Wednesday, July 29, 2009
Men...Misunderstood
I was taught to be independent and although I sought out that man that would stand by me and protect me, I hadn't a clue that I was asking for the impossible. I wanted a dominate man that would not dominate me. After a few years of marriage and miles of misunderstandings, I asked myself, "How does one submit if the husband won't stand up?" and "Do I have enough trust for that sort of dependency on my husband?" This is a struggle, I believe, most all women in our society face. We are taught to be feminists.
A fabulous Christian counselor has drawn our attention back to communicating in a Godly way.
Mike and I argue. We disagree and we can be disrespectful of each other. He has a great deal of anxiety and recently we've learned he also suffers from significant attention deficit disorder which means he communicates even less than the average man because he can't get all his thoughts together. Can you imagine! I have an enormous thorn in my side as well - pride. I could argue with the pope, so needless to say misunderstandings rum rampit in the Lane household. We both work reverently however, to forgive and to allow the Lord to mold us into a couple after His own heart.
I hold in my hand the key to a happy, joyful marriage. This happiness comes from doing completely opposite of what the world will say to do. When we submit as the Bible tells us to, when we accept our husbands as having dominion over us and our family, when wives accept that they belong to their husbands, the journey towards happiness has just begun.
Gardasil
Gardasil has had a great deal of media attention and created a great deal of controversy. Most recently I received a caution regarding its use as women were dying following injection. After introducing any new vaccine, I am not eager to be one of the first guinea pigs, nor would I volunteer my children.
I need to research the validity of this thought, but recently a midwife shared with me her opposition to Gardasil because states the vaccine can transmit the HPV virus to the recipent; however, a Pap smear can not. She also states that cervical cancer is very slow growing (which it is prodominantly but not exclusively), very treatable and a Pap smear every three years would find its presence. Even after having received the Gardasil one would need to continue Pap smears so why risk exposure to HPV, or death, when you can simply be diligent about cervical cancer screening which poses no risk. Interesting...
Tuesday, July 28, 2009
Wednesday's Menu

I am behind. We had some Italian Wedding Soup this week from Emily. Fabulous! We definitely need to get a recipe from her, although I don't know that I could make it that good. Keely made rice and chicken today.
Wednesday - sauteed cherry tomatoes (because we have an over-abundance from the garden), rice and chicken. We might eat at the carnival in the evening, although that is so bad for you and never seems to feel you up...although you feel awful afterwards.
We are roasting our cherry tomatoes now. I'll let you know how they turn out but since we have so many and can't seem to give enough away, I thought we'd cut them in half and bake them until they caramelize a bit. Then we can use them like dried tomatoes in salads, pastas or with chicken in rice. I suppose we can freeze them as well.
Of course, Keely is making another batch of zucchini bread. Everyone loves it, but she has grown to hate making it. I am hoping at some point, the boys will stop gorging it and we can freeze some for the winter.
I think we'll make some squash soup tomorrow too, which we've never had before, but I am not much of a creamy soup person in the summer. We might freeze this for a cold evening.
I am going to roast a chicken tomorrow, so we can fill these recipes. It is a stored away organic chicken I got a few months ago for pennies.
Thursday - Cucumber and Chicken Salad with croissants; broccoli and chicken braid (recipe from Cindi)
Friday - Gyro's with Cucumber Sauce (from the garden); eggplant Parmesan (recipe from Amy)
We have a ton of cucumbers, which is sort of ironic because I ate almost two a day towards the end of my pregnancy. Now that our garden is producing them, I am not so interested in them. Keely tasted marinated cucumbers somewhere, so we're going to try that recipe. That doesn't at all sound good to me though. Thursday's menu is much more my style.
Sunday, July 26, 2009
Not Practicing Medicine
As each of you know, the misconceptions are enormous. All midwives are viewed by the public as the same. Homebirth is also judged as equal no matter who attends, or if anyone at all attends. However, based on the circumstances homebirth can be the absolute most dangerous birthing scenario or the absolute safest. Understanding the variables is essential in discerning the risk, yet because homebirth is so incredibly unfamiliar to most everyone, it is a rare educated individual that has any idea what variables to assess in effort to make an appropriate judgment.
One particular variable that has always intrigued me was the manner in which a direct entry midwife can represent her role. Indiana offers no definition or license outside of Nurse Midwifery, so direct entry midwives can tailor their explanation to either boast their position beyond their scope, giving families false assurance, or naively underestimate their role in belief they will escape prosecution or malpractice. Our society understands the healthcare provider, or the birth attendant, as the person designated to keep their birth safe. They are the life-guard of prenatal care and birth. This would include assessing and identifying risks that fall outside of the norm, defined in Indiana as the practice of medicine and/or the practice of nursing.
The midwives referred to in the Fox59 episode are direct entry midwives. They are accused of malpractice, as their persecutors seem to state they made erroneous assumptions and failed to identify a fatal risk to mom and baby. The authorities additionally question if they were practicing medicine without a license.
Here is the irony. Direct entry midwives in our state are all aware that they practice outside the law, yet they have conviction that women should be provided the right to choose who they want to attend their birth. (I agree.) They also have the conviction that pregnancy and birth are normal human events and are not in themselves medical events requiring physician management as a disease state does. (I agree.) For this reason, the position many direct entry midwives take is that they are not practicing medicine. They are simply attending the birth and leave the diagnosis, assessments, and medical management to the physicians when required. This also frees them from liability and hopefully, criminal prosecution.
While families agree with the two points above that I too agree with, these aren't in reality why families hire a direct-entry midwife. Families seek a homebirth because they desire a safe birth (Boucher, 2009). They hire a midwife to be that third party who facilitates a safe birth. Are they getting their money worth in hiring a direct entry midwife?
Just as we ask obstetricians to step out of their role when we put them in the position of caring for a laboring mother without significant medical risk, we too ask our direct entry midwives to step out of their role when they assume primary care of a pregnant and laboring mother. Clients of direct entry midwives most often have not had a thorough head-to-toe assessment; therefore, have not had an efficient risk assessment for homebirth at the onset of their pregnancy. Very few seek out an assessment by a qualified healthcare provider prior to initiating care with a non-nurse midwife.
Their informed consent regarding prenatal testing is often shared with the risk of becoming aware of a condition that the midwife does not have resources or education to support; therefore the unknown (and not currently causing symptoms) may completely alter their otherwise beautiful birth plan. This unfortunate reality removes the essence of informed consent because it is provided from a biased view point and persuades the client. Obstetricians are guilty of the same, but from the opposite end of the spectrum.
Maybe most importantly, because direct entry midwives have gained the entire portion of their experience and training, whatever that might be, in the home, they lack sufficient experience in managing birth emergencies. The reality is, when birth is left alone, most always it proceeds without incident. This is ultimately how all non-interventive midwives can boast about fabulous outcomes and how those attending births with absolutely no training or experience can achieve better outcomes than our highly-trained and highly-interventive hospital physicians.
Direct entry midwives should have little experience suturing, resuscitating, placing IVs, anchoring foleys, assessing a non-reassuring fetal heart tone pattern and so forth. A direct entry midwife, or any midwife, that claims excellence in anyone of these areas should cause you great concern. However, again, the irony is that it is this purpose that families really desire the attendance of a midwife - in case something goes wrong.
Indiana holds the practice of midwifery without a license as a criminal offense so not only have families hired a midwife with little emergency management experience and the inability to identify high-risk pregnancy concerns (logistically or otherwise), they have also hired a midwife that if caught attending the birth or providing prenatal care could serve several years in prison, so in many situations would simply abandon her post. Do you think your midwife would go to jail for you?
I am conflicted in whether I support direct entry midwifery. I have come to know many direct entry midwives that hold a plethora of knowledge and expertise. I will also share that the vast majority of those midwives are believers and have a calling. They are God-fearing. Meaning, these midwives are real gems and not at all the norm. If practicing in Indiana, they would be working outside the will of God. The Lord values education, self-discipline, wisdom and accountability.
Knowing what I know about pregnancy and birth, I simply can't imagine not seeking higher education prior to ever stepping into the role of a midwife. Knowing what I know about professionalism, I find graduate education an absolute necessity for practice within the field. Knowing what I know about emergency birth and hospital policies, I value greatly the hospital experience I attained prior to stepping into the role of a homebirth midwife. Knowing the price a mother pays when she looses a child, my personal conviction is that homebirth should only be attended by a Certified Nurse Midwife. Knowing what I know about democracy and biblical principle, birthing families should be made well aware of the complex issues associated with choosing their birth attendants, but ultimately given the freedom to make a choice we would not otherwise make our self.
Saturday, July 25, 2009
Fox 59 News and Midwives
I have so many comments about this and it is already 0200. I'll have to share at another time, but I welcome your comments.
Friday, July 24, 2009
Forgotten Funnies...
Keely
4-H has been interesting this year. Keely is once again in dogs, specifically showmanship, agility, obedience, and drill team. She attends practices twice a week for at least two hours each evening. A few weeks ago, the weekend Simon was making his entrance, Keely and Gus participated in their preliminary judging and Gus was priced second place in obedience. They missed showmanship because of our labor, but because of these placings, Keely was quite confident she could bring home grand champion in at least one or the other during the final judging.
Saturday, both she and Gus had to arrive at the fair at 8:00 AM. For those of you that know us well, you know that we rarely see this time of day...if ever. Gus absolutely LOVES 4-H and the mere mention of the word and he is bouncing around the house in hysterics. The combination of him being exhausted at eight AM, his excitement and unfortunately, the change in his potty routine, caused a major mishap during his showmanship showing first thing Saturday morning.
He refused to let Keely place his feet and head properly and in spite of her attempt to calm him and make him obedient as the dogs lined up for judging, Gus "fouled" the ring. This can disqualify a dog and since Keely was the first to be judged, not only did she have to calm her dog and clean up the mess, she had to do so while the entire event was put on hold for her to complete the task. She then had to skip through a few judging points that Gus refused to obey for and proceeded to the trotting...again, he was out of control. Gus was bouncing, kicking his feet and making the mats slide, so Keely was pulling his leash and watching him constantly so she didn't fall. Both of these are point deductions. Unfortunately, they also caused Keely to run directly into the judge's table full force.
As if she wasn't already flustered enough, all their papers and belongings went flying off the table. One judge stood up and walked around the table to give Keely a hug, telling her to take a deep breath because she was clearly about to ball up in tears. They were not disqualified. The judge's were merciful, but she did come in last place. Heartbroken, she scored behind participants that didn't even know the rules or how to show their dogs. We are all getting lots of laughs though, as this sort of thing would only happen to Keely which is exactly what each of her friends said as soon as she left the ring.
Noah
A few days postpartum, I was not moving around well, so I asked Noah if he would run to my bedroom and grab me a pair of underwear. He came down with my abdominal flattening underwear and said those were the only pair I had clean. Having just had a cesarean there was no way I was putting those on (they were barely tolerable on a good day). I told him I couldn't wear those and I was sure there were other pairs in my drawers. He said the other pairs have a skinny part at the bottom and he didn't think I wanted those. All I could think of was the dental floss underwear some teenagers choose to wear and which I have never owned or desired to step into...clearly, I had none of these in my drawer. "What?"
"I'll show you!" He immediately returns holding the proof that I had dental floss underwear in my drawer... my sports bra hanging up-side down. Ahh..Ha...Ha...ROTFLMAO!!!
"Noah, turn that up-side down." He immediately realized it was my bra and he lowered it in humiliation, then looked up at me begging, "Don't put that on your blog, Mom!!!"
Samuel
Mike and I are continually amazed by Samuel. He is me through and through. He has a fire in him I can completely empathize with and while some people are thoroughly annoyed and overwhelmed by his personality, many others can see his genuine, heartfelt passion and realize he is absolutely adorable through and through... a real gem.
One day as he was nursing he was looking up to me with the most clear, beautiful eyes and then he detached and asked, "Mom, can I bite your nipple?" Laughing...NO! Thanks for asking, Samuel.
"Mom, can I pull your hair?" No! Remembering myself asking the neighbor boy if I could bite him and when he said yes and I dug my teeth in (very satisfying), I was completely distraught and convinced everyone hated me since I got into trouble!
"Can I break your nose?" You already did a year ago, Samuel, and you may not do it again!
"Shit bad word, Mom?" Yes, don't say that, Samuel. "What?! Shit a bad word?!" Yes, Samuel.
"Stupid bad word, Mom?" Yes, Samuel. Now hush.
My nipple, hair and nose remained safe that afternoon. However, a few days later we went to a friend's house to play cards after cooking hot dogs on the fire. I am a bit nervous now that I have more children than I have arms and Samuel was the one that I really kept my eyes on. I told him repeatedly to be careful and stay back. He asked, "That burn me, Mom?" Yes, Samuel. "Can I touch it?" No!
Then the next day the family spent some time in the garden. I was feeding Simon and multi-tasking so at some point, I must have applied to much pressure to my overfull boob and squirt milk all over Simon's head. I hadn't done that for a few kids and because I have a very peculiar humor and found this funny, I had to share with Mike. The kids came running and Samuel says, "EWWW!" Then..."Can I lick it, Mom?" Mike and I just started laughing because he truly is the craziest kid. He waited for an answer. He was serious. I said, "Sure," and he did just that. He lapped his tongue along the side of Simon's head and then returned to the garden to pick green beans. Nut.
I am a Biker...Almost

Wednesday, July 22, 2009
The Student Loan Documentary - Ideablob
However, as a now entrepreneur within the healthcare industry, I am attempting to find a balance between being a frugal provider and respecting the financial needs of my practice and family. Midwives hold high priority for cost effectiveness and eliminating unnecessary tests goes a long way in this regard. However, my own professional fee has been a challenge. Not only do I need to charge enough to cover costs, but I need to consider additional fees associated with my practicing independently.
I have no health insurance. I have no retirement. I have no malpractice insurance. I have no professional licensure reimbursement. No one pays for my continuing education. I have no vacation, sick pay, bereavement, medical leave or maternity leave. I also have no reimbursement for student loans which total $90,000, at a monthly expense of more than $700.00. My current fee does not provide coverage for this expense and while I am pennies compared to hospital practices, clients still struggle to pay my current expense and insurance companies fight and argue each penny.
Everyone wants high level care, yet no one wants to pay for it. Healthcare is viewed as a human right and therefore, not worth the elbow grease required to obtain it. Unfortunately, midwives are unable to practice independently because they simply can't afford their student loan debt. Many others don't pursue graduate studies because they haven't the money or ability to obtain student loans.
Debt forgiveness would go along way in improving both the national healthcare crisis and national debt. It would allow many of us to prosper that otherwise have our passions and visions pinned under a lifetime of debt we struggle monthly to pay. It would additionally allow us to forgive and/or negotiate with clients that struggle to meet their financial responsibility, as we would have grace to negotiate with. Ideablog is an interesting blog that highlights and rewards cleaver business ideas. I have recently voted for the student loan documentary and encourage you as well, to offer your own vote.
Idea: Default: the Student Loan Documentary - Ideablob: where ideas grow
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Tuesday, July 21, 2009
Help Intact America demand a truthful statement about circumcision.
Make a tax-deductible gift to support our campaign today!
The United States leads the industrialized world in male circumcision – a risky and unethical surgery that no medical society recommends. Intact America has fought successfully to lower rates of circumcision over the past decades, but today there's a new threat to our progress: the U.S. government is considering recommending circumcision for baby boys. Intact America is responding with an aggressive campaign for a truthful statement on circumcision.
Please support our efforts by donating today!
This is a critical moment in the movement to stop the routine circumcision of newborn boys. To be successful, Intact America is determined to recruit 50 new donors by midnight on July 23.
Without our campaign, the Centers for Disease Control and Prevention (CDC) may base its decision on flawed studies that ignore the risks and ethics of circumcision. A recommendation in favor of circumcision by the CDC, the foremost expert on public health in the U.S., would be a serious setback.
Help us protect baby boys by making a tax-deductible contribution right now.
We are working nonstop to make sure that decision-makers at the CDC hear about the harms of circumcision, by:
Launching a broad-scale public education campaign to spread accurate information on the risks and ethics of circumcision – online and offline;
Providing activists and educators with the support they need to organize in their communities;
Educating medical professionals about circumcision at events around the country; and,
Working with the media to promote our campaign.
But we can't do it without your help.
Changing the way America thinks about circumcision starts with a truthful statement from the CDC.
Please donate today – and help us promote our message at this critical moment.
Georganne Chapin
Executive Director, Intact America
www.intactamerica.org
Intact America PO Box 8516 Tarrytown, NY 10591
Menu...Blessed with Food
We received a chicken casserole from Chelsea - fabulous.
Cookies were devoured before even the birth, I think from Heather.
Pancakes were eaten up quickly, also from Heather.
A bread from Amy, which we ate a few weeks ago.
We received several lasagnas, all which were fabulous, but none were marked.
Franny brought us a HUGE amount of chicken noodle soup, which we just finished yesterday.
We had vegie meals from Rixa, a fabulous chicken and rice meal from Dana, and so many more...some still to go!
I can't thank you all enough! This is absolutely a necessity, I now believe, for surviving the last few weeks of pregnancy and early days postpartum. I believe I'll create some sort of direction sheet for my clientele to offer their own support groups. What an encouragement and life saver this was for us.
Whoever made lasagna in the blue casserole dish...we have it clean for ya!
Exercise
Monday, July 20, 2009
ACNM and CPMs
Read on here regarding ACNM's letter to Congress, requesting they deny anyrecognition of CPMs.
Fazor

He'll have a few years to work on it and soop it up for me! Simon is only four weeks old and I am not nearly brave enough to ride a bike and leave them all behind. Personally, I think Mike enjoys the tinkering more than the riding anyway, so this will be another great past-time for Mike to spend his time on for a few years. Then we'll be picking out matching leather jackets in our old age!
Sunday, July 19, 2009
More Pictures
Simon sleeps. How precious. How chubby and adorable. I could just bite him!
Prayers
Rachel and Dana, two of my fabulous birth assistants, have worked to create a fitness/nutrition group prenatal program and I am thrilled. I have always had a heart for fitness and to everyone's shock and surprise my initial major at Purdue University was exercise science. I had dreams of owning my own gym and being a personal trainer. Many pounds later, I am interested in being a good steward of this body and a better model of wellness.
I have lost eleven pounds in the last three weeks, which isn't too bad for me. I tend to retain weight the first few months after having a baby. However, I have never weighed this much postpartum either. Lots of work ahead of me, but my fitness level concerns me even more than my weight.
Thanks for the prayers!
Friday, July 17, 2009
ACNM's position on Direct Entry Midwifery
A Treat for Being so Patient...
- All the kids have had red hair, with Keely and Samuel the fairest and most copper colored.
- Keely and Noah had my nose, possibly Lyric, and Samuel and Simon have Mike's.
- Simon potentially looks the most like me. Lyric looks the most like Mike.
- Keely is the most different than me in personality. Samuel is the most alike me.
- Simon potentially has Mike's temperment, definitely Noah. Keely is most different.
- Lyric was the only one to have Mike's pointy elbows and toes webbed to the tip top.
- Mysterious genes - where'd they come from? Lyric had a dimpled chin, which we haven't seen in our family. Noah has a dimple in his cheek. Simon's ears are very different than everyone elses, although they do fold over and stick like the rest of them!
Thus far...
- Keely walked first and talked last.
- Samuel crawled first and had the greatest vocabulary.
- Noah was the quietest baby and Samuel the loudest.
- Samuel is the toughest and Noah the most sensitive.
- Keely lost all her teeth early and Noah has yet to loose all his!
- Simon weighed the most and Keely the least. Samuel and Lyric were nearly the same.
- Noah had the most drugs in labor, and Samuel and Lyric the least.
- Noah was breastfed the longest and Lyric the least...although mom lactated the least with Keely.
Thursday, July 16, 2009
Canning
We also tried pickled green beans. This does not in anyway sound tasty to me, but we had to try them. The jar on the left however, is peach honey and yes, we mastered this. After peeling the peaches below that we also canned, we used the peaches to make peach juice and then peach honey. Fabulous! Mike has already eaten almost an entire jar on his own.
U-Pick
Monday, July 13, 2009
Labor Pictures
This was a huge sign my body was having difficulty getting into real labor. Had I been in a productive pattern, Samuel would not have been anywhere near me. His energy would have been way too much. My water broke at 7 am, Saturday morning, as I laid in bed. I reached back and swat Mike awake. He quickly ran around the bed to see how he could help and we both became quite astonished at just how much fluid continued to flow. It was clear but there were buckets and buckets of it. The fluid crawled up my back and was clear down to the end of the bed. I was too afraid to move and have the umbilical cord sail out, so Mike ran down stairs and grabbed my doppler so we could assess baby. The next fifteen minutes of monitoring gave me enough reassurance that I could head to the bathroom to clean up a bit, and call my midwife.
Noah was a sweety the entire day. He will be great labor support for his wife. The midwife arrived about 10:30am, just as I was telling my birth assistants they should head back to class because I had a strong feeling labor was hours away. Paula had been teaching a DONA course and had skipped out to support me and two of my assistants were in her class as well.
In the past, my water has broken and within an hour or two, contractions started strong and hard, and within the next hour I was birthing. It had been three hours and I was on the front porch swinging with only the occasional contraction. I was alert and very engaged in all that was going on around me. Excited. Not at all in labor and knew it. The midwife went directly up-stairs to take a good long nap, after checking on mom and baby.
Mike and I continued to "labor"... We napped. We walked outside. Mike took Keely to her dog show. He picked her up...second place in obedience! We got in the tub. We sat on the ball and sang worship songs, along with some Cindy Lauper and Beatles. He was by my side the entire day and was sweet and persevering into the evening. At some point, the contractions were persistent enough and hurt enough that Laura, the midwife, called Paula and the gang to join us.
Samuel was true to himself and was as ornery as ever! As the day progressed, clear fluid continued. Baby was active and sounded fabulous. Keely cooked lunch - fried rice and steak, which I could barely stand to smell in the tub, so again, we retreated to my office to sit on the ball and listen to praise music...all from my blog. Thus far, my desires for this birth had been fulfilled abundantly.
Saturday, July 4, 2009
Monday's Menu

Thursday, July 2, 2009
Wednesday, July 1, 2009
The Eckert Escapades: GIVE-A-WAY!!!
I thought we were guessing birth weight and I was a shoe-in for winning! Ha! My vote is 30 pounds for Sam (because my Samuel is 33 pounds) and 22 pounds for Joseph. Your little ones are much more petite than my own (thinking I still guessed too high).
10 Commandments of a Good Birth
Thou shalt eat a healthy diet: 80-100 grams of protein, salt food to taste and lots of fruits and veggies and eat seafood; and be happy.
Trust Birth, trust yourself. You can do it.
Prenatal care is what you do between your visits to your care provider. Eat well. Love lots. Reduce stress. Your baby will appreciate it!
Homebirth: the gold standard. If possible, stay home for your birth. Birth centers are a good option, too. When necessary, hospitals save lives.
Avoid unnecessary technology like the plague. It may be the plague - including ultrasound (Dopplers and scans) during pregnancy!
Just say no to drugs and intervention.
Your body is perfectly designed to carry, grow and birth your baby. If that isn’t enough, your body can feed your baby too!!
Birth Works; let it. Know that you can do it. It is an awesome and important step to motherhood - a miracle you can achieve.
Thou shalt breastfeed your baby for as long as possible. The health benefit for motherbaby is unsurpassed by any other act. Breast is best.
Jan Tritten
Midwifery Today