping her cope adequately. Nitrous can buffer the tricky transitions of labor; it doesn’t remove discomfort but can decrease fear and anxiety. It can help keep discomfort under her control.
Rmom: Are there any side effects from nitrous oxide for me or my baby?
Dr. Hirata: Nitrous is thought to be quite safe for mom and baby. In some women, it can cause lightheadedness or nausea. These sensations clear quickly after stopping use of the gas. The baby is not affected. However, anyone with celiac disease or problems with vitamin b12 should not use nitrous.
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]]>The post A New Model for Birth Services, RVA Welcomes MyBirth appeared first on RichmondMom.com.
]]>Richmond is one of the coolest cities to call home right now for all kinds of reasons, but especially for young and expectant families. From prenatal yoga, massage, and acupuncture, to birthing options from hospital to home, and postpartum support circles, baby-wearing and breastfeeding groups, there is much to love about our progressive birth scene and mothering community.
Now for the first time outside a hospital setting expectant parents can learn about breastfeeding, childbirth, VBAC support, and nutrition all under one roof through a new birth services model called MyBirth.
With a cozy office in The Fan and a comprehensive offering of birth, breastfeeding, and nutrition classes, MyBirth prepares parents for the highs and lows of having a baby, offering mothers what’s tried and true to make it through the toughest parts so they can realize the long term benefits of a healthy and well supported pregnancy, birth, and postpartum.
A powerhouse of amazing women, Emily, Amy, Jenny, and Lynn—all professional birth doulas—are transforming the way that Richmond families get their start by placing the power of information and choice back in the hands of local mothers while making it easier and more convenient for expectant parents to connect with the resources they need most.
I sat down with Emily Bruno, cofounder of MyBirth, VBAC support group leader, and sage doula to get to the heart of MyBirth and learn more about how these mama-entrepreneurs are elevating the craft of supporting women in Richmond.
Tell me about MyBirth and the niche it fills for women and families here in RVA.
MyBirth is a one-stop shop for birth services. We are the only full-service practice with guaranteed 24-7 doula back-up offering multiple opportunities to meet and get to know your doula and her back-up prior to labor. Any time you read advice on hiring a doula it is recommended that you interview multiple doulas to find one you “click” with. With us, one interview connects you with four experienced doulas that have an established working relationship with each other and with area hospitals.
Our classes are independent, evidence-based, and non-biased, developed in collaboration with local experts, and taught by us in-house. We offer a variety of class times and formats to fit into anyone’s schedule.
Our doula services include two prenatal appointments, full labor support, and two postpartum appointments. We offer an initial group prenatal that encourages families to build community, make connections, and become confident in their birth.
Your slogan reads: “At the end you will confidently say, ‘This was My Birth.’” Tell me more about what this means to you and what your hopes and goals are for your clients.
Our first goal is to have clients who are fully educated and therefore making the most informed decisions. Our second goal is to be sure that we honor our clients’ decisions.
As doulas we have no specific outcome in mind other than your feeling honored and well supported through your birth. Our job is to offer multiple educational opportunities so that you can make the best decision for your birth and your family.
There is no “right way” to have your baby – just what is right for you, and we support this.
Emily, you are passionate about cesarean prevention and vaginal birth after cesarean (VBAC), and you recently started an International Cesarean Awareness Network (ICAN) chapter here in Richmond. Why would you recommend that every pregnant woman attend at least one ICAN meeting?
To become educated and make the best decision for their birth. In short: to learn about the unnecessary cesarean, the long term risks and complications of C-section births and to know that if they have a C-section—whether by choice or necessity—to also learn about and understand they can request a family-centered or “gentle” cesarean, and later pursue a VBAC if they so choose.
Cesarean birth is a risk to every pregnancy, as 1 in 3 women are birthing via c-section. It behooves families to know and fully understand the risks of surgical birth, and how to avoid one if possible.
I love how comprehensive MyBirth’s list of services are, please share some about your class offerings and what makes choosing a MyBirth doula stand out as a unique choice for families in Richmond.
Our curriculum is written based on our experiences in Richmond hospitals with Richmond providers so that we can best serve Richmond families. We don’t teach a particular “method” but have instead designed a class that uses techniques and practices that we know to reliably help mothers best prepare for their births. We wrote and now teach an original evidence-based curriculum focused on preparing for a healthy pregnancy, birth, and postpartum. The information is accessible, interactive, easy to remember and fun, with multiple approaches to learning that are directed at both mama and partner. Our classes include a four week, 12-hour, full childbirth education series, a refresher course for those on their second, third, even sixth baby, and a breastfeeding class. We also have a VBAC success class and a nutrition class for the childbearing year, which is not offered anywhere else.
What are three essential elements that expectant parents should seek out for their birth?
What is the back story of MyBirth, how did it all begin and how did the stars align to make your business concept a reality?
Everything really got started in the fall of 2013. After working together for a couple of years on the board of Richmond Doulas, we knew that we shared a similar philosophy regarding birth work, and a clear idea of what kind of preparation and classes that we wished were available to our clients.
We had a vision of an office to meet clients, a classroom to share our knowledge and experiences about pregnancy, birth and breastfeeding, and a welcoming environment to host support groups and other birth related events. We wanted our clients to develop relationships with other families and build community because parenthood can sometimes be an isolating experience. We also wanted to provide a continuum of support throughout the childbearing year, where everything you need is in one familiar location—it got old sending our clients all over town to search out different resources!
It’s been a slow process but we’ve been very thorough. We’re laying the foundation of a longterm presence in the Richmond birth community. To say that this has been a challenge is a serious understatement but we know that it’s an incredible opportunity to positively impact so many women and their families by offering more choices and easier access to education and support.
We are women and moms that have a passion for birth and supporting families—and for supporting our own families with our work. This is our job, our profession, our calling. We care deeply about the work we do and our commitment shows in our decision to move birth work and education in a whole new direction for Richmond.
To learn more about MyBirth doulas, services, and course offerings.
For information about ICAN Richmond.
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]]>The post Bon Secours St. Francis Medical Center Expands CenteringPregnancy® appeared first on RichmondMom.com.
]]>Women entering pregnancy can now benefit from an expanded, multifaceted group approach to prenatal care offered at Bon Secours St. Francis Medical Center.
CenteringPregnancy® is a nationally recognized program led by certified providers usually nurse midwives; it augments individual prenatal visits with group sessions and gives expectant women better control of their pre-natal care, through a group setting.
“Expectant women are more empowered today than 10 or 20 years ago in making their own health care decisions, and CenteringPregnancy helps them achieve this by bringing women out of isolated exam rooms and into groups for their care,” said Mary Anne Graf, vice president of women’s services, Bon Secours Virginia Health System. “CenteringPregnancy has a proven track record of ensuring healthier babies and healthier, well-informed new mothers. While moms often desire to be in the driver’s seat of their pregnancy, labor and delivery by making their own choices, they also can find pregnancy to be isolating and intimidating at times. CenteringPregnancy provides a supportive setting of women who often share the same ‘pains and passions’ of pregnancy.”
After completing their first obstetrics appointment at a Bon Secours-affiliated practice or clinic, women receive information on CenteringPregnancy and are offered the choice to participate in the program. Women are grouped by similar due dates. In each weekly session, they receive a private, prenatal check up by a certified nurse-midwife, including weight and blood pressure monitoring. This is followed by a two-hour group educational session led by a certified nurse-midwife. The weekly sessions enable the women to discuss health concerns and expectations in a supportive setting. Weekly topics including nutrition and healthy lifestyles, labor and childbirth options, breastfeeding, pregnancy discomforts, newborn care, child development and more.
Through this unique model of care, women become empowered and feel confident to play a more active role in their pregnancy and overall health. They have access to all their charts, ultrasounds and lab work, and they are acutely aware of how their pregnancy is progressing. Each woman is supported physically, spiritually, psychologically and socially, through bonds that develop within the group.
Initiated in the early 1990s by a nurse-midwife in Connecticut, and today with sites nationwide, the CenteringPregnancy model has resulted in positive health outcomes for pregnancies, specifically increased birth weight, fewer preterm births, shorter postpartum hospitalizations, and fewer unnecessary visits to the emergency room. The satisfaction expressed by both the women and their providers support the effectiveness of this model for the delivery of care.
“Women often are each other’s best teachers, and groups enable them to share a wealth of information with one another,” said Jean Curtacci, RN, a certified nurse-midwife and a group leader of CenteringPregnancy at St. Francis Medical Center. “The women in my groups are more willing to express what they’re really feeling, and they feed off of each other. The experience also is enhancing the way I provide prenatal care in a traditional setting, because I am learning more about what these women are going through in any given week of their pregnancy.”
“CenteringPregnancy has proven to be a really powerful process for a woman’s pregnancy, and it’s changing the way women are receiving their prenatal care,” said Graf. “New mothers especially are seeing this group approach as what prenatal care is, and will be in the future. The support setting will enrich their prenatal health, and the bonds they form will play an important role in each other’s lives. We see this as a new paradigm in the way prenatal care is delivered in the future.”
CenteringPregnancy comes to Bon Secours as a result of its 12-month qualitative and quantitative research, revealing how women today are more empowered than the previous generation of women to seek options and resources to pursue their own health needs. To support this, Bon Secours also is introducing other new programs this year, including Moms in Motion®, a nationally recognized fitness program.
Bon Secours is an advertiser with Richmondmom.com
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]]>The post New Discoveries in Childbirth Experiences at VCU Medical Center appeared first on RichmondMom.com.
]]>I wanted to share some of the unique features with you!
– They are the only Level III NICU with private rooms, should a baby need additional, specialized care.
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]]>The post Open House at VCU Medical Center’s New Labor & Delivery Unit appeared first on RichmondMom.com.
]]>The new unit features spacious rooms with private labor tubs and showers, a 24-hour visitation policy for family and friends, á la carte room service and wireless fetal monitoring, allowing women to move freely during labor. The unit will support VCU Medical Center’s comprehensive labor and delivery team, including obstetricians, maternal-fetal medicine specialists, certified nurse-midwives and nurses. For more information, visit VCUmom.com.
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]]>The post A Brighter Birth: Childbirth Education Series appeared first on RichmondMom.com.
]]>A Brighter Birth is an information based childbirth education series offered in Richmond since 2002. We focus on achieving an unmedicated, partner supported birth by teaching alternative methods of pain management, comfort measures, knowledge of possible interventions, laboring positions, and most importantly, building confidence in both the laboring mother and her partner!
For more information or to enroll in a class, contact Melanie Headley at 804-874-4442 or [email protected].
Hip to be Round is an advertiser on Richmondmom.com
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