resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
December, 2008, Vol. 08, Issue 12
In Honor of a Doula
By Elaine Stillerman, LMT
Doula (doo-lah) is a Greek word that means "servant" or "handmaiden." Doula also refers to the compassionate labor coach who supports, advocates, nurtures, massages and protects a laboring woman from her first contraction until after her baby is born.In childbirth, the presence of this highly skilled, nurturing professional can completely change the labor experience for the better.
When we were still living in close-knit communities, it was common practice for the friends and family of a laboring woman to assist the midwife or doctor (when they still made house calls) during birth. But as we moved into urban and suburban areas, away from rural traditions, we moved away from this intimate circle. Women found themselves giving birth in hospitals without the support and assistance of anyone other than their partners - that is if the hospital permitted her to have that essential companionship. Fortunately, a labor doula and (for postnatal care) a postpartum doula fill the role of the community of women and provide the emotional and physical support that a laboring woman needs.
The labor doula is not part of the medical team. She doesn't deal with medical issues and unlike the obstetrician or midwife, she doesn't catch the baby. She is there for the duration to keep mother calm, relaxed, comfortable and focused on the task at hand.
In a controlled study conducted at a public hospital affiliated with the Baylor College of Medicine, women who labored with doulas had C-section rates of 8 percent as compared with 18 percent for women without doulas. The need for pain medicine dropped from 55 percent to 8 percent and labor was shortened by two hours when a doula was present. In addition, neonatal hospitalization dropped by half. These doulas recorded that on average, they touched the woman 95 percent of the time, as compared with less than 20 percent by male partners.1
Five studies conducted in Guatemala, Canada, the United States and South Africa confirmed that the presence of a labor doula reduced the need for surgical deliveries, shortened labor time and reduced prenatal and postnatal complications.2
At Jefferson Davis Hospital in Houston in 1993, 600 women who had never carried a pregnancy to term were divided into three groups: a control group, an observed group to measure the effects of a passive observer, and a group actively supported by a labor doula. The doula group had the following results as compared to the control group:
So, what exactly does a doula do? To give you an idea, let me tell you about my doula, Ilana. I knew Ilana professionally for years before I worked with her as a laboring mother. She was among the better known and most sought-after labor coaches in New York City. She founded the Metropolitan Doula Group (MDG), which is an organization that provides skilled doulas in the New York area. The MDG also conducts classes for its members and brings doulas into hospitals for women who can't afford them. They believe that no woman should labor without the support of a doula, and money shouldn't be the determining factor. During the 9/11 crisis, the MDG sprang into action by providing doulas for any laboring woman in a hospital, birthing center or at home who wanted one free of charge.
I called Ilana when I became pregnant. She came to my home to interview me and my husband about our hopes for the big day. Ilana took copious notes in the attempt to get to learn my likes, dislikes and what would be most helpful during labor. She gave us a realistic list of items I would need to make my labor more comfortable. Since then, I have provided my clients with that invaluable list and offer it in my textbook.
When the day came, Ilana had just returned from another birth she had stayed at for 13 hours. She had been home for two hours when I called. "Don't worry," she said, "I'm on mommy time." My water broke and I went into active labor within minutes. The contractions were coming one after the other. She asked to hear a contraction. Did this mean put the phone on my abdomen? Or did she want to hear the sounds I was making? By this time, all rational thought was out the window. "What?" I asked. "Let me hear a contraction," she repeated. Mine were silent. "I'll meet you at the hospital."
Once there, she directed my husband to get a different nurse and a private room for me. She disappeared for a few minutes and came back with a pile of waterproof pads and clean gowns. She opened her bag of goodies and asked if I was hungry or thirsty. And she held me. She massaged me. She danced with me. When the pains got intense, she took my face in her hands and said, "Give me the pain. Give it to me." And the pains lessened.
When I felt I was losing strength, she told me to relax my feet and let Mother Earth's power help me. She stayed by my side for 19 hours, encouraging me, honoring my efforts and nurturing me. And when my son was born, she told me how magnificent I had been. A week later, Ilana came to my home for a visit, bringing lunch, gifts, pictures and my birth story. We shared a life-affirming experience and I wasn't going to let her out of my life since she had been such an important part of it.
But life sometimes has other plans. In a cruel twist of fate, Ilana got ovarian cancer and lost her four-year battle last month. Her family and friends showered her with the same unconditional support she provided to the hundreds of new mothers she cared for and the countless doulas she taught. Ilana was all about giving, respecting and honoring a woman's efforts. That's a doula.
Click here for previous articles by Elaine Stillerman, LMT.
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