Volume 8, Issue 19
|Midwifery Today E-News|
“Oxidative Stress and Preeclampsia”
|Subscribe • Print Page|
Search Archive • Index
Welcome to Midwifery Today E-News !
Are you an aspiring midwife who's looking for the right school? Are you a practicing midwife who would like learn more? Visit our Better Birth Education Opportunities page to discover ways to start or continue your education. You'll find schools for both traditional midwives and CNMs as well as an online continuing education program that will earn you 12 contact hours.
Midwifery Today Online Store
ANNE FRYE: Midwifery Today stocks all this renowned midwife's books, essential for every midwife's library!
This issue of Midwifery Today E-News is brought to you by:
Look below for more info!
Midwifery Today Conferences
"Soaking up Midwifery Knowledge"
Go here for info.
Plan to attend our Eugene conference in March 2007. You'll be able to choose from classes such as:
Go here for more information and a complete program.
In This Week’s Issue:
Quote of the Week
"The flowering of midwifery education is in the opening, the grace, the surrender, the beauty and the union with what is great and good, and the strength that comes with this."
— Elizabeth Davis
Are you enjoying your copy of Midwifery Today E-News? Then show your support by making a donation of $3 or more.
The Art of Midwifery
Colic can result from either a rapid ejection reflex or overabundance of foremilk, causing baby to swallow large amounts rapidly, and then getting a lot of air along with it. This can lead to gas, sleepless nights and difficult days that include pain. Try having the mom burp/wind her baby two to three times during a meal, the first time just a few minutes after beginning the breastfeed. The baby can also take little breaks and catch her/his breath. Also have moms try expressing milk before putting the baby to the breast, to decrease pressure and rapid ejection. Have her try it for a few days for every feed and see if it makes a difference. A mom of many who swore all her kids had colic was persuaded to try this technique for the new baby and the colic magically vanished. Eventually the supply will match the demand.
— Maggie Ramsey & Anna
ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to firstname.lastname@example.org.
Send submissions, inquiries, and responses to newsletter items to: email@example.com.
Passionate Midwifery Education
My Midwifery Education: My Mentor
I told you in the last installment about receiving "the call" after my first homebirth. In my deep drive toward midwifery I read everything I could get my hands on as I was nursing my baby and caring for my family. I could not get enough. I read OB textbooks and birth books like I was eating chocolate. I loved it. Then I heard Marion was going to teach some classes out near the coast about an hour and a half away. I joined some other aspiring midwives and we drove out to our half-day class telling birth stories and making new friends, midwife friends. (I want to talk more about midwife friends later.) Marion would teach us the basics. She began with the four types of pelvises, then prenatal care, hemorrhage, shoulder dystocia and so on.
As a practicing midwife she always had a fresh supply of amazing birth stories which she would tell in great detail, teaching us the language of birth, both medical and social. I believe the best part of midwifery education is the birth story. It teaches so much. It illustrates what we are doing. It demonstrates the lesson. It extends our experience. When I hear birth stories, especially from a midwife's point of view, I almost feel like I have gone to another birth.
Those of us attending Marion's classes already had our homebirth practices. I was with the birth coop (see first installment of this column). In class, we would bring Marion our cases, both prenatally and after the births. This added such a great dimension to the education, having real-life birth stories for all students to discuss. Marion would give us insights and considerations to check out. It almost felt like she was with us as we met with our mothers. In fact, at every birth I ever attended, whether Marion was there physically or not, I felt I had access to her. She got more than one middle of the night call to help us assess what was going on with a labor.
This is true mentoring. I feel so blessed to have had Marion as a my mentor. I hope each one of you finds a mentor.
— love, Jan
To read all installments of our column on midwifery education, go to our Better Birth and Babies Blog.
Please support our advertisers!
Oxidative Stress and Preeclampsia
An organism uses antioxidant defenses to protect itself from free radicals, molecules that cause harm to living creatures by damaging biologic structures such as DNA, cell membranes and ion transporters. Normally there is a balance between free radicals and the antioxidant defenses an organism uses to cope with them. When the balance tips in favor of the damaging molecules, this is called oxidative stress.
A free radical is a very reactive molecule capable of independent existence for only a short time. Free radicals have one or more unpaired electrons (an electron alone in its orbit). Molecules with all of their electrons paired are more stable. A molecule with an unpaired electron is prone to take one from another molecule.… When it reacts with molecules making up biologic structures (such as cell membranes), it can damage those structures. Free radicals often contain oxygen atoms. In addition to oxygen radicals there are some non-radical oxygen-containing molecules such as hydrogen peroxide that also cause damage to biologic structures; together these are all called "reactive oxygen species" (ROS).
Reactions involving ROS proceed in a chain reaction. If the original radical takes an electron from a stable non-radical molecule, that molecule becomes a radical and will react with another stable molecule, causing damage all along the way. Lipid peroxidation is a chain reaction in which cell membranes are damaged, causing the cells to function poorly or to collapse.
Some ROS are generated by the human body for a purpose. Phagocytes produce superoxide and use it to kill bacteria they engulf. Others are produced as normal metabolites of many biochemical processes, such as aerobic respiration. They also are formed when there is tissue injury or ischemia followed by reperfusion. They can be acquired (toxins or pollutants such as ozone) or generated in response to something occurring in the environment (such as ionizing radiation, including sunlight).
Cells make antioxidants to protect them from oxidative damage by ROS. Uric acid, superoxide dismutase and bilirubin are examples of antioxidants the body makes for itself. Cell membranes incorporate vitamin E and beta-carotene, antioxidants acquired nutritionally. Vitamin E interrupts lipid peroxidation by giving a radical one of its electrons. It then becomes a tocopherol radical, which is much less reactive and therefore safer, effectively putting an end to the chain reaction. It migrates to the membrane surface where vitamin C recycles the tocopherol radical back into vitamin E, and it goes to work again protecting the cell membrane. Different antioxidants work in different places and in different ways to protect against oxidative stress.
Oxidative Stress in Preeclampsia
Compared with healthy pregnant women, preeclamptic women have low levels of several dietary antioxidants in their blood, including vitamin C, vitamin E, lycopene and betacarotene. They also have higher levels of ROS and frequently have increased levels of uric acid, probably resulting from the body's attempt to cope with oxidative stress. The placentas of preeclamptic women also have lower than normal antioxidant levels and higher than normal levels of ROS.
Nutrition and Preeclampsia
Preeclampsia appears to arise after a multistage process. Whether or not dietary factors influence healthy trophoblast migration into the myometrium has not been investigated. Diet does influence blood volume expansion, and this is necessary to optimally perfuse the placenta. Oxidative stress is the likely culprit in the endothelial dysfunction that predates clinically apparent preeclampsia and explains its signs and consequences. A woman's antioxidant status influences her susceptibility to oxidative stress. Many antioxidants are manufactured within the body, but a good intake of dietary antioxidants may help. …Midwives can inform women about sources of dietary antioxidants and recommend several servings per day in as great a variety as possible.
— Jennifer Enoch, excerpted from "Antioxidants and Preeclampsia," Midwifery Today Issue 72
Read the entire article in Midwifery Today Issue 72. Order your copy here.
Please support our advertisers!
The University of Sheffield
Masters degree in Midwifery/Maternity Care by online distance learning
An exciting programme suitable for midwives or others involved in maternity care wishing to enhance their professional standing. Entirely Internet-based, without travel or attendance requirements—students can be located anywhere in the world!
The course runs part-time over three years, commencing September. Full details: http://www.sheffield.ac.uk/mmid
Research to Remember
An Eastern Virginia Medical School study of data on more than 5000 two-parent families found that postpartum depression (PPD) in fathers occurs at more than twice the rate of depression in the general adult male population of the United States. The study also found that when both parents have PPD, the babies are less likely to be breastfed and are more likely to be put to sleep with a bottle of formula. While sadness is a marker of PPD in women, men tend to exhibit irritability, aggression and sometimes hostility when depressed. The researchers conjectured that fathers become depressed because they feel burdened or entrapped by the financial responsibility of providing for a child.
— Pediatrics, Aug. 2006, Vol. 118: 659–668
Please support our advertisers!
Products for Birth Professionals
Web Site Update
The scrapbook for Eugene 2005 is online. See Debra Pascali-Bonaro demonstrating techniques with the birth ball.
Read this editorial from the brand-new issue  of Midwifery Today , newly posted to our Web site:
The table of contents for the new issue of Midwifery Today is online. (See an outtake from the photoshoot of our latest cover!)
Holiday Pack 2006
Get a jump on Holiday Sales. Advertise your product or service in Holiday Pack 2006! Don't miss your chance to reach 3,000 birth professionals, parents and others interested in gentle birth. You can also be a part of our Online Holiday Coupon Page.
Germany Conference Advertising
The advertising opportunities flyer is available for our conference in Germany in October 2006. Promote your services or wares to a target audience! Go to the main Germany page then click on "Advertise at the conference (opens a PDF)."
Contact our Advertising Director today at: firstname.lastname@example.org
I am a new grad nurse and am 13 weeks along in my first pregnancy. I am planning a homebirth with a private midwife and am very confident with my choice. I am looking for advice about how to manage the frustrating comments I'm getting, particularly from coworkers, about my "shocking, dangerous" choice (e.g., "What do you mean you don't want an epidural? Aren't you afraid of the pain?") I try to remember that these comments come from a totally different philosophy from mine, but it's starting to stress me out. Ideas?
Go to our forums to share your thoughts and experience.
Please support our advertisers!
Question of the Week (Repeated)
Q: I have been told that raspberry leaf tea promotes labor. I very much want to have a natural birth, and if this will help me get through it quicker, please could you tell me how do I drink it, how often, etc. I am 35 weeks already, but I am sure it's not too late to start, or maybe it's too early?
— Donna S.
SEND YOUR RESPONSE to email@example.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.org. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Please support our advertisers!
Think about It
Prenatal diagnosis—the detection of abnormalities of babies still in the womb—is driven by the increasing expertise of medical technology but is clearly sanctioned in many modern societies.… We seem to have decided, collectively as well as individually, that we want to avoid the difficulties of raising children with disabilities and especially, in our society, with intellectual disabilities.…
Prenatal diagnosis can open a veritable Pandora's box for the woman and her family, and it also raises wider, profound, ethical and philosophical questions. For example, how can we call ourselves a tolerant and inclusive society—a society that celebrates difference—when we have an entire industry directed towards eradicating babies who have obvious differences? And our values are portrayed very starkly when we specifically target babies with Down syndrome, a condition that is not usually fatal but is associated with intellectual disability and with characteristic physical features that our society does not recognize as beautiful.
Most women who opt for these tests are unaware that they are entering an emotional minefield, with consequences that may last for years. Many are also unaware that the tests that they are accepting will not detect all, or even most, abnormalities in their unborn babies.
— Sarah J. Buckley, excerpted from "Prenatal Diagnosis—Technological Triumph or Pandora's Box?" Midwifery Today Issue 77
Midwifery Today Issue 77 can be ordered.
Passionate about birth, mothers and babies? Want to be a birth activist? This internship is for you! Work and live with me in gorgeous southwest Colorado for 10 weeks or longer. Suzanne Arms, Suzanne@BirthingTheFuture.com . (970) 884-4090.
Remember to share this newsletter
You may forward it to as many friends and colleagues as you wish—it's free!
Want to stop receiving E-News or change your e-mail address? Or would you like to subscribe? Then please visit our easy-to-use subscription management page.
On this page you will be able to:
If you have difficulty, please send a complete description of the problem, including any error messages, to our newsletter.
Learn even more about birth!
Midwifery Today Magazine—mention code 940 when you subscribe.
E-mail email@example.com or call 1-800-743-0974 to learn how to order.
How to order our products mentioned in this issue:
Secure online shopping
We accept Visa and MasterCard at the Midwifery Today Storefront.
Order by postal mail
We accept Visa; MasterCard; and check or money order in U.S. funds.
Midwifery Today, Inc.
Order by phone or fax
We accept Visa and MasterCard.
Phone (U.S. and Canada; orders only): 1-800-743-0974
Phone (worldwide): +1 541-344-7438
Fax: +1 541-344-1422
E-News subscription questions or problems
Editorial submissions, questions or comments for E-News
Editorial for print magazine
For all other matters
All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site.
Midwifery Today E-News is published electronically every other Wednesday. We invite your questions, comments and submissions. We'd love to hear from you! Write to us at: firstname.lastname@example.org. Please send submissions in the body of your message and not as attachments.
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 2006 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!