Rethinking the approach to group B strep(GBS): Protecting future generations from the harm of routine care
Maryn Leister Green is a Certified Professional Midwife that lives in Sedona, Arizona. Maryn is well known for her international association, the Indie Birth Association (indiebirth.com), which serves and educates women and midwives all over the world. She has written numerous blog posts and recorded over 65 podcasts on iTunes (“Taking Back Birth”) that encourage women and midwives to rethink what they have been taught, and re-connect with ancient wisdom in combination with current research and knowledge. Maryn created and hosted her first international midwifery conference this year. She is a graduate of the Ancient Art of Midwifery School. Most passionate about physiological birth and the fate of future generations, Maryn has been inspired and taught by the birth of her own 7 children. When not learning or teaching, Maryn enjoys spending time in the Red Rocks, hiking with her kids and dogs.
This presentation questions the mainstream approach to Group B Strep (GBS) in pregnancy/birth as far as research, testing, treatment. The mainstream approach is questionable in effectiveness; routine testing/treatment are not improving outcomes for babies in the developed world. In fact, the mainstream approach to GBS may be negatively effecting the health of present/future generations permanently. The holistic model is defined/explored as it relates to a whole-body view of this disease. Group B Strep (GBS) can be re-defined and re-framed as a system imbalance that indicates the need for changes in several body systems. Class covers how midwives can offer holistic view as they talk about GBS with clients, in what other ways it can be viewed, tested/treated in pregnancy. Focus is on balancing the whole person, and how important it is that we see GBS as an opportunity to focus on the motherbaby as a complex, integrated duo. Approaching GBS from the holistic perspective may give future generations a chance at improved gut health and therefore overall well-being. The holistic model of health is explored through the pregnancy, but also before conception, and then into how creating an undisturbed birth environment may affect overall gut health and influence the health of the newborn. A touch of politics and information on full informed choice rounds out this oral/visual presentation.
Annie Brook, Ph.D., LPC, author, Registered Movement Educator (ISMETA), public speaker, and master therapist, has worked for over three decades helping people learn to enjoy life. She has worked as a therapist in public schools, clinics, and hospitals, and been in private practice, treating infants through adults. Annie taught meditation at the Heartsong School, was guest artist in residence for the Naropa University BFA, taught group process skills and then became Director of Body Psychotherapy track for Naropa University, MA in Somatic Psychology, in Boulder Co. Annie left Naropa to open Colorado Therapies in 2006, and founded the Brook Institute in 2014, which trains and supervises MA Therapy interns. Annie integrates movement, psychology, social skills, and the expressive arts. She draws on a vast and broad background of studies that include: leadership training, communications and conflict resolution with the LIOS Institute; emotional integration, transactional analysis, and Neo-Reichian work with Healing Ourselves; in-depth movement, perceptions, and movement training via BodyMind Centering, Continuum, and the work of Suprato Suryadamo; continued advanced touch skills in Cranio-Sacral and Visceral Manipulation, and meditative holistic studies with Native American elders, Buddhist Lama's, and Sufi masters; improvisational Action Theater skills with Ruth Zapora, Playback Theater with Jonathan Fox, Motivity with Terry Sendgraff, and contact dance and improvisation; and outdoor education and guide work with Adventure Associates and Outback Kayak. Annie is certified in the Jin Gui school of Chi Gung.
Hidden body stories pattern behavior. Birth creates these deep within the primitive brain which affects bonding and attachment. Learn as a midwife how to soften the imprint of a difficult birth, interrupt your own activation, and offer parents resources for recovery that help the infant/parent bond.
Miranda Buck, (RN(Paeds), BA(Hons), MPhil, IBCLC), has been a paediatric nurse since 1995 and has a background in neonatal and paediatric intensive care nursing. She is currently a PhD candidate at the Judith Lumley Centre and a lactation consultant at the Royal Women's Hospital in Melbourne, Australia. She also enjoys teaching into the undergraduate and postgraduate nursing programs as a visiting lecturer. Miranda is noted for her enthusiasm for evidence based care and an approach which draws on anthropological and developmental theories. Her particular research interests are breastfeeding difficulties, online peer support and breastfeeding in the neonatal intensive care unit. She lives in Melbourne with her daughters, Esme, seven and Sylvie, four.
Topic: Birth Kit Essentials for Lactation - [View Abstract]
This presentation, an excerpt from a longer training course, outlines the most valuable information on the use of essential oils during each phase of maternity and in infant care. Participants will come away feeling capable in their understanding of the safe and effective clinical use of essential oils as well as their various applications, individual properties, dosages, and contraindications during maternity. Essential oils may seem like old news, but access to therapeutic-quality oils and French methods of application have brought this ancient health practice to a whole new level of popularity. Course content is substantiated by current, peer-reviewed research.
Carolyn Hastie is a mother and grandmother. She is senior lecturer of midwifery at Southern Cross University and has been at the leading edge of midwifery practice and education for four decades. Her passion is improving care for childbearing women, partners and babies; her focus is on the neurophysiological intersection of growth, development and relationships for everyone involved. Among Carolyn’s achievements are, with her colleague, Professor Maralyn Foureur: gaining visiting rights to public hospitals in 1984, a first for Australia and starting the first Australian midwives’ clinic in 1987. Carolyn commissioned and managed a quality award winning stand-alone midwifery service which included the option to birth at home. She has researched and written extensively on midwifery related subjects, including horizontal violence and bullying in midwifery after a young new graduate midwife she met at a workshop committed suicide in response to workplace bullying in 1996. Jodie’s suicide led Carolyn to seek ways to teach midwifery students and new graduate midwives the necessary skills to manage themselves and their relationships with colleagues in the workplace.
A work environment that lacks effective teamwork is synonymous with a work culture where bullying thrives. Bullying is commonly defined as “repeated, unreasonable behaviour directed towards an employee or group of employees that creates a risk to health and safety”. Bullying is an expensive business: an estimated $6 billion to $36 billion is lost to the Australian economy every year. Bullying is common. In one Australian study, 32% of 447 nurses and midwives surveyed reported that they have experienced bullying. Bullying is, therefore, a major source of workplace distress. When staff are bullied, errors are more common and patients suffer the consequences. In seeking to improve patient safety, a workplace culture improvement plan along with four pillars of reform has been recommended: 1) information technology development, 2) evidence-informed practice standards and guidelines, 3) planned, systematic, multidisciplinary education and training of professional staff, and 4) fostering a teamwork culture. Managers have a legal and ethical responsibility to put this plan into action.
Ratih Ayu Wulandari, MD, IBCLC, is a bikram yoga practitioner since 2008. She continued her practices on her first and second pregnancy, and got many benefits from the exercises. She certified as prenatal yoga teacher from sun yoga in 2015 so that she can embrace its benefit to every mother to be . She is also a lactation consultant and work in the lactation clinic which practicing frenotomy for tongue-tie and lip-tie. She believes attachment parenting is the best way to nurture a child and shares her thoughts on her blog http://www.menjadiibu.com.
Topic: Bikram prenatal yoga: keeps me fit and healthy during pregnancies - [View Abstract]
Exercise during pregnancy is a key component to ensuring maximal health status for both mother and baby. Prenatal yoga is an excellent choice for a healthy pregnant woman to prepare herself physically and emotionally during pregnancy, also for labor and birth. Prenatal yoga poses can help to strengthen muscles and relieve pain while breathing techniques and relaxation can help to relieve stress and improve quality of sleep. Bikram yoga is a type of hatha yoga characterized by a set series of postures and breathing exercises, performed in a room heated to a very high temperature, approximately 40.6 degrees Celsius or 105 degrees Fahrenheit for 90 minutes of practices. As a regular bikram yoga practitioner, I can continue my practice during my first and second pregnancies with modification poses of Rajashree pregnancy yoga. With regular practice 3 times per week, it was significantly lowering my placental resistance index. It keeps me fit physically and emotionally throughout pregnancies and also helped me during labor and birth.
Barbara Morrison, PhD, CNM is an associate professor in the Janice M. Riordan Distinguished Professorship in Maternal Child Health at Wichita State University School of Nursing, Wichita, KS, USA. Dr. Morrison’s mission is to advocate, educate and inspire health care reform to enhance physiologically and ecologically appropriate care for the mother-newborn dyads especially as it relates to establishing breastfeeding, frequent Kangaroo Care (KC) and holding, and optimal attachment. Dr. Morrison’s research interests include the impact of breastfeeding and KC on psycho-neuro-endocrine development of newborns and parents, and implementing best evidence-based breastfeeding and attachment practices in hospital birthing and postpartum units and in the community. Dr. Morrison shares her research and passions through presentations, writings, radio shows and her website www.DrBarbCNM.com.
Topic: Understanding the Prolactin Receptor Theory - [View Abstract]
The current paradigm of infant and family care is:
- Newborns are helpless
- Mothers are clueless
- Fathers are useless
But helplessness and separation negate evolutionary processes developed over millennia of mammalian existence. For our ancestors, who constantly held and carried their infants, breastfeeding was frequent snacking on infant’s schedule. Now, infants eat scheduled meals and sleep separated from mother. Breastfeeding is considered nourishment only. In reality, breastfeeding is part of a nurturing process promoting affectional bonding, emotional, behavioral and cognitive development, and providing protection from acute and chronic illnesses. Full benefits of this process come when infants are in their evolutionary habitat, skin-to-skin on their mother’s chest (Kangaroo Care, KC). In KC infants receive non-noxious emotional and sensory stimuli leading to better utilization of breastmilk and optimal hardwiring of the central nervous system. During this presentation breastfeeding as part of a nurturing process and the optimal environment will be discussed.
Robbie Davis-Floyd PhD, Senior Research Fellow, Dept. of Anthropology, University of Texas Austin and Fellow of the Society for Applied Anthropology, is a world-renowned medical anthropologist, international speaker and researcher in transformational models in childbirth, midwifery and obstetrics. She is author of over 80 articles and of Birth as an American Rite of Passage (1992, 2004), coauthor of From Doctor to Healer: The Transformative Journey (1998) and The Power of Ritual (2016), and lead editor of 10 collections, the latest of which is Birth Models That Work (2009), which highlights optimal models of birth care around the world. Volume II: Birth Models on the Global Frontier, co-edited with Betty-Anne Daviss, is in process, as is Sustainable Birth, co-edited with Kim Gutschow. Robbie serves as Editor for the International MotherBaby Childbirth Initiative (www.imbci.org) and Senior Advisor to the Council on Anthropology and Reproduction. Most of her published articles are freely available on her website www.davis-floyd.com.
In this presentation, I will describe 8 global trends in midwifery and how "the postmodern midwife" is actuating those trends. I define the postmodern midwife as one who takes an informed and relativistic approach to different ways of knowing about birth and who strives to practice autonomously. Recognizing the limitations and strengths of the biomedical system and of her own, the postmodern midwife moves fluidly between them to serve the women she attends. She is a shape-shifter, a bridge-builder,a networker, and a traveler. Through her connections with other midwives around the world, she works to create a global and increasingly shared culture of midwifery as well as to preserve and carry forward the best of her own cultural traditions around birth.
Dr. Gilliland is an AASECT Certified Sexuality Educator, a psychology instructor at Madison College, and is one of the first DONA International birth doula trainers. Over her twenty-five year career, her work has spanned the perinatal spectrum. Dr. Gilliland has published research on birth doula support for over ten years, but has also published on female sexuality. For UW Extension, Dr. Gilliland conducts workshops on attachment and infant mental health. She has worked with hundreds of families during the perinatal period. Her real love is taking research and making it immediately useful for those at her presentations. Dr. Gilliland is a lively and engaging speaker. Her newest venture is her blog, DoulaingTheDoula. For more information, please go to www.amygilliland.com.
Topic: Let’s stop trying to turn men into women –meeting the real needs of pregnant and laboring fathers - [View Abstract]
Topic: The Doula Effect: how and why doulas help mothers have shorter labors, less pain, and more satisfying births - [View Abstract]
All parents expect sexual adjustments during the postpartum period, however few report feeling prepared for the massive changes that occur. Research reveals that common birth practices negatively influence sex and sexuality for both men and women. They may also have a psychological impact that shows up in a couple’s sexual relationship. Midwives are uniquely situated to make changes to practice and communication that can positively influence pp sexual adjustment. In addition, midwives have the potential to fill the educational gap and provide postpartum support as parents work through these changes. This session reviews research to date and offers concrete suggestions during this life transition to a new identity.
Sarah is a former GP/family physician, mother of four homeborn children and author of the internationally best-selling book Gentle Birth, Gentle Mothering (Celestial Arts US, 2009). Her work critiques current practices in pregnancy, birth and parenting from the widest possible perspectives, including scientific, evolutionary, psychological and personal. Sarah has a particular interest in the hormonal physiology of pregnancy, labor and birth, and has written and lectured extensively on this subject. Her in-depth report, The Hormonal Physiology of Childbearing, which she has been working on with Childbirth Connection (US) since 2007, is due for release in late 2013. Sarah encourages us all to be well informed, to listen to our hearts and instincts, and to take our rightful place as the real experts in our bodies, our babies and our families. She lives with her family in Brisbane, Australia. See www.sarahbuckley.com and www.gentlenaturalbirth.com
Topic: Hormonal Physiology of Childbearing - [View Abstract]
Contemporary childbearing has benefited from many medical advances, and from highly skilled and committed maternity care providers. However, current high rates of maternity care interventions may be disadvantageous for the healthy majority. This presentation summarises the healthy functioning of hormonal physiology in relation to four important hormonal systems, and the benefits of physiologic childbearing for mother and baby. It also explores the possible impacts of common maternity care practices on this hormonal physiology, including induction of labor, epidural analgesia and caesarean section, and suggest midwifery approaches that may optimise hormonal physiology when intervention are needed. Dr Buckley also considers the hormonal physiology of childbearing in relation to other models including epigenetic perspectives and the developmental origins of health and disease (DOHaD) model. This presentation is based on Dr Buckley’s ground-breaking 2015 report Hormonal Physiology of Childbearing.
Sheena Byrom is a freelance midwifery consultant, using the knowledge and skill she developed during an extensive midwifery career in the NHS. She was one of the UK’s first consultant midwives, and as head of midwifery successfully helped to lead the development of three birth centres in East Lancashire. She is a board member of the Royal College of Midwives (RCM), a member of the RCM's Better Births initiative, Patron of StudentMidwife.Net, and Chair of the Iolanthe Midwifery Trust.With esteemed colleagues, she lead the Midwifery Unit Network, an initiative which aims to support the development and success of midwifery units through connecting and sharing resources.
Her midwifery memoirs, Catching Babies, is a Sunday Times bestseller, and her absolute passion is promoting normal physiological birth, and a positive childbirth experience for all women. Her latest book, The Roar Behind the Silence: why kindness, compassion and respect matter in maternity care is jointly edited with Professor Soo Downe OBE, and they hope the book will used as a resource to promote positive childbirth throughout the world.
Sheena was awarded an Order British Empire in 2011 for services to midwifery, and actively lobbies for maternity service improvements through several social media channels. She is a member of the @WeMidwives team, running regular online chats for student midwives and midwives. She lectures nationally and internationally on midwifery and childbirth related topics, and the benefits of using social media. In 2015 Sheena was made an honorary fellow of the Royal College of Midwives.
Kindness and compassion are absolutely fundamental to good quality maternity care, although for those using and delivery maternity care, this is a missing element, resulting in dissatisfaction, distress and in some instances, birth trauma. For many years there has been a growing concern about the culture of fear that is penetrating maternity services (Kirkham 2013, Dahlen 2014), potentially contributing to a lack of kindness and compassion (Byrom and Downe 2014). For midwives and obstetricians, fear of recrimination, litigation, negative media exposure and loss of livelihood potentially contributes to defensive practice (Symon 2000). Over- treatment ‘just in case’ not only increases workload stress and error (Youngson 2012), but potentially causes iatrogenic damage to mothers and babies (Dahlen et at 2013, Renfrew et al 2014). Whilst safety and effective health care treatment is the usually the intent and expectation of care givers and receivers respectively, Ballatt and Campling (2011) warn that when control is external it is toxic and doesn’t encourage kinship and reciprocity. Over-regulation and control, they believe, feeds a culture where those whose intention is kindness and caring are forced to behave defensively.