Saturday, June 29, 2013

Additional Websites for Hillcrest Hospital





  • Tour of Birthing and Postpartum Unit
    • Phone Number to Call to Schedule a Tour of the Birthing Center: (free
      • 440.312.4647
        • ask for Kerry Hannon

  • In Support of Women Boutique at North Campus:
    • In Support of Women Retail Boutique is committed to supporting breastfeeding mothers by providing breast pumps and accessories along with certified lactation consultation and support groups for stay at home & working mothers.
      • 6777 Mayfield Road (Hillcrest North Campus), Mayfield Heights, Ohio 44124
      • Phone Number: 440.312.0267
      • Email: insupportofwomen@ccf.org
      • Store Hours; Monday - Friday, 10 a.m. - 2 p.m.
      • Free delivery to your hospital room during boutique hours

  • Speaking of Women's Health Program:
    • Speaking of Women's Health, a program designed to educate women about health, well-being and personal safety for themselves and their families.
    • To learn more, visit www.speakingofwomenshealth.com
    • Call 888.641.3024.

  • Cleveland Cord Blood Bank:
    • Hillcrest Hospital, a Cleveland Clinic hospital, is one of two birthing centers in Ohio to give new parents the opportunity to contribute their newborn baby’s cord blood to the Cleveland Cord Blood Center (CCBC) – Ohio’s first and only public cord blood bank.
    • With approximately 3600 births each year, Hillcrest Hospital is expected to boost the number of cord blood stem cell units that will ultimately be distributed to help treat leukemia and other blood-borne diseases, as well as support research efforts.
    • By donating your child’s cord blood you are providing the lifesaving opportunity for someone else. The process of cord blood donation for expectant parents is safe for both mother and child. At the hospital, you will be asked to complete appropriate paperwork to indicate your consent. After your baby is born, the cord blood will be collected by your doctor, along with the delivery of the afterbirth. If you do not choose to donate your newborn's umbilical cord blood, it will be discarded.
    • For further information, please visit CCBC's website, www.clevelandcordblood.org or call 216.896.0360.


  • How Contact a Patient at Hillcrest Hospital Via Phone:
    • To contact a patient, call 440-312-3066
    • Provide operator with first and last name


  • Lactation Support Phone Number for Hillcrest Hospital:
    • Lactation Consultant Service at Hillcrest Hospital: 440.312.5332


The Hospital Checklist

By Bella Bellies Owner Anne Martens

Here is a list I comprised based on my experience as a Mother, Doula & Child Birth Educator.
The items below are not all necessary, pick and choose what is most appropriate for you.

Papers
  • Registration Papers Requested by Hospital for Admittance
    • Ask health care provider and also, inquire about during hospital tour
  • Papers Photo Copied By Health Care Provider from Patient Chart
    • If your health care providers requests you to carry this information around
  • Insurance Card for Mom
  • Insurance Card for Dad / Assisting Partner
    • Just in Case
  • Insurance Card for Baby
    • Or other paper work required from your insurance company and hospital
  • Photo ID for Mom
  • Photo ID for Dad / Assisting Partner(s)
  • Birthing Plan, Postpartum (relates to Mom) Care Plan & Postnatal (relates to Baby) Care Plan
    • Bring several copies, for all the:
      •  health care providers over-seeing your care and baby's care
      •  for all the nurses over-seeing your care and baby's care
      • possible student nurses over-seeing your care and baby's care 
      • possible interns / residents over-seeing your care and baby's care
  • List of Phone Numbers for Family, Friends & Postpartum Support to Call When Baby is Born
    • Consider bringing two sheets, one for you and one for your partner
    • If you have a postpartum doula or baby nurse ensure their information is on the sheet
  • If not using a cell-phone, or not permitted to in the hospital, bring a pre-paid phone card
  • List of Helpers for the Home
    • Examples would include trusted individuals to care for your pets, garden, mail and other household concerns
  • Name and Contact Information for Your Baby’s Pediatrician
    • Also, bring any necessary paper work your baby’s pediatrician requests
  • Name and Contact Information for Your Primary Care Physician You Will be Released to After Your Postpartum Follow-Up Appointment with your Midwife / Ob-Gyn / Nurse Practitioner Postpartum
  • A Timer for Timing Contractions and Scrap Paper For Documenting
    • Optional, only do this if comforting to you
  • Labor & Delivery Book Provided to You in Child Birth Education Class
    • Optional, if it is comforting to you
  • Baby Book
    • To put Mom’s, Dad's and Baby's Hospital Bands into, Baby's first foot prints, Baby's first hand prints, Baby's birth chart, Baby's AGAR , Date and Time of Baby's Birth,  and Signatures of Loved Ones Who Visited Mom & Baby in Hospital (you can request no visitors)
  • Book, Magazine or Cards for Early Labor
Electronics
  • Hand Held Fan
  • Music
    • Head phones for music
    • Only bring if comforting
  • Cell Phone
  • Cell Phone Charger
  • Camera
    • Consider an extra memory card for camera
    • Consider extra batteries for camera
  • Any labor support tools that are electronic such as massage instruments
    • Consider bringing extra batteries
  •  Breast Pump; Although the Hospital Usually Provides One
    • However, if you have a favorite breast pump bring it along with the charger
    • Or, if you would like support from the hospital staff on how to use your specific breast pump bring it along
 Toiletries
  • It is often expected for ones partner to stay for labor, birth and postpartum. Ensure your partner reads through this check list too and brings his / her necessities.
  • Eye Glasses and / or Contact Lenses & Lense Solution
  • Lip Moisturizer
    • Lips Tend to be Dry During Labor
  • Hair Bands, Hair Ties or Barrettes
  • Tooth Brushes
    • Enough for a long hospital stay
  • Tooth Paste
  • Dental Floss
  • Mouth Wash
    • Have Tooth Brush, Tooth Paste, Dental Floss and Mouth Wash available for labor too –sometimes this is refreshing, depending on the woman
  • Common during labor for the laboring woman’s smell to become very acute. Therefore, her partners smell (breath and body) should be fresh
  • Possibly a Hair Dryer
  • Massage Lotion for Labor Comfort and Postpartum Comfort
  • If you are sensitive to toilet paper, bring your own
  • Dermo-blast ®, with the red cap or other pain management medication your health care provider approves of
    • Usually hospital provides one for you
  • Tucks pads or witch hazel for swollen hemorrhoids
    • Usually the hospital provides some for you
  • Ice packs for swollen vaginal & rectal area
    • Usually the hospital provides some for you
  • Heat pads for a swore belly (postpartum) and back (labor and postpartum)
  • Ice packs for chest and back (labor)
  • Nipple Cream, Laninosh ® tends to be popular
  • Breast Pads
Clothing / Footing
  • It is expected for ones partner to stay for labor, birth and postpartum. Ensure your partner reads through this check list and brings his / her necessities.
  • Leave at Home Anything You Do Not Want Permanently Stained
  • Socks  (you feel comfortable throwing out), 7-10 pairs
  • Slippers with a Skid Proof Surface on the Bottom
  • Heavy Socks if Feet Become Cold
  • 1-2 Flip Flops 
    • One Pair for the Shower
    • One Pair for Slippers
  • Bathing Suit for Birthing Tub (if a tub is available)
    • You May Also Consider the Medela **Black** Sports, Nursing Bra for the Birth Tub
  • Robe or Night Gown That Opens in the Front
    • May be stained during labor and postpartum, consider a dark color
    • May consider one for labor and one for postpartum
  • Sweater that Opens in the Front
    • May be stained during labor and postpartum, consider a dark color
    • May consider one for labor and one for postpartum
  • If you are sensitive to towels and products used to wash towels, you may consider bringing your own towel(s)
    • Typically, you can notify the hospital staff of your sensitivities and they can accommodate
  • If you are sensitive to bed sheets and products used to wash bed sheet, you may consider bringing you own bed sheets
    • Typically, you can notify the hospital staff of your sensitivities and they can accommodate
  • 7-10 pairs of cotton underwear you do not mind throwing out
    • Large enough to manage a swollen tummy & a maxi pad
    • You may consider breathable, mesh underwear
    • Avoid nylon underwear
  • You may consider a change of clothes for the day(s) you are in the hospital, although the hospital does provide you with a gown
    • A change of clothes, may make you feel refreshed
    • Select dark clothes
    • Select clothes that will provide for a pregnant / swollen belly
    • Select clothes you do not mind staining
  • You may consider bringing nursing bras for your stay in the hospital
  • You may consider bringing 3-5 nursing tanks for your stay in the hospital, in place of nursing bras
  • If you are interested in wrapping your abdomen, rib cage or hips postpartum, bring your support belt / wrappings
  • Clothes to wear home
    • Your belly is swollen postpartum, so you may consider wearing your maternity clothing postpartum
  • Shoes to wear home
    • It is common for women’s feet to swell slightly postpartum, especially if they have had additional IV fluids
    • Consider selecting shoes such as flip flops that have space
  • Clothes you would like your baby photographed in for newborn pictures
    • Common for the hospital to have an on-site photographer. In the days following baby’s birth, this photographer will photograph your newborn baby (usually, with your permission).
    • Most parents are comfortable with the clothing provided on behalf of the hospital, but if you would prefer a different outfit bring that along
    • Remember baby will have his / her umbilical cord stub
  • Clothes to bring baby home in
    • Remember baby will have his / her umbilical cord stub
  • Hat for baby to come home in
    • Sometimes the hospital will provide you with a cap
  • Blankets for baby to come home with 
Comforting Measures for Labor Not Already Mentioned
  •  Snacks for mom (if allowed) and for mom’s support partner
  • Hot Rice Sock or Heating Pad
  • Rolling Pin or Tennis Ball for Back Ache
  • Ear Plugs, hospitals are loud
  • Aromatherapy Scents (Light Scents)
  • Home Pillow, with a Distinct Pattern (may become stained)
  • Home Blanket (may become stained)
  • Sentimental Items that Bring Mom Comfort
  • Focal Point
  • Favorite Picture, Family Picture or Ultra Sound
  • Fitness/Birth Ball
  • Cold Wipes for the Forehead
Other Items / Points to Consider
  • Bubbly Cider for Celebrating
  • Extra Bag for All the Hospital Goodies You May Receive
  • Leave at Home Jewelry and Expensive Items
  • You May Consider Leaving at Home Your Ring(s) as it is common for the hands to swell postpartum
  • Leave at Home Lots of Cash or Valuables
  • If you do not want to bring your own snacks,  you may consider quarters or dollar bills for snacks from the vending machine when the cafeteria closes.
  • For the drive to the hospital, you may consider a large plastic bag or inexpensive, plastic shower curtain, against the car seat and a towel, in the **rare** event you water breaks during your car ride to the hospital
  • On your bed at home, you may consider placing a shower curtain or mattress protection underneath your fitted sheet in the **rare** event your water breaks while you are resting on your bed
  • Gifts for the Nurses, maybe a box of chocolates, this is not expected of you
  • Once in the hospital, Consider Requesting  Bags for Vomiting or Bring Your Own, just as a precautionary measure
  • If you would like baby to bottle feed from a particular bottle, bring those bottles along
  • **Have your car seat installed and ready for baby**
Here is a great link from the Cleveland Clinic: http://my.clevelandclinic.org/Documents/OB_GYN/Pack%201.pdf

Friday, June 28, 2013

Quick Healthy Snack!

A chick pea (aka garbanzo bean) is a 7,500 year old  bean that is an excellent source of protein and fiber. Chick peas are the base / primary ingredient for hummus.  Mixed with garlic and olive oil it becomes not only a benefit to your heart, but also for your brain. Hummus is one of my favorite go-to snacks because it is not only healthy (especially used as a dipping for veggies) but, inexpensive to purchase or make as well as a quick & easy snack for myself and my family.

Check out this recipe

http://www.realsimple.com/food-recipes/browse-all-recipes/five-minute-hummus-recipe-00000000033800/index.html

Thursday, June 27, 2013

10 tips; What Every Woman Should Know About Her Pelvic Floor Prior to Giving Birth

Okay, so this is a quick post. I have a few minutes to write before I drive my daughter off to her summer camp! Yikes!

I just read another blog post on core rehabilitation, written by a fitness specialist, in which it mentions vaginal child birth and inevitable, irreversible damage to the pelvic floor. Ugh...another. To those perpetuating this topic, please stop, it is fear mongering and not at all evidence based. To those (fitness specialists, health care providers, child birth educators, nurses, doulas and all)  preparing women for birth and core rehabilitation post birth, with accurate information, keep going! -you rightfully deserve a proper applause and standing ovation.

Long term, particularly post menopause, woman who have a C-section are just as vulnerable to pelvic floor dysfunction  (and possibly more due to the scar tissue). Furthermore sometimes the health industry undermines the need for women to heal when recovering from a C-section. In no way do I intend to dismiss C-section,  and a C-sections relevance, in particular situations, as a necessary measure to preserving not only the health of the pelvic floor, but also Mom & Baby. Speaking as a Child Birth Educator, there are exceptions, but these are exceptions and not the norm. Keep in mind, a C-section is major surgery, and Mother's recuperating from C-section may need to ease themselves into a modified, proper fitness routine. The same should be stated for women healing from a vaginal birth. Never make assumptions and generalize and be weary of articles that do.

Instead, let's discuss some preventative measures to maintaining a healthy pelvic floor:
  1. Consider perineal massage, with your health care providers approval, 6 weeks prior to your expected due date. Here is a great article: http://www.midwife.org/ACNM/files/ccLibraryFiles/Filename/000000000656/Perineal%20Massage%20in%20Pregnancy.pdf As you are massaging you will begin to notice your vaginal area softening in preparation for birth. In the beginning your vagina may feel like the top of your ear, as you soften, the nose and finally the bottom of your ear (where ears are pierced).
  2. Soak your vagina during labor. With your health care providers approval. Sitting in a tub will help you relax through the surges / contractions. It will also help soften your vagina in preparation for the delivery.  If a tub is not available, consider a sitz bath.
  3. Prior to labor and delivery, ask if your health care provider routinely massages the perineum and applies pressure to the baby's head when she / he is crowning -most care providers at the Cleveland Clinic, and in general Midwives overall, have additional training on this technique.
  4. In labor and delivery, request a nurse who will stretch the perineum and apply oil to the vagina during the last active phase of pushing.
  5. If having a precipitous birth (quick birth under three hours) and a sudden urge to push, consider positioning yourself in the all fours position to reduce stress and strain against the vagina.  
  6. Ensure you have a health care provider who does not routinely practice episiotomies (most do not). Ensure you have a health care provider who does not routinely use forceps and / or vacuums for labor and delivery (most do not).
  7. Practice kegels correctly! In preparation for labor and birth, focus on the relaxing and opening phase of a kegel. Place an additional focus on relaxing the area between the vagina and the annus / rectum. Focus on this relaxing and opening when having a bowel movement and urinating.
  8. During labor and birth, relax and focus on releasing as much tension from your body. Your uterus / fundus becomes the strongest muscle in your body and creates powerful contractions. Women during my Grandmothers generation, were semi-conscious during birth. Despite these women not being alert the uterus had an amazing ability to contract and allow baby to be pushed out. However, the interventions and medications used to sedate mom during birth,  created more complications and are rarely (if ever) used.  Nonetheless, relaxing will help the muscles of the vagina release and open.  
  9.  When pushing consider slightly arching your back to pull the pubic bone away from the tailbone, this will open the pelvic outlet and naturally stretch the pelvic floor. If squatting ensure your pelvis is not curled or tucked under, instead tilt your body weight forward (against a squat bar, against the back of a water tub or against the back of a raised bed or headboard).
  10. Consider aligning yourself with a physical therapist who specializes in pelvic floor health. Postpartum, whether you have had a C-section or Vaginal Birth, I strongly encourage women to have their pelvic floors examined by a physical therapist with a specialty in women's health and well-being.  Contact the child birth education department in your area for a list of recommended physical therapists.


Wednesday, June 26, 2013

Life and Water...

Yesterday, I went to an amazing lecture at the Chautauqua Institute -check out and support their series, http://www.ciweb.org/education-lectures-week-one/#Tuesday.  The speaker was one of NASA's Astrophysicist's for the Kepler Mission, Natalie Batalha. Their quest (in simple terms) is to understand the greater universe / cosmos and, in doing so, advance us closer to finding sustainable planets for life outside earth.   One imperative compound in supporting life outside earth, water.

There were many fascinating and interesting components to this lecture, and Batalha spoke in terms anyone could understand. On our drive home, my husband (Ben) and I discussed some of our "ah-ha"  (spelling?) moments we experienced during our science studies (organic chemistry namely). Both of ours relate to the beauty and wonder of life, all surrounding water.

First, I want to disclose that my background in the sciences is post-baccalaureate and, soon, Masters. **However** Ben's makes my background pale and humble. Two degrees from MIT in, one, Biology with a focus in Biomedical Engineering and, two, Chemistry. As well as a Masters from MIT in Chemistry -at which he graduated in the top 10% and contributed to Noble Prize cancer research. Easy, right?! Nope...So yeah, he takes "the cake" on this one.

Now that this is disclosed, back to my original topic...Life and water...

My ah-ha moment? Learning all of life is an artistic make-up of carbon, hydrogen, oxygen and nitrogen, abbreviated CHON. This beautiful world around us, the babies I have cried with joy when holding, my loved ones I wept for when their spirits passed, are all different combinations, or  paint strokes of these simple elements (it is nothing short of a miracle). Ben's ah-ha moment? In my terms or "Annie Terms", you can build molecules and bacteria, how empowering for our species, and they can metabolize with the simple elements above, CHON.  But the most important need for metabolizing anything in mammals? H2O, water.

I share this with you because, lately, I am on a tangent about water -on my blog, with my clients and at home. My diaper bag, admittedly weighs 10-15 pounds (at least) because I am constantly carrying around water bottles and strongly encouraging my children to drink water.

But here is the bottom line:
You cannot metabolize nutrients properly (yielding mal-nutrition) and metabolize fats properly (yielding obesity)  IF you are dehydrated. Dehydration is a disease and therefore, an epidemic in this country. The solution to dehydration is to limit sugar (which acts as a diuretic) and caffeine. Gesh, as a mother I would never write eliminate caffeine. But limit? Sure!

So:
Want to help your body maintain a healthy weight? Drink water.
Want to feel better, look better (skin glow)? Drink water.
Want to metabolize nutrients that support life (especially if you are nursing, pregnant or considering pregnancy)? Drink water
And please, avoid un-regulated nutrition programs that include excessive amounts of diuretics. They will impede your metabolism and in the long term, cause you to **gain** excessive amounts of weight, as well as, shift your thyroid and adrenals for the worse.  As a personal trainer, I have witnessed this more than I like, and recovery from diuretics it is often an arduous, difficult road.

Back to water! The metric I use at Bella Bellies is simple:
Take your body weight and divide it in half. I rarely, if ever, use body weight as a reference for clients goals, but here it is useful.
Take your weight daily and divide it in half and drink that amount in ounces. Every day your weight will fluctuate especially if you are pregnant and nursing, other conditions which may affect it? Muscle weight gain (muscle weighs more than fat), constipation (can add at least 1-2 pounds), fluid retention prior to menstruation, and more, affect your need for hydration, making it not a static number. If you are dehydrated, you will lose weight, and drinking too much water will make you ill and stress your renal system.

So here I lay it all on the line.
My weight this morning (before I nursed) was 120 lbs. This is 2-5 pounds of what it usually is because I am **just** about to menstruate. Therefore I divide my weight in half and need to drink 60 ounces of water throughout the day.

Alas, this is my blog for the day. Please excuse any typos, my little one just woke from his nap and I do not have time to proof read.

 

Tuesday, June 25, 2013

Stroller Moves Class at Cleveland Clinic's Hillcrest Hospital this Thursday!

For those of you in the Cleveland area, I will instruct Bella Bellies(r) Stroller Moves Class Thursday at 1:00. There is a Moms Group discussion prior to the class from 12:00-1:00. To sign up call Cleveland Clinic -Hillcrest Hospital, Child Birth Education Secretary, Kerry Hannon, (440) 312-4647

Monday, June 24, 2013

Cleveland Clinic's Hillcrest Hospital, Lamaze Child Birth Education Class this Upcoming Sunday

If you are expecting in the Cleveland Ohio area, I will be traveling to Cleveland Clinic's, Hillcrest Hospital to instruct a Lamaze Child Birth Education Class. There will be an additional emphasis on movement for labor, delivery and healing postpartum.  The class is this upcoming Sunday from 9:00-4:00. Please register with the hospital in advance, by contacting Kerry Hannon, Child Birth Education Secretary at (440) 312-4647.