The contents of
the following program
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are not intended to substitute
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for the advice of
your healthcare provider,
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and the producers of this series
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assume no liability
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for the use or misuse
of the material presented.
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Creation or evolution,
design or random chants,
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they say it all
began with a big bang
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but when we look at
the amazing human body
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the answer is obvious,
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the complexity of the design
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exceeds anything
man has ever made.
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The body, it only
have been designed
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by the master designer
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we read about in the Bible.
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Divine Design.
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Hello, welcome back
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to another
episode of Divine Design
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and I'm Patti
Barnes and I'm here
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at Hartland College.
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And I have with me
a few special guests,
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they are professionals
in the field of child birth.
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We're so happy to
have you here today.
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I would like to introduce them
and they're gonna share with us
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some of their experience
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in what their clients
most frequently ask questions.
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I'll just start with Beth,
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Beth you're from
Spokane, Washington.
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Yes.
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She used to work
in a birthing center
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for 13 years, right,
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and then started
your own practicing,
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what is it called?
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Birth by Design.
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That's a really great name.
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So about 20 years of
experience you've had?
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Close. Okay.
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Then we have Dr.
Cherie Lou Fernandez
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she's an
OB/GYN, our gynecologist
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from the Philippines.
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Yes.
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And now also
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a certified
professional midwife.
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Yes.
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And she's here
at Hartland College,
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and she actually
teaching midwifery curriculum.
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So welcome. Thank you.
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And we have Heather
from Nashville, Tennessee.
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And Heather Wilson
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is a certified
professional midwife,
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and so you
started back in the '80s?
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79, Dr. Agatha Thrash.
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With Dr. Agatha
Thrash, all right.
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And you had your practice in?
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1983.
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1983 in Nashville.
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In Nashville.
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And now you're trying to retire?
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Trying to retire.
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Then we have Talitha Mills
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she's also from
Nashville, Tennessee.
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You first started
with helping Heather.
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At Uchee Pines.
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Okay.
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Had the training
there also with Dr. Agatha
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and a nurse named Heidi.
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Okay.
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So and you are also
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a certified
professional midwife?
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Yes. Welcome ladies.
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We are very
thankful for you to be here.
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I mean such a
sacrifice to come out here
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and do this for us.
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Okay, Beth let
me begin with you,
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you've worked in
birthing centers,
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and home birth settings,
how would you determine,
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what is a good
candidate for either setting?
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That's a great question
because it's really important
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that the right women
are hooked with midwifes,
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we don't want high
risk women in any way
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for the women sake as
well as the midwife's sake.
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So when we initially
meet with a pregnant woman,
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we go over her health
history and her birth history
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to make sure she is low
risk and a good candidate.
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Some of the things on
that list that we go over are,
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if she has high blood
pressure, if she has diabetes,
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if she is a
smoker, or has obesity,
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these things are all
gonna raise her risks.
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Yes.
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If she has in her birth history
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a history of preterm
labors or preterm births,
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or more than one
cesarean section,
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and different midwifes vary
a little bit on their protocols
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as to what is safe for them
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depending on
their own experience.
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Yes.
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And so then once a
woman is deemed low risk,
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and is accepted into care
for out of hospital birth,
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then there are other
things that can come up
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during her prenatal course
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that could at
that time risk her out,
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even up through the labor.
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Some of those things might
be if she develops preeclampsia,
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which is a condition
with high blood pressure
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as well as other things,
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if she uncontrolled
gestational diabetes,
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if something would
show up in an ultrasound
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showing the
placenta is in a bad position
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or a problem with the baby.
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So all of these
things could come up,
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so just because of
women is accepted initially,
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doesn't mean necessarily
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that she'll continue all
the way through to the birth.
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And you do what
they call a referral?
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Right, and then at that point
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we may have to
refer to see a doctor
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or if need to be
transfer her care all together.
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That makes sense. But
those things are rare.
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Most women are healthy
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and can have
with good lifestyle.
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Good prenatal care.
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Yes, prenatal care can
have a healthy pregnancy
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and a good delivery.
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Okay.
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Dr. Fernandez, you have
done a lot of cesarean sections,
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we did an earlier
episode on cesareans.
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And I just want to know
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your take on
having a vaginal birth
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after cesarean
or a trail of labor
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after cesarean section.
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Actually if
you're gonna say that
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I specialized in
cesarean sections,
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it would tickle me
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and because we would
sometimes race to see
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who was faster in
doing the cesarean sections.
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Really!
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I'm not really proud
that we were doing that,
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but it happened,
you know and I face it
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and everyday I pray that
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I won't go back
to things like that.
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Anyway when I was in
my residential training,
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early in the
'90s to the mid '90s,
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around that time,
the United States started
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doing vaginal births
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and the Philippines followed
right after the United States.
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So when I'm on my
residential training,
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we started doing
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vaginal births after c-sections.
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And they found out that
vaginal births were very safe
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after the c-sections at least.
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But then we were told
that you just don't do
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c-sections without knowing
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how the previous
c-section was done.
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So there are
c-sections like such as the ones
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that they cut straight
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into the contracting
portion of the uterus,
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you call the classical section,
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you cannot do a
c-section, I mean,
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you cannot do a
birth after that,
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a normal birth after that.
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It's higher risk.
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Yeah, it's high risk
the uterus can burst.
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Or if you're able to rule out
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the possibility of the
women having malformed pelvis
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or like the placenta is
ahead of the baby as in previa.
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Previa.
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So when you rule
out all the reasons
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why a cesarean
section should be done,
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then you can do vaginal birth,
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you can have
what you call a TOLAC,
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the Trial Of Labor
After Cesarean Section.
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Well, because cesarean sections
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after births after
c-sections were relatively safe
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now then they came
and got into the bandwagon
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and did all
sorts of interventions
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with the VBAC or
the TOLAC patients.
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Then we now had VBAC-Lash
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where when they had
a peak around the 1990s
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and now the obstetricians
are scared to do VBACs
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because of this
mismanagements of TOLACs
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and resulting, you know,
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bad results for
the baby and the mom.
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So now they're scared,
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it's like they are
really scared to do VBACs
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but really
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if you are
ruling out with honesty,
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all those like
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previous classical section,
and all those other things
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that are
indications which are absolute.
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Then you can
safely do a vaginal birth.
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Heather, I get
a lot of questions
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about ultrasounds.
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Are they safe, how
do you feel about that?
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Well, Patti,
ultrasound have been
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used for over 40 years now.
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And so far, after 40 years
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they have an
excellent safety record.
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Prenatal ultrasound testing
uses high-frequency sound waves
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and those sound waves are
inaudible to the human ear.
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And those sound
waves bounce off baby
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and the echoes are
recorded and transformed
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into photographic
images and videos.
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The mothers are used
to going to a technician
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and getting a topical ultrasound
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or transvaginal ultrasound.
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They're also
familiar with in the hospital
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where they use the
external video monitor.
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And at home we use
the handheld Doppler.
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All of those used sound waves,
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there's no
radiation as in X-Rays,
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there's no magnetic
residence as in MRIs.
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So far they have no evidence
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that these ultrasounds
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are harmful to
the fetus or the baby.
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Okay.
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So now if and it's is big if,
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they use
according to guidelines.
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And those guidelines are,
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it should be done by
a trained professional,
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it should be medically necessary
00:10:01.63\00:10:04.50
and it should not
last anymore than 40 to 30,
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at the most 40 minutes.
00:10:08.07\00:10:09.40
Okay.
00:10:09.44\00:10:10.77
So the ultrasound does give off
a slight heat to the tissues.
00:10:10.81\00:10:16.48
So a prolonged use by a
non-trained professional
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could raise the risk
you know, a little bit,
00:10:21.48\00:10:25.39
which have consequences
that are unknown at the time.
00:10:25.42\00:10:28.02
Well, Talitha, you get
ladies from time to time
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that are Rh negative
00:10:33.26\00:10:34.60
and I can't feel
it's important to explain
00:10:34.63\00:10:36.46
why is a RhoGAM shot important
for those, Rh negative?
00:10:36.50\00:10:40.97
Very important,
00:10:41.00\00:10:42.50
the RhoGAM shot
is a sterile solution
00:10:42.54\00:10:45.67
that's made from
human blood plasma
00:10:45.71\00:10:48.21
and is given to Rh
negative moms in pregnancy.
00:10:48.24\00:10:52.01
And it's good to
know for them to know
00:10:52.05\00:10:54.92
that the Rh factor is a protein
00:10:54.95\00:10:58.15
that is found in most
people's red blood cells.
00:10:58.19\00:11:01.26
And those who do
not have that protein
00:11:01.29\00:11:03.69
on their red blood cells
are considered Rh negative.
00:11:03.73\00:11:08.70
The Rh factor does not
usually represent a problem.
00:11:08.73\00:11:12.13
Okay.
00:11:12.17\00:11:14.20
Unless you become pregnant
00:11:14.24\00:11:15.94
or you need a blood transfusion
in the event of trauma
00:11:15.97\00:11:20.94
or something and in
pregnancy there's a condition,
00:11:20.98\00:11:25.98
that is Rh incompatibility
00:11:26.01\00:11:28.85
between the blood of the mother
and the blood of the fetus,
00:11:28.88\00:11:32.42
especially of course
00:11:32.45\00:11:34.09
a positive fetus
in a negative mom.
00:11:34.12\00:11:36.32
Okay.
00:11:36.36\00:11:38.46
If this blood
mixes and it can mix,
00:11:38.49\00:11:41.03
it can make
events like miscarriage
00:11:41.06\00:11:43.40
or trauma again at delivery.
00:11:43.43\00:11:45.10
Some type of accident.
00:11:45.13\00:11:47.14
All by accident, it can
mix, it doesn't usually mix,
00:11:47.17\00:11:50.37
but yeah, it can mix
00:11:50.41\00:11:52.37
and when this mixing occurs
the Rh negative moms blood
00:11:52.41\00:11:55.61
responds in a way
to produce antibodies,
00:11:55.64\00:12:00.08
and these
antibodies really can destroy
00:12:00.12\00:12:02.95
the Rh positive
fetus's blood cells.
00:12:02.98\00:12:06.32
And so the Rh shot
00:12:06.35\00:12:08.69
actually prevents the
Rh mom's immune system
00:12:08.72\00:12:11.99
from making those antibodies.
00:12:12.03\00:12:14.66
And basically
it's been a really,
00:12:14.70\00:12:17.60
it's been wonderful to have that
00:12:17.63\00:12:20.00
since 1968 the FDA
actually, approved it
00:12:20.04\00:12:26.98
and since then
countless lives have been saved.
00:12:27.01\00:12:29.91
Child birth is such a ministry
00:12:29.94\00:12:32.28
when you're able
to help as a midwife.
00:12:32.31\00:12:35.62
And it's such a blessing
when you can lead people
00:12:35.65\00:12:38.79
into the faith, and I
just want to ask you all,
00:12:38.82\00:12:42.62
have you experienced that?
00:12:42.66\00:12:44.39
You know, I'm
thinking of one recent labor,
00:12:44.43\00:12:48.40
where it was a long labor,
00:12:48.43\00:12:51.10
she was in the birth
pool, and the husband,
00:12:51.13\00:12:55.70
we were talking
about spiritual things,
00:12:55.74\00:12:58.67
they're Christians,
and the husband said to me
00:12:58.71\00:13:02.21
"Do you know,
00:13:02.24\00:13:03.58
that Jesus really
wasn't born on Christmas day?"
00:13:03.61\00:13:07.25
and I said,
00:13:07.28\00:13:08.88
"Yes, I know
that, I think it's true,
00:13:08.92\00:13:11.22
I don't really think he
was born on December 25."
00:13:11.25\00:13:14.86
And then he
said, "And do you know,
00:13:14.89\00:13:17.73
that the real
Sabbath is not on Sunday?"
00:13:17.76\00:13:21.60
And I said to him, "Yes."
00:13:21.63\00:13:24.50
I said, "You're
preaching to the choir,
00:13:24.53\00:13:26.84
I'm a Seventh-day Adventist."
00:13:26.87\00:13:28.67
Well he didn't know what
a Seventh-day Adventist was,
00:13:28.70\00:13:30.84
he never heard of that.
00:13:30.87\00:13:32.47
But and I asked him,
00:13:32.51\00:13:33.98
"How did you come
to that conclusion?"
00:13:34.01\00:13:35.94
And he said, "Just by
doing my own research online."
00:13:35.98\00:13:39.51
And so I gave him
a great controversy
00:13:39.55\00:13:42.75
and I know that I've
planted a lot of seeds.
00:13:42.78\00:13:46.76
Praise the Lord.
00:13:46.79\00:13:48.12
When people come back to me
for a second or a third baby,
00:13:48.16\00:13:50.83
they remember.
00:13:50.86\00:13:52.19
They do.
00:13:52.23\00:13:53.56
That I go to church on Saturday.
00:13:53.60\00:13:55.53
And so I know that these
things people are remembering.
00:13:55.56\00:14:00.30
What a blessing it has been
for you all to be here today,
00:14:00.34\00:14:03.17
I just want to
thank you so very much
00:14:03.20\00:14:04.97
for taking the time to come
00:14:05.01\00:14:07.88
and share your
experience with us.
00:14:07.91\00:14:10.68
I want to invite
the viewing audience
00:14:10.71\00:14:13.25
to please join us again
00:14:13.28\00:14:14.88
for more of the
Divine Design series.
00:14:14.92\00:14:17.85