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Wednesday, November 20, 2013

On November 7, 2013 typhoon Haiyan devastated the Philippines.  With many dead and many more still missing, people are homeless and without food.  Aid is now arriving to help the people, but delivery is slow because they are ill-equipped to receive it and distribute the donations. According to Ramzy (2013), "Of the estimated 13 million people affected by the storm, five million are children."  



Concerns for Children include:

Malnutrition-People are without food and clean water.  For children malnutrition can interrupt major brain and body development.  If prolonged malnutrition occurs it can cause stunting, children fail to grow to average heights, which might also affect the brain (Berger, 2012).  Malnutrition also depletes a child's body reserves making them more susceptible to diseases (Berger, 2012).

Grief-With so many people missing or dead children are highly likely to know someone who is gone.  In some cases they might be orphaned.  High levels of emotional and environmental stress can cause defects in the brain and negatively affect development.

Medical Needs-Children are without medical supplies for regular health and wellness and for diseases.

Schools-It is vitally important to retain any kind of normalcy for children and going to school is one of these normal activities that would help.  However, many schools in the Philippines were built sturdier than housing and therefore are still standing and being used as refugee centers.  

The following is an excerpt from the NASP Resource website:
 To the extent possible parents and other caregivers should:
  • Provide opportunities for children to see friends.
  • Bring personal items that the child values when staying in temporary housing.
  • Establish some daily routines so that the child is able to have a sense of what to expect (including returning to school as soon as possible).
  • Provide opportunities for children to share their ideas and listen carefully to their concerns or fears.
  • Be sensitive to the disruption that relocation may cause and be responsive to the child’s needs.
  • Consider the developmental level and unique experiences of each child; it is important to remember that as children vary, so will their responses to the disruption of relocation,
References

Berger, K.S. (2013).  The developing person through childhood.  New York, 
     NY: Worth Publishers.

Lazarus, P. J., Jimerson, S. R., & Brock, S. E. (2003). Helping Children After a 
     Natural Disaster: Information for Parents and Teachers. In NASP 
     Resources. Retrieved November 20, 2013, from 
     http://www.nasponline.org/resources/crisis_safety/naturaldisaster_ho.aspx

Ramzy, A. (2013, November 19). For Young Typhoon Survivors, Return of Play 
     Is a Sign of Hope. The New York Times. Retrieved November 20, 2013, 
     from http://www.nytimes.com/2013/11/20/world/asia/children-philippines-
    typhoon-haiyan.html?_r=0

O  Other Helpful Websites

    United Nations Children's Fund: http://www.unicefusa.org
    Save the Children:  http://savethechildren.org
U

Thursday, November 7, 2013

Breastfeeding

After three children and collectively 6 years and still counting of nursing, breastfeeding is very important to me.  I feel that there are so many health and psychological benefits to breastfeeding for the mother and child.  I chose to breastfeed simply  because it was as nature had intended, but I had no idea that I would love it so much.  It was such an intimate and special moment with my child that no one else could provide!  The health benefits were a bonus!

These are a few of the benefits according to the following website:

https://www.text4baby.org/index.php/miscellaneous/357-breastfeeding?gclid=COvK5faN07oCFY5AMgodPTkASw

BREASTFEEDING BENEFITS 

FOR CHILD

  • Colostrum- early milk is rich in nutrients and antibodies so babies get sick less often.
  • Breast milk has all the perfect ingredients: fat, sugar, water, and protein
  • Easy to Digest
  • Breast milk helps fight disease in older children because of continuous antibodies
  • Physical contact helps build secure attachments for babies

FOR MOTHER


  • Life is easier- no sterilizing, measuring, mixing, or warming
  • Save $- formula and feeding supplies can cost over $1500 each year
  • Physical contact helps mother bond with baby
  • Can reduce risk of type 2 diabetes, breast and ovarian cancer, and postpartum depression
  • Working mother's miss less work because babies are ill less often

BREASTFEEDING AROUND THE WORLD

All around the world women are breastfeeding for a number of reasons.  Some of the major influences for nursing are health benefits, economics, and culture.  Since we are focusing on health issues I chose to investigate the Philippines.


The Philippines is one of the leaders in international efforts to promote and protect women’s right to breastfeed. The country has implemented laws to control aggressive marketing by formula companies and their false claims that formula makes babies smarter. The WHO estimated that the nation’s total lost wages from caring for formula-fed children with diarrhea and acute respiratory infections during the first six months of life was 1 billion pesos ($23.4 million). Eighty-eight percent of Filipino babies are breastfed at birth and 34% are exclusively breastfed up to five months of age.

Source: TimeChildInfo and Le Leche League
Image Courtesy: © Jojo Pensica Jr.
 *This information and image was taken directly from http://www.incultureparent.com/2012/03/breastfeeding-around-the-world/#slide1 .

It is easy for me to talk about my love for breastfeeding, because it came so easily to me.  I never had any soreness, latching problems, thrush, yeast infections, and the many other complications with breastfeeding.  I feel sorry for women who want to breastfeed and can't or are discouraged by society, friends, family or work.  As breastfeeding becomes more and more acceptable in the United States again, there are many more resources for women to use when having difficulties.  The following are a few websites that help educate and encourage healthy breastfeeding.

La Leche Leaguehttp://www.llli.org
Office On Women's Health, U.S. Department of Health & Human 
Breastfeeding Support Consultants - http://bsccenter.org
Attachment Parenting International - http://attachmentparenting.org/


Nick in Portland, Oregon prefers breastfeeding his baby to his Buzz Lightyear toy.

Image Courtesy: © Sean Dreilinger


*This information and image was taken directly from http://www.incultureparent.com/2012/03/breastfeeding-around-the-world/#slide1 .


References

In Culture Parent. (2012). Breastfeeding around the world. Retrieved from 

Text 4 Baby. (2013). Breastfeeding protects babies. Retrieved from 







Friday, November 1, 2013

My Birth Experiences

I have been very fortunate with my pregnancies and my birth experiences.  I have two children that are 4 years apart, now 14 and 10.  They were both born in St. Louis, MO at home with a doctor.  My first labor experience was very long, 22 hours, followed by a quick birth.  Two things I remember most is the moment my daughter was born I was overwhelmed with a feeling of love that I had never felt before, it brought me to tears!  Secondly, I remember when Shea was born her little lips were already in sucking position.  She latched on to nurse right away and we were instantly bonded!


Cody's labor was quicker and I remember being much calmer and in control during his labor.  The nurse that helped with his delivery gave my husband ways to help support me through labor pains that made me more comfortable.  Shea was not present during delivery, but came within the hour to share in the joy of her new brother.  Cody's personality showed through immediately as he was wide awake and checking the world out for almost 6-8 hours after birth.  He latched on and was another happy nurser!
 


Our experience was so wonderful that when my 30-something friends started having babies we got the baby itch and we decided to have one more baby.  Lucas was born on my son's birthday exactly 8 years apart.  Because we are now in Michigan we had to find a new doctor.  There are no doctors who do home births in our area so we started to go the hospital route.  Being our 3rd pregnancy the doctor offices expected us to be well informed and I found them rude and harsh about my previous home births which they thought were reckless.  My first appointment ended with me in hysterics!

That was when we found our birth center.

There were 3 nurse midwives that we alternated visits with so that we could get to know each of them before delivery date.  I chose a center birth instead of home birth because there would be two midwives present at birth and because I wanted access to the many labor and birth options that they had, including the giant birthing tub.

Throughout my pregnancy I looked forward to my visits to the birth center.  We drank tea and chatted about how I was coping with work and other children and being in my 30's versus my 20's.  I got to know each of the midwives very personally.  They were more like friends.  We felt comfortable making individual choices about tests and birth options.


On May 30, 2011 I woke up around 7:30am to watch Cody open his presents that we leave at the end of his bed.  Hard labor started quickly.  I can't tell you how far contractions were apart because I never really understood how to determine.  We left by 8am and dropped my son off with my Mom who lives with my sister and picked my sister up.  The birth center is a about an hour and a half away.  We arrived around 10.  The midwives had a warm tub ready for me.  After a quick check by one of the midwives they determined that the baby was facing the wrong way.  They had me go through several contractions on the bed alternating between on my side, on my knees, and then on my other side.  I did this cycle maybe twice and the baby rolled over!  Then I had to go to the bathroom.  When I went my water broke over the toilet and I had extremely painful contractions, around 11am.  This is when I decided I wanted to get in the tub.  My contractions were instantly easier in the tub!  I could breath and relax my shoulders!  I was not comfortable on my knees in the tub though.  When I moved onto my back I was supported by a large bath pillow and my bottom was able to float.  I was able to start pushing.  No one told me when to push or not to, I was following the leads of my body.  I stopped and breathed after he crowned and waited for my body to tell me to push again.  Then he was born at 11:22am.  It was such a gentle birth and I was blessed a third time!  Lukey instantly started rooting for milk and nursed like a champ!  I held him in the tub while I delivered the after birth.  He stayed connected to the placenta for almost an hour getting all the nutrients that other babies don't when they are cut so early.  He was examined by the midwives mostly while being held, with the exception of being weighed.  We were given warm towels to exit the tub and had a comfy bed to snuggle in with the whole family.  When we were ready after lunch another herbal bath was drawn and momma and baby washed off to go home.  This was my favorite delivery experience, because it was like delivering at a spa.  Our 24 hour and 4 day check up was done at home with a midwife visit.
 
 



I only needed a few stitches with Cody's delivery and one with Luke's, I never needed my water to be broken, I didn't need drugs, and I never needed an episiotomy.  I am very proud of my experiences, but I was never considered a risky birth.  I was always very close to a hospital in case of emergencies and I trusted my doctor and midwives to be aware of complications.  I realize this is not for everyone, but I would recommend it for those who are able.  We are learning more and more about the hormone oxytocin and it's affect on bonding with our babies after birth.  Oxytocin is a natural pain reducing hormone during labor and birth and the production of it can be interrupted with epidurals and cesarean births.  I approached my birthing options with the comfort that women had been doing this forever and that it was meant to be a natural occurrence.  Research is showing that many times we interfere with this natural process when not necessary especially in the Untied States.

According to an article on parents.com (Schalken), "Birth Customs Around the World," birthing practices are on various points of a large spectrum.  The article discusses Netherlands, Germany, Japan, Brazil, and Turkey.  In the Netherlands and Germany midwives are encouraged and nearly half of births are at home.  Women in Japan tend to be more in the middle of the spectrum, giving birth in hospitals, but refusing drugs such as epidurals due to customs.  Brazil and Turkey are at the other end of the spectrum with 25% in Brazil and nearly 75% in Turkey opting for planned cesareans. Incidentally, in Turkey the maternal mortality rate is higher than in other countries with low numbers of c-section surgeries.

I believe that labor and birth is very personal and individual.  It should meet the needs of the mother, infant, and family.  For this reason a woman should be well informed of options and supported fully in her decision.

references

Schalken, L. (n.d).  Birth around the world. Parents. Retrieved from http://www.parents.com on November 1, 2013.