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|September 27, 2000
Volume 2, Issue 39
|Midwifery Today E-News
"Fetal Heart Tones"
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In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"To be a midwife is inherently political: To choose midwifery instead of medicine and still practice 'medicine,' no matter how much our philosophies separate the two or reclaim the former, is to choose revolution."
- Therin River, CNM
2) The Art of Midwifery
It is easy to lose ourselves in our schedules. The antidote is to take time with each other and tell our midwifery and birth stories. It is essential that we reflect on another's experiences, and learn, recognize, associate and validate what we see as normal.
- Jill Cohen
TALK STORY is a regular feature at Midwifery Today conferences. Come and tell your stories, and learn from others' stories in a comfortable, supportive and enjoyable setting. Our Eugene, Oregon conference talk story will be facilitated by much-loved midwife, teacher, and Midwifery Today editor Jill Cohen. For more on this conference, go to:
Share your midwifery arts with E-News readers! Send your favorite tricks to email@example.com
3) News Flashes
Significant stress at work and at home can lead to an increased chance of preterm births, low birth weight infants, and possibly less healthy children. Pregnant women who stand for long hours or work in a stressful environment for more than forty hours a week can increase the risk of having a preterm birth or of developing preeclampsia. Women who have stressful life events during pregnancy are more likely to have preterm births. In experiments on monkeys, the infants of mothers who were stressed during pregnancy showed increased abnormal social behavior, and had poorer motor abilities and shorter attention spans.
- Childbirth Forum, Summer 1997
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4) Fetal Heart Tones
The fetal heart should be audible by 20 weeks with standard
fetascope; if you cannot hear it within the following week,
use a Doppler or refer for a sonogram. Normal fetal heart
tone (FHT) range is 120 to 160 beats per minute (BPM), but
younger babies are considered normal up to 170 BPM. The
heart rate is generally higher at the beginning of
pregnancy, slowing ten to fifteen points as the baby grows.
In addition to the BPM, check for variability by listening
for several fifteen-second increments, determining BPM for
each and noting the overall range, e.g. 132 to 148 BPM.
Variability may not be noted until 28 weeks. It occurs in
response to manual stimulation, uterine contractions, or the
baby's own movements, and is considered a sign of
neurological health, as it portends an ability to handle the
stress of labor. Don't forget to invite the expectant
mother's partner, friends, or other children to listen to
the baby. -Elizabeth Davis, Heart & Hands 3rd edition,
Auscultation of FHTs as a gestational marker: Investigators wanted to test the axiom that fetal heart tones are first auscultated at 20 weeks. They examined women for FHTs weekly between 15 and 23 weeks' gestation. At 20 weeks, 81% had FHTs detected; at 21 weeks, 95%; and by 22 weeks FHTs were heard in all cases. The mean onset was 19.4 weeks; the range, 17-22 weeks. -Bruninghaus et al, OBGYN April 1987.
When you are first trying to find the fetal heart during early pregnancy, begin by attempting to hear it just above the pubic bone. The faint sounds seem to be amplified by the proximity of the bone and therefore are frequently more easily heard in this area. Press very firmly; the baby is well cushioned by fluid and you will cause no harm. Listen intently; it may help to close your eyes. Move your fetascope around, little by little, until you can detect the heart beat. You must listen for a regular sound behind any overlaying sounds from the mother's circulation or digestive system.... You will be less rewarded if the mother's uterus is retroverted; in early pregnancy the fundus of the retroverted uterus takes longer to rise above the pubic bone and therefore both the fetal heart tones and the true top of the fundus are more difficult to find.
As pregnancy advances, the location of the loudest fetal heart sounds will become somewhat more predictable based upon the fetal position at the time. Traditionally it has been said that the fetal heart is easiest to hear just below the anterior shoulder through the baby's back. Most of the time this will be the case, especially as the baby gets larger. Be sure to assess whether the woman is experiencing a toning contraction while you are trying to listen, which will make finding the fetal heart more difficult. Simply wait a minute or two for the uterus to relax before you continue.
Traditionally it has also been taught that the location of the fetal heart sounds are one way to double check your estimation of the baby's position. Be aware, however, that there is not a 100% correlation between the two. This is especially true if you are using a Doppler (another good reason not to!). Should you find fetal heart tones in an unexpected location relative to your estimation of the baby's position by palpation, feel again. If you still feel confident of the baby's position via palpation, give that more weight than where you hear the fetal heart. The fetal heart is often best heard below the mother's navel, even if the baby is breech. -Anne Frye, Holistic Midwifery Volume I, Care During Pregnancy, Labrys Press 1995
TO ORDER ANNE FRYE'S COMPREHENSIVE BOOK Holistic Midwifery
Vol. I, go to:
5) Check It Out!
NEW WATERBIRTH ARTICLES have been added to Midwifery Today's website! Go to these sites:
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6) Midwifery Today's Online Forum
I will soon be a first-time grandmother and would like my daughter to enjoy the herbal bath after her hospital birth and stay. Could someone find the ingredients or lead me to a place where I could get them?
- Tina====
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7) Question of the Week
In my prenatal fitness class I have a G1P0 due 12-4-00 who has intercostal neuritis. She has been adjusted by her chiropractor with no result. Gallbladder has been ruled out. I intend to work on her with massage and am wondering if anyone has any other suggestions on things she may try. Acupuncture has been suggested and declined, though she was planning to have a nerve block!
- Pam Martin, MS DONA CD, CM, apprentice midwife
Send your responses to firstname.lastname@example.com
8) Question of the Week Responses
Q: I am interested in hearing about successful protocols for lactation without pregnancy. Please describe the method including duration or dose or other appropriate units.
- Morgan
A: I personally have no experience with this one, but am passing on information I have read and information from two moms I have spoken with who did it. First, like with all other nursing, frequency is a key to success. The baby must be put to breast very frequently, even every few minutes during the day for several weeks. So that baby is getting food when he/she nurses, a nursing supplementer can be used that will supply baby with food while the baby suckles. Donated breastmilk or formula can be used. It will take a while to establish a full supply. You will be able to cut back on the supplementation a little at a time. There are also drugs that will induce lactation, but no drugs are without risks. This method can work since it will even work believe it or not for a MAN. In some cultures the father nurses his child if his wife dies. Also in some cultures women relatives, some who have never birthed, may help with nursing children. One of your best bets for help, information and support in doing this, I am assuming for your adopted baby, is to contact LaLeche League.
- Anna Matsunaga
A: What do you mean exactly by "duration or dose"? Galactogogue medications? The most-used is Domperidone. Dr Jack Newman has a handout on it. There is also a WHO publication, "Relactation, review of experience and recommendations for practices," and an information sheet is available from LLL: "Breastfeeding your adopted baby" LLLI sheet 54.
- Francoise Railhet
A: In the U.S. only one drug is available for this: Metaclopramide in a dose of 10 mg 3 times daily. In other countries not only is this drug available, but also Domperidone. Dr. Jack Newman uses it with good results. *Metacloprimide is used for ulcers and induction of lactation is an off-label use.* Some doctors and midwives are ready to prescribe it; others are not willing to take the potential liability for off-label use.
I use a host of different herbs depending on the woman. Generally, lactation consultants use a common blend of fenugreek and blessed thistle. Usually a woman takes three or four capsules of dried herb three times daily. It works well to increase supply and induction if the woman has a previous pregnancy in her history. I like goat's rue and homeopathic lactuca virosa. The goat's rue comes in tincture that is taken three droppersful three times daily. The lactuca is a homeopathic preparation taken several times daily for the first few days. It is then reduced to three times daily. Other herbs good for induction are fennel, dill, anise, borage, alfalfa, caraway, nettles and red raspberry. I find that tinctures seem to work faster.
In addition to herbs, I have the woman pump with a hospital rental grade breast pump. Mom initiates pumping around 4-6 weeks prior to baby if she knows he's coming. She starts at four times daily for 5-10 minutes, and builds to eight times daily for 15 -30 minutes over the weeks. This is to stimulate using her own hormones and prepares her for the frequent nursings a new baby is going to need. I have this all better explained on a website (www.Birthandbreastfeeding.com). When mom gets baby, she will need assistance with getting latch-on correct. She may also need to use a supplemental nursing system of some sort. The first rule is feed the baby. In this way baby won't lose weight; he stimulates the milk supply by suckling at the breast and mom gains confidence in feeding her baby. Also there is no substitute for watchful professional guidance with this mom. Referral to an IBCLC is helpful. Then surround her with lots of support such a La Leche League International or other support groups where she lives. Breastfeeding is not only nourishing a baby but loving and nurturing.
- Mechell Turner, M.Ed. IBCLC, Doula, CBE, Herbalist
9) Coming E-News Themes
1. PRENATAL CARE consists of everything a woman does for herself during pregnancy, punctuated by a series of visits with you," says midwife and author Anne Frye. Any comments? 2. BIRTH RITUALS: E-News is curious about birth rituals around the world that would usually be called "old wives' tales." For example, birth attendants may be told to untie their shoes at a birth so there would be no knots in the umbilical cord, or they may avoid wearing red to prevent hemorrhage. We would love to hear other midwives' stories along these lines. (E-News thanks Fiona Thomson for this topic idea.)
**Take part in E-News! Sound Off-Give Advice-Share Your Knowledge!**
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10) Switchboard
I am a social sciences student entering my third year at Teesside Uni. I hope to study midwifery after it. I would like to do my dissertation on midwifery but I don't really have an idea for a question or research. Would any midwife out there like to suggest a research topic I could use to help midwives in the future?
- Claire Russell
(Editor's note: Readers, so far we have received only one suggestion!! This is a great opportunity to give a future midwife a "hand up" and at the same time educate the public. Send your one-sentence ideas to E-News--we could have fun with this!)
Questions from my childbirth education class:
1. I'm taking medication for hypothyroidism, and since the beginning of my pregnancy my OB has done an ultrasound to determine if my baby is being affected and if it is growing properly. Do the risks of ultrasound outweigh the possible risks of the baby not thriving?
2. I've become aware during my pregnancy that I have gallstones. My OB has informed me that pregnancy can irritate them, and that is why I am experiencing mild pain. She also mentioned surgery after the birth. I'm wondering why I would have to have surgery and would a liver cleanse work after the baby was born while I am nursing?
My own question: I recently attended a birth where the mom's water broke and an hour later she was 9 cm dilated. This was her second birth. Twenty minutes later she was at 10 and pushing. While the CNM was doing an internal I saw chubby fingers grab hold of her hand. Needless to say she pushed for four hours and swelled up horribly. She had to have a c-section. The baby's arm had been around the side of his face with the hand presenting knuckles first. We tried many positions and the CNM tried pushing the hand back in. Any suggestions on what else could have been done?
- Jonelee
I am a student midwife in Ontario. I am currently doing research on the growth charts that. I believe, are based on formula-fed babies and the implications they have on breastfeeding. I would love to know if there are any growth guidelines based on breastfed babies available.
- Charlotte Baici
I have been following with interest the current discussions about midwives using drugs to induce women at home. Thankfully we manage to avoid this with UK homebirths as induction is considered strictly outside the normal and only performed in hospital. Personally I have always enjoyed attending homebirths as it gives midwives the chance to practise the 'masterly art of inactivity' in the true sense.
- Alison Andrews Wales UK
As a midwife who has a private practice and does homebirth and birth center births, my main job is to protect and nurture the natural process of pregnancy and birth. But I also live in a community where Cytotec is used very frequently in a nearby community hospital under "controlled" conditions (with a perinatologist overseeing the outpatient administration and the women being monitored). When my clients beg for inductions (husbands going out to sea on Trident submarines for three months, or women going so overdue that they cannot use the birth center by law, etc.) I tell them this is an option in our community and after discussing risks and benefits, send them to this facility for induction if they so choose. It has become a "community standard" in our community and is available. I am not going to refuse care for a woman and her family who exercise their options. Listen to women and help advise them, but let them choose what is legitimate in our society to choose.
- Annette Manant, CNM
I teach natural childbirth, the Bradley Method and natural family planning. A woman is trying to achieve pregnancy and her cycles are on average 48 days long with the basal temperature rise around day 32. Temps before ovulation are around 97. I have read that consistent temps below 97.6 are considered a low thyroid problem (this does run in her family). When blood work was done last year, thyroid was tested; it came back normal. Estrogen levels came back normal. Testosterone levels will be checked around day 40 this cycle. In the research I have been doing, I have found that consistent low basal temps are more accurate than blood work. Is anyone familiar with this?
- Heidi
"There is no evidence that delivery practices that avoid perineal trauma are correlated with low Apgar scores, birth trauma, or cerebral palsy. Passing through the bony pelvis might sometimes be traumatic for fetuses, but there is certainly no evidence that soft tissues of the perineum damage fetal brains."
"In Klein's study of restricted versus routine (median) episiotomy, sexual satisfaction in women 3 months' postpartum was best with intact perineums."
(Copyright (c)2000 by The American College of Obstetricians and Gynecologists)
I used perineal massage prenatally and during the active pushing phase with great results for all three of my births. I believe that research backs up its value, and I encourage clients to research its use. I also make sure to warn them if they do use it (prenatally) that they may (one or both persons) be sexually aroused. This is normal and should be discussed. I use it with clients (at their request) alternately with warm/hot compresses, and have not seen the swelling that others report. As a doula and monitrice, I do a lot of work in the hospitals and find that in this setting it is more helpful than not, especially since there are so many cut-happy docs. It seems that if a client chooses to have this done, the doctors are more hands-off. In my homebirth situations we may not do as much but the whole birthing atmosphere is so much different. Things tend to be slower, calmer, more hands-off anyway, unlike the hospital with the "cheerleaders" for pushing and the commands to move it along.
- Anon.
As an acupuncturist and daughter of a dialysis nurse I decided to get both Hep A & B vaccinations. I had seen too many patients and nurses have complications (including death) from hepatitis. A couple of years later I had a positive ANA (antinuclear antibody--an indicator for lupus) test. While I don't know if one caused the other, I have to wonder. When I got pregnant with my child I was retested and my titers went up. I was considered to be higher risk than normal and ended up with five ultrasounds (which would have been much higher if I had gone to the twice-weekly visits for fetal stress monitoring).
On induction of labor: I used acupuncture to help my labor progress. It helped my contractions stay regular and less painful than menstrual cramps until I got to transition. On nausea: I threw up almost every day from week six to week eighteen of my pregnancy. I even got stomach flu. The one thing that helped was stimulating an ear acupuncture point called "point zero." My midwife suggested a B vitamin supplement with equal amounts of B1, B6, and B12 (I think those are the ones) from 50 to 100 mg. By the time I tried it, it didn't help. But I was taking B-50 when I got pregnant and didn't start having nausea and vomiting until I switched to prenatal vitamins.
- Colleen
I was recently induced by my midwife, who delivers at a local hospital. I was induced because when I started to dilate my blood pressure was rising with every centimeter dilated. I felt she and I made the right choice for my safety. I was given Cytotec. Why is everyone so upset with this drug and what is it doing to women that is making people upset? I was just fine with it. I also had to have Pitocin and ended up with a cesarean because I failed to progress, which was just fine with me. I had such a great experience with my midwife that she changed my life. I am enrolled in school to start my path to midwifery. Any comments or suggestions would be great.
- Stephanie Ambs
Several times in your discussion of nausea and pregnancy it was suggested to use ginger or ginger tea [Issue 2:38]. My understanding is that ginger can cause risk of miscarriage. Why do we as midwives recommend its use in pregnancy? I realize the risk may not be as strong as with other herbals, but there is still a risk, especially if combined with other lesser risk herbs. There are many other safer things to recommend and try.
- Judy Jones, CPM
Recent studies have shown there is a strong correlation between saturated fat in the diet before becoming pregnant and a higher incidence of nausea in pregnancy. Women who eat meals high in saturated fats (the McDonalds meal) in the six to nine months before pregnancy are much more likely to suffer nausea in pregnancy than women whose diets are free of saturated fats. In traditional societies where there are no saturated fats in the diet, nausea in pregnancy is almost unheard of.
- Larry McMahan
Do tomatoes contain vitamin K? I read that the seeds do, so that eating them improves blood circulation.
- Grace
Regarding Theresa's question about postpartum blues [Issue 35]: Natural progesterone cream used for three weeks out of the month will help restore the mother's estrogen/progesterone balance and the blues will disappear. Do not allow doctors to put her on synthetic hormones because they will cause additional problems. Most health food stores carry natural progesterone.
- Cindy
My baby was in the NICU in a teaching hospital which was, in my opinion, a horrible place for parents who really wanted to be involved or had plans for breastfeeding or an attachment-type style of care. I felt downright abused by the doctors and nurses. I want to better understand and resolve what we went through as well as be prepared to be effective in helping anyone I might meet who is in a similar situation. Any comments?
- Anon.
International Conference on the Humanization of Childbirth
November 2nd, 3rd and 4th, 2000
Throughout the 20th Century, advances in science and technology have affected every aspect of our lives, including the way we are born. In many parts of the world, quick and arbitrary changes in maternity care have often resulted in the excessive use of perinatal technology, a loss of community-based models of care and an overcrowding of large hospitals.
The International Conference on the Humanization of Childbirth will take place in tropical Fortaleza, Ceara, where Project Luz, a humanization project currently being implemented, is based. The objective is to bring the international community together in order to deepen our understanding of the global situation of maternal and perinatal health, thus strengthening the humanized approach in the new millennium.
Goal: To promote humanized maternity care leading to healthy childbirth.
Participants: Those interested in maternity care and childbirth, including: midwives, nurses, obstetricians, pediatricians, consumer groups, women's groups, epidemiologists, social scientists, health administrators, policy makers, journalists and pregnant women and their families are invited.
For a complete listing of seminars, instructors, events, cost, etc.: Secretariat Eventuall Promocoes & Assessoria, Rua Dr. Gilberto Studart, 369, Papicu, CEP: 60190-750, Fortaleza, Ceara, Brazil; tel. (55) (85) 265 4022; fax (55) (85) 265 4009; e-mail: email@example.com; web site www.humanization.org.
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
Copyright Notice
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 2000 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!


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It's been a while since my last update. But lest anyone have any doubts about the ongoing direction of OpenWetWare, rest assured, things are moving forward.
Server Move Details
This week (June 1 – June 5), OpenWetWare.org will be moving from our current server at Rackspace to a new Rackspace Cloud Server. The server will be around the same class of machine and will be running on Ubuntu Linux rather than the existing RedHat Enterprise Linux release. All backups will be done to Rackspace Cloud Files. All MySQL database backups , and image files will be stored external to the server via Cloud Files. For those of you who are wondering why OWW will be using Ubuntu rather than Red Hat, it's because Wikimedia uses Ubuntu for all of their MediaWiki servers; using it will keep OWW close to the infrastructure that MediaWiki is tested and developed on.
The move will be done Tuesday night around 11:00 PM EST. We don't anticipate problems but the server will briefly go down as the IP address is changed. The new server has been configured and, just after changing the IP address, the most recent snapshot of the MySQL databases from the current server will be loaded to the new one and a final file sync will be executed.
There should be no changes in the way MediaWiki and any extensions are handled. LaTex has been installed on the new server. All extensions are working or are being tweaked before the move.
There will be no upgrade of OWW's MediaWiki software release until the move is complete. Hard-won experience dictates that reducing variables is the right way to maximize the probability of a successful major server task.
Since OWW uses many virtual hosts, all of these will be tested briefly to make sure they are all accessible. This can't be tested completely until the change. No problems are anticipated but if there are problems, this is the most likely place it will be.
Please submit any comments or questions to me. Either reply here or use this link and follow the contact instructions in the OpenWetWare wiki.
Thanks again.
Bill Flanagan
Tags: Cloud Server, oww, Rackspace
Trackback link: http://blog.openwetware.org/community/2010/06/01/oww-server-move-this-week/trackback/

subset: commoncrawl


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Whether you're traveling for business or pleasure, there's an excitement to exploring a new city that just never gets old, even if staying downtown can mean cramped accommodation and swarms of tourists. With these five homes you can have your cake, and eat it too – breathtaking city views and the privacy and comfort of your own home away from home.
1. Hotel Arts, Barcelona
Where better to stay in Barcelona, famed for its unique architecture, than the Hotel Arts? With sweeping views across the city and the Mediterranean, the view may be the star of the show here, but the interiors are equally stunning. From the monumental golden fish sculpture by Frank Gehry that overlooks the pool, built for the '92 Olympics, to the Michelin-starred restaurant Enoteca, Hotel Arts is so good, peeling yourself away to explore the city may be a challenge.
Find out more about Hotel Arts
2. Modern Mulholland Estate, L.A.
Whatever your reason for being in L.A., you'll feel like Hollywood royalty at this spacious home just off Mulholland Drive. The killer view is matched by the impressive architecture of the house itself, not to mention the ultra-glamorous saltwater infinity pool, wet bar, and state of the art kitchen. With multiple living rooms, each with views over the city, plus a private screening room, this house was made for entertaining.
Find out more about Modern Mulholland Estate
3. Honolulu Sky Villa, Hawaii
Enjoy a tropical vacation with a side order of city living in Honolulu. With views over the city and all the way to the Pacific, the toughest choice at Sky Villa is whether to head down to catch some waves at Waikiki beach, hit the stores in downtown Honolulu, or just take another dip in your private pool. Whatever you choose, make sure you're back by sundown to watch the sun set over the ocean as the lights start to twinkle in the city below.
Find out more about Honolulu Sky Villa
4. Le Panoramique, Paris
With extensive views of Paris from every room, Le Panoramique offers a new perspective on the city. How about taking breakfast in bed with an up-close view of the Eiffel tower, or enjoying a relaxed dinner beneath the open skylight as day turns to night around you? You may have been to the City of Lights before, but the name takes on a whole new meaning when you can see the entire city in its illuminated glory from the comfort of your own living room.
Find out more about Le Panoramique
5. Sasso House, Cape Town
Nestled against the backdrop of Table Mountain in the charming Camps Bay area of Cape Town, Sasso House has panoramic views over Lion's Head mountain and the red roofs that dot the hillside on the way to the Atlantic Ocean. Chic and modern inside, the house is perfect for having guests over to marvel at the view – which is never far away thanks to the sliding glass walls in every room. Whether you choose to explore the city and nearby vineyards or simply relax on the sun terrace with private saltwater plunge pool, the view is sure to keep you coming back for more.
Find out more about Sasso House


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Walton Casuals boss Mark Hams may have to fight to
hold on to hot shot Gabriel Odunaike this summer, but he has his man for now.
The 25-year-old has committed his short-term future to the club after turning down the advances of Ryman Division One North leaders VCD Athletic on transfer deadline day.
Odunaike celebrated by scoring his 10th goal in his past nine appearances in Tuesday night's 2-1 defeat to Folkstone Invicta, for whom Hull City-bound Johan Ter Horst scored an 86th minute winner.
And Hams, who is out to strengthen his back four this summer, believes he has every chance of keeping hold of his frontman on a long-term basis.
"VCD came with a very nice offer for him and a very hefty goal bonus, but he turned them down," said Hams.
"I'd like to think that is because he can see what we are trying to achieve here and believes we can do something next season.
"He is scoring in every game at the moment and knows what we all think of him and his decision has restored a little bit of my faith in the game."
Tuesday's defeat followed Saturday's 3-2 home reverse to Sittingbourne, that again featured a late winner after the Stags had battled back from 2-0 down.
It also followed the arrival of goalkeeper Tom Wellham and left back Miles Mitchell – at the expense of shotstopper Ferhat Aksoy and winger Youssouf Bamba – who had been signed to assist with a Ryman Division One South play-off push.
That now seems unlikely and Hams knows where his priorities lie when it comes to next season.
"We're fine going forward – we'll always score goals – but we have to look at the defence," he added.
"That might cost us a bob or two, but the directors have to decide if we want to push for promotion or consolidate for another year.
"The game against Folkstone Invicta was our best performance in defeat this season, if that makes sense.
"They ground out a win and had a bit of class and that's how we need to be."


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|October 13, 2004
Volume 6, Issue 21
|Midwifery Today E-News
"Omnium Gatherum"
Print Page
Welcome to Midwifery Today E-News !
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WANT TO BECOME A MIDWIFE? Purchase Midwifery Today's popular Beginning Midwives Package and find out what it's truly like to be a midwife! The package includes:
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Learn about these topics and more at the conference in Bad Wildbad, Germany, October 20–24, 2004! Get more information. ***Only walk-in registrations are now being accepted.***
Honoring Our Roots, Preserving Our Future
We must honor and learn from the past while looking to and protecting our future. Discover ways this can be done at our Eugene conference in March 2005. Teachers include Ina May Gaskin, Elizabeth Davis, Robbie Davis-Floyd and Anne Frye. Learn more.
In This Week's Issue:
Quote of the Week
"One labor and birth is worth volumes of theorizing."
— Judith E. Luce
Are you enjoying your free copy of the Midwifery Today E-News?
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The Art of Midwifery
Lobelia has been called "the thinking herb," meaning its actions are tailored to what the body needs; it seeks equilibrium. When one is threatening to miscarry, taking lobelia either hastens the miscarriage if it's a defective seed or it stops the contractions if it's a healthy seed. Taking lobelia can help a woman stop worrying and get on with whatever life brings.
— Marlene Waechter, Midwifery Today Forums
ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to email@example.com.
News Flashes
A University of Bonn [Germany] study that included 3,072 participants age 18 to 79 years concluded that women who had had one pregnancy had a 1.5 odds ratio of developing varicose veins and those who had had three pregnancies had a 1.8 odds ratio, compared with women who had never been pregnant. Women with four or more pregnancies had a 2.3 odds ratio of developing varicosities and a 3.2 odds ratio for telangiectases (dilated superficial blood vessels of the skin, mucous membranes, gastrointestinal tract, and other organs, associated with recurrent episodes of bleeding from affected sites).
— OB/GYN News, Oct. 15, 2003
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Forum Talk
Has anyone else noticed a common use of stripping in post-date moms? Here in Canada they are doing this regularly. It has become a common post-date exam procedure. The women are commonly stretched twice or more - the first being just a little bit and progressively worsening as dates go on. A common side effect is going from no contractions to body mimicking active labour and beginning to dilate but then stops, and contractions lessen as days pass. It's really painful and hard on mom because she gets no sleep. The next step is to break the waters if it hasn't already broken from the shock or Pitocin or Oxytocin and so on.
— Anon.
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Question of the Week
Q: What information is available regarding breastfeeding when mom is on 20 mg Paxil [antidepressant] and has been throughout pregnancy?
— Betty Jones, York, PA
SEND YOUR RESPONSE to firstname.lastname@example.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
Question of the Week Responses
Q: A friend had a vulval varicosity from week 16 in her first pregnancy and was extremely uncomfortable with it. She is now 17 weeks pregnant with her second baby, and this time it has come up again - from week 9. The local consultant can only offer induction at 37 weeks as a solution (she had her first baby at home and intends to do so again).Does anyone know of remedies, treatments, or solutions to her uncomfortable problem?
— Nickie Sutton, United Kingdom
A: I have problems with varicose veins whenever I am pregnant. I took a supplement called Cataplex ACP from Standard Process. You can get this supplement from a chiropractor, naturopathic doctor, or other healthcare provider. It is all natural and it really helped me - I was truly amazed.
A: I have met pregnant women who have had symptomatic relief during pregnancy using a product called the "V2 Supporter": http://www.motherschoiceproducts.com/v2-supporter.html I have no financial interest in this product.
— Leslie Ashton, RN, B.Sc
A: I had a client (doula) who experienced this in her first pregnancy. All that was suggested to do was to spend some time not wearing underwear, in bed, and also to use ice packs on the affected area for 15 min three or four times a day. Twice a day the grandma-to-be would put pressure on the labia (this was a lymph node acting up, rather than a vein, but it worked). By the 20th week (it started in the 16th) the mom could move around normally and had no trouble with it again, or with the birth, which I attended. She had a short labor, too - only 2.5 hrs for a first baby. She had no further problem with it in a subsequent pregnancy.
— Cathi Cogle
A: I've had clients who have had other varicosities (legs, hemorrhoids) respond magnificently to the herbs white oak bark and butcher's broom. Both herbs are astringent in nature; white oak bark in particular works directly on varicosities. Induction for varicosities? I don't think so!
— Maggie, doula, naturopath, Florida
A: Some homeopathic remedies are bellis perennis, hamamelis and colensonia. Mom can sit on a bag of frozen peas wrapped in a towel or use as a compress.
Some herbals that are helpful are St. John's wort infused oil (this is my first choice), calendula infused oil, witch hazel compresses, calendula compresses (use the tincture or tea), St. John's wort compresses (tea or tincture), oak bark tincture or tea applied as a compress. You can grate potato and apply to the affected area. Compresses of horse chestnut, yarrow are also helpful.
Increase fiber intake. Eat more garlic. Eat more colorful foods - squash, berries, etc. Mom can also look into internal herbs, including yarrow, witch hazel, oak bark. Elevate legs. Exercise.
— Demetria Clark
A: As a third-year midwifery student in New Zealand I have met three women who have had marked improvement of vulval varicosities by taking raspberry leaf (rubrus idaeus) tablets. These women were 20-30 weeks pregnant, however. Check the potency of tablets available. She can also drink raspberry leaf tea.
— Margriet Wilson
A: My personal experience with vulval varicosities was miserable. They did get worse with each pregnancy but fortunately went away after the pregnancy. The solution was to use prescription support panty hose. These were a nuisance, but they took the swelling down enormously and pretty much relieved the aching pain I felt anytime I was upright. I did not have any other varicosities.
— Edie Wells, CPM, Beloit, WI
Regarding severe menstrual cramping [Issue 6:20]:
A: I have had many patients, as well as myself, with the same pains and problems that you have with your menstruation. What we have found to be beneficial are chiropractic adjustments, which help the pelvis and the uterus go back into their normal healthy position, thus alleviating the cramping and pains that go along with it. There is also a special adjustment that will relax the muscles to the uterus and make you feel much better. The adjustments also help regulate your periods. Since I have been under chiropractic care I no longer have cramps at all, and I know exactly when my period will begin and end. The good news is it's all natural.
— Dr. Charmin Gans
A: Your symptoms ring very true to endometriosis, which affects 90 million women worldwide. Unfortunately a lot of them go undiagnosed and develop permanent damage and fertility problems. Definitive diagnosis can only be done by tissue biopsy and so involves a laparoscopy. Depending on severity and symptoms, a variety of treatments are available. One of them is the Mirena, an intrauterine device that releases hormones locally (not throughout the whole body). It seems to be very effective for some women.
Research has shown that a lot of young girls are unaware of the condition. Results are so much better if treated earlier rather than later. One optional treatment is to take continual hormonal pills to prevent ovulation as the displaced tissue is oestrogen fed.
I have a very close friend who had symptoms very similar to yours (fainting, hot, etc.) She is now quite well but needs to stay on these hormonal tablets without a break so as to not ovulate. Read more at: www.mirena.co.nz/
A: I found taking a combination of nutritional supplements, especially magnesium and zinc, incredibly - miraculously - helpful. After 20 years of pain and sickness it seems to have been a great help in alleviating pain. I also find exercise really helps. If I can go for a swim just as I feel I am going to come on, that too helps.
You may find it interesting to get hold of a book called "The Optimum Nutrition Bible" by Patrick Holford (ISBN No 0-7499-1855-1). I was so interested in the findings of this book, I went on to do a home study course and am now a complete advocate of Optimum Nutrition. As well as easing menstrual pain, it's also helped me enormously with my fibromyalgia symptoms. Another book along the same lines is Optimum Nutrition Before, During and After Pregnancy, again by Patrick Holford and Susannah Lawson (ISBN No 0-7499-2469-1).
I would advise, though, that you take further advice about supplementation. Vitamins and minerals need to work in conjunction with each other, and taking too much of one can actually deplete you of another. It's the balance that's important. Your local health food shop or a nutritionist would be able to give you further advice.
— Kate Strand, MICHT, massage therapist specialising in pregnancy and postnatal care
A: Try a tincture of crampbark diluted in water. Start taking it when you feel your period coming on but before you start bleeding. My friend has had very severe cramps and she found that after a while the pain meds didn't work. She found that using a hot water bottle, crampbark, and eating nourishing food helped almost entirely alleviate the pain. I found if I take time to sit and be quiet I won't get cramps, but if I am running around too much it just hurts.
— Casandra Harrison, Bellingham, WA
A: My daughter had very similar troubles with periods for ages. We tried every different idea until we came upon taking calcium magnesium complex tablets. She has very little pain and discomfort since starting them. She started with one tablet twice daily in case of reactions but is happy with the results of taking two twice daily. These tablets have 200 mg calcium, 100 mg magnesium, 145 mg phosphorus, 2 mg zinc, 1 mg manganese, 50 mg copper, and 1.875 mg vitamin D3.
— Robyn J Aulmann, RM, Rutherglen Vic 3685, Australia
A: I have had this problem, too, to the point that my doctor had to give me shots to knock me out for a day. I found that I had an oversupply of prostaglandins. I took ana-prox for a while. I don't think it is a hormone. After I got married and had babies I did not have so much troubles; I now have five kids. I also think diet is a factor; if you drink a lot of coffee or pop and eat a lot of processed foods it can be hard on your body. Try some herbal teas instead. As I entered my late 40s and early 50s pain returned due to a prolapsed uterus.
Editor's Note: Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
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Editor's Note: In Issue 21 we published a letter from a 16-year-old young woman named Nicole who is interested in becoming a midwife. Several readers offered guidance:
I am neither a doula nor a midwife, but a mother of two. I had both my boys with a midwife—the first in a birthing center and the second at home. I would highly recommend you become a doula first, then work your way through school to become a midwife. My midwife was a doula first, and I believe that is one reason she is such a great midwife.
You may want to check with DONA (Doulas of North America) to find a doula or classes near you. Their Web site is: www.dona.org
If you want to go straight into midwifery, check into Ancient Art Midwifery's correspondence course. That may be a good place for you to start—especially if you aren't interested in becoming a nurse midwife, but are interested in becoming a lay or licensed midwife.
— Maria, West Virginia
Following are a few books you might want to read, and there are many good Web sites if you are going to go to a traditional midwifery school. There are also online schools such as Ancient Art Midwifery Institute.
The books:
For schools:
This is just scratching the surface. I would do a Google search to find schools. There are many out there now.
— Cathi Cogle
Midwifery Today has books on getting an education, but right now start reading anything about normal and natural childbirth that you can get your hands on. I started my path toward becoming a midwife by reading Silent Knife first, then Immaculate Deception II, then Homebirth by Sheila Kitzinger. I moved on to Henci Goer's books, Tom Brewer, Gail Sforza Krebs (aka Gail Brewer), Penny Simkin, Polly Perez, William Enkin and the NAPSAC books. William Sears has good stuff from a consumer perspective. Attend La Leche League meetings, local midwives' meetings, doula meetings, childbirth educator meetings. Humbly and quietly become a sponge.
Offer to help midwives in nonbirth ways such as housecleaning, filing, typing, babysitting. Earn their trust.
I started educating myself by printing off every great article or e-mail I got and put them into binders. I now have three such large binders with research, articles and tricks of the trade that I have collected over the years, all sorted into categories such as hypertension, anemia, prolonged labor, presentation, counseling, etc. I attend used book sales (check your local library—mine has a book sale twice a year) to pick up books for my private library.
Check all your options carefully, expose yourself to the blood, sweat, tears, poop, vomit and exhaustion of the life of a midwife, then look into the various schools, apprenticeships and degrees that are available. Decide what your philosophy of birth is, then find a route to education that fits that philosophy. And be patient! I started this road seven years ago, and am just now apprenticing.
I am a South Carolina licensed midwife who made a course many years ago for apprentices, called Midwife To Be. It's approved by the South Carolina Department of Health and is done by mail or e-mail. It's only $50 to start and then $25 each unit (30 total).It takes approximately 30 months, but it can be quicker or slower. Check out www.newlifehomebirth.com for more information.
— Lisa Aman, LM EMT
The first thing I did when I decided to become a midwife was to start reading. The first book I read was Heart and Hands: A Midwife's Guide to Pregnancy and Birth by Elizabeth Davis. That was great for me then—not too much information, but enough to feel like you're really learning. It also gives you a really good idea of what a midwife does and helps you decide if this is really what you want to do.
Other good books include Holistic Midwifery by Anne Frye, Myles' Midwifery (get the current edition, I think 14th), Understanding Diagnostic Tests by Anne Frye, and The Breastfeeding Answer Book by Nancy Mohrbacker. You can get these books through interlibrary loan—just call your local public library and give them the title and author and tell them you want to order through interlibrary loan.
Read all the articles on the Midwifery Today Web site, go to Mothering.com and read all the birth stories, Google topics you're interested in from your reading, and research, research, research. Check out Paths to Becoming a Midwife, published by Midwifery Today. It talks a lot about the various routes to becoming a midwife and gives information about schools and ways to licensure.
Call a local midwife and see if she can give you the scoop on what the legal status for midwives is in your state. In some states, the practice of direct-entry midwifery (midwives who are not nurses first) is illegal. Nurse-midwifery (midwives who have a bachelor's degree in nursing and a master's degree in midwifery) is legal in all states, but the disadvantage is that the schooling tends to be more medical than holistic (although this is not true of all schools). Talking with a local midwife might give you an idea about whether you want to go the direct-entry or nurse-midwifery route.
— Anon.
[Editor's Note: See Midwifery Today book list above to learn more about becoming a midwife and practicing midwifery.]
My husband is in the military, and we were recently relocated to Riverside, California. I am 28 weeks pregnant and looking for a midwife who takes my insurance. I have Tricare/Triwest. I haven't had any luck and have been getting the run-around by receptionists. I am an aspiring midwife, and it's important for me to have a midwife attend my birth. I am seeing a doctor while I look for a midwife, and she has explained to me that it's a hospital rule that I stay in bed after I'm 4 centimeters dilated. I asked her if I could sign a waiver, and she told me it would cause a hostile environment for myself and she wouldn't want to help me after that. I am having a really hard time locating a midwife and am very against these rules and regulations. If anyone has any help or advice to offer I'd appreciate it very much.
— Rachel Pudelek
I am 25 years old and mother of 3 boys ages 7, 5, and almost 1. I loved giving birth although my first baby was born in the hospital and while "natural" I still had a very medically managed birth. Luckily I was somewhat prepared, so it wasn't as bad as it could have been (no routine IV, no episiotomy, IFM, or the like). I was told I needed EFM initially (even though I had written in my birth plan that I did not want it) and I would have to fill out paperwork (they had lost it) before I could have my baby there. Also they attempted to cut me off from drinking any more juice and repeatedly tried offering me drugs (again something that was denied in my birthing plan, which was posted on the door). Luckily I was aware of most of my rights and had some strong advocates on my side. Suffice it to say after practically wrestling with the nurse my mother got me the juice my body needed.
After that "natural childbirth" experience I learned the true joys of homebirth. My last two boys were born on my bed. I had the freedoms that I so desired while in the hospital. I could drink all I wanted, move when I wanted, follow my body, and only those I was comfortable with were present. My midwives were incredible, supportive, and still l felt that they were hardly there—a major plus to me.
I am also an aspiring midwife. Having always been fascinated with the amazing power of birthing and babies, I have now realized my true calling. I live in Portland, Oregon, and have started taking some general education requirements (part time so I can be home with my baby) at a community college nearby with every intent to one day become a midwife. My main concern is that every midwifery school near me has very high tuition. I am wondering how other midwives who aren't wealthy have overcome this obstacle. To become a LDEM in Oregon there is a self study option. You must attend a set amount of births with a midwife and must pass the exam to become licensed. I would love input anyone can offer. Is self study a smart option? If so, how does one go about it? I would love to attend an actual accredited school; I just don't know if I can afford it. Ideas?
— Ragavati Berry
Editor's Note: Only letters sent to the E-News official e-mail address, email@example.com, will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered.
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Midwifery Today: Each One Teach One!


text:
QB Battle Highlights Spring Storylines
New defensive coordinator. New and improved Everett Golson. A lot has changed in South Bend this spring. Irish insider Allen Pinkett joins Ray Crawford and Doug Chapman to discuss what to watch during Saturday's Blue Gold Game, including whether Golson or left-hander Malik Zaire is the right guy under center.


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Former NYC Mayor Ed Koch will rest beneath a tombstone bearing some of slain journalist Daniel Pearl's last words on his Jewish identity.
Former New York City Mayor Ed Koch died Friday of congestive heart failure at 88.
Koch, born in 1924 to Jewish Polish immigrants, told the Associated Press in 2008 that he was so moved by some of slain journalist Daniel Pearl's last words, spoken on a hostage video, that he chose to have them engraved on his tombstone.
Pearl, a Wall Street Journal reporter, was kidnapped and murdered in Pakistan in 2002 while reporting on Islamic movements in the country. In a brochure on their Web site, The Daniel Pearl Foundation says of his last words:
"Pearl's only crime was being a Jewish American — something Daniel Pearl would never deny," President George W. Bush said at an event honoring him in 2007. Read Bush's moving tribute to Pearl here.
According to Post reporting, Koch's tombstone "also includes a Jewish prayer — the AP says it's "Hear O Israel, the Lord our God, the Lord is One" — and the epitaph [Koch] wrote after his stroke":
Koch will be buried at the nondenominational Trinity Church Cemetery. In the 2008 AP report, "Koch said he was thrilled to learn from a former aide now working for Trinity that the church permits Jews to be buried there and still had space."


text: Plunging scoopback one-piece swimsuit in Italian matte Item F8848 Color: BRONZED CLAY Size: All sizes are US sizes. 0 2 4 6 8 10 12 14 Size Charts Quantity: 1 2 3 4 5 6 7 8 9 Prices include duties. Add to Bag Wishlist Add to Bag Add To Wishlist share: size & fit Moderate coverage. Product Details A sexier version of our best-selling swimsuit, thanks to a lower back and thinner straps. Plus, soft, stretchy fabric from a top Italian mill that takes color beautifully and resists pilling. Italian polyamide/elastane. This style features UPF 50 sun protection (think of it as sunscreen for your clothes). Lined. Our swimsuits are machine washable, but we recommend hand washing as it helps keep the fabric and the shape of the suit looking newer, longer. Import. Online only. Item F8848.


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In my last bloop, I voiced some of the concerns I had with the new Head Coach. I felt that she was a bit lax in the training, and really didn't seem to have a plan.
Several of you mentioned that in most areas this early training is voluntary, it is voluntary here as well. We are allowed to lead as coaches, but it needs to be informal, and take the form of base building. I had lost track of that, probably in the midst of my own planned training. Not to mention that the previous coach had the whole thing thing planned out from the beginning of Pre-conditioning on.
I now think that she is gauging where the kids are, and is actually trying to just keep it interesting to start.
Today she came to practice seeming much more interested in the workout. She told me what she wanted as far as distance, and asked me what I thought would be a good course to use to get that workout in. That is the type of interaction I was looking for.
So thanks for the reminder, and helping me shift my expectations.
As far as the workout went, it was good. She asked for a different 4 or 5 mile route. Luckily I had just mapped one out that was a little short, but I hashed it out with my old team mate, and I came up with a good 4 mile route. I ran ahead with the boys and marked new arrows. She ran with the girls. Everyone got a good workout, and they got to run a new route.
Then I ran kids around, and went back to the High School and marked a new 5 mile course. It started raining pretty hard during my last mile of that one, so I will have to go back and re-paint some of my arrows. Then I drove up to the Middle School and measured off the 2 mile and 3 mile courses that I already had marked form there(the middle school is about 1/2 mile from the High School, and I went by it while I was marking these two). So 14 miles in the morning, then I ran 4 more with my wife in the evening, to get me just over 18 for the day.
I should be in bed, I have to get up at 6:30 to start over again tomorrow, but right now I find myself wound up. I had these thoughts running thru my head so I was hoping getting them posted would help me settle down.
Tomorrow will be an easy run, then I'll run kids around, do my Iron Strength Workout, get my hair cut, pick up some more gels, mow, run with my wife, and maybe eat a meal or two. Maybe going to work would be easier...
No, it wouldn't.
Have fun!


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PHOTOS: A-Rod through the years | Behind the scenes in '99 | Disgraced athletes
The 2005 Heisman Trophy winner is nobody. Lance Armstrong won the Tour de France zero times. Carl Lewis was the 100-meter dash champion at the 1988 Summer Olympics. History gets rewritten all the time, and the time has come for baseball to take a hard look at the accomplishments of an era tainted by performance-enhancing drugs.
For those who say that baseball is the exception to sports' general willingness to take an eraser to the records, buy a complete set of 1991 Score baseball cards. In it, there is a series of cards celebrating the no-hitters of 1990. There's Melido Perez, with his six-inning, rain-shortened gem against the Yankees, and there's Andy Hawkins, whose fielders let him down in a 4-0 loss to the White Sox in Chicago. Then go look at an official list of Major League Baseball no-hitters here in 2013, and see that neither Perez nor Hawkins is on it.
The reason for this is that, in 1991, MLB decided to change the rules and apply them retroactively. In order to receive credit for a no-hitter, a pitcher must now pitch at least nine innings and not give up a hit. No-hitters that were no-hitters when they were pitched simply disappeared from the official ledger.
History changes, but those baseball cards still exist. The world watched Reggie Bush, Lance Armstrong, and Ben Johnson make sports history that became null and void. But baseball still has 2003 American League MVP Alex Rodriguez, who also was named the 2002 Major League Baseball Player of the Year by Sporting News. Steroids have been illegal in baseball since 1991, and even before Monday's announcement of a 211-game suspension for Rodriguez, which he will appeal, A-Rod had admitted using performance-enhancing drugs from 2001-03.
Rodriguez also was AL MVP in 2005 and 2007, but we can't know for sure he was using PEDs in those years.
A-Rod is never going to have to give back the money that he has made playing baseball, nor should he have to return the World Series ring that he earned with the 2009 Yankees. It is impossible to say how Rodriguez's drug use affected his career total of 647 home runs, or how many of those home runs came against juiced-up pitchers. We don't know, we can't know, and we really can't do anything about it.
What can be done is that the historical record can get a cleanup, starting with an MVP award won by a man who admitted to breaking the rules on the way to winning it. There is good reason for being cautious in this regard, because any rewriting of history has enormous consequences, but start with what A-Rod did during the period when he admitted breaking the rules.
There is precedent already for baseball to make alterations to history because of drugs. Melky Cabrera hit .346 last season, but was denied the National League batting title at his own request after getting a 50-game suspension for a positive drug test. Cabrera finished one plate appearance shy of qualifying for the batting title, but the rules allow for a player to be crowned batting champion if his average still leads the league after adding enough hitless at-bats to qualify. Cabrera would have beaten out teammate Buster Posey, but MLB agreed to change the extra at-bat rule to exclude suspended players.
SPECTOR: MLB can thank A-Rod's stupidity for getting him caught
This was previsionist history instead of revisionist history, but it is change all the same. The odd thing is that Cabrera remains the MVP of the 2012 All-Star Game, even though he was banned a month later for his positive test. And what might MLB have done about the batting title if Cabrera had gotten just one more plate appearance during the season to get to the requisite 502?
Ryan Braun's 2011 National League MVP could be in this discussion as well, but the circumstances of his positive drug test are murky enough that MLB probably shouldn't take the hardware away.
No sport cherishes its records as much as baseball, but for all the furor about drugs in the game, tainted records are allowed to stand, and dirty trophies remain on display. Making changes to the record should be done with extreme caution, but in the cases of players who test positive during a season or admit to having used PEDs on their way to winning individual honors, it is time to start making changes that bring about a greater sense of justice than stripping Andy Hawkins of the defining moment of his career. A-Rod can keep his baseball cards, too.


text: Carolina on Switzer's mind By Tommy R. Atkinson February 6, 2013 Story Share Lawrence Pierce Ryan Switzer addresses the gathering at the GW gym, where he signed to play football at North Carolina on Wednesday. CHARLESTON, W.Va. -- College football recruiting is all about building relationships.And nowhere was that bond stronger for George Washington's Ryan Switzer than the University of North Carolina at Chapel Hill.That's why the 5-foot-10, 172-pound Parade All-America running back signed a binding national letter of intent with the Tar Heels on Wednesday morning in the GW gymnasium on National Signing Day, which is the first day high school recruits could officially sign with colleges."It's a relief off my shoulders to finally sign,'' said Switzer after all the pomp and circumstance that included a couple-hundred members of the student body, family, friends and former coaches in attendance, with cake afterward. "Now I can look forward to my future at Carolina.''Switzer's past is impressive, rushing for 5,175 yards and 72 touchdowns his final two seasons at GW. He won his second straight Kennedy Award, given to the state's top player, after this the 2012 season and was only the sixth player in the 66-year history of the award to win it multiple times. He also became just the 15th player from West Virginia to be named to the Parade All-America team.UNC almost never got past the line of scrimmage with Switzer."I wasn't even supposed to take the visit,'' he said. "I had my decision between Florida State and Penn State. [The North Carolina coaching staff] convinced me to take a trip down to Chapel Hill and I just immediately got that gut feeling this is where I needed to be.'' Even with looming NCAA sanctions staring the Tar Heels in the face. North Carolina was placed on probation last March for violations under former coach Butch Davis. The Heels have 15 fewer total scholarships to award over the next three seasons, but were only banned from the 2012 postseason. They'll spend the next three years, however, on probation.Larry Fedora took over UNC in December 2011 and led the Tar Hells of the Atlantic Coast Conference to an 8-4 record and tied for first place in the Coastal Division in his first inaugural year in 2012."The biggest thing for me was the trustworthy coaching staff,'' said Switzer, who expects to graduate from GW in April and enroll for summer school classes that start at UNC on May 12. "We had to ask some questions like anybody would, but they explained everything and they didn't hide anything. "It wasn't severe enough to keep me away, no. The fact that Coach Fedora told me when we sat down that whether I got hurt and never played a down of football for them that my education is paid for. Really nowadays that's the most important thing. So I'm going to be able to get a great degree and continue my future.''Switzer's skills seemed a perfect fit for Dana Holgorsen's offense at West Virginia University, especially with the graduation of all-purpose back Tavon Austin, but the GW star didn't connect with the coaches."West Virginia offered me, but out of my 19 [offers] they were my 17th offer,'' said Switzer. "They didn't push for me hard. They really didn't recruit me and I never got a good feel for them. I'm happy where I'm going.''The Heels collected wins over Virginia Tech (48-34), East Carolina (27-6) and North Carolina State (43-35) and pushed Louisville (39-34), Duke (33-30) and Georgia Tech (68-50) to the brink in losses. All those teams competed in bowl games this past season. Fedora went 33-19 in four years at Southern Mississippi, winning the 2011 Conference USA title game. "The bowl ban is off when I get there,'' Switzer said. "They'll have a few scholarship reductions. That really doesn't matter. They've got a whole new coaching staff, great guys, and it's a great school with great facilities. I'm going to be able to continue to play and we're going to win championships.''Switzer should get plenty of opportunities as the "A-back'' in Fedora's offensive system, which will put to use the his sprinter's speed and shifty moves by catching passes as the slot wide receiver, running the ball from different formations and returning kicks.Tracy Lampley, a 5-9, 168-pound speedster, played a similar role under Fedora at Southern Miss, racking up 3,752 all-purpose yards, just short of the top five on the school's all-time list, and scored 13 times in four different ways in three seasons."Usually that guy, without game planning, gets around 12 to 15 touches a game so the ball is going to be in my hands,'' Switzer said."If I go in and work I should be starting and playing really early. The offensive system fits me great. It's going to give me a great opportunity to be really special and do a lot of things for them.''Switzer's future never looked brighter. Reach Tommy R. Atkinson at firstname.lastname@example.com or 304-348-4811. Story Share Story Share Trending Now 1 Facebook founder visits Cabin Creek Health Systems 2 Safety shutoff disabled prior to June coal-mining death, report says 3 Huggins, WVU tap South Florida hoops talent 4 Teen pleads guilty to voluntary manslaughter in Oakes Field shooting 5 Congressional opioid investigation targets drug wholesaler Miami-Luken Herd's road woes continue with 91-75 loss at Tulane Previous Story Many locals sign on to play close to home; WVSU gets 32 to sign Next Story


text:
We previously had a cat for 14 years, so getting a puppy was a bit of a shock.
We quickly came to realize that looking after a puppy was a lot like bringing home a new born baby.
We also had to deal with a daughter who was very jealous of the puppy and we found that she took to urinating in the house on the floor to prove that point. Oh, and she was also caught peeing by the fire hydrant on the corner of our lawn. Luckily, she came to understand that the puppy was not replacing her, but that Roxy was a pet addition to our home.
Roxy began to grow really quickly, and she became larger than we expected her to be. Roxy loves her family and (we think) that she is really lonely when we aren't at home. She gets so excited to see us come back through the door. Which really makes us smile, after all cats don't seem to pay much attention to whether or not your at home, so this is a big change.
Happy Birthday, Roxy!


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I took another swing through Mt. Vernon today. I was hoping to get
some interesting pictures because of the bright sun perhaps causing
more shadows from the tombstones. So I drove through the back entrance
and around on the outer perimeter by the fence near the railroad tracks
stopping the car to take shots here and there:
Now there was one monument that got my attention because of its ornate
detail so I took a few more pictures, including a closeup of the detail and of
the inscription plate:
I drove on through and out of the cemetery, then went and did some laundry.
Later this afternoon I loaded the pictures onto my laptop and then uploaded
them to a new album on Facebook. Tonight I took a closer look at the name
on the inscription: Joseph E. Kimball. I took a quick look at Rootsweb to see
what information I could find on him, because I do have Kimball ancestry from
the Ipswich area of Massachusetts.
And i was, as we geneabloggers say, gobsmacked.
Joseph E Kimball was married to Susan Ford Dunham, daughter of Brigadier
General Henry Dunham, whose family plot I stumbled across a few months
back. And Henry was the brother of Cornelius T Dunham whose plot I discovered
yards away from my parent's burial site last fall. And there were other Dunham
cousins buried at the top of the hill at the other end of the cemetery. I've blogged
about all of this in the "A Family Reunion of Sorts" series on my genealogy blog.
But what are the odds that I'd find all of these distant unknown cousins all buried
in the same cemetery with my parents? I've never been all that superstitious, but
suddenly, I'm thinking it was more than luck that led me to all these graves.
A blog devoted mainly to the cemeteries of Southeastern Massachusetts with occasional forays elsewhere in New England. A member of the Association of Graveyard Rabbits.
Thursday, February 10, 2011
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text:
Duffle and Weekend Bags item created by jacksonchansf, Sep 26, 2012
Pros - Looks great, nice thick handle, neat pinstrip interior lining
Cons - NO pockets on the inside, lack of space, not the greatest shoulder strap
I bought this bag and regretted it only a couple of weeks later. Materials and construction is very nice, and even the exterior design. The lack of any pockets at all is where it really falls short. I throw in smaller items inside the bag, and half the time I find them on the underside of the cardboard base. The shoulder strap twists and turns, the strap pad is never aligned and seemingly hardly sits flush on my shoulder, making it uncomfortable when used. The duffle is also a lot smaller than I originally thought. I can barely fit in shoes, and a couple of outfits.
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The nearly champions
This topic contains 28 replies, has 18 voices, and was last updated by Cristian 6 years, 1 month ago.
9th August 2011, 13:03 at 1:03 pm #129876
There was a lot of discussion in the 'Vettel records' post about who will be the next to challenge him. Some said Perez, others Kobayashi but as we've seen over the years it doesn't always work like that. Who would have expected in 2006 that Button, Webber, Hamilton and Vettel would be challenging Alonso for championships?
Despite some drivers having the most amazing starts to their careers they don't always get the right breaks and are often spoke about as not fulfilling their true potential.
Jean Alesi – After doing insane things with a Tyrrell, Alesi was picked by many as a future champion. It's insane to think he only ever won a single race. Choosing Ferrari over Williams was the wrong choice but he'll always been seen as a legend because of it.
Ruben Barrichello – After his performance at Donnington '93, Barrichello was set to be the next great Brazilian driver. Unfortunately when he got a top car he was Schumacher's number 2.
Giancarlo Fisichella – He'd always be up the grid in a Jordan or Benetton in his early career. Everyone said he'd be a future champion but when he got his chance at Renault he wasn't that great. He seemed to be brilliant in a poor car and average in a great car.
What other drivers can you think of that were labelled a 'future champion' but never fulfilled their potential?9th August 2011, 13:47 at 1:47 pm #176066
sbl on tourParticipant
That little chubby fella, whats his name….juan pablo9th August 2011, 14:06 at 2:06 pm #176067
– Juan Pablo Montoya probably should have world champion at some point.
– Felipe Massa's twenty seconds as world champion may be the closest he gets to becoming a champion, though I would love to see him prove me wrong.
– David Coulthard possibly also should have been a champion after spending almost his entire career in competitive cars.
– Even though Nick Heidfeld hasn't even won a race yet, his 2007 season made me see him as a serious future contender for the title.9th August 2011, 14:21 at 2:21 pm #176068
Ned FlandersParticipant
Jan Magnussen was suppose to be the next Ayrton Senna. Of course, it turned out he was rubbish, but at it sounds like his son could be in F1 within a few years!
Alex Wurz was amazing when he first joined Benetton, yet his career petered out so badly. He was on the podium in his third race, he finished in the top 4 in half of his first 12 F1 races, he had that amazing duel with Michael Schumacher at Monaco 1998. Then, for some inexplicable reason his career halted in mid 1998, and he managed only 3 more points finishes in two and a half years at Benetton before he got the sack9th August 2011, 14:43 at 2:43 pm #176069
@Ned Flanders
Magnussen smoked when he was an F1 driver! One of the stories of completely unfulfilled potential.
I'd also add Martin Brundle and Johnny Herbert to the list. Both drivers who underperformed.
Herbert was talked of in the same way as Schumacher/Senna was for a while until he had a horrific accident which smashed his feet. Given that Herbert still won a couple of races despite this shows he could have been a far greater driver.9th August 2011, 14:50 at 2:50 pm #176070
Gerhard Berger anyone? A hugely talented driver who just happened to drive in an era littered with great champions (Prost, Piquet, Senna, Mansell, Schumacher).9th August 2011, 15:06 at 3:06 pm #176071
Dan ThornParticipant
How about Rene Arnoux? On his day he was totally unbeatable, a great qualifier and brilliant overtaker but perhaps a little bit too difficult personality wise to really gel with a team…
Verstappen was always spoke of very highly by Schumacher, and his wet weather skills were impressive, but he never recovered after that difficult first season with Benetton.9th August 2011, 15:35 at 3:35 pm #176072
I'd go with Arnoux and Verstappen Dan. Alesi and Massa are obvious ones and two of my very favourite drivers. I wish Berger had won a championship too.
Gilles would be another obvious one. Jody took the title and it looked like Gilles would get his turn but uncompetitive Ferraris and then his death meant he'd never fulfill his promise.
Elio de Angelis perhaps is another.9th August 2011, 15:35 at 3:35 pm #176073
Perhaps the most obvious is Stirling Moss. A 4 times runner up- 3 times to Fangio (one of which only 3 points behind) and once to Hawthorn. Although statistics only tell a part of story, considering the number of retirements he had, with better reliability maybe he could have been a double champion. In 1958 in particular he lost to Hawthorn by a single point after testifying on his behalf.
In a topic on over-rated drivers a couple of months ago, many people named Moss without justification, seeming ignorant of his achievements. He is often credited as the best driver to never win a championship, and I don't understand how this can be seen as unfair. He has the 10th highest percentage hit-rate of races won (2 of the drivers above him are Americans who only competed at Indy). No other non-champion has won as many races as him. He deserved to be a champion. It wasn't his talent that held him back, rather the quality of his opposition (Fangio) and a lack of reliability.9th August 2011, 17:05 at 5:05 pm #176074
One that hasn't been mentioned yet is Ronnie Peterson. Finished runner up in his second full season in an uncompetative car and could have won the title in 1973 with better reliability and in 1978 without team orders and his untimely death. From what I have seen and heard was one of the most naturally gifted drivers.9th August 2011, 17:50 at 5:50 pm #176075
Ivan Capelli – His second place in France 1990 in a Leyton House after leading most of the race until Prost passed him, together with his F3000 success in 1986, showed a lot of promise, sadly his move to Ferrari saw him lose motivation and retire.9th August 2011, 20:19 at 8:19 pm #176076
Juan Pablo HeidfeldParticipant
@slr Yes!
In all honesty Montoya probably should have one a championship. If he'd waited long enough he might have been, Raikonnen and Alonso have been and I see him at the same level9th August 2011, 20:28 at 8:28 pm #176077
– Juan Pablo Montoya probably should have world champion at some point.
In all honesty Montoya probably should have one a championship. If he'd waited long enough he might have been, Raikonnen and Alonso have been and I see him at the same level
Montoya had his chance in 2003, but he screwed it up in America. Still remember that drive through.9th August 2011, 21:24 at 9:24 pm #176078
Luigi Fagioli – The Abruzzi Robber finished on the podium all the six races he finished, and thus has 6 podiums on 7 starts. His only win came with a shared drive with Juan Manuel Fangio, and his other results are 4 2nd places, one 3rd and a retirement. F1 started too late for him, and by 1952 he was off to sports cars, but died the same year after a crash.
In the brief appearance he did in F1 he showed talent, but his age didn't give him any more chances (he holds the record for oldest race winner, obtained in 1951).9th August 2011, 22:06 at 10:06 pm #176079
In all honesty Montoya probably should have one a championship. If he'd waited long enough he might have been, Raikonnen and Alonso have been and I see him at the same level
As it's been pointed out, 2003 was his best chance, when the Williams was finally equal or faster than the Ferrari. But Ralf didn't come close, and Juan did better, but couldn't get past Barrichello without spinning him off. 2005 was worse, when Raikkonen convincingly beat him.
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Discussion in 'protest, direct action and demos' started by Das Uberdog, Oct 31, 2010.
to be fiar it showed Tommy for what he is for once.
A very poor man's Ricky Gervais, with a hint of Charlie Manson, without the charm.
Most pointless documentary ever.
As I've said before, we may laugh at Tommy Robinson acting like a dickhead, talking shite and making jokes about the Breivik massacre but many of the fools who might follow him will go "Yeah -right on. I like what that man is saying!"
john x
as twitter and facebook clearly shows tonight....... bur fair play, the number of people calling them both cunts is high
The ego's have landed. Was that Tommy's handler on the dog and bone? Whoever it was he was clearly crapping himself. NS.
Yep, although whoever follows him from now on where are they going to go, except in some cases jail time? Interesting his comments on the BNP btw.
This is actually pointing at something that is a real concern.
After violent people the next most dangerous thing is people who aren't violent, especially when it's for generations. It's really suspicious and devious. Muslims are now pulling the wool over our eyes in their hundreds of millions by not randomly killing people. It's got that bad.
+ Red storm - "Most pointless documentary ever".
Find myself massively agreeing with both points............... What a non-piece of 'journalism'....... I've seen more cutting edge political commentary in the Beano.
No mention of tommys new political friends. Nor of the merchandising ( or where the money goes), Jo examination of the political backgrounds of any of tommys little pals- weak at the least.
Some of the women in burkas were a bit " beefy" too.
That confontation between tommy and Mr lslam at the start- so staged that wonder whether he an d Tom dreamed the whole thing up together as a scam
When watching it on 40D. You get an 100% British Hovis advert. =)
They were , especially as some posters on here had the EDL=BNP as if they were one and the same.
but...but... Hovis is brown!
Only 'cos it's been in Tommy's salon.
Yep defo was.
dispatches review!
Yeah he should be an infra-del
that's awful
A pathetic programme, no attempt to really get in to the issues, just following two sets of nutters doing their thing. I and other Luton Town FC fans are pretty pissed off with Channel 4's claim that the EDL are "mostly Luton Town fans". Ths sort of programme hardly helps in a town where's there's actually very little trouble between whites and Asians. I reguarly walk through Bury Park at all times of day and night and never have problems, same as thousands of others. The EDL are doing their best to fcuk things up. One thing the programme didn't mention is how the EDL is dying on its arse and is now little more than a collection of facebook groups and bored shouty blokes who cant be arsed to turn up at demos anymore.
It was great seeing the look of sheer panic on Yaxley-Lennon's face at the end when he realised he was gonna get nicked and sent down - pure shitting himself - hahahaha!
first name terms and yeah his eyes went even wider
post on indymedia comment:
'Before the Proud & Prejudiced show the EDL had about 3,500 friends of Facebook (which is the only measure of what they like to call their "membership"). At 11am today the figure stands at 3,686.'
oh dear.
das, theres no stopping him.
APL - anti-pun league. needs to be formed asap.
this is me on hearing these puns!
Who wrote Tiger Feet?
Interesting name.....
North Eastern correspondent, neighbour of TBH
Thats Right Thats Right Thats Right !!
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About Tesla
Tesla Motors' mission is to accelerate the world's transition to electric mobility with a full range of increasingly affordable electric cars. We are leading a revolution to transform the automotive industry with zero-emissions technology and reminding drivers why they love their cars in the process.
Tesla designs, manufactures and sells electric cars and electric vehicle powertrain components. Founded in 2003, it was the first company in the world to build a fully electric vehicle in serial production. It has remained ahead of the curve ever since.
The Role
Tesla's goal is to accelerate the world's transition to electric mobility. Palo Alto, California-based Tesla designs and manufactures EVs and EV power train components for partners such as Toyota and Daimler. Tesla has delivered more than 2,400 Roadsters to customers worldwide. Model S, the first premium sedan to be built from the ground up as an electric vehicle, began deliveries in June 2012.
This position manages our nationwide fleet of delivery vehicles, employee shuttles, logistics vehicles and service vehicles. This is a strategic position that drives the policies, procedures and metrics for the standardization of compliance and safety, and facilitate cost and maintenance management.
- Mastery of DOT regulation and state by state requirements
- Maintains company documents including driver log books, vehicle inspection reports and CHP audits
- Administers and manages the California Pull Notice program
- Reviews paperwork for accuracy and correct process.
- Participates in scheduled and unscheduled onsite compliance audits.
- Implements preventive/corrective measures
- Compiles, maintains and enforces all policies and procedures
- Works with the Safety/Risk team to ensure that all vehicles and fleet staff meet the safety standards and policies and procedures are implemented and executed.
- Facilitate national fleet cost savings initiatives including but not limited to A) Maintenance parts B) Engines and transmissions C) Fuel optimization
- Plans and coordinates the policies and procedures surrounding the maintenance and repair programs for the entire fleet.
- Makes recommendations for needed new capitalized vehicles.
- Develops a plan to retire old vehicles.
- Analyzes and makes recommendations regarding the distribution of vehicles between markets/operations.
- Leverage the ability to repair and marry wrecked units between markets.
- Communications with field fleet staff and management, sets goals and holds people accountable for results
Maintains positive leadership, gives frequent performance feedback, conducts regularly scheduled meetings, and encourages two-way participation and ideas
- Shares lessons learned and best practices
- 5+ years experience with running a national fleet including at least one of the following: passenger, vehicle, parts and equipment transportation / delivery.
- A working knowledge of vehicle repairs and maintenance.
- Experience with managing communication in a dispersed workforce.
- Experience influencing change through field operations that are located across the country.
- Must be proficient in use of PC and various software packages.
- Act with integrity and honesty, avoiding actual or apparent conflicts of interest in personal and professional relationships.
- Comply with rules and regulations of federal, state, provincial and local governments, and other appropriate regulatory agencies.
- Strong project management experience.
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- Ability to interact with all levels of the organization.
- Demonstrated ability to work within budgetary guidelines.
- Demonstrate listening, analytical, and consultative selling skills.
- Effectively use data from different sources to identify issues and quickly identify the central or underlying issues in a complex situation. The ability to identify problems, recommend solutions and effectively implement plans and processes.
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Tesla Motors is committed to a policy of equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, color, creed, gender, gender identity or expression, sexual orientation, national origin, age, physical or mental disability, medical condition, religion, marital status, genetic information, veteran status, or any other status protected under federal, state, or local laws.
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By Judy-Anne Goldman, CFCA multimedia manager/producer
If you've been on a CFCA trip to visit your sponsored friend, you know how many wonderful and profound experiences you take home. These memories will last forever.
For many of us, we also hope to bring home photos to share those memories on our desks, walls, computer screens and refrigerator doors.
But often the picture doesn't quite do the memory justice. The lighting turns out too bright or dark, the photo is blurry or the picture is just somehow "offî in terms of capturing the scene.
Here are a few tips to help in capturing those special moments with your camera. With just a few easy adjustments, your visit can be documented and remembered more vividly!
1) Lighting the way
When taking pictures of people, make sure that your subject's face has some light on it, and that it's not totally in a shadow.
If it is, here are a few things you can do:
- Move the person around until there is better light on his/her face.
- If the person is wearing a hat with a brim, perhaps she/he could raise the brim or take off the hat, if it's convenient.
- You can also use your flash to add light. Most cameras have a way to manually activate the flash.
- Avoid too much light, though! A shady area is better than direct sun on a cloudless day.
2) Clear photos
Beware the fuzzy image! That can result from low lighting or from the camera shaking.
- If you find that your pictures don't look clear, try setting the camera down and using the self-timer so that you're not touching the camera when it takes the photo.
- Also, you can devise a makeshift brace by leaning against something ó a chair, a wall, a bench ó to try to steady yourself.
3) Background
This can be the culprit when the picture is just a little "off." Be aware of what's going on behind your subject.
- When the background is too busy, get closer to your subject to block out some of the visual "noise."
- Be aware of people walking around behind your subjects. Let them pass before taking the picture.
- If you're showing where someone lives, you also want to make sure the background helps tell that story. Don't be afraid of taking a wider shot to show more details.
4) Bonus points
- Making your subjects comfortable: Some people may not be comfortable or used to having their picture taken. They might look stiff. Before taking the picture, try saying something to relax them or something a little funny.
- Different angles: To mix it up a bit, think about taking a photo from a different angle, maybe standing on a chair or hill, or getting on the same level as a baby crawling on the ground.
We hope these tips enhance your picture-taking experience and help capture some of the memorable moments of your trip.


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My master... He continues the work that his progeny began.Though the Black Dragonflight is in the process of dying out, that isn't stopping Deathwing from trying to keep it alive. Sort of. Over the course of Warcraft, Deathwing has been on a very deliberate mission to repopulate the world with dragons of his choosing. During the Second War, Deathwing discovered the location of the Demon Soul, a powerful artifact he created back during the War of the Ancients in order to control the other dragonflights.
Deathwing wasn't able to wield the Demon Soul, however -- the other Aspects placed a powerful enchantment on the device so that he would no longer be able to use it. But Deathwing was a very clever dragon and realized this meant he simply had to find someone else to use it in his stead. Through visions, he led a powerful orc from the Dragonmaw clan named Zuluhed the Whacked to the artifact. Zuluhed couldn't decipher how to use the thing, and so he handed it over to his second in command, Nekros Skullcrusher. Nekros then promptly used the thing to enslave Alexstrasza the Dragonqueen.


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TexasOutlaw wrote:I look at it this way: days with bad rounds are always better than days with no rounds.
on Friday I got a call from the parents of a girl who found my disc in my practice field and really wanted it returned to me. Her parents tried to convince her it was no big deal, but this girl pushed her parents to decipher my faded phone number and call me. It was really cute. I gave her three bucks for an ice cream reward.
That's a cool story. Unfortunately I wasn't smart enough to put my info on the disc since i just got it and haven't even used it during a round. My sister in law is a teacher there though and said she'd ask the phy-ed teacher if there was anything turned in. What drives me crazy is the fact that I always make sure to count how many I throw. I guess it only takes one time to forget.
Oh well, it's in the past. I got good and drunk Saturday night to ease the pain.