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Bethany Womens Healthcare's midwives and lactation consultant share their thoughts, education, adventures, and more!
Monday, October 8, 2012
National Midwifery Week
Wednesday, August 22, 2012
Reflecting on the road with Lynnette
Today as I was leaving the Y after doing my 30 minutes on the bike I saw a former patient working out on the elliptical machine, "trying to lose her last few pounds of pregnancy weight" :) . Her baby is already 3 months old and she's, of course, madly in love with him. We talked briefly, mostly she thanked me for the care she received during her pregnancy and birth. She mentioned that with her first birth in Michigan she couldn't do what we were able to do here, and she was thankful that our kind of care was available to her.
We frequently hear from women who are thankful for care where they can labor freely without being tethered to the monitors, where they can use the tub for comfort, where IVs are not mandatory, and where their requests are acknowledged and implemented whenever possible, including getting the epidural (if that's part of their plan).
Today as my husband and I drive north past Flagstaff toward the Grand Canyon with all this beauty around me, those words of gratitude come back to me. I'm always amazed and grateful when I can "get outta town", but today the gratitude that's touching my heart is toward the strong, beautiful women who put their trust in us to guide them through their pregnancies and births. It' s such a gift to us to be allowed to accompany them through such a personal and intimate time in their lives, and I am truly awed and thankful to them for the lessons they teach me.
I also feel gratitude toward Bethany Women's Healthcare and Phoenix Baptist for providing the opportunity for Certified Nurse-Midwives to practice. Unfortunately, as many women know, midwifery care is very limited. I've been lucky enough to be with this practice for12 years and it's easy for me to forget how very lucky I am. I work in a very diverse practice, with wonderful supportive partners and truly beautiful women who seek care from us. Can life get any better? So, as I look at all this natural beauty surrounding me -the Vermillion Cliffs, the Colorado River and the Grand Canyon -I'm also reminded of the natural beauty of pregnancy, birth, and all the strong women I've had the pleasure of spending any time with during the past 12 years. Thank you for your trust, and the lessons you've taught me.
Saturday, June 30, 2012
Pregnant Patients' Bill of Rights...by Lynnette
Friday, April 13, 2012
Skin 2 Skin
Early this morning, I was called to a birth of young woman. Her labor had progressed significantly and it became obvious she would inevitably deliver her baby at just 33 weeks and 5 days. We called in one of my favorite Neonatology Nurse Practitioners (NNP) – she’s aware of the need to evaluate and help babies transition as smoothly as possible. Now this kind little boy – Brannon – helped us tremendously by flinging out his tiny arms and giving a nice big howl. I placed the baby onto the mother’s abdomen and he continued to cry and transition well – allowing us to delay clamping or cutting the cord, so he could get all the extra blood he could from his placenta. The mother was able to speak with the baby and welcome him to this world.
Perhaps the sweetest moment of every birth is that moment when the baby arrives and snuggles up, babies chest to mother's chest, in mother’s arms. This moment is not just a nice scene – there’s a lot of science to support the practice of skin-to-skin contact in the immediate postpartum period.
My favorite way to help a baby transition to the “extrauterine environment” – that’s science-speak for ‘the world outside the womb’ – is to deliver the baby to the mother’s abdomen. As long as the babe is stable, this allows for delayed cord clamping and skin-to-skin contact. Delayed cord clamping has been shown to result in improved iron status of babies up to even six months of age. The baby can obtain about a fifth of its blood volume through placental transfusion following the birth – and this may make a big difference in the health and well-being of a baby. For preterm babies – like little Brannon this morning - delaying cord clamping for even a short time can help the babies transition more smoothly. The World Health Organization Reproductive Health Library and the Cochrane review suggest delayed cord clamping is the standard for care of stable infants.
As we allow the cord to pulse oxygen-rich blood into the baby, who is using his lungs to breathe air for the very first time, a lovely place to put that baby is on the mother’s chest. In a Chochrane review of over 30 studies, the research showed “that babies interacted more with their mothers, stayed warmer, and cried less. Babies were more likely to be breastfed, and to breastfeed for longer, if they had early skin-to-skin contact. Babies were also, possibly, more likely to have a good early relationship with their mothers, but this was difficult to measure.” The WHO Reproductive Health Library described the ideal situation – that “early skin-to-skin contact (SSC) begins immediately after birth by placing the naked newborn baby prone on the mother’s bare chest.” This library also reviewed a great number of studies and found that SSC after birth helped reduce crying, improve the mother-infant interaction, keeps the baby warm, and helps the mother successfully breastfeed.
The International Breastfeeding Center lists a number of benefits of SSC from birth to the first hour: The baby…
• Is more likely to latch on
• Is more likely to latch on well
• Maintains his body temperature normal better even than in an incubator
• Maintains his heart rate, respiratory rate and blood pressure normal
• Has higher blood sugar
• Is less likely to cry
• Is more likely to breastfeed exclusively and breastfeed longer
• Will indicate to his mother when he is ready to feed
Although we understand how special these first moments are on an intuitive level, there are untold numbers of hormonal and sensory interactions occurring in these precious moments – perhaps areas available for future research. Until then, we can trust that there’s good science to support these midwifery practices. Mothers should be encouraged to hold, smell, kiss and snuggle their newborns on their own chest, with direct skin to skin contact. This is the time when mothers are learning their baby’s cues and babies are learning their mother’s environment. So, consider these practices when writing your birth plan. The midwives at Bethany Womens Healthcare are happy to support these practices for your birth.
Friday, December 16, 2011
"The Twelve Gifts of Birth" at Christmas
"The Twelve Gifts of Birth" by Charlene Costanzo captures the spirit of this joyous season and reminds us of the miracle of birth and the wondrous gifts that we all are born with. I would like to share it with you.
Monday, December 5, 2011
Thursday, October 20, 2011
Open house
Open House
Wednesday, September 14, 2011
Save the date!!
Friday, August 19, 2011
The Change goes on...
We are excited about Kim bringing Centering Pregnancy into the practice. She has "trained the trainers", so will be offering valuable insight and strategy for our implementation.
We are also very excited about the expansion of our practice into the "Midwifery Center" at BWHC (into the South-old Birth Center building where ultrasound and billing are now located). Painting is happening at the moment and we will begin the moving of furniture, desks, etc. today! On Monday, the midwives will be officially moved into the newly renovated space. And Dr. Alan Schapker will be moving back into the North building with our other physicians and nurse practitioner. We hope this move will more efficiently utilize our space and afford a more comfortable waiting room environment (no more SRO).
Stay tuned. We'll be having an open house soon. Will post the date on both blog and facebook.
Sunday, July 31, 2011
Birth Story
http://kimandgarybarnes.blogspot.com
Wednesday, June 1, 2011
Changes
Tuesday, May 24, 2011
AHCCCS gynecology visits
Wednesday, May 18, 2011
Trust...What we knew first
TRUST... A word we hear frequently, but what does it really mean? Is it something we once knew more about? Something we had more of as a child? Something we can remember? Practice? Words and phrases used to define trust include:
- Reliance on strength and ability
- Confident expectation of something
- Reliance on integrity
- Believing, hoping
As tiny children we had no problem trusting. It was just second nature to us. We had no doubts about our bodies' strength and abilities. (Remember "I can do it MYSELF!"?) We jumped, played, climbed without worry or fear. We expected and believed something wonderful every day. And there was certainly no shortage of belief and hope at Christmas time.
So, as women, can we still TRUST? Do we trust the process of BIRTH? Can we have CONFIDENCE in the STRENGTH and ABILITY of our bodies to birth our babies? Can we EXPECT a wonderful birth? Can we rely on the INTEGRITY of our minds to stay focused on the work to be done? Can we BELIEVE and HOPE for the most amazing experience?
ABSOLUTELY!
Perhaps we have forgotten how to trust ourselves, trust our bodies. It’s almost like we have given them over to the medical machine and forgotten what we once knew. We've lost our confidence, lost our self-reliance, our strength. Perhaps we can take a look backward and consider...
What We Knew First
The complete wisdom of the universe abides in us at our birth.
Our very cells know how to love, laugh, and live in grace.
We are born knowing how to heal others
and how to heal ourselves.
Our bodies know by intuition how to give birth to a new generation
and how to pass gently from this life.
The irony is that we spend much of our lives
Searching, trying to understand again, and to TRUST
…what we knew first.
Let's REMEMBER... Let's TRUST...
I invite you to explore strategies to remember and practice trusting yourself, your body, BIRTH:
Check out:
- Hypnobirthing: www.hypnobirthing.com
- "Birthing From Within": www.birthingfromwithin.com
P.S. Late breaking news: Jessica Alba is planning on using hypnobirthing with her current pregnancy!
Tuesday, May 17, 2011
Getting more social
Monday, March 21, 2011
Breastfeeding Matters . . .
I teach our breastfeeding classes, facilitate our weekly nursing mothers group, and help mothers during private consultations. Look for my posts regarding new information as well as details about upcoming events at the Breastfeeding Support Center, which is located in Building C, the building closest to Bethany Home Road.
FAQ #1:
"Breastfeeding is natural. Why do I need to take a class?"
You are right! Breastfeeding is a natural process. It is also a set of learned behaviors for a mother and baby which new mothers have traditionally learned from other experienced breastfeeding women. If you don't know anyone who is enjoying a successful breastfeeding experience with her baby and YOU want to breastfeed, you will benefit by taking the classes we offer and starting to form your own support network.
In generations past when extended families lived closer together, young women and expectant mothers learned how new mothers interacted with their babies by watching others and asking questions. In this way, lots of feminine knowledge about breastfeeding was transferred from one generation to the next.
In the last 100 years, as feeding methods changed, much of this feminine knowledge about breastfeeding has sadly been lost to our culture. Many new mothers live far away from their families of origin, and some have never held a baby until their own infant is placed in their arms. Science now proclaims that breastfeeding is best, and we're also learning that without the practical information of times past, some mothers can (and do) struggle with it. And THAT is why taking our Breastfeeding Works! class during your second trimester can make all the difference to you and your baby!
Upcoming Classes
Call our main number, 602-973-3200, to register for classes so that I prepare enough materials for everyone. Please arrive 15 minutes early on the day of class to pay the fee and pick up your class materials.
Saturday, April 9, 2011
9:00 a.m. - Noon
Cost: $20
Breastfeeding Works! - Spend 3 hours learning about the normal process of breastfeeding, including your baby's normal behavior and feeding cues, as well as how your body will respond and make milk. Learn practical information so you are comfortable, Dad knows how to help, and your baby thrives! Dads and/or a suspport person are welcome to attend with you. Sitting through this class is more comfortable during your second trimester!
Monday, April 18, 2011
7 - 8:30 p.m.
Cost: $10
Employed and Breastfeeding Seminar - Spend 1.5 hours learning how to ease the transition when you return to work or school and desire to continue breastfeeding. Dads, a support person, and baby are welcome to attend with you. We'll discuss pumps, pumping routines that work, storing human milk, and balancing employment with childcare concerns.
Nursing Mothers Group
Bethany Womens Healthcare
3660 W. Bethany Home Road
Phoenix, AZ 85019
March 2011
Wednesday Mornings: 10 a.m. - Noon
PLEASE PARK ON 37TH AVENUE; CROSS INTO THE PARKING LOT ON THE SIDEWALK IN FRONT OF BUILDING A. WE ARE LOCATED ACROSS THE PARKING LOT IN BUILDING C.
Join us in the Breastfeeding Support Center. Babies and toddlers always welcome. Bring your questions and concerns. In addition to the discussion topic, we'll explore answers that work for YOU. This is informal and fun!
March 23 - Preparing to Breastfeed
Let's start at the beginning. What preparations did you make? Share what was helpful. Share what was not!
March 30 - Arizona's Breastfeeding Report Card
We'll discuss the statistical findings by the Centers for Disease Control about breastfeeding initiation and duration nationwide and in Arizona.
Friday, January 7, 2011
3660 W. Bethany Home Road Phoenix, AZ 85019
Nursing Mothers Group Discussion Topics
Jan 5 What Your Baby KNOWS
Thursday, December 9, 2010
Sierra's Birth Story - A Halloween Treat
Eleven days past your due date doesn’t seem like much…until you are living it out, getting more impatient by the day, fielding numerous “what’s taking so long” inquiries (as though you are in control of this phenomenon) and dreading the necessary induction if you reach the two week mark.
Multiple weeks of Braxton Hicks and phantom contractions made Saturday, October 30th seem pretty consistent with the past 5 weeks or so of waiting. The only difference was the regularity, but every six minutes of very mild contractions doesn’t mean a whole lot. Thus, we began our immensely long to-do list of last minute baby requirements and routine chores/errands. Item 1: finish packing bag for hospital on Tuesday, when we were scheduled to be induced. Good choice. We never made it past that.
While lamenting to my younger sister via telephone that things were not happening the way I desired, I felt my water break…at least I thought I did. It wasn’t a big theatrical gush, so I wasn’t completely sure…really, how are you supposed to know? After ascertaining that I had, indeed, lost a bit of my bag of waters we abandoned our to-do list in favor of inspiring the labor that I still did not completely believe was happening.
The remainder of the afternoon was rather anticlimactic – contractions were only slightly stronger and no closer together. My parents joined us in the evening for a welcome distraction from obsessing about when things would actually get rolling. They left around 9pm, when I started to get tired, so we could attempt to rest in preparation.
I realize now that lying down in any way was a big fat bad idea for me. I didn’t sleep, just switched from side to side during contractions that were becoming more frequent, though only just uncomfortable enough to keep me awake. It is amazing how long you can be in your head, debating the correct course of action and attempting to will yourself to get some sleep, rationalizing that at least you are resting…somewhat. Let me just say that sleep is not overrated, if you can get it.
Three o’clock saw the last of my patience; I woke hubs and let Lisa know we would be on our way soon. Hubs gathered up the ‘last minute’ items (this took so much longer than I thought it would…and most of the stuff was probably not necessary) while I attempted to help (until I was ordered to sit down) and then we were in the car and on our way. Driving to the hospital in the middle of the night definitely enhanced our excitement.
As we walked in to the ER (since it was after hours) some teen tried to bum a cigarette off of us (seriously?). At triage we learned that I was only at 3 ½ cm, but there was no way they were sending me home at almost 42 weeks gestation and already losing amniotic fluid…so we were led to a room to get settled in (the birthing suite…sweeeeet). As soon as I could, I hopped in the tub (oh tub jets, how I love thee and thy amazing pain relieving powers), where I spent several hours (talk about pruny fingers!) until Lisa arrived around 9am and suggested I get checked and try another laboring position.
Back to the bed, lying on my side, contractions became intense. And I was only at 4cm. Lisa rubbed my back and encouraged me to relax through each new wave for about an hour or so. Finally, after over 24 hours of labor, I reached my breaking point and began begging for an epidural. This was an extreme deviation from our intended birth plan, but I believe God’s hand was in this decision, as the rest of the birth would have been extremely difficult without the epidural and quite probably would have led to a c-section. We came pretty close as it was.
Once Hubs and I agreed on the epidural (he wanted to make sure I would not have regrets about it) I kept asking if the anesthesiologist could come before the next contraction (negatory). As I waited and got hooked up to every machine in the entire hospital and then some I repositioned to my happy place – sitting cross legged and rocking back and forth, completely zoned out to everything around me (including the spewing IV fluid due to a messed up tube). I was glad to have a break and be able to rest once the medicine began working.
My “rest” was short lived – the epidural, it seemed, was what my body needed to enable it to relax enough to dilate…in minutes I went from 4 to 8cm and shortly thereafter I was at 10 and it was time to push! With an epidural this is a very weird proposition. At first I just made the appropriate “pushing” face and hoped it was doing the trick. Eventually Lisa told me to use my stomach muscles, which made so much more sense and helped me to become more efficient. My cheer squad (my parents and Hubs) were so supportive and enthusiastic during this 2 ½ hour process. At the beginning everything was very serene and they would quietly say “push it out” (which made me think of Bill Cosby – “push it out, shove it out, waaaaay out!”) or “don’t stop” (and I kept thinking “don’t stop ‘til you get enough!”). My favorite was Hubs telling me to “crank one out.” I frequently heard, during this time, that the baby was coming…so often that I stopped believing that the current contraction was actually bringing baby into the world.
Two hours into pushing Lisa was getting concerned, so she brought in Dr. Harris for consultation. He watched a few pushes and then he brought out his arsenal of baby removal products. First up was an episiotomy, followed by an unsuccessful vacuum attempt (due to baby’s head being at an odd angle) and finally he just reached in and pulled baby out manually. [Sidebar: fourth degree tear – yowza! That battle wound caused me to be known around L&D as “that girl”.]
When the head appeared the cheer squad went crazy, reaching a mighty crescendo. It took me a minute to realize that they weren’t bluffing this time and I watched as baby emerged with the biggest pouty lip – ready to berate us for removing him from his warm and comfy home. The moment to discover the gender of our baby arrived moments later and we were so shocked to see that we had a son! My dad (a former ultrasound tech) watched the sonogram DVD months prior and feigned that he couldn’t tell, but the whole time he had a pretty good idea, so when baby arrived my dad shouted “I knew it! I knew it!!” while the rest of us yelled “it’s a boy!”
Little Love was then monitored, warmed and cleaned up a bit, and then Papa (Hubs) got to hold him – such a sweet father-son bonding moment. During all of this, my Dad kept returning to the bedside to tell me how perfect and good looking his grandson was. I had to agree.
It appears that Boo was just waiting all that time to have a very special Halloween Birthday. Giving birth was the most amazing thing I have ever done, and I wouldn’t change a second of it. I am woman, hear me roar.
Shout out to Lisa for her amazing support, encouragement and wisdom during a difficult birth; and to Tiffany for her awesome prenatal and postpartum care, as well as her patience through alllll of my questions.
Thursday, December 2, 2010
Nursing Mothers Group Discussion Topics
*** December 2010 ***
Wednesday Mornings: 10 AM – Noon
PLEASE PARK ON 37TH AVENUE; CROSS INTO THE PARKING LOT
ON THE SIDEWALK IN FRONT OF THE CLINIC
Join us in the Breastfeeding Support Center. Babies and toddlers
always welcome. Bring your questions and concerns –
In addition to the discussion topic, we’ll explore answers that work for YOU. This is informal and fun!
Dec 1 Do I Have Enough Milk?
How do you know? Tips for calibrating a plentiful milk supply in the early weeks will be discussed.
Dec 8 Nursing Mother’s Book Club
What is your favorite book or resource about breastfeeding and why? Bring a copy to show and tell.
Dec 15 Ouch! Is Breastfeeding Supposed to Hurt?
In a word, NO. We’ll discuss why many women believe this, and review the mechanics to prevent this from happening to you.
Dec 22 Baby’s First Holiday Season
Take a break from the busyness of season and enjoy some down time with other mothers.
Dec 29 Your Extended Family and Your Breastfed Baby
Family relationships are important. Your extended family can interact with your baby even if they can’t feed him or her. There are a MILLION ways to encourage this so no one feels left out. Come and share what has worked for you and pick up some tips.
Monday, November 29, 2010
Our New Student - Kylee

I guess I should have listened to my mother when she told me in high school that she thought I'd be great at working in women's health. I disregarded her then, but now here I am, having decided to be a Certified Nurse-Midwife! I get to provide care to women and their families, AND I get to catch babies! How lucky am I? So I guess the old saying "mama knows best" was correct!
My path has been pretty straight-forward to my goal of being a CNM: I was hooked on women's health as soon as I took my mother/baby course in nursing school. We all have those people in our lives who make a huge impact on us, and my maternity instructor was one of them. I finished nursing school at Northern Arizona University with my mind set on what I wanted to do, began working on Labor and Delivery at a hospital in Phoenix, and there I have been the past four years. I made my way through school part time with a job and a baby, a part of the rich history of the Frontier School of Midwifery and Family Nursing. I am so excited that my time has finally come to meet all the wonderful women, babies, and families that I get to be a part of caring for as a student midwife. I see the close bonds that the midwives at Bethany have with the women they care for, and I know it is because they really and truly care. I can't wait to begin forming those bonds, and look forward each day to meeting all of the wonderful families as I learn from the Bethany midwives.
Looking forward to meeting you all!
Kylee Lowdon, SNM







