Monday, November 8, 2010

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ACNM Certification Council...
The ACNM Certification Council is the national certifying body for graduates of nurse-midwifery and midwifery training programs accredited by the American College of Nurse-Midwives....
9 pages found, 3 links found, 220 score http://www.accmidwife.org

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Active Birth Centre...
Janet Balaskas provides inspiring information on pregnancy, active, home and water birth, breastfeeding, mother and babycare. Plus birth pools, organic skincare, maternity bras, birth balls" IGNORE="...
226 pages found, 69 links found, 10521 score http://www.activebirthcentre.com

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Alaska Midwives, Bearing in Mind Birth Center...
An Out-of-Hospital birth center with two birthing rooms, each equipped with a large Jacuzzi tub for water births, a shower, and home-like environment....
8 pages found, 10 links found, 689 score http://www.bearinginmind.com

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American College of Nurse-Midwives : With Women, For a Lifetime...
Information on nurse-midwifery care, women's health, prenatal care, childbirth, finding nurse-midwives, education, certification, and questions to ask....
67 pages found, 5 links found, 652 score http://www.acnm.org

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American College of Nurse-Midwives : With Women, For a Lifetime...
Information on nurse-midwifery care, women's health, prenatal care, childbirth, finding nurse-midwives, education, certification, and questions to ask....
73 pages found, 5 links found, 652 score http://www.midwife.org

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Australia, Melbourne Midwifery Services Pty Ltd...
a woman calls her midwife I think I'm in labour innately she knows the time is right for when the sun goes down beyond the horizon it is safe - her labour will establish ...
18 pages found, 42 links found, 515 score http://www.melbmidwifery.com.au

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Babies By Nature...
Babies By Nature provides doula services, natural childbirth classes, and bellycasting services for the Atlanta Athens, Georgia areas. We also sell Maya Wrap Baby Slings and bellycasting kits....
2 pages found, 8 links found, 6030 score http://babiesbynature.com

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BIRTH BLOOM...
Pregnancy and Birthing Support. "Conception, gestation, labor and delivery are the physical metaphor for how the divine comes into physical form. And so, there is really no more sacred ritual than hum...
10 pages found, 8 links found, 8557 score http://www.birthbloom.com

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Birth Market...
 Search the Site: Having a Baby Today New!      Special Seasonal Savings New!   The Birth MarketMidwifery Today's Directory of Products and ServicesIncluding Find a Midwife and Find a Doula Search th...
106 pages found, 27 links found, 5470 score http://www.birthmarket.com

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Birthways.net...
BirthWays, a site to empower birthing families and celebrate birth shares moving birth stories, beautiful birth photos, mail order bellymask kits, informative resources and links, book reviews and dou...
26 pages found, 54 links found, 7523 score http://www.birthways.net

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Brenda's Home Page...
Doulas help mothers have a better birth experience. They encourage dads and partners to participate at the level they are most comfortable....
13 pages found, 12 links found, 1676 score http://www.doula.freehosting.net

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California, Doula Birth Partners of Los Angeles...
Doula Birth Partners of Los Angeles provides doula training and childbirth support in the Los Angeles and south bay area...
14 pages found, 22 links found, 2790 score http://doulabirthpartners.com

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California, Doulas Association of Southern, DASC home page...
Welcome to DASC (Doulas Association of Southern California)  What is a Doula?  How Can I Find and Hire a Doula? (Referral Program)  How Can I Join DASC?  Learn About DASC and other Doula Organization...
18 pages found, 11 links found, 1580 score http://www.dascdoulas.org

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California, Hands-On Worshops, Midwifery School...
Our School is Growing and Expanding! HOWS is becoming even more accessable to everyone. We are modifying our programs to allow a choice of one or two years. Now students can work at their own pace aro...
25 pages found, 18 links found, 1303 score http://www.howsmidwif.com

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California, Mendocino Midwife - Your resource for midwifery information...
Mendocino Midwife.Com offers birth stories, book reviews and home birth products from Carla Stange, a certified nurse-midwife and family nurse practitioner who has been attending home births on the n...
66 pages found, 90 links found, 360 score http://www.mendocinomidwife.com

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Association of Ontario Midwives, Canada
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27 pages found, 46 links found, 437 score http://www.aom.on.ca

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Canada, Ontario, Thames Valley Midwives (Splash)...
...
21 pages found, 36 links found, 588 score http://tvm.on.ca

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CAPPA - Childbirth and Postpartum Professional Association...
Childbirth and postpartum professioanl association. Training and certifing labor and postpartum doula and childbirth educators...
26 pages found, 31 links found, 11177 score http://www.labordoula.com

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Cascade Health Care Products...
Serving Midwives and other Health Care Professionals Around the World Latex-Free Options! Featuring our line of sterile and non-sterile synthetic gloves for those desiring an affordable, ...
67 pages found, 29 links found, 568 score http://www.1cascade.com

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Choices Childbirth Education & Doula Services...
...
13 pages found, 1 links found, 642 score http://www.birthservices.com

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Citizens for Midwifery...
Citizens for Midwifery promotes citizen andconsumer awareness of midwifery and childbirth issues through networking and information sharing. CfM is a national organization....
44 pages found, 61 links found, 448 score http://www.cfmidwifery.org

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Comadres Institute- Global Midwife Gardens...
CoMadres Institute- Enhancing the health of women and families through the art and science of midwifery, education and holistic health in the Florida Keys...
26 pages found, 2 links found, 2316 score http://www.ComadresInstitute.com

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Confederation of Midwives and the Canadian Association of Midwives....
  Visit this new page and find out how you can make a difference. We need your support! In our site you will learn about the benefits of choosing a midwife for your pregnancy and birth, as well as lo...
19 pages found, 14 links found, 472 score http://www.bcmidwives.com

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Doula.Com...
The best place on the globe to find information about Doulas, Midwives, Childbirth Educators....
11 pages found, 6 links found, 2636 score http://doula.com

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Doulas of North America, an international association of doulas who are tr...
DONA Central Office 13513 North Grove Drive Alpine, UT  84004 (801)756-7331    (801)763-1847 fax Completed Certification Packets should be sent to: Jamie Swann DONA Certification Chair 2112 Westover ...
68 pages found, 131 links found, 302 score http://www.dona.com

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Doulas of North America....
DONA Central Office 13513 North Grove Drive Alpine, UT  84004 (801)756-7331    (801)763-1847 fax Completed Certification Packets should be sent to: Jamie Swann DONA Certification Chair 2112 Westover ...
79 pages found, 148 links found, 1129 score http://www.dona.org

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Florida, Doula Services and Labor Assistants, South ...
Tenth Month Doula Services, Inc. has been nurturing new and expectant families since 1994. It is our goal to empower women and families with the knowledge, confidence and skills necessary to begin the...
10 pages found, 16 links found, 7970 score http://www.tenthmonth.com

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For the Love of Birth ... Call us today!...
Providing services for pregnant and post partum moms in Pinellas, Pasco, and Hillsborough counties. Janice Banther, Founder Executive Director   About Our Doulas Childbirth Classes Birth Doulas Post-...
10 pages found, 5 links found, 2068 score http://www.birthingwithlove.com

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Gail's Midwifery & Homebirth Web...
Gail Johnson, CPM (Certified Professional Midwife) has provided midwifery services in Dallas Ft. Worth since 1988. If you seek a gentler, more personal birthing alternative, consider home birth....
22 pages found, 140 links found, 15089 score http://www.midwife-cpm.com

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Gentle Beginnings Doula Service...
...
8 pages found, 0 links found, 2332 score http://www.gentlebegin.com

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gentlebirth.org...
The Midwife Archives  (formerly hosted by Sabrina Cuddy at fensende.com.) As a way of organizing my notes about information and wisdom shared on the various birth-related distribution lists, I created...
176 pages found, 140 links found, 5408 score http://www.gentlebirth.org

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Georgia Friends of Midwives...
Georgia Friends of Midwives is a consumer group that advocates preservation and expansion of safe and accessible childbirth alternatives, including the informed choice of midwife-attended homebirt...
13 pages found, 22 links found, 1519 score http://www.gamidwifery.org

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Georgia, Homebirth in ...
Homebirth in Georgia is the webpage of Debbie Pulley,CPM who advocates preservation and expansion of safe and accessible childbirth alternatives, including the informed choice of midwife-attended ho...
16 pages found, 41 links found, 2445 score http://www.gamidwife.com/

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Georgia, Homebirth in ...
Homebirth in Georgia is the webpage of Debbie Pulley,CPM who advocates preservation and expansion of safe and accessible childbirth alternatives, including the informed choice of midwife-attended ...
45 pages found, 56 links found, 3098 score http://gamidwife.com

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Guelph Midwives, Professional Midwifery Practice - Home Page...
Welcome to Guelph Midwives Online! Registered midwives in Ontario provide comprehensive primary care to healthy, low-risk women through all stages of their pregnancy and birth, and continue to care f...
7 pages found, 17 links found, 1392 score http://www.sentex.net/~guelphmw

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Home Birth Association of Ireland...
Home Birth Association of Ireland The Home Birth Association is a voluntary group, founded in 1982 to give information and support to those considering and opting for home birth. It helps parents mak...
13 pages found, 25 links found, 9972 score http://www.homebirth.ie

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Home Birth Reference Site...
Angela Horn's Home Birth Reference Page Your browser does not appear to support frames. No problem - please go to the non-frames version of the Home Birth Reference Page. The non-framed pages contain...
111 pages found, 88 links found, 2117 score http://www.homebirth.org.uk

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Home of The Birth Company...
The Birth Company provides doula trainings, referral to doulas, and information on creating a better birth experience....
9 pages found, 3 links found, 3271 score http://www.thebirthcompany.com

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In Full Bloom Support Services for the Childbearing Year...
Erica L Krol 1916 Cedar Cliff Dr Columbia, Mo. 65202 birthwise@mindspring.com 573.445.5053 Support is unconditional. It is listening… Not judging, not telling your own story. Support is not offering ...
17 pages found, 10 links found, 1442 score http://doulanetwork.com/directory/doulas/1407.htm

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Kawartha Community Midwives...
We are four registered midwives who attend births either at home, within a 45 minute drive from Peterborough, or at the Peterborough Civic Hospital. Care is provided by at least two midwives who are a...
33 pages found, 42 links found, 1458 score http://www.kawarthacommunitymidwives.com/

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LDS birth...
In terms of priorities for each major decision such as ... childbearing, we should ask ourselves, ' what would be the eternal impact of this decision?'" ~ Elder ...
20 pages found, 66 links found, 2577 score http://www.LDSbirth.homestead.com

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Metropolitan Doula Group Home Page...
The Metropolitan Doula Group was founded on January 10, 1999 in response to a need that aspiring doulas expressed to further their education and commitment to birth after attending labor assistant tra...
47 pages found, 60 links found, 1172 score http://www.nydoula.com

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Midwife and Home Birth...
The Midwife and Home Birth"If the Lord has something he wants you to do, you won't have no good luck unless you do it" -Minnie Farr, a granny midwife from Arkansas My Midwife Articles My Midwife Vide...
38 pages found, 57 links found, 445 score http://www.midwives.net

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Midwife Jobs.com : Jobs for Midwives : Careers in Midwifery : Midwife Emplo...
Information on midwife jobs, the premier site for midwife jobs...
12 pages found, 1 links found, 999 score http://www.midwifejobs.com

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MidwifeInfo.com | Home...
MidwifeInfo: a comprehensive information resource for parents and midwives....
59 pages found, 86 links found, 6181 score http://www.midwifeinfo.com

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Midwifery in NF&LAB...
Association of Midwives of Newfoundland and Labrador International Definition of a Midwife Association of Midwives of Newfoundland and Labrador Canadian Association of Midwives Addresses of Canadian ...
14 pages found, 9 links found, 260 score http://www.ucs.mun.ca/~pherbert

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Midwifery Today - Pregnancy, Birth and Homebirth...
Search the Site:   New! Having a Baby TodayNew! Secure Online ShoppingFREE Weekly NewsletterEnter Email Address:Read Past Issues HereRecommend This Site To a Friend!Midwifery Today Magazine Your best...
401 pages found, 43 links found, 4744 score http://www.midwiferytoday.com

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midwiferyworshops.org...
Learn to be a Midwife Assistant! We sponsor Midwifery Assistant Workshops in which we teach women the skills and knowledge they will need to assist a practicing midwife in home or birth center delive...
7 pages found, 0 links found, 164 score http://www.midwiferyworkshops.org

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Mother Care Services, Catalogue, Doula Support, Birth...
Mother Care   Welcome to Mother Care where we support and  nurture a parents innate wisdom.   Mother Care has moved...   Our main office moved from Camrose to Lloydminster, Alberta.    We now provide...
89 pages found, 145 links found, 1230 score http://www.mother-care.ca

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MotherCare of America...
mothercareofamericawhatis a doula?index.html        Welcome to... MotherCare of America Postpartum Doula Service  Serving the Denver Metro Area Since 1994  Voted "Best of Denver" -Westword-  MotherCa...
12 pages found, 15 links found, 1257 score http://www.mothercareofamerica.com

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National Childbirth Trust Maternity Sales...
National Childbirth Trust Maternity Sales: on-line shopping for your pregnancy....
215 pages found, 1 links found, 12493 score http://www.nctsales.co.uk

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Natural Beginnings - Birth Services...
Web site of Tammi L. McKinley, a professional doula in Arlington, Virginia. Find information here about having a happier, more natural childbirth experience with the assistance of a doula....
25 pages found, 72 links found, 4737 score http://www.naturalbeginnings.org

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NC Shekinah Birthing Co. of Charlotte, - Birthing From Within-style Childbi...
Birthing From Within-Style Childbirth and Postpartum ClassesShekinah - sheh KI nah, sheh KE nah - n. - A visible manifestation of the Divine Presence.  The feminine principle or aspect of Deity is al...
12 pages found, 21 links found, 7761 score http://www.shekinahbirthing.com

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Nevada , Childbirth Educators and Labor Assistants of Souther (CELA) ...
Childbirth Educators and Labor Assistants of Souther Nevada (CELA) 909 Big Horn Henderson, NV 890 702 566-13214 info@thebirthsource.org...
2 pages found, 4 links found, 10358 score http://www.nvcela.homestead.com

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New York City, In a Family Way New York City doula service...
In a Family Way is a post partum doula service in ...
6 pages found, 4 links found, 4294 score http://www.inafamilyway.com

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Nicky Menzies' UK Homebirth Website...
I am registered with the United Kingdom Central Council for Nursing, Midwifery and Health Visiting as a qualified midwife, and my practice standards are in accordance with U.K.C.C. requirements. I wor...
10 pages found, 5 links found, 1595 score http://www.homebirth.net

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Nicky Menzies' UK Homebirth Website...
A British midwife looks at homebirth in the United Kingdom...
10 pages found, 5 links found, 1595 score http://www.homebirth.co.uk

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Ohio, Birth & Beyond, Inc. Doula Services...
Providing Labor Support & Postpartum Doula Services in the Greater Cleveland and Akron, Ohio area. Birth & Beyond, Inc. Doula Services Giving birth and the first weeks home with your baby can be a wo...
8 pages found, 5 links found, 2981 score http://www.birthandbeyond.org

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Oregon Midwifery...
Oregon Midwifery Web Resources Oregon School of Midwifery A three-year direct entry midwifery training program offering both on-site and Distance Learning NEW Open Course Catalog Birth Centers    Fre...
42 pages found, 62 links found, 5001 score http://www.oregonmidwifery.org

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Pacific Association for Labor Support (PALS)...
The Pacific Association for Labor Support (PALS) is a membership organization that promotes, develops and supports doulas and the doula profession.  The primary mission of the doula profession is to p...
37 pages found, 31 links found, 3302 score http://www.pals-doulas.org

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Penny Simkin...
Since 1968, I have focused my professional life on childbearing women and their families. Although my formal education was in liberal arts and my training in physical therapy and childbirth education,...
8 pages found, 4 links found, 1461 score http://www.pennysimkin.com

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Portland waterbirth - Andaluz Birth Center...
Giving birth is one of the most miraculous and transforming events in a woman's life. Women have the innate ability to give birth with confidence and dignity. As women search for ways to reclaim the b...
24 pages found, 5 links found, 601 score http://www.waterbirth.net

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Tennessee, Nashville Childbirth Education, Birth Doula and Postpartum...
Bradey Method Childbirth classes, HypnoBirthing Classes, group and private classes in nashville Tn....
12 pages found, 4 links found, 21747 score http://www.nashvillechildbirth.com

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Tennessee, Nashville Women's Health Associates Website........
Nashville Women's Health Associates Website 2201 Murphy Ave.  Suite 310 Nashville, Tenneesse   37203 615-301-6720 ...
29 pages found, 19 links found, 2384 score http://www.nashvillemidwife.com

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Texas, Consortium of Texas Certified Nurse-Midwives ...
CTCNM Consortium of Texas Certified Nurse-Midwives The Consortium of Texas Certified Nurse-Midwives (CTCNM) is an organization composed of C.N.M.'s as voting members with the support of physicians, n...
9 pages found, 19 links found, 341 score http://www.midwivesoftexas.org/

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The Birth Centre - The Home of Happy Birthdays...
Free Consultation What we do The Birth Centre Having your baby Meet the Midwives Facts & Figures Contact us Useful Links Why you need us Our Newsletter Professionals Midwives Diary Politics With us i...
114 pages found, 34 links found, 893 score http://www.birthcentre.com

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The Birth Market...
Are you a birth enthusiast? Do you want to become a midwife or doula? Are you pregnant? Are you looking for a care-provider in your area? Or are you just a savvy, self-actualized individual looking fo...
65 pages found, 10 links found, 290 score http://www.findamidwifetoday.com/birthmarket/

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The GoodNews NetWork...
...... Welcome to the GoodNews NetWork   Great News ~ A companion web site for Midwifery Professionals with community-based practices  www.Collegeofmidwives.org     faith gibson, LM, CPM registered P...
434 pages found, 45 links found, 481 score http://www.goodnewsnet.org

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UK, Andrya Prescott, Independent Midwife. Facts....
Welcome to Andrya Prescott's Independent Midwifery Site Here you can find out about the services I offer - before, during and after the birth of your baby, and explain what you can expect from me as ...
31 pages found, 15 links found, 507 score http://www.independentmidwife.com

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UK, Thames Valley Midwives - Serving the Women of London Middlesex...
Ontario's midwives applaud Ministry of Health move to allow new midwives to work immediately upon graduation. Well, believe it or not, the MInsitry of Health listened to us. Thanks to everyone who ma...
37 pages found, 34 links found, 705 score http://www.execulink.com/~tvm

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UK, West London Independent Midwives...
West London Independent Midwives offer a high quality, individualised midwifery service for women throughout their childbirth experience. We specialise in providing care for women who are planning to ...
6 pages found, 6 links found, 1654 score http://www.wlim.co.uk

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UnassistedHomebirth.com...
UnassistedHomebirth.com Special Tips... Specials are back! Testimonials and Reviews Terra Publishing Books, Tapes, Reports Unassisted Miscarriage Media Coverage of Unassisted Homebirth Unschooling Un...
44 pages found, 33 links found, 632 score http://www.unassistedhomebirth.com

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Virginia Birthing Freedom: Grassroots Advocacy for Midwifery...
Honoring the sovreignty of a mother's choice and a baby's privilege to have a midwife attended home birth. formerly domiciliary.org...
99 pages found, 124 links found, 1486 score http://vbfree.org

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Washington State Midwives Web Site WA ACNM Chapters Home Page...
Resource for midwives and consumers...
66 pages found, 96 links found, 5835 score http://www.cnm.wa.org

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Washington State, Birthing Your Way...
  I recognize birth as a natural function of the female body. One that doesn’t require routine interventions. As a doula and Childbirth Educator I consider it a privilege to help women and their partn...
13 pages found, 13 links found, 3225 score http://www.birthingyourway.com

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Washington State, Midwives' Association of ...
Non-profit organization providing resources, referrals, and info for expecting mothers and midwives. Also: a directory of midwifery services in Washington state....
22 pages found, 2 links found, 403 score http://www.washingtonmidwives.org

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Washington, Seattle Midwifery School | Education, Advocacy, Empowerment...
Seattle Midwifery School Midwifery Education Program Northeast Classroom Doula and Childbirth Educator Training California Challenge Process Library Information Services Student Services News and Eve...
68 pages found, 53 links found, 425 score http://www.seattlemidwifery.org

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Wholistic Midwifery School Birth Resource Center...
socalbirth.org is a childbirth resource center. Go here to find a midwife, doula, childbirth companion, ...
59 pages found, 41 links found, 1587 score http://www.socalbirth.org

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Wisconsin Certified Nurse Midwife Network...
©2000 DesignWise Website Designed, Maintained & Hosted by DesignWise.net ...
12 pages found, 33 links found, 388 score http://wi-cnm.net

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Womancare Midwives...
Womancare Midwives works toward empowering women in their own individual pregnancy and birth, expanding choices and promoting health and normalcy in the childbearing years....
7 pages found, 11 links found, 7254 score http://www.midwives.on.ca

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    Leprosy is a chronic granulomatous disease principally affecting the skin and peripheral nervous system, caused by Mycobacterium leprae. Although much improved in the last 25 years, knowledge of the pathogenesis, course, treatment, and prevention of the disease continues to evolve. The skin lesions and deformities were historically responsible for the stigma attached to the disease. However, even with proper multidrug therapy (MDT), the consequent sensory and motor damage results in the deformities and disabilities associated with leprosy. The earliest description of leprosy comes from India around 600 BCE. It was then described in the Far East around 400 BCE. In the fourth century, the disease was imported into Europe, where its incidence peaked in the 13th century. The disease has now nearly disappeared from Europe. Affected immigrants spread leprosy to North America.

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    Friday, November 5, 2010

    More Weight Equals Longer Hospital Stays -- Sociologists Weigh In On Obesity Increasing The Length Of Hospital Stays

    Sociologists found a direct relationship between obesity and duration and frequency of hospital stays. Researchers found that, on average, obese persons stayed one and a half days longer than those with normal weight. Sociologists attribute the connection to disease--46 percent of obese adults have high blood pressure. Obesity is also linked to an increased risk of heart disease, diabetes, stroke and other illnesses. The researchers also note that the longer a person has been obese, the more likely their hospital stay is lengthened.

    The numbers on our nation's scales are going up. A recent study puts Mississippi at the top of the list with the highest rate of adult obesity in the country. New research shows how extra weight is adding up to longer hospital stays.

    Annette Armstead knows what it takes to stay healthy. Before she started exercising, she weighed 225 pounds.

    "I was tired of people telling fat jokes," said Armstead. "I was in pain all the time. I was so heavy that my knees would give out on me, and I was always falling down."

    Obesity is linked with increased risk of heart disease, stroke, diabetes and other illnesses.

    "I had problems with arthritis and different health problems, and everything they were saying [indicated] I was too heavy and I needed to lose weight," Armstead said. A new study by sociologists at Purdue University found obesity also leads to more frequent and longer hospital stays.

    "Obese people, on average, stay at least one to one and a half days longer than a normal-weight individual," said Ken Ferraro, Ph.D., a sociologist at Purdue University in West Lafayette, Ind.

    The main reason for extra hospitalizations is disease. Forty-six percent of obese adults in the study had high blood pressure, and obese adults who have been overweight since childhood and carried extra weight into adulthood pay the highest price for being heavy.

    "The longer the person is obese, the longer their stay in the hospital," Dr. Ferraro said.

    Tackling obesity at a young age is crucial to staying out of the hospital later on.

    "If you can tell other people that you're on a diet, a lot of them actually might help you to stay on that diet, but if you're silent to your friends, then obviously they can't support you," Dr. Ferraro advised.

    Armstead credits her weight loss to diet and exercise and has never felt better.

    "I feel healthier at 55 than I did at 25," she said.

    -->

    ABOUT TYPE II DIABETES: Type II diabetes is the most common form of diabetes. In this form of the disease, either the body does not produce enough insulin, or the cells in the body ignore insulin. This can stop glucose from moving out of the bloodstream and into cells. Cells need the energy that glucose provides, and too much sugar in the blood can cause damage to the eyes, nerves, kidneys, or heart. These complications are very similar to the threats from type I diabetes, though type II can sometimes be treated with medications and diet instead of insulin (obtained through injections or in an inhaled form).

    WHAT IS BLOOD PRESSURE: Blood pressure is the force in the arteries when the heart beats, and when the heart is at rest. When blood pressure is high, there is an increased risk of heart disease (which leads to heart attack) and stroke. It is most common in adults over age 35, and is especially prevalent in African Americans, the middle-aged and elderly, obese people, heavy drinkers, and women who are taking birth control pills. Those with diabetes, gout or kidney disease are also prone to suffer from high blood pressure.

    WHAT CAUSES HEART ATTACKS: Heart attack is the leading cause of death in North and South America and in Europe. It is usually the result of prolonged hardening and narrowing of the arteries that direct blood into the heart. When blood vessels are healthy, oxygen-rich blood flows easily to all the muscles and organs of the body. But if they become clogged by the buildup of fatty deposits on vessel walls, blood can be cut off, killing heart muscle cells. This is called coronary heart disease, and it can lead to heart attacks or strokes.

    The American Sociological Association contributed to the information contained in the TV portion of this report.

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    ScienceDaily: Health & Medicine News

    Diseases & Conditions
    • Cancer
    • Cold and Flu
    • Heart Health

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    Understanding Childhood Immunizations | Seattle Mama Doc

    It’s my true fortune that I spend the majority of my days with children–my patients and my own. But as a mom in the year 2010, I find I worry a lot. As a pediatrician, my job is to reassure. My experiences with these divergent, and then entirely interwoven roles, converge at one issue in particular: immunizations.

    The reality is, we live in a vaccine-hesitant world. With my patients, my friends, and even my family, I hear many myths about vaccines. I hear truths, too. Mostly, I feel and witness worry. When it comes to getting shots, most everyone wants to know a little more. There’s no doubt that the things we read online and in the paper, or the mutterings we hear on the news and in line at the grocery store, have left us frightened about immunizations. I remember the fearful stories more than the reassuring ones. Don’t you?

    Despite this worry, I believe that alongside the challenge of overweight/obesity, hesitancy about shots may be the biggest issues facing children, parents, and pediatricians today. I spend more minutes (hours) per day with vaccine-hesitant families than I ever imagined I would. So this is a part of my every day. But hold on a minute, this is not a post about the “rights” of doctors or vaccines or the “wrongs” of another group. This is a blog post to help illuminate your right to earnest, research-based information regarding immunizations. You need to have compassionate care rooted in scientific evidence; you need to know what science holds. What I mean is, you have a right to really understand why doctors recommend immunizations.

    Vaccines are discussed nearly everywhere by nearly everyone. As a parent, be selective about what you read and with whom you discuss these issues. Not everyone at the water cooler has expertise in this area. And not everyone understands the enormity of the issue, let alone the repercussions of their advice. As the wise say, “Don’t believe everything you think,” either.

    Some ideas about how to get what you need:

    1. Use the Internet. Yes, a doctor is telling you this. Don’t be shy or bashful about it. The clear majority of parents read about health information online (duh). And over 90% of parents who are online say they read about child health information. When you do this reading, find sources of information that reflect expertise (people who have training in medicine, science, or vaccines) not just experience with children.
    2. Print out information from the web pages or sites you use to make decisions. Bring this information to the office visit with your child’s doctor so you can have an informed, open discussion.
    3. There is wild myth that exists online regarding immunizations but there is also great, practical, scientific content, too. Keep in mind that when you read online, you can find any possible angle. The important thing to note is that nearly everything you read will sound like fact, no matter if it is factual, scientific, or quack. Vet the voices you listen to.
    4. Ask your pediatrician where (on and offline) to read about immunizations, particularly if you’re concerned at the end of a visit. If you worry about the risks and benefits surrounding immunizations, tell your pediatrician. Don’t assume they know how you feel.
    5. It’s always okay to ask questions! Don’t let the rituals of a doctor’s visit get in the way of finding out what you need to know.

    What to ask at the office?

    • Which immunization(s) is my child getting today?
    • Why? (The short answer: immunity to and protection against life-threatening/life-altering infections)
    • How will my child’s body respond? (It will mount an immune response. Fever, and/or redness or soreness at injection site are common, normal responses to immunizations)
    • Will fever come? (Often yes. In some studies up to half of 2 month-old babies have temperature elevation after shots. This response proves their immune system is doing the right thing–responding with inflammation while building memory)
    • Should my child still have a shot even though he/she is on antibiotics, has a cold, or will travel very soon? (All yes! Fever over 101 is the most typical reason to hold off on an immunization)

    There are very few easy answers to vaccine questions. The longer, more philosophical responses will require minutes of conversation. If you have questions about shots, help shape the agenda of your visit with the doctor; tell the pediatrician at the beginning of the visit you have questions about shots so you’re not rushed right at the end of the visit. Your pediatrician is there for you, not only for clinical skill, but interpretation and support, so that you have a real shot at understating the benefits of immunization.

    Websites I recommend:

    • www.nnii.org : As one pediatrician put it, “I like NNii because it is independent of industry and government — takes no funds from either. The sole purpose is to provide science based, credible information in a manner parents can easily understand.”  
    • www.healthychildren.org : The AAP website designed for parents. It’s easy to read, has great information and backed by a force of 60,000 pediatricians making up the AAP. It’s a user-friendly ,and has up to date information.
    • www.immunize.org : A website designed for doctors, this can be a useful place to look for policy statements, WHO advice, AAP advice and news about changing recommendations.
    • www.ecbt.org Foundation co-founded by First Lady Rosalynn Carter to help families understand the need for timely (up to date) immunizations. There are videos and resources on getting your child’s shots if you can’t pay for them.
    • www.vaccine.chop.edu : Great resource for scientific information about shots. This is written by a world renowned pediatric infectious disease and vaccine expert and has information on every shot. Website includes videos, down-loadable information sheets and answers to typical questions.


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