my daughter jami and her son- with their small dog- are looking for a
lease in the ne burbs of atlanta - gwinnett area. if you have or know
of someone who has a place they are trying to sell and want to have a
good tenant til the housing market changes or has a duplex- let us
know. she needs two bedrooms- and around $650 if possible- willing to
sign an 18 month lease.

Keep in mind most of these rates will only be increased for this year
considering that the rates have been climbing more each year. Why is
there such disparity between the lowest facility- North Fulton at
22.8% and Piedmont with the highest percent 39.6? Some will say they
do more high risk pregnancies...but many will disagree and say it is
the mindset of the staff and providers.

I think it is interesting that someone on tour at one of these
hospitals said that the tour guide said they did not know the
percentage - it was not something that they kept. This is ridiculous
as it is a statistic that they have to keep and publish! It is public
information!

Thanks Jennifer for sharing this link!

Local area hospital cesarean section rates as of 2007 (from
http://www.gahospitalpricecheck.org/ )



Dekalb Medical-N. Decatur     36.3%
Dekalb Medical-Hillandale     30.0%
Emory Crawford Long           32.8%
Gwinnett Medical Center       30.8%
Henry Medical Center          32.9%
North Fulton Regional         22.8%
Northside Hospital            38.3%
Northside-Cherokee            27.2%
Piedmont Hospital             39.6%
Rockdale Medical Center       31.1%
Wellstar Cobb Hospital        35.3%
Wellstar Kennestone Hospital  32.1%

please check out the link to this article.

http://www.thebosto nchannel. com/health/ 17557347/ detail.html

Potential Problems With Gardasil Reported
Is Cervical Cancer Vaccine Safe?

Medical Volunteer Opportunities in Camp
We need doctors, physician assistants, nurse practitioners, registered
or licensed vocational/practical nurses and emergency medical
technicians (basic and paramedic) to provide care on the event. All
medical volunteers are required to provide proof of current
certification in the state of Arizona and have a current CPR (BLS) card.

Friday, October 24th , 12:00pm - 9:00pm
Click Here to Volunteer

Saturday, October 25th , 12:00pm - 9:00pm
Click Here to Volunteer

Sports Medicine Volunteer Opportunities in Camp
We are in need of certified athletic trainers, physical therapists and
chiropractors. All sports medicine volunteers are required to provide
proof of current certification in the state of Georgia. The same
safety precautions that apply to the Medical Volunteers apply to this
team.

Friday, October 24th, 12:00 pm - 9:00 pm
Click Here to Volunteer

Saturday, October 25th, 12:00 pm - 9:00 pm
Click Here to Volunteer

Medical Volunteer Opportunities at the Holding Area
Care provided at the holding area is mainly self-help with minimal
intervention from these volunteers. If there are patients who are sick
enough to require actual hands on care, a treatment form must be
started and filed. Nurses/EMT's on this team must bring a copy of
their license with them. We must be able to verify a current license.
Close-toed shoes must be worn - no sandals, Tevas, Birkenstocks, etc.,
as this is a health and safety issue. Medical Volunteers will be
staying to do any patient care that may be needed in the Holding
Medical tent once participants go to the Closing Ceremony, thus they
may not be able to go to the Closing Ceremony.

Sunday, October 26th , 1:00 pm - 6:00 pm
Click Here to Volunteer

To register for any of these volunteer opportunities, follow each
specific link above or http://www.the3day.org/. Go to the Atlanta
Volunteer Opportunities page and enter the % sign in the opportunity
name field to see a list of all available opportunities, or enter your
zip code to search for opportunities in your area.

Community Involvement
The Atlanta Breast Cancer 3-Day is still recruiting for the following
on event community involvement (volunteer) opportunities. If you or
someone you know is interested in any of these of these opportunities,
please contact me.

     * Camp Angels (Girl and/or Boy Scout Troops age 10+): Assist
participants with setting up & striking sleeping tents
     * Entertainers/Performers: Step/Dance Teams, Drum Corps, Pianists,
Harps, Violinist, Marching Bands, Cheerleading Team, Mariachi Bands,
Accordion Players, Children's Choirs, Clown Troupes/Circus Performers,
Jugglers, Balloon Animal Artists, Magicians, etc
     * ASL Interpreter: For Opening & Closing Ceremonies
     * Private cheering stations: Get your workplace, family, or club
involved in cheering the walkers along the route. We'll find you the
perfect place along our route to bring your group to encourage our
walkers.

Please direct any interested persons to me, Libby Riordan, Crew &
Volunteer Coordinator, at lriordan@... or 800-996-3329, ext. 975.

On behalf of Susan G. Komen for the Cure and National Philanthropic
Trust, I want to once again thank you for devoting your time and
energy to finding a cure for breast cancer. You may feel like you are
only doing a small part, however, you are all part of a massive team
of volunteers helping to make the Breast Cancer 3-Day the unique and
effective event that it is! Your commitment is very much appreciated.

Libby Riordan
Crew & Volunteer Coordinator
Atlanta Breast Cancer 3-Day

800.996.3329, ext. 975
lriordan@...



For more information about the Breast Cancer 3-Day, Susan G. Komen for
the Cure or the National Philanthropic Trust Breast Cancer Fund, visit
http://www.the3day.org/ or call 800.996.3DAY.

jill overcash - my favorite pediatrician- just sent this to me ...

FDA Issues Health Information Advisory on
Infant Formula from China

The Food and Drug Administration (FDA) has issued a Health Information
Advisory urging U.S. consumers to avoid all infant formula from China,
after several brands sold in that country may have been contaminated
with a substance known as melamine, a chemical used in plastics.
Although sales of infant formula from China are illegal in the U.S.,
FDA officials are concerned that some formula from China may be on
sale at ethnic grocery stores here. The FDA stresses there is no risk
of contamination to the U.S. domestic supply of infant formula.

Melamine in known to cause kidney stones and other serious kidney
conditions. The FDA is encouraging physicians to report diagnoses of
kidney stones in infants of Chinese ethnicity to FDA MedWatch
(1-800-FDA-1088), Centers for Disease Control and Prevention
(1-770-488-7100), or local/state health departments.

For more information, please go to the FDA Web site.

Host:    Teresa Howard
Location:   River Club www.riverclub.net
1221 Riverside Rd, Roswell, GA 30076 US

When:   Sunday, October 5, 4:00PM
Phone:   770-241-2078
We want to thank everyone who has worked to help our company serve the
new families in their journey of parenthood. We are providing the
beautiful river club setting to have our Chili Dinner again this year.
There is a limited playscape area but feel free to bring some ride on
toys for your toddlers. We will provide the chili and paper products
and ask our friends and guests to bring the other items.

We have a blast with past, current and future clients and their
families- it is a great fun- mark your calendars now!

This is a new location

We need you to RSVP by emailing Teresa at teresa@... or
reply to this evite so we know what we need. We make different kinds
of chili for you all to enjoy. We ask you to bring the fixins based on
when your baby was born.

*January- March bring a two liter drink, tea or lemonade and a bag of
ice for the coolers

*April - June bring a dessert to share that is easy to eat!

*July- September bring something to go with the chili- like sour
cream, shredded cheese, crackers, onions, etc.

*October - December bring side items like small sandwiches for kids or
salads.

We will bring the coolers for the ice, cups, bowls and plates,
napkins, utensils and all the chili you can eat!

There will be prizes for the moms who had the longest labor, the
biggest baby and the newest arrival. There will also be a gift for our
"oldest" baby in attendance!

Please when you RSVP tell us what you will be bringing. We want to
make sure we have plenty of everything to share.

Feel free to invite those who you see missing from the invitation list
or if you know of someone we have missed- emails change and sometimes
we miss the updates. Also if you get this evite more than once
initially, please email Teresa @ teresa@... o she can
remove your name for duplication - sorry . "If you have a friend who
wants to come and meet us, feel free to add them to the guest list.

We will start the festivities at 4pm pm and wrap it up at 6:30 pm.

WE ARE GETTING RSVPS FROM EVITE- SO PLEASE IF YOU WANT TO JOIN US
EMAIL TERESA AT TERESA@... TO BE ADDED TO THE EVITE LIST
SO WE CAN GET AN ACCURATE COUNT ON WHO IS ATTENDING. THANKS!

The Georgia Breastfeeding Coalition is requesting your support,
  The Atlanta Hartsfield –Jackson Airport is looking to develop a
Lactation Room for their customers.  Douglas Strachan
doug.strachan@..., Creative Innovated Manager at the
Airport would like to get your support with emails stating why you
think it is needed.  Please email your support of a mothers'
breastfeeding/ pumping room at the ATL Airport to Doug Strachan. He is
the contact person in marketing involved in this project. Less is more,
so be brief!

Please share this request with mothers and your international contacts
as well.  We would like to get as many in by next week, so that he can
show this space is important and needed.

http://womens- health.jwatch. org/cgi/content/ full/2008/
710/1?q=etoc_ jwwomenbe

No Need to Sweep
Whether or not women underwent membrane sweeping, overall rates of
induction, postmaturity, and prelabor membrane rupture were similar.

Membrane sweeping to move the membranes off the lower pole of the uterus,
routine in obstetric care, is performed to decrease the likelihood of
labor
induction or postmature delivery (JW Apr 11 2006). However, concerns about
premature rupture of membranes and infection have led to debate about the
merits of this practice. Investigators randomized 300 women to undergo
membrane sweeping at 38 weeks' gestation (with subsequent weekly sweeping)
or no membrane sweeping. Participants had singleton pregnancies with
cephalic presentation and anticipated vaginal delivery; women were
excluded
if they had indications for labor induction or cesarean delivery or had
contraindications for membrane sweeping. Participants and researchers were
blinded to group allocation with the understanding that this would not
constitute full blinding, as patients probably would become aware of their
assigned interventions.

Intention-to- treat analysis showed no significant between-group
difference
in occurrence of prelabor rupture of membranes (7% of women without
sweeping
vs. 12% of women with sweeping; P=0.19). Among women with cervical
dilation
1 cm, however, 9% in the sweep group had prelabor membrane rupture
versus no
patients in the no-sweep group (P<0.05). Other obstetric outcomes,
including
cesarean delivery, spontaneous labor, induction, or postmaturity, occurred
at similar rates in the two groups.

Comment: These data indicate neither great value nor great risk from
membrane sweeping starting at 38 weeks. However, subgroup analysis showed
that women with cervical dilation 1 cm during late pregnancy could be at
risk for prelabor membrane rupture in association with sweeping,
suggesting
that such women might be more sensitive to the procedure. This study
excluded women with multiple gestations or those with various obstetric
indications. Despite these limitations, the data suggest that there is no
need to sweep.

- Sandra Ann Carson, MD
Published in Journal Watch Women's Health July 10, 2008

a must read:

http://www.autismtoday.com/articles/ATTN_Researchers.htm

Thank you for posting this! After reading many great reviews about
Margaret, I decided to make an appt. with her right around the time
she left North Pointe. You helped me track her down :) I loved
everyone at ISIS and Margaret is awesome!

--- In alaboroflove_webgroup@yahoogroups.com, "Teresa Howard"
<georgiadoula@...> wrote:
>
> It is official, due to some conflicts with her previous
> group-(www.awsobgyn.com) after only a two week stint before she
> figured out the fit just was not right- she has moved to Isis ObGyn
> (www.isisobgyn.com). She will be seeing patients there today. The
> office is not very far from the hospital.
>
> I have been working with Kay Johnson who is a midwife there for more
> than a decade. She is an excellent midwife who has a passion for true
> midwifery. I believe they will also be sharing call with Sherry Nored
> the AWS midwife. Yesterday I met Dr. Fredericks and he is delightful.
>
> I think this may prove to be a long and happy home for Margaret.
>

http://www.earthmamaangelbaby.com/photo_shoot.html

     Interested in Modeling for Earth Mama Angel Baby®?

     Want to show off that giant pregnant belly? Or, does your angel
baby make the best nursing smiles? Mama is looking for a few very
special earth mamas and angel babies, to pose for a photo shoot with
photographers in Atlanta , Portland , Oregon and Los Angeles . If you
live in these cities, and you are currently pregnant or breastfeeding,
and you are interested in having some amazing photos taken of your
angel baby, email us at photoshoot@....  We need
the following information:

     Your name and contact information. How is best to reach you?

     What city do you live in?

     Are you pregnant?  If so, how many weeks are you currently?

     Are you nursing?  If so, how old is your baby?

     Anything else we should know? For example, are you tandem nursing?
Pregnant with multiples?

     Also, send us a picture of you and your baby/baby tummy. Mama is
looking for lots of diverse mamas, and we have an extensive shot list,
so don't be shy!

     **The fine print:  Earth Mama Angel Baby will pay the sitting fee
for the photographer and you will be able to purchase copies of the
photos for your own personal use. You will be asked to sign a model
release at the time of shooting that allows Earth Mama Angel Baby to
use the photos for any and all purposes. There is no additional
compensation, either for the photo shoot or for the later publication
of your photos, if they are suitable. If you have any questions,
please feel free to ask!

It is official, due to some conflicts with her previous
group-(www.awsobgyn.com) after only a two week stint before she
figured out the fit just was not right- she has moved to Isis ObGyn
(www.isisobgyn.com). She will be seeing patients there today. The
office is not very far from the hospital.

I have been working with Kay Johnson who is a midwife there for more
than a decade. She is an excellent midwife who has a passion for true
midwifery. I believe they will also be sharing call with Sherry Nored
the AWS midwife. Yesterday I met Dr. Fredericks and he is delightful.

I think this may prove to be a long and happy home for Margaret.

I have a 12-month-old who hasn’t had her MMR yet; we might be interested in this!  Will have to do a bit of research first, as I’ve only been working on delaying the vaccines; I hadn’t thought about splitting them up.

--Tamara

Hello,

We would like to split the measles, mumps and rubella shot into the
three separate diseases and finally found someone who will do it.  Ira
Katz, the pharmacist at Little Five Points Pharmacy, will administer
the shots separately on the condition that I bring him 10 patients who
will commit to paying for it.  This will be an option for you if your
child is at least 12 months (or will be in the next couple of months)
and he/she has not had the MMR shot.

First, some important info..  The measles have broken out in 8 states
recently, so this is the vaccine that needs to come first.  My
pediatrician (Dr. Carol Price of Clairmont Pediatrics) let me know
that the other two - mumps and rubella - can wait a long time.  Merck
has the measles and rubella vaccines on backorder until mid-July - not
a long wait at all.  The mumps will not be available until 2009, but
since administration of this vaccine is not urgent, that's no problem.

Ira Katz says he needs a prescription from your child's pediatrician
for the vaccine.  He needs 10 patients to commit because the vaccines
come in 10-packs.  The cost to you will be about $35 per shot.   I
have a an Rx from my child's doctor already.  I'm not sure the best
way to organize this, but let's start with this:  If you are
interested, please give me your name, phone number, and age of your
child that will be receiving the shot.  Then call your child's doc,
ask for an Rx for measles, and pick it up from his/her office.   I
will let you know when we are close to having 10 committed.  Please
respond ASAP.

Thank you!
Kelly Hendry


PS - If you are wondering why someone would want these shots split up,
please refer to The Vaccine Book, by Dr. Robert Sears.  A few people
told me that 909shot.com is another great resource, though I haven't
thoroughly investigated that site myself.  I'm not going to try to
convince you either way.  You're free to do the research and make the
best decision for your family.

Garry Siegel just called - he only had a minute- but he wanted to
clarify it was the practice's decision to give Margaret the week off.
Not his but the groups. Just wanted to clarify my earlier statement.
Seems he was upset that I indicated it was just his decision. He has a
copy of my "public" statement regarding her move.

Just for the record- they wanted Margaret to move to North Forsyth
with them- but her unwillingness to make that additional drive, her
desire to continue to do waterbirths and her relationship with the
staff at North Fulton caused her to want to stay.

I told him that women want options- the option of having true
midwifery practiced, a hospital staff that welcomes natural, non
interventive births as well as water births are something my clients
desire.

I have no problems with Northpointe doctors- I have been attending
births with them for over 12 years... I do have a problem with
midwives in the practice that tell my clients they don't need a doula
since they will be with them the whole time they are in labor, that
they can not get in the tub until they are 7 cm although no research
shows this to be a factor in labor, and that if their doula oversteps
their bounds she will be escorted out of the hospital. They are not
team players and therefore I don't refer to them when they stab me in
the back.

But Garry and Sean have been great doctors for my clients in the past-
yes there are issues with control we all don't like- but as far as
surgeons they are great- and I have seen Dr Lambert to be very hands
off with clients who desired that. So, although I post rarely- I
wanted to set the record straight that it was a group decision to have
Margaret not be in the office this week.

It is official! Margaret will be joining Dr. Tressa Scineaux with
Alpharetta Womens Specialists located at 1360 Upper Hembree Rd,
Roswell, GA 30076 (770) 817-1970 as of next week. Their website is
http://www.awsobgyn.com/

Garry Siegel decided that since she is making the move, he does not
want her in the office this week. So she has the week off and then
will join the new practice. Sherry Nored is the other midwife in the
practice. And Kaye Johnson with Isis will share the call for her
private patients. Dr. Scineaux and Dr. Fredericks share the patients
at Clinica de Mama and Kaye is with Dr. Fredericks.  Margaret is at
Scineaux's practice seeing her private patients two days a week. And
she will be on call for two weeks straight when she begins. They want
Sherry to have a chance to meet her patients as well. Kaye will also
be sharing call for her private patients with Margaret and Sherry. So,
you will not get to meet Kaye ahead of time if you are Margaret's
patient but I will say Kaye practices true midwifery- so she is
incredible. Some of the most wonderful births I have ever attended
have been with Kaye. So you are in great hands either way. Margaret
says everyone will love Sherry as well.

So, if you have been a part of Northpointe's practice and you want to
be with Margaret... you need to know she is not there any longer- you
need to call and let them know you will come by to get your records
and you can call the new practice to schedule your next appointment
with Margaret or Sherry. Let the office know you are Margaret's
patient. Whoo!

And furthermore for you VBACs- Margaret said Dr. Scineaux is very
hands off with VBACs and is really cool to work with letting Margaret
do her thing... so no one breathing down her neck. Remember though the
water option is not a doctor rule it is a hospital rule- so not sure
how that will change but I feel confident it won't until Northpointe
docs are no longer at North Fulton practicing- which is not until
September 1st.

Any concerns or questions can be directed to Margaret.... thanks!

Teresa Howard
Labor of Love Doula & Childbirth Services, Inc.

I have been selling fuzzibunz diapers for years but recently some
manufacturing changes have caused me to feel the need to discontinue
these diapers from my inventory of stock. The diapers are still great
but the restrictions on how we have to purchase them and the delays in
shipping have caused me a lot of frustrations- so I have decided to no
longer carry them. I will be carrying a line of Happy Heinys.
Currently I have the one size diapers only but will be carrying the
sized ones once my inventory of fuzzibunz is sold out. So check out
the site www.laborofloveshack.com for a great sale on Fuzzibunz!

HEADLINE: Old gray haired, red faced broad with small dog found on
side of track passed out!

Yet I bet some of you might think this was true of me today- my first
official day of training! But although I chose the heat of the day 2pm
to walk on a day that was in the 70's and took my dachshund with me…I
officially clocked three miles today in one hour! My goal was 5 miles
today but I feel I was being overly zealous. That headline would have
been true if I had tried that!

Now some of you may scoff at that, only three miles! … but this old
broad has been fairly sedentary over the last few years and had breast
cancer surgery only four and a half months ago! So, cut me some slack!
I went to my surgeon's office yesterday and he said I could have the
summer off from seeing him. But, unfortunately when I went to St Louis
to my son's wedding, I tugged around my heavy suitcase too much and
seemed to have torn the subcutaneous fascia in my abdomen
(Subcutaneous fascia is a continuous layer of connective tissue over
the entire body between the skin and specialized structures such as
the muscles. It comprises an outer normally fatty layer and inner thin
elastic layer. Between the two layers lie blood vessels, nerves and
the lymphatic system.). So a bulge on the left side of my open area of
the incision seems to be with me till I have it fixed surgically. So,
it means when I have the scar revision surgery in November (I
postponed it till after the 3 day walk), I will also have to have some
internal abdominal surgery as well. But, guess what- I don't have cancer!

Ever time I want to complain about something, I remind myself of that!
So, although at the speed I walked today it would take me with the
breaks probably 8 hours of walking each day of the three day, I still
feel pumped and ready to keep working hard to be ready for the October
walk and ready to ask for money in the fight for a cure for breast cancer.

Many of you already gave me a donation and for that I am immensely
grateful! I have more than reached my goal. For those who have been
thinking about it, I ask that you take a moment and consider just the
women and families you personally know who have been affected by
breast cancer. If you just donated $1 for every woman, every husband
affected, every child affected by their mom's disease, every
grandchild affected… you get my point. We need to find a cure!

So the reason for this update- is I have a team who still needs help
although I have more than reached my goal. Some of them are poor
college students- who although can walk circles around me- may not
have the friends with expendable income that I have! And some are just
beginning to raise their money. My goal was to get four corporate
sponsors and to have my money raised by April 1st. I reached my goal.
I thank those of you who gave in order for me to do so. Those of you
who want to join in the fun- please visit our team page at
http://08.the3day.org/goto/lolwomen and pick someone to give to!

If you gave just a $1 per mile you could make your donation in divided
payments over three months. That is $20 a month- what you spend on
dinner out at a fairly inexpensive restaurant, over three months it is
$60! And you could count yourself as a person who made a difference!
But if you want to raise $2200 and join our team- please consider
that! If you want to give a larger donation and become one of our
corporate sponsors- name on the t-shirt each day that we walk and all-
send a donation of $250 or more and you can be "worn" for the media
and the tens of thousands of other walkers to notice!

This is probably the last update I will send until after the three day
walk. I know you will all want to know how I did! So, thanks for your
giving hearts- your generosity for my cause has been wonderful. Take
care and let's find a cure!

Teresa- surviving one day at a time!

cnn is covering it -
http://www.cnn.com/2008/HEALTH/03/05/autism.vaccines.ap/index.html#cnnSTCVideo

well... when are the nurses gonna read these studies?

This simply backs up the research done since the mid '70's. However it
seems that in the last 30 years, L&D personnel missed reading about
it. I have started keeping a small file of Chrochraine quality
abstracts in my doula bag.....just in case.
JB
Effects of Pushing Techniques in Birth on Mother and Fetus: A
Randomized Study
a.. Gulay Yildirim, PhD11Gulay Yildirim is a Research Assistant and
Nezihe Kizilkaya Beji is a Professor in the Florence Nightingale
School of Nursing, Department of Obstetric and Gynecologic Nursing,
Istanbul University, Istanbul, Turkey.Gulay Yildirim, PhD, Florence
Nightingale School of Nursing, Department of Obstetric and Gynecologic
Nursing, Istanbul University, Sisli 34381, Istanbul,
Turkey.<javascript: popRef('a1% 20c1')>, and
b.. Nezihe Kizilkaya Beji, MD11Gulay Yildirim is a Research Assistant
and Nezihe Kizilkaya Beji is a Professor in the Florence Nightingale
School of Nursing, Department of Obstetric and Gynecologic Nursing,
Istanbul University, Istanbul, Turkey.<javascript: popRef('a1' )>
a.. 1Gulay Yildirim is a Research Assistant and Nezihe Kizilkaya Beji
is a Professor in the Florence Nightingale School of Nursing,
Department of Obstetric and Gynecologic Nursing, Istanbul University,
Istanbul, Turkey.
This work was supported by the Research Fund of Istanbul University,
Istanbul, Turkey (Project No.: T-383/08032004) .

Gulay Yildirim, PhD, Florence Nightingale School of Nursing,
Department of Obstetric and Gynecologic Nursing, Istanbul University,
Sisli 34381, Istanbul, Turkey.
Abstract
Background: The Valsalva pushing technique is used routinely in the
second stage of labor in many countries, and it is accepted as
standard obstetric management in Turkey. The purpose of this study was
to determine the effects of pushing techniques on mother and fetus in
birth in this setting.

Methods: This randomized study was conducted between July 2003 and
June 2004 in Bakirkoy Maternity and Children's Teaching Hospital in
Istanbul, Turkey. One hundred low-risk primiparas between 38 and 42
weeks' gestation, who expected a spontaneous vaginal delivery, were
randomized to either a spontaneous pushing group or a Valsalva-type
pushing group. Spontaneous pushing women were informed during the
first stage of labor about spontaneous pushing technique (open glottis
pushing while breathing out) and were supported in pushing
spontaneously in the second stage of labor. Similarly, Valsalva
pushing women were informed during the first stage of labor about the
Valsalva pushing technique (closed glottis pushing while holding their
breath) and were supported in using Valsalva pushing in the second
stage of labor. Perineal tears, postpartum hemorrhage, and hemoglobin
levels were evaluated in mothers; and umbilical artery pH, Po2 (mmHg),
and Pco2 (mmHg) levels and Apgar scores at 1 and 5 minutes were
evaluated in newborns in both groups.

Results: No significant differences were found between the two groups
in their demographics, incidence of nonreassuring fetal surveillance
patterns, or use of oxytocin. The second stage of labor and duration
of the expulsion phase were significantly longer with Valsalva-type
pushing. Differences in the incidence of episiotomy, perineal tears,
or postpartum hemorrhage were not significant between the groups. The
baby fared better with spontaneous pushing, with higher 1- and
5-minute Apgar scores, and higher umbilical cord pH and Po2 levels.
After the birth, women expressed greater satisfaction with spontaneous
pushing.

Conclusions: Educating women about the spontaneous pushing technique
in the first stage of labor and providing support for spontaneous
pushing in the second stage result in a shorter second stage without
interventions and in improved newborn outcomes. Women also stated that
they pushed more effectively with the spontaneous pushing technique.
(BIRTH 35:1 March 2008)

Have you ever wondered what your baby/toddler really wants before they
learn to talk? Here is an opportunity to start communication before
speech. Babies Can Sign is a 2 hour introductory class taught by
Persis who is a certified sign language interpreter. She will discuss
the benefits of exposing your child to a visual language and introduce
30 of the most popular signs. You will leave the class with signs that
you can use immediately. The cost is 25 dollars per person and 35 per
couple. Feel free to bring your baby!

Please remember to come in through the back door entrance. You can
access the back of the store via Lakes Parkway. There will be a sign
on the back door. Please contact Teresa at info@... to
register. Contact persis@... for questions.

Note for Persis:
THIS SATURDAY MARCH 8TH 1PM- 3PM

Hello everyone! There is plenty of room left in the class. I have
added several more classes after the great response in January. I hope
to see those of you who had a conflict. Contact me at
persis@... if you have any questions.

please visit our site to read about our efforts in making a difference
in the fight against breast cancer. several of us are walking and the
others are covering for us while we walk! :)

here is the link to find out more:

http://08.the3day.org/goto/lolwomen

here is my personal page
http://08.the3day.org/goto/teresahoward

thanks!

Don't think that we only do pregnancy preparation classes- we have
some classes for you once you and your baby is not so small anymore!
Here are some of the upcoming classes you may find interesting!

We have a There's a BIG Baby in the House- a toddler preparation class
taught by Pam and Tracey

There's a BIG baby in the house! Understanding your Toddler Class (Pam
& Tracey)

2100 Riverside Parkway, Lawrenceville, GA 30043

         May 17th  10 am

         August 9th 1:30 pm

                November 22nd 1:30 pm

We have a Sign with Your Baby class taught by Persis- who has been a
sign language interpreter for many years.

Sign with Your Baby Introduction (Persis)

2100 Riverside Parkway, Lawrenceville, GA 30043

         May 17th -1 pm

         July 20  -2:30 pm

         Sept 13  -1pm

         Oct  19  -2:30pm

         Dec 6 - 1pm

We have an Infant- Child CPR safety class taught by Natalie with the
American Heart Association.

Infant Child CPR (Natalie- American Heart Assoc)

2100 Riverside Parkway, Lawrenceville, GA 30043

         April 12th 1:30 pm – 3:30 pm

         May 10th 1:30 pm – 3:30 pm

We have a infant massage class that is good for babies and toddlers.

Infant Massage Introduction (Teresa) 2100 Riverside Parkway,
Lawrenceville, GA 30043

         March 5th 10 am – 12 pm

         May 24th 1:30 pm – 3:30 pm

         August 2nd 1:30 pm -3:30 pm

         November 15th 1:30 pm -3:30 pm

We have a childbirth refresher for anyone who is pregnant again! Come
visit our

Birthing Again Refresher (Teresa)

2100 Riverside Parkway, Lawrenceville, GA 30043

         Women's Night Only March 21st 7 pm – 9:30 pm, Couple's Class
One March 22nd 1:30 pm-4 pm, Couple's Class Two March 29th 1:30 pm–4 pm

         Women's Night Only June 13th7 pm – 9:30 pm, Couple's Class One
June14th 1:30 pm-4 pm, Couple's Class Two June 21st 1:30 pm–4 pm

         Women's Night Only September 19th7 pm – 9:30 pm, Couple's
Class One September 20th1:30 pm- 4 pm. Couple's Class Two September
27th  1:30 pm – 4 pm

         Women's Night Only November 7th  7 pm – 9:30 pm, Couple's
Class One November 8th 10 am- 12:30 pm. Couple's Class Two November
15th  10 am – 12:30 pm



Come visit our team site for the 3 day walk for Breast Cancer-
http://08.the3day.org/goto/lolwomen

Introduction to Sign Language with your Baby


Have you ever wondered what your baby/toddler really wants before they
learn to talk? Here is an opportunity to start communication before
speech. This 2 hour introductory class is taught by Persis who is a
certified sign language interpreter. She will discuss the benefits of
exposing your child to a visual language and introduce 30 of the most
popular signs. You will leave the class with signs that you can use
immediately. The cost is 15 dollars per person and 25 dollars -per
couple. The class will be held on January 19th 2008 from 2pm to 4pm at
Labor of Love-2100 Riverside Pkwy, Mail and Business Lawrenceville, GA
30043.  Feel free to bring your baby!

Please remember to come in through the back door entrance. You can
access the back of the store via Lakes Parkway. There will be a sign
on the back door. Please contact Teresa at info@... to
register. Contact persis@... for questions.

If you have not had an opportunity to see this film by
Rikki Lake, here is a great opportunity!

There's going to be a free showing of The Business of
Being Born on December 16 at 3pm at All Souls Fellowship
in Decatur... 467 E. College Ave, Decatur 30030. There
will be panel discussion after and we are working on
getting the youth group to provide child care by donation.

You are so darn smart!!

Nat


--- Oana Hogrefe <oana.hogrefe@...> wrote:

> Teresa, I am glad you followed your instincts, and I
> wish you a smooth recovery!
>
> hugs,
> Oana
>
> On 11/29/07, lizdavies01@...
> <lizdavies01@...> wrote:
> > Oh wow, didn't know this was happening.
> Congratulations pn trusting your own body. Wishing
> you a joyous recovery!
> >
> > Love,
> > The Davies'
> > Rob, Liz, Carter and Finn
> > Sent via BlackBerry from T-Mobile
> >
> > -----Original Message-----
> > From: "Teresa Howard" <georgiadoula@...>
> >
> > Date: Thu, 29 Nov 2007 23:54:29
> > To:alaboroflove_webgroup@yahoogroups.com
> > Subject: [alaboroflove_webgroup] my surgery update
> >
> >
> > Thanks for all of the prayers and thoughts
> regarding my surgery. On
> >  November 15th I went in to Northside expecting to
> have a prophylactic
> >  mastectomy with DIEP reconstruction due to my
> BRCA +1 status- meaning
> >  I carry the ovarian and breast cancer gene that
> causes my chance of
> >  cancer in those areas to be 87%. Since I had a
> hysterectomy 18 years
> >  ago- the risk was only for breast cancer.
> >
> >  The surgery was an eight hour procedure. I did
> great through the
> >  surgery. But due to some scarring from 18 years
> ago, I was only able
> >  to have the DIEP procedure done on the left
> breast and for the right
> >  breast a bit of abdominal muscle was used to help
> the vascular
> >  integrity of the right breast.
> >
> >  I escaped the hospital on Sunday and traveled to
> Julie's in Athens for
> >  my recovery. I was able to get out two drains
> before discharge. And
> >  returned on Tuesday to Atlanta to get the
> remaining four drains out.
> >  They were disgusting!
> >
> >  If I ever doubted that my surgery was a mistake-
> which in the midst of
> >  pain I frequently did- the pathology report on
> Tuesday sealed any
> >  regret. Although the lump I had that proved to be
> benign was in my
> >  left breast. My right breast proved to have
> cancer cells. The best
> >  possible cancer you can have in your breast is
> ductal carcinoma in
> >  situ- DICS. So it was stage 0- non invasive,
> slowest growing and non
> >  life threatening. I meet with an oncologist in a
> few weeks after he
> >  has looked at the pathology report- but the
> thought from my surgeon is
> >  that no further treatment will be neccessary.
> >
> >  I stayed at Julie's til the next Sunday and
> returned to my home in
> >  Lawrenceville. Pam Hannah, my best friend lined
> up visitors with lunch
> >  for a few weeks. I have been recuperating and
> managing to keep up with
> >  the company emails and getting my TIVO fix on the
> shows while I was away!
> >
> >  My recovery is four to six weeks. My new "girls"
> look great but I am
> >  sore and tired a lot during this healing time.
> This proves to me that
> >  you need to listen to your intuitive voice- and
> move forward in a
> >  proactive way. I have no regrets on my decision
> in any way. I look
> >  forward to healing and being sure of my freedom
> from breast cancer!
> >
> >  Thanks again for your prayers and thoughts!
> >
> >  Teresa
> >
> >
> >
> >
> > Yahoo! Groups Links
> >
> >
> >
> >
>



      
________________________________________________________________________________\
____
Never miss a thing.  Make Yahoo your home page.
http://www.yahoo.com/r/hs

Teresa, I am glad you followed your instincts, and I wish you a smooth recovery!

hugs,
Oana

On 11/29/07, lizdavies01@... <lizdavies01@...> wrote:
> Oh wow, didn't know this was happening. Congratulations pn trusting your own
body. Wishing you a joyous recovery!
>
> Love,
> The Davies'
> Rob, Liz, Carter and Finn
> Sent via BlackBerry from T-Mobile
>
> -----Original Message-----
> From: "Teresa Howard" <georgiadoula@...>
>
> Date: Thu, 29 Nov 2007 23:54:29
> To:alaboroflove_webgroup@yahoogroups.com
> Subject: [alaboroflove_webgroup] my surgery update
>
>
> Thanks for all of the prayers and thoughts regarding my surgery. On
>  November 15th I went in to Northside expecting to have a prophylactic
>  mastectomy with DIEP reconstruction due to my BRCA +1 status- meaning
>  I carry the ovarian and breast cancer gene that causes my chance of
>  cancer in those areas to be 87%. Since I had a hysterectomy 18 years
>  ago- the risk was only for breast cancer.
>
>  The surgery was an eight hour procedure. I did great through the
>  surgery. But due to some scarring from 18 years ago, I was only able
>  to have the DIEP procedure done on the left breast and for the right
>  breast a bit of abdominal muscle was used to help the vascular
>  integrity of the right breast.
>
>  I escaped the hospital on Sunday and traveled to Julie's in Athens for
>  my recovery. I was able to get out two drains before discharge. And
>  returned on Tuesday to Atlanta to get the remaining four drains out.
>  They were disgusting!
>
>  If I ever doubted that my surgery was a mistake- which in the midst of
>  pain I frequently did- the pathology report on Tuesday sealed any
>  regret. Although the lump I had that proved to be benign was in my
>  left breast. My right breast proved to have cancer cells. The best
>  possible cancer you can have in your breast is ductal carcinoma in
>  situ- DICS. So it was stage 0- non invasive, slowest growing and non
>  life threatening. I meet with an oncologist in a few weeks after he
>  has looked at the pathology report- but the thought from my surgeon is
>  that no further treatment will be neccessary.
>
>  I stayed at Julie's til the next Sunday and returned to my home in
>  Lawrenceville. Pam Hannah, my best friend lined up visitors with lunch
>  for a few weeks. I have been recuperating and managing to keep up with
>  the company emails and getting my TIVO fix on the shows while I was away!
>
>  My recovery is four to six weeks. My new "girls" look great but I am
>  sore and tired a lot during this healing time. This proves to me that
>  you need to listen to your intuitive voice- and move forward in a
>  proactive way. I have no regrets on my decision in any way. I look
>  forward to healing and being sure of my freedom from breast cancer!
>
>  Thanks again for your prayers and thoughts!
>
>  Teresa
>
>
>
>
> Yahoo! Groups Links
>
>
>
>

Oh wow, didn't know this was happening. Congratulations pn trusting your own
body. Wishing you a joyous recovery!

Love,
The Davies'
Rob, Liz, Carter and Finn
Sent via BlackBerry from T-Mobile

-----Original Message-----
From: "Teresa Howard" <georgiadoula@...>

Date: Thu, 29 Nov 2007 23:54:29
To:alaboroflove_webgroup@yahoogroups.com
Subject: [alaboroflove_webgroup] my surgery update


Thanks for all of the prayers and thoughts regarding my surgery. On
  November 15th I went in to Northside expecting to have a prophylactic
  mastectomy with DIEP reconstruction due to my BRCA +1 status- meaning
  I carry the ovarian and breast cancer gene that causes my chance of
  cancer in those areas to be 87%. Since I had a hysterectomy 18 years
  ago- the risk was only for breast cancer.

  The surgery was an eight hour procedure. I did great through the
  surgery. But due to some scarring from 18 years ago, I was only able
  to have the DIEP procedure done on the left breast and for the right
  breast a bit of abdominal muscle was used to help the vascular
  integrity of the right breast.

  I escaped the hospital on Sunday and traveled to Julie's in Athens for
  my recovery. I was able to get out two drains before discharge. And
  returned on Tuesday to Atlanta to get the remaining four drains out.
  They were disgusting!

  If I ever doubted that my surgery was a mistake- which in the midst of
  pain I frequently did- the pathology report on Tuesday sealed any
  regret. Although the lump I had that proved to be benign was in my
  left breast. My right breast proved to have cancer cells. The best
  possible cancer you can have in your breast is ductal carcinoma in
  situ- DICS. So it was stage 0- non invasive, slowest growing and non
  life threatening. I meet with an oncologist in a few weeks after he
  has looked at the pathology report- but the thought from my surgeon is
  that no further treatment will be neccessary.

  I stayed at Julie's til the next Sunday and returned to my home in
  Lawrenceville. Pam Hannah, my best friend lined up visitors with lunch
  for a few weeks. I have been recuperating and managing to keep up with
  the company emails and getting my TIVO fix on the shows while I was away!

  My recovery is four to six weeks. My new "girls" look great but I am
  sore and tired a lot during this healing time. This proves to me that
  you need to listen to your intuitive voice- and move forward in a
  proactive way. I have no regrets on my decision in any way. I look
  forward to healing and being sure of my freedom from breast cancer!

  Thanks again for your prayers and thoughts!

  Teresa