Midwives Women’s Wellness Beyond Labor and Delivery with Dr. Jennifer Brown Hurley

Midwives Women’s Wellness Beyond Labor and Delivery with Dr. Jennifer Brown Hurley


Have you been curious about midwives we have a great episode for you are listening to the cup of Kudo show Focused on healthy happy living with little antidotes of wisdom inspiration and sometimes a little spunk Hey, it’s Elizabeth Moscow with kudos magazine I had a chance to sit down with Hurley Medical Center midwife’s and get some great insight on women’s health and wellness and One of the things I found out is midwifery is much more than labor and delivery. Hi My name is Jennifer Brown. I’m one of the midwives with Hurley I am a registered nurse first and I earned that degree in 1999 and then I went back for my master’s degree with kind of frontier nursing University and with that a certification I Went back further for my doctoral degree so I am dr Jennifer Brown the the word midwife means to be with woman And we find a lot of comfort and that that one word because it means so much to us And with that as a lot of history that we do not want to ever let go but times are changing healthcare is changing and we’re so excited and happy to be able to Take the education that we have and progress With the needs of people today, that’s great. That’s great And as things progress, you know, really that all midwives are the same there’s a variety and I know that here at early medical center this practice you guys have a Requirements for people to be as it a certified Midwife. All right, so can you explain the difference between Because there’s other other types and there are several different types of midwives With a Certified nurse midwife again you start off as a registered nurse You go back for your master’s degree and you become certified through a national organization It’s a lot of Education It’s a lot of a long process if you will and you’re committed to ongoing education as well It’s not like you’re you’re done after you get the degree or the certification and with that we are different I wish my coworker was with me because she is part of the Michigan organization that’s working strongly to Establish relationships between us as the certified nurse-midwives And the lay midwives who are going through a huge transition themselves and having licensure and a little bit more ongoing Education and responsibility attached to the word midwife It’s a huge change for Michigan and it’s exciting. We definitely work together as professionals, but we’re different We’re different in many ways. And I think that’s key to is being able to identify Who is a midwife that you’re gonna feel most comfortable with, you know, especially? You know in cases of you know pregnancy Labor and delivery. Those are our goals. I mean mostly the philosophy of midwives is to make sure that you feel comfortable – it should always feel like a discussion You come to the table with your own thoughts beliefs Reservations and then we come with the best evidence and we want to present the pros and cons the risks and benefits of everything that might come your way because We’re working with women throughout their lifetime as you said earlier from the time you start your period until well after menopause We can care for you and your gynecological needs but women that come during pregnancy have a lot of questions and a lot of concerns and Sometimes they just want to know everything is okay And midwives come to the table knowing that it’s normal pregnancy is normal and we want to celebrate the normalcy of all of these life events like menses or pregnancy or menopause Oh the menopause, oh Yeah, you know just when I thought life I learned everything after I gave birth I discovered there was another phase of womanhood I mean, it’s pretty intense Are you guys in I guess involved in helping with even like hormonal care? Midwives are very very good at normal. I’m very good at normal. So Many of the issues that kind of bubble up with menopause can be worked through With diet and exercise and sleep and stress, you know coping with stress not giving you stress You can take the alternative approach like natural approach before introducing exactly Exactly, but we definitely have you know, we can prescribe Medications we can we can collaborate with our physicians if we need to co-manage a situations we have hurly physicians that work very closely with us and We do. Well one of the things I heard is if you start hormonal treatment after you stop taking The hormones your menopause kicks back in. I don’t know if that’s true well, it depends and this is the struggle with menopause is that you can’t Semester each of us is we’re so different. There’s no Cut and dry answer to menopause. You really have to sit down and look at you as an individual. You can’t say Oh my friend did this and this is true with pregnancy as well. We hear so many stories It really should be one-on-one individual care Yes, we are very hands-on and Or like high touch low intervention So what would you say are some of the benefits of working with a midwife versus you know? like if you are getting ready to have a baby and what are some of the benefits of working with the Midwife versus just doing traditional working with Ob/gyn and the setup that’s there. So I I’m trying really hard not to toot my own horn and say something like Benefits are astronomical mostly empowerment We really focus on positive birth experiences and that may mean something different to each woman but we’re going to go through it together and you’re going to have Some you’re not going to feel clueless, right? You’re gonna really know what’s going on with your body know what you’re feeling why you’re feeling it Keep yourself mentally calm, you know, well it starts breaking loose right they call it labor for a reason It’s really since heavy labor. Yeah, it’s definitely There’s reason for it, right? We talked a little bit about pain being a sign for your body to go to a safe place to be in a safe place and to also kind of cross over into that whole Motherhood. It’s marking a line of Transition of your whole life. So it’s huge. Of course, you have that type of pain So if somebody was looking into they they decided that they do want to work with a midwife so they can get that one-on-one care What are some pieces of advice that you could give? Our listeners Questions, they should be asking or things they should be looking out or looking into so that they can find the perfect fit for themself I think that if you were interviewing providers to see if it was the right fit for you I would sit down and really be honest about what type of birth experience you are looking for and Ask them what I don’t know you could ask something like what’s your c-section rate? I think I had a patient asked me that the other day and the midwives like to tout that our c-section rate was 12% Which is huge and a long very small dick Compared to the national rate of over 30 percent maybe 32 percent. So yeah Right. So we really when you look at midwives in general you’re going to The research says over and over again that you’re going to be Happier with your care that overall it’s safer to be with a midwife. Meaning the c-section rates are lower The breastfeeding rates are higher. It’s just It’s overall a more positive experience And I can see that because I have two kids they’re teens now but When you’re in that moment of labor and delivery you almost we were talking about this earlier You almost lose your ability to remember to breathe Inhale and exhale and actually we were walking when I was walking down the hall Of this beautiful building that you guys are in they started doing What were you calling them photos Oh affirmation. So I love photography and I’ve been taking pictures for a very long time so When the midwives said that we needed to perk up some of our offices with some artwork I was like, let me be in charge of that so I took my photography and then place some affirmations on them and they’re simple, but they were fun and it’s It’s it was very I don’t know empowering for me to be able to put my artwork up and I’ve said this before by empowering women it Really feel like I’m empowering myself It really is full circle. Yeah, so but one of the photos he had taken I think it was water. Yeah, inhale exhale Mm-hmm, and I laughed because I remember, you know, during my labor and delivery Forgetting to breathe, right? I always go back to your breath exactly go back to your breath and I did a natural delivery But I think being told in advance this is intense that you’re gonna forget to breathe, you know because unless you hit the wind a Sensation so everybody’s different it definitely helps you to become grounded and more focused because Most it’s a head game labor is a head and if you can just ground yourself Know that everything is is going to be okay And going back to your breath it really and you just do it one contraction at a time, right? You guys are kind of like the you’re holding the light through the tunnel, you know Like buddy can get through it. Really? So do you do you have any advice that you want to share with our listeners? Of you know anything else they need to know about working with midwives. I think the biggest effort that our practice is working on is knowing that you can be with a midwife from The time that you start your period all the way through menopause and that you really need a midwife in your life It’s a good idea to just come once a year get your well-woman visit talk to us Smears here. Do you do it? Yes. Absolutely. I know. Well the pap smear thing the word again so midwifery with furry is English I don’t know class and how do you say it and spell it? Yeah, it’s fun though. It is fun as opposed to midwives Not made with a reed, so it’s confusing It’s really finding us is half the battle but we are becoming more We are becoming easier to find and trying to get out there we have set up five satellite sites Now Benton Road is our latest office and that is another beautiful office that we really like working out all of those the Wellness exam for like pap smears breast exam any gynecological needs at all they can do Mammograms yes. Oh, you’re kidding me. No here. Yes, and we can even prescribe for

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