mother

NEW: Upper Valley — Vermont + New Hampshire!

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Tree Life Birth Care in White Riv­er Junc­tion, VT, is our newest loca­tion for Total Preg­nan­cy Fit­ness. The cen­ter is ded­i­cat­ed to pro­vid­ing bal­anced, evi­dence-based sup­port to women and their fam­i­lies dur­ing preg­nan­cy, labor and post­par­tum. They offer doula care, child­birth edu­ca­tion, pre­na­tal dance class­es, and lac­ta­tion con­sult­ing in the Upper Val­ley region of Ver­mont and New Hamp­shire. For more infor­ma­tion, vis­it http://LifeTreeBirth.com or email Mary Etna Haac at DoulaMaryEtna@gmail.com.

Mary Etna R Haac, MPH, PhD, DONA-trained Birth Doula. Bilin­gual: Eng­lish-Span­ish. 703–447-98–94.

Building a Global Team of Teachers for Healthy Pregnancy, Birth & Baby

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Danc­ing Thru Preg­nancy®, Inc.

Women’s Health & Fit­ness Pro­grams
found­ed 1979
MISSION STATEMENT
Many impor­tant health issues for girls and women involve mat­ters of repro­duc­tive
health, child­bear­ing, fer­til­ity and aging. Research informs us that an active, healthy
lifestyle pro­vides a num­ber of ben­e­fits through­out a woman’s life span:

  • reduced dis­com­forts from preg­nancy, labor, birth, recov­ery & menopause
  • reduced risk of hyper­ten­sive dis­or­ders of preg­nancy and pre­ma­ture birth
  • poten­tially short­er active labor and reduced risk of cesare­an deliv­ery
  • more rapid return to joy­ful activ­i­ties, less excess weight fol­low­ing birth
  • moth­er-infant inter­ac­tion, lead­ing to infant psy­chomo­tor enhance­ment
  • reduced rates of obe­sity, car­dio­vas­cu­lar dis­ease, and type 2 dia­betes
  • reduc­tion of some can­cers, osteo­poro­sis, falls and loss of mus­cle mass
  • improved social sup­port, net­work­ing and stress man­age­ment skills
  • greater belief in one’s abil­ity to be strong and capa­ble (self-effi­ca­cy)

DTP Offspring – Renee Crichlow: REAC Fitness

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In Part 4 of our con­tin­u­ing series on DTP’s off­spring, meet Renee Crichlow, ACSM Cer­ti­fied Per­son­al Train­er from Bar­ba­dos, whose REAC Fit­ness busi­ness includes Mum-me 2 B Fit­ness Series (pre­na­tal), After Baby Fit­ness Series (post­na­tal) and 6 week Jump­start Body Trans­for­ma­tion Pro­gram (gen­er­al female pop­u­la­tion).

See pho­tos and read more about Renee’s busi­ness on the DTP Blog here. The adven­tures of one of her stu­dents is fea­tured in a recent series of arti­cles in Bar­ba­dos Today.

Renee is a women’s fit­ness spe­cial­ist, tar­get­ing all stages of a woman’s life cycle from ado­les­cent, child bear­ing years, pre­na­tal, post­na­tal to menopause. I design var­i­ous exer­cise pro­grammes to help women get into shape. As a train­er, friend and coach, I am com­mit­ted to guid­ing, moti­vat­ing and edu­cat­ing women to exceed their fit­ness goals and to per­ma­nent­ly adopt healthy lifestyles. She start­ed study­ing with DTP in March 2012 and com­plet­ed the practicum in May 2012.

I most enjoy the good feel­ing asso­ci­at­ed with know­ing that I am help­ing women to pos­i­tive­ly change their lives through exer­cise. I have learned that we are con­nect­ed and not sep­a­rate from each oth­er. Shar­ing our chal­lenges and tri­umphs enable each of us to grow and have a sense of belong­ing like a sis­ter­hood. The baby and preg­nan­cy sto­ries always amaze me and I learn a lot con­sid­er­ing I don’t have chil­dren of my own.  I am also fas­ci­nat­ed by the fact that as the preg­nant mum­mies bel­lies grow, they are still mov­ing with lots of ener­gy and I feed off of that ener­gy.  I just love work­ing with preg­nant ladies and moth­ers.

Postpartum Exercise: Creating Your 3rd Body

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Recent­ly, while talk­ing with some moms in our post­par­tum exer­cise class, DTP’s Mom-Baby Fit­ness™ pro­gram, I real­ized it has been a while since I have addressed the notion of what we call “the 3rd body.” This stems from the idea that before you are preg­nant, you live in your 1st body; then, while preg­nant, you live in your 2nd body. After giv­ing birth, many women feel their options are to try to get their first body back or live in what they are left with after birth. We sug­gest anoth­er way:  cre­ate your 3rd body.

We dis­cov­ered this 3rd body in work­ing with women to gain the fit­ness nec­es­sary to have a healthy recov­ery and enjoy moth­er­hood. What we found was that women were often becom­ing more fit than they had been before preg­nan­cy, with less body fat and more mus­cle, yet their clothes did not fit the same.  Some­times the flar­ing of the ribs and/or hip bones made for a larg­er waist – despite less fat!

Many clients also feel a new, deep­er sense of their core devel­oped. In fact, over time they real­ized they actu­al­ly liked this body bet­ter in some ways! After all, they came into the world with the pre-preg­nan­cy body, but this body they actu­al­ly cre­at­ed out of the pro­found expe­ri­ence of the phys­i­cal self that preg­nan­cy and birth pro­vide. It extend­ed the empow­er­ment of birth into moth­er­hood.

Extend­ing this metaphor even fur­ther, of course, leads to the 4th and 5th bod­ies, if you have anoth­er child. Even­tu­al­ly, there are more bod­ies as women go through per­i­menopause, menopause, post menopause, and what I like to call the phe­nom­e­nal wis­dom stage. Each body rep­re­sents a new oppor­tu­ni­ty to become some­one strong and pro­found.

I fig­ure I am to body #8 now, and in each stage I have found some­thing incred­i­ble that I could not have at oth­er stages. Long ago I gave up look­ing for my past bod­ies. Each one has been bril­liant in some way, but in the end it had to be left behind if I was to enjoy life’s path to the fullest.

Liv­ing in the moment does require know­ing where you are in time, space and ener­gy. So, dis­card your past bod­ies with delight and move on. Use your ener­gy to cre­ate your­self in the present.

It’s a process and you won’t ful­ly live in your next body until you own the toll of the last one. A post­par­tum mom may expe­ri­ence hair loss, big­ger feet, a mal-aligned spine, con­stant thirst if she is breast­feed­ing, exhaus­tion and a jel­ly bel­ly. But, all these things will pass with time, if you eat right and exer­cise reg­u­lar­ly. Oh, and you can bring the baby, who will have a blast meet­ing oth­er babies!!

Holiday Contributions That Make a Difference.

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This is the time of year many of us con­sid­er where to make our char­i­ta­ble con­tri­bu­tions. We have assem­bled a list of  groups to which you might want to con­sid­er giv­ing this year. By donat­ing to these orga­ni­za­tions you can help improve the lives of moth­ers, newborns,children and fam­i­lies around the world. Most will also send a card or email mes­sage to a mom in whose hon­or you give the gift.

UNICEF Inspired Gifts.  You can choose gifts that improve edu­ca­tion, water, health, nutri­tion, emer­gency care and oth­er fac­tors that affect the well-being of women and chil­dren.

White Rib­bon Alliance for Safe Moth­er­hood. You can advo­cate for every moth­er and every child in 152 nations when you give to this orga­ni­za­tion.

Inter­na­tion­al Con­fed­er­a­tion of Mid­wives. This group exists to raise aware­ness of the glob­al role of mid­wives in reduc­ing mater­nal and new­born child mor­tal­i­ty.

The Fis­tu­la Foun­da­tion. This group exists to raise aware­ness of and fund­ing for fis­tu­la treat­ment, pre­ven­tion and edu­ca­tion­al pro­grams world­wide. Fis­tu­la is the dev­as­tat­ing injury cause by untreat­ed obstruct­ed labor.

The Preeclamp­sia Foun­da­tion. This orga­ni­za­tion sup­ports research to pre­vent and treat one of the most dan­ger­ous dis­or­ders of preg­nan­cy, one that accounts for a large per­cent­age of pre­ma­ture births and low birth weight infants. Hav­ing preeclamp­sia is also a risk fac­tor for lat­er heart dis­ease for the moth­er.

Clean Birth. Clean Birth Kits are designed to pro­vide birth atten­dants and/or expect­ing moms with the tools they need to ensure a clean birthing envi­ron­ment. The Kits ensure the WHO’s “6 Cleans”: clean hands, clean per­ineum, clean deliv­ery sur­face, clean cord cut­ting imple­ment, clean cord tying, and clean cord care.

March of Dimes. The “moth­er” of all char­i­ties for help­ing pre­vent and treat dis­or­ders and dis­eases that affect chil­dren.

Peace, Love and Joy to all.

Safe Motherhood

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The chal­lenges to safe moth­er­hood vary depend­ing where in the world you live. In some areas the chal­lenge may be to get ade­quate nutri­tion or clean water; in oth­er areas, it may be to pre­vent infec­tion; and in still oth­er loca­tions it may be try­ing to avoid preg­nan­cy before your body is ready or get­ting access to pre­na­tal care. In the U.S., it may mean avoid­ing being seden­tary and mak­ing poor food choic­es, or hav­ing to deal with the high tech­nol­o­gy envi­ron­ment of med­ical birth that can sab­o­tage the innate phys­i­o­log­i­cal process of labor and birth.

Birth begins the bond­ing or unique love between moth­er and child.

The biol­o­gy of birth is a com­plex series of cause-effect process­es…baby’s brain releas­es chem­i­cal sig­nals to the moth­er and the pla­cen­ta begins to man­i­fest the mater­nal immune system’s rejec­tion of the fetus.

To help the ball get rolling, relax­ation (the trophotrop­ic response) helps pro­mote the release of oxy­tocin. With the help of grav­i­ty, the head press­es on the cervix, ampli­fy­ing the uter­ine con­trac­tions. After an ultra-dis­tance aer­o­bic endurance test, the cervix opens enough to let the baby move into the vagi­na and the mother’s dis­com­fort moves from sharp cramp­ing into the bony struc­ture as she tran­si­tions to the strength test of push­ing. She tran­si­tions. Relax­ation mod­u­lates into an ergotrop­ic — adren­al — response to gath­er her pow­er.

Push­ing is an inter­est­ing term…more mas­cu­line, I think, than the one I pre­fer:  Releas­ing. Releas­ing or let­ting go of the baby. It’s a cathar­sis. In this por­tion of the labor anoth­er set of impor­tant process­es help the baby clear its lungs of amni­ot­ic flu­id, stim­u­late its adren­al sys­tem and chal­lenge its immune sys­tem, as the con­trac­tions dri­ve the baby down­ward. The mother’s deep trans­verse abdom­i­nal mus­cles — if strong enough — squeeze the uterus like a tube of tooth paste, to aid this expul­sion. In the mean­time, the labor is help­ing set up the moth­er to fall in love and pro­duce milk. When the baby emerges and moves onto the mother’s chest, s/he smells and tastes the moth­er, rec­og­niz­ing her mother’s fla­vor and set­ting up the poten­tial for bond­ing.

Any way you slice it, there are two parts to safe moth­er­hood. One is a safe preg­nan­cy…healthy nutri­tion, phys­i­cal fit­ness, safe water, infec­tion pre­ven­tion, sup­port and a safe envi­ron­ment. The oth­er is a safe labor. In a safe labor, there is both an envi­ron­ment that pro­motes the nat­ur­al process of labor and the means nec­es­sary for med­ical assis­tance when need­ed. Women die at an alarm­ing rate from preg­nan­cy or birth-relat­ed prob­lems. Despite some progress made in recent years, women con­tin­ue to die every minute as a result of being preg­nant or giv­ing birth.

What keeps us from hav­ing a bet­ter record on moth­er­hood is often lack of care in the devel­op­ing world and too much inter­ven­tion in the U.S.. They are two sides of a coin. Moth­ers’ expe­ri­ence and health needs are not on equal foot­ing with oth­er cul­tur­al val­ues. In places where basic pre­na­tal care or fam­i­ly plan­ning are low pri­or­i­ties, at-risk women are vul­ner­a­ble to the phys­i­cal stress­es of preg­nan­cy and birth. In the U.S., machine-mea­sured data is para­mount, even if it pro­duces high rates of false pos­i­tives, unnec­es­sary inter­ven­tions or coun­ter­pro­duc­tive pro­ce­dures. We are learn­ing that obe­si­ty and seden­tary lifestyles have detri­men­tal effects, but few­er preg­nant women than their non-preg­nant coun­ter­parts exer­cise.

Despite the mon­ey spent to sup­port the tech­no­log­i­cal mod­el of preg­nan­cy and birth in the U.S., there are parts of the world with low­er rates of mater­nal deaths — espe­cial­ly Scan­di­navia, North­ern Europe and parts of the Mediter­ranean and Mid­dle East (Greece, the Unit­ed Arab Emi­rates, Israel, Italy and Croa­t­ia). In fact, in the U.S., mater­nal deaths are on the rise.

It’s a tricky busi­ness. Clear­ly West­ern med­i­cine has a lot to offer the devel­op­ing world when there are med­ical con­cerns. On the oth­er hand, import­ing the U.S. mod­el could cre­ate more prob­lems than it solves. Instead, the micro-solu­tions now being devel­oped in many loca­tions will be observed and evi­dence col­lect­ed by orga­ni­za­tions such as the White Rib­bon Alliance and UNICEF.

There is an effec­tive inter­na­tion­al mid­wives mod­el adopt­ed by JHPIEGO, the Johns Hop­kins NGO work­ing toward improved birthing out­comes. It assess­es the local pow­er struc­ture, social con­nec­tions, poten­tial for trained birth assis­tants, and loca­tion of avail­able trans­porta­tion to cre­ate a net­work so that locals will know when a labor is in trou­ble and who can get the woman to the near­est hos­pi­tal.

In the U.S., there are in-hos­pi­tal birth cen­ters that allow low-risk moth­ers the oppor­tu­ni­ty to labor and birth in a set­ting designed to encour­age the innate process­es. Women are begin­ning to vote with their feet…staying home for birth. Women are going abroad to give birth. At the same time, women are com­ing to this coun­try to give birth, believ­ing it is safer than where they are. There are sev­er­al ways these scenes could play out.

But, I’ll wager, improv­ing out­comes will involve com­pro­mise:  Watch­ful­ness and sup­port in most births, plus bet­ter ways to assess dan­ger and pro­vide tech­nol­o­gy. No mat­ter where you live in the world, the solu­tion may be essen­tial­ly the same.

New Breastfeeding Research: More Baby Protections

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We have long known that vagi­nal birth and breast­feed­ing are key fac­tors in the devel­op­ment of a healthy immune sys­tem in infants. Pass­ing through the vagi­na expos­es the baby to an array of bac­te­ria that help stim­u­late its unchal­lenged immune sys­tem. Breast-fed babies receive anti-bod­ies, pro­teins and oth­er mol­e­cules that pro­tect it from infec­tion and teach the immune sys­tem to defend the infant.

Breast­feed­ing is key for long-term health.

Recent research at UC Davis has shown that a strain of the bifi­do bac­te­ria — acquired from the moth­er — thrives on com­plex sug­ars (large­ly lac­tose) that were pre­vi­ous­ly thought to be indi­gestible. The bac­teri­um coats the lin­ing of the imma­ture diges­tive tract and pro­tects it from nox­ious bac­te­ria.

This com­bi­na­tion of inter­ac­tions affects the com­po­si­tion of bac­te­ria in the infant gut as it matures. Anoth­er exam­ple of how evo­lu­tion has “invent­ed” the per­fect nutri­tion for infants, this research con­tributes to the notion that evo­lu­tion has select­ed for many genes that serve nor­mal birth and breast­feed­ing by pro­tect­ing the new­born. Inter­ven­ing with the nor­mal pro­gres­sion of birth and breast­feed­ing — while occa­sion­al­ly nec­es­sary — inter­rupts these ben­e­fi­cial adap­ta­tions and con­tributes to aller­gies and autoim­mune dis­or­ders.

Beyond Yoga

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Beyond Yoga

I love Yoga. But…Power Yoga, Hot Yoga, Fast Yoga, Pilates-Yoga, Fresh Yoga, Baby Yoga and even Pre­na­tal Yoga…not so much. I find these phe­nom­e­na strange.

Why? Well, 40 years ago – when I first learned Yoga – it was a priv­i­lege. A per­son came to Yoga in the search for a mean­ing­ful life path. It was a blend of the spir­i­tu­al and the phys­i­cal, and it required a com­mit­ment to what was revealed with­in the prac­tice. Before being allowed to take my first class, I had to demon­strate that I already prac­ticed med­i­ta­tion. It was not exer­cise per se.

It was not adapt­able like it is today. Depend­ing on the teacher, you learned an ancient sys­tem – Hatha, Vinyasa, Ash­tan­ga, Iyen­gar, or Kun­dali­ni. Those were the major meth­ods that have Hin­du roots, and those who prac­ticed these art forms knew what they were doing. The teach­ers them­selves had worked on their craft for decades. Today, I know only a few teach­ers who have a pro­found grasp of each of these meth­ods.

Why is Yoga so popular?

Is there some­thing with­in the work itself – even in the dilut­ed forms, hybrid ver­sions and the celebrity/competitive stu­dios – that allows it to thrive in the self-cen­tered, free-wheel­ing, brand­ing-crazy mar­ket­place of the ear­ly 21st cen­tu­ry devel­oped world?

I find the answer to this in a strange place:  Zen prac­tice, Bhud­dism. One of my favorite notions is from Suzuki’s text Zen Mind, Beginner’s Mind. “When you feel dis­agree­able, it is best to sit.” This is an ele­ment of nin – con­stan­cy – or being present in the moment. Not patience, which requires a rejec­tion of impa­tience and there­fore can­not accept the present as it is. When you sit – just sit peri­od, that’s it – all that is real is the moment. This is at the heart of all spir­i­tu­al expe­ri­ence.

I’m not an expert in Yoga. I don’t teach Yoga, although I have inte­grat­ed Yoga-based skills into my work. I have prac­ticed Hatha and Vinyasa over the years enough to learn how cer­tain skills are treated…belly breath­ing, slow deep breath­ing, main­tain­ing posi­tion and lis­ten­ing to the wis­dom of the body, and iso­met­ric strength­en­ing in prepa­ra­tion for more expan­sive shapes or motions. Long ago, I inte­grat­ed these skills from my Yoga expe­ri­ence into my teach­ing style because these skills are effec­tive for the pop­u­la­tions with which I work. But, I do not teach Yoga.

Can Research Help Us?

Researchers find Yoga a night­mare. There is so much vari­ance now in the prac­tice that find­ings from any one study can­not be trans­ferred to the gen­er­al pop­u­la­tion. One of the most reveal­ing exper­i­men­tal-design stud­ies found that none of the claims of Yoga improv­ing metab­o­lism could be demon­strat­ed. When asked why they thought this out­come had occurred, the teach­ers who were used in the study said they thought the par­tic­i­pants in the study were not fit enough to do Yoga!

One of the most suc­cess­ful Yoga teach­ers in my area, and one of my favorites, has for decades used a bicy­cle for her pri­ma­ry mode of trans­porta­tion. She cred­its her longevi­ty and suc­cess to Yoga. I attribute it to bicy­cling. Dr. Coop­er is right…fitness (which means aer­o­bic fit­ness) is the biggest bang for the buck. Unless you are fit, it is hard to exe­cute some of the more sub­tle demands of many exer­cise reg­i­mens.

Some Yoga teach­ers will say that you can make Yoga aer­o­bic or that some forms are aer­o­bic. OK, then it’s aer­o­bics, not Yoga. When­ev­er I see “aer­o­bic Yoga” it reminds me of aer­o­bic danc­ing. It’s help­ful to remem­ber that Yoga devel­oped in a time and place where sur­vival was depen­dent upon fit­ness. Peo­ple didn’t need to do more aer­o­bics to find enlight­en­ment. They need­ed reflec­tion and to be present in the moment.

So, I insist on aer­o­bic fit­ness as the first goal of a fit­ness reg­i­men. In the pre/postnatal field, this is the only con­sis­tent­ly demon­strat­ed fac­tor in improved out­comes. As a birth prepa­ra­tion there are Yoga-based fac­tors that will help in labor and birth IF THE WOMAN IS FIT ENOUGH. It is the fact that some Yoga-based skills help fit peo­ple find nin that is my jus­ti­fi­ca­tion for con­tin­u­ing to use them in con­junc­tion with aer­o­bics and spe­cial pre/postnatal prepa­ra­tion and recov­ery exer­cis­es.

But, there are cau­tions. Not all Yoga assanas (posi­tions) are safe for preg­nan­cy. Down-dog, in par­tic­u­lar, scares me because of inci­dents report­ed in obstet­ri­cal lit­er­a­ture in the 1980s and 1990s that indi­cate such a posi­tion is impli­cat­ed in fatal embolisms. Some shapes are just not doable and oth­ers become less com­fort­able over time. The ones that work have been iden­ti­fied since the 1940s and 1950s and inte­grat­ed into birth prepa­ra­tion cours­es.

What’s Next?

All exer­cise com­po­nents -

  • Mind/Body
  • Strength
  • Flex­i­bil­i­ty
  • Aer­o­bic or Car­dio­vas­cu­lar Fit­ness

- are nec­es­sary for a bal­anced fit­ness rou­tine. Too much empha­sis on any one fac­tor often results in injury. Aer­o­bics is where the great­est health ben­e­fits reside. Recent research has demon­strat­ed that it is phys­i­cal “fit­ness” (which we can mea­sure) as opposed to just spend­ing time in phys­i­cal activ­i­ty (which can be a wide range of inten­si­ties) that is respon­si­ble for improved health out­comes. Strength and flex­i­bil­i­ty train­ing need to be pur­po­sive. There are things we don’t need to do unless we are going to play pro foot­ball or dance Swan Lake! Mind/Body skills help us recov­er and pre­pare.

I for one will be glad when we get beyond yoga and back to cross train­ing!

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The 51% Factor: Pregnancy, Power & Health

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In the U.S. and most of the devel­oped world, approx­i­mate­ly 51% of the pop­u­la­tion is female. Most females give birth at some point in their lives, although, in any year, only about 2% of the pop­u­la­tion gives birth.

No one liv­ing on earth got here any oth­er way than ges­ta­tion, so there ought to be some pow­er attached to being part of that 51%. His­tor­i­cal­ly, it might be said that the pow­er has been mere­ly for survival…the good breed­ers sur­vived long enough to pro­duce heirs and those who lived on knew where the roots and fruit grew.

Only women can make more peo­ple with their bod­ies.

Here are some things to con­sid­er:

  • Women make peo­ple
  • Women’s health and fit­ness before preg­nan­cy affects whether the preg­nan­cy is healthy
  • Women’s health and fit­ness dur­ing preg­nan­cy affects her life­time health and that of her off­spring
  • Mater­nal sur­vival is impor­tant to off­spring well-being
  • Mater­nal health and fit­ness affects mater­nal adap­ta­tion and there­by off­spring well-being

Thus, is it not a san­guine notion that the health and sur­vival of women is crit­i­cal to the health of every­one? After all, the health of nations is asso­ci­at­ed with this slight major­i­ty of females, and the wealth of nations is asso­ci­at­ed with its health.

The good news is that peo­ple work­ing from this under­stand­ing are mak­ing some head­way around the globe. Recent­ly, the World Health Orga­ni­za­tion not­ed that mater­nal death among preg­nant and birthing women world-wide has been dra­mat­i­cal­ly reduced from the 1980’s to recent­ly. This is very good news!

Here is the inter­est­ing foot­note:  Mater­nal death in the U.S. has risen 42% in the same peri­od. While the absolute num­bers remain small, this is a dis­turb­ing pic­ture. What could be caus­ing this?

Time will tell if we can fig­ure it out and fix it. I ven­ture to sug­gest some direc­tions for con­sid­er­a­tion:

  • The ele­vat­ed cesare­an birth rate with its sequel­lae of car­dio­vas­cu­lar and immune sys­tem dis­or­ders
  • Obe­si­ty
  • Meta­bol­ic syn­dromes
  • Dia­betes
  • Heart dis­ease

Why am I hope­ful, then? I see among our cur­rent edu­cat­ed gen­er­a­tion of new moms and moms-to-be a will­ing­ness to exert their influ­ence – as breed­ers – over the health care scene. They want less tech­no­log­i­cal birth. They want sup­port. They want more infor­ma­tion. They want to be healthy. These are won­der­ful things. I salute these young women…they also make my job eas­i­er in the process.

In addi­tion, I see among young health care prac­ti­tion­ers an under­stand­ing of the val­ue of these things. Among prac­ti­tion­ers work­ing in pub­lic health clin­ics there is a sense of des­per­a­tion on the one hand that the poor and indi­gent have no capac­i­ty or will to take care of them­selves. On the oth­er hand, the first step is always edu­ca­tion and there are a lot of peo­ple work­ing on this issue.

Which brings me to the clos­ing point:  How do we bring more resources and intel­li­gence to help­ing women be healthy, pre­pare for preg­nan­cy, have healthy babies, reduce preg­nan­cy com­pli­ca­tions, and improve infant and mater­nal death rates? I, for one, will keep blog­ging on this issue. You, I hope, will vote for peo­ple who under­stand this issue. The polit­i­cal pow­er and will is in our hands.

51% of us are women…some day 51% of us can set pri­or­i­ties