Journey to Motherhood
Mamas on Bedrest: “Widespread Insurance Coverage of Doula Care Would Reduce Costs, Improve Maternal and Infant Health”January 14th, 2016
As we roll into 2016 one thing is certain: We are on the brink of change in the maternity world! At no time in history have there been so many groups and so many initiatives determined to improve maternity care and birth outcomes. Below is a press release put out by two leading maternity advocacy groups, Choices in Childbirth and Childbirth Connection (a program of the National Partnership for Women and Families) to raise awareness not only of the cost benefit of doula care, but also the tremendous benefit doulas provide to mamas and infants in improving birth outcomes. A doula is “a trained birth attendant who provides non-medical emotional, physical and informational support before, during and after childbirth.” Here is more from the press release:
“Widespread coverage of doula care is overdue,” said Michele Giordano, executive director of Choices in Childbirth. “Overwhelming evidence shows that giving women access to doula care improves their health, their infants’ health, and their satisfaction with and experience of care. Women of color and low-income women stand to benefit even more from access to doula care because they are at increased risk for poor maternal and infant outcomes. Now is the time to take concrete steps to ensure that all women can experience the benefits of doula care.”
“Doula care is exactly the kind of value-based, patient-centered care we need to support as we transform our health care system into one that delivers better care and better outcomes at lower cost,” said Debra L. Ness, president of the National Partnership. “By expanding coverage for doula care, decision-makers at all levels and across sectors – federal and state, public and private – have an opportunity to improve maternal and infant health while reducing health care costs.”
The brief provides key recommendations to expand insurance coverage for doula care across the country. They have also provided an informative infographic which also summarized the major points (see below).
- Congress should designate birth doula services as a mandated Medicaid benefit for pregnant women based on evidence that doula support is a cost-effective strategy to improve birth outcomes for women and babies and reduce health disparities, with no known harms.
- The Centers for Medicare & Medicaid Services (CMS) should develop a clear, standardized pathway for establishing reimbursement for doula services, including prenatal and postpartum visits and continuous labor support, in all state Medicaid agencies and Medicaid managed care plans. CMS should provide guidance and technical assistance to states to facilitate this coverage.
- State Medicaid agencies should take advantage of the recent revision of the Preventive Services Rule, 42 CFR §440.130(c), to amend their state plans to cover doula support. States should also include access to doula support in new and existing Delivery System Reform Incentive Payment (DSRIP) waiver programs.
- The U.S. Preventive Services Task Force should determine whether continuous labor support by a trained doula falls within the scope of its work and, if so, should determine whether labor support by a trained doula meets its criteria for recommended preventive services.
- Managed care organizations and other private insurance plans as well as relevant innovative payment and delivery systems with options for enhanced benefits should include support by a trained doula as a covered service.
- State legislatures should mandate private insurance coverage of doula services.
The tagline for this business is “It’s all about mamas!” I am as interested in your success as mamas as I am in you having a successful pregnancy. I am always happy to hear of mamas using what they learned during their pregnancies, what they know for sure as a result of having been pregnant, and what they want to share with the world now that they are “seasoned” mamas.
Today I share with you an interview that I had with a good friend of mine and new mama, Emmi Wiles. Emmi and I met in a woman’s program offered at Mama Gena’s School of Womanly Arts, and I have had the great pleasure to witness Emmi’s journey from loving daughter who graciously loved her father through his passage from this life, to newlywed and now to mama (FYI Emmi was not on bedrest!!).
Emmi is also a talented artisan and creates all manner of art that she will be sharing on her etsy page. (Stay tuned and stay in touch with her for more art adventures!!) But for now, she is a full time, hands on mama to a little 6 month old boy who is her inspiration for her latest blog, “Shedding Pounds After Gaining a Baby”. The blog is Emmi’s chronicle of her motherhood journey and how she is doing her best to weave motherhood into womanhood. It’s a delightful read and I hope you will all take some time to stop by and give Emmi encouragement. For now, listen to how
“Shedding Pounds After Gaining a Baby” was birthed and share you comments in the comments section below.
Mamas, Have you created something new as a result of your pregnancy? Would you like to share it with other mamas? Please share details of your new venture/adventure with Info@mamasonbedrest.com and tell is what’s up. We’d love to hear and support you!
Happy Mother’s Day!! I know that Mother’s Day is yet a week away, but I wanted to take a moment and wish each and every one of you a wonderful day! For some of you, this will be your first Mother’s Day; It doesn’t matter if you are still gestating or holding your precious darling in your arms, you are a mama! For others, this is an annual notch marking your progress as mama. Congratulations to you all! Where ever you happen to be on your motherhood journey, do take a moment to reflect and give yourself a rousing round of applause. You have earned it!!!
I have been thinking a lot about my motherhood journey lately. Perhaps it’s because my daughter has been chanting her mantra, “13 in 2015”!! since the beginning of the year, indicating that as of this October, I’m going to have a full fledged teenager in the house. But that’s not the only thing that has me pondering. A few weeks ago, my son, my 9 year old, asked if he could ride in the front seat. My knee-jerk response was to say “no”. But when I took a look at him, I mean, a really good look at him, I changed my mind. As I said, my son is 9 and he weighs upwards of 85 lbs and stands about 4ft 8inches. (My daughter was just measured in school and she tells me that she is 4 ft 11 in. I’m 5 ft.) He is as tall as my mother who sits in the front seat every time she visits. While she spots him a few pounds, I looked up the guidelines and he meets them all! So now he rides in the front seat when I take him to school and it’s a complete mind bender that the darling little bald-headed baby that I hugged and cuddled for so long is now ‘riding shotgun.’
Everything is changing. My relationship to my children is changing and my role as their mama is changing. I find myself not so needed anymore and I have to admit that I am a teenie bit sad about this. The infant and toddler stages are so intense, you can’t take your eyes off of the little ones alone for a second! In the blink of an eye they are wandering into the street, putting kitty kibble in their mouths or reaching towards something hot. When they want something there is no negotiation. They wail their discontent and you do your best to soothe them. A kiss can make the world spin right and let’s face it, when they are in that phase of only wanting you-yeah, it’s a bit constricting but at the same time, how good does it feel when your child is screaming, you can walk into the room, pick them up and instantly they calm down and nestle into your arms in utter contentment? Call me crazy, but it was like having sort or magical power and I will go on the carpet right now and say – I LIKED IT!!
But I like this stage, too. I like being able to say, “Hey, go get ready for bed,” and they go into their rooms, shower, change into their pajamas and come out ready to turn in. I like that on Saturday mornings my daughter sleeps in later than anyone and my son can now get himself some breakfast. I like that they have chores around the house and I am not the only person doing all the maintenance and upkeep. I like that they are great at putting items on the shopping list when things are running out. I like that I can talk to them about things that may have happened and that we can often come to an agreeable solution (This is a work in progress but we are doing well!). They are becoming more independent, exerting their own personalities and I find it fascinating to watch them grow and begin constructing their own thoughts and opinions.
Until they use those thoughts and opinions against me. One thing that is both a blessing and a curse is that I have 2 very intelligent children and when the going gets rough, it’s gang up on mom time! I have to admit that they have come up with some very plausible arguments against things that I have said. I have apologized to my son and praised him for holding his firm to his opinion when he and I disagreed, and I have had to admit to my daughter that I was wrong when we had “mixed it up”. While both my children are very clear that I have the final say on things that happen in our household, I have tried my best to allow my children to have a voice and an opinion about things as much as possible. Sometimes I cannot allow their opinions; as the responsible adult, I have to make decisions that are in the best interest of safety and security for the three of us. But when possible, we have “family meetings” and as a family make decisions.
Motherhood at times is really hard. It’s hard to tell your children “no” when they want something, or want to do something “everyone else is doing” and yet you just don’t feel is right. It’s hard to stand firm in the face of rolling eyes and heavy sighs. And some of my toughest decisions regarding my children came as I was navigating the divorce from their father. Sometimes life seems as clear as mud, yet you have to keep going because there simply isn’t any other choice. So you review whatever information is available and make the best decision possible; sometimes with success and sometimes with colossal failure. And just as I tell my children, at those times of failure, I have to push myself to get up, dust off, learn from the mistake and move on.
My road to motherhood was so dicey with 2 miscarriages, a surgery to be able to carry my children, 2 high risk pregnancies, 2 cesarean sections and a preterm birth with a low birth weight infant. At the time everything was so intense, so critical. I now look back at that 5 year span and it is but a blip on the continuum that is my life. Motherhood itself is so much more, so much juicier! Having kids really is a gift of a lifetime and I am so grateful that I have been blessed to have been given this gift twice.
To all you mamas out there, whether you spend the day in bed with your family fawning all over you, or cuddling a new little love, or spending the day having some great family adventure (which may simply be successfully getting everyone clean and out of the house off to dinner!!) I want to wish you the happiest of Mother’s Days from me and mine to you and yours!
There is still time to contribute to the Mamas on Bedrest & Beyond March for Babies campaign. We are hoping to raise $1000 to raise awareness of preterm births and prematurity. The Austin Walk is Saturday, May 9, 2015. A donation as small as $5 will help. Donate now!
Don’t know what to give mama for Mother’s Day? If you are in Austin, give her the gift of care! We offer in home care for mamas on bedrest. Click here for details and mention this blog to get 3 hours of in home care for the price of 2!