Hello and welcome to
"Health for a Lifetime"
00:00:46.55\00:00:48.78
I'm your host Don Macintosh
00:00:48.79\00:00:50.22
and today we're delighted
to have Patti Barnes with us
00:00:50.25\00:00:52.92
Welcome Patti! Thank you, Don
00:00:52.95\00:00:55.06
Now, you're a
certified professional midwife,
00:00:55.09\00:00:57.56
and you've
delivered now over what...
00:00:57.59\00:01:01.14
750 babies, you told me,
00:01:01.17\00:01:02.93
and you've been
at this for how long?
00:01:02.96\00:01:04.89
About 15 years now.
00:01:04.92\00:01:06.59
You work as part of
a team I understand.
00:01:06.62\00:01:08.63
We have wonderful doctor backup.
00:01:08.66\00:01:10.68
Okay, so you work with area
hospital and physicians there...
00:01:10.71\00:01:13.91
And today, we're
going to be talking about
00:01:13.94\00:01:16.39
having babies
and different things.
00:01:16.42\00:01:19.10
What's one of the most
important needs you see
00:01:19.14\00:01:21.16
when you work with people
that are going to have a baby?
00:01:21.19\00:01:24.54
I see a very important
need by needing prenatal care.
00:01:24.55\00:01:30.69
Okay, prenatal care and
that's what we're going to
00:01:30.72\00:01:32.68
talk about today. Yes
00:01:32.71\00:01:34.00
Prenatal care... what is that?
00:01:34.01\00:01:36.08
What does that mean when
you talk about prenatal care?
00:01:36.11\00:01:38.17
Prenatal care is
caring for the mother and baby
00:01:38.20\00:01:41.96
in a way to help promote
good physical and mental health
00:01:41.99\00:01:48.12
from conception to birth,
00:01:48.15\00:01:50.47
and that's around 38-40
weeks' gestation sometimes.
00:01:50.48\00:01:53.77
So, how often do
you meet with them,
00:01:53.80\00:01:55.85
and what are you
talking about with mothers
00:01:55.88\00:01:58.35
before they have their baby?
00:01:58.38\00:01:59.91
Well, we meet with
them about once a month,
00:01:59.92\00:02:04.25
and then around 7 months
we'll see them every 2 weeks,
00:02:04.28\00:02:08.84
and then the last
month of pregnancy,
00:02:08.87\00:02:10.99
we'll see them once a week.
00:02:11.00\00:02:12.31
Do you want the
dads to come in too?
00:02:12.34\00:02:13.81
Yes, we try to get
the fathers involved.
00:02:13.84\00:02:15.74
And what do you say to
them when they come in?
00:02:15.77\00:02:17.21
Well, they usually
have a lot of questions,
00:02:17.24\00:02:21.24
and so I would think
a big portion of it is
00:02:21.27\00:02:25.65
educating them as well.
00:02:25.68\00:02:27.58
You know, my wife is pregnant,
and so we went in to see
00:02:27.61\00:02:33.78
the doctor and different things,
and it was kind of unusual
00:02:33.81\00:02:38.46
for me to sit there
in the waiting room with
00:02:38.49\00:02:39.97
40 or 50 pregnant ladies
and they kind of looked at me
00:02:40.00\00:02:43.19
like I was a sore thumb
that maybe I shouldn't be there.
00:02:43.22\00:02:46.44
Some of them looked ANGRY
at me, actually... not angry,
00:02:46.47\00:02:49.51
you know... sort of like
why did you get us into this
00:02:49.54\00:02:51.91
kind of problem or whatever...
00:02:51.94\00:02:55.49
So 38-40 weeks;
so you said, what...
00:02:55.52\00:02:57.35
once every week after 7 months.
00:02:57.38\00:03:00.88
Well, the last
month of pregnancy,
00:03:00.91\00:03:03.14
we encourage them to come once
a week for prenatal visits...
00:03:03.17\00:03:07.39
Unless if we see a problem,
we would see them more often.
00:03:07.42\00:03:12.17
Well what if someone says,
"Well, this sounds interesting,
00:03:12.20\00:03:15.23
but it doesn't
seem that important"
00:03:15.26\00:03:16.49
WHY is it so
important? Or is it?
00:03:16.52\00:03:18.34
It's very important
because during prenatal care,
00:03:18.37\00:03:22.11
you could rule out high
risk situations that possibly
00:03:22.14\00:03:26.29
could be turned around,
or refer high risk conditions
00:03:26.32\00:03:31.91
to obstetrical care...
00:03:31.94\00:03:33.57
And it's very important
that during the prenatal period
00:03:33.58\00:03:39.78
that we could figure out
what person would be in that
00:03:39.81\00:03:45.74
category of high
risk, because it could
00:03:45.77\00:03:47.89
endanger the
mother and the baby.
00:03:47.92\00:03:49.51
Do they run tests?
Do they do different
00:03:49.54\00:03:51.07
things during that time?
00:03:51.10\00:03:53.07
Yes. For example, when a
pregnant lady comes in to
00:03:53.10\00:03:59.81
see me and then we start
off doing their blood work,
00:03:59.84\00:04:04.26
urinalysis, check their weight,
and different kinds of things.
00:04:04.29\00:04:09.94
I think that you have a
graphic about some of the things
00:04:09.97\00:04:12.13
that you do on prenatal
care and we can look at that...
00:04:12.16\00:04:16.63
But what are the things
that we're looking for then?
00:04:16.66\00:04:20.99
Okay, we check weight at
each visit to make sure that
00:04:21.02\00:04:26.01
her weight gain is appropriate,
and we check her blood pressure,
00:04:26.04\00:04:32.62
and her pulse because we
need to know the baseline;
00:04:32.65\00:04:35.13
what her blood
pressure normally is.
00:04:35.16\00:04:37.66
What it normally
runs, how fast it is,
00:04:37.67\00:04:40.49
so that when they have the
baby... If there's a problem
00:04:40.52\00:04:42.74
that we would know about it.
00:04:42.75\00:04:44.19
We check for
edema, any swelling.
00:04:44.20\00:04:47.96
And, we do a Chemstrip
urinalysis to check their urine
00:04:47.99\00:04:52.05
to make sure that
there are no abnormalities,
00:04:52.08\00:04:54.94
or anything that would
be a problem in the urine.
00:04:54.97\00:04:57.53
And, of course, we
palpate the baby...
00:04:57.56\00:05:00.97
We check for
kicking and fetal movement
00:05:00.98\00:05:05.14
because we want to determine
how much the baby is moving...
00:05:05.17\00:05:07.72
Also, we check the uterus size
and we check the uterus size by
00:05:07.75\00:05:14.14
measuring the fundal height.
00:05:14.17\00:05:15.47
The fundus is the
top of the uterus.
00:05:15.50\00:05:19.15
So to see how tall
it's getting, so to speak.
00:05:19.18\00:05:22.78
Right, how big
the baby is growing.
00:05:22.81\00:05:24.97
For example, if she's
28 weeks in gestation,
00:05:25.00\00:05:28.91
then she should be
measuring around 28 centimeters.
00:05:28.94\00:05:32.05
So "gestation" that means what?
00:05:32.08\00:05:34.34
That's 28 weeks pregnant.
00:05:34.37\00:05:35.68
...28 weeks
pregnant, then they measure,
00:05:35.71\00:05:37.67
and it should be about that...
Around 27-28 centimeters.
00:05:37.70\00:05:42.39
Also, we palpate the baby;
00:05:42.42\00:05:44.88
the palpation
determines the position.
00:05:44.91\00:05:50.41
"Palpation" - is this a fancy
word for you feel where it is?
00:05:50.44\00:05:52.98
Yes, feeling the baby
through the uterine wall.
00:05:53.01\00:05:55.52
Okay, and then
you figure out what...
00:05:55.55\00:05:57.24
I notice that that
is kind of an acronym...
00:05:57.27\00:06:00.44
"CHECKUP" is that right? Yes!
00:06:00.47\00:06:03.10
And that's how
you remember it? Yes
00:06:03.13\00:06:05.42
So, if you're watching, you
write down that word "CHECKUP"
00:06:05.43\00:06:08.68
By the way, I think you
recently have written a book
00:06:08.71\00:06:11.22
about all this,
haven't you? Um hm
00:06:11.26\00:06:12.37
Kind of putting those
practical things down here...
00:06:12.40\00:06:14.13
I have a copy of it...
00:06:14.16\00:06:15.53
"The Ministry of Midwifery"
00:06:15.56\00:06:17.26
And you have a whole section on
prenatal care in that book. Yes
00:06:17.29\00:06:21.72
It looks excellent, I saw
that little "CHECKUP" as I was
00:06:21.75\00:06:24.09
looking through
the material here.
00:06:24.12\00:06:25.79
Well, you mentioned
one thing on that graphic
00:06:25.82\00:06:28.65
that we just
looked at, check weight...
00:06:28.68\00:06:31.33
And I think you want to
elaborate a little bit on that.
00:06:31.36\00:06:33.33
Why are we so
worried about weight?
00:06:33.36\00:06:35.31
Well weight, I think is
important for the mother to
00:06:35.34\00:06:42.31
watch her weight, but
if she's on a good diet,
00:06:42.34\00:06:44.82
and has a healthy lifestyle,
she doesn't need to be
00:06:44.83\00:06:48.86
concerned all that
much or worried about it...
00:06:48.89\00:06:51.53
But, there is a normal weight
gain, it's between 20-25 pounds.
00:06:51.56\00:06:58.11
Their weight gain is coming from
the amniotic fluid or the water.
00:06:58.12\00:07:06.10
It is 1.5 to 2 pounds.
00:07:06.13\00:07:08.53
Then we have
extra mass 4-9 pounds.
00:07:08.56\00:07:13.19
Increased blood and
body fluid, about 4-8 pounds.
00:07:13.22\00:07:19.43
That's the blood of the mother
00:07:19.44\00:07:20.60
and the fetus
together right? Um hm
00:07:20.63\00:07:22.80
And growth of the
uterus around 2-3 pounds,
00:07:22.83\00:07:26.01
so this is just an average.
00:07:26.04\00:07:27.97
Her placenta 1.5-2
pounds, sometimes less.
00:07:28.00\00:07:31.86
And the baby 7-8 pounds,
of course we could have a
00:07:31.89\00:07:34.91
6 pound baby or over 8 pounds.
00:07:34.94\00:07:37.84
But, the average weight
gain is around 20-25 pounds.
00:07:37.87\00:07:41.44
Do some mothers get worried
00:07:41.47\00:07:42.62
that they're
gaining too much weight?
00:07:42.63\00:07:44.17
Yes, most of the
clients that come to me,
00:07:44.18\00:07:49.15
they know that I'm going
to help them by encouraging
00:07:49.18\00:07:55.16
them on a good diet and a
good lifestyle and exercise.
00:07:55.17\00:07:58.41
What about those
mothers that are real nauseous
00:07:58.44\00:08:00.67
during the first
part of their pregnancy,
00:08:00.70\00:08:02.57
and they're not
able to eat too much?
00:08:02.60\00:08:04.52
What do you do with them?
00:08:04.55\00:08:05.58
What are some practical
things you do with them?
00:08:05.61\00:08:07.24
Well, it's amazing how much
00:08:07.27\00:08:09.90
just by drinking a
lot of water it helps.
00:08:09.93\00:08:12.38
I find that if
they're well-hydrated,
00:08:12.41\00:08:16.16
they will have less nausea.
00:08:16.19\00:08:17.98
So drink more
water if you're nauseous.
00:08:18.01\00:08:20.58
And get exercise, but
there IS a natural remedy
00:08:20.61\00:08:27.02
that I find, it
helps me when I travel.
00:08:27.03\00:08:29.88
You know, when I go
on airplane flights...
00:08:29.91\00:08:32.64
It's ginger root.
00:08:32.67\00:08:33.89
Ginger root, that's not
going to harm the baby? No
00:08:33.90\00:08:37.01
Oh no, it's
medicinal. All right!
00:08:37.04\00:08:39.13
So that helps with nausea? Yes
00:08:39.14\00:08:42.62
All right, so
ginger root and more water,
00:08:42.65\00:08:45.42
and drink water all day.
00:08:45.45\00:08:47.61
Well, we recommend
about 6-8 glasses a day.
00:08:47.64\00:08:51.80
...6-8 glasses which is,
you know, that's what they say
00:08:51.83\00:08:54.68
for normal people too...
to drink 6-8 glasses, right?
00:08:54.71\00:08:57.08
And just sipping
on peppermint tea.
00:08:57.11\00:08:59.11
Hmm, peppermint tea? Um hm
00:08:59.14\00:09:01.21
That's an
antiemetic, it relieves nausea.
00:09:01.24\00:09:06.43
Great, well, anything else
for those prenatal moms that are
00:09:06.46\00:09:12.48
wondering what they
should be worried with.
00:09:12.51\00:09:14.05
We've talked about weight.
00:09:14.08\00:09:17.39
Wait, back to
this weight thing...
00:09:17.42\00:09:18.70
What's too LITTLE weight?
00:09:18.71\00:09:20.28
When do you
start to get worried...
00:09:20.31\00:09:22.45
Do you ever get worried
when someone doesn't gain?
00:09:22.46\00:09:24.92
Does anyone have a baby that
doesn't gain, that much weight?
00:09:24.93\00:09:29.61
Well yes, it would
probably be smokers...
00:09:29.64\00:09:35.47
And that's
something to worry about...
00:09:35.51\00:09:41.31
Yes, I would classify
them as a high risk situation,
00:09:41.32\00:09:48.88
but I wouldn't
recommend fasting,
00:09:48.91\00:09:51.95
because I feel like the
baby needs 3 meals a day,
00:09:51.98\00:09:55.79
and the mother.
00:09:55.82\00:09:58.26
But you can tell, you know,
how well the baby is growing
00:09:58.29\00:10:01.43
by prenatal visits.
00:10:01.46\00:10:04.52
You know, like I said, measuring
the uterus, the fundus,
00:10:04.55\00:10:10.14
and palpating the baby.
00:10:10.17\00:10:13.18
So, you said that a
baby is there for what...
00:10:13.21\00:10:16.57
38-40 weeks for
pregnancy, is that right?
00:10:16.60\00:10:20.64
Usually it's from conception
to birth is 38-40 weeks,
00:10:20.67\00:10:25.19
sometimes 42 weeks.
00:10:25.22\00:10:26.49
What about the first 10 weeks,
00:10:26.52\00:10:29.61
what's happening with
the baby, what's developing,
00:10:29.64\00:10:33.55
and what can the mom do
or not do that's going to
00:10:33.58\00:10:36.06
help that be good or not good?
00:10:36.09\00:10:38.67
Well around 8 weeks,
most of the pregnant moms
00:10:38.70\00:10:44.44
don't even
realize they're pregnant,
00:10:44.47\00:10:46.62
and that is the
most critical time.
00:10:46.65\00:10:48.24
Eight weeks is the
most critical time. Um hm
00:10:48.27\00:10:49.90
It's when the cells
are RAPIDLY dividing,
00:10:49.93\00:10:53.27
and they need to be very
careful around teratogens
00:10:53.30\00:10:57.65
which would be
x-rays, drugs, fumes...
00:10:57.68\00:11:04.77
All those different things...
00:11:04.80\00:11:05.88
Fumes, any kind of
fumes; carbon monoxide...
00:11:05.91\00:11:11.93
Paint, no paint, but
later on that's okay?
00:11:11.96\00:11:15.84
Well, I would say, if
you're doing any painting,
00:11:15.87\00:11:20.44
you would want it
to be well-ventilated.
00:11:20.45\00:11:22.77
Well-ventilated... so
why is that so important,
00:11:22.80\00:11:25.87
what's happening around 8
or 10 weeks with the baby?
00:11:25.88\00:11:27.89
That's all
dividing, but what's really...
00:11:27.92\00:11:29.97
The baby is
developing very rapidly,
00:11:30.00\00:11:32.80
and you just need to
concentrate on eating healthy,
00:11:32.83\00:11:38.02
and making sure that
nothing goes into your body that
00:11:38.05\00:11:41.10
would be damaging.
00:11:41.11\00:11:42.75
So this idea of having
cravings and different things
00:11:42.78\00:11:45.11
when you're pregnant... do you
have to just rise above that?
00:11:45.14\00:11:47.71
And say I'm going to eat
that even though I feel like it?
00:11:47.74\00:11:49.89
Yes, you cannot
trust your cravings.
00:11:49.92\00:11:54.13
Pickles and ice cream!
00:11:54.16\00:11:55.41
Pickles and ice
cream... do you hear that a lot?
00:11:55.44\00:11:58.42
Well, no not really,
but most of the people
00:11:58.45\00:12:02.89
that come to me really
they want me to encourage them
00:12:02.92\00:12:07.89
on a healthy diet.
00:12:07.92\00:12:09.62
So, instead of the
water... excuse me,
00:12:09.65\00:12:12.59
instead of the ice
cream, we should have water
00:12:12.62\00:12:14.12
or something like that?
00:12:14.15\00:12:15.20
What's so important about water?
00:12:15.23\00:12:16.41
The reason why they
need to drink so much water,
00:12:16.44\00:12:20.95
and we encourage hydration
is because the amniotic fluid
00:12:20.98\00:12:25.99
that's surrounding the baby
is reproduced every 3 hours.
00:12:26.02\00:12:30.92
So they change the water
in that little swimming pool
00:12:30.95\00:12:33.52
for the little guy
or gal, every 3 hours?
00:12:33.55\00:12:35.79
Yes, at least 30% of it...
00:12:35.82\00:12:37.97
But I can tell you we're
talking around 1,000 mL of fluid
00:12:38.00\00:12:43.91
that's surrounding the
baby and that's the protection
00:12:43.94\00:12:46.53
for the baby,
the amniotic fluid.
00:12:46.54\00:12:49.28
That's the bumper.
Yes, it protects the cord
00:12:49.31\00:12:52.02
from being compressed,
and the baby can move
00:12:52.05\00:12:56.43
all different positions
and still be protected.
00:12:56.46\00:13:02.32
So, you don't want them swimming
on ice cream and pickles!
00:13:02.35\00:13:05.04
No! You want water! Water!
00:13:05.07\00:13:07.69
We've been
talking with Patti Barnes
00:13:07.72\00:13:09.62
She is a certified
professional midwife;
00:13:09.65\00:13:12.16
delivered over 750 babies.
00:13:12.19\00:13:14.11
Maybe you're pregnant, or know
someone who is, call them up!
00:13:14.14\00:13:16.69
Join us when we come back,
and we're going to talk more
00:13:17.51\00:13:19.03
about what we
need to be looking at,
00:13:19.56\00:13:22.67
and being aware of
before we have a baby.
00:13:22.70\00:13:24.74
Join us!
00:13:24.78\00:13:26.76
Have you found yourself wishing
00:13:27.95\00:13:29.26
that you could
shed a few pounds?
00:13:29.29\00:13:30.86
Have you been on a
diet for most of your life
00:13:30.89\00:13:33.33
but not found anything that
will really keep the weight off?
00:13:33.36\00:13:36.50
If you've answered "yes"
to any of these questions,
00:13:36.53\00:13:39.22
then we have a
solution for you that works!
00:13:39.25\00:13:42.06
Dr. Hans Diehl and
Dr. Aileen Ludington
00:13:42.09\00:13:44.86
have written a
marvelous booklet called...
00:13:44.89\00:13:46.95
"Reversing Obesity Naturally"
00:13:46.98\00:13:49.17
and we'd like to send
it to you FREE of charge.
00:13:49.20\00:13:51.92
Here's a medically sound
approach successfully used
00:13:51.95\00:13:54.70
by thousands who are able
to eat more and lose weight
00:13:54.73\00:13:57.81
permanently without
feeling guilty or hungry
00:13:57.84\00:14:00.54
through lifestyle medicine.
00:14:00.57\00:14:02.22
Dr. Diehl and Dr. Ludington
have been featured on 3ABN
00:14:02.25\00:14:05.85
and in this booklet, they
present a sensible approach
00:14:05.88\00:14:08.89
to eating, nutrition
and lifestyle changes
00:14:08.92\00:14:11.42
that can help you
prevent heart disease, diabetes
00:14:11.45\00:14:13.83
and EVEN cancer.
00:14:13.86\00:14:15.24
Call of write today
for your free copy of...
00:14:15.27\00:14:17.47
"Reversing Obesity Naturally"
00:14:17.50\00:14:19.27
and you could be on your
way to a healthier, happier YOU!
00:14:19.30\00:14:22.63
It's ABSOLUTELY free of
charge, so call or write today.
00:14:22.66\00:14:26.79
Welcome back, we're
talking with Patti Barnes
00:14:28.71\00:14:31.60
She is a certified
professional midwife,
00:14:31.63\00:14:33.58
and we've been gaining
from your information...
00:14:33.61\00:14:37.25
You delivered
now over 750 babies,
00:14:37.28\00:14:39.50
and when we were
talking before the break,
00:14:39.53\00:14:41.59
we were speaking
about prenatal care.
00:14:41.62\00:14:43.75
It's really
important to have that...
00:14:43.78\00:14:45.64
to be involved in talking with
00:14:45.67\00:14:47.99
people that have
seen so many babies.
00:14:48.03\00:14:50.70
Education is very important.
00:14:50.73\00:14:52.36
Do you do a lot of education
when you're in the homes?
00:14:52.39\00:14:54.36
Yes, we educate the
mother and the father
00:14:54.39\00:14:57.16
for labor and delivery.
00:14:57.19\00:14:59.39
And of course, we want
the fathers to ENCOURAGE
00:14:59.42\00:15:02.02
their wives in obtaining good
prenatal care, eating right,
00:15:02.05\00:15:06.81
and exercising.
00:15:06.84\00:15:07.84
I was looking at the section on
prenatal care here in your book,
00:15:07.87\00:15:11.14
and once thing that I
noticed was that you spent
00:15:11.17\00:15:14.43
considerable time talking about
00:15:14.46\00:15:15.76
a urinalysis or mentioning that.
00:15:15.79\00:15:17.48
Well, what's important
about getting the urine tested
00:15:17.51\00:15:19.83
for a mom that's expecting?
00:15:19.86\00:15:21.93
A urinalysis can
reveal a lot of things,
00:15:21.96\00:15:25.45
but we mainly concentrate on...
00:15:25.48\00:15:27.98
for example - protein in the
urine, if she's spilling protein
00:15:28.01\00:15:32.43
We want to make sure that she's
00:15:32.46\00:15:33.44
eating enough
protein for the baby...
00:15:33.47\00:15:37.67
What are some good
sources of protein?
00:15:37.70\00:15:39.14
Well, we have a food chart;
we're going to talk about that.
00:15:39.17\00:15:44.37
And also leukocytes
which would be to rule out
00:15:44.40\00:15:50.03
infections...
00:15:50.06\00:15:51.48
White blood cells.
Right, white blood cells.
00:15:51.51\00:15:53.10
The fighters. Um hm
00:15:53.13\00:15:55.18
And if you're showing
leukocytes with nitrites,
00:15:55.19\00:16:00.95
then you could possibly be
fighting a bladder infection,
00:16:00.98\00:16:04.58
or "UTI"
urinary tract infection.
00:16:04.61\00:16:06.72
So can you give antibiotics
during pregnancy? What do you do
00:16:06.75\00:16:09.24
Well, the doctors
will usually prescribe...
00:16:09.94\00:16:14.05
Take care of that; do something.
00:16:14.08\00:16:15.88
Cranberry juice work for that?
00:16:15.91\00:16:17.18
Cranberry juice, and
we encourage drinking
00:16:17.21\00:16:19.33
drinking a LOT of water.
00:16:19.36\00:16:20.82
A lot of water! Um hm
00:16:20.85\00:16:22.17
Can't go wrong there.
00:16:22.20\00:16:23.19
No, you can't go wrong there...
00:16:23.22\00:16:24.30
And also, we check for glucose
because we want to rule out
00:16:24.33\00:16:28.23
gestational diabetes.
00:16:28.26\00:16:30.55
Gestational
diabetes... that means diabetes
00:16:30.58\00:16:33.36
during pregnancy.
00:16:33.39\00:16:35.25
Now if someone has gestational
diabetes, then what do you do
00:16:35.28\00:16:40.39
as a nurse... I know
you have the physician
00:16:40.42\00:16:42.20
working with you
and different things,
00:16:42.23\00:16:43.26
but what do you do
as a midwife with that?
00:16:43.29\00:16:46.06
Well, if they are
spilling sugar in their urine,
00:16:46.09\00:16:51.85
first we go over their
diet and make sure that it's
00:16:51.88\00:16:55.11
just maybe they had too much
sugar that day or something,
00:16:55.14\00:16:59.40
and we would try to
correct it with their diet.
00:16:59.43\00:17:02.62
If not, then of
course, they would be referred
00:17:02.65\00:17:05.12
to obstetrical care where
they would do other things
00:17:05.15\00:17:10.55
to rule out any problems.
00:17:10.58\00:17:12.37
Before we went to the
break, you were talking about
00:17:12.40\00:17:15.78
that list of
things... "CHECKUP,"
00:17:15.81\00:17:17.16
and one of the
things there was edema.
00:17:17.19\00:17:19.26
What is edema and
why is it on your list?
00:17:19.29\00:17:21.19
What has that go to do with...
00:17:21.22\00:17:23.65
Well, edema just
simply means "swelling"
00:17:23.68\00:17:27.03
And we have dietary
eliminations for edema -
00:17:27.06\00:17:34.82
like the restriction of
pork because we find that
00:17:34.85\00:17:39.79
pork is a very big
irritant for fatty, salty,
00:17:39.82\00:17:48.61
and has other harmful things
in it that could encourage edema
00:17:48.64\00:17:55.61
and cause a rise of hypertension
or high blood pressure.
00:17:55.64\00:18:01.45
So, out of meats, if
they're going to eat any meats,
00:18:01.48\00:18:03.64
one especially avoids pork.
00:18:03.67\00:18:05.72
Yes, especially to avoid pork
as I find that's the biggest
00:18:05.75\00:18:09.24
offender of the edema.
00:18:09.27\00:18:11.56
Also, caffeine and other
stimulants could encourage edema
00:18:11.59\00:18:17.10
...fried fatty foods,
any spicy foods and sugar.
00:18:17.13\00:18:23.88
Also, we try to encourage them
00:18:23.91\00:18:28.87
to eat plenty of
fresh fruits and vegetables
00:18:28.90\00:18:32.25
to get a proper protein balance,
00:18:32.28\00:18:34.78
and replace lemon
in the place of vinegar
00:18:34.81\00:18:40.27
because vinegar
is an irritant...
00:18:40.30\00:18:43.11
and fresh lemon
cleanses the blood.
00:18:43.14\00:18:47.14
Garlic, parsley,
onions and cucumbers
00:18:47.15\00:18:50.44
are very good for
edema as blood cleansers...
00:18:50.47\00:18:55.06
And you're going to
hear me say "lots of water"
00:18:55.09\00:18:57.96
through this whole thing.
00:18:58.00\00:18:59.38
Lots of water and garlic!
00:18:59.41\00:19:00.76
My wife is going to
love that; she loves garlic.
00:19:00.77\00:19:05.46
Anything else?
00:19:05.49\00:19:06.79
Getting fresh outdoor exercise,
00:19:06.82\00:19:11.93
but usually... honestly Don,
I hardly have any problem with
00:19:11.96\00:19:18.57
any of my pregnant ladies having
edema... Is that right? Um hm
00:19:18.60\00:19:22.79
I might have, just
toward the hot summer months,
00:19:23.75\00:19:28.52
we might see a little bit,
but as far as edema because of
00:19:28.55\00:19:34.15
hypertension or health reasons,
I hardly have that because
00:19:34.18\00:19:40.27
most of the pregnant
ladies that come to me...
00:19:40.30\00:19:42.63
they know that I'm
going to encourage them
00:19:42.66\00:19:44.85
in a good diet and lifestyle...
00:19:44.86\00:19:47.72
What is the
problem, though, with edema?
00:19:47.75\00:19:50.50
What is the
problem with swelling?
00:19:50.53\00:19:51.58
I mean, what's the big deal?
00:19:51.62\00:19:52.70
So what if your ankles get a
00:19:52.73\00:19:53.78
little bigger
and your appendages?
00:19:53.81\00:19:56.76
Well, if it's coupled
with if you have swelling,
00:19:56.79\00:20:01.67
and high blood pressure,
blurred vision, headaches,
00:20:01.70\00:20:08.14
then you're getting signs
of preeclampsia or toxemia.
00:20:08.17\00:20:14.19
Okay, preeclampsia,
what does that mean?
00:20:14.22\00:20:15.83
That would be before, you
know that's preeclampsic...
00:20:15.86\00:20:21.47
toxemia simply just
means poison in the blood,
00:20:21.50\00:20:26.41
and you could cause problems
as to prematurely separate
00:20:26.44\00:20:33.19
the placenta if the
blood pressure gets too high,
00:20:33.22\00:20:36.26
and cut off oxygen
supply to the baby.
00:20:36.27\00:20:40.13
So this is a big thing to
worry about if you start to see
00:20:40.16\00:20:42.59
swelling or different things.
00:20:42.62\00:20:43.67
You don't want that happening.
You don't want that going on.
00:20:43.70\00:20:47.61
You mentioned
fried and fatty foods...
00:20:47.64\00:20:50.13
What does that
mean? How does that work?
00:20:50.16\00:20:52.81
Well fried fatty
foods, of course, raises your
00:20:52.84\00:20:55.57
cholesterol level and
it clogs up your blood
00:20:55.60\00:21:00.60
vessels which will cause
a rise of blood pressure.
00:21:00.63\00:21:04.68
When you say "spicy
food" what do you mean by that?
00:21:04.71\00:21:06.85
Like what kind of...
Hot pepper, just spicy foods
00:21:06.88\00:21:14.90
like hot sauce.
00:21:14.93\00:21:17.66
Um hm, you want to
avoid those kinds of things.
00:21:17.69\00:21:21.28
All right, and then fresh fruits
veggies, all that type of thing.
00:21:21.31\00:21:26.28
We can't go wrong
encouraging them in fresh fruit,
00:21:26.31\00:21:31.63
and a lot of vegetables.
00:21:31.64\00:21:34.02
You know in your
book, you mentioned as well
00:21:34.05\00:21:36.00
that you want to palpate or
check the belly of the lady,
00:21:36.01\00:21:43.33
I noticed you brought a belly
here and you want to show us
00:21:43.36\00:21:47.15
something about that...
should I hold the belly? Sure
00:21:47.18\00:21:50.06
Let me just look at this here.
00:21:50.09\00:21:55.47
Do I have this
the right way? Yes.
00:21:55.50\00:21:57.64
And this must be
the belly button. Yes
00:21:57.67\00:21:59.87
It's actually a real
button too, isn't it?
00:21:59.90\00:22:01.53
It's a real button.
00:22:01.56\00:22:02.82
It's an outie not an innie.
00:22:02.85\00:22:04.06
So what is it that you
do here when you palpate?
00:22:04.09\00:22:07.60
When we palpate the baby,
00:22:07.61\00:22:09.35
we are determining what
position the baby is in,
00:22:09.38\00:22:12.49
and what we're
looking for is this baby to be
00:22:12.52\00:22:14.96
in a head-down
position or a vertex...
00:22:14.99\00:22:17.59
It's called vertex position
with the baby's head down.
00:22:17.62\00:22:19.79
This baby is head down.
00:22:19.82\00:22:21.02
The head is right here. Okay
00:22:21.05\00:22:22.27
And, I feel the
back on this side.
00:22:22.30\00:22:25.28
And then where are the legs?
00:22:25.31\00:22:27.64
Oh, you can kind of feel it.
00:22:27.68\00:22:29.98
Is it this easy
on a real lady? No
00:22:30.01\00:22:32.54
It's different because
this isn't a real lady.
00:22:32.57\00:22:37.26
And the bottom is up here.
00:22:37.27\00:22:40.08
Well, you're feeling
through amniotic fluid,
00:22:40.11\00:22:43.15
and we do have some
amniotic fluid under here.
00:22:43.18\00:22:45.35
Well, you're going to
open this up in a minute
00:22:45.39\00:22:47.55
and show me right?
Yes, I'll show you.
00:22:47.59\00:22:49.02
So then what do you
do? How do you check?
00:22:49.06\00:22:50.46
You had talked about
checking the fundus height...
00:22:50.49\00:22:53.11
Yes, I'll show you...
00:22:53.14\00:22:54.68
We start at the symphysis
pubis, top of the pubic bone.
00:22:54.71\00:22:58.89
Okay, pubic bone. And
we measure centimeters.
00:22:58.92\00:23:04.86
And we go up to the
top of the uterus...
00:23:04.89\00:23:07.70
Remember I told you, the top
of the uterus is the fundus...
00:23:07.73\00:23:10.32
And, how many
centimeters do you see there?
00:23:10.33\00:23:14.38
...40 Wow, she's
ready to deliver!
00:23:14.41\00:23:17.54
Yikes... not on the show, please
00:23:17.55\00:23:23.04
So, she's full-term. All right.
00:23:23.07\00:23:26.51
And also by determining
the position of this baby,
00:23:26.54\00:23:30.01
we can feel that
the back is over here,
00:23:30.04\00:23:36.37
so we would listen over
here for the fetal heart tone.
00:23:36.38\00:23:38.90
and I notice that you have
a ... what would you call it?
00:23:38.93\00:23:41.20
A stethoscope or a
fetoscope? This is a fetoscope.
00:23:41.23\00:23:43.65
And you put this
back over there? Right
00:23:43.68\00:23:47.54
What do you do, put
your head on it or something?
00:23:47.57\00:23:49.37
Yes, and then we
listen for the heart tones.
00:23:49.40\00:23:53.34
I don't suppose I
would hear anything here
00:23:53.37\00:23:54.69
on this one though,
right? I don't think so.
00:23:54.72\00:23:57.57
And now let's say
the head is up here,
00:23:57.60\00:24:00.67
right up here
and you have 40 weeks
00:24:00.70\00:24:06.76
and it's time to
deliver, what do you do then?
00:24:06.79\00:24:09.48
Well hopefully, we would
have determined the position
00:24:09.49\00:24:13.25
before it was 40 weeks. Okay
00:24:13.28\00:24:15.02
You don't want
to deliver a breech.
00:24:15.03\00:24:17.25
That's what it's
called, a breech,
00:24:17.28\00:24:18.63
if the feet are
coming out first.
00:24:18.66\00:24:21.27
Can you make it turn around?
00:24:21.28\00:24:23.12
Well, I was going to
say, my backup doctors do
00:24:23.15\00:24:27.71
what they call
"an external version,"
00:24:27.74\00:24:29.66
and that's done under
an ultrasound. Oh, I see
00:24:29.67\00:24:34.27
So they can kind of
move it around sometimes.
00:24:34.28\00:24:38.65
Yes, externally they
would move it head down,
00:24:38.68\00:24:41.29
but they would like to do that
before 40 weeks, around 37 weeks
00:24:41.32\00:24:47.05
and then they know where
the cord is and everything
00:24:47.08\00:24:48.84
when they do that or they
try to. The ultrasound - right.
00:24:48.85\00:24:51.10
Excellent! Do you have
anything else you want to
00:24:51.11\00:24:54.25
show me here... while
we have the belly here?
00:24:54.28\00:24:57.38
Do you want to
show them the inside?
00:24:57.39\00:24:58.69
Sure, yeah... I want
to see the inside, why not
00:24:58.72\00:25:00.86
Okay, let's look there.
00:25:00.89\00:25:02.63
WOW! Deliveries are
not this easy, are they? No
00:25:02.66\00:25:05.49
This must be the
what... amniotic fluid?
00:25:05.52\00:25:07.43
That's supposed to be the
amniotic fluid, and the baby.
00:25:07.46\00:25:09.67
All right, and then
let's put that over there...
00:25:09.70\00:25:12.30
And this is the
baby right there.
00:25:12.33\00:25:14.42
He looks kind of
flexible too, good.
00:25:14.43\00:25:17.05
All right! Well, you know,
as you're dealing with moms,
00:25:17.08\00:25:22.53
and you're talking with
them, anything else that you
00:25:22.56\00:25:26.03
like to stress for
the first-time mom?
00:25:26.06\00:25:31.04
What types of things...
Do they ever get anxious
00:25:31.07\00:25:34.07
as they're coming
up to their delivery?
00:25:34.10\00:25:35.63
What kind of
things do you talk about?
00:25:35.66\00:25:38.32
Yes, there are a lot of
concerns for the first-time mom.
00:25:38.35\00:25:42.82
They need a lot of
emotional support...
00:25:42.85\00:25:45.20
not just from their husbands
but from their families,
00:25:45.23\00:25:49.96
and we try to inform
them, as much as possible,
00:25:49.99\00:25:53.79
especially for
the first-time moms...
00:25:53.82\00:25:55.29
They're called "primips"
00:25:55.32\00:25:57.83
Primips... do
you call them that?
00:25:57.86\00:26:00.33
No, just to the doctors.
00:26:00.36\00:26:02.43
But for the first-time
mothers, they really need to be
00:26:02.46\00:26:06.64
educated and I really encourage
a lot of education so that
00:26:06.67\00:26:12.14
they know just what is going on;
00:26:12.17\00:26:14.26
what problems to be
aware of and what to expect,
00:26:14.27\00:26:17.55
and that pregnancy is
not a sickness or a disease
00:26:17.58\00:26:22.51
and that they CAN do it.
00:26:22.54\00:26:25.06
I had a lady come to
me, a pregnant mother,
00:26:25.09\00:26:27.93
who came to me
who was not informed,
00:26:27.96\00:26:29.91
and she told me that her
first birth was just a disaster
00:26:29.92\00:26:34.24
because she just really
didn't know what was going on...
00:26:34.27\00:26:36.77
And when she went into
labor and went to the hospital
00:26:36.80\00:26:42.61
and it was during transition
that was just about...
00:26:42.64\00:26:49.53
you're just about finished
when you're in transition,
00:26:49.56\00:26:51.36
and you know your
cervix dilates completely;
00:26:51.39\00:26:54.38
you're just about
ready to push the baby out,
00:26:54.41\00:26:56.68
and she wasn't aware of
that; nobody informed her.
00:26:56.71\00:27:00.30
Transition is the
hardest part of labor.
00:27:00.33\00:27:03.17
So she thought "When
is this going to end?"
00:27:03.18\00:27:05.60
Yes, and she just said,
"I cannot do this anymore,"
00:27:05.63\00:27:08.39
and she said something
just clicked in her mind,
00:27:08.42\00:27:10.36
and she WASN'T going to.
00:27:10.39\00:27:12.07
She was not going
to have that baby...
00:27:12.10\00:27:13.56
She said, she decided
she was going to just leave!
00:27:13.59\00:27:18.50
So she ran out of the hospital!
00:27:18.53\00:27:21.10
At transition-time. Wow!
00:27:21.13\00:27:23.78
With 2 doctors and several
00:27:23.81\00:27:25.54
nurses chasing her. I imagine!
00:27:25.57\00:27:27.31
She was just about
ready to push the baby out.
00:27:27.34\00:27:30.41
So it's VERY important to let
people know what's happening...
00:27:30.42\00:27:34.82
to educate them,
and I suppose you do
00:27:34.85\00:27:36.91
that with the dads
as well. Yes, we do.
00:27:36.94\00:27:39.23
We've been
talking with Patti Barnes
00:27:39.26\00:27:41.59
She is a certified
professional midwife.
00:27:41.62\00:27:43.90
And, we've learned
what we need to be saying,
00:27:43.93\00:27:46.41
what we need to be
doing BEFORE we have a baby,
00:27:46.44\00:27:48.72
and what we need to be eating,
all of these different things.
00:27:48.75\00:27:51.73
She has written a new book
where all this is summarized.
00:27:51.76\00:27:54.52
We hope that what you
have learned will give YOU
00:27:54.55\00:27:57.05
and that NEW ONE
health for a lifetime!
00:27:57.09\00:27:59.01