Listening to mothers: take two

LISTENING TO MOTHERS II: Report of the Second National U.S. Survey of Women's Childbearing Experiences (Declercq, Sakala, Corry, & Applebaum, 2006) is essential reading for the childbirth educator. Birth continues to be "intervention intensive" in the United States, and less than 2% of women have births characterized by the six care practices that promote, protect, and support normal birth. Only a little more than half of the women surveyed attended childbirth education classes, and only 4% reported that childbirth classes were their most important source of information. Seventy-eight percent used the Internet as an information resource. As a result of childbirth classes, women report, they are more confident in their ability to give birth but also less fearful of medical intervention. The results of these and other findings have important implications for childbirth education.     

Robyn’s Birthing Story

This “Celebrate Birth!” column describes the experience of a long-time childbirth educator who attended the birth of her granddaughter Cora, her daughter Robyn’s second hospital birth. She discusses how Robyn’s instincts and confidence helped to overcome institutional issues to provide a good and safe birthing experience.     

The history of lamaze continues: an interview with elisabeth bing

Elisabeth Bing-physiotherapist, childbirth educator, and cofounder of the American Society for Psychoprophylaxis in Obstetrics (now Lamaze International)-is well known to most childbirth educators in the United States. She has been a true pioneer in the education of parents for pregnancy and birth. Her book, Six Practical Lessons for an Easier Childbirth, served to guide many parents and childbirth educators in the use of the Lamaze Method for labor and birth. She has prepared a countless number of parents for their birth experience in both her hospital classes in the 1950s and 1960s and in her private classes in the "studio" of her New York City apartment building, where she began teaching in the 1960s and continues to teach today. Elisabeth is beloved by all those who have had the opportunity to meet her or work with her. She has created a legacy that will continue for decades to come.     

Use of big-screen films in multiple childbirth education classroom settings

Although two recent films, Orgasmic Birth and Pregnant in America, were intended for the big screen, they can also serve as valuable teaching resources in multiple childbirth education settings. Each film conveys powerful messages about birth and today's birthing culture. Depending on a childbirth educator's classroom setting (hospital, birthing center, or home birth environment), particular portions in each film, along with extra clips featured on the films' DVDs, can enhance an educator's curriculum and spark compelling discussions with class participants.     

Childbirth education for multiple pregnancy: part 1: prenatal considerations

Women with a multiple pregnancy have unique learning needs in preparing for birth. This paper explores the issues relevant to women with a multiple pregnancy to support a positive birth experience. One of the foundations of childbirth education and nursing care is to provide the individual woman and her family with knowledge regarding the birth process, what to expect, and how to cope with labor and birth. Education also focuses on caring for the newborns after birth and how to manage in the early days at home. However, traditional childbirth education classes, which meet in a series of evenings or Saturdays, may not meet the needs of women with a multiple pregnancy. In addition, because of the differences in care that exist for women with a multiple pregnancy, new paradigms for childbirth education are needed to meet the learning needs of these families. The purpose of this paper is to provide information to the childbirth educator on the differences in care women with a multiple pregnancy can expect and to suggest strategies to meet the childbirth education needs of these families.     

Presenting relaxation techniques to pregnant adolescents

Teens present a unique challenge for the childbirth educator. A committed educator must find creative teaching strategies that will ease an adolescent's tension and provide a safe environment where a teen can "own" the message of her body's ability to give birth. The author of this column presents one of her own strategies for teaching relaxation techniques to adolescents.     

The dance of advocacy

A childbirth educator asks how she can continue to use best evidence and prepare women adequately for birth within the constraints of a hospital practice that pressures educators not to "rock the boat." This column discusses the challenge of advocating for normal birth and the dangers inherent in the advocacy role. Advocacy requires the childbirth educator to "dance" with many partners, including physicians and hospitals. Strategies for inviting colleagues and class participants onto the dance floor and teaching them the steps of the dance are explored. Guidelines for reducing risk and engaging women are discussed.     

What once was old is new again

Through seminars and continuing educational opportunities, recently certified Lamaze childbirth educators beginning their teaching careers have learned of the changes in birth practices over the past 50 years. However, they may not have heard the personal stories about the locations and conditions in which Lamaze educators first taught. In this column, five childbirth educators share their memories of the birthing climate, teaching strategies, class populations, and other aspects of Lamaze childbirth education 50 years ago and how the "old ways" compare with today's classes. Their stories not only provide an important, historical perspective to build on the past and improve future educational opportunities for expectant women and their families but also illustrate Lamaze's ongoing efforts to promote natural, safe, and healthy birth practices.     

African American Women's Preparation for Childbirth From the Perspective of African American Health-Care Providers

Preparation for birthing has focused primarily on Caucasian women. No studies have explored African American women's birth preparation. From the perceptions of 12 African American maternity health-care providers, this study elicited perceptions of the ways in which pregnant African American women prepare for childbirth. Focus group participants answered seven semistructured questions. Four themes emerged: connecting with nurturers, traversing an unresponsive system, the need to be strong, and childbirth classes not a priority. Recommendations for nurses and childbirth educators include: (a) self-awareness of attitudes toward African Americans, (b) empowering of clients for birthing, (c) recognition of the role that pregnant women's mothers play, (d) tailoring of childbirth classes for African American women, and (e) research on how racism influences pregnant African American women's preparation for birthing.     

Learning to Coach in Practice-Based Teacher Education: A Self-Study

In some forms of practice-based teacher education, one important task for the teacher educator is to undertake in-the-moment coaching during rehearsals of practice. However, being such a coach is a new role for many teacher educators and requires a different skill set to other forms of teacher educator practice. In addition, there is little literature to which teacher educators can turn when seeking to address the problem of enactment in this context. This article seeks to address this gap in the literature. It reports a self-study undertaken by one mathematics teacher educator as he learned to coach pre-service teachers on the fly, while in turn they learned to orchestrate whole-class mathematical discussions. It seeks to illustrate how the process of journaling can support the journey of discovery that is the development of new practice. Through consulting the literature and story-telling, a picture is painted of how the educator addressed early concerns such as “what is a coach supposed to do?” and “what should a coach pause a rehearsal to talk about?” and began to master coaching – work that was never routine, but rather situated, adaptive, and responsive. The stories draw from a personal journal of field notes and reflections from such events as student rehearsals, lesson conferences, team meetings, reading student work, and professional reading. Journal entries from 12 rehearsal cycles over four years were consulted.     

The history of lamaze continues: an interview with sunnye strickland

Although the most publicized beginnings of the Lamaze method in this country took place in the New York City area in the 1950s and 1960s, change was taking place even earlier in other parts of the United States as well, for women everywhere were eager to be educated and awake for their birth experiences. One of the early leaders of the "natural childbirth movement" in Colorado, Wyoming, and Oklahoma from the late 1940s through the early 1960s was Sunnye Strickland. Strickland began her career as a labor and delivery nurse, became a devoted advocate of prepared childbirth as a result of her own birth experiences, and embraced the philosophy of the psychoprophylactic method after visiting Dr. Pierre Vellay in Paris. She then became a faculty member with the American Society of Psychoprophylaxis in Obstetrics (ASPO/Lamaze, now Lamaze International, Inc.) and eventually a certified nurse-midwife. Her professional story spans five states, several countries, and 46 years, with a rich variety of experiences in which she was a change agent, educator, and active leader in the childbirth education movement.     

Lamaze certified childbirth educators: drawing strength from our past to build the future

This year's 50th anniversary of Lamaze International is a time to reflect upon our past and present as we work together to build the future of childbirth. In the 1950s and 1960s, thoughtful men and women such as Elisabeth Bing began to look carefully at the birthing practices in the United States. Lamaze Certified Childbirth Educators became leaders in improving birthing practices by teaching women and their partners the truth about how women were cared for during childbirth. Currently, the rise in maternal mortality and morbidity in the United States illustrates the pressing need for more changes. Lamaze Certified Childbirth Educators are leading change by pushing for the wide adoption of Lamaze International's Six Healthy Birth Practices to promote natural, safe, and healthy birth.     

Contemporary dilemmas in american childbirth education: findings from a comparative ethnographic study

In this article, we examine key dilemmas childbirth educators experienced as they made crucial decisions about the content and format of their classes in the current U.S. maternity-care context. This ethnographic study demonstrates that childbirth education is a cultural phenomenon with deeply embedded values regarding the nature and importance of information, scientific evidence, and consumer choice. Articulating how culture shapes the presentation, content, and format of childbirth classes is an important step in understanding and increasing the relevance of this experience for birthing women.     

Coping With the Unexpected in Childbirth: A Thematic Analysis

This article reports original research that describes new mothers'' experiences of birth and maternity care. Qualitative data were collected through a survey on birth satisfaction, which included space for women to provide comments about their birth and experience of care. Thirty-nine women provided comments that were analyzed using the thematic analysis method. Two themes emerged from the women''s experiences: “Unexpected birth processes: expectations and reality” and “Coping with birth: the role of health-care staff.” Participants described unexpected birthing processes, their experiences of care, and maternity care staff''s contributions to coping with birth. Implications for practice for childbirth professionals include promotion of physiologic birth, respectful person-centered care during all phases of perinatal care, and the value of childbirth preparation.     

Advocating for normal birth with normal clothes

Childbirth educators need to be aware that the clothes they wear when teaching classes send a nonverbal message to class participants. Regardless of who wears the clothing or what is worn, clothes send a message; thus, both the advantages and disadvantages related to clothing choice should be considered. Ultimately, the message should reflect the values of supporting normal birth. For childbirth educators who are allowed to choose their own apparel to wear in their classes, street clothes may be the benchmark for which to strive. This article discusses the many nonverbal messages that clothes convey and provides support for the choice of street clothes as the dress for the professional childbirth educator; thus, "normal clothes to promote normal birth."     

Can visions of natural births dance in our heads?

Through the observations of a childbirth educator of women who are planning epidurals, these women's vision of birth can be contrasted with a vision of the inner-strength-promoting experience that birth can be.     

Making the most of your revista lamaze: culturally responsive teaching for Hispanic clients

The traditional classroom in many Latin American countries does not overtly support an environment of discussion, reflection, and analysis-the foundation of a Lamaze education. Even when working with couples from cultures that reflect learning styles different from our own, it is possible for the childbirth educator to be faithful to the goals of Lamaze education by changing the way in which information is presented and by encouraging learner participation. By using Revista Lamaze, combined with culturally appropriate teaching techniques, a childbirth educator can successfully educate Hispanic couples without offending their culture.     

Pain, suffering, and trauma in labor and prevention of subsequent posttraumatic stress disorder

In this column, Kimmelin Hull, community manager of Science & Sensibility, Lamaze International's research blog, reprints and discusses a recent blog post series by acclaimed writer, lecturer, doula, and normal birth advocate Penny Simkin. Examined here is the fruitful dialog that ensued-including testimonies from blog readers about their own experiences with traumatic birth and subsequent posttraumatic stress disorder. Hull further highlights the impact traumatic birth has not only on the birthing woman but also on the labor team-including doulas and childbirth educators-and the implied need for debriefing processes for birth workers. Succinct tools for assessing a laboring woman's experience of pain versus suffering are offered by Simkin, along with Hull's added suggestions for application during the labor and birth process.     

Home birth: the wave of the future?

A childbirth educator expresses frustration with a medical system that does not work for women or for many maternity care providers. She suggests out-of-hospital birth as an alternative. This column explores the safety of home birth, women's experiences of home birth, and the issues related to home birth once again being the standard. Childbirth educators are encouraged to present home birth as a viable choice.     

Julian’s Birth

A grandmother of seven and childbirth educator shares her daughter’s successful vaginal birth after cesarean (VBAC) birth story in Switzerland.