It has been far too long since I have made writing a blog post a priority. I have been busy making plans to Birth Something Beautiful in 2014 :-) And I promise I will get better in 2014!!! <3
In the meantime… one of the things that has me busy today is my need to get the CEUs necessary to renew my nursing license. I found an online modules on a reputable site that would give me half of the CEUs I need and it also sounded like I might enjoy the reading. Its titled “Childbirth Education: A handbook for nurses” The objective is to give labor and delivery nurses an idea of what is discussed during a CBE class. I can tell this course is not old, meaning it was written in the past year because it does not expire until 2015 and there are references on the reference list from 2012. It was written by a person who is an RN, CNM and has 20 years of experience as a CBE.
Sooooo let me get to the part that has me taking a break to write this blog post… I’m reading along, going fast so I can get to the test and get my CEUs… you know how it goes… and I am brought to a screeching halt when I read the following statement:
“The average length of the early phase is eight hours. A maximum length of 20 hours for primiparas, eight hours for multiparas is considered normal.”
I think to myself… hmmm, thats odd… Aint nothing right about that… She is trippin… then I say to myself “What ever Nicole… just remember that wrongness for the test so you can get this done” And then I continue reading and I see…
“The normal fetal heart rate is 120 to 160 beats per minute with variability that may range slightly lower or higher. The fetal heart rate should accelerate greater than 15 beats per minute, for more than 15 seconds, and twice in 10 minutes or three times in a 20-minute period.”
And then I’m like SERIOUSLY?? How was this course ever approved?? FYI and BTW… the information above is WRONG.
What is most interesting to me is that in addition to all the various degrees and experience of the author, the reference list includes the all important 2008 National Institute of Child Health Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines.Obstet Gynecol. 2008;l12(3):661-666. This document is the standard used to read fetal monitoring strips nation wide. In spite of this document being listed on the reference list the facts are not being reported in this module. The definition of a normal fetal heart rate is 110-160 and when doing an NST we look for TWO heart rate accelerations in TWENTY minutes. (side note: This is just part of the picture… normals and variations can happen and with only the information presented here there is no way to know if a fetal monitor strip tracing is normal or not)
Now… imagine a new nurse, without guidance who is using this CEU module for learning… WOW!!Just WOW… and I am only 1/4 of the way through this thing… I’m speechless… The blind… leading the blind… I’m not saying everything in this module is bad or wrong nor am I suggestions that I know all the right answers. I am suggesting that we really have to go to the source. Do our due diligence and make sure we have valid information…
And so it is… and so we must continue to educate and help our mamas know the TRUTH And help them navigate the madness. The struggle continues… #FistUp
Are you familiar with Breast Cancer Action? They call themselves “the watchdog of the breast cancer movement. From their website… “[They] are able to tell the truth about the epidemic because [they] are the only national breast cancer organization that does not accept funding from entities that profit from or contribute to cancer, including the pharmaceutical industry.”
They are the organization that created the “Think before you pink” campaign and based on what I know, I like what they stand for. That being said, I think we should all mark our calendars for their upcoming FREE webinar: What’s the Big Idea? Environmental Exposures and the State of Chemical Policy Reform. This webinar will be offered twice, once on August 1st and once on August 2nd. During the webinar they will discuss how environmental chemicals can act as “uncontrolled medicine” They will cover the endocrine disrupting effects of environmental chemicals, the state of chemical reform right now, and the difference between The Safe Chemicals Act & The Chemical Safety Improvement Act. Learn more and register for this FREE webinar HERE!
So this evening I sit using my cell phone to write a quick post for an evening Monday Musing. I am using my phone and will post this without ever seeing it on a computer screen. This is not something I normally do but since I still have no power since Hurricaine Isaac *SCREAMING* its my only option. Yes I could go to a friends who has power but they are dealing with their own mess and that’s not really the issue. I had plans to write a really nice post about the fact that today all across the country women protested for women centered care for the Improving Birth Rally as a part of Empowered Birth Awareness Week.
My post was not going to be really about these rallies directly but was going to be more about the fact that this is the beginning of Infant Mortality Awareness Month and most of the women participating in those protests don’t even realize it. I applaud the organizers for their work they have done to empower women to have better birth experiences. Their work helps all women and were it not for Isaac I would have participated here in Louisiana. Mother friendly care can have a positive impact on infant mortality.
I know that some of the women who participated nation wide may have known but as I purused the facebook pages and websites…. Not one word. Not one solid word about the fact that its Infant Mortality Awareness month.Not one slogan for a sign that mentioned the connection between infant mortality and quality care.
Am I fully surprised? Not really and that’s the unfortunate part. It brings me back to some posts that asked the question “when will you care?” When will you care that the United States ranks behind 40 other nations when recent infant mortality stats are compared. When will we get a national rally to save OUR babies who die greater than twice the rate of white babies??? When will you care??
I would link to it… but since I’m on my PHONE. WITH. NO. POWER and no real internet access….! I will invite you to search for it in my archives *_*
Its a real question.though When will you care? And if you rallied today… Honestly… Did you know it was Infant Mortality Awareness Month?
Today is the day… determined by some legal decision of another date and time… that we celebrate Mother’s Day. I don’t know the origins of this day and honestly it doesn’t matter to me at this point. But if you want details about the history and origins of Mother’s Day… check out www.mothersdaycentral.com ;-)
In general, I feel about Mothers Day the same way I feel about other holidays… Often started with good intentions today they are so commercialized the real meaning is lost in the material bullshit. Now I’m not saying I’m all bah humbug but I will admit my favorite holiday character is the Grinch LOL but I digress….
The bottom line is I believe people, love, faith, relationships and yes MOTHERS should be celebrated everyday not just once a year. There was a time when I refused to celebrate mother’s day under the premise that I love my mother 365 days a year and a Hallmark card wasnt needed to make it so. I think that time period kinda hurt my mothers feelings :-/
Today I gave my mother a card. It was a basic card with an appropriate message and then of course I included my own little personal note. I gave her this card and previous cards, not because I started believing mothers day really mattered but rather to remind myself how much SHE really mattered to me.
As I continue to watch my mother deal with the side affects of multiple myeloma, and its varying treatments, I am constantly reminded how precious each day is. I am amazed at my mother’s strength and at her continued commitment to excellence in life. My mother is a STRONG woman. IMO… ALL mothers are strong. Even the ones society may deem weak or the ones considered “bad.” Becoming a mother is a miracle and Mothering is no easy task. Yes… ALL mothers are strong.
In my line of work, you really have a chance to get up close and personal with the strength of women. The strength of mothers. In this work, you really understand the reality that everyday is indeed a great day to Birth Something Beautiful™. And as a result everyday is Mothers Day.
Today I salute my mother and the strong mothers everywhere. Without you my passion would be nonexistent. Thank you for all that you are and all that you do. I pray that when I am blessed to become a mother I will be at least half as strong.