WASHINGTON, D.C. (August 25, 2009)—Displaying a stunning lack of regard for patient autonomy, the American College of Obstetricians and Gynecologists (ACOG) issued a statement this week declaring that the group will “allow” laboring women to drink “modest amounts” of clear fluids during labor while continuing to prohibit access to solid food.

“Once again ACOG has issued a position statement with little regard for the evidence or for the ability of women to make decisions for themselves,” said Susan Jenkins, Legal Counsel for The Big Push for Midwives Campaign. “It’s insulting that ACOG actually believes that laboring women should be grateful that they will now be ‘allowed’ to have more than just ice chips, when we have long known how vital nutritional sustenance is to mothers and babies not only during pregnancy, but during labor as well.”

Hospitals routinely adopt ACOG position statements as standard policy governing the treatment of pregnant and laboring women, despite the fact that a number of the organization’s position statements do not acknowledge all of the risks and benefits associated with common procedures. “ACOG is asking laboring women to do the physical equivalent of a marathon on the power of a ‘modest’ amount of clear liquid,” said Sabrina McIntyre, mother of two. “Thanks but no thanks. I’ll stick with my midwife and her wisdom of keeping up my physical stamina for such a monumental event.”

Policies restricting food and liquid intake date from an era when laboring women were routinely given general anesthesia and risked aspirating food into the lungs. Modern anesthetic techniques have virtually eliminated this risk, which is further reduced by the fact that only a tiny minority of laboring women, even among those who deliver via cesarean section, actually receive general anesthesia.

“The women in my birth center eat when they are hungry and drink when they are thirsty, all without asking for ACOG’s permission first,” said Elizabeth Allemann, MD. “Women deserve to be fully informed about what the evidence actually shows, and it’s time that the medical profession abandoned policies based on the outdated and paternalistic idea that patients should play no role whatsoever in the decision-making process.”

The Big Push for Midwives Campaign represents thousands of grassroots advocates in the United States who support expanding access to Certified Professional Midwives and out-of-hospital maternity care. The mission of The Big Push includes educating national policymakers about the reduced costs and improved outcomes associated with out-of-hospital birth and advocating for including the services of Certified Profession al Midwives in health care reform.

Media inquiries: Katherine Prown (414) 550-8025,
katie[at]thebigpushformidwives[dot]org.

I’ve been watching the news regarding ACOG, health care reform and Midwives. I believe women (especially low risk ones!) should be allowed to eat or drink as needed during labor. Food and drink are the only way you can muster the strength and stamina to get through labor. I know from personal experience.

Personally, I had a huge pancake, bacon and hash brown breakfast and PB & J for lunch during my dilation and between contractions. I also had yogurt, mixed nuts, Powerade and water during my pushing phase of labor. It was 18 hours from the time my water broke till my baby girl was born.

There is no way in hell I would have gotten through the labor and delivery without food and drink, that is probably what ACOG wanted though. If you are too tired to push and aren’t progressing on your own (because you are starving and also running on empty) they can intervene with more costly, forceful delivery procedures…

Think about it, the more women who can’t get through labor & delivery on their own the better for their pocket books right?

Okay, I am done ranting and being opinionated. Just wanted to share the info. What are your thoughts?

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Integrated medicine is a mix between alternative medicine and traditional medicine. When there is a health issue things like nutrition, life style and various alternative therapies are often explored first before prescription medications or other more dramatic solutions are used.

We prefer to take the natural route with our health care when possible, I am sure this is no surprise to you considering how Everly was born.

Anyway, back to the updates. Everly weighed in at a whopping 11.8 lbs and had a great checkup with the doc. She’s gaining weight very well and is reaching all the milestones for her age group according to the doctor.

We’ve not started her first vaccinations yet and are doing research on them right now. We know we’ll do some vaccinations. We just want to do them on a delayed schedule and spread them out more than what’s normally done.

We are so happy that Everly is doing so well. It’s a relief to have a good doctor for her too, in case she gets sick or something. Oh, this doctor is actually a family practice doctor so we can all be cared for by her, that is another plus! She’s covered by our insurance too.

That means I’ve got a handle on the baby stuff, for now… Not so much on the pet issues though.

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Pretty much everything on my to-do list is done, I am ready to go and am slightly excited to arrive at The Farm. On the other hand I am sort of sad to leave the house, pets and N behind. It is going to be strange to be away from it all and when I return I’ll be a mother. Kind of a crazy concept when you think about it.

Today has been a calm day for severe weather, thank goodness! After 2 days of thunderstorms and tornado warnings we were both exhausted. N was of course chasing storms for work and I was having to herd animals and hide out in our “safe place” in the downstairs bathroom…

Not sure if you noticed the odd blog format from yesterday’s post. It’s how my future live blog posts will look as I update you on my progress while I am away at The Farm. Those updates are sent via text messaging from my cell phone, they show up in my twitter timeline (but aren’t as pretty) and they auto post to the blog also. Like I’ve mentioned before you can subscribe to this blog to ensure you don’t miss an update, that way you’ll know exactly when I go in to labor!

I’ll be offline as far as internet access goes so I wont see or be able to respond to your comments (or read your blogs). The best way to communicate with me (if you need to) is via direct message on twitter (those should come to my cell phone, possibly). This is all dependent on the access and quality of cell phone reception out at The Farm of course, just an FYI.

All the feelings and sensations I described in graphic detail yesterday are continuing and happening more regularly. I am not in labor yet but things are headed that direction and I am just trying to keep active as much as possible (which isn’t very much at all really)…

N and I did a mini shopping trip this morning to get some groceries and such for me to take along to the birthing cabin. The best deal we got today was 5 gallons of milk for a total of $5.15, yep paid $1.03 for each gallon thanks to coupons and store sales! I am a big milk drinker and use it to cook so we’ll have no problem using it all plus it will last us weeks.

Walking around at the stores today was way harder and more painful than normal so that means it shouldn’t be too long now, we’ll get to meet Tater so soon!

My mom is delusional thinking she is going to get me to toodle around Columbia, TN and do fun things with her when she comes to The Farm to stay with me and wait for labor to begin. I can hardly handle walking back and forth from the bed/ chair to the kitchen for food or to the bathroom these days. Of course that is probably due to the stairs but still, I am pretty immobile these days.

Here is a farewell belly shot. It’s probably the last you’ll see until I get back from The Farm.

You can compare it to the very first belly shot I took at the start of the pregnancy if you need more “wow factor”.

It is kind of funny to see how my mole/ freckle has moved up as my belly has grown. It’s totally amazing how the body can adapt and accommodate a growing baby inside you all while you do nothing but rest and increase food intake. The body is truly a smart, complex and highly evolved “machine” isn’t it?

Well I am off to make some been and cheese burritos (hopefully) and to possibly tidy up the place a bit. Stay tuned for the labor updates and progress and don’t forget to enter the baby weight contest!

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Calls for tablespoons of sugar, flour (specifically cake flour), cocoa powder, milk, oil and an egg. Seems simple enough but then you microwave it. Sort of strange if you ask me but what the heck?

So I combine my all purpose flour (didn’t have cake flour, is there a difference?) , sugar, cocoa and the egg.

Then I added the milk and oil and mixed the heck out of it as directed.

Popped the mug in to the microwave and stood back. Our microwave makes this strange sound when you nuke stuff, like it’s got a radiation malfunction or something. I never stand near it because of the sound. I am paranoid. LOL. Plus if the cake exploded I didn’t want hot nuked batter all over me.

When 3 min were up I took out my creation and inspected it, looks questionable. It has solidified though, I guess it could be good. Looks strange though, see…

Once it cooled, it came out of the mug and on to a plate. It had all these air bubbles and was a strange consistency from the looks of it. Still to soon to know if it is good though, the darn thing is piping hot!

I slathered some frosting on it, I tasted it and cut it in half for N and I to have after dinner. Upon first taste It wasn’t bad. When I cut it in half though it was pretty brick like.

I think it came out pretty dense and not as fluffy as I would have liked (you know like normal cakes). I bet it was the flour, had I used this flour substitution guide (or the flour they called for in the recipe) I would have been better off.

I had a few bites and was done, N ate his whole half. See, he always eats my bad food because he doesn’t want to make me feel bad. LOL.

It was a fun thing to test out but it did not cure my preggo cake craving. I guess I am a cake snob or something. Today I’ll make brownies to try satisfying that chocolate urge of mine since I seem to be bursting with energy.

I used that energy burst to get my bags packed and am just about ready to leave for The Farm this weekend. I am going to an Evansville BirthNetwork Meeting on Thursday to meet with some fellow mama’s, get some support for my upcoming delivery and to meet the local La Leche League leader.

Only base we haven’t covered is finding a pediatrician in the area for when we are home from The Farm and ready to think about vaccinations (oy). Oh and Gabby is finally out of heat and done with the pissing (I think), woot. We’ve gotta get her fixed after Tater arrives, her and Boner!

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Anyway, we have batteries in our weather radio and it is set to alarm so it goes off alerting us whenever a warning or watch is issued. These aren’t just issued once either, the alarms and sirens do a great job at making you very aware of the situation at hand!

The somewhat messed up thing is that now Evansville sounds the sirens and radios for severe thunderstorms that could produce massive sized hail. I guess hail damage has been an issue in the past and they decided it was something people needed warning for. To protect their cars or whatever.

So now we hear the sirens for severe thunderstorms or tornadoes which normally isn’t a huge deal. Unless it is 3 am and you just fell asleep. You can’t ignore the sirens and alarms because what if that thunderstorm has now escalated in to a tornado or something?

So we both wake, head out to check that the patio plants/ furniture are secure and that the animals are in their homes with shelter for the storm. We turn the TV on to see the weather coverage (because whenever the sirens go off N’s station cuts in and does a weather update, even at 3 am). Once we hear all about the weather situation and are sure there are no threats of tornadoes we can go back to bed…

Unfortunately the town sirens keep going off and the thunder, lightening, rain and hail aren’t easy to sleep through. I mean Tater was even being startled by all the noise, she would jump at the loud thunder claps and was also wide awake with all the chaos.

So, N is able to drift off back to sleep a few times while I lay there being kicked, prodded and startled by all the jumping and startling inside my uterus. These sleepless nights are good parenting practice right?

So yeah, I am pretty tired and am also noticing that my energy level has begun to impact my decisiveness about things. We are still living out of boxes and N wants direction about where to hang things and how I want to set things up.

Really, I just don’t give a crap about anything much these days. Which means my floors need moping, carpets need vacuuming, boxes need unpacking, cupboards need organizing, the bathtub needs to be cleaned, the garage is a disaster of exploded boxes and all I can do is lay and think about how effed up the place is and how I just can’t do anything about it.

What is better is once we get home with Tater we’ll have all sorts of company here at the house. Do you think they will mind the coffee splatter on the kitchen tile and the cat hair all over the white carpets? —-

[and now an abrupt change of subject]

Yesterday you might have noticed how I was tweeting weird stuff, it was me testing out the live blogging capabilities of a new twitter plugin I found. The idea is to allow me to tweet via text message (if I have cell phone reception) while I am at The Farm and to have those tweets seamlessly show up here on the blog. You know to give everyone some sort of info about how the days are progressing and when labor starts. Plus, I don’t want to leave the blog all empty and sad while I am away.

So, yeah… Got the live blogging all worked out. I am also adding a few people as guest posters to the blog in case they want to blog something while I am away.

Oh and…

• Don’t forget about the live chat tomorrow on my web baby shower site. Stop by and hang out if you can. I’ll have photos to share and fun slideshows plus it will be a realtime chat where we can talk about anything.
• The mad-lib birth announcement is making it’s rounds to those who have said they would like to be included. There is still time to sign up if you wanna play too, the more the merrier!
• We still need more people to sign up for the Talina’s Baby Weight Contest, you’ll win a cash prize and all you have to do is guess my weight! Go forth and enter now…

[okay, brain dump complete]

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