The seduction of induction at Xmas

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We are coming into silly season

The time when Xmas plans are being made and when you’re pregnant you’re most likely hoping for your baby’s sake he or she is not born on Xmas day

If your baby is due around Xmas there is often the seduction of being induced to be sure your baby doesn’t have to share hospital birthday

With that concern comes the seduction to accept an induction of labour

Ask any midwife in a private hospital and they will be dreading the week leading up to Xmas as they know the “induction book” will be bursting at the seems with inductions

Of course any one would rather keep Xmas day and the days either side quiet so that more staff can spend the day with their families .

But Xmas ( Easter etc etc ) are not valid reasons to induce a baby .

Induction of labour techniques were introduced with the good intention of ending pregnancy early when there is valid medical reason .

Valid reasons can include hypertension of pregnancy and or a baby who doesn’t seem to be growing and thriving in utero .

Induction of labour comes with risk . When the benefits of induction ( such as reducing risk of hypertension for mum or slow growth for baby ) outweighs the risks – then of course induction should happen in a timely matter – no matter what day of the week it is .

When the reason for induction is – Xmas day / Easter / weekend / Doctor going on holiday – the benefit probably doesn’t out weigh the risk .

What are the risks of induction of labour ?

More discomfort during the labour process and therefore more use of pain medications

More risk of baby becoming distressed during the “artificial” contractions leading to increase risk of instrumental birth ( forceps or c section

Increased risk of infection

Increases risk of postpartum bleeding

Increased risk of baby needing special care nursery due to distress / infection / lung immaturity

Increases risk of baby needing care for jaundice a associated with being born before due date and the use of forceps

Decreases breastfeeding rate – due to pain relieving medication and baby immaturity

Increases risk of perineal tears

Decreased satisfaction of birth experience ( due to increased levels of discomfort )

There have been studies over the past decade which have resulted in higher number of women being “offered” induction of labour – the study did not look at the impact of induction on baby’s in short and long term .

The rates of induction over the past 2 decades have increased dramatically

The percentage of stillbirth has NOT decreased ( and therefore induction of labour at 39-30 weeks can not be claimed to reduce stillbirth rates

Many women are also offered / encouraged induction due to their baby being “large” . This estimate is based on ultrasound which is not effective at predicting size and can over ( or under) predict by 10-20 percent .

Having an induction of labour to avoid Xmas day may seem very enticing BUT keep your eye on the longer term effects of unnecessary interventions .

Gaining more knowledge about your options for birth is vital for you and your baby ( physical and mental wellbeing)

My positive birth classes provide you and your partner with the knowledge , tools and confidence to advocate and take charge over your pregnancy and birth

Induction of labour tips

When is THE best time to begin Hypnobirthing ?

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When is the best time to start a hypnobirthing class?

All too often I have messages from mums at 36 weeks ask if it’s too late to do Hypnobirthing !!

While it’s never too late ( I’ve had a mum start at 38 weeks – we had to do a full day intensive to be safe) it’s ideal to begin between 20-30 weeks gestation .

By starting as early as 24 weeks – you gain a great deal of knowledge and confidence about your options throughout pregnancy.

I’ve had a few couples , who have reevaluated their choices in care provider after beginning their Hypnobirthing classes . The reason- they started to follow their gut – that the care provider was suggesting interventions around birth before there was indications !

Hypnobirthing is more than just feeling calm and in control of your options – it’s about developing an understanding that each birth is different BUT it IS what your body is meant to do . We emphasise that yes interventions are great IF we need them BUT all too often – our society is over medicalising birth . When you are armed with knowledge you have the confidence to demand individualised care and only accept interventions when they suit your individualised situation .

What’s more – your partner and you will be able to work as a team – fully confident about what you need during pregnancy and birth to have a positive experience .

To have a better idea of why I am so passionate about private childbirth education classes – watch a birth documentary called birth time – it’s gives a personal perspective of birth from many women in Australia .

If you’re ready for a positive birth- BOOK NOW

If you have any questions please call me direct 0409480493

Learning techniques for a calm birth

Top tips for choosing an OB in Adelaide

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What’s the lowdown on choosing an obstetrician for birth

Choosing an obstetrician for birth is an important decision that involves a number of considerations

Cost

•  Check the out of pocket expenses for your obstetrician , paediatrician and anaesthetist ( in case you decide to have an epidural)
• Many couples choose to see a private OB because they have private insurance BUT don’t realise there are a lot of out of pocket expenses $$$

Philosophy and Approach:

Does  the obstetrician’s approach to childbirth align with your preferences, such as a natural birth, epidural use,

Communication and shared decision-making are crucial.(Of course best laid plans can certainly change , requiring interventions )

• When you look at their website – do you get the feeling they’re more c section focused !
• Their website may give you a good indicator of their values
• Ask the receptionist for their c section and induction rates•
• WHO says c section rates should be 10-15 percent BUT in Australia our rates are around 30 percent – an OB with rates of 40-50 percent is concerning
• When you sign up with an OB you must be aware the medical view of birth is one of managing risk – which may sound comforting BUT can come with a very interventionalist view of birth

Where would you like to birth

•Ensure the obstetrician is affiliated with a birthing hospital that you are comfortable with and is conveniently located.
• You may not know if you’d like your birth in water right now – but it’s a great way to labour and reduces the need for pain relief significantly – most private hospitals in South Australia DO NOT “allow” water birth but your OB may have rights at a public hospital that does .

The OB support team

• Inquire about the obstetrician’s support team, including midwives.

  • Some OBs have midwives attached to the practise who can spend time providing you with more education about childbirth and breastfeeding

• Understand their availability for antenatal visits, emergencies, and labor.

  • Will they be available when your due date approaches ?
  • What are their backup arrangements?
  • Are you just as comfortable with their back up OB ?

Continuity of care with a known midwife is important

• Usually the midwives in an OB practise are there to check BP and have a brief chat before your

  • Continuity of care with a midwife is associated with lower rates of stillbirth, prem birth and greater satisfaction

Just because your friend loved their OB doesnt mean that is the right fit for you

• Patient Reviews and Recommendations: Read reviews from other patients and seek recommendations from friends, family, or online communities. Personal experiences can offer valuable insights.

• Communication Style: Consider their communication style and how comfortable you feel asking questions, expressing concerns, and discussing your birth plan with them.

• If you feel that you can’t discuss your preferences on an even playing field – they’re not the OB for you

Aftercare

• Postnatal Care: Discuss their approach to postnatal care, including follow-up appointments, breastfeeding support, and postpartum wellness.

Some OBs have midwives within the practise who can provide extensive lactation support for you after birth – you may want to meet with a lactation consultant (LIKE ME ) before birth to ensure you know what to expect and what you can do to minimise nipple pain after birth

By considering these factors and conducting thorough research, you can choose an obstetrician who aligns with your needs and preferences, ensuring a positive and safe childbirth experience

If you would like to discuss your options please contact kate

Who is kate bergamasco ?

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Who is Kate Bergamasco ?

Let’s throwback to student midwife Kate Bergamasco –

This was me when I began my midwifery career. Although when I was 17 and fresh out of school.I knew from the time I was 16 when I witnessed a birth on work experience that I wanted to be a midiwfe
So this photo is me living my dream 

I was 22 years old and this was me during my midwifery training at Modbury hospital.My midwifery training days were focused on learning about how birth happened.We were taught to listen to mothers, build a rapport with families and become proficient at monitoring mums and babies through pregnancy , birth and the postnatal period..

By the end of the 12 month course we were all too aware that while we had passed our exams and delivered many babies, we still needed to gain a lot more experience .There was so much more to learn and I acknowledge now, 33 years on , I will never know everything.

I was very conscious even as a 22 year old graduate that my knowledge about helping mums breastfeed was limited.

WILL  I be able to breastfeed if my mother couldn’t ?

In 1990 so many practises we adopted with breastfeeding caused so much pain for mothers.We used to bath babies within the first hour of birth, we cut the umbilical cord as soon as the baby was out, we wrapped baby and THEN handed b aby to mum for her first breastfeed.We didnt know then the value of skin on skin or the golden hour.

I can remember mums with bleeding painful nipples trying to tolerate breastfeeds.and then sitting with red lamps faced toward their nipples to dry them out with the belief it would +toughen + them up.

No wonder so many mothers stopped breastfeeding before they even left hospital..

This experience is what lead e to study to be a  lactation consultant  , I wanted to ensure i could have a positive impact on mothers feeding journey.

Fortunately over the past 30 years our knowledge and practises have improved greatly and Im always quick to reasure mums whose own mothers couldnt breastfeed (in the 1990s) that our techniques have improved .

How have things changed ?

  • Skin on skin 
  • The golden hour
  • Rooming baby in with mum 
  • Not bathing baby in the first 3 days of birth
  • Giving mums and partners antenatal education on breastfeeding