According to WalletHub.com “2016 Best and Worst Places to Have a Baby”. Wallethub.com is a virtual financial planning company that helps individuals track their spending and saving, help repair credit and help individuals protect their credit history including protecting identity. Wallethub.com tracks people and money and in their opinion, if you cannot afford to have a baby, you shouldn’t. When the parameters of delivery budget (cost to have a baby, cost of living and cost/availability of health insurance), overall health care ranking (maternal and infant mortality, rates of prematurity, availability of professionals such as midwives and pediatricians, etc.. ) and baby friendliness (i.e. parental leave, available childcare, support for new moms, etc..) were analyzed for the 50 states and the District of Columbia, Vermont ranked number 1 as best place to have a baby by wallethub.com.
It is important to plan for children as unintended pregnancies can cause huge financial strains on families and can have serious health implications for mothers and infants if pregnancies occur too close together. But there are other, equally important issues to consider before becoming pregnant; availability of and access to quality prenatal care, adequate food resources, housing, how will the mama/family fare without mama’s income, childcare and availability and accessibility of resources such as transportation that may pose potential roadblocks to a healthy pregnancy and birth.
The article in question alluded to the fact that if a couple cannot afford a child, they should not have a child. Well, I live in Texas where availability of and access to family planning information and resources is extremely and increasingly limited. So what is a couple to do? Perhaps they cannot afford a child but in Texas, there is not readily available contraception and virtually no access to abortion. Should people simply stop having sex? That won’t happen!
I agree, finances should factor into the decision of whether or not to have a child. The reality is that conception is happening regardless of financial status (or even couple status!!). In my opinion, the best states or more pointedly, the best places to have a baby (because there are little oases within what I will call “maternity deserts”, areas that are fairly void of any sort of maternity support or reproductive health care) are places with the following:
- obstetricians and midwives, and facilities that allow both to perform deliveries
- birthing facilities that use the least amount of intervention that is safely possible
- birthing facilities that allow fathers and doulas to be present to support mama during labor and delivery
- birthing facilities that allow mama to freely move during labor
- birthing facilities that believe in immediate skin to skin bonding between mother and baby (even before wiping off the vernix, provided there are no health complications in either mother or baby!)
- birthing facilities that promote breastfeeding and provide immediate and readily available lactation support to new mothers
These characteristics should define whether or not a provider, a hospital or birthing center, a city or town or a state is “best for mama and baby.” The worst state in which to have a baby according to Wallethub.com is Mississippi and yet I would bet that within that state there are a few hospitals or birthing centers that are supportive of childbearing women and offer quality care and support. In addition to financial considerations, prior to pregnancy (or at least prior to birth) mamas and their partners should research health care providers and the health care facilities available to them in their states, cities and communities. For sure some cities will have more resources than others, and some states will have more resources than others. But that doesn’t mean that having an uncomplicated, normal healthy birth is absolutely impossible. It just means that mamas will have to be savvy, do research about what is available and collect as many resources for themselves as possible.
Mamas, be careful what you read. The headline “Vermont is the best place to have a baby” is misleading alone, may have had many mamas ready to relocate and truly doesn’t give mamas and their families tools and tips to evaluate birthing resources and facilities in their area that may in fact be “Mama and Baby Friendly”. I believe that every woman can have a healthy, uncomplicated pregnancy and birth a healthy full term normal weight infant. This is much easier to do in some areas where resources are more readily available than in others, but it is possible none the less. Use the aforementioned list as a guide to evaluating resources and with a bit of research, you too can make your pregnancy, labor and delivery mama and baby friendly-no matter where you live in the United States!
Mamas on Bedrest & Beyond is committed to helping mamas have safe, healthy pregnancies, labors & deliveries and healthy full term babies. If you need help finding resources in your area, e-mail email@example.com.
It’s not lost on any of us that this election season is one of the hottest messes in US election history! I’m not going to tell you who to vote for, or argue the virtues of either candidate. Who you decide to vote for is your personal business and let’s keep it that way. However, I am going to encourage you to vote. As an African American woman, I recognize the sacrifices-to the death for some-made so that I may “use my voice to make a choice!” The women who marched and protested in the 1920’s made it possible for women to vote. But for me and mine, this right was finally granted after many hotly contested, and a few bloody battles waged during the 1960’s. Knowing this history, knowing how many struggled and sacrificed, I can’t not vote! I know that many of you may be frustrated and disgusted. I know that much of what is going on is discouraging to say the least. But if we don’t vote, I fear dire consequences for our country. So please exercise your constitutional right and cast your opinions as to who and how this country should be governed.
Now I’m sure a lot of you will look at this post and think, “Now what in the h–l has voting got to do with being on bedrest?” While the presidential election has most certainly taken up much of the country’s attention, and who is elected president is surely of high importance, it most certainly isn’t the only election that matters to “We the People” and in many instances it isn’t the most important election for we Mamas on Bedrest. There is a lot of legislation pending in many states and local governments that will be approved/disapproved depending on who is elected in November-from the president on down. Very crucial legislation on paid family leave, employer sponsored benefits, health care, wage equality, childcare and other issues all crucial to us as mamas are all being considered by legislators in all 50 states and US protectorates. Implementation of these pending legislations will vary depending on the state, so if you don’t vote, if you don’t participate in this process, there is a strong likelihood that what you want to happen won’t. Perhaps you feel that your vote won’t matter. I get that. I live in Texas a very red state with conservative legislators diametrically opposed to what I believe. Yet, I will still be voting-even if it seems a useless proposition in some cases-because there are some instances in which legislation will narrowly be approved or rejected based on just a few votes. We can be deciding votes.
Many of you may be thinking, “I can’t vote, I’m on bedrest.” This is not true. You can vote by absentee ballot in all states, you simply have to request a mail-in ballot and return it by the date your state’s election board indicates.
I googled “absentee voting” and this link popped up with step by step information on how to obtain a ballot and submit it to your state’s elections office. If you don’t feel comfortable with this link, check out the Federal Voting Assistance Program’s absentee voting page. It too has very useful information about how one can vote if one is unable to physically get to the polls. Today, October 11th, is the last day to register to vote. Not sure if you are registered? Click here to find out.
As each of you is on bedrest growing your little one, give some thought to what type of world you want your little one to grow up in. Is what you are seeing on TV, on the internet, in the newspapers and magazines or what you are hearing around you what you want for your child? Is it what you want for yourself? The choices may not be as enticing as you may like, but you do still have a choice. The next chapter in our country’s history is about to be written. Make sure that you have your say in its content!
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.