Participants: Patti Barnes
Series Code: DIV
Program Code: DIV000012A
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00:01 The contents of the following program
00:03 are not intended to substitute 00:05 for the advice of your healthcare provider, 00:07 and the producers of this series 00:09 assume no liability 00:10 for the use or misuse of the material presented. 00:21 Creation or evolution, design or random chants, 00:27 they say it all began with a big bang 00:31 but when we look at the amazing human body 00:34 the answer is obvious, 00:36 the complexity of the design 00:37 exceeds anything man has ever made. 00:41 The body, it only have been designed 00:44 by the master designer 00:45 we read about in the Bible. 00:49 Divine Design. 01:04 Hello, welcome back 01:07 to another episode of Divine Design 01:09 and I'm Patti Barnes and I'm here 01:11 at Hartland College. 01:12 And I have with me a few special guests, 01:15 they are professionals in the field of child birth. 01:20 We're so happy to have you here today. 01:23 I would like to introduce them and they're gonna share with us 01:26 some of their experience 01:28 in what their clients most frequently ask questions. 01:33 I'll just start with Beth, 01:34 Beth you're from Spokane, Washington. 01:36 Yes. 01:37 She used to work in a birthing center 01:40 for 13 years, right, 01:42 and then started your own practicing, 01:43 what is it called? 01:45 Birth by Design. 01:46 That's a really great name. 01:48 So about 20 years of experience you've had? 01:50 Close. Okay. 01:52 Then we have Dr. Cherie Lou Fernandez 01:54 she's an OB/GYN, our gynecologist 01:57 from the Philippines. 01:58 Yes. 01:59 And now also 02:01 a certified professional midwife. 02:03 Yes. 02:04 And she's here at Hartland College, 02:06 and she actually teaching midwifery curriculum. 02:10 So welcome. Thank you. 02:11 And we have Heather from Nashville, Tennessee. 02:14 And Heather Wilson 02:16 is a certified professional midwife, 02:18 and so you started back in the '80s? 02:21 79, Dr. Agatha Thrash. 02:23 With Dr. Agatha Thrash, all right. 02:26 And you had your practice in? 02:28 1983. 02:29 1983 in Nashville. 02:31 In Nashville. 02:32 And now you're trying to retire? 02:34 Trying to retire. 02:36 Then we have Talitha Mills 02:37 she's also from Nashville, Tennessee. 02:39 You first started with helping Heather. 02:42 At Uchee Pines. 02:43 Okay. 02:44 Had the training there also with Dr. Agatha 02:47 and a nurse named Heidi. 02:48 Okay. 02:49 So and you are also 02:51 a certified professional midwife? 02:52 Yes. Welcome ladies. 02:54 We are very thankful for you to be here. 02:56 I mean such a sacrifice to come out here 02:59 and do this for us. 03:01 Okay, Beth let me begin with you, 03:03 you've worked in birthing centers, 03:05 and home birth settings, how would you determine, 03:08 what is a good candidate for either setting? 03:12 That's a great question because it's really important 03:15 that the right women are hooked with midwifes, 03:20 we don't want high risk women in any way 03:24 for the women sake as well as the midwife's sake. 03:26 So when we initially meet with a pregnant woman, 03:29 we go over her health history and her birth history 03:33 to make sure she is low risk and a good candidate. 03:37 Some of the things on that list that we go over are, 03:42 if she has high blood pressure, if she has diabetes, 03:46 if she is a smoker, or has obesity, 03:50 these things are all gonna raise her risks. 03:53 Yes. 03:54 If she has in her birth history 03:56 a history of preterm labors or preterm births, 04:01 or more than one cesarean section, 04:04 and different midwifes vary a little bit on their protocols 04:08 as to what is safe for them 04:09 depending on their own experience. 04:11 Yes. 04:13 And so then once a woman is deemed low risk, 04:15 and is accepted into care for out of hospital birth, 04:19 then there are other things that can come up 04:22 during her prenatal course 04:23 that could at that time risk her out, 04:26 even up through the labor. 04:29 Some of those things might be if she develops preeclampsia, 04:33 which is a condition with high blood pressure 04:35 as well as other things, 04:37 if she uncontrolled gestational diabetes, 04:41 if something would show up in an ultrasound 04:44 showing the placenta is in a bad position 04:48 or a problem with the baby. 04:51 So all of these things could come up, 04:54 so just because of women is accepted initially, 04:57 doesn't mean necessarily 04:58 that she'll continue all the way through to the birth. 05:01 And you do what they call a referral? 05:03 Right, and then at that point 05:04 we may have to refer to see a doctor 05:07 or if need to be transfer her care all together. 05:09 That makes sense. But those things are rare. 05:12 Most women are healthy 05:14 and can have with good lifestyle. 05:17 Good prenatal care. 05:18 Yes, prenatal care can have a healthy pregnancy 05:22 and a good delivery. 05:23 Okay. 05:25 Dr. Fernandez, you have done a lot of cesarean sections, 05:30 we did an earlier episode on cesareans. 05:34 And I just want to know 05:36 your take on having a vaginal birth 05:40 after cesarean or a trail of labor 05:42 after cesarean section. 05:44 Actually if you're gonna say that 05:46 I specialized in cesarean sections, 05:49 it would tickle me 05:50 and because we would sometimes race to see 05:53 who was faster in doing the cesarean sections. 05:56 Really! 05:58 I'm not really proud that we were doing that, 06:00 but it happened, you know and I face it 06:02 and everyday I pray that 06:05 I won't go back to things like that. 06:07 Anyway when I was in my residential training, 06:10 early in the '90s to the mid '90s, 06:13 around that time, the United States started 06:17 doing vaginal births 06:20 and the Philippines followed right after the United States. 06:24 So when I'm on my residential training, 06:25 we started doing 06:27 vaginal births after c-sections. 06:30 And they found out that vaginal births were very safe 06:35 after the c-sections at least. 06:38 But then we were told that you just don't do 06:43 c-sections without knowing 06:44 how the previous c-section was done. 06:47 So there are c-sections like such as the ones 06:50 that they cut straight 06:51 into the contracting portion of the uterus, 06:54 you call the classical section, 06:55 you cannot do a c-section, I mean, 06:57 you cannot do a birth after that, 06:59 a normal birth after that. 07:01 It's higher risk. 07:02 Yeah, it's high risk the uterus can burst. 07:05 Or if you're able to rule out 07:07 the possibility of the women having malformed pelvis 07:11 or like the placenta is ahead of the baby as in previa. 07:15 Previa. 07:16 So when you rule out all the reasons 07:18 why a cesarean section should be done, 07:22 then you can do vaginal birth, 07:25 you can have what you call a TOLAC, 07:27 the Trial Of Labor After Cesarean Section. 07:31 Well, because cesarean sections 07:33 after births after c-sections were relatively safe 07:38 now then they came and got into the bandwagon 07:42 and did all sorts of interventions 07:44 with the VBAC or the TOLAC patients. 07:47 Then we now had VBAC-Lash 07:50 where when they had a peak around the 1990s 07:54 and now the obstetricians are scared to do VBACs 07:58 because of this mismanagements of TOLACs 08:05 and resulting, you know, 08:08 bad results for the baby and the mom. 08:10 So now they're scared, 08:12 it's like they are really scared to do VBACs 08:15 but really 08:16 if you are ruling out with honesty, 08:22 all those like 08:25 previous classical section, and all those other things 08:29 that are indications which are absolute. 08:32 Then you can safely do a vaginal birth. 08:35 Heather, I get a lot of questions 08:38 about ultrasounds. 08:40 Are they safe, how do you feel about that? 08:43 Well, Patti, ultrasound have been 08:46 used for over 40 years now. 08:49 And so far, after 40 years 08:52 they have an excellent safety record. 08:55 Prenatal ultrasound testing uses high-frequency sound waves 09:00 and those sound waves are inaudible to the human ear. 09:03 And those sound waves bounce off baby 09:06 and the echoes are recorded and transformed 09:09 into photographic images and videos. 09:13 The mothers are used to going to a technician 09:18 and getting a topical ultrasound 09:21 or transvaginal ultrasound. 09:23 They're also familiar with in the hospital 09:26 where they use the external video monitor. 09:28 And at home we use the handheld Doppler. 09:31 All of those used sound waves, 09:34 there's no radiation as in X-Rays, 09:37 there's no magnetic residence as in MRIs. 09:41 So far they have no evidence 09:45 that these ultrasounds 09:47 are harmful to the fetus or the baby. 09:49 Okay. 09:50 So now if and it's is big if, 09:54 they use according to guidelines. 09:57 And those guidelines are, 09:58 it should be done by a trained professional, 10:01 it should be medically necessary 10:04 and it should not last anymore than 40 to 30, 10:08 at the most 40 minutes. 10:09 Okay. 10:10 So the ultrasound does give off a slight heat to the tissues. 10:16 So a prolonged use by a non-trained professional 10:21 could raise the risk you know, a little bit, 10:25 which have consequences that are unknown at the time. 10:28 Well, Talitha, you get ladies from time to time 10:33 that are Rh negative 10:34 and I can't feel it's important to explain 10:36 why is a RhoGAM shot important for those, Rh negative? 10:41 Very important, 10:42 the RhoGAM shot is a sterile solution 10:45 that's made from human blood plasma 10:48 and is given to Rh negative moms in pregnancy. 10:52 And it's good to know for them to know 10:54 that the Rh factor is a protein 10:58 that is found in most people's red blood cells. 11:01 And those who do not have that protein 11:03 on their red blood cells are considered Rh negative. 11:08 The Rh factor does not usually represent a problem. 11:12 Okay. 11:14 Unless you become pregnant 11:15 or you need a blood transfusion in the event of trauma 11:20 or something and in pregnancy there's a condition, 11:26 that is Rh incompatibility 11:28 between the blood of the mother and the blood of the fetus, 11:32 especially of course 11:34 a positive fetus in a negative mom. 11:36 Okay. 11:38 If this blood mixes and it can mix, 11:41 it can make events like miscarriage 11:43 or trauma again at delivery. 11:45 Some type of accident. 11:47 All by accident, it can mix, it doesn't usually mix, 11:50 but yeah, it can mix 11:52 and when this mixing occurs the Rh negative moms blood 11:55 responds in a way to produce antibodies, 12:00 and these antibodies really can destroy 12:02 the Rh positive fetus's blood cells. 12:06 And so the Rh shot 12:08 actually prevents the Rh mom's immune system 12:12 from making those antibodies. 12:14 And basically it's been a really, 12:17 it's been wonderful to have that 12:20 since 1968 the FDA actually, approved it 12:27 and since then countless lives have been saved. 12:29 Child birth is such a ministry 12:32 when you're able to help as a midwife. 12:35 And it's such a blessing when you can lead people 12:38 into the faith, and I just want to ask you all, 12:42 have you experienced that? 12:44 You know, I'm thinking of one recent labor, 12:48 where it was a long labor, 12:51 she was in the birth pool, and the husband, 12:55 we were talking about spiritual things, 12:58 they're Christians, and the husband said to me 13:02 "Do you know, 13:03 that Jesus really wasn't born on Christmas day?" 13:07 and I said, 13:08 "Yes, I know that, I think it's true, 13:11 I don't really think he was born on December 25." 13:14 And then he said, "And do you know, 13:17 that the real Sabbath is not on Sunday?" 13:21 And I said to him, "Yes." 13:24 I said, "You're preaching to the choir, 13:26 I'm a Seventh-day Adventist." 13:28 Well he didn't know what a Seventh-day Adventist was, 13:30 he never heard of that. 13:32 But and I asked him, 13:34 "How did you come to that conclusion?" 13:35 And he said, "Just by doing my own research online." 13:39 And so I gave him a great controversy 13:42 and I know that I've planted a lot of seeds. 13:46 Praise the Lord. 13:48 When people come back to me for a second or a third baby, 13:50 they remember. 13:52 They do. 13:53 That I go to church on Saturday. 13:55 And so I know that these things people are remembering. 14:00 What a blessing it has been for you all to be here today, 14:03 I just want to thank you so very much 14:05 for taking the time to come 14:07 and share your experience with us. 14:10 I want to invite the viewing audience 14:13 to please join us again 14:14 for more of the Divine Design series. |
Revised 2016-11-14