Hello and welcome to
"Health for a Lifetime"
00:00:46.47\00:00:48.30
I'm your host Don Macintosh,
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and today I'm delighted to
be talking with Patti Barnes
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Welcome Patti! Thank you Don
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Now you are a
certified professional midwife,
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is that right? Correct
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And how long have you
been doing that? About 15 years
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15 years... So you've
seen a few babies born!
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How many about?
About over 750 now.
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And do you have
children of your own?
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I have 2 children.
And how old are they?
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Genesis is 24,
and Jason, he's 18.
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All right, well great!
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So you have a wealth
of experience as a mother,
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and as a midwife, and
with the time as well.
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You work with a
team, I understand,
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you have some
physicians and people that
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work with you as well
where you are practicing.
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Today we're going to be
talking about postpartum care.
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What does that big word mean?
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Postpartum care is right
after the birth thru 6 weeks,
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and we do postpartum care on
the mother right after delivery.
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We go back the 3rd day to
check her and the baby again.
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Then we see her in 2 weeks,
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and then we would like
to see her again at 6 weeks.
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So right
afterwards, then 2 weeks...
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3 days, 2 weeks and
then 6 weeks... Okay, got it!
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You know, one thing
before we get into that,
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you and I were
talking and maybe we can just
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discuss this a little bit.
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What if someone has
had several pregnancies,
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and maybe the last one
or maybe their first one,
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or whatever it was, was a
cesarean section or a C-section,
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and they want to have a vaginal
delivery or a regular birth,
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can that ever happen?
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Yes, they are
actually encouraging VBACs.
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They call it "vaginal
birth after cesareans. "
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This was proven in
a Flamm Study, 1994.
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Okay, so it is
possible then to have it again.
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Okay, so does it mean you just
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naturally have to
have another one? Right
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So, if your
physician is a younger OB-GYN
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they're going to
be more open to that.
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Have you ever, as a
midwife, delivered someone
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that was a cesarean before?
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Yes, but we encourage the VBACs
to be delivered in the hospital
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Just in case
there is a rupture. Yes
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And like we
said, it's very rare,
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but I know they are
estimating about $200,000
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could be saved a year by giving
them a trial of labor, vaginally
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$200,000 across
the nation... okay
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Let's go back to
postpartum care...
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You know, we
talked about when it is,
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3 days, 2 weeks, and
then 6 weeks again, right?
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Immediately after
the birth too. Um hm
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But what do you do then?
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What do you do
immediately after the birth,
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and walk us through
that; what does it entail?
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Okay, well
immediately after the birth,
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we check the uterus to
make sure that it's firm,
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and the baby will be
nursing right after the birth
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to contract the uterus.
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The uterus releases oxytocin,
it's a natural oxytocin
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to cause the
uterus to contract...
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So that's a
hormone or something?
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Yes, and it causes the
uterus to go back to size
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called uterine involution,
back to its pre-pregnant state.
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So we check the uterus
to make sure it's firm,
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and check for
bleeding; make sure that
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there is very
minimal bleeding...
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And we make sure that
the mother is breastfeeding,
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the baby has
latched-on and they're bonding.
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Let's go back to
that... checking the...
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what did you
call it, the fundus...
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The top of the
uterus is the fundus.
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And that's the
top of the uterus,
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and how do you
make sure it's firm?
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You just feel the top
of the uterus to make sure
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that it's firm...
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So, like if I had a
uterus, which I don't,
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which I'm fairly
certain, I'd be touching it
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right up here
above my belly button?
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Well after the baby is
born, it's usually about
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2 fingers below the umbilicus.
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Okay, so my belly button...
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and I just take 2
fingers and below that
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there should be what there?
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The top of the uterus.
What does it feel like?
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It will feel just like a hard...
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I want to say
grapefruit or something.
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Okay, and if it's
not there, what do I do?
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If it's real loose and
boggy, it will feel loose,
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but you probably have a bleed.
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A pretty good bleed.
Okay, what do you do?
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Well, what we would
do is what they call...
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"bimanual compression"
where you clamp it yourself,
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and you hold it
until it gets firm.
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You can give... if you
use herbs to control bleeding.
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And of course, in the
hospital, they'll give Pitocin
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or a drug to clamp the uterus.
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So that's like the
oxytocin but it's a medication.
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So you check and
make sure and if it's NOT,
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then you probably have
a bleed or something...
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and you have to be
careful about that.
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Anything else
then? Any education or
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different things that
you tell moms afterwards...
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Well, we make sure
that they are well-educated,
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what to look for; if they have
fever, pain, excess bleeding.
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Check the baby; make sure
that the baby is nursing well...
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How do you know if a
baby is nursing well?
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Well, we wouldn't leave
until the baby has latched-on,
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and nursing well, and we
want to make sure that the
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mother who had the baby can
get up and void, have a shower,
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and everything works
normal before we leave.
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We wouldn't leave her until
everything is fine, she's fed.
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Okay, back to that
breastfeeding thing...
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How do you know that it
has attached well or whatever?
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Latched-on... the
baby is latched-on.
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I pretty much
can figure that out,
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but what do you mean exactly?
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How do you know if
it has latched-on well?
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The baby will be nursing...
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Okay, and no air or
different things in there.
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Yes, you would know
because it wouldn't be crying.
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It would be nursing.
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Plus, let me just say this...
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It wouldn't hurt... when
the baby is nursing right,
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it wouldn't hurt her.
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Oh, it doesn't
hurt the mother. Yeah
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Because if it
doesn't have a good latch on,
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then she could say, "Well,
this just doesn't feel right. "
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So, what should the
mother then be watching for,
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I mean, you're there
right after the delivery...
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Do you do the Apgar
score then right after?
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Is that part of
postpartum care? Yes
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What are they
checking on an Apgar score?
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Okay, we check at 1
minute, and then at 5 again.
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And what are you checking?
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We check the baby's color.
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We make sure that the
baby is breathing well.
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The heart rate is 120 or above,
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and the normal rate is
anywhere from 120-160...
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And we also make sure
the respiration is good.
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The baby should be
well-flexed and not limp...
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And of course, we
make sure the baby is warm.
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We put a warm towel on
the baby and cap on its head.
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So babies can get
cold pretty easily;
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it's very
important to do all that.
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Yes, it's hard to hold their
heat in for the first 24 hours,
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and that's why we encourage
the baby to be extra warm.
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What about when a baby
gets yellow? Jaundiced?
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Or jaundiced,
whatever you call that.
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Jaundice is fairly
normal in newborn babies.
00:08:52.05\00:08:56.01
And why is
that? What's going on?
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Because we have an
elevated Bilirubin,
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the excess Bilirubin and
the weakened or the immature
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liver of the baby is having
trouble... Can't handle it...
00:09:05.31\00:09:09.98
And around 3 days,
the third day is the peak;
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in 8-10 days then
it should be fine.
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But usually the
jaundice isn't a problem.
00:09:17.14\00:09:22.93
I know in the hospital
when I was in nurses' training,
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they put me in this
little nursery thing,
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and there were like 30
babies in there, and they had a
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bunch of them under these little
lamps or different things.
00:09:29.17\00:09:30.70
Do you do that at home?
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We use sunlight.
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Sunlight... put
them by the window?
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Yes, and nursing is a benefit.
00:09:36.92\00:09:40.82
It helps flush excess Bilirubin,
00:09:40.85\00:09:43.92
and also activated charcoal.
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What about circumcisions?
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Well, if they want
to have circumcisions,
00:09:49.37\00:09:53.70
we always recommend the 8th day,
00:09:53.73\00:09:56.40
like the Bible says,
because the vitamin K factor
00:09:56.43\00:09:59.26
is the highest in the baby.
00:09:59.29\00:10:00.48
And they do
that in the hospital?
00:10:00.51\00:10:03.08
No, they have their
own pediatrician if they
00:10:03.11\00:10:05.09
choose to have
circumcision, they would go to.
00:10:05.12\00:10:07.79
Many times new moms
like to call the doctor
00:10:07.82\00:10:10.30
and check things out or
maybe they call you very often.
00:10:10.33\00:10:13.50
When should they
call their pediatrician?
00:10:13.53\00:10:15.26
Okay, well they should
call their pediatrician when
00:10:15.29\00:10:20.78
they don't see stools or
urination in 24-48 hours.
00:10:20.81\00:10:24.77
That's constipation then?
00:10:24.80\00:10:25.85
They could be
bound up, that's why?
00:10:25.86\00:10:27.96
Well after delivery,
we just want to make sure
00:10:27.99\00:10:32.65
everything works.
00:10:32.68\00:10:35.38
It might be but it might not be.
00:10:35.41\00:10:36.91
It might be that something
is not developed properly.
00:10:36.94\00:10:40.89
Difficult breathing.
Baby's color is blue.
00:10:40.92\00:10:45.09
Jaundice with lethargy...
00:10:45.12\00:10:46.97
Remember we talked
about jaundice as...
00:10:47.00\00:10:48.72
Yellowing skin and all that.
00:10:48.75\00:10:49.98
But is fairly normal,
but if you have jaundice
00:10:50.01\00:10:53.54
with lethargy and failure to
nurse, then there's a problem.
00:10:53.57\00:10:57.34
So lethargy - that
means just like what?
00:10:57.37\00:11:01.07
Just being out-of-it? Yes
00:11:01.10\00:11:03.46
It just lays around
and you have to wake
00:11:03.49\00:11:06.67
...sleepy baby,
doesn't want to nurse.
00:11:06.70\00:11:08.93
Vomiting; fever
over 99.6 under the arm,
00:11:08.96\00:11:13.62
or umbilical cord
red or swollen with odor.
00:11:13.65\00:11:16.98
Okay, so there
might be an infection.
00:11:17.01\00:11:18.16
Might be an infection.
00:11:18.19\00:11:20.18
Okay, so these are the
reasons that you need to call
00:11:20.21\00:11:23.29
the doctor then right away. Yes
00:11:23.32\00:11:25.91
And, we show them
how to watch for signs,
00:11:25.94\00:11:29.96
and how to take care
of the umbilical cord;
00:11:29.99\00:11:33.44
make sure that it stays...
Well how do they do that?
00:11:33.45\00:11:35.73
Well, we make sure it
stays above their diaper.
00:11:35.76\00:11:39.03
Every time they change a diaper,
00:11:39.06\00:11:40.18
clean it real well with alcohol.
00:11:40.21\00:11:42.14
So none of the
fecal material gets on it
00:11:42.17\00:11:44.23
causing an infection from that.
00:11:44.26\00:11:45.60
Keep it above their diaper
so they don't urinate on it.
00:11:45.63\00:11:48.47
Look for any
pus or any swelling,
00:11:48.50\00:11:52.32
or red irritation or odor.
00:11:52.35\00:11:55.62
So as long as
you keep it clean...
00:11:55.65\00:11:57.59
it usually falls
off about the 10th day.
00:11:57.62\00:12:00.75
So these stools that the
baby has right off the bat,
00:12:00.78\00:12:03.20
they could be a little bit
00:12:03.23\00:12:05.85
something to deal
with, can't they? Yes
00:12:05.88\00:12:09.97
So what advice do you give
to them so they don't develop
00:12:10.00\00:12:13.08
a rash or different
things... Or if they do what
00:12:13.11\00:12:15.14
I've seen some pretty
bad cases of diaper rash.
00:12:15.17\00:12:17.56
Well, just to check them
and to make sure that they
00:12:17.59\00:12:21.18
change their
diaper often and not leave
00:12:21.21\00:12:23.48
the urination or the
messy stools on their bottom.
00:12:23.51\00:12:26.95
But if they
develop a diaper rash,
00:12:26.98\00:12:34.42
they could use... there
are some natural remedies
00:12:34.45\00:12:36.73
like blended-up oatmeal...
00:12:36.76\00:12:39.08
Blended up oatmeal... Um hm
00:12:39.11\00:12:40.61
Just like into powder
and that's real soothing
00:12:40.64\00:12:43.67
and healing for the diaper rash.
00:12:43.70\00:12:46.03
Open to air? Yes, that's fine.
00:12:46.06\00:12:48.86
What would you say, cloth
diapers better than regular ones
00:12:48.89\00:12:53.53
Yes, 100% cotton.
00:12:53.56\00:12:54.96
100% cotton... So
wash those diapers!
00:12:54.99\00:12:57.52
That's better than the other.
00:12:57.55\00:12:58.70
Yes, supposed to
be less irritating,
00:12:58.73\00:13:00.41
but I know the others
would be more convenient.
00:13:00.44\00:13:03.24
They are very convenient.
00:13:03.27\00:13:04.50
Well, I know you've
written a new book called...
00:13:04.53\00:13:07.97
"The Ministry of Midwifery"
00:13:08.00\00:13:10.36
Is that right? Yes
00:13:10.39\00:13:11.42
And it says it's a
manual here as well.
00:13:11.45\00:13:13.70
Does it cover the things we've
been talking about today? Yes
00:13:13.73\00:13:17.16
So you could have
a reference for that.
00:13:17.19\00:13:19.45
We've been
talking to Patti Barnes
00:13:19.48\00:13:21.86
She is a certified
professional midwife.
00:13:21.89\00:13:23.60
And when we come back,
we're going to be talking about
00:13:23.61\00:13:26.30
other issues that
you face with a newborn;
00:13:26.33\00:13:28.28
breastfeeding, all these
different types of things.
00:13:28.31\00:13:31.01
So we hope that you join us.
00:13:31.04\00:13:33.98
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Dr. Diehl and Dr. Ludington
have been featured on 3ABN
00:14:10.21\00:14:14.09
and in this booklet, they
present a sensible approach
00:14:14.12\00:14:16.76
to eating, nutrition
and lifestyle changes
00:14:16.79\00:14:19.36
that can help you
prevent heart disease, diabetes,
00:14:19.39\00:14:21.79
and EVEN cancer.
00:14:21.82\00:14:23.03
Call or write today
for your free copy of...
00:14:23.06\00:14:25.35
"Reversing Obesity Naturally"
00:14:25.38\00:14:27.12
and you could be on your
way to a healthier, happier YOU!
00:14:27.15\00:14:30.41
It's ABSOLUTELY free of
charge, so call or write today.
00:14:30.44\00:14:35.13
Welcome back, we've been
talking with Patti Barnes
00:14:36.91\00:14:39.39
She is a certified
professional midwife,
00:14:39.40\00:14:41.98
and we're talking now about
what the mother has to face
00:14:42.01\00:14:45.49
after the baby is born;
so-called "postpartum care"
00:14:45.52\00:14:49.45
Is that what we call it?
00:14:49.48\00:14:52.11
Does the mother need
any help? Yes, she does.
00:14:52.14\00:14:55.26
We always recommend
that hopefully the father can
00:14:55.29\00:14:59.78
stay home and help her,
or she can have her mother
00:14:59.81\00:15:03.59
come to help her
for at least 2 weeks.
00:15:03.62\00:15:06.56
Also, I find that a
lot of church members
00:15:06.59\00:15:09.96
will bring in meals for
the next 2 weeks postpartum.
00:15:09.99\00:15:12.53
So the biggest thing
is to bring in activities
00:15:12.56\00:15:14.85
that they normally
would have to do on their own;
00:15:14.88\00:15:16.85
cooking meals
and different things,
00:15:16.86\00:15:18.07
take care of those
things for them. Yes
00:15:18.10\00:15:21.28
And, you know, I want
to just point out that you
00:15:21.31\00:15:25.35
asked me to ask
that question, right?
00:15:25.36\00:15:28.76
Someone might be
watching and say,
00:15:28.79\00:15:29.84
"Boy, that's a pretty
insensitive comment by that
00:15:29.87\00:15:32.34
man, to say - do
they need any help"
00:15:32.37\00:15:34.19
But you did ask me to ask
that question, didn't you? Yes
00:15:34.22\00:15:37.52
Because you promised to take
00:15:37.55\00:15:38.84
off work when your
wife has a baby. All right
00:15:38.87\00:15:42.47
When can she return
to a normal lifestyle...
00:15:42.50\00:15:44.58
And again, this is something
00:15:44.61\00:15:45.59
we talked about we
needed to talk about.
00:15:45.62\00:15:47.86
Usually after the 6-week period,
00:15:47.89\00:15:51.58
because 6-weeks
postpartum is actually when
00:15:51.61\00:15:56.27
the placental
site is healed over...
00:15:56.30\00:16:00.27
Because when the
placenta comes out,
00:16:00.30\00:16:02.30
after the placenta detaches,
00:16:02.33\00:16:05.12
there is a space
where the placenta was
00:16:05.15\00:16:12.48
and the bleeding takes place.
00:16:12.51\00:16:15.31
So there's the potential for
bleeding and different things
00:16:15.34\00:16:17.22
if you get too vigorous and
exercise and different things
00:16:17.25\00:16:20.86
How soon can you
start exercising afterwards?
00:16:20.89\00:16:22.98
Right after the 6-week period.
00:16:23.01\00:16:24.90
Right after the 6-week
period, but up until that point
00:16:24.93\00:16:27.41
you kind of take it easy.
00:16:27.44\00:16:28.44
Can you walk? Oh
yes, you can walk.
00:16:28.47\00:16:30.75
Your uterus starts returning
to normal around the 10th day.
00:16:30.78\00:16:38.33
10 days to 2 weeks
00:16:38.36\00:16:40.38
What about taking the baby
out; taking the baby to church,
00:16:40.41\00:16:44.36
to the store or to different
places - when can they do that?
00:16:44.39\00:16:47.28
Well, when they feel
like getting up and around,
00:16:47.31\00:16:51.51
usually after
the 3rd or 4th day.
00:16:51.54\00:16:53.92
The 3rd or 4th day...
00:16:53.95\00:16:56.04
Um hm, they are up
moving around slowly.
00:16:56.08\00:16:57.33
So, the first
week maybe afterwards,
00:16:57.36\00:16:58.80
they can go back to
church or different things?
00:16:58.83\00:17:00.36
Well, I recommend taking
it easy for a couple of weeks,
00:17:00.39\00:17:04.26
and just not overdoing it.
00:17:04.29\00:17:06.33
And as far as exposing
the baby to the public,
00:17:06.36\00:17:08.53
you just want to make sure
that the baby is not exposed
00:17:08.54\00:17:12.58
to a lot of
sickness or whatever.
00:17:12.61\00:17:14.47
Don't have all the people
in your church or whatever club
00:17:14.48\00:17:17.91
you go to hold the baby?
00:17:17.94\00:17:19.12
Just say, "Hey, leave
the baby alone for a while"
00:17:19.15\00:17:22.37
Well, you just don't
want to overexpose the baby.
00:17:22.40\00:17:26.61
Okay, so then 6 weeks that
that placental site is healed.
00:17:26.64\00:17:32.68
I guess another big thing
that maybe a change especially
00:17:32.71\00:17:35.78
for new moms but others
is probably breastfeeding.
00:17:35.79\00:17:38.64
Is it something that's a must,
00:17:38.67\00:17:40.76
or is it something
you can do without?
00:17:40.77\00:17:43.03
Well I, of course,
encourage breastfeeding.
00:17:43.06\00:17:45.61
We see a lot of
benefits toward breastfeeding.
00:17:45.64\00:17:49.97
Now, colostrum is the
first milk that comes in.
00:18:07.68\00:18:11.22
And how long does that last?
00:18:11.25\00:18:12.41
About 2 or 3 days first,
and then the rich milk comes in,
00:18:12.44\00:18:18.91
but it contains the antibodies
to protect from germs.
00:18:18.94\00:18:23.11
Of course it's more convenient
than bottles, breastfeeding...
00:18:23.14\00:18:26.14
You don't have to get up
in the middle of the night
00:18:26.18\00:18:27.44
and sterilize, you know.
00:18:27.47\00:18:29.69
How often are
you feeding the baby?
00:18:29.73\00:18:31.28
Oh, around every 2-3 hours.
00:18:31.31\00:18:33.86
And, helps
protect against allergies.
00:18:33.89\00:18:38.04
Again, helps uterine
involution, so you go back to
00:18:38.05\00:18:41.58
your pre-pregnant weight sooner.
00:18:41.61\00:18:43.85
If you're breastfeeding. Yes
00:18:43.88\00:18:45.53
And messy diapers are not as
unpleasant, in other words...
00:18:45.56\00:18:52.07
Breastfed babies maybe
wouldn't have an unpleasant...
00:18:52.10\00:18:57.52
A foul odor because
that's their mother's milk
00:18:57.53\00:19:01.07
not some foreign thing that
00:19:01.10\00:19:02.38
they're trying to
deal with. Correct
00:19:02.41\00:19:04.93
Okay, so every 2
hours... I mean...
00:19:04.96\00:19:09.13
Maybe you
remember breast feeding
00:19:09.16\00:19:10.96
your children
different things...
00:19:11.00\00:19:12.08
Did you find
that a great burden,
00:19:12.11\00:19:13.16
or did you just ENJOY
getting up every 2 hours?
00:19:13.19\00:19:15.50
Well, this is just after
the baby is first born...
00:19:15.53\00:19:21.80
Of course you need to nurse
00:19:21.83\00:19:23.73
it often to
establish your milk supply...
00:19:23.76\00:19:25.94
And then after
it's well-established,
00:19:25.97\00:19:29.12
you can help maintain a
schedule, maybe every 3-4 hours.
00:19:29.15\00:19:34.98
Okay, so wait-a-minute,
how long does it take to
00:19:35.01\00:19:37.55
establish that it's well
supplied, like you were saying.
00:19:37.58\00:19:40.57
Well, when you
first have the baby,
00:19:41.43\00:19:43.61
we encourage nursing
often to bring the milk in...
00:19:43.64\00:19:49.27
And like I said, it's
usually around the third day
00:19:49.30\00:19:52.32
that the milk comes in;
00:19:52.35\00:19:53.40
they're just
getting colostrum at first.
00:19:53.41\00:19:55.40
And then once the milk comes in
00:19:55.43\00:19:58.22
they'll have, what
they call, engorgement,
00:19:58.25\00:20:01.54
which is like - oh
my, to have SO MUCH milk!
00:20:01.57\00:20:04.77
But, we encourage them to
just keep nursing through,
00:20:04.78\00:20:08.00
and you can help
with engorgement maybe by
00:20:08.03\00:20:11.26
doing hot and cold compresses.
00:20:11.29\00:20:16.06
Some people say
WARM heat feels better,
00:20:16.09\00:20:18.78
and some people
say ICE feels better.
00:20:18.81\00:20:20.41
So they just experiment which
one would feel better to them.
00:20:20.44\00:20:26.36
And just with nursing,
they can get through that,
00:20:26.39\00:20:30.51
and usually after
the first week or two.
00:20:30.54\00:20:33.25
What about breast pumps?
00:20:33.28\00:20:35.42
Breast pumps, some people
use if, let's say, they have
00:20:35.45\00:20:41.39
mastitis which is
a breast infection,
00:20:41.40\00:20:44.37
and they get
high fever or chills,
00:20:44.38\00:20:48.67
just like they have
the flu, they feel awful...
00:20:48.70\00:20:51.05
And it's usually
from breast infection,
00:20:51.06\00:20:54.15
and a weakened immune system.
00:20:54.18\00:20:56.79
We would encourage them
to nurse often on that side,
00:20:56.82\00:20:59.52
and if they are having a
problem keeping the baby awake
00:20:59.55\00:21:05.89
to nurse as much as it needs
to, then we would have them use
00:21:05.93\00:21:08.81
the breast pump
to empty that breast.
00:21:08.84\00:21:11.17
So they empty it so that the
00:21:11.18\00:21:13.44
what is it - the solution
to pollution is dilution,
00:21:13.47\00:21:17.46
or whatever... you just
move things through there. Yes
00:21:17.49\00:21:22.29
And that milk is
okay for the baby?
00:21:22.30\00:21:24.71
Yes, it is fine.
00:21:24.72\00:21:26.44
And we also, I find
what helps for mastitis is
00:21:26.47\00:21:31.80
doing charcoal compresses.
00:21:31.83\00:21:35.25
Charcoal compresses...
so you just would take some
00:21:35.28\00:21:38.62
charcoal and what would you
do, is this in your book too?
00:21:38.65\00:21:41.51
Yes I believe it is.
00:21:41.54\00:21:44.07
And then how do you do that?
00:21:44.10\00:21:45.39
You just make a paste, put it in
a cloth and just do a poultice.
00:21:45.42\00:21:50.37
Do a poultice, and you
leave it on for how long?
00:21:50.40\00:21:52.59
About 30 minutes.
00:21:52.62\00:21:54.56
30 minutes at a time. Yes
00:21:54.59\00:21:56.31
And then how many
treatments would you do?
00:21:56.32\00:21:57.93
Just probably 2 or 3 a day.
00:21:57.96\00:22:00.66
And that draws all the
infection out or works on that.
00:22:00.67\00:22:05.37
Any common problems
people have with breast feeding
00:22:05.40\00:22:08.86
besides mastitis?
00:22:08.89\00:22:11.25
Well just, for the
first-time mom, it might be
00:22:11.28\00:22:15.81
a little bit rough
getting started just because
00:22:15.84\00:22:17.94
it's new to her and
we just encourage her to
00:22:17.97\00:22:23.14
stick with it even though
it might feel a little bit
00:22:23.17\00:22:28.26
painful at first,
the pain goes away.
00:22:28.29\00:22:31.18
Also, we have some
mothers that may complain of
00:22:31.21\00:22:35.51
cracked or sore
nipples, even bleeding...
00:22:35.54\00:22:41.19
And what we recommend is,
again, maybe doing some heat,
00:22:41.22\00:22:46.66
and take a vitamin E
capsule and pop it over,
00:22:46.69\00:22:51.77
put some oil on the
nipple area, the vitamin E,
00:22:51.80\00:22:56.90
right before the baby nurses,
00:22:56.93\00:22:58.77
and it's
soothing and healing also.
00:22:58.80\00:23:02.57
Now, if a mother
doesn't breast feed,
00:23:02.60\00:23:06.53
how long does it take for
her to quit producing milk?
00:23:06.56\00:23:11.30
You know, like for instance...
00:23:11.31\00:23:13.28
You know what I'm saying,
you understand the question. Yes
00:23:13.31\00:23:16.19
Okay, I'm not real sure how
long it takes for it to dry up,
00:23:16.22\00:23:20.38
people vary, but you can
do things, I guess naturally
00:23:20.41\00:23:28.56
to help, like they say cabbage
leaf will help dry up milk.
00:23:28.59\00:23:34.54
So you wear that kind of like
a poultice on that area. Yes
00:23:34.57\00:23:39.35
Anything that you can take
to increase milk production?
00:23:39.36\00:23:44.52
Yes, you could take
a combination of herbs
00:23:44.55\00:23:49.11
to help
increase the milk supply.
00:23:49.14\00:23:51.91
Equal parts of dill seed
and anise seed and fennel seed.
00:23:51.94\00:23:59.90
Do you have that written
down in your book as well?
00:23:59.93\00:24:02.24
Yes, I believe I do.
00:24:02.27\00:24:03.88
Those can be some
real helpful things.
00:24:03.89\00:24:06.40
Well what role, if any, does
the husband play in all this?
00:24:06.43\00:24:11.68
Of course he plays a BIG role.
00:24:11.71\00:24:13.42
We encourage him to just
be a part of this pregnancy
00:24:13.45\00:24:18.84
in every way - to help encourage
the wife in labor/delivery.
00:24:18.87\00:24:25.14
He will be there, and massaging,
comfort measures, an active part
00:24:25.17\00:24:34.16
And also
postpartum, encouraging her,
00:24:34.20\00:24:35.86
and helping her with
changing the diapers,
00:24:35.89\00:24:40.62
and bathing the baby.
00:24:40.65\00:24:44.01
Of course, she's going to
need help with house cleaning
00:24:44.04\00:24:46.84
and feeding... And all
those different things.
00:24:46.87\00:24:50.46
Let's go back to breast
feeding just for a minute...
00:24:50.49\00:24:53.28
How often do you switch breasts
00:24:53.31\00:24:56.75
or how much on
one side or the other?
00:24:56.78\00:24:58.96
Usually they nurse about
15-20 minutes on each side.
00:24:58.99\00:25:03.37
Okay, so the baby will
feed for 15-20 minutes,
00:25:03.40\00:25:06.37
and then you will
switch the other side. Right
00:25:06.40\00:25:08.68
And what about water?
00:25:08.71\00:25:10.52
Does the baby need water or
00:25:10.55\00:25:11.89
anything else to
drink besides milk?
00:25:11.92\00:25:13.50
Well if they are breast
feeding, mother's milk has
00:25:13.53\00:25:18.00
all the water the
baby needs in breast milk,
00:25:18.03\00:25:22.34
so there's really no
need to give the baby water.
00:25:22.37\00:25:24.50
Okay, so they have
what they need. Yes
00:25:24.53\00:25:27.45
And, how long do you
usually tell moms that they
00:25:27.46\00:25:32.23
can safely breast
feed? A year? 6 months?
00:25:32.26\00:25:37.22
Is that a matter of preference?
00:25:37.25\00:25:39.09
Yes, it's usually a
matter of preference...
00:25:39.12\00:25:41.02
how long they feel
comfortable breast feeding,
00:25:41.05\00:25:44.56
or when they feel that the baby
00:25:44.59\00:25:47.92
needs something
other than breast milk.
00:25:47.95\00:25:51.75
I'm sure you get many,
many calls for deliveries,
00:25:51.78\00:25:55.35
and different things,
but do you get a lot of calls
00:25:55.38\00:25:57.31
after you have
ministered in this way in homes?
00:25:57.34\00:26:00.54
Yes, we get a lot of
calls even after delivery,
00:26:00.57\00:26:05.36
well-after their postpartum
period just to keep in touch,
00:26:05.39\00:26:11.01
and to ask
questions, just concerns
00:26:11.04\00:26:15.78
of other members
in their families.
00:26:15.81\00:26:18.79
Have you ever led anyone to the
00:26:18.82\00:26:20.43
Lord as a
result of your ministry
00:26:20.46\00:26:22.42
working as a Christian midwife?
00:26:22.45\00:26:25.71
Yes, I'm thankful that the Lord
00:26:25.74\00:26:28.61
has a big part in this ministry.
00:26:28.64\00:26:30.68
We pray with all our clients,
00:26:30.71\00:26:32.78
and we encourage
them in the Lord...
00:26:32.81\00:26:35.07
And we have had good
success with Bible studies,
00:26:35.10\00:26:40.98
and just openness.
00:26:41.01\00:26:44.70
Now does your husband... I
notice you said the word "we"
00:26:44.73\00:26:47.53
...does you husband and then
00:26:47.56\00:26:48.71
your daughter's
name is Genesis, I think,
00:26:48.74\00:26:50.61
and then your
son's name is Jason,
00:26:50.64\00:26:52.53
do they see this as much
their ministry as you do?
00:26:52.56\00:26:55.30
Yes, I couldn't do this
without their encouragement
00:26:55.33\00:26:59.32
because they
play an active role,
00:26:59.35\00:27:03.08
and every time the phone rings
in the middle of the night,
00:27:03.11\00:27:06.40
and just encouraging me to
00:27:06.43\00:27:10.28
do seminars... and
being away from home so much.
00:27:10.31\00:27:16.87
Yes, your son is kind of your
right-hand-man... Yes, he is.
00:27:16.88\00:27:19.75
He brings those things
and I know that your daughter,
00:27:19.78\00:27:21.88
as well, speaking with her just
really sees this as a part of
00:27:21.91\00:27:25.51
her ministry as well.
00:27:25.54\00:27:27.21
Well thank you so much for
coming and sharing with us.
00:27:27.24\00:27:30.30
We've been
talking to Patty Barnes
00:27:30.33\00:27:32.36
She is a certified midwife.
00:27:32.37\00:27:35.12
She has had over 750 deliveries.
00:27:35.15\00:27:37.89
She has a
delightful new book called...
00:27:37.92\00:27:39.67
"The Ministry of Midwifery"
00:27:39.70\00:27:40.79
a manual that goes through
many things that we covered
00:27:40.82\00:27:43.61
that take us through
the pre-birth process
00:27:43.64\00:27:46.50
all the way through
delivery, then postpartum care,
00:27:46.53\00:27:49.78
all these different aspects.
00:27:49.81\00:27:51.26
It's a REAL blessing.
00:27:51.29\00:27:52.75
We hope that what you
have learned has been helpful,
00:27:52.78\00:27:54.88
and we hope that as a
result of today's program,
00:27:54.91\00:27:58.38
you'll have life
and have life abundant!
00:27:58.42\00:28:00.31