Sunday, July 6, 2008

The Credentialing Saga Continues


So this is me hard at work. Walking around holding a sweetpea on my chest. Well, when you work in such a mother friendly environment, what can I say. Anywhoo, no credentialing updates. Still waiting for my lovely credentialing specialist to find all my papers... twice. But enough about that business stuff, lets talk about MIDWIFERY!
Been catching babies in both settings and I have to say both have their benefits. I love waterbirth and find that the jaccuzi tubs are excellent pain relief. But honeysugarbaby, cleaning up the birthing room after a delivery is no joke! However, the freedom and support to practice straight and uninterrupted midwifery makes this setting a winner. The only benefit at the hospital is that you don't have to clean up afterwards! Hee-hee!
As continue to shape my midwifery tools, I am finding methods that I love and some that I don't like. Let me tell you, I am all about warm compresses. I know that the mother of perineal intergrity, Leah Albers denies their efficacy, but I love them. I find them to be great for destracting momma at the beginning of second stage when she is apprehensive about pushing. I also use them to as guide for her pushing efforts and for pain relief. I say, whatever works for YOU, use it!
Speaking of perineal intergrity, let's talk about repairs. When will I be able to look at a laceration and already have a repair gameplan in 0.2 secs?? Man, I had a perineum that looked like hamburger meat (the baby's compound presentation was to blame) and I thought, WHAT THE HECK AM I GONNA DO! I called on a wiser and experienced CNM and she just looked and went to work. She explained everything she did and it all made sense, but I would have never thought to do it that way. Needless to say, 6 weeks postpartum and her hindparts look great! I guess this will be like my learning curve with IUDs. FYI, no IUD complaints yet!
Until next time folks. Hopefully the next post you read will be from a fully credentialed hospital CNM.

1 comment:

Loving Pecola said...

I don't know if you still check this blog... but I had to say hi! and encourage you to keep writing... I had been looking for a blog of a new CNM for a VERY long time... to come here and see your face, and see that you're in DC, where I'm headed for integration... in a week, OMG! made it even better...

I would love, love, love to continue reading about your journey!