February Travels…and what the CPM Title Actually Means

February 2014 - Costa Rica 155

Beautiful palms and lots of green-we soaked it up while we could, and then returned to 12 in. of snow still on the ground at home!

Happy March to each of you! I am really ready for winter to be over, especially since this one seems to be stretching on and on. This past month has been busy, and I even enjoyed a 6 day reprieve from cold when I took my 15 mo. old to Costa Rica in order to attend a dear friend’s wedding. It was a great trip, though not without excitement (like when I realized I left my wallet behind when I arrived at the airport and was ready to depart…or when flights were cancelled due to weather…and other such things….so grateful for how the Lord took care of every detail!). The chance to reconnect with old friends was very special, and it was fun to introduce them to my little fellow, though it would have been even better if my husband and 2 yr. old could have joined us. They seemed to manage quite well on their own, but we were all ready to be back as a little family once again!

February 2014 - Costa Rica 162

The way to travel with a toddler…

February 2014 - Costa Rica 098

Matthias LOVED playing in the water-this same day it was -10 in PA!

I was trying to come up with a good idea to write about this month, and then I thought that perhaps I could blog about one of the items on my list of things that I want to add to my prospective client handout folder. One question, or series of questions, that comes up frequently during the initial interview has to do with my certification, and what exactly it means. There are so many different names and titles out there that it can be confusing at times! When you go to figure out what care provider is right for you, it is helpful to have an idea of what his/her qualifications are, and what all is entailed with those. So, here’s a brief look at what the Certified Professional Midwife title means…

The North American Registry of Midwives (NARM) was founded in 1987 by the Midwives Alliance of North America, and they oversee the certification standards of the CPM credential. In order to become certified, one must first show that she can provide competent, safe, and qualified care to mothers and babies throughout the birth and postpartum process, both by completing academic studies and by demonstrating care in a clinical setting. This requires that a prospective midwife both study through a NARM-approved academic institution, as well as complete an internship under the supervision of other certified midwives. Proving that one has the mastered the skills necessary to provide knowledgeable care takes time, and there is an extensive set of qualifications that must be met before one can sit for the final exams that cover questions relating to each phase of maternal and infant periods. Once the exams are passed, re-certification must take place every 3 years, which requires ongoing continuing education and re-certification of CPR and NRP.

When I first looked into obtaining midwifery education, I decided to pursue getting certification, even though the state I was working in did not recognize the credential. It was important to me that I do my best to provide the best care possible, and submitting to the qualifications necessary to become a CPM helped prospective clients to know that I took my job seriously and that I had demonstrated the ability to pass the national standard for midwifery care. In areas where licensure is not offered for homebirth midwives, this certification also gives clients the assurance that a certain level of training has been taken, instead of not having any idea of what a midwife’s qualifications may or may not include. Interestingly, many of the states that offer licenses to midwives are using the CPM as the basis for their training requirements. While many midwives who do not have the CPM title are competent and experienced, I feel like having a standard of competency for certification helps to ensure safety and high standards of care for each mother who desires to birth out of the hospital.

Finally, I like the way this quote sums it up, taken from http://www.nacpm.org/what-is-cpm.html
“A Certified Professional Midwife (CPM) is a knowledgeable, skilled and independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM). CPM is the only international credential that requires knowledge about and experience in out-of-hospital birth.”

If you’re interested in looking into this topic further, I’d suggest you check out these links:
http://narm.org/advocacy/narm-brochure-text/  gives a good overview of the Midwifery Model of Care and how CPM’s help to promote this, and http://midwifeinternational.org/how-to-become-midwife/certified-professional-midwife-vs-certified-nurse-midwife-whats-difference/  details the differences between the CPM and CNM titles.

Feel free to let me know if you have questions, or if you’d like to add a comment regarding this…thanks!

March 042

Little M ready for his newborn exam…a March baby who will be having a birthday soon!

Learning Empathy…

A big thanks to each of you for your interest in helping to get Gentle Delivery Childbirth Services off to a great start here in State College! During this past month I’ve had a chance to interact with a number of new friends, and I’m enjoying the opportunity to learn more about what this general area offers as far as birth choices. If you haven’t done so, take a minute to check out and like the new Facebook page: www. facebook.com/gentledelivery  I’ve also added another testimonial to the website-feel free to read through that as well!

As many of you know, I practiced midwifery for a couple of years before I married and had children of my own. During that time, I occasionally met a prospective client who wasn’t sure about using someone for care who hadn’t experienced birth herself. In all honesty, being a single midwife allowed me to give much more to my clients, as I didn’t have the same pressing schedule-it didn’t matter if I disappeared for 2-3 days at a birth, as no one was depending on me to be around! Sometimes when I think about those days, it dawns on me how much more freedom I had to spend time learning, talking on the phone, answering questions, making home visits, spending hours with clients, taking classes, teaching, etc.

But the flipside does have some advantages-I now have an increased level of empathy. I don’t think that I wasn’t sympathetic before. But, my ability to feel with another mom the challenges she is going through has dramatically grown. And the realization of how much growing a baby, giving birth and adding a new member to the family changes things. So, for those of you who have been curious (there were many times a client would tell me, “I want to be there when you have a baby yourself! :), here are a four specific ways my perspective has changed:

1. I now know what it means when someone says “nothing works!”. During my first pregnancy, I had severe morning sickness. The kind that lasted and made you throw up and generally wish you weren’t alive anymore. I would lay on the couch feeling terrible, and cry just thinking of EVER having another baby, because if I was this sick with the first one, how would I ever take care of another baby while going through this. Not exactly the best thing to be thinking at that moment-“sufficient unto the day are the evils thereof”, right?! 🙂 Before I went through this, I would freely hand out suggestions on what helps to relieve morning sickness. After, I just listen, and then offer a list of things “that might help, but they may not work for you.” And feel really bad that I can’t just take it all away or give them a cure-all!

2. When a mom is experiencing the last few weeks of her pregnancy, and comes in with that I-can’t-take-another-day-of-being-pregnant attitude, I take her seriously. Until I was pregnant myself, I didn’t realize how awful you could feel, and how desperate you could be to just get the baby out. But you do really feel like this will last forever during those last days, and a shoulder to cry on can mean the world!

3. Giving birth naturally hurts! Not that I didn’t realize that before. And not that it’s not a beautiful experience. But the intensity of the experience amazed me. I still remember right after my first baby was born, the midwife instructed me to move so she could place fresh pads under me. She kinda grinned and said, “hey, you know what to do!”, and it dawned on me that there was no way I could move those two inches off the bed…I was WAY too sore and tired…and I told her “I know what I’m supposed to do, but I was under the impression that I’d still be able to move after I had a baby!” That made her laugh-but it didn’t seem very funny at the time! During the actual births of both of my children, I also remember how easy it was to feel over-stimulated, and I made me realize how much I personally appreciated quiet during labor and delivery…and it gave me a greater desire to try to carefully understand what really made each individual mom I’m working with feel able to relax and concentrate on her birth.

4. Having a baby changes your life! And here I’m not talking about the birth…but the fact that this little person has come here to stay. And he is totally dependent on YOU for everything. I really thought I knew what it was like to be tired…really tired…I mean, seriously, being up for 48 hours at back-to-back births makes you exhausted! But I had no idea what it meant to be up every 2 hours around the clock for days on end. Now, this is another subject for another time…as both of my babies have struggled with nursing/sleeping/tummy issues….but I do remember when one baby was 2 weeks old, wondering if I would ever know what it would be like to sleep solid again. But I understand now what postpartum depression can be a real live thing to deal with, and why a new mom needs lots of understanding, a listening ear, and sometimes just assurance that what her baby is doing is normal…maybe she knew that herself at one time, but it’s hard to remember when your life has just been turned upside down!
Matthias Johann 447 2 (5)
Well, these are just a few things that come to mind when I think of how I look at things differently from this perspective….while it’s been a change, it’s been a good one, and I love my little ones and the experience of carrying them and being able to deliver them at home. But it’s not always easy, and requires alot of work and sacrifice. And when I do a birth now, it means nursing baby comes along, and I don’t get to sleep until I feel caught up…but those days will come again…and quickly, I’m told, by moms further ahead than I am!

In closing, I feel like there were definite advantages to being a single midwife to being a midwife who is married with children. But there are advantages to this stage, too. And I can’t say that I feel like one is way better than the other-it’s just a different perspective, and different time in life. I’d be interested in hearing your perspective in the comments…what do you see as advantages/disadvantages to using a care provider who hasn’t had children herself? or how has your perspective changed since having children yourself?

Summer Report…

Okay, I know it’s been forever since I’ve actually posted on this site, so my attempt now is to try to bring you all up to date with what has been going on in my life these past months. It would probably be easiest to do it in several shorter posts, so I’ll start with photos of some of the summer babies….

Kyler Maine

Sweet little Kyler was born in June, and after giving us quite a scare by her reluctance to breathe on her own, she is doing quite well. Her older siblings were delighted to have a baby in the house again!

Isabelle

Isabelle arrived in July-her mama was a real trooper! She has continued to grow into a beautiful girl, and I so enjoyed the time spent with her parents.

Jazmin

Little Jazmin came in August, being cooperative enough to wait until AFTER I had major wisdom tooth surgery and took a quick trip to PA. We were grateful for God’s timing in her delivery, and it was extra special to deliver this sweet bundle, as I had delivered her big brother close to two years before.

Here are Brandon & Jazmin & myself, when she was two days old.

Well, that should bring folks up to date with babies….and future posts will contain some other interesting, updated information about my life! 🙂

Guatemala Adventures, pt 1

Greetings from Kansas once again! I had fully intended to do better at keeping this blog updated over the past few weeks, but due to a variety of reasons that didn’t happen. It was one of the most exciting Central America trips I have taken…and I am so grateful for God’s protection, care, and faithfulness. There’s too much to say in one post, so I’ll try to write more about it in a later post as well.

I left KS for Guatemala back on May 8, a bit earlier than planned, as the baby that I was going for was making signs of appearing sooner than expected. Usually, when going to that spot in Guatemala, I would need to fly into Guate City, take an overnight bus up to the northern Petén area of the country, catch another bus to head 4 hours to the town of El Naranjo, and from there catch a ferry across the river and drive another half hour or so, or take a boat from that spot….alot of traveling, to say the least! But since we felt time was crucial, I had the fun privilege of getting flown up to the town of El Naranjo by James, a pilot who works for the mission. This eliminated hours of travel, and after leaving KS at 6:30 am, I arrived at the destination that afternoon around 4 pm.

View of Guatemala City from the small plane's window

The plane on the small runway in El Naranjo

It was lovely to be back in Guatemala with some of my dear friends there! As we waited on baby’s arrival, I enjoyed time catching up with them, and getting a further glimpse of their life. A few days later, we headed out to a small town about 4 hours away, where we stayed awaiting the birth. This allowed us to be within half an hour of a hospital should complications occur. Little Alex José arrived on May 19, after a lovely first-time labor. One of my good friends, Ashley, who works as a nurse in a nearby clinic, was my assistant for the birth, and it was a special treat to get to work with her!

Little Alex a few days after birth

His first Sunday!

I ended up staying with Alex’s family for about a week after his birth, going with them back to the little village where they live….then when I tried to return home, things got interesting, as a result of several natural disasters that occured the weekend I tried to travel….but more pictures and those stories will come later!!

In closing, a big thank you to all of you who were praying for me, and kept in touch. It was an incredible opportunity, and dream come true to spend the time in Guatemala helping with a delivery!

Photos from a home birth…

First, I have to mention that I am still excited about the special birth I had the honor of assisting with early yesterday morning. It was one of Heidi’s clients, and after much prayer and anticipation, we were thrilled to witness a lovely VBAC-it was a beautiful birth anyway, but the fact that it was her first vaginal birth following a c-section with her first pregnancy added an extra-special dimension. I barely made it, with only 20 minutes or so to spare!

Now, I’m excited to finally have pictures to post of a birth that occurred back in January. This mama had a photographer there, and has generously allowed me to use some of the photos in order to share her experience with others. Thanks, Kristina!

So, for those of you who enjoy pictures, or are just curious to know a little more about what a home birth looks like, here you go….

Mom was laboring in the tub as the birth was getting closer, with her support people and myself surrounding her

Doppler and other supplies sitting nearby

My dear assitant, Heidi, stands ready to lend a hand when needed, as an aunt peeks in to check on progress

Heidi charting progress as the labor continues

This mama worked beautifully with her contractions, allowing her body to relax and open

Baby Z in mom's arms just moments after birth

All snuggled up and meeting various family members

I begin the newborn exam, while Heidi charts in the background

Taking all his important measurements

Footprints

Heidi and I after everything is finished

Mom and baby enjoying some time together

Photos from a two-week visit

Just had to share some cute pictures of the darling not-so-little baby I saw yesterday. No worries about this child gaining weight! He looked to sweet in these pictures that I had to post more baby pics again….sometime I will post something more informative, but seeing as babies are part of my work, I have to show them off here and there! And just to keep you in suspense….I still have some great pictures of this little fellow’s birth that I can’t wait to share soon!

Nothing quite as relaxing as holding a sleeping baby

Taking the whole world in....

Big brother does a great job of taking care of baby!

Enjoying sweet babies…

Last Sunday, my family and I enjoyed spending some time with a family who, incidentally, have two little ones whom I had the privilege of assisting with their arrivals into this world. My mom and sister had their cameras along, so we were having fun shooting pictures, and I thought I’d share some here. Today was special, as well, as I got to see a couple of little, and not-so-little people that I have delivered….one of those times when I just love my work and the people that I get to spend time with and become friends with over pregnancies and births. There’s nothing quite like being a midwife! 🙂

So fun to cuddle!

It's a trick to get us both looking at the camera...

Older brother Caleb knows exactly what to do to get Grace to grin.

After several tries, we finally got a semi-decent picture with Timothy AND Grace, with all of us looking happy!