The ability to provide emotional and physical support to a patient during one of the most significant moments of her life is a privilege afforded to intrapartum nurses who attend to laboring and delivering patients. Labor support improves birth outcomes, reduces cesarean birth rates, and decreases anesthesia use. Within the hospital context, this quality improvement project investigated the effects of educating intrapartum nurses about labor support and providing them with hands-on training. Surveys, including the Self-Efficacy Labor Support Scale, were given preeducation and posteducation to evaluate and document knowledge acquisition. Results support teaching intrapartum nurses learning evidence-based labor comfort strategies to support a woman’s labor preference.

Authors:
Ana Viera-Martinez, DNP, MSN, APRN-CNS, CNL, RNC-OB, CLE
Ruth K. Rosenblum, DNP, RN, PNP-BC, CNS
Victoria Aberbook, RNC-OB, MSN, CNS, C-EFM

Participants may earn 1.0 Lamaze Contact Hours and 1.0 hour of CNE through the California Board of Registered Nursing.

Are you looking for new ways to support parents as they move from pregnancy to the postpartum period? Presenters Dr. Joann O'Leary and Dr. Jolene Pearson hosted a postpartum support group together for over 15 years. In listening to the parents, they identified the types of information and support they needed and developed a dynamic model for supporting new parents. This presentation will describe how to reach postpartum parents, the format of the support group, common topics raised by parents, resources helpful in meeting their needs, and suggestions for hosting a your own postpartum group.

Session Objectives:
1. Identify the key issues raised by new parents in postpartum
2. Explore key considerations for hosting a postpartum group.
3. Identify critical resources and knowledge needed by the facilitators.

Participants may earn 1.0 Lamaze Contact Hour and 1.0 hour of CNE through CBRN.

A significant part of setting up a healthy gut microbiome happens in the narrow window of labor, birth and early postpartum. A healthy infant microbiome plays a critical role in a child's long-term health. Birth workers can educate their clients how birth, skin to skin, and breast/chest feeding help to optimally seed and feed a baby's microbiome and how to mitigate the impact of cesarean birth, antibiotics and other interventions.

Session Objectives:
1. Describe the human microbiome
2. List the 6 seeding and feeding events that optimize baby's microbiome
3. Describe the special role of human milk in infant immune training
4. Discuss the effects of cesarean birth and antibiotics on the infant microbiome
5. List microbiome friendly birth practices

Participants may earn 1.50 Lamaze Contact Hours and 1.50 hours of CNE through the California Board of Registered Nursing.

A recording of the presentation will be made available within 24 hours of the live event.

Globally, preterm births have significantly increased. Everybody knows about the importance of breast milk for newborns and especially for preemies. However, prematurity is cited as one of the most common causes for lactation failure in mother-baby dyads. This presentation will cover common tips and tricks which can be utilized to help mothers build their milk production slowly and steadily, to provide Mother's Own Milk (MOM) throughout length of hospital stay (LOS), and until they transition successfully to breast/chestfeeding their babies.

Participants may earn 1.0 Lamaze Contact Hour, 1.0 hour of CNE through CBRN (Provider #15932) and 1.0 L-CERP.

Women with a high-risk pregnancy or birth often need additional follow-up care. This article provides a summary of the current recommendations for follow-up after a high-risk pregnancy. It is intended to be a quick read for the busy childbirth educator and includes a table that summarizes the recommendations.

Participants may earn .25 Lamaze Contact Hours.

Elective inductions of labor (EIOL) are inductions of labor for non-medical reasons. EIOL for healthy people is a growing concern, causing issues not only for the pregnant family, but also for hospital systems. Childbirth educators and EIOL-specific education can help reduce this growing number. This session will discuss one childbirth educator’s professional experience in successful implantation of EIOL education and the proven results within a hospital system.

Participants may earn 1.0 Lamaze Contact Hour and 1.0 hour of CNE through the California Board of Registered Nursing (CBRN).

The 10-point pain scale was developed to avoid undertreated pain in the hospital setting. Developed in a Veterans Administration hospital for medical–surgical patients in 2003, the 10-point pain scale was adopted in health care as part of the “pain as the fifth vital sign” initiative. The pain scale was implemented in maternity care as part of a general hospital initiative. Assessing coping is more appropriate to the labor process than focusing on pain or its avoidance. The Farver–Campos Labor Coping Scale is evidence-based and promotes vaginal birth and personal labor care by guiding nurses and laboring women through a number of coping options. The scale is an appropriate tool to replace the 10-point pain scale in the maternity care setting. 

Participants may earn 1.0 Lamaze Contact Hour and 1.0 hour of CNE through CBRN (Provider #15932).

Gestational diabetes, PIH, anemia, and other pregnancy complications are happening more frequently, especially among disadvantaged groups. Nutrition may be one of the most effective preventive measures, but many – if not most – parents don’t feel like they understand what to eat during pregnancy, and feel overwhelmed trying to figure it out. Lamaze educators and other childbirth professionals are in an ideal position to distribute additional nutrition knowledge. In this session, learn how the Healthy Pregnancy Plate - a simple tool for parents to use when planning meals and eating habits, helps ensure adequate nutrition for pregnancy and postpartum. We will cover how you can quickly and effectively use this in your classes to support healthier pregnancies, better postpartum health, and giving babies a healthy foundation.

Registrants will gain access to a 20-minute pregnancy nutrition curriculum, presentation, and participant handouts that they can incorporate into their childbirth education classes.

Participants may earn 1.25 Lamaze Contact Hours and 1.25 hours of CNE. 

Is routine induction at 39 weeks a "done deal"? In this session, Debby will discuss guidelines and recent research from around the world about the optimal time for routine labor induction. She will also discuss the factors that childbirth education students should consider when making an informed decision about elective labor induction. 

Participants may earn .75 Lamaze contact hours.

JustBirth Space is a virtual perinatal support space that offers free, compassionate, and responsive support for pregnant and parenting individuals in New York City and northern New Jersey. Based on the expertise of community-based doula programs and grounded in anti-racist models of care, JustBirth Space puts the principles of birth justice into practice by humanizing virtual care in order to address the systems and structures that lead to racial disparities in maternal health outcomes. JustBirth Space exemplifies how programs can create adaptive community-driven solutions and equitable partnerships to address the heightened needs associated with the COVID-19 pandemic but reflect the longstanding inequities in our maternity care delivery system. 

Participants may earn .50 Lamaze Contact Hours.