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FR E E T O T H E P U B LI C T H E N E W YO R K G U I D E H E A LT H Y B I R T H to a NO4 2009 10 of a series Published by Choices in Childbirth president: elan v. mcallister executive director: rebecca hankin benghiat program manager: kelly m. renn advertising: camille abbe staff: malorie ferrick, leslie gold, alexandra hochman, mary esther malloy-hopwood, julia jolly editors: neile king & milon nagi cover photo: leah michaelson additional photography: shara frederick, nicole heidbreder & sarah tew designer: simon does llc webmasters: aran deltac & evelyn foreman printer: new american graphics 441 lexington avenue, 19th floor, new york, ny, 10017 212.983.4122 www.choicesinchildbirth.org Contents welcome 02 becoming an educated consumer 03 cims’ mother-friendly 04 childbirth initiative transparency in maternity care: 06 the birth survey ARTICLE I have you thought about having 08 a doula at your birth? by PENNY SIMKIN, PT, CD(DONA) tribute to ilana stein 11 questions to ask your care provider 12 cesarean section rates 14 at new york metro hospitals know your legal rights 17 ARTICLE II vbac: a safe alternative 20 to repeat cesarean by NICETTE JUKELEVICS, MA, ICCE provider listings 25 ARTICLE III the golden hour: getting 90 the best start with your newborn by ROBERT W. SEARS, MD resources 95 advertisements 102 choosing a home birth 112 Cover Photo: Joy and Xiana, 1 month old (©Leah Michaelson) Opposite: Raven, 4.5 years old This Page (clockwise from top left): Colleen, laboring; Zackary, 6 weeks old (© Sarah Tew); Esme, 1 week old. © 2009 Choices in Childbirth All rights reserved. This guide, or parts thereof, may not be reproduced in any form without permission. This guide is dedicated to the memory of our friend and mentor, Ilana Stein. ( tribute: page 11 ) the NEW YORK GUIDE to a HEALTHY BIRTH 02.03 Your pregnancy and the birth of your child are your important first acts of motherhood. The responsibility, emotions and physical challenges involved parallel your future life as a parent. This guide will help you find the tools and support you need as you begin to care for yourself and your baby. about us Choices in Childbirth educates the public about birthing options. We believe that an informed woman is an empowered woman. So, in 2006 we created The New York Guide to a Healthy Birth to help you make educated decisions about your birth. We know that the bottom line for just about every birthing woman is to emerge with a healthy child. But we also know that women don’t have to choose between a positive birth experience and a safe one. This guide provides information and guidance to help you find what’s best for you. thank you Choices in Childbirth would like to thank the Coalition for Improving Maternity Services (CIMS) for inspiring and continuing to support this publication. Thank you to the women of the Metropolitan Doula Group of New York City for sharing your vast knowledge with us and for serving the families of New York City so well. We are grateful to our article contributors for sharing your wisdom here. Thank you to the practitioners listed in this guide for helping the next generation enter this world in a healthy, peaceful way. We would like to recognize the work of Inwood House in providing support for adolescent mothers. We are grateful to Joy and baby Xiana for appearing on our cover,photographed by Leah Michaelson. And thank you to the mothers, fathers and babies who continue to enrich and inspire our work and our lives. Welcome to the Fourth Edition of The New York Guide to a Healthy Birth! This guide is here to help you make important decisions as you plan your birth. A woman’s choice of care provider for her pregnancy and birth is the single most important decision she can make to determine the type of birth experience she will have. Not all care providers are created equal. Partners in a medical practice sometimes have very different ways of practicing, and differing rates of cesarean section and other interventions. It is important to consider your priorities for childbirth and to carefully interview the person who will be your healthcare provider. Here are some ways you can determine who you want to work with during your pregnancy and birth and where you want your birth to happen: • Visit www.choicesinchildbirth.org to find rates of episiotomy, cesarean section, induction and other birth interventions at local hospitals. • Ask the midwives and doctors you interview what their personal rates of these interventions are. • Visit the “Connect” page at www.thebirthsurvey.com to check out patients’ ratings of care providers and facilities in your area. • Do not be afraid to ask questions—your research and judgment are your best guides in choosing the right care for you. For a list of questions to get the conversation started, see page 12. • Remember it is never too late to switch care providers. The Mother-Friendly Childbirth Initiative is a document that defines what good maternity care is. You can read more about it on the next page. Keep these principles in mind when meeting with your care providers. Prior to having services listed in this guide, each care provider must sign a statement in agreement with the Mother-Friendly Childbirth Initiative and pledge to adhere to these principles when working with pregnant and birthing women. becoming an educated consumer 04.05the NEW YORK GUIDE to a HEALTHY BIRTH Mother~Friendly Childbirth Initiative autonomy Every woman should have the opportunity to: •Have a healthy and joyous birth experience for herself and her family, regardless of her age or circumstances; •Give birth as she wishes in an environment in which she feels nurtured and secure, and her emotional well-being, privacy, and personal preferences are respected; •Have access to the full range of options for pregnancy, birth, and nurturing her baby, and to accurate information on all available birthing sites, caregivers, and practices; •Receive accurate and up-to-date information about the benefits and risks of all procedures, drugs, and tests suggested for use during pregnancy, birth, and the postpartum period, with the rights to informed consent and informed refusal; •Receive support for making informed choices about what is best for her and her baby based on her individual values and beliefs. do no harm • Interventions should not be applied routinely during pregnancy, birth, or the postpartum period. Many standard medical tests, procedures, technologies, and drugs carry risks to both mother and baby, and should be avoided in the absence of specific scientific indications for their use. • If complications arise during pregnancy, birth, or the post- partum period, medical treatments should be evidence-based. responsibility •Each caregiver is responsible for the quality of care she or he provides. •Maternity care practice should be based not on the needs of the caregiver or provider, but solely on the needs of the mother and child. •Each hospital and birth center is responsible for the periodic review and evaluation, according to current scientific evidence, of the effectiveness, risks, and rates of use of its medical procedures for mothers and babies. •Society, through both its government and the public health establishment, is responsible for ensuring access to maternity services for all women, and for monitoring the quality of those services. • Individuals are ultimately responsible for making informed choices about the health care they and their babies receive. © 1996 by The Coalition for Improving Maternity Services (CIMS). To learn more about the Coalition for Improving Maternity Services and to read their excellent report, Evidence for the Ten Steps of Mother~Friendly Care, visit www.motherfriendly.org. The First Consensus Initiative of the Coalition for Improving Maternity Services principles The principles outlined below are an excerptfrom the Mother~Friendly Childbirth Initiative. To read the full text of this document, please visit the Coalition for Improving Maternity Services website at www.motherfriendly.org. normalcy of the birthing process •Birth is a normal, natural, and healthy process. •Women and babies have the inherent wisdom necessary for birth. •Babies are aware, sensitive human beings at the time of birth, and should be acknowledged and treated as such. •Breastfeeding provides the optimum nourishment for newborns and infants. •Birth can safely take place in hospitals, birth centers, and homes. •The midwifery model of care, which supports and protects the normal birth process, is the most appropriate for the majority of women during pregnancy and birth. empowerment •A woman’s confidence and ability to give birth and to care for her baby are enhanced or diminished by every person who gives her care, and by the environment in which she gives birth. •A mother and baby are distinct yet interdependent during pregnancy, birth, and infancy. Their interconnected–ness is vital and must be respected. •Pregnancy, birth, and the postpartum period are milestone events in the continuum of life. These experiences profoundly affect women, babies, fathers, and families, and have important and long-lasting effects on society. We Believe the Philosophical Cornerstones of Mother-Friendly Care to be as Follows: the Thanks to a groundbreaking new consumer tool called The Birth Survey, women and families now have more information to help in choosing maternity and childbirth care. The Birth Survey was created by the Coalition for Improving Maternity Services (CIMS) and piloted in New York City by Choices in Childbirth. It became available nation-wide last summer and is online at www.thebirthsurvey.com. Like Angie’s List or Consumer Reports, The Birth Survey helps people evaluate the goods and services they are shopping for. In this case the service being reviewed is maternity care. The Birth Survey asks women to provide information about their birth experience specific to the practitioner (doctor or midwife) and birth environment (birth center, home or hospital) that served them. This experiential data is paired with officially collected hospital intervention rates acquired from the Department of Health. Collectively, this information provides the public with a tool that will help women make maternity care decisions that are right for their individual needs. help us spread the word! If you would like to help promote The Birth Survey, please go to the “PR Materials” section of the website for downloadable tags and banners. Or become an ambassador for the project and learn how to promote The Birth Survey in your community. At Choices in Childbirth, we believe in the value of providing the public with insight into provider practices and hospital protocols. A woman’s birth outcome is directly impacted by her choice of where and with whom she will birth. We believe that women have a right to know as much about their options as possible. The Birth Survey directly addresses this need. transparency in maternity care: the birth survey SHARE If you have birthed in the United States in the last three years, please visit www.thebirthsurvey.com and click on the “Share” button. This will take you directly to the survey where you can anonymously share information about your birth experience. CONNECT To view preliminary results from birth survey data, click on the “Connect” button. You will be able to see how other women in your community have rated the care they’ve received from local doctors, midwives, hospitals and birth centers. LEARN Do you know your hospital’s cesarean section rate? Click on the “Learn” button to get intervention rates for hospitals in your area. 06.07the NEW YORK GUIDE to a HEALTHY BIRTH TheBirthSurvey www.thebirthsurvey.com S H A R E your pregnancy care experience give feedback now 08.09the NEW YORK GUIDE to a HEALTHY BIRTH As expectant parents, you are probably preparing extensively for childbirth and early parenting— attending classes, watching videos, reading books and articles, touring your hospital, practicing relaxation and comfort techniques, preparing a birth plan and discussing your hopes and concerns with your doctor or midwife and other parents. Such preparation improves the quality of your birth experience in many ways. You understand the birth process and know about your options for care, ways to cope with pain and the clinical measures commonly used to maintain safety and labor progress. In short, childbirth preparation takes many of the surprises out of labor and helps you to meaningfully participate in your care. Yet the journey through birth is unpredictable and stressful. Even well-prepared women or couples often find it difficult to apply their knowledge in the midst of intense labor. It helps to have guidance and reassurance from experts so you can relate the intense physical sensations and emotions of labor to what you already know intellectually. Your nurse, midwife or doctor will offer some guidance, but may be limited by their clinical duties and the needs of other laboring women in their care. And some are better than others in giving such support. To be sure you will get the kind of help you need in labor, consider having a birth doula. A doula is with you continuously through labor. She is trained and experienced in providing emotional support, physical comfort and non-clinical advice. She usually meets with you before labor to discuss your preferences and concerns. She learns the role you both want the father or partner to play. For example, some partners prefer to be the primary support person— with the doula there as a guide, errand-runner (for beverages, ice chips, hot packs, warm blankets, partner’s food), helper (often a woman needs two people helping during contractions) and stand-in (if the partner needs a break). Other partners want to be with the woman they love to share in the joy of the birth of their child, but feel more comfortable leaving the primary support role to the doula. The doula is a constant—no breaks (unless you are asleep), no shift changes, no clinical responsibilities or other women to care for. And she understands what you are going through. Her knowledge and experience reassure and comfort you and guide you in breathing techniques, positioning, massage and use of the bath, shower, birth ball, hot and cold packs and other comfort items. have you thought about having a doula at your birth? by Penny Simkin, PT, CD(DONA) B ec ky w ith J on a nd d ou la (© S ar ah T ew ) 10.11the NEW YORK GUIDE to a HEALTHY BIRTH As one grateful father said, “I heaved a big sigh of relief when she walked in. I hadn’t realized how much pressure I had been feeling.” A new mother said, “I don’t know what we would have done without her.” Your doula’s goals are to learn your preferences regarding the use of pain medication and any fears or concerns you have. In labor she helps you accomplish your wishes and allay your fears, but also helps you make adjustments if unexpected demands or complications arise. The continuous assistance of a doula throughout labor has been proven in numerous scientific trials to improve both physical and psychological outcomes of the birth. By alleviating the mother’s emotional stress (which can have a negative impact on labor progress and the baby’s well-being), doulas reduce the mother’s need for pain relief medications. Most studies have also reported shorter labors, less need for oxytocin to speed labor and fewer deliveries by forceps, vacuum extractor and cesarean when doulas are present. In addition, the research has shown that women’s satisfaction with their birth experiences, their postpartum psychological state, success in breastfeeding and interactions with their newborns are all improved when a doula is present during childbirth. Research alsoshows that when doulas are in attendance, fathers take fewer breaks away from the mother, remain closer to her and touch her more. The doula seems to relieve the stress and some of the burden on the father, allowing him to comfortably give more support to his loved one. Whether you plan to birth at a hospital or at home, with medication or without, a doula can make a positive difference at your birth. If you are interested in learning more about doula care see page 97 for listings of organizations that train and support doulas. To contact a New York based doula see page 54. Penny Simkin is a physical therapist, childbirth educator, doula, birth counselor, doula trainer and author of books and articles for parents and professionals. She is a frequent presenter at conferences and workshops for maternity care professionals. have you thought about… (cont’d) This edition of the Guide is dedicated to Ilana Stein – labor support doula, childbirth educator, co-founder of the Metropolitan Doula Group, Certified Hypnobirthing Instructor, DONA-Approved Doula Trainer, Director of BirthFocus, recipient of the 2007 Penny Simkin Award for Doula Spirit and Mentoring (DONA International) and childbirth pioneer since 1983. Ilana’s message was clear: birth should be honored and treated with respect and integrity. Her energy for birth seemed endless. As Ilana’s apprentice, I saw the value a birthing woman gains by having someone who under- stands, listens and completely focuses on her. As a doula, Ilana made a difference at every birth she attended. By forming the Metropolitan Doula Group, Ilana created a strong support system for doulas. This group, as well as her role as the director of BirthFocus and as a doula trainer, enabled her message to be heard. “Doula” became a household word. Ilana passed away last year after a four-year battle with ovarian cancer. During her illness, she continued to teach us about the power of support. She faced her disease with grace, courage and strength. She shared her very personal journey, showing that community can empower anyone during the extraordinary challenges of life and death. Ilana often said, “Every woman who wants a doula deserves one.” It is my hope that the work she cherished continue and that her wish be fulfilled. Meg Darnell, LMT Co-Founder of the Metropolitan Doula Group Dean of Alumni and Student Services Swedish Institute, College of Health Sciences ilana stein 12.13the NEW YORK GUIDE to a HEALTHY BIRTH 1 Is there a limit to the number of people who can accompany me during my birth? How do you feel about a labor support professional such as a doula or massage therapist joining my birth team? 2 Will I be able to eat and drink in labor? 3 If I were interested in having a natural, unmedicated birth, how would you feel about it? 4 What comfort measures do you recommend? • Freely changing positions and walking around • Water therapy (shower/tub) • A doula • Epidural • Narcotics (Stadol/Demerol) 5 What would you recommend if my water breaks before contractions have begun? How long after my water breaks would you recommend induction if my labor doesn’t start on its own? 6 What are your protocols regarding my due date, i.e. inducing labor at 40 wks? 41 wks? 7 Do you believe in active management of the first stage of labor? For example, would progress of less than one cm per hour call for artificial rupture of membranes (AROM) or Pitocin? If everything is fine with me and my baby, will I be able to labor at my own pace and for as long as I need? Here are some suggested questions to encourage dialogue and to help you get a sense of your care provider’s approach. It is a good idea to interview at least 2 or 3 providers. It is never too late to change providers if you are not comfortable with the answers you receive. 8 If you feel that labor has to be stimulated what methods do you recommend? • Herbs • Nipple stimulation • Castor oil • Intercourse before spontaneous rupture of membranes (SROM) • Enema • Acupuncture • Stripping of membranes • Artificial rupture of membranes (AROM) • Pitocin 9 What is your protocol regarding the following procedures and how often do you perform them? • IVs • Continuous versus intermittent fetal monitoring • Internal fetal monitoring • Artificial rupturing of the membranes (AROM) at _ cm • Epidural • Assisted vaginal delivery (forceps/ vacuum) • Episiotomy 10 What is your cesarean rate? What factors do you believe contribute to that rate? What is your VBAC rate? What are your standard protocols for VBAC mothers? 11 Will I be able to choose the position in which I will push and give birth such, as side-lying, all fours, or squatting? 12 Can my baby remain with me at all times from the moment of birth? Do you support skin to skin contact between me and my baby immediately after birth? 13 (For home birth midwives) How long will you stay with me after my baby is born? 14 (For home birth midwives) What is your rate of transfer to the hospital? Who are your consultant obstetricians? Will I be able to meet or interview them? For more Questions to Ask Your Care Provider, visit our website: www.choicesinchildbirth.org questions to ask your care provider B ec ky , l ab or in g (© S ar ah T ew ) 14.15the NEW YORK GUIDE to a HEALTHY BIRTH The World Health Organization recommends that the cesarean section rate for industrialized nations should not exceed 15%. A safe range, as determined by WHO experts, is 10-15%. % 2000 2007 increase United States 22.0% 31.8 % 44.5% New York State 24.7% 33.7 % 36.4% % manhattan 2000 2007 increase New York Downtown Hospital 11.1% 22.3% 100.9% Roosevelt Hospital 28.7% 25.0% — Bellevue Hospital 18.4% 27.3% 48.4% Metropolitan Hospital Center 25.3% 28.1% 11.1% Beth Israel Hospital 24.0% 29.8% 24.2% NY Hosp./The Allen Pavilion 22.9% 29.7% 29.7% Harlem Hospital Center 23.0% 29.9% 30.0% St. Vincent’s Hospital 24.9% 30.0% 20.5% St. Luke’s Hospital 26.2% 30.1% 14.9% Mount Sinai Hospital 23.7% 32.7% 38.0% New York Univ. Medical Center (Tisch Hospital) 25.6% 33.5% 30.9% Columbia Presbyterian Medical Center 29.2% 39.0% 33.6% NY Hospital/ Weill Cornell Medical Center 28.3% 39.2% 38.5% Lenox Hill Hospital 29.8% 40.1% 34.6% % queens 2000 2007 increase Queens Hospital Center 18.5% 26.3% 42.2% Elmhurst Hospital Center 19.8% 27.1% 36.9% Forest Hills Hospital 34.5% 31.9% — NY Hosp/Med Ctr of Queens 25.3% 33.0% 30.4% St. John’s Episcopal Hosp South Shore Division 25.2% 36.8% 46.0% St. John’s Queens Hospital 23.4% 37.8% 61.5% Jamaica Hospital 28.1% 39.1% 39.1% Flushing Hosp/Med Ctr 30.7% 39.4% 28.3% Long Island Jewish Med Ctr 27.4% 40.3% 47.1% % staten island 2000 2007 increase Staten Island Univ Hosp 22.3% 23.6% 5.8% Richmond Univ Med Ctr 34.7% 44.7% 28.8% % brooklyn 2000 2007 increase Maimonides Med Center 14.9% 20.9% 40.3% Woodhull Medical & Mental Health Center 24.2% 24.3% 0.4% Kings County Hospital 21.2% 30.5% 43.9% Lutheran Medical Center 24.6% 30.5% 24.0% Victory Memorial Hospital 32.6% 30.8% — Wycoff Heights Hospital 24.2% 33.2% 37.2% Brooklyn Hospital Center 29.6% 34.0% 14.9% Coney Island Hospital 19.7% 34.4% 74.6% Long Island College Hosp 31.1% 38.4% 23.5% Brookdale Univ Hosp Med Ctr 24.1% 39.8% 65.1% NY Methodist Hospital 28.5% 39.8% 39.6% Univ. Hospital of Brooklyn 26.4% 40.2% 52.3% % bronx 2000 2007 increase North Central Bronx Hospital 17.4% 18.5% 6.3% St. Barnabas Hospital 20.1% 20.7% 3.0% Jacobi Hospital 14.1% 24.1% 70.9% Our Lady of Mercy Med Ctr 24.1% 30.1% 24.9% Lincoln Medical & Mental Health Center 23.8% 30.7% 29.0% Bronx Lebanon Hospital 21.0% 31.3% 49.0% Weiler Hospital 22.6% 31.6% 39.8% % westchester 2000 2007 increase Phelps Mem Hosp Assn- North Tarrytown 18.9% 25.2% 33.3% Hudson Valley Hospital Ctr- Cortlandt Manor 26.7% 36.0% 34.8% North Westchester Hospital- Mount Kisco 28.1% 39.5% 40.6% White Plains Hospital Ctr- White Plains 31.5% 43.6% 38.4% St. Johns Riverside Hospital-Yonkers 22.4% 45.1% 101.3% cesareansection rates for new york metro hospitals comparative: 2000 & 2007* 16.17the NEW YORK GUIDE to a HEALTHY BIRTH know your legal rights This is a compilation of federal and New York State laws on a variety of topics relevant to maternity care and rights. The information below is adapted from various texts and is not intended to be legal advice. respect and nondiscrimination • You have the right to receive considerate and respectful care in a clean and safe environment free of unnecessary restraints. • You have the right to receive treatment without discrim- ination as to race, color, religion, sex, national origin, disability, sexual orientation or source of payment. • www.health.state.ny.us/nysdoh/hospital/english2.htm#regulations consistent and timely treatment • You have the right to be treated in a hospital if you arrive in active labor, unless the staff transfers you in a safe and timely manner. You are to be cared for from the time of contractions through the delivery of the baby and the placenta. • You have the right to a health care professional who does not abandon or neglect you when you are in need of immediate professional care, without making reasonable arrangements for the continuation of such care. The health care professional must not abandon his/her practice without reasonable notice if this will seriously impair the delivery of professional care to patients or clients. • www.emtala.com • www.op.nysed.gov/part29.htm informed decision making • You have the right to participate in decisions about your health care and to understand what you are being told about your care and treatment. • You have the right to receive all the information that you need to give informed consent for any proposed procedure or treatment. This information shall include the possible risks and benefits of the procedure or treatment. • You have the right to refuse treatment and to be told what effect this may have on your health. • You have the right to complain [without fear of reprisal] about the care and services you are receiving and to have the hospital respond to your complaint in writing. If you are not satisfied with the hospital’s response, *At printing, the most recent data available from the New York State Department of Health was for births occurring in 2007. For 2000-2007 cesarean section statistics and to view the rates of other obstetrical interventions for hospitals in New York State, go to www.choicesinchildbirth.org. resources for learning more Childbirth Connection’s website at www.childbirthconnection.org includes many resources to help pregnant women learn more about cesarean section and other childbearing topics. Resources include What Every Pregnant Woman Needs to Know About Cesarean Section and results from the Listening to Mothers I and II surveys. For additional information about cesarean section and vaginal birth after cesarean (VBAC), visit the International Cesarean Awareness Network, Inc. at www.ican-online.org or visit the New York City chapter at www.freewebs.com/icanofnyc. cesarean section rates (cont’d) % westchester (cont’d) 2000 2007 increase Westchester County Medical Center-Valhalla 42.9% 47.5% 10.7% Lawrence Hospital-Bronxville 34.4% 52.7% 53.2% % long island 2000 2007 increase nassau Nassau University Med Ctr- East Meadow 23.7% 30.9% 30.4% South Nassau Community Hospital-Oceanside 30.3% 40.2% 32.7% North Shore University Hospital-Manhasset 30.2% 41.8% 38.4% Mercy Med Ctr-Rockville Ctr 31.8% 43.2% 35.8% Winthrop-University Hospital-Mineola 27.8% 44.4% 59.7% North Shore University Hospital-Plainview 30.5% 46.7% 53.1% suffolk Brookhaven Memorial Hospital-Patchogue 25.2% 23.7% — Southampton Hospital- Southampton 31.3% 33.9% 8.3% Peconic Bay Medical Center 29.8% 38.6% 29.5% Southside Hospital-Bay Shore 28.8% 38.9% 35.1% Univ Hospital-Stony Brook 33.8% 40.6% 20.1% Huntington Hospital- Huntington 29.4% 42.9% 45.9% St. Charles Hospital- Port Jefferson 30.5% 47.3% 55.1% St. Catherine of Siena Hospital-Smithtown 30.4% 49.0% 61.2% Good Samaritan Hospital- West Islip 32.7% 49.1% 50.2% 18.19the NEW YORK GUIDE to a HEALTHY BIRTH know your legal rights (cont’d) you can complain to the New York State Health Department by calling 1-800-804-5447 or writing to: NYS Dept. of Health, Centralized Hospital Intake Program, 433 River Street, 6th floor, Troy, New York 12180. • www.health.state.ny.us/nysdoh/hospital/english1.htm • www.health.state.ny.us/nysdoh/hospital/english2.htm#regulations •www.health.state.ny.us/nysdoh/consumer/director/hospcare.htm maternity information act • The Maternity Information Act, enacted in New York State in 1989, requires hospitals and birth centers to provide a brochure for expectant parents and the public. The brochure should provide intervention definitions and the most recent annual rates of induction of labor, cesarean section, episiotomy and other obstetrical interventions; the hospital’s percentage of vaginal births after cesarean (VBAC) and vaginal breech deliveries; and other information including the percentage of midwife attended deliveries and the availability of rooming-in (keeping your baby with you after birth). If you have given birth within the last three years and you did not receive a document with this information, you can make a complaint to the Civil Rights Bureau of the NY Attorney General’s office by calling: 212.416.8250. To learn more about the Maternity Information Act and about Choices in Childbirth’s work to ensure that the Act is enforced, please visit www.choicesinchildbirth.org. • www.health.state.ny.us/nysdoh/hospital/english3.htm#maternity • www.health.state.ny.us/facilities/hospital/maternity/public_ health_law_section_2803-j.htm insurance coverage for home birth • If you choose a home birth with a qualified midwife, you have the right to have your maternity care and birth paid for by your health insurance company even if it takes place with an out-of-network provider. If your insurance company does not provide a home birth midwife in-network, they must cover the home birth midwife of your choice at in-network rates, so long as this provider meets the minimum requirements of the plan. •www.ins.state.ny.us/ogco2005/rg050409.htm maternity leave • You may be entitled to up to 12 weeks of unpaid, job- protected leave under the Family and Medical Leave Act. This federal law applies to both women and men who work in a public agency, school or a company with 50 or more employees within 75 miles. The leave can be used for pregnancy complications as well as for the birth and care of your newborn. • You have the right to claim Disability Benefits for the period you are unable to work due to pregnancy complications, birth and the postpartum period (up to 26 weeks). • If you are unemployed or leave your job due to your pregnancy, you have the right to claim benefits according to the same rules that apply to other claimants. It is illegal for you to be denied benefits because of your pregnancy. • www.dol.gov/dol/topic/benefits-leave/fmla.htm • www.dol.gov/compliance/laws/comp-fmla.htm • www.wcb.state.ny.us/content/main/offthejob/Common Questions_DB.jsp • www.nysegov.com/citguide.cfm?ques_id=528&super-cat= 36&cat=344&content=relatedfaqs breastfeeding • You have the right to breastfeed your child in any location in New York State, public or private, regardless of whether or not your nipple is covered during or incidental to the breastfeeding. • Breastfeeding is not considered by New York State as exposure of a person. • You have the right to breastfeed your child at any location in a federal building or on federal property, as long as you and your child are otherwise authorized to be present at the location. • You have the right to time and private space to pump breast milk in your workplace until your child is three years old. You may use either existing paid breaks or uncompensated additional time. Your employer must not discriminateagainst you for exercising this right. • If you are the inmate of a correctional institution with a nursing child under the age of one year, you have the right to have your child accompany you to the institution, so long as you are physically fit to have the care of this child. • www.llli.org/law/bills30.html international breastfeeding icon This symbol indicates baby-friendly areas and breastfeeding-friendly facilities, as well as increasing aware- ness of breastfeeding. 20.21the NEW YORK GUIDE to a HEALTHY BIRTH As recently as 1995, one out of four women with a prior cesarean had a vaginal birth after cesarean (VBAC). But today, the VBAC rate has plummeted to less than one in ten. This is mainly as a result of several factors, including highly-publicized (and largely unfounded) fears about the supposed “dangers” of VBAC, resistance by malpractice insurers to cover VBAC and the high profitability of repeat cesareans. As the cesarean rate continues to climb year after year, it becomes increasingly important for women to have access to VBAC, and to more information about the benefits and risks of VBAC and repeat cesarean. low risk of uterine rupture The single most controversial issue regarding VBAC is the possibility of a uterine rupture, the separation of the uterine scar from a prior cesarean during labor or birth. The risk is less than 1% for women with one prior low-segment horizontal uterine scar, and 60 to 75% of mothers who choose VBAC successfully avoid a repeat cesarean. In addition, the likelihood of having a safe VBAC actually increases with each subsequent labor and birth. repeat cesarean is not necessarily safer While some argue that VBAC is unsafe, the truth is there is no evidence that routine repeat cesarean is any safer than a planned VBAC. To the contrary, there is plenty of evidence about the risks of repeat cesarean delivery, including: •Higher risk of infection, adhesions, intestinal obstruction, chronic pain, ectopic pregnancy and placental problems compared to mothers who have a successful VBAC. •Increased risk for hemorrhage severe enough to require a blood transfusion due to placental problems from accumulating cesareans. •Higher likelihood of being re-hospitalized for complications related to the surgery. •Decreased fertility and increased risk of miscarriage in future pregnancies. •Greater likelihood of difficulty with mother-infant attachment as well as establishing and continuing breastfeeding. •Elevated risk for prematurity and serious neonatal respiratory problems in baby. what if the uterine scar gives way? Even though the risk is very low, uterine rupture is a serious complication associated with VBAC and requires immediate medical attention. If the uterine scar gives way, a rapid cesarean is necessary. With a rapid cesarean, mothers and babies usually have favorable outcomes, although sometimes serious complications can arise. For most women, having a VBAC is safer than having a repeat cesarean and it increases the safety of any future pregnancies and births for you and your baby. For a more complete comparison of the relative risks and benefits of VBAC and cesarean, visit www.childbirthconnection.org. Ultimately, the choice is up to you, your partner and your care provider whether VBAC is right for your upcoming birth. Arm yourself with as much information as possible about the benefits and risks of VBAC to help you make an informed choice. Nicette Jukelevics, MA, ICCE has taught perinatal, childbirth and VBAC classes for over thirty years. She is the author of Understanding the Dangers of Cesarean Birth: Making Informed Decisions. You can find many resources about lowering your odds for a cesarean and planning a VBAC at www.dangersofcesareanbirth.com, www.vbac.com and www.childbirthconnection.org. vbac: a safe alternative to repeat cesarean by Nicette Jukelevics, MA, ICCE D ar ya nn os , 3 y ea rs a nd D an ny , 4 m on th s Joy and Xiana, 1 month old (© Leah Michaelson) I am unearthed and unprepared I have no inhibitions as you can see as my face reddens as I grunt and groan or how about when I laugh uncontrollably unrefined do you mind? that I am rule-less and clueless and have a cry so perfected that it drills into your sleep and cracks open your eyes and (as though that wasn’t enough) gift you with aromas that unhinge your breath and make you blind do you mind? if I decorate you with curdled milk or sleep on your chest or make your name my first word or get crabby and whine when I fall onto the floor kicking and screaming that you count beyond three (maybe make it to ten) to untangle your thoughts and allow the gentle emergence of creative consequences to unwind do you mind? for I am yet unearthed unprepared and uninhibited unstitched one day at a time and need this wrap of innocence do you mind? – MTC 05/09 the NEW YORK GUIDE to a HEALTHY BIRTH 24.25 Acupuncture Acupuncture and Healing Arts of Park Slope Over 15 years experience treating women in pre-pregnancy, pregnancy, labor preparation and postpartum. This includes menstrual issues, infertility, nausea, pain, fatigue, edema etc. Offering neuro-emotional technique to facilitate emotional preparedness for this major life change. Name: Helene Kostre, L.Ac./M.S. Address: 313 7TH STREET BROOKLYN, NY 11215 Phone: 718.965.9458 Email: hkostre@parkslopeacupuncture.com Web site: www.parkslopeacupuncture.com Ancient Current Acupuncture & Chinese Herbs Laurel Axen Carroll empowers your journey into motherhood by using acupuncture, herbs, massage, nutrition and labor support. Her holistic treatments facilitate a smooth transition from conception through gestation, labor, postpartum recovery and beyond. Name: Laurel Axen Carroll, L.Ac, CD(DONA) Address: 1318 AVENUE H BROOKLYN, NY 11230 Phone: 917.862.7589 Email: laurel@ancientcurrent.com Web site: www.ancientcurrent.com Anna Panettiere, MS, L.Ac Acupuncture and Chinese herbal medicine for many women’s health issues including infertility, morning sickness, back pain during pregnancy, delayed labor, breech presentation, uterine fibroids, endometriosis and polycystic ovary syndrome. Address: 154 W. 14TH STREET FOURTH FLOOR NEW YORK, NY 10011 Phone: 646.486.5756 917.868.9277 Email: annapanettiere@aol.com Web site: www.aphealingarts.com Acupuncture Birth Center bodywork: Abdominal Massage Craniosacral Therapy Massage Therapy Physical Therapy Reflexology Reiki Breastfeeding Support Childbirth Education Chiropractic Care doula: Labor Support Postpartum Support First-Aid Homeopathy Midwifery Care Natural Fertility Counseling Nutrition Obstetric Care Pediatric Care Prenatal/Postpartum Counseling Well-Woman Gynecological Care Yoga & Fitness provider listings disclaimer: The Guide to a Healthy Birth (the “Guide”) is a compilation of providers who have both submitted their information for inclusion in this Guide edition and have indicated they provide services related to pregnancy. Choices in Childbirth (“CiC”) does not recommend nor endorse the competence or expertise of anyone listed and shall not be responsible, directly or indirectly, for any damages or loss caused or alleged to be caused by or in connection with the use of or reliance on any provider in this Guide. Si ri, 2 m on th s ol d 26.27the NEW YORK GUIDE to a HEALTHY BIRTH Element Natural Healing Arts Acupuncture and herbal treatments focusing on pre- and postnatal care, women’s health, infertility, and menstrual irregularities. We collaborate with other healthcare professionals to provide an integrated approach to medicine and overall health and wellness. Address: 518 HENRY STREET BROOKLYN, NY 11231 Phone: 718.855.4850 Email: info@elementhealing.com Web site: www.elementhealing.com Five Seasons Healing I provide gentle yet effective care for women and children using acupuncture, Chinese herbs, massage, reiki and nutritional therapy. I offer fertility/pregnancy care, labor preparation,doula support and postpartum care for mother and newborn. Name: Sharon Yeung, MS, L.Ac, Doula Address: 80 E. 11TH STREET SUITE 407 NEW YORK, NY 10003 Phone: 917.538.5755 Email: sharon@fiveseasonshealing.com Web site: www.fiveseasonshealing.com Laura Gabbe, MS, L.Ac More than 15 years experience, acupuncture and Chinese herbs for women’s health. I specialize in treating women: pre-pregnancy, infertility, IVF, pregnancy, pre-birth, delayed labor and postpartum. Relaxing and effective treatments for women and their families. Address: 329 ATLANTIC AVENUE BROOKLYN, NY 11201 Phone: 718.596.6774 Email: lgabbelac@erols.com Web site: www.providencedayspa.com Sujaan M. Grimson, L.Ac, MTCM I provide an integrative approach to the body based on traditional Chinese medical diagnosis utilizing acupuncture/pressure, Chinese herbs, craniosacral therapy and nutrition. I specialize in women’s health including gynecology/fertility, pregnancy, birth and postpartum issues. Address: 440 W. 34TH STREET SUITE 6G NEW YORK, NY 10001 Phone: 212.563.0069 Email: sujaanny@gmail.com Acupuncture (cont’d) AXIOM Acupuncture Wellbeing Nationally certified and extensively trained, Stephen is focused on meaningful contributions to your wellbeing. Integrating into your healthcare team, he provides holistic fertility, pregnancy, labor and postpartum support through acupuncture, herbal prescriptions and other modalities. Name: Stephen F. Cohen, MS, L.Ac Address: 1133 BROADWAY SUITE 1107 NEW YORK, NY 10010 Phone: 917.499.6388 Email: stephen@axiomacupuncture.com Web site: www.axiomacupuncture.com Ayla Acupuncture & Chinese Herbs I offer gentle and comprehensive women’s health care throughout the life cycle from fertility and pregnancy support to stress reduction, labor preparation and postpartum care. Modalities include acupuncture, herbs, Chinese massage and nutritional counseling. Address: 12 W. 27TH STREET NINTH FLOOR NEW YORK, NY 10001 Phone: 917.331.2694 Email: ayla@aylayavin.com Web site: www.aylayavin.com Melani Bolyai, L.Ac, CD(DONA) As an acupuncturist, herbalist and childbirth doula I specialize in women’s healthcare. From conception to pregnancy, delivery and postpartum recovery, my practice provides a nurturing space to safely and naturally support your journey to motherhood. Address: 80 E. 11TH STREET SUITE 407 NEW YORK, NY 10003 Phone: 917.533.2097 Email: melani@naturalqi.com Web site: www.naturalqi.com Suzanne Connole, L.Ac I use acupuncture and Chinese herbs to assist women through all stages of life: menstrual irregularities, infertility, pregnancy, postpartum and menopause. I focus on using Chinese medicine to support pregnancy and promote natural delivery. Address: 250 5TH AVENUE SUITE 507 NEW YORK, NY 10001 Phone: 917.620.2790 Email: suzconnole@verizon.net provider listings 28.29the NEW YORK GUIDE to a HEALTHY BIRTH Patricia Cassidy Acupuncture, PC I work with acupuncture and Chinese herbal medicine to promote long-term health for women (and their families!). Nurturing healthy pregnancies and efficient natural births. Providing pain relief and addressing postpartum and other gynecological concerns. Phone: 917.202.7418 Email: pcassidy43@hotmail.com Meg Richichi, MS, L..Ac I blend Eastern and Western modalities by applying knowledge of acupuncture, nutrition, herbology and mainstream medicine as they relate to health. I’m founder of Mother’s Path, a unique approach to enhancing female and male fertility. Name: Meg Richichi Address: 1123 BROADWAY SUITE 319 NEW YORK, NY 10010 Phone: 212.358.0113 Email: megqi@hotmail.com Web site: www.megrichichi.com Sage Wellness Sage Wellness is a patient-focused women’s health practice in New York City. We support women in all stages of their health including fertility, menstrual disorders, general well-being, anxiety, stress, pregnancy and postpartum care. Name: Deborah Valentin, L.Ac Address: 80 E. 11TH STREET SUITE 407 NEW YORK, NY 10003 Phone: 917.763.8560 Email: deb@sage-wellness.com Web site: www.sage-wellness.com Acupuncture (cont’d) Mia Hatgis, L.Ac I use acupuncture, Chinese herbs, aromatherapy and imagery to help empower women in preparation for conception, during the course of their pregnancies, during labor itself and as a way to ease into postpartum life. Address: 73 SPRING STREET SUITE 201 NEW YORK, NY 10012 Phone: 917.428.6909 Fax: 212.966.0626 Email: acumamamia@yahoo.com Jean Chuang Menges, L.Ac, PC Holistic practice offering in-office and remote healing services in acupuncture, energetic medicine, community healing, intuitive coaching, and nutritional support. Our products and services focus on heart-centered treatment and care for Whole Woman and Child. Phone: 212.327.0898 Email: jean@jeanmenges.com Web site: www.nycforhealing.org Moonflower Acupuncture I offer acupuncture, herbal medicine, shiatsu, reiki and doula services to help support clients in their journey through pregnancy, childbirth and postpartum times. Name: Michelle LaDue, L.Ac, Doula Address: 455 W. 23RD STREET SUITE 1E NEW YORK, NY 10011 Phone: 718.415.1583 Email: moonflower7@earthlink.net Web site: www.moonfloweracupuncture.com Park Slope Acupuncture & Chinese Herbs A women’s health-focused acupuncture and Chinese herbs practice, skilled in prenatal and postpartum care. Chinese medicine supports a healthy pregnancy, natural birth and better long-term health for mother and baby. We treat children too! Name: Sarah E. Rivkin, MS, L.Ac, Dipl. OM Address: 488 CARROLL STREET FIRST FLOOR BROOKLYN, NY 11215 Phone: 718.309.0432 Email: info@slopeacupuncture.com Web site: www.slopeacupuncture.com provider listings C ha rlo tt e, 2 y ea rs o ld , w ith E m ili e, 1 w ee k ol d 30.31the NEW YORK GUIDE to a HEALTHY BIRTH Birth Center Brooklyn Birthing Center The BBC has individual bedrooms, a bath with large tub and a kitchen to provide the home-like setting integral to its mission: to provide families with the kind of birth experience they most wish to have. Address: 2183 OCEAN AVENUE BROOKLYN, NY 11229 Phone: 718.376.6655 Email: brooklynbirthingcenter@yahoo.com Web site: www.brooklynbirthingcenter.com Gouverneur-Bellevue Midwifery Practice Care at Gouverneur Healthcare Services and Bellevue Hospital. Birth at Bellevue in the Birth Center or Labor & Delivery depending on normalcy of pregnancy. Insurances: PCAP, Medicaid, MetroPlus, Healthfirst, GHI, HIP, and other insurance plans. Name: Richard Jennings, CNM, MS Director of Midwifery, Bellevue Birth Center and Gouverneur Healthcare Services Address: 227 MADISON STREET NEW YORK, NY 10002 Phone: 212.238.7888 Email: richard.jennings@nychhc.org Web site: www.nyc.gov/html/hhc/html/services/labor-delivery.shtml Morris Heights Women’s Health & Birthing Pavilion Serving women from adolescence through the childbearing years, menopause and beyond. Family-centered free-standing birthing center with caring, experienced multilingual midwives. Name: Susan Billinghurst-Hamlet, MPH, PA-C Address: 70 W. BURNSIDE AVENUE BRONX, NY 10453 Phone: 718.716.2229 Fax: 718.716.9201 Email: susanb@mhhc.org Web site: www.mhhc.org bodywork: Abdominal Massage Body Beloved Certified MAM fertility specialist, Karen’s holistic reproductive health practice takes women from conception through pregnancy and postpartum. Sessions include massage, counseling, self-care, and her experience as a birth doula and childbirth educator. Name: Karen Kelly, LMT Address: 290A 14TH STREET BROOKLYN, NY 11215 Phone: 845.641.0563 Email: doulawise@yahoo.com Web site: www.mayauterinemassage.com Massage & Healing Touch The techniques of Maya Abdominal Massage address position and health of the pelvic and abdominal organs. This external therapy can alleviate many common gynecological complaints such as: painful periods, endometriosis, bladder infections and infertility. Name: Karen Weston, LMT Address: 270 1ST AVENUE NEW YORK, NY 10009 Phone: 212.388.1923 Email: westonkaren@aol.comWeb site: www.massageandhealingtouch.com Pamela Morrison Physical Therapy, PC Advanced trained manual therapists treat infertility issues, IBS, optimize digestive and reproductive organ function, resolve endometriosis scar adhesions, pelvic and low back pain. Abdominal massage, craniosacral therapy, holistic integrative manual therapy approach to wellness. Name: Dr. Pamela Morrison, MS, PT, DPT, BCIA-PMDB, IMTC Address: 140 WEST END AVENUE SUITE 1K NEW YORK, NY 10023 Phone: 212.362.3022 Web site: www.pamelamorrisonpt.com provider listings R eb ec ca w ith L ila (© N ic ol e H ei db re de r) 32.33the NEW YORK GUIDE to a HEALTHY BIRTH Jane Gatanis, MS, OTR/L Craniosacral Therapist with 25 years of medical experience. Gentle techniques help newborn and mother achieve optimal recovery and health. Relief from birth trauma, feeding problems, colic, tortocolis and developmental issues. Out of network coverage. Address: 145 4TH AVENUE SUITE 14E NEW YORK, NY 10003 Phone: 212.674.6610 Email: jgatanis@earthlink.net Web site: www.integrativerehab.com True North Wellness Biodynamic craniosacral therapy and polarity therapy are available for babies, children and adults. Address stress- related conditions, digestive issues, sleep, structural balance and movement. Resolve birth related trauma. Recover from injuries. Balance overall energy dynamics. Address: 61 TOMPKINS PLACE BROOKLYN, NY 11231 Phone: 718.643.6064 Web site: www.truenorthwellness.com bodywork: Massage Therapy Breathing Room Robin’s healing hands offer deep, specific, relaxing prenatal massage to alleviate pregnancy discomforts and to enhance an expecting mother’s sense of well-being. Postpartum massage offers essential relief from physical and emotional stress. Name: Robin Gillies, LMT Phone: 917.617.1153 Email: robin@breathingroomnyc.com Web site: www.breathingroomnyc.com Chelsea/Carroll Gardens Therapeutic Bodywork Certified to support women through all stages of pregnancy, Reid uses massage, myofascial and craniosacral techniques to relax muscles, increase circulation and maintain balance as women’s bodies change. He also teaches body mechanics and massage. Newborns welcome. Additional location Carroll Gardens, Brooklyn. Name: Reid Bruggemann, LMT, RYT Address: 112 W. 27TH STREET NEW YORK, NY 10001 Phone: 917.488.2471 Email: reid525@gmail.com bodywork: Abdominal Massage (cont’d) Renew Physical Therapy, PC Maya Abdominal Massage with visceral mobilization to help re-align your uterus and bladder in the prenatal and postpartum period. Break up scar adhesions, relieve pain, lymph and energy blockages. Restore your pre-pregnancy shape. Name: Isa Herrera, MSPT, CSCS Address: 149 MADISON AVENUE SUITE 903 NEW YORK, NY 10016 Phone: 1.877.RenewPT Email: info@renew-pt.com Web site: www.renew-pt.com bodywork: Craniosacral Therapy Celebration of Life Prenatal Craniosacral Therapy provides comfort, alignment of the spine and pelvis, helps to turn breech babies to the vertex position, relaxes and relieves stress and strain patterns throughout the mind and body. Name: Deborah Badran, RCST ®, CD(DONA), RM Phone: 212.753.8160 Email: debbadran@aol.com Karen Erickson, DC I specialize in gentle chiropractic and craniosacral therapy for infants and children as well as pregnant and postpartum women. Emphasis is put on home care to extend the benefit of sessions. Address: 127 W. 79TH STREET SUITE 4 NEW YORK, NY 10024 Phone: 212.721.0177 Fax: 212.579.6236 Email: drkarenerickson@msn.com provider listings 34.35the NEW YORK GUIDE to a HEALTHY BIRTH Element Natural Healing Arts Specialized pre- and postnatal massage individually tailored for specific health concerns before, during and after pregnancy. We collaborate with other healthcare professionals to provide an integrated approach for overall health and wellness. Address: 518 HENRY STREET BROOKLYN, NY 11231 Phone: 718.855.4850 Email: info@elementhealing.com Web site: www.elementhealing.com Barbara Federspiel, LMT Located in a full service perinatal office, Barbara specializes in prenatal and postpartum massage with a whole body approach tailored to each family’s unique birth experience. Address: 455 W. 23RD STREET APT. 1E NEW YORK, NY 10011 Phone: 212.330.7750 917.822.5107 Email: babaf99@hotmail.com bodywork: Massage Therapy (cont’d) Elise Constantine, Prenatal and Postnatal Massage Therapist Licensed Massage Therapist specializing in prenatal and postnatal massage since 1999. Sessions take place in a peaceful Union Square office. Home visits also available. See website for prenatal yoga class schedule. Address: 80 5TH AVENUE SUITE 906 NEW YORK, NY 10011 Phone: 917.769.4926 Email: elise@yogamassagenyc.com Web site: www.yogamassagenyc.com Dharma Healing Arts Studio Licensed massage therapists certified in prenatal and postnatal massage, a holistic and natural way to experience relief and repose during the fertility/conception stages, second and third trimesters of pregnancy and after. Address: 331 COURT ST BROOKLYN, NY 11231 Phone: 718.237.3139 Web site: www.dharmanyc.com Pamela Dryden, LMT, MLD An excellent support during pregnancy is a full body manual lymph drainage massage to decongest, detoxify, reduce swelling and create relaxation. Certified from the Dr.Vodder school with 15 years’ experience. Address: 346 E. 51ST STREET APT. 3R NEW YORK, NY 10022 Phone: 212.688.3746 Email: pamelaink@cs.com EarthySoul Providing professional and specialized pre- and postnatal massage therapy in your home or at my office. Specialized cushioning system enables you to receive your massage on your belly! Birth and postpartum doula services available. Name: Eileen Togher, LMT Address: 80 E. 11TH STREET NEW YORK, NY 10003 Phone: 718.249.6080 Email: eileen.togher@gmail.com Web site: www.earthysoul.com provider listings C ol le en 36.37the NEW YORK GUIDE to a HEALTHY BIRTH The Mothers’ Room Certified in prenatal and postpartum massage, Laura brings 22 years’ experience and training with prenatal/postpartum mothers to the table. Massage is performed with the Body Support Cushion so the mother can lie face down comfortably. Name: Laura Favin, LCSW, LMT Address: 220 W. 71ST STREET SUITE 2 NEW YORK, NY 10023 Phone: 917.209.6534 Email: themothersroom@aol.com Pamela Morrison Physical Therapy, PC Advanced trained manual therapists provide expert care in prenatal and postpartum therapeutic massage. Relax sore muscles, improve circulation, reduce swelling. Body mechanics, supportive garments. Correct pelvic alignment prior to delivery to enhance ease of labor/delivery. Name: Dr. Pamela Morrison, MS, PT, DPT, BCIA-PMDB, IMTC Address: 140 WEST END AVENUE SUITE 1K NEW YORK, NY 10023 Phone: 212.362.3022 Web site: www.pamelamorrisonpt.com Park Slope Doulas & Massage Therapy Massage therapy benefits many of the common discomforts associated with pregnancy. Prenatal and postpartum massage are gentle techniques which relax tired muscles, improve circulation and reduce anxiety. Please check our website for more details. Name: Stana Weisburd, LMT Address: SERVING BROOKLYN & MANHATTAN SINCE 1999. BROOKLYN, NY 11215 Phone: 917.575.1227 Email: stanadoula@yahoo.com Web site: www.parkslopedoulas.com bodywork: Massage Therapy (cont’d) Sandra Jamrog Bodywork sessions based on the work of Bonnie Bainbridge Cohen (Body Mind Centering) and Integrative Acupressure for adults and infants. Phone: 212.866.8257 Email: sandrajamrog@me.com Massage & Healing Touch Karen has been providing pregnancy massage to NYC clients for over eight years. She brings a compassionate and healing touch to her pregnant clients, specializing in prenatal, labor support instruction, postpartum and massage for newborns. Name: Karen Weston, LMT Address: 270 1ST AVENUE NEW YORK, NY 10009 Phone: 212.388.1923 Email: westonkaren@aol.com Web site: www.massageandhealingtouch.com Maternal Massage and More Specializing in prenatal, labor support, postpartum and babymassage. You will be able to lay comfortably and safely on your belly throughout your pregnancy. We will cater all treatments to your specific needs. Name: Janet V. Markovits, LMT Address: 73 SPRING STREET NEW YORK, NY 10012 Phone: 212.533.3188 Email: janet@maternalmassageandmore.com Web site: www.maternalmassageandmore.com Mind Your Body Massage Blending therapeutic massage with Polarity energy work, my sessions seek to not only ease the aches and pains of pregnancy but to support a relaxed and flowing energy system. Prenatal and postpartum. Infant Massage instruction. Name: Niseema Dyan Diemer, LMT, APP Address: 37 1ST AVENUE SUITE 5 NEW YORK, NY 10003 Phone: 917.626.3799 Email: niseema@mindyourbodymassage.com Web site: www.mindyourbodymassage.com provider listings Ja sp er , 1 y ea r o ld 38.39the NEW YORK GUIDE to a HEALTHY BIRTH Subtle Harmony Physical Therapy Osteopathic manual approach: cranial-sacral, visceral mobilizations, myofascial release. Private, one-on-one and gentle treatments for infants, children and women (pregnancy-related issues, postpartum difficulties, pelvic floor dysfunctions, low back pain, scar adhesions, headaches, reflux). Name: Anne Marie Almirol, DPT Address: 10 PLAZA STREET SUITE 1C BROOKLYN, NY 11238 Phone: 347.423.3625 Email: almirol@verizon.net Lara Kohn Thompson Physical care and training for postpartum and beyond. Offering individualized care addressing issues such as pelvic floor retraining, sacroiliac instability, core strengthening. Using imagery, breath and postural work to access specific muscle groups and incorporating this specific work into a holistic awareness of the body. Phone: 917.750.6080 Web site: www.essentialyogabrooklyn.com bodywork: Reflexology Angelique Clarke Specializing in maternity reflexology, I am nationally certified and a labor doula. I work with mothers before, during and after pregnancy. Offering house calls, I incorporate imagery into our sessions, providing relief, relaxation and more. Address: 316 E. 19TH STREET SUITE 1R NEW YORK, NY 10003 Phone: 646.805.8474 Email: angie@angiedoesfeet.com Web site: www.angiedoesfeet.com EarthySoul ARCB Board Certified Reflexologist. Reflexology can help relieve many pregnancy related symptoms and help with postpartum recovery. Birth and postpartum doula services available. Name: Eileen Togher, LMT Address: 80 E. 11TH STREET NEW YORK, NY 10003 Phone: 718.249.6080 Email: eileen.togher@gmail.com Web site: www.earthysoul.com bodywork: Physical Therapy Comprehensive Movement Therapy Licensed physical therapist with specialized perinatal training for all trimesters, postpartum and bedrest. Created Comprehensive Movement Therapy synthesizing 30 years experience in yoga, tai chi ch’uan, and body therapies with cutting-edge physical therapy approaches. Name: Julie Sandler-Friedman, PT, MS Address: 27 W. 96TH STREET NEW YORK, NY 10025 Phone: 212.864.2634 Fax: 212.989.2334 Email: sandlerfriedman@yahoo.com Web site: www.comprehensivemovementtherapy.com Pamela Morrison Physical Therapy, PC Expert manual therapists provide holistic care for women’s health issues: prenatal, postpartum, labor prep exercises, pelvic floor rehab, incontinence, painful intercourse, scar pain, sciatica, carpal tunnel, diastasis recti, breast pain. Biofeedback, pain modalities, caring hands. Name: Dr. Pamela Morrison, MS, PT, DPT, BCIA-PMDB, IMTC Address: 140 WEST END AVENUE SUITE 1K NEW YORK, NY 10023 Phone: 212.362.3022 Web site: www.pamelamorrisonpt.com Renew Physical Therapy, PC Comprehensive pain relief for conditions relating to pregnancy and postpartum recovery. We teach you to heal yourself and involve your partner. Relief for sciatica, pubic symphysis, scar and sexual pain, prolapse, incontinence and more. Additional location Park Slope, Brooklyn. Name: Isa Herrera, MSPT, CSCS Address: 149 MADISON AVENUE SUITE 903 NEW YORK, NY 10016 Phone: 1.877.RenewPT Email: info@renew-pt.com Web site: www.renew-pt.com provider listings 40.41the NEW YORK GUIDE to a HEALTHY BIRTH bodywork: Reiki Be Reiki Reiki energy supports our natural ability in every phase of life to receive gentle healing vibration. Marcia offers both Reiki trainings and individual healing sessions. Fees are on a sliding scale. Name: Marcia S. Bernstein Phone: 718.764.4005 Email: bereiki@marciabernstein.com Web site: www.marciabernstein.com EarthySoul Reiki focuses on the human energy system as a whole: physical, mental, emotional and spiritual, bringing about harmony and balance from within. House calls, in-office and distant healing offered. Birth and postpartum doula services available. Name: Eileen Togher, LMT Address: 80 E. 11TH STREET NEW YORK, NY 10003 Phone: 718.249.6080 Email: eileen.togher@gmail.com Web site: www.earthysoul.com Breastfeeding Support 92nd Street Y Meet with other moms, babies and a lactation specialist to discuss topics including the emotional ups and downs of breastfeeding, what happens when your milk supply is weak and how to juggle breastfeeding and work. Meets every Thursday at 12:30pm. Address: 1395 LEXINGTON AVENUE NEW YORK, NY 10028 Phone: 212.415.5611 Web site: www.92Y.org Baby In The Family, LLC I offer prenatal newborn care, breastfeeding workshops and breastfeeding support circles around the city. A holistic approach to breastfeeding and nurturing your baby that is designed to meet your family’s needs. 20 years experience. Name: Andrea Syms-Brown, IBCLC, RLC, CIMI Phone: 917.864.7457 Email: info@babyinthefamily.com Web site: www.babyinthefamily.com bodywork: Reflexology (cont’d) Element Natural Healing Arts Specialized maternity reflexology to support and balance the body, focusing on specific health concerns before, during and after pregnancy. We collaborate with other healthcare professionals to provide an integrated approach for overall health and wellness. Address: 518 HENRY STREET BROOKLYN, NY 11231 Phone: 718.855.4850 Email: info@elementhealing.com Web site: www.elementhealing.com Embrace Your Birth Reflexology during pregnancy can alleviate many discomforts such as back pain, swelling, headaches and more. It can help you sleep better, balance all your systems and is very relaxing. Reflexology naturally induces and augments labor. Name: Noga Kreiman-Miller Address: 650 UNION STREET BROOKLYN, NY 11215 Phone: 917.770.5204 Email: noga_kr@earthlink.net Web site: www.embraceyourbirthny.com provider listings Eu la , 2 y ea rs o ld w ith L ila h R os e, 3 w ee ks o ld 42.43the NEW YORK GUIDE to a HEALTHY BIRTH Realbirth Breastfeeding Clinics supervised by Lactation Consultants are an excellent way to get hands-on help with breastfeeding and all your questions answered. Get cost effective professional advice and support while meeting other moms for peer support. Name: Erica Lyon Address: 715 9TH AVENUE NEW YORK, NY 10010 Phone: 212.367.9006 Email: info@realbirth.com Web site: www.realbirth.com Kate Sharp I am an International Board Certified Lactation Consultant (since 1988) and provide home visits and phone help. Breastfeeding classes and support groups are also available. Phone: 212.595.1627 Email: katealma@earthlink.net Web site: www.katesharpibclc.com Breastfeeding Support(cont’d) Carole Kivett Blane, IBCLC I am a board certified Lactation Consultant and have been helping women with breastfeeding and parenting issues for 16 years. I do home visits and have offices in Hoboken and the Upper West Side. Address: 223 BLOOMFIELD AVENUE SUITE 114 HOBOKEN, NJ 07030 Phone: 917.407.1166 Email: carblane@aol.com Web site: www.breastfeedingnj.com Clearbirth Comprehensive birth, postpartum and breastfeeding support by certified lactation counselors and DONA- certified doulas. Workshops on babywearing, newborn care and infant potty practice. Homebirth insurance specialist and medical billing services. Name: Ina Bransome, Annette Perel and Haya Brant Phone: 646.708.5427 347.262.6321 Email: ina@clearbirth.comWeb site: www.clearbirth.com Ayelet Kaznelson, CLC, IBCLC Ayelet Kaznelson is an International Board Certified Lactation Consultant providing home consultations in Manhattan. She also runs a weekly postpartum breastfeeding clinic and teaches prenatal breastfeeding and newborn care classes at Realbirth. Phone: 917.620.4068 (cell) 212.252.8400 (vm) Email: ayelet@ayeletkaznelson.com Web site: www.ayeletkaznelson.com Leigh Anne O’Connor, IBCLC Leigh Anne offers a personalized approach to assist families in meeting their breastfeeding goals and to work through specific challenges. Home visits, classes and support groups in NYC. Address: 10 STUYVESANT OVAL SUITE 5B NEW YORK, NY 10009 Phone: 917.596.3646 212.529.4691 Email: leighanne625@rcn.com Web site: www.leighanneoconnor.com provider listings Sh ab na m w ith b ab y Si ta (© S ha ra F re de ric k) 44.45the NEW YORK GUIDE to a HEALTHY BIRTH Birthing With Hypnosis An evidenced based childbirth education program teaching gentle birthing techniques and self-hypnosis. Hypno- birthing reduces fear and anxiety about labor and birthing helping you to have the birth experience of your choice. Many insurance plans accepted. Name: Angela Monti Fox, LCSW Address: 156 5TH AVENUE SUITE 1208 #4 NEW YORK, NY 10011 Phone: 646.519.1076 Fax: 212.362.5762 Email: hypnobirthingnyc@aol.com Web site: www.birthingwithhypnosis.com Birthright Doula and Childbirth Education Offering birth doula services and Lamaze childbirth education designed to assist you in discovering the tools, strategies and comfort measures that will support and guide you through labor, birth and the early postpartum months. Name: Gabriela Ammann, CD(DONA), LCCE Address: 211 E. 3RD STREET APT. 1 BROOKLYN, NY 11218 Phone: 917.544.0656 Email: gabriela@birthright-doula.com Web site: www.birthright-doula.com Body Beloved There’s more to your pregnancy than pushing out the baby! With Birthing From Within, experience birth as a rite of passage, learn pain-coping skills, hypnosis, labor stages, breastfeeding and latest research. Private and small groups. Name: Karen Kelly, LMT Address: 290A 14TH STREET BROOKLYN, NY 11215 Phone: 845.641.0563 Email: doulawise@yahoo.com Web site: www.mayauterinemassage.com Bronx-Lebanon Family Health Centers Our childbirth classes are offered free of charge. We emphasize breastfeeding, options for natural birthing and family-centered healthcare. Women attending are offered doula services free of charge. Name: Scott Hartman, MD Address: 1276 FULTON AVENUE BRONX, NY 10019 Phone: 347.585.1819 718.901.6275 Fax: 718.901.8589 Email: shartman@bronxleb.org Childbirth Education 92nd Street Y Learn to recognize the signs and stages of labor, the benefits and risks of different birth technologies, pharmacological pain-coping options, the essentials of labor support and a broad range of pain-coping techniques. Address: 1395 LEXINGTON AVENUE NEW YORK, NY 10028 Phone: 212.415.5611 Web site: www.92Y.org A BabyMoon Doulas Private and group Lamaze classes designed to help you understand the birthing process and make informed choices so you can birth with joy and confidence. We also offer doula support for birth and postpartum. Name: Britt Sady Address: 279 W. 117TH STREET APT. 5N NEW YORK, NY 10026 Phone: 646.489.8837 Email: info@babymoondoulas.com Web site: www.babymoondoulas.com Bella Birth and Baby Bella Birth and Baby offers a variety of group and private classes covering pregnancy, birth and the postpartum period. Additional services include labor and postpartum support. Address: 329 E. 82ND STREET NEW YORK, NY 10028 Phone: 646.942.4473 Email: info@bellabirthandbaby.com Web site: www.bellabirthandbaby.com Birth Day Presence Our studio in Park Slope, Brooklyn, offers a full schedule of classes/workshops for all pregnancy and new parent needs. We also offer private childbirth preparation classes, birth and postpartum doulas and birth photography throughout NYC. Address: 291 8TH STREET BROOKLYN, NY 11215 Phone: 917.751.6579 Email: doulas@birthdaypresence.net Web site: www.birthdaypresence.net provider listings 46.47the NEW YORK GUIDE to a HEALTHY BIRTH Embrace Your Birth The journey to Ideal Birth travels through conscious exploration of beliefs, thoughts and fears. Holistic childbirth preparation provides release and resolution of mental-emotional blocks creating the clarity to birth and parent with confidence and joy. Name: Noga Kreiman-Miller Address: 650 UNION STREET BROOKLYN, NY 11215 Phone: 917.770.5204 Email: noga_kr@earthlink.net Web site: www.embraceyourbirthny.com Fig Tree Childbirth Services Small group and private childbirth classes in Brooklyn. 8 hour weekend intensives. Lots of discussion. Lots of useful information. And a positive spin on the birth experience! Sarah also offers labor and postpartum doula services. Name: Sarah Moore, MA, CD(DONA), CCE Phone: 347.262.0798 Email: sarahmoore44@yahoo.com Web site: www.figtreechildbirth.com Shara Frederick Comprehensive childbirth preparation classes in Williamsburg and private classes available. Classes aim to increase parent’s confidence by providing evidence based information and practical support for your transition to parenthood. Phone: 718.637.1170 Email: shara@mindspring.com Web site: www.sharafrederick.com Childbirth Education (cont’d) Beth Donnelly Caban Beth teaches comprehensive childbirth education. She is a certified Active Birth Teacher, labor doula and yoga teacher who specializes in pre- and postnatal yoga. Phone: 718.753.6164 Web site: www.essentialyogabrooklyn.com Choiceful Birth and Parenting Private childbirth education sessions tailored to individual needs covering the birth process, birth planning, labor support techniques, relaxation and unexpected situations. Individual and group counseling focusing on pregnancy, postpartum and parenting issues is also available. Name: Ellen Krug, MSW, LCSW, CCE Address: 297 6TH AVENUE BROOKLYN, NY 11215 Phone: 718.768.0494 Email: ellen@choicefulbirth.com Web site: www.choicefulbirth.com Dad/Day I teach the only comprehensive seminar for new and expecting fathers in the metropolitan area. Fathers impact on emotional, physical, social and intellectual development of their children. (3 hr. class). Name: Charles F. Ehrhardt Address: 60 W. 10TH STREET NEW YORK, NY 10011 Phone: 212.677.7149 Fax: 212.674.8628 Email: cfehrhardt@verizon.net Web site: www.dadday.net Ellen Chuse Childbirth Providing group classes in Brooklyn covering labor, birth, breastfeeding and newborn care. Small classes with individual attention. Refresher and private classes available in Manhattan and Brooklyn. Please visit my website for more information. Name: Ellen Chuse Address: 411 DEAN STREET BROOKLYN, NY 11217 Phone: 718.789.1981 Email: info@ellenchusechildbirth.com Web site: www.ellenchusechildbirth.com provider listings Em ili e, 2 m on th s ol d 48.49the NEW YORK GUIDE to a HEALTHY BIRTH Mindful Birth An expansive approach to Bradley Childbirth preparation. Hands-on pain-coping, relaxation, labor support techniques, as well as birth options, breastfeeding and more in an open, nonjudgmental atmosphere. Group and private classes downtown and uptown. Name: Mary Esther Malloy-Hopwood, MA, CCE, CD(DONA), CLC Phone: 347.276.2819 Email: info@mindfulbirthny.com Web site: www.mindfulbirthny.com Prenatal Yoga Center In addition to yoga, PYC offers childbirth education, breastfeeding, infant CPR, infant massage, support groups and newborn care classes. PYC has a robust online community with NYC Resources, a Nanny Exchange and a library. Name: Debra Flashenberg Address: 251 W. 72ND STREET SUITE 2F NEW YORK, NY 10023 Phone: 212.362.2985 Email: info@prenatalyogacenter.com Web site: www.prenatalyogacenter.com Realbirth Comprehensive childbirth education classes that prepare the woman and her partner for all aspects of pregnancy, labor, birth andpostpartum. Experienced, knowledgeable and professional educators guide couples through many choices for coping and parental transition. Name: Erica Lyon Address: 715 9TH AVENUE NEW YORK, NY 10010 Phone: 212.367.9006 Email: info@realbirth.com Web site: www.realbirth.com ShaktiTots Birthing From Within based childbirth education classes. A creative, nurturing and personal way of preparing for birth and parenting. Name: Trish Fox Phone: 917.843.4988 Email: shakti@shaktitots.com Web site: www.shaktitots.com Childbirth Education (cont’d) Suzanne Fremon Hypnobirthing is comprised of techniques of deep relaxation and visualization that, with a few months of practice, contribute to comfortable, unmedicated, pain-free births. Private or group sessions on the Upper West Side of Manhattan. Address: 601 W. 115TH STREET APT. 62 NEW YORK, NY 10025 Phone: 212.749.0800 518.532.0305 Email: hypnodoula@gmail.com GracefulFusion I offer professional labor support and postpartum doula services, lactation counseling services, and childbirth education classes (group/private.) Additionally, I offer birth photography. I work in homes, hospitals, and birth center settings. Name: Nicole Heidbreder Phone: 917.528.1855 Email: nicole@gracefulfusion.com Web site: www.gracefulfusion.com Sandra Jamrog Small group or private childbirth education classes. The emphasis is on understanding the process of labor and birth, labor support techniques, making informed choices, breastfeeding and newborn care. Phone: 212.866.8257 Email: sandrajamrog@me.com A Labor of Love Childbirth Services Private classes for healthy pregnancy/labor/birth/ postpartum including pain-coping strategies, use of technology/medications, breathing/relaxation, physiology and gentle birth options to make informed choices. We also offer labor support and birth photography. Catherine teaches group classes at Realbirth. Name: Catherine Stewart-Lindley Phone: 917.699.8790 Email: laborlovedoulas@aol.com Web site: www.laborlove.org provider listings 50.51the NEW YORK GUIDE to a HEALTHY BIRTH Chiropractic Care Alice Behr Chiropractic Gentle, safe, effective spinal care before, during pregnancy and after birth for you and your baby. Extensive family practice. Name: Alice S. Behr, DC Address: 409 E. 14TH STREET SUITE E NEW YORK, NY 10009 Phone: 212.533.6868 Fax: 212.533.6686 Email: abchiro@rcn.com Web site: www.alicebehrchiropractic.com Dr. Andrea Auerbach Ensure a healthy pregnancy! A healthy nervous system and immune system, flexibility, pain reduction, hormonal balancing, and spinal and pelvic alignment are all benefits of chiropractic care. We offer the Webster breech turning technique. Address: 196 6TH AVENUE BROOKLYN, NY 11217 Phone: 718.399.1111 Fax: 718.399.0182 Email: dc@andreaauerbach.com Awakening Heart Network Improve physical symptoms, mental/emotional state and overall wellness with Network Spinal Analysis(NSA): a low-force technique that really works! Accepting pre/postnatal and pediatric clients. Some insurance. Free workshops. Webster Technique. Top level certified doctor. Name: Dr. Josette M. Addarich, DC Address: 415 COURT STREET CARROLL GARDENS BROOKLYN, NY 11231 Phone: 718.243.2257 (Brooklyn Office) 845.338.3888 (Upstate Office) Web site: www.nsa.vpweb.com Childbirth Education (cont’d) Stork Store Providing small intimate groups and private class. Classes include labor, birth, breastfeeding, newborn care and child safety. Name: Stephanie Watson-Campbell Phone: 718.360.1732 347.436.8454 Email: stephanie@storkstorenyc.com Web site: www.storkstorenyc.com With Woman NYC With Woman NYC offers comprehensive childbirth education classes for parents planning homebirths. Group classes in Brooklyn. Private and semi-private classes throughout the NYC metro area. Name: Natashia Fuksman, CCE, CD(DONA), PCD(DONA), DONA-Approved Birth Doula Trainer, Director: With Woman Doula Cooperativa Phone: 917.617.2771 Email: withwomannyc@yahoo.com Web site: www.withwomannyc.com provider listings Jo y an d Xi an a, 1 m on th o ld (© L ea h M ic ha el so n) 52.53the NEW YORK GUIDE to a HEALTHY BIRTH Dr. Bradley Grossman, DC, CCSP Complete pregnancy, pre- and postpartum care integrating chiropractic, acupuncture, doula and massage in one office. Optimize biomechanical and nervous system function. Over 15 years of caring for the entire family. Address: 455 W. 23RD STREET NEW YORK, NY 10011 Phone: 212.691.6885 Email: bhgrossman@aol.com Dr. Randi Jaffe Specializing in the treatment of the pregnant patient, Dr. Jaffe offers gentle chiropractic care for the aches and pains of pregnancy. Certified in the Webster Technique for breech presentation. Postnatal and pediatric care offered. Address: 40 PARK AVENUE NEW YORK, NY 10016 Phone: 917.882.1035 Email: drrandi@mindspring.com Web site: www.drrandijaffe.com Soulshine Family Wellness Center Dr. Morris blends years of birth experience and highest level Network Spinal Analysis certification. Using light force techniques and integration of breath and movement we will guide you through pre/postnatal and pediatric care. Webster certified. Name: Wendy E. Morris, DC Address: 917 8TH AVENUE BROOKLYN, NY 11215 Phone: 718.832.7390 Email: soulshinefwc@aol.com Web site: www.soulshinewellness.com Dr. Shary Wagreich, DICCP, ACRB certified A combination of techniques are used to relax, realign and strengthen your body before, during and after pregnancy. Chiropractic pediatrics diplomate from the International Chiropractic Association’s Council on Pediatrics including certification in the Webster Technique. Address: 37 E. 28TH STREET SUITE 806 NEW YORK, NY 10016 Phone: 212.679.9270 Fax: 212.679.3826 Web site: healingtouch.chiroweb.com Chiropractic Care (cont’d) Discover Chiropractic of SoHo Specialized care for pregnant and postpartum women, newborns and children. Webster Technique Certified. Extensively trained in SOT, cranial and kineseology. Adjustments gently delivered with genuine care for and attention to well being as a whole. Name: Dr. Beth Forgosh Address: 177 PRINCE STREET FOURTH FLOOR NEW YORK, NY 10012 Phone: 212.598.5995 Email: beth@dcofsoho.com Web site: www.dcofsoho.com Karen Erickson, DC I specialize in gentle chiropractic and craniosacral therapy for infants and children as well as pregnant and postpartum women and other adults. Emphasis is put on home care to extend the benefit of sessions. Address: 127 W. 79TH STREET SUITE 4 NEW YORK, NY 10024 Phone: 212.721.0177 Fax: 212.579.6236 Email: drkarenerickson@msn.com Flourish NYC We welcome pregnant women and families for gentle chiropractic care. We specialize in serving women from before conception, through pregnancy, birth and postpartum.We offer unique care for infants and children. Webster certified. Name: Amy J. Burke, DC Address: 19 E. 71ST STREET SUITE 5A NEW YORK, NY 10021 Phone: 212.861.2015 Email: amy@flourishnyc.com Web site: www.flourishnyc.com Dr. Nancy Gahles Dr. Gahles offers a gentle, nurturing approach to spinal alignment and cranial sacral therapy. Lifestyle counseling for pre- and postpartum moms and families including advice on nutrition, yoga, meditation, homeopathy, exercise and relaxation. Phone: 646.420.9400 Email: askdrnancy@aol.com provider listings 54.55the NEW YORK GUIDE to a HEALTHY BIRTH doula: Labor Support Camille Abbe Providing continuous emotional, physical and informational support to each mother throughout her labor and birth — at home, in hospital or in a birthing center. Professionally (DONA) trained. Sliding scale fee. Phone: 917.373.6615 Email: camilleabbe@gmail.com A BabyMoon Doulas We offer physical, emotional and informational support before, during and after your birth. Our only loyalty is your comfort, confidence and clarity. We also offer postpartum care and Lamaze Childbirth Education. Name: Britt Sady Address: 279 W. 117TH STREET APT. 5N NEW YORK, NY 10026 Phone: 646.489.8837
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