What is that eye ointment babies get after birth and why do they get it? It is erythromycin and it is for prevention of severe eye infections in newborn babies. This routine practice has become outdated and no longer recommended. This might be a topic you would like to have a conversation with your care provider about.
Neonatal ophthalmia (NO) is a relatively common infant illness & is defined as conjunctivitis occurring within the first four weeks of life. This term originated from cases caused by N gonorrhoea, but the term now currently refers to any conjunctivitis in this age group.
In most instances, neonatal ophthalmia is a mild illness and can easily be treated case by case once infectious conjunctivitis is determined & distinguished from eye discharge secondary to blocked tear ducts and from conjunctivitis due to exposure to some kind of irritants or chemicals. The exception to this is ophthalmia due to infection with N gonorrhoea. Those cases are quite dangerous for infants.
Historically, the purpose of prophylaxis treatment with Silver Nitrate at birth was for neonatal ophthalmia eye infections due to N gonorrhoea. But when I say historically, I mean the late 1800's!
A lot has changed in Canada since then and the Canadian Pediatric Society is no longer recommending routine prophylaxis for neonatal ophthalmia. The primary reason is that N. gonorrhoea strains isolated in Canada are showing considerable resistance to the treatments routinely used and there are no recent studies of the efficacy of ophthalmia prophylaxis with these treatments.
You can see the position statement, complete recommendations from the CPS and the history of NO, risk factors & legal considerations depending on where in Canada you live on the Canadian Paediatric Society website.
Doulas have become increasingly popular over the years. The popularity has grown in Regina due to the benefits of expectants parents having a doula and that more people becoming doulas, making more doulas available for families. Doulas benefit anyone who feels they would like to receive additional support, regardless of how or where they choose to give birth and with whom they choose to do so with.
Looking for a doula can be an overwhelming task. How can you know when you have found the doula for you? Have you identified factors that are important to you or maybe you don't know where to start with that? I am going to highlight a few things that might be important factors.
During prenatal visits your doula should be able to help you figure out what is important to you. You, and your experience, should be the doulas priority. My goal as a doula is to provide comprehensive care, along with the team you have put in place, to cover your own birthing needs. In order to do that, we figure out what is important to you we spend time prenatally discussing many things - things you might not think impact your birth experience, but things I know from my experience as a doula, that do make a difference. I have developed consistency in my communication with each client that helps me to connect with you and then equip you with the tools and information to meet those goals. I can help you navigate through the many different childbirth education options, provide informational and evidenced-based resources to add to your confidence and empower your decision-making. I have exceptional relationships with local resources for whatever you may need during pregnancy and parenting that is beyond my scope as a doula or an IBCLC.
Prenatal appointments occur as needed, giving you that vital one-on-one support. Typically you would meet 2 times for about 2 hours each time. Telephone and email communication is encouraged between appointments and after care provider appointments.
I go on call immediately for you and am available to you from the minute you hire me. I do not wait until 38 weeks to go on call for you and I remain on call past 42 weeks, if needed. Babies are unpredictable and so well I do book other clients based on the average woman delivering between 38-42 weeks, I am on call before and beyond those weeks.
Once you are in labour my role is to empower you & encourage confidence in communication with your birthing team. Remember, I will have provided information & tools to help you make your decisions in your pregnancy for the time of birth, so you are confident in your ability to do this. I will provide emotional reassurance, physical comfort and informational support from the beginning of your labour. I will stand by your side during active labor and stay with you while you greet your baby into the world, providing reassurance. I am a support for partners, as well. Partners are the primary support & I will continue to support the partner in that role. This is your experience and a doula is simply a secondary support person for your whole birth team. If there is no primary support person, or your support team does not want to be the primary support, or simply needs a break, a doula will step into that role. I will stay with you during your first breastfeeding experience to provide assistance and encouragement. I will then come see you again to check in and how things are going and provide additional support where needed 24-48 hours after the birth or sooner if requested.
I can provide additional hours of postpartum care and exceptional breastfeeding support, if requested. I do have a variety of packages available to ensure you are getting what you need. Don't wait to get the support you desire for yourself and your family & get the best care possible during this time.
Contact me to book a one hour complimentary consult to learn more about how I will do my very best to ensure the most positive of experiences you can have. You can fill in the form below or just give me a call at 306-550-6143.