September 19, 2016 Why Childbirth Education

is Still Important

Facilitated by Debbie Young LCCE, CD(DONA), PCD(DONA)

National Sales Manager

Presented by an panel of Childbirth Educators Experts Penny Simkin Cathy Allen Connie Livingston Colleen Weeks Vonda Gates Robin Elise Weiss

Meet Your Presenters

Penny Simkin

Penny Simkin, PT, is a physical therapist who specializes in childbirth education. Since 1968 she has worked with over 14,000 women and families in various ways. Penny is a co-founder of DONA International. Find out more about Penny at her website: www.pennysimkin.com.

Connie Livingston

Connie Livingston BS, RN, LCCE, FACCE, ICCE , the President of the International Childbirth Education Association (ICEA) has been teaching childbirth ed since 1979. A strong writer, her fourth book for birth professionals is coming in 2017. She owns Perinatal Education Associates, Inc. - www.birthsource.com.

Meet Your Presenters

Cathy Allen

Cathy Allen, LCCE is the Parent Education Coordinator for Baylor Scott and White Health – West Region organizing education for 4 hospitals. She is a Lamaze Certified childbirth educator and is also a doula. Cathy is passionate about working with women as they become mothers. She also offers education and support through an outreach program at a women’s shelter.

Robin Elise Weiss

Robin Elise Weiss, PhD, MPH, CLC, AdvCD(DONA), LCCE, FACCE, the past president of Lamaze International has been teaching since 1989, serving over 1,500 couples. She also trains others to be Lamaze educators. She is a prolific writer and has written several books, articles and blogs. -www.robineliseweiss.com.

Meet Your Presenters

Vonda Gates

Vonda Gates, BSN, RN, became a certified childbirth educator with the International Childbirth Education Association (ICEA) in 1991. She is on the ICEA Executive Board. Owner of BirthBasics, Vonda works locally to facilitate families as they face the joys and challenges of the childbearing year. - www.birthbasics.org.

Colleen Weeks

Colleen Weeks LCCE, FACCE, CLE, CSE, RTS For 35+ years Colleen, a certified childbirth, lactation and sex educator as well as a perinatal bereavement counselor has passionately served expectant and new parents. She is a Perinatal Education Manager for the Kaiser Permanente in Southern California.

Introduction

• Childbirth Education Benefits Everyone

• Possible drop in first time moms taking class

Hospital Territory Current stats of total birth/attendees at any

hospital class

Midwest 15%

Midwest 20%

Midwest 50% with all classes

Midwest Numbers going down, not sure how many

Midwest Less than 25% and going down

Northeast 20%

Northeast 10%

South 5%

South 10%

South About 20-25%

South 0

South 24%

West 17-18%

Robin Elise Weiss, PhD, LCCE

Myths - Childbirth Education is only for

• Natural birth

• Women birthing in the hospital

• First time moms

• Rich people

• Those scared of birth

• The old fashioned, not tech savvy

• Those who are not using a doula

Connie Livingston BS, RN, LCCE, FACCE, ICCE

Fear of childbirth and how childbirth education factors in

Where does fear come from

• Culture of fear surrounding birth

• Fear of the unknown has been replaced by fear of the partially known

Where does fear come from

• Contradictions between medical model and physiologic model

• Influence of social media; sensationalism on televised birth related shows

• Perceptions from friends, family

Wijma Questionnaire

• 6 Feeling Factors

– Fear

– Negative appraisal of birth experience

– Loneliness/lack of support

– Lack of self-efficacy

– Lack of positive anticipation

– Concerns for the newborn

Childbirth Education is Key

• Applied Nursing Science (February 2016)

• Midwifery (March 2016)

• Scandinavian Journal of Caring Sciences (July 2016)

And

US News and World Report (August)

Why Childbirth Education Works

• CBE puts the emphasis back on birth being an activity of woman-centered health

• CBE focuses on the evidence and supports empowerment for informed decisions.

• CBE guides thinking into perspective with a deeper understanding

• CBE is about advocacy that educates & reforms

Penny Simkin, PT

Educate about What is Normal

• How labor normally begins and progresses

• Realistic reassuring info on emotional ups and

downs

• How women respond, how partners, doulas support

them

• The normal sounds and behaviors of women in labor

• Audiovisuals, discussion

• Demonstration & Rehearsal of techniques for

comfort & labor progress

• Discussion of elective/ routine and indicated

interventions and their effects.

How to Best Discuss Interventions

• Problems with BRA, BRAN, BRAIN, etc.

• We need to start with AWWWWWW – Ask

Why? What’s Wrong? When? With What?

• Then Benefits, Risks, Alternatives, etc.

• This assumes

• There’s time for discussion

• The caregiver is okay with being questioned

• There are options available (Institutional protocols are

not rigid)

• Why does an informed public matter?

Price of Ignorance Today, there are few checks and balances against high use of surgery, technology and medicine, for example:

• 30+% cesarean rate • 23% induction (2013 birth certificate stat) • 9.6% preterm birth • Worst maternal death rate in developed countries -

1:1,800 (33rd of 179 countries) • Infant mortality – 6-9/1,000 • Less than 10% VBACs • 25-34% incidence of traumatic births; 5-9% PTSD* When parents have knowledge, they seek care that reflects their preferences for family--centered and flexible care.

AS CHILDBIRTH EDUCATION GOES, SO GOES MATERNITY

CARE

Colleen Weeks LCCE, FACCE, CLE, CSE, RTS

Perinatal Education Manager, Kaiser Permanent, Orange County CA

Value Childbirth Education

Believe in the value of your class

Does short = undereducated?

• Pressure to provide shortened curriculum

• Condensed classes devalue Childbirth Education

Mastery takes time and practice

• Provide resources for options

• Spend time understanding, practicing & mastering skills

Cathy Allen, LCCE

“Every woman wants a healthy baby and every woman deserves one.”

Jennie Joseph, CPM

Reducing disparities and saving lives

• Perinatal education and support saves life – statistics

• The problems:

– Preterm Birth

– Women are Dying

Part of the Solution

• The JJ Way

– Knowledge

– Empower

• Commonsense Childbirth – National Perinatal Task Force

--Identify the Materno-Toxic Zones

– Create A Perinatal Safe Zone

How you can Raise the Stake

• The JJ Way – Knowledge

– Empower • https://youtu.be/RaM2d8fgscg JJ Way

• Commonsense Childbirth – National Perinatal Task Force – A Safe Spot

• https://youtu.be/m73S1A2a2cE Commonsense Childbirth - National Perinatal Task Force – What is a Safe Spot

• https://youtu.be/Vgw9_Ha33M4 Commonsense Childbirth Inc. Reducing Infant Mortality

Vonda Gates, BSN, RN, ICCE

Impact of Adult Learning Theories

on students in childbirth education

Adult Learning Theories

• Adults Identify with Birth Goals when Adult Learning Theories are used

– Group process

– Spiral teaching

– Bridging

Increased Class Satisfaction

• Birth is…

– Physical

– Emotional

– Spiritual

– Normal

What if Birth is Not Normal

• Variations in Birth

– Fears associated with birth

– Medications

– Interventions

Get thee to a

professional childbirth

educator workshop! Vonda Gates

Question & Answer Session

Related InJoy Programs • Understanding Birth • Pain Management • Miracle of Birth • Stages of Labor • and more!

15% discount for childbirth ed

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or use CBE16 when you order

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