The dreams of the baby in his mother's womb

The dreams of the baby in his mother's womb

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Choosing a direct-entry midwife

What is a direct-entry midwife?

Direct-entry midwives typically attend home births, although some work in birth centers. They may learn their skills through self-study, through apprenticeship, or at an independent midwifery school or college. Less than 0.5 percent of births in the United States are attended by a direct-entry midwife.

Those who have met the standards for certification set by the North American Registry of Midwives (NARM) are called certified professional midwives (CPMs). A few direct-entry midwives are certified according to the requirements of the American College of Nurse-Midwives and are called certified midwives (CMs). Midwives who are not certified or licensed are commonly known as lay midwives or traditional midwives.

Direct-entry and lay midwives are different from certified nurse-midwives (CNMs), who are educated in both nursing and midwifery, certified by the American College of Nurse-Midwives, and licensed to practice all over the United States. Most CNMs attend births in hospitals, but some practice in birth centers and attend home births.

Are direct-entry midwives licensed?

The way in which direct-entry midwives are licensed and regulated varies from state to state. The state of Washington, for example, has stringent licensing standards, and direct-entry midwives there are reimbursed by both Medicaid and some HMOs for home births. On the other hand, in some states, it's illegal for direct-entry midwives to practice. A few states don't regulate direct-entry midwives at all.

You can find out the legal status of direct-entry midwives in your state on the Midwives Alliance of North America or Citizens for Midwifery websites.


Find out how a midwife helps a woman through pregnancy, labor, and birth.

How can I tell whether a direct-entry midwife is the right choice for me?

You can choose a direct-entry midwife to care for you during your pregnancy as long as you're in good health (meaning you have no serious chronic medical conditions, such as high blood pressure, epilepsy, heart disease, or diabetes) and as long as your state allows it.

Midwives are an appealing option for women who want a more individualized, less routine approach to childbirth than many traditional obstetricians tend to provide, and particularly for those who want to give birth at home. Midwives focus on helping you learn about the physical and emotional changes you go through during pregnancy, teach you how to maintain good health habits, and consider you an active participant in all aspects of your care. They see every pregnancy as a unique event and encourage you to consider your options for labor and delivery and to personalize your own birth plan.

At your first visit to a midwife, she'll take a comprehensive medical history, answer any questions you have, perform a physical exam, and have laboratory screenings done. She can make arrangements for any prenatal testing you want to have done that she can't do herself, such as ultrasound or amniocentesis. If it turns out that you have a medical or obstetrical condition – such as high blood pressure or triplets – that requires the care of an obstetrician or a perinatologist (a high-risk specialist), she can refer you to one.

How do I find a direct-entry midwife?

To find a direct-entry midwife, check with local women's health clinics or call NARM at (888) 842-4784. Ask any midwife you're considering to give you client references, and make sure she's certified and licensed to practice in your state. If you're interested in delivering at a birth center, call the American Association of Birth Centers at (215) 234-8068 or visit the association's website.

What should I ask a direct-entry midwife?

As with any healthcare provider, look for competence, experience, empathy, and flexibility. Here are some considerations when making your decision:

  • What is her education, training, experience, and certification?
    Find out how much experience she's had, where she was educated and trained to be a midwife, and whether she graduated from a nationally accredited program. Ask whether she's passed a national certifying exam and whether she's licensed to practice in your state.
  • Who is her backup physician?
    Be sure she has formal backup arrangements with a local obstetrician and hospital. Ask how she handles emergencies and how far away the hospital is. Consider meeting with the collaborating physician.
  • How does her practice work?
    If you're planning a home birth and the midwife is in solo practice, ask her what she does if two women are in labor at the same time. If she's in a group practice or relies on midwives in another practice to cover her when she's away or at another birth, find out whether they're certified and licensed, and consider meeting them, too. Ask whether she'll stay with you if you need to be transferred to the hospital during labor.
  • Will your insurance company cover her services?
    Find out whether you'll be reimbursed by your insurance for her services. Check your coverage and find out how much it will cost if you need to be transferred to the hospital.

See our Midwife Interview Sheet for a complete list of questions to ask.

Meaning of the name Bertilo. Name for boys

Are you pregnant and looking for the ideal name for your baby? Our name finder has thousands of names for boys to help you in this important choice. We highlight the name in the dictionary of meaning of names: Bertilo.

History of the name Bertilo

Name spread by a 9th century abbot.

Name meaning of Bertilo

"Famous, illustrious"

Santoral of the name Bertilo

November 5th

Origin of the name Bertilo


Famous people with the name Bertilo

  • Braulio Nóbrega Rodríguez, Spanish footballer (1985)

Bertilo name coloring pages printable game

Our 2020 List of Unique Baby Boy Names - Names and Meanings!

Preparing the child for a visit to the hospital is a very important activity because, for anyone and especially for children, hospital visit can be a cause for fear.

Specialist doctors have some recommendations that parents should keep in mind when it comes to preparing the child for the hospital visit:

  • Before going to the hospital, the child should be told what will happen, what to expect, how it will be and why he should go to the hospital.
  • To explain to a small child the visit to the hospital, pictures and stories can be used to make him understand the situation.
  • The child should be allowed to choose an object that is special for him, pictures, cards, toys or whatever will make him feel more comfortable.
  • While in the hospital, parents can try to distract him and keep him busy so that he is not afraid to think about being in the hospital. Parents can sing a song with the child, count, listen to music or read a story.
  • When the visit comes to the hospital, any child will ask the question: "Will it hurt me?". It is best for parents to be honest with the child and explain to them if it will hurt. It is very important that parents gain the child's confidence.
    Gabriela Hotareanu
    February 14, 2008
  • Should our children believe in the Magi?

    These days, a friend jokingly commented to us, outside the presence of our children: 'What a way to fool our children with this of the Three Kings, the Pérez Mouse, the goblins!' ... So I wondered if it is good or not to encourage these types of beliefs in our children, since sincerity is fundamental in our relationship with them.

    In most families, the popular beliefs that we transmit from parents to children and that are a defining part of our culture and tradition are usually followed, but why we do so does not always have an easy explanation.

    Perhaps we do it because of our happy childhood memories, or because we do not break with a tradition of years, or we simply don't even think about it. The fact is that the Magi or Santa Claus are there to help us maintain and promote the illusion and fantasy of our children.

    Keeping these traditions alive will help our children learn about their culture and incorporate imagination and fantasy into their development as individuals.

    Imagination resides in our mind and thanks to it there is art and literature. On the other hand, most psychiatrists consider it very healthy for children to believe in the Three Kings or other traditions, as long as it is not exaggerated or we insist on its authenticity when our child is reasonably suspected or discovers the truth. true.

    Although we may be caught 'red-handed' in the task of placing the gifts under the tree, we should not consider that we are deceiving our children, but that we are enhancing their fantasy, just as we do when we play with them or tell them stories and tales invented.

    Fantasy is essential for the emotional development of children and we must take advantage of any excuse to empower it and involve ourselves in it with all our illusion.

    It is a great time to get closer to the inside and I do not think that the idea that it is traumatic to believe in the Three Kings can be defended simply because one day our children discover the truth.

    Furthermore, I think that from that moment on, adults will be able to participate and become accomplices with us in transmitting and keeping the illusion alive in the little ones. The arrival of the Three Kings or Santa's sleigh by camel should be a special moment for the whole family. Don't we grown-ups like gift exchanges or family reunions?

    We must be at the service of 'their majesties' these days to meet the expectations that our children have on them because, although we can teach our children the great needs that other people in the world have and we are not at the service of consumerism and excessive materialism, our children will not be prepared to give up the desired gift.

    We must satisfy as much as possible the hopes they have in obtaining that gift they want with enthusiasm and joy.

    Patro Gabaldon. Editor of our site

    You can read more articles similar to Should our children believe in the Magi?, in the category of Gifts on site.

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    Modern medicine excels, at present, in assisted reproduction techniques, from intrauterine insemination and in vitro fertilization, to intracytoplasmic injection with sperm and intrafalopian transfer of gametes or zygotes. Unfortunately, neither of these methods fully guarantees the chances of conception.

    Many women have resorted to alternative therapies, such as acupuncture, to get pregnant. Although specialized studies have not always been able to demonstrate their effectiveness, many patients have recorded positive results, most likely due to the fact that alternative therapies to increase fertility I aim, first and foremost, to reduce stress and combat depression and anxiety.

    Acupuncture and fertility

    An integral part of traditional Chinese medicine, acupuncture, is based on the idea that vital energy flows through the human body on invisible pathways called meridians. Acupuncture specialists stimulate certain areas along these meridians with the help of needles to direct the flow of energy. The technique can improve blood flow to the ovaries, thus contributing to the thickening of the uterine mucosa and the success of artificial insemination. It can also protect the ovaries from damage.

    Even though acupuncture does not increase the chances of conception, studies show that it reduces stress, anxiety and depression. Make sure the therapist you are calling is certified by the National Institute of Complementary and Alternative Medicine "Prof. Dr. Florin Bratila" (INMCA) or another institution of profile.

    Guided imagination

    During a guided imagery session, a trained therapist will provide guidance in a visualization exercise to produce physiological changes in the body. There are also audio recordings that help you imagine a favorite place or mentally repeat a desired outcome - such as conceiving a child, to increase your chances of success.

    Plants that stimulate fertility

    There are many plants recognized for their beneficial effects on female and male fertility. They improve the quality of the eggs, regulate the menstrual cycle, increase the quantity and quality of sperm and strengthen the reproductive organs. But beware: even if we talk about natural products, the active substances they contain are very powerful and should not be administered without medical supervision.

    Plants that stimulate progesterone secretion, used throughout the menstrual cycle, can inhibit ovulation. Similarly, estrogen plants can interfere with the body's natural estrogen production. Like herbs, herbal preparations should never be taken by ear, as they can do more harm than good.


    Any form of exercise stimulates the release of endorphins, maintains heart health and strengthens the immune system. Yoga fights chronic stress, having beneficial effects on the central nervous system and metabolism. In addition, it regulates hormonal activity, thus increasing fertility.

    Be careful because practiced incorrectly, yoga can have negative effects. For example, adopting certain yoga postures during menstruation can cause blood flow to be directed back into the uterus and into the abdominal cavity, which compromises fertility.

    "Body Mind" programs

    Nearly half of women who reach the endocrinologist for fertility problems suffer from a generalized anxiety disorder. Studies show that women who lead a stress-free life are 93% more likely to conceive a child and have a term pregnancy. So the secret is to take a deep breath and relax.

    The "Body Mind" fertility programs teach you 10 different relaxation techniques, in an environment formed around a support group. Worldwide statistics show that women diagnosed with infertility who participate in such programs significantly reduce their stress levels, increasing their chances of becoming pregnant. Furthermore, research shows that approximately 45% of patients get to conceive within 6 months of completing a "Body Mind" program, lasting 10 weeks. Each week, participants learn to manage stress through strategies of deep breathing, meditation or cognitive restructuring - a process that modifies destructive emotions and negative thinking by confronting them with reality.

    Complementary therapies that you can apply at home

    Infertility affects every facet of a woman's existence, from physical and emotional health, to social relationships and the craving for life. Studies show that women who undergo fertility treatments are as stressed as people diagnosed with cancer.

    Here are some tips that will help you relax:

    Develop your awareness capacity

    Most people are so disconnected from their own body that they do not even realize they are stressed. You can try the Biodots therapy (in English, "bio points"), invented by Bob Grabhorn. These "bubbles" made of heat sensitive material stick to the skin and act as a thermometer, changing its color depending on your mood. When you stress, the capillaries tighten, reducing the blood flow to the surface of the skin. That's why the hands feel cold. If your biodot becomes black, it means you're stressed. You can change the color of the Biodot by taking a deep breath and relaxing.

    Get rid of the tension in the head of the chest

    Lie on your back, your arms outstretched, your palms facing up, and your legs slightly open. This yoga position called "Savasana" will help you get rid of stress.

    Touch your heart or belly

    It will shift your attention from your negative thoughts to your body, so you can access your intuition. Breathe deeply. A deep breath can significantly change the way you feel.

    Keep a journal

    When you feel the need to release yourself emotionally, spread your thoughts on paper. Writing can help you process things and see them in a new light.

    Yes forget the daily worries

    Imagine a wonderful sunset. Close your eyes and take your mind to a peaceful place you love. Relax and get rid of the negative energy.

    Tags Fertility treatments Fertility increase Fertility stimulation methods Acupuncture fertility Yoga fertility Fertility plants

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    Fortune teller: Do you know what the baby corn said to his mother?

    Answer: Where's Daddy Corn?

    You know how lucky you can be to live in one of the corners of the world where nature is flirting for the last time before being replaced by winter.

    The days shorten, and the temperature drops, the green of the trees turns to vivid shades of red, orange, golden and brown before the leaves leave the trees. In certain years, the range of colors that the leaves have cut your breath.

    The leaves and the secret of their color

    Over time, researchers have understood the changes that the leaves and the rest of nature suffer in the fall. Although we do not know all the details, this little explanatory guide will help you explain to the children the secret of the leaves, also enjoying the multicolored autumn.

    There are three factors that contribute to the charming autumn landscape, namely: leaf pigments, light and weather, but not the way we think. The moment of color change is set regularly by the calendar, ie how long it is at night. No other factor influences so much the environment, the temperature and the rain. As the days shorten and the nights become longer and colder, the biochemical processes from the leaf structure begin.

    Chlorophyll it is the substance that gives the leaves the green color. It is necessary for photosynthesis, that chemical reaction that allows plants to use light to make sugars for nourishment. Trees in the temperate zone store these sugars needed for survival in winter.

    carotenoid produces the following colors: yellow, orange and brown corn, carrots and bananas.

    anthocyanin gives the color of red apples, grapes, cherries, strawberries and plums. This pigment is soluble in water and appears in the aqueous liquid of the cells belonging to the leaves.

    Both chlorophyll and carotenoid are present in leaf chloroplasts during the growing season. Most anthocyanin is produced in the fall, in response to strong light and excess sugar from the leaf cells.

    During the summer, chlorophyll is produced and fragmented, thus giving the green color of the leaves. But as the nights get longer during the fall, the chlorophyll production slows down, and with time it is stopped, resulting in the destruction of the leaf. Carotenoid and anthocyanin (leaf pigments) are present in the leaves, and when chlorophyll is destroyed, they come out and show their colors.

    Certain colors are characteristic of some trees. The leaves of the oak turn red and brown, of the golden yellow poplar, and of the beech the color of the bronze. The color of maple leaves differs from orange-red, bright yellow or black. The leaves of the elm simply fall and lie like a brown carpet.

    Why do the leaves fall?

    Due to the shortening of the day and implicitly the lack of light, in the case of a premature autumn, the leaves stop the process of synthesis of chlorophyll. The ducts that carry the liquids inside and outside the leaf are gradually closed with the help of a layer of cells that form at the base of each leaf. Thus, sugars are stored and anthocyanin can be produced. Once the cell layer is complete, the leaf is ready to fall.

    Autumn activities for children

    Create a collage of leaves

    Creating a leaf collage is a good way to involve little ones in beautifying their room or yard if you have one. The materials you need to create the fall collage include: pumpkins (of any size), scarecrows of leaves and leaves.

    Anything that has to do with autumn will look great and will easily integrate into the autumn atmosphere. You can make different pumpkin faces or scarecrows. Then you can add specific accessories for autumn such as: corn and sunflower.

    Autumn congratulations

    Make sure that each child has a marker, paper, glue and stickers.

    You can let them create their own greeting card, without having an external model; I can write special messages inside them.

    The book of leaves

    You can make a booklet / booklet about the leaves. As you make the book, you can send the little ones to gather leaves so that they can be placed in the book. You can ask them to write down the names of the leaves they found next to them and also some information. It is an interactive way for the little ones to learn as much about this season.

    Activities at home

    The leaves, but also the outside wind have already integrated us in the autumn atmosphere. For the little ones the state in the house can become boring, so we thought to come up with some ideas.

    What can be more interactive than drawing? Here are some of the autumn coloring pages:

    Children in the garden

    Autumn fruits

    Cart with apples

    Craiasa Toamnei


    Girl-hide in the leaves

    Autumn fruits and activities

    Autumn activities with dads

    The riches of autumn

    The biggest pumpkin

    Or you can resort to puzzles and mazes with themes related to autumn:

    Scarecrow scarecrow


    Gather the leaves


    Autumn Poems:

    Ballad of a small cricket

    Autumn rhapsodies

    The autumn

    Autumn days


    The wind blows the leaves

    Tags Fun activities for children