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frederick birth center

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Postpartum planning: Updated

** This post contains affiliate links. If you purchase from one of these links I receive a small commission at no charge to you. It helps to support my doula work.

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The postpartum period is a subject close to my heart. It's such a crazy time. Mom is trying to heal and figure out nursing, while bonding with baby and trying to stay present for any older siblings. Dad is figuring out his role and is still reeling from the birth as well. All the while everyone is exhausted, but people want to visit the new baby and help out the family. While it feels like life should pause for a while it seems to do the opposite. 

One of the most visited posts I have here at the Living Heart Doula blog is A Postpartum Checklist, and dives in to some facets of planning for postpartum. It also includes some really great slides on new babies and their families. 

Having a few things prepared, friends signed up for meals, and extended family ready to serve can make a huge difference for a new family. I’m updating the list to share new products, as well as services that can help a postpartum family.

1) Postpartum Doula Services- Having a postpartum doula is indispensable. They can start as early as the day you get home from the hospital or birth center, or you can hold off until your partner has returned to work. A postpartum doula can also do an overnight shift, so mom and partner can sleep. She can bring baby to mom for feedings, or bottle feed based on your preferences. The doula also helps with house hold chores like laundry, dishes, vacuuming, and helping older siblings. Their knowledge of breastfeeding, newborn care, and postpartum healing can be a huge help. Service prices can vary, and may be billed as hourly or as packages. Add services to your registry and have friends and family chip in! Living Heart Doula will be adding postpartum services this spring. Be on the watch for more news!

2) Earth Mama Organics- I love their products, and their postpartum items saved me with my last birth. Some must haves include perineal spray, perineal herbal packs, and organic nipple butter. They also have their own Lying-In plan for postpartum families you can find here:

Earth Mama Organics Cyber Monday

3) Takethemameal.com - Free sign up service to organize having meals brought to the family. Super easy to use and share over email and social media. The service also has a function where friends can order a meal to be delivered if they are unable to cook. Having meals covered takes the burden and logistics of food preparation away from the recuperating family.

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4) Depends - An option aside from typical menstrual pads. Wearing Depends during the first heavy days of lochia can be helpful, because the whole thing acts as a pad. No more worrying about leaking on to undies or sheets.

5) Natracare Wipes and Pads- An all natural organic option, wipes can be used for both mom and baby. The organic pads are super absorbent and keep the skin feeling dry instead of sticky like with plastic pads. However, they are not especially large. Save them for when bleeding has become more manageable.

6) Boobytubes - Awesome product by Bamboobies, these beaded tubes can be put in the freezer to help with engorgement, or in the microwave to help with a clogged duct. Can also go along the neck and shoulders to help with aches and stiffness.

7.) Ecocentric Mom Box- You can check out all the goodies I got from my subscription box here. Receive a box full of natural goodies for mom and baby, ranging from snacks to awesome hair care products. Subscriptions can vary from one time to a full year, and make a great gift for new moms. Ecocentric Mom offers a nice self-care pick me up, and a way to find some new clean products.

Ecocentric Mom box

8.) Pelvic Floor Physical Therapy - This subject really needs its own post, but I’ll give you an introduction here. In other countries, especially Europe, women receive physical therapy after they have a baby. Your back, hips, pelvis, vagina, perineum, core and bladder can all be affected by pregnancy and birth. This includes both vaginal and cesarean births. Experiencing pain, incontinence (snissing, anyone?) or diastasis recti is common, but is NOT NORMAL, and can be corrected by physical therapy. What makes it different than just doing kegels until you’re cross eyed, is that the specific muscles and tendons that are strained, weakened, and overcompensating can be identified, and you are taught how to properly release and strengthen the affected areas. Body mechanics are applied to help correct diastasis recti and ease pain as muscles recover. It can be life changing. With 50% of women experiencing prolapse in their lifetime, it’s worth the investment.

9.) Get a baby carrier- Baby wearing was how I managed to do life with both my girls. Babies want to be held and snuggled. This allows you to keep baby close, get breakfast made, and the dog walked. Moby and Boba wraps are great for newborns, and as baby grows soft structured carriers like Boba are great for getting baby on and off easily, as well as place in a back carry. You can learn more about carriers here.

10.) Sitz Bath and accessories- I’m a little bitter no one taught how to do a sitz bath when I had my girls. Available at drug stores like Rite Aid or CVS, it’s essentially a large basin that fits in the toilet. Fill with warm water, Epsom salt, or herbs. Place in your toilet, and simply soak. It’s great for hemorrhoids and perineal tearing. It also relaxes the pelvic floor muscles so you can actually go #2. No one said postpartum was glamorous.

11.) K-Tape Services Frederick Birth Center- K-Tape is a cotton elastic adhesive, with therapeutic properties that can be applied to ligament function, muscle applications, corrective postures, and lymphatic drainage. During the postpartum period, K-tape can help with numerous issues, including swelling, engorgement, diastasis recti, and mastitis. Mom’s who have had a cesarean birth can benefit from lymphatic drainage. The scar tissue can disrupt neurological pathways and the drainage of lymph in the lower body. K-tape can support the return of menstruation, and can ease uterine cramping. Gynecological issues like prolapse and incontinence can benefit from K-Tape. While I’ve focused on the benefits of K-Taping for women, anyone can come and get taping at the Frederick Birth Center! Contact the staff at FBC for an appointment.

12.) Like Neighbors- This is a service that allows friends, families, and neighbors to help in your time of need while being across the country. Services like lawn mowing, house cleaning, dog walking, gift cards and meal delivery can all be added. It’s a great way to have support and let people know what your family’s needs are.

13.) Postpartum belly binding- Beng Kung belly wraps, Mama Strut, and Velcro girdles are all ways to support your core and back after birth. Your muscles have taken a vacation for at least six months, and having the support helps to engage them and maintain proper posture. This helps to prevent and correct diastasis recti, as well as the aches and pains we often feel while nursing for long periods and carrying carseats.

14.) Strong as a Mother: How to Stay Healthy, Happy, and (Most Importantly) Sane from Pregnancy to Parenthood: The Only Guide to Taking Care of YOU! by Katie Rope- This book breaks down all things postpartum, from healing, birth recovery, and mental health. Author Katie Rope shares stories from a wide variety of mothers, breaking down the mommy traps we can get sucked into. It’s one of the few books out there talking about postpartum in an open way, while not beating around the bush of how hard modern moms have it.

15) Placenta Encapsulation - Encapsulation is the process of steaming, dehydrating, grinding, and putting a placenta into pill form. Benefits include a boost in hormones, increased milk production, and faster recovery. The evidence is still anecdotal at this point, but you only have one shot at preserving the placenta to try. If you plan on having your placenta encapsulated, please use a professional encapsulator that is blood borne pathogen certified. I recommend Deborah Bailey of Doulas of Central Maryland.



What have I missed? What really helped your family in the postpartum period?







 

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Frederick Birth Center

Twenty years ago, Special Beginnings was opened in Arnold, Maryland, and has since been one of the only freestanding birth centers in the state. For families that live too far from Special Beginnings, there are two options: use your local hospital or birth at home. There’s a wide swing to that pendulum in consideration of care providers, cesarean rate, interventions , maternal and infant health, and financial cost. Having options is important, and families should be able to find a birthing place that best fits their family.

 

Fortunately for our Maryland families, there will be another option. Meet Mychal Pilia, CNM and owner of the Frederick Birth Center.

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Mychal holds a bachelors degrees in Nutrition, Nursing and a masters degree in Nurse-Midwifery. She has been serving the home birth community since 2014. Mychal has spent extensive amounts of time in both business research and seeking feedback from the community. You may remember seeing her at Baker park last summer completing surveys, and talking with families.

 

Her vision for the Frederick Birth Center includes a holistic and family centered approach to pregnancy and birth. Evidence based care is the mainstay of the practice, and means that parents are active participants in their prenatal care.

 

What makes a birthing center different?

 

The care at the birthing center is personal and is built on a relationship with Mychal and the midwives at the birth center throughout your pregnancy. You develop personal trusting relationships with your providers, because they spend more time with you.  Your appointments are typically a half hour long with the initial one being an hour. Discussions include everything from nutrition, options for prenatal testing, mental health and emotional health, and how your feeling physically. It’s a whole person approach.

 

Not only do they provide more one on one time and attention, but they also offer classes you can take with mothers due around the same time. These range from early pregnancy topics, sibling preparation, labor and birth, breastfeeding and new parenting classes.

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Rather than cycle through all the doctors and midwives at a large practice, your time is spent with your midwife and her nurse. When you come to the center in labor, your midwife is the one meeting you there. She’s the one evaluating your labor and overseeing the safety and comfort for both you and your baby. At a hospital, you are meeting with a group of strangers, wondering who’s on call, and only seeing that doctor for mere moments at a time, and often only at the glorious moment of when baby is crowning to its birth.

 

The birthing center facility is a beautifully designed home like atmosphere, with a real bed, shower, full immersion tubs for labor and birth, equipped with all the medical needs for mom and baby. This isn’t birthing in the hospital where it tries to not resemble a hospital. This is a home away from home.

 

When can you receive care at FBC?

The Frederick Birthing Center is now open and is currently taking patients. You can begin care before you even get pregnant or transfer care almost any time during your pregnancy.  After all this is a “service industry” and your health care providers work for you!

Boho room with creams, pops of color and texture.  

Boho room with creams, pops of color and texture.  

 

 

 

What does care include?

A midwife and nurse are on call if you have emergent or non-emergent needs during your pregnancy. Care includes 10-12 prenatal visits depending on when you begin services, and group classes are available. You will also have access to the lending library if your enjoy to prepare for your birth through reading.

 

You are fully supported during your birth, and families can leave for home as early as four hours after birth (upper limit is twelve).

 

Postpartum checks are completed with a 24-hour phone call, 1-2 day home visit, and a 1-2 week and 6 weeks office visits.

 

Well-woman care is also available at the center including pap smears, full range of family planning options, health screenings (cholesterol, blood sugar, thyroid, and anemia labs to say the least), and mental health counseling and screenings.

This 33" Japanese soaking tub is huge. I'm 5'5", and could easily submerge into this beauty. 

This 33" Japanese soaking tub is huge. I'm 5'5", and could easily submerge into this beauty. 

 

 

Cost of birthing at a Birth Center

Cost is $7,000 and includes the professional care and the facility fee. Check with your insurance provider for full understanding of benefits and what can be covered or reimbursed for your out-of-hospital birth.

 

Having your baby at a birthing center is a lower cost option, with lower interventions, high level of satisfaction and high safety standards proven with large national studies (check out the National Birth Center Study II to see the birth center difference!). The cesarean rate in Maryland is currently ~36% (higher than the national average (33%), where the rate for birth centers is only 6%. For healthy low-risk pregnancies, out-of-hospital births provide options that protect maternal and infant health, while lowering health care costs, and providing a memorable experience for your family for a lilfetime.

 

For a look at hospital care cost, check out this article here:  http://www.scpr.org/blogs/health/2015/07/22/18049/pricecheck-how-much-does-it-cost-to-have-a-baby-at/

 

Future plans

Plans include two more Maryland freestanding birthing centers, located in Baltimore and Silver Spring.

 

For more information

You can reach Mychal Pilia at the Frederick Birth Center (frederickbirthcenter.com).

 

More about birthing centers:

https://www.mamanatural.com/birth-center/

http://www.birthcenters.org/?page=bce_what_is_a_bc

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