Confluence Midwifery

Holistic reproductive, birth, and wellness care across the childbearing spectrum, midwifery training & continuing education. Holistic Women's Health Care across the Childbearing Spectrum

Operating as usual

Now it's easier to send Confluence Midwifery a message. 06/19/2021

Now it's easier to send Confluence Midwifery a message.

Now it's easier to send Confluence Midwifery a message.

Confluence Midwifery updated their phone number. 03/29/2021

Confluence Midwifery updated their phone number.

Confluence Midwifery updated their phone number.

Confluence Midwifery updated their business hours. 03/29/2021

Confluence Midwifery updated their business hours.

Confluence Midwifery updated their business hours.

Confluence Midwifery updated their address. 03/29/2021

Confluence Midwifery updated their address.

Confluence Midwifery updated their address.

Confluence Midwifery updated their website address. 03/29/2021

Confluence Midwifery updated their website address.

Confluence Midwifery updated their website address.

07/08/2020

Birth pool one day, a gracious break from the heat the next.

washingtonpost.com 05/05/2020

Perspective | Covid-19 exposes the need for midwives

washingtonpost.com Covid-19 is reminding us that birth doesn’t require hospitals or doctors.

mariettatimes.com 04/09/2020

Birth restrictions in place; more considering home births | News, Sports, Jobs - Marietta Times

Good Morning!

mariettatimes.com On a super pink moon, in the middle of a thunderstorm, one spring baby couldn't wait until Easter to join the world.

03/15/2020

Advanced Breastfeeding Care

As an experienced nurse and board certified Lactation Consultant this is my job summed up in a graphic “Breastfeeding Berg” by Roger Price.
I assess the dysfunctional suck swallow pattern of the baby as the symptom (above water )but I have to swim under to figure out the whole berg to bring about optimal oral function and health for the dyad.

03/03/2020

Sacred Sage Birth Services

lamaze.org 02/24/2020

Research Review: Newborn Resuscitation with an Intact Umbilical Cord Shows Better Outcomes

lamaze.org As childbirth educators and other perinatal professionals, we often talk to the families we work with about the benefits of delayed cord clamping for the healthy newborn (Mercer, 2018). There are also known benefits for delayed cord clamping for the preterm infant as well. (Fogarty, 2018). Note: Isn...

02/23/2020

We try to respect the golden hour as much as we can. There are some situations that disrupt it, but we make sure the client and baby can have a full hour together before we do any clinical aspect. Yes, you will have to wait to know the length and weight of the baby.

Did you know that antibiotic ointment for your baby’s eyes at birth is normally NOT needed? It is only needed IF you are positive for a STI at the time you give birth. You will want to read this one! Most babies born do not need it, if their mother knows she doesn’t have chlamydia or gonorrhea, there is no reason to routinely expose an infant to antibiotics in their first hour of life. There are always reasons to look into routine practices. For example how I’ve posted previously about routine IV fluids effecting birth weight and loss. The same with the antibiotic eye ointment. We have to understand that anytime we interfere with physiological birth in any capacity, including but not limited to, 3rd and 4th stage of labor and newborn care- it will change how nature intended it to be. Sometimes, there is a need to intervene. But that is just the point, it should only be utilized when needed. ⤵️

What about cesareans? If a baby is born by Cesarean then it is extremely unlikely that the baby could develop Ophthalmia neonatorum (the complication that the ointment prevents if exposed to the STI at birth). But unless denied, every cesarean baby in the United States it routinely given this.

🔻 what are the facts?
The use of erythromycin eye ointment in newborns has its roots in the late 1800s. Even then, it effected 3% of infants. When we take a look at that, isn’t it very concerning that in 2019 we are still using a practice that came from the 1800s, where such a small percent of infants were affected over a hundred years ago. We have to realize we have come a long way in 130 years. First, antibiotics have made it possible to treat pregnant people who have sexually transmitted infections as well as any infants who contract bacterial ON, making blindness highly unlikely in developed countries.

Does the ointment prevent other infections, like staph? Non-gonorrheal and non-chlamydial bacteria in the newborns eye are not dangerous and do not progress to blindness. Next we ask is the antibiotic ointment effective?

⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️
After the use of prophylaxis, infectious ON still occurred in 13%, 15%, and 18% percent of newborns treated with povidone–iodine, erythromycin, and silver nitrate, respectively.

Compared to the group that received povidone-iodine, groups that received silver nitrate and erythromycin had overall rates of pink eye that were 34% and 16% higher, respectively. Erythromycin was first introduced in 1953 and by 1968, strains of Streptococcus bacteria had developed resistance. 50 years ago, strains were already becoming resistant and we still routinely use this.

What are the benefits?
1️⃣ Erythromycin prophylaxis may be helpful if the mother and her partner(s) did not receive adequate screening and treatment for gonorrhea/chlamydia during the pregnancy AND it’s not possible to test the mother at the time of birth and treat the infant as needed.

2️⃣ Erythromycin prophylaxis may help to protect a newborn from gonorrheal ON if the mother was infected after a negative screening result earlier in the pregnancy (for example, due to a partner’s infidelity)

What are the risks
1️⃣ Adverse effects can include chemical pink eye, or eye irritation. A study in Kenya found that 13% of infants who received erythromycin developed pink eye with no evidence of infection.

2️⃣ Blurred vision could potentially interfere with bonding by disrupting early eye gazing between the newborn and parents.

3️⃣ Erythromycin is not 100% effective at preventing gonorrheal ON – it had a 20% failure rate in the past and might be less effective now due to growing resistance.

4️⃣ Erythromycin may not be effective at preventing chlamydial ON or ON from other non-gonorrheal bacteria.

What other options are there? I’m glad you asked! ⤵️

Colostrum, or the first breast milk after the birth. Three randomized trials have looked to see if applying drops of the mother’s first breast milk into the newborn’s eyes can help to lower the risk of ON from non-chlamydial, non-gonorrheal bacteria. All three trials found that drops of the mother’s first milk can lower the risk of ON from non-sexually transmitted bacteria.

🤰🏽So. What do we do with all of this information? It is up to the birthing parents to discern the risk versus benefit and them safely declining the ointment should always be respected. I will also add that in my honest opinion, it should only ever been used when a birthing person has tested positive for the STI and it is truly needed.

The results 👉🏼 Newborns receive erythromycin eye ointment after birth to prevent pink eye in the first month of life, also called ophthalmia neonatorum (ON). The most common cause of ON is chlamydia, a sexually transmitted infection. A less common but more serious cause of ON and the reason FOR mandatory eye ointment is gonorrhea, another sexually transmitted infection, that now accounts for less than 1% of reported ON cases in the U.S. AND a newborn can only get ON from chlamydia or gonorrhea if the mother is infected at the time of the birth. The growing problem of antibacterial resistance means that erythromycin is less effective today. ON is treatable in all of its forms, including ON from gonorrhea, as long as antibiotic treatment is started immediately. Today, laws in many U.S. states still mandate the use of (remember this does not mean you cannot decline. This simply means the hospital has to routinely use unless declined) erythromycin with all newborns even though the erythromycin may not be effective and even though other options are available. Given the fact that other options can be used to safely prevent and treat newborn eye infections, the mandatory nature of these erythromycin state laws should be discontinued.

❗️Did you know all of the facts when your baby received the eye ointment❗️

Did you know you had a choice in the matter and could say no? In my personal experience and the experiences I hear all the time from other people, informed consent with the erythromycin ointment is very rarely given. If it was, the care provider would give the birthing family all of these facts I’ve given here and let them decide if they want it or not.

Information gathered from various places including evidence based birth and pubmed. Evidenced based birth lists all sources.

🔹Post words, information Cari Samuelson, Sacred Sage Births
🔹Images creator unknown
🔹Information from pubmed, medical journals, evidence based birth and Varney’s Midwifery textbook

10/31/2019

A little fun for the season.

More Halloween fun! Dilation chart - pumpkin style!

10/20/2019

Ancient Art Midwifery Institute

The smell of your just-born baby is IMPORTANT to your relationship. Don't use soap on your baby!

10/12/2019

The Nest, Lakeland

Babies have their own agendas! 😉

09/06/2019

Wiyama Midwifery & Holistic Wellness Care

We have several openings for homebirth clients for January (or is this a cue for vacation?). Our February and March are nearly full! If you are considering home birth in WV or SE OH, give us a call. We offer FULL spectrum care, classes, lending library and much more.

[08/13/19]   We have several openings for homebirth clients for January (or is this a cue for vacation?). Our February and March are nearly full! If you are considering home birth in WV or SE OH, give us a call. We offer FULL spectrum care, classes, lending library and much more.

05/10/2019

Wiyama has officially opened our second office. It is located at 309 Cleveland Ave. Suite 314 Fairmont WV. We are seeing folks in both Parkersburg and Fairmont. Call today for a consultation. Our calendar fills up fast!

04/22/2019

Wiyama Midwifery & Holistic Wellness Care

If you are looking for perinatal specific counseling for depression, anxiety or other mental health struggles, please consider scheduling an appointment with our specialist. PM me for more details.

04/22/2019

If you are looking for perinatal specific counseling for depression, anxiety or other mental health struggles, please consider scheduling an appointment with our specialist. PM me for more details.

04/22/2019

Wiyama Midwifery & Holistic Wellness Care's cover photo

04/15/2019
04/15/2019

Wiyama Midwifery & Holistic Wellness Care's cover photo

[04/10/19]   We are looking at adding well person care, trans-specific care, contraception care, fertility assistance (counseling, insemination assistance), LGBTQ health care during the childbearing year and perinatal mental health care services to our office. We have a counselor who specialized in prenatal and postpartum mood disorders who will have office hours in Parkersburg. Contact me for more information.

We are also looking at office space in Fairmont tomorrow!

01/19/2019

[12/28/18]   What would you like to see more of from this page in 2019? Blog posts? Polls? Discussions? Podcasts/Live interviews? Help us make 2019 the best year for Wiyama.
(Wee-ya-`Mah).

12/07/2018

GOLD Midwifery Online Conference

Upcoming Managing Complications During Birth presentation "Understanding The Needs Of The Newborn Who Has Experienced A Hypoxic Insult During Labor: The Relationship Between Hypoxia, Hypoglycemia And Hypothermia" with Joanna L. Davis, CPM, CLS.
Come join us with Joanna L. Davis of Wiyama Midwifery & Holistic Wellness Care and learn about hypoxia, hypoglycemia and hypothermia. Delegates will learn about possible cascades of consequences during this presentation.
Learn more about this presentation here: https://www.goldmidwifery.com/conference/presentations/309
#GOLDMidwifery2019

10/08/2018

Motherboard Birth

"Your baby's at +1 station." What does that even mean? Check out our illustration to learn more about how providers measure fetal station and how babies engage, rotate, and rock under your p***c birth as they're born.

05/31/2018

We see this all the time.

“The Rhombus of Michaelis rises as labor is progressing towards the pushing phase. It is the result of the baby's head entering the pelvis and pushing against sacrum. A pregnant woman's pelvic bones are pliable and allows for expansion. This is one visual cue, among many others that can help a midwife know about baby's descent without having to perform a vaginal exam.”
From the Human Birth Project.

This is another reason lying on your back can make Birth more difficult - other positions help allow the those pelvis bones to make the room you need!

05/31/2018

Wiyama Midwifery & Holistic Wellness Care

Did you know that there are many ways to manage the pain of labor without narcotics or anesthetic? Our providers carry a wide array of comfort tools to help manage labor including TENS units, which has been studied to effectively reduce labor pain. Birth doesn't have to be painful to be normal.

fitpregnancy.com 05/31/2018

TENS: The 'Natural Labor' Tool No One Talks About

Did you know that there are many ways to manage the pain of labor without narcotics or anesthetic? Our providers carry a wide array of comfort tools to help manage labor including TENS units, which has been studied to effectively reduce labor pain. Birth doesn't have to be painful to be normal.

fitpregnancy.com Chances are you've never heard of TENS, which stands for transcutaneous electrical nerve stimulation, since its use in labor is exceedingly rare here

[05/24/18]   Appalachian Breastfeeding Network is taking nominations for regional reps and one is desperately needed in Southern WV. If you are passionate about breastfeeding and improving advocacy, education and access to care in WV PM me so we can talk about what that looks like.

[05/23/18]   Have you considered midwifery but can't commit fully at this time in your life? I have a study group that works on paced modules and study projects, with workshops quarterly. It is about 20 hours a month study, and can be applied to the NARM skills assessment in the future. It is affordable ($40.00 per study module, $50.00 per workshop, plus occasional materials fees as applicable).

This module is *Normal and Abnormal Newborn* and will be piggybacked with a Neonatal Resuscitation workshop with Merrily Taylor on Sept 22nd. This program is great for birth assistants, apprentices AND midwives who want to stay engaged in current trends and evidence-based practice.

[03/09/18]   Statistics for 2017
Transfers:
33 TOTAL transfers (incl. prenatal risk out, labor transfers, postpartum transfers, infant transfers) (5 transfers in
2017) 24% (total rate)/35% (in 2017)
17 transfers occurred during labor (4 transfers in 2017) 13%/28%
5 postpartum transfers (1 pp transfers in 2017) 4%/7%
10 prenatal transfers (developed risks not compatible with homebirth, 0 in 2017) 7%/0%
1 neonatal transfers (0 in 2017)

inktothepeople.com 03/01/2018

Appalachian Birth Co-Op Limited Edition Fund Raiser

inktothepeople.com Appalachian Birth Co-op is an organization committed to expanding resources to meet the unique healthcare needs of Appalachian families. 

Celebrating Life’s Transitions and Traditions

Holistic Women's Health Care across the Childbearing Spectrum
Affiliate Practice, Appalachian Birth Co-Op
Midwifery Preceptor and Educaton

Location

Telephone

Address


Midlothian, VA
23225

General information

Wiyama staff includes homebirth midwife, apprentice midwives, lactation specialists, doulas, placenta medicine crafters, and holistic healthcare specialists
Other Pregnancy & Childbirth Services in Midlothian (show all)
Richmond Virginia Home Birth Richmond Virginia Home Birth
Midlothian, 23113

Richmond Virginia Home Birth serves birthing families in the Richmond, VA area. Mary offers traditional midwifery services including waterbirth and HBAC.

Dominion Women's Health Dominion Women's Health
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Midlothian, 23114

A skilled & attentive team of physicians and nurse practitioners addressing individual women's needs through every stage of a life.