FreshOur July 2016 Edition

A Fresh Look

You may notice that we have made changes to the fonts and to the layout to give the book a fresh look.

New Nutrition Guidelines (pages 9-13)

In December of 2015, the U.S. government issued the new 2015-2020 Dietary Guidelines for Americans. While previous editions focused primarily on specific, individual dietary components – such as foods, food groups, and nutrients, the 2015-2020 Guidelines emphasize overall eating patterns and the combinations of all the foods and drinks that people consume every day. We encourage students to visit the www.choosemyplate.gov website to determine specific recommendations for their age, activity level, and trimester of pregnancy.

New Exercise Guidelines (page 19)

Also in December of 2015, the American College of Obstetricians and Gynecologists updated their recommendations for physical activity and exercise during pregnancy. In 2010 ACOG recommended a total of “30 minutes or more of moderate exercise most, if not all days of the week.” The 2015 Committee Opinion modified this slightly to recommend “20 to 30 minutes or more of moderate exercise on most or all days of the week for pregnant women without medical complications.” They also state that, “Although frequently prescribed, bed rest is only rarely indicated.”

Possible Challenges of Labor (page 46)

We added a section on slow progress and recommended the peanut ball, if it is available, for women confined to bed.

What To Do If the Laboring Woman Panics (page 48)

We added some examples of reassuring phrases for labor support people.

Medications Available During Labor and Birth (pages 52-53)

As more hospitals and birth centers in the U.S. offer nitrous oxide as an option for pain relief, we updated our information about this option. (Canada is way ahead of the U.S. in offering nitrous oxide.)

Cesarean Birth (pages 56-58)

We added recommendations to make it easier for immediate skin-to-skin contact such as having the mother request that EKG monitors be placed on her side rather than on her chest. We also mentioned the option of having a clear screen (if it is available) or asking that the screen be lowered at the moment of birth for a more family-centered birth.

Recommended Reading and Viewing (pages 114-115)

On these pages and throughout the handbook, we updated our recommendations by deleting older and out-of-print references and adding new references.

For more information on the topics we updated, please see the references on the next page.

The Family Way Publicationswww.thefamilyway.com

Prepared Childbirth – The Family Way

References for More Information

New Nutrition Guidelines

http://health.gov/dietaryguidelines/2015/guidelines/.

New Exercise Guidelines

Physical Activity and Exercise During Pregnancy and the Postpartum Period www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co650.pdf?dmc=1&ts=20160401T1137470566.

Peanut Ball

• Science and Sensibility blog by Andrea Lythgoe at www.scienceandsensibility.org/?s=peanut+ball • Video at https://www.youtube.com/watch?v=hSn_BWjL1nw. • Tussey, C.M., Botsios, E., Gerkin, R.D., Kelly, L.A., Gamez, J. & Mensik, J. (2015). Reducing length of labor

and cesarean surgery using a peanut ball for women laboring with an epidural. Journal of Perinatal Education, 24(1), 16-24.

• Tussey, C. & Botsios, E. (2011). Use of a labor ball [peanut ball] to decrease the length of labor in patients who receive an epidural. JOGNN, 40(supplement 1), S105-106.

• Roth, C., Dent, S.A., Parfitt, S.E., Hering, S.L. & Bay, R.C. (2016). Randomized controlled trial of use of the peanut ball during labor, MCN in Advance, 2-8-16.

Nitrous Oxide

• American College of Nurse-Midwives (ACNM). (2013). Share with women [handout]. Nitrous oxide for pain relief in labor. Journal of Midwifery and Women’s Health, 58(6), 727-728. (free article)

• Collins, M. (August 2015). AWHONN Connections: Top ten misconceptions about the use of nitrous oxide in labor. https://awhonn.wordpress.com/2015/08/14/top-ten-misconceptions-about-the-use-of-nitrous-oxide-in-labor/

• Likis, F.E., et al. (2014). Nitrous oxide for the management of labor pain: A systematic review. Anesthesia & Analgesia, 118(1) 153-165.

• Rooks, J. (2011). Safety and risks of nitrous oxide labor analgesia: A review. Journal of Midwifery and Women’s Health, 56(6), 557-565.

• Stewart, L.S., & Collins, M. (2012). Nitrous oxide as labor analgesia: Clinical implications for nurses. Nursing for Women’s Health, 15(5), 398-408.

Cesarean Birth

Reference: benefits of labor for the fetus Black, M., Bhattacharya, S., Philip, S., Norman, J.E. & McLernon, D.J. (2015). Planned cesarean delivery

at term and adverse outcomes in childhood health. JAMA, 314(21), 2271-9.

Skin-to-skin after cesarean surgery • Barbero, P., Madamangalam, A.S. & Shields, A. (2013). Skin to skin after cesarean birth. Journal of

Human Lactation, 29(4), 446-448. • Elliott-Carter, Neva and Harper, Jeannie. (2012). Keeping mothers and newborns together after

cesarean – How one hospital made the change. Nursing for Women’s Health, 16(4), 290-295. • Moran-Peters, J., Zauderer, C.R., Goldman, S., Baierlein, J. & Smith, A.E. (2014). A quality improvement

project focused on women’s perceptions of skin-to-skin contact after cesarean birth. Nursing for Women’s Health, 18(4), 294-303.