Sometimes... We Make Mistakes - Private Ultrasounds

Three years ago, when I began this doula practice with several other excited and newly trained birth doulas, I have to admit, I was very naive.  Companies contacted me offering samples, coupons, etc. for us to share with our clients.  Some of them had very significant discounts.  Realizing that having a baby is not an inexpensive undertaking, I accepted some of these offers and passed them on.  They say hindsight is 20/20, and while we have since become more aware of companies true intentions and perhaps some less than ideal family values, we still slip up on occasion.

One of the companies that we had shared with our clients was a private ultrasound service.  While we do not advocate the use of ultrasounds, other than for medical reasons (see Obstetric Ultrasound Biological Effects and Safety by SOGC, Are rural general practitioner - obstetricians performing too many prenatal ultrasound examinations? Evidence from western Labrador, Ultrasound scans may disrupt fetal brain development, and Ultrasound: More Harm than Good? by Marsden Wagner, MD Midwifery Today Issue 60, Summer 1999), we realized that some parents wished to have a second ultrasound to for a special memory, gender prediction, etc.  Therefore, we provided the discount coupons to those who mentioned they were planning to have these ultrasounds.

Recently, we have been doing much more research into baby-friendly practices such as the WHO/UNICEF Code of Marketing of Breast Milk Substitutes (World Health Organization).  Specifically, we believe we must adhere to the following:

Article 4. Information and education

4.2 Informational and educational materials, whether written, audio, or visual, dealing with the feeding of infants and intended to reach pregnant women and mothers of infants and young children, should include clear information on all the following points: (a) the benefits and superiority of breast-feeding; (b) maternal nutrition, and the preparation for and maintenance of breast-feeding; (c) the negative effect on breast-feeding of introducing partial bottle-feeding; (d) the difficulty of reversing the decision not to breast-feed; and (e) where needed, the proper use of infant formula, whether manufactured industrially or home-prepared. When such materials contain information about the use of infant formula, they should include the social and financial implications of its use; the health hazards of inappropriate foods or feeding methods; and, in particular, the health hazards of unnecessary or improper use of infant formula and other breast-milk substitutes. Such materials should not use any pictures or text which may idealize the use of breast-milk substitutes

 Article 5.  The general public and mothers

5.1 There should be no advertising or other form of promotion to the general public of products within the scope of this Code.

5.2 Manufacturers and distributors should not provide, directly or indirectly, to pregnant women, mothers or members of their families, samples of products within the scope of this Code....

5.4 Manufacturers and distributors should not distribute to pregnant women or mothers or infants and young children any gifts of articles or utensils which may promote the use of breast-milk substitutes or bottle-feeding

WHO/UNICEF Code of Marketing of Breast Milk Substitutes, Articles 4 & 5

  

Now, to the reason for this post.  It has come to our attention that the private ultrasound company whose coupons we had mistakenly shared has a "rewards" program which includes a gift package of discounts, samples, and information which does not abide by the WHO Code.  Therefore, we will no longer provide coupons for this service.

Please know, that as doulas, our first priority is caring for the families we work with.  We support your choices and will assist you in finding evidence based information to help you make informed decisions about caring for your new baby.  We also must abide by the standards set forth by the World Health Organization and our training/certifying organizations.  We're happy to serve you in a mother-friendly and baby-friendly practice!

Half Way!! Ultrasound Experience

Well at this point in my pregnancy I am 20 weeks and 1 day. At the half way mark!

My husband has been feeling the baby kick on a regular basis now and loves to poke my belly and wait and see if the baby responds. I am happy to feel some movement everyday. It's that one thing that I know will brighten my day.

Today I started my day by having some breakfast and then drinking a ton of water. I have no idea why they say you must drink that much water before an ultrasound but I must say it is crazy! It was extremely uncomfortable to sit with a full bladder and wait to get in for the ultrasound. At one point I looked at my husband and told him I couldn't wait any more and I just had to pee. My eyes started filling with tears as the cramping and pain felt unbearable. My husband hugged me and to help me keep my mind off of it played I spy. I know crazy game to play while waiting to see your baby for the first time on an ultrasound but it just helped me keep my mind off the fact that I was extremely uncomfortable.

Once the ultrasound technician came and got us the excitement once again took over. He could tell my bladder was really full so he just took the pictures that he needed to while my bladder was full. Then he let me empty my bladder and come back and enjoy the rest of the ultrasound.

We got to see everything! And according to the measurements our baby is 20 weeks and 2 days! Very close to what we initially thought. Our little one is weighing in at 12oz. The ultrasound technician told us that everything is looking good. Our baby was on the move the whole time throughout the ultrasound. Moving his/her hands and arms all the time. We saw our baby open it's hands and close it's hands and even put it's arm in front of it's face. We also saw the heart. It was very surreal to watch it beat, 144bpm.

I could have sat there for hours!! My husband and I walked out of there super excited. Seeing our little one on an ultrasound for the first time was amazing. There are no words to describe the feeling you get when you watch the little one inside of you moving about. Also a huge relief just to know that everything seems to be developing well.

We were hoping to find out the sex of our baby but the ultrasound technician would not tell us. So now it will be a long two days while we wait until Friday comes! On Friday we are expecting a call from our doctor to tell us what the gender is. At this point my husband is predicting boy, and as for me I am not really sure. Boy or girl it doesn't even matter. We will be thrilled with either. But we are excited to do some shopping on Friday before we head to Victoria on Saturday for our honeymoon!

Thanks for following this pregnancy journey with us! We are enjoying every minute of it. On Friday I will try to write a quick blog to let everyone know the gender of our baby and hopefully post an ultrasound picture. Although there is no way to predict for sure what the sex of our baby is it would be great to hear everyone's predictions! :)

~Amanda