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	<title>Breastfeeding 1-2-3 &#187; midwifery</title>
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	<link>http://www.blisstree.com/breastfeeding123</link>
	<description>Breastfeeding 1-2-3: A Blog for Breastfeeding Tips and Support</description>
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		<title>Home Births Safer for Low Risk Pregnancies</title>
		<link>http://www.blisstree.com/breastfeeding123/home-births-safer-for-low-risk-pregnancies/</link>
		<comments>http://www.blisstree.com/breastfeeding123/home-births-safer-for-low-risk-pregnancies/#comments</comments>
		<pubDate>Thu, 03 Sep 2009 03:26:14 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[health of the baby]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[birth clinic]]></category>
		<category><![CDATA[birth plan]]></category>
		<category><![CDATA[Business of being born]]></category>
		<category><![CDATA[home birth]]></category>
		<category><![CDATA[hospital-birth]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[midwifery]]></category>
		<category><![CDATA[Ricki Lake]]></category>

		<guid isPermaLink="false">http://www.blisstree.com/breastfeeding123/?p=2707</guid>
		<description><![CDATA[It surprised me to see a DVD copy of the documentary &#8220;The Business of Being Born&#8221; available at one of my local county libraries. I put it on hold for 25 cents (have I mentioned how I think the public library is one of the best inventions ever?!), picked it up a few days later, and finally got to watch it with my husband the other night. The movie completely spoke to my disappointing experiences with hospital births and my very satisfying home birth. I wish everyone &#8212; pregnant or not, male or female &#8212; would watch the movie! The [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>It surprised me to see a DVD copy of the documentary <a href="http://www.thebusinessofbeingborn.com/">&#8220;The Business of Being Born&#8221;</a> available at one of my local county libraries. I put it on hold for 25 cents (have I mentioned how I think the public library is one of the best inventions ever?!), picked it up a few days later, and finally got to watch it with my husband the other night. The movie completely spoke to my disappointing experiences with hospital births and my very satisfying home birth. I wish everyone &#8212; pregnant or not, male or female &#8212; would watch the movie! The problem is that the type of people drawn to the movie in the first place already believe the viewpoint presented there and the movie is preaching to the choir! Those who don&#8217;t already share the viewpoint that home birth is a wonderful, safe, empowering choice for women seem to think that the movie is extreme and biased. How do we convince the very people who need to see the movie that it is well worth seeing?</p>
<p><div id="attachment_2740" class="wp-caption alignright" style="width: 310px"><img src="http://www.blisstree.com/breastfeeding123/files/2009/09/home-birth-300x199.jpg" alt="Photo by Anselm" width="300" height="199" class="size-medium wp-image-2740" /><p class="wp-caption-text">Photo by Anselm</p></div>
<p>One way would be to point to the scientific studies that back up the safety of home birth. I was so happy to see news of a study showing that <a href="http://www.phdinparenting.com/2009/09/01/home-births-safer-than-hospital-births-for-low-risk-pregnancies/" target="_blank">home births are safer than hospital births for low risk pregnancies</a>. Yes! Shout it from the rooftops! Do more studies! Spread the word!</p>
<p>Have you seen the movie? What are your thoughts? Have you heard word about when the book the sequel will be released?</p>
<p>P.S. My husband read this post and wants to say the following: &#8220;People who are planning a hospital birth can benefit from watching the movie too because it points out common mistakes that hospitals make such as pushing epidurals and other pain medications and unnecessary interventions such as pitocin. The movie can help women and their partners manage the care in the hospital and avoid common pitfalls in hospital births that taint the experience.&#8221; (I love that man &#8212; he reads my blog AND agrees with me!)</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></content:encoded>
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		<slash:comments>5</slash:comments>
		</item>
		<item>
		<title>&#8220;The Red Tent&#8221; Model of Support</title>
		<link>http://www.blisstree.com/breastfeeding123/the-red-tent-model-of-support/</link>
		<comments>http://www.blisstree.com/breastfeeding123/the-red-tent-model-of-support/#comments</comments>
		<pubDate>Mon, 16 Mar 2009 06:50:56 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[books]]></category>
		<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[quotes and literature]]></category>
		<category><![CDATA[anita diamant]]></category>
		<category><![CDATA[midwifery]]></category>
		<category><![CDATA[the red tent]]></category>

		<guid isPermaLink="false">http://www.blisstree.com/breastfeeding123/?p=1672</guid>
		<description><![CDATA[When a book requires a page of the family tree to illustrate the relationships of all the characters, that raises a red flag that it might be a little complicated for me right now! However, the community of women described in The Red Tent by Anita Diamant fascinates and inspires me. The novel is a re-telling of the biblical story of Jacob and his sons through the female perspective.

It&#8217;s a complex and somewhat disturbing book that is more like four books in one. The thing that keeps me reading though is the relationship of the women. In the red tent [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>When a book requires a page of the family tree to illustrate the relationships of all the characters, that raises a red flag that it might be a little complicated for me right now! However, the community of women described in <a href="http://www.amazon.com/gp/product/B001F0RA3E?ie=UTF8&amp;tag=breastfeed0fa-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=B001F0RA3E" target="_blank">The Red Tent</a><img src="http://www.assoc-amazon.com/e/ir?t=breastfeed0fa-20&amp;l=as2&amp;o=1&amp;a=B001F0RA3E" width="1" height="1" border="0" alt="" style="border:none !important;margin:0px !important" /> by Anita Diamant fascinates and inspires me. The novel is a re-telling of the biblical story of Jacob and his sons through the female perspective.</p>
<p><a rel="attachment wp-att-1673" href="http://www.blisstree.com/breastfeeding123/the-red-tent-model-of-support/the-red-tent/"><img class="aligncenter" src="http://www.blisstree.com/breastfeeding123/files/2009/03/the-red-tent.jpg" alt="the-red-tent" width="240" height="366" /></a></p>
<p>It&#8217;s a complex and somewhat disturbing book that is more like four books in one. The thing that keeps me reading though is the relationship of the women. In the red tent each month they celebrate their femininity and their abilities to create and sustain life. Take this passage describing the birth of the narrator Dinah:</p>
<blockquote><p>After Rachel wiped me clean, she handed me to Zilpah, who embraced me, and then to Bilhah, who kissed me as well. I took my mother&#8217;s breast with an eager mouth, and all the women of the camp clapped their hands for my mother and for me. Bilhah fed my mother honeyed milk and cake. She washed Leah&#8217;s hair with perfumed water, and she massaged her feet.</p></blockquote>
<p>Now that is how we were meant to give birth, to be initiated into parenthood, to receive the support necessary to care for ourselves and our children. Imagine how wonderful it would be if each new mother were attended to by some combination of her mother, grandmother, sisters, aunties, and midwives! Imagine if each breastfeeding mother had the on-going support of other mothers experienced in nursing! The La Leche League model of mother-to-mother support has filled in some of the gaps, but I still wish such support were passed from generation to generation within each family as well.</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></content:encoded>
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		<slash:comments>4</slash:comments>
		</item>
		<item>
		<title>Cost of Giving Birth at the Hospital or at Home</title>
		<link>http://www.blisstree.com/breastfeeding123/cost-of-giving-birth-at-the-hospital-or-at-home/</link>
		<comments>http://www.blisstree.com/breastfeeding123/cost-of-giving-birth-at-the-hospital-or-at-home/#comments</comments>
		<pubDate>Sun, 21 Sep 2008 19:08:51 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[scientific studies]]></category>
		<category><![CDATA[cost effectiveness of homebirth]]></category>
		<category><![CDATA[health insurance]]></category>
		<category><![CDATA[home birth]]></category>
		<category><![CDATA[homebirth]]></category>
		<category><![CDATA[hospital-birth]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[midwifery]]></category>
		<category><![CDATA[midwifery care]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/cost-of-giving-birth-at-the-hospital-or-at-home/</guid>
		<description><![CDATA[One study published in the Journal of Nurse Midwifery found:
The average uncomplicated vaginal birth costs 68% less in a home than in a hospital, and births initiated in the home offer a lower combined rate of intrapartum and neonatal mortality and a lower incidence of cesarean delivery.
&#8220;The Cost-Effectiveness of Home Birth.&#8221; J Nurse Midwifery. 1999 Jan-Feb;44(1):30-5. Gee, what a novel concept &#8212; care that costs less but has a better outcome!
I did an informal survey of sources online to determine that the average hospital birth costs around $8,000 in the United States, depending on exactly where the mother lives. That [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>One study published in the <em>Journal of Nurse Midwifery</em> found:</p>
<blockquote><p>The average uncomplicated vaginal birth costs 68% less in a home than in a hospital, and births initiated in the home offer a lower combined rate of intrapartum and neonatal mortality and a lower incidence of cesarean delivery.</p></blockquote>
<p>&#8220;The Cost-Effectiveness of Home Birth.&#8221; <em>J Nurse Midwifery</em>. 1999 Jan-Feb;44(1):30-5. Gee, what a novel concept &#8212; care that costs less but has a better outcome!</p>
<p>I did an informal survey of sources online to determine that the average hospital birth costs around $8,000 in the United States, depending on exactly where the mother lives. That does not include the additional costs of an epidural or cesarean section, nor does it include the prenatal care from a physician, which costs anywhere from $1,500 to $3,000. For the sake of discussion, let&#8217;s say the total cost of prenatal care and physician-assisted hospital birth is approximately $10,000. Compare that to my prenatal care and home birth with a midwife, which cost a total of $4,300. That&#8217;s $5,700 &#8212; nearly 60% &#8212; less! And I was far happier with <a href="http://www.blisstree.com/breastfeeding123/a-safe-and-satisfying-home-birth-and-water-birth-my-story/" target="_blank">my home birth experience</a> than my <a href="http://www.blisstree.com/breastfeeding123/labor-day-meme/" target="_blank">two hospital birth experiences</a>.</p>
<p>Guess how much of that $4,300 my insurance company covered? $2,947.08. Compare that to what the insurance company theoretically would have paid for physician-assisted hospital birth: $8,000! By that token, the insurance company should have been paying ME to have a home birth. My choice of home birth saved the company over $5,000. And the irony is, I had to fight to get the company to cover a home birth at all. Because there were in-network midwives who could attend births at a hospital, the insurance company initially denied my request for a homebirth. I had to have my midwife write a letter to the company stating that I had a &#8220;medical need&#8221; for a homebirth (basically we argued that I had had such bad hospital experiences &#8212; with a fourth-degree tear and a failed epidural &#8212; that for my mental health I needed a home birth!) Luckily, the company agreed to pay, although I had to pay 25% co-insurance, rather than 20% co-insurance for an in-network provider. In the end, I wound up paying about $450 less out of pocket for a homebirth, and had a safe and satisfying birth. </p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></content:encoded>
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		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>The Midwife Game</title>
		<link>http://www.blisstree.com/breastfeeding123/the-midwife-game/</link>
		<comments>http://www.blisstree.com/breastfeeding123/the-midwife-game/#comments</comments>
		<pubDate>Fri, 12 Sep 2008 21:28:54 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[humor]]></category>
		<category><![CDATA[mothering]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[games]]></category>
		<category><![CDATA[imagination]]></category>
		<category><![CDATA[midwife]]></category>
		<category><![CDATA[midwifery]]></category>
		<category><![CDATA[preschooler]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/the-midwife-game/</guid>
		<description><![CDATA[My three-year-old and I recently spent an entire morning playing the &#8220;midwife&#8221; game. This involves variations of going for a check up (she calls it a &#8220;check out&#8221;), having the baby (laundry basket as birth tub, naked child, teddy bear as newborn) and getting married. She insists on getting married before having the baby, but I&#8217;m pretty sure the baby was conceived out of wedlock.
Post from: Breastfeeding 1-2-3
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>My three-year-old and I recently spent an entire morning playing the &#8220;midwife&#8221; game. This involves variations of going for a check up (she calls it a &#8220;check out&#8221;), having the baby (laundry basket as birth tub, naked child, teddy bear as newborn) and getting married. She insists on getting married before having the baby, but I&#8217;m pretty sure the baby was conceived out of wedlock.</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></content:encoded>
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		<slash:comments>4</slash:comments>
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