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I've got good news, and I've got bad news. The bad news is that my previous partner, the fabulous Mary Caplin of Your Family Doula, is soon moving across the Atlantic to begin her family's next adventure. I have learned so much from collaborating with Mary over the last few years, and I'll miss her terribly!
The good news is that I have a wonderful new partner, Susie Hannig of Birth and Body Care with Susie Faye. Susie, Mary, and I have actually been working as a threesome for several months in anticipation of Mary's move, and I've already learned so much from collaborating with Susie! Susie has been a massage therapist for over twelve years, and I can tell you from personal experience that she is phenomenal at what she does. She's also an incredible doula, and we now back each other up in case of emergencies or other special circumstances. Susie gives so much to her clients and has a wide range of knowledge she draws on as she supports them. AND...
We're continuing to teach our Childbirth Class Date Nights, just as I did with Mary (with a couple of Susie-flavored tweaks, like a brief massage instruction portion!). To accommodate a few more couples, we've moved our classes to FLOW Chiropractic in Lehi. Dr. Steven Roushar has a very nice venue with plenty of space for us to spread out and practice techniques for working together during birth! We'll also add some nice date night-y touches with decor and refreshments for a cozy and intimate feel.
We've designed this two-hour class to help you strengthen your relationship and preparation for birth. Whether it's your first baby or your sixth, come learn how to make every stage of labor progress more smoothly. You will move beyond feelings of uncertainty to claim your power as life-giving agents. You'll learn and practice hands-on comfort measures so you can work together as a couple during labor. We customize the class based on the attendees and their birth plans and needs, and can adjust our curriculum to fit the needs of those planning to give birth at the hospital, home, or a birth center, and with or without an epidural. Throughout the class, we share lots of our favorite resources so that you can keep learning together after the class is over! AND... If you decide to hire Susie or me as your doula after attending the class, the cost of your Childbirth Class Date Night tickets goes towards your doula package fee.
So, pick the date that works best for you, and head on over to www.utahcountydoulas.com/childbirthclasses to register! We can't wait to see you tehre!
This post is part of a series of related posts: book reviews of the titles in my lending library. Click the link to read more!
Ah, this book. It's such a great read. Sarah Buckley, an Australian family physician, expertly walks the line between instinctive/super-crunchy/holistic and scholarly/super-well-researched/academic. It's just brimming with quote-worthy snippets, so I've sprinkled them throughout this post for your reading pleasure. Enjoy!
"Birth is women's business; it is the business of our bodies. And our bodies are indeed wondrous, from our monthly cycles to the awesome power inherent in the act of giving birth. Yet in our culture I do not see respect for these extraordinary functions: instead we diet, exercise, abuse, conceal, and generally punish our bodies for not approximating an unobtainable ideal. This lack of trust in and care for our bodies can rob us of confidence in giving birth. Conversely, an experience of the phenomenal capacity of our birthing body can give us an enduring sense of our own power as women. Birth is the beginning of life; the beginning of mothering, and of fathering. We all deserve a good beginning."
The book begins with a few chapters on instinctive birth and trusting your inner self, and how healing birth can heal the earth.
"We cannot birth our babies through sheer force of will. We need to learn the more subtle—yet equally powerful—path of surrender."
"In surrendering to birth, we also learn about our role on the Earth: we are neither the rulers nor the architects of creation. Life comes through us, simply and gracefully, when we allow it."
Buckley then gives a step-by-step guide to sound personal medical decision-making. She calls this the BRAN method, and encourages her readers to consider the Benefits, Risks, Alternatives, and possibility of doing Nothing when they are faced with a medical decision. She then applies this method to common pregnancy and birth procedures (Gestational Diabetes, Group B Strep, Going "Overdue"), outlining the research as she discusses each option.
"If the baby is truly large, it is likely that the mother's body will have maximum pelvic softness and flexibility (due to peak levels of hormones such as progesterone) on the day she spontaneously goes into labor, giving her the best chance to accommodate and birth her large baby."
In subsequent chapters, Buckley thoroughly reviews the research on common birth interventions, such as ultrasounds, epidurals, and cesareans. Each chapter has literally hundreds of footnotes—it's clear that Dr. Buckley has done her homework!
"On average the first stage of labor is twenty-six minutes longer in women who use an epidural, and the second (pushing) stage is fifteen minutes longer."
"The combination of epidurals and Pitocin, both of which can cause fetal heart rate (FHR) abnormalities and fetal distress (reflecting a critical lack of blood and oxygen), markedly increases the risks of operative delivery (forceps, vacuum, or cesarean delivery)."
She also peruses the evidence on gentler birth and mothering choices. With great detail, she describes the beautiful hormonal cocktail that accompanies and enables undisturbed birth.
"When birth is undisturbed, our birthing hormones can take us into ecstasy—outside (ec) our usual state (stasis)—so that we enter motherhood awakened and transformed."
"Birth is a peak bodily performance, for which our bodies are superbly designed."
She shows the safety and beauty of home birth for low-risk mothers; she tells the story of how love and attachment can be naturally and gently formed in the baby's early days.
"One study showed that newborns who experienced "kangaroo care"—that is, uninterrupted skin-to-skin contact with the mother—in the first hour after birth were less stressed and more organized in their behavior, cried less, and slept longer, compared with babies who were routinely separated."
She examines the vast research supporting breastfeeding and the many benefits it offers mom and baby, and she goes over the benefits of co-sleeping and how to safely practice it.
I'd highly recommend getting your hands on a copy of Sarah Buckley's Gentle Birth, Gentle Mothering. It will open your mind to new ways of thinking and fill your mind with evidence-based information. As I closed the book, I felt energized, empowered, and grateful for Buckley's great contribution.
"A recent review of satisfaction after childbirth found that personal expectations, support from caregivers, the caregiver-patient relationship, and involvement in decision-making are the most important factors in determining satisfaction with the experience of childbirth."
Have you read Gentle Birth, Gentle Mothering? I'd love to hear what you thought of it!
This post is part of a series of related posts: book reviews of the titles in my lending library. Click the link to read more!
As you can tell from the sticky notes, this book is packed full of good information!
I appreciate the Searses' well-rounded and positive approach to pregnancy they take in this book. They begin with detailed information about how to have a healthy pregnancy through wise nutritional choices, movement, sleep, and self-care skills. This starts the book off on a great foot for helping women be the responsible agent in their pregnancy and birth, which I believe is critical! They list helpful nutrients for pregnant women and their developing babies, the foods that offer them, and even recipes to incorporate them in your diet. In the section on exercise, they emphasize the importance of moving healthily and the wide range of activities that pregnant women can do to stay in shape and help their bodies and their babies be as healthy as possible.
The next section of the book details the month-by-month changes that occur in the developing baby and the pregnant mother's body. They address concerns and discomforts that may arise by offering helpful tips and solutions. In the section on birth, they offer a detailed explanation of the "hormonal symphony of birth" and beautifully describe how mom and baby's bodies work together to bring baby into the world. They address common interventions and when they can be helpful and when they'd be better avoided.
In the final section, uncommon pregnancy complications are addressed. The section begins with the directive to read only those sections that pertain to a complication you have, as there's no need to worry about things that could but likely won't--wise advice for an expectant parent! I especially appreciate their re-framing of the term "high-risk pregnancy." They explain that this term is necessary for doctors to be aware of women whose pregnancies and births should be monitored more closely, but invite women in this category to instead consider their pregnancy as "high responsibility":
"Instead of resigning yourself to the high-risk label, becoming a passive patient, and leaving all birth decisions up to your doctors, become a high-responsibility mother. Take an even more active role in your birth partnership; cooperation between you and your care providers is essential. You need to be more informed and more involved in decision-making than the average mother, and you need to take better care of yourself. The first question you should ask your doctor after you are classified as high-risk is what specific things you can do to lower that risk."
I especially appreciated this advice because both of my pregnancies have been "high-responsibility," the first because I was carrying twins, and the second because I have a blood-clotting disorder and was planning on a VBAC. In my first pregnancy, I resigned myself to the "high-risk" label and stopped asking many questions and taking personal responsibility for my pregnancy, and I ended up with some complications that I believe I could have avoided if I'd been a more active participant in my health care. In my second pregnancy, I made sure I was well-informed and the responsible agent for caring for my extra needs, and I had a very positive experience as an active birth-giver!
In all, I definitely recommend this book as a comprehensive guide to having a healthy and positive pregnancy. It's the best book of its kind in that category!
This is the seventh post in a series of blog posts based on interviews I'm doing with midwives who serve Utah County.
In this post, I'll introduce you to the wonderful Melissa Chappell, owner of Songbird Maternity and co-owner of Utah Birth Suites, alongside Seasons Warner. She attends births at their beautiful new birth center in Provo, as well as home births in Utah County.
Twenty-six years ago, when Melissa was pregnant with her first child, she took a Bradley Method birth class and had a great first birth experience, even though her labor was very long. After that birth, she wanted to teach others to help them prepare for awesome birth experiences, so she became a childbirth educator. Later, she became a doula, then a doula trainer, and then a midwife, which she has been doing since 2015! She attended The Community School of Midwifery and completed the North American Registry of Midwives (NARM) Portfolio Evaluation Process and earned her CPM and Utah State Licensure (LDEM) credentials in 2018. Now, she also enjoys teaching potential midwives! Over the 25 years she's served the birth community, she has touched the lives of hundreds of birthing families.
During our interview, I asked Melissa if she would talk with me about pushing, or the second stage of labor. If you've ever watched a TV birth scene, you likely imagine many people standing around, chanting, "Push! Push!" or counting from 1 to 10 as the mother bears down, purple-faced and out of breath. But, as Melissa can attest, birthing your baby doesn't have to be this way!
In fact, that's not how it goes at all at the births that Melissa attends. "Most of the time, if you just let a mom follow her body, she's going to be able to push on her own," she says. Melissa mentions that some people say they've given birth to multiple babies and never really felt the urge to push. "A lot of times that comes from people not really being given the time for their bodies to get to that point where they're ready to push," Melissa explains. "I mean, no one's just going to sit there with a baby inside them forever! Their bodies are eventually going to help them know how to push the babies out."
Sometimes, you may reach full dilation (10 cm), and still not feel, instinctually, that it's time to push. Your contractions may even slow down for a while and give you a little break. When that happens, Melissa calls it the "rest and be thankful" stage. As you take some time for a little break before birthing your baby, your baby descends further into your pelvis, until you may notice that you're grunting a little at the top of each contraction. When Melissa hears that little grunt, she gets excited—the baby is almost here!
Once the second stage of labor (pushing phase) starts, the length of time until baby is born varies greatly. On average, Melissa's clients push for under an hour, but some push for a couple of hours, and every now and then, up to four hours! Recent research indicates that this is safe as long as both the mother and her baby's vital signs look good and she is making progress in moving the baby down.
In a first birth, Melissa will sometimes offer gentle coaching or direction if her clients would like more guidance about how to push. One way she may do this is by gently placing her finger inside the bottom of the vagina (in the perineal space) to offer direction about where to push. Of course, Melissa never does this without the explicit consent or request of her clients!
For many clients, though, Melissa doesn't give any direction or coaching. She just gives them time and space to listen to their bodies.
And what about cervical exams? Melissa says she rarely does them. (Although with first time moms, she does them a little more frequently, to help them assess where they are in their labor progression when they first arrive at the birth center.) "As a midwife, after doing this for years and years, you get to a point where you can tell without doing a cervical check, if someone is almost ready to push." She listens to the sounds her clients are making (like that little grunt at the top of each contraction), and she watches the pattern of their labor: the length, frequency, and intensity of their contractions. By closely watching and listening, Melissa says that cervical exams to ensure complete dilation before pushing begins are rarely needed. Melissa further explains, "If you're really, really empowering a laboring person to listen to their body and not push unless she feels that overwhelming urge, you're not going to have people pushing on cervixes that are not ready to be pushed on."
Melissa is not alone in the way she empowers and encourages her clients to listen to their bodies and instinctively push during labor—there are many other fabulous midwives across Utah County who offer that same sort of care! I'm grateful that Melissa took the time to discuss this important topic with me, and for the individualized and empowering care she gives to her clients. She has a vibrant personality and lots of enthusiasm for the incredible work she does. Head on over to her website to learn more!
This is the sixth post in a series of blog posts based on interviews I'm doing with midwives who serve Utah County.
Today's post is based on a conversation with Amy Ihrig. Amy owns Joyful Birth Midwifery Services. She has been in the birth community for 15 years (starting out as a doula), and has been a midwife for about five years. She graduated from Midwives College of Utah and is a Certified Professional Midwife (CPM). Amy attends home births in northern Utah County. Amy is passionate about learning and teaching, and it shows with the wide ranges of classes and services she offers! In addition to being a midwife, Amy is also a Bradley Method Childbirth educator. The Bradley method focuses on how husbands can support their wives during labor and birth. She also teaches infant massage classes for new parents, as well as comfort measures classes, which she calls "doula dad" courses. And she teachers mother/daughter maturation classes using the Maidens by His Design curriculum, a Christian-based program to help mothers and daughters understand and communicate about their incredible bodies.
As you can surely tell from that impressive list, Amy believes in the power of education and the wonder of birth. She truly believes that birth can and should be a joyful experience. Amy is a holistic care provider; rather than just considering her clients' medical well-being, she looks at the whole picture of their overall wellness as part of her care.
Like many midwives I've interviewed, Amy began her journey to midwifery as a doula. She decided to become a doula after her awesome second birth experience (an accidental home birth—keep reading for the details!) After nearly a decade as a doula, she felt called to expand her scope of practice to be able to provide fullness of care—medical and beyond—to her clients.
Since I've noticed this doula-->midwife pattern in several conversations with midwives I've interviewed, and I'm currently riding the doula-->midwife trajectory after having a transformatively awesome birth, I joked with Amy that having an amazing birth is a "gateway drug" for aspiring birth professionals.
Give a woman an amazing birth, and she'll want to become a doula. When she becomes a doula, she'll love it and realize the importance of education along the pregnancy and birth journey. She'll decide to become a childbirth educator. When she becomes a childbirth educator, she'll realize that she could expand her circle of influence even more by becoming a midwife. When she becomes a midwife, she'll continue to seek opportunities for learning and growth to better serve her clients and invite them to have amazing births. And when her clients have amazing births…
(Now that's a version of If You Give a Mouse a Cookie, or, rather, If You Give a Woman an Amazing Birth that I can get behind! Give me that kind of ripple effect any day!)
Back to Amy's journey from amazing birth to doula to midwife.
Before becoming a doula, Amy was staunchly opposed to home birth. Then, she had an accidental home birth. Her labor moved along much more rapidly than she expected, so she birthed her baby in her bedroom with baffled paramedics as her birth attendants. The birth was smooth and beautiful, and something in Amy shifted. Her next birth was a planned home birth, and the rest is history.
Now, Amy is a strong proponent of home birth and the opportunity it affords for an intimate birthing experience. She loves supporting her clients as they make informed decisions in the peace of their own home. "My ideal client," Amy says, "is someone who takes responsibility for their own choices. They will listen to the education that I'm providing them, and they will pursue further research in helping themselves to stay healthy and low-risk."
Having a joyful home birth is not a fictional fantasy. Amy's passion and work is to make the dream of a joyful home birth a reality for her clients. Preparing for a home birth requires research and work, and a supportive and experienced midwife. We are lucky, here in Utah County, to have so many such options! And we're fortunate that Amy Ihrig is among them.
New Intermountain Hospital in Spanish Fork: A Tour in Pictures of the Labor and Delivery Wing
The new Intermountain hospital in Spanish Fork opened yesterday (April 5, 2021), and let me tell you... they are doing things right for birthing families! I had the privilege of touring the hospital a couple of weeks ago, and I am just giddy with some of the features they included in their Women and Newborn wing. I'll highlight my favorites below.
First of all, will you just take a look at this gorgeous tub?!
There are six labor and delivery rooms in the new Spanish Fork, and three of them feature one of these beauties! The tubs have a variety of built-in stools and foot rests to enable a variety of labor positions in the tub. The hospital isn't currently set up for water births, but these tubs do drain quickly if baby is coming and you don't want to climb out of the tub.
These fantastic tubs are the central features of the large labor and delivery rooms they are in, which also include a couch that folds out into a bed, a recliner, a bathroom with a shower, and plenty of room to walk/dance/squat/do whatever feels right! The hospital will also have wireless, waterproof contraction/fetal monitors to enable monitoring and movement simultaneously.
After birthing your baby in one of these rooms, you'll then move down the hall to the other side of the unit to a postpartum room. There are twelve postpartum rooms, and they are attended by the same nurses who attend the labor and delivery rooms, enabling greater continuity of care throughout your stay at the hospital. As a special touch, each family will enjoy a celebration meal in their postpartum room, served at a decorated table on beautiful dishes. What a fun idea!
For families who want to expedite their hospital stay, the Spanish Fork hospital also has one room for their Simply Birth program. Participants in this program do most of their postpartum education at home so that they can check out of the hospital faster after birth. The largest room at the end of the hallway in the Mother and Newborn unit is reserved for participants in the Simply Birth program, who will labor, give birth, and recover in the same room. Here it is:
I can't wait to see all of these features put to use as I support clients birthing at this hospital! And...........
In about two years, things will be even better!
That's the projected timeline for the opening of the birth center that is adjacent to the hospital! This space is technically not part of the hospital, though the two buildings are connected. The birth center will be staffed by Certified Nurse Midwives who work at the Intermountain clinic alongside the hospital.
The birth center is currently under construction, but I got to take a peek at it as well! There will be two birthing rooms at the birth center, which right now look something like this:
Let's zoom in on some of my favorite features! Here's a close-up of the nice large tub in the birthing center, as well as ceiling attachments for a labor sling!
Rather than a narrow hospital bed, these birth center rooms will feature a queen size bed with room for the whole family. The beds haven't been installed yet, but I took a picture of the wall where the bed will go so that you can fill it in with a queen size bed in your mind.
I love that this birth center will be right next to the hospital, to give families peace of mind in knowing that if a transfer to the hospital is needed (or desired), it's just a quick walk/roll down the hallway that connects the two fourth-floor facilities.
What questions do you have about the new birthing facilities in Spanish Fork? I'm not an expert, or an Intermountain employee, but I did ask a lot of questions on the tour! I'd be happy to chat more!
I can't wait for families of Utah County to start enjoying these new facilities! I look forward to supporting many families as a doula in these awesome new spaces!
This is the fifth post in a series of blog posts based on interviews I'm doing with midwives who serve Utah County and the surrounding areas.
Today, I'm honored to introduce you to Katia L'Ecuyer. Katia owns Innate Midwifery with birth centers in Holladay and West Jordan, UT. She also attends home births in Salt Lake County and north Utah County. She is a Certified Professional Midwife (CPM), a Licensed Direct Entry Midwife (LDEM), and a graduate of Midwives College of Utah. She also holds a bachelor's degree in biology with a minor in chemistry from Utah Valley University. As a midwife for over 10 years, she has attended over 500 births in both Utah and Costa Rica. Katia is also a midwifery preceptor and enjoys mentoring student midwives.
During her time at UVU, Katia was the recipient of the Board of Trustees Scholarship in recognition of the research she has conducted on Group B Streptococcus during pregnancy. Even though she has graduated, she continues her research on Group B Strep with the aim of learning more about whether probiotics can be effective in preventing Group B Strep during pregnancy.
Group B Strep (GBS) is a type of bacteria that lives in the intestines and can sometimes travel to the rectum, vagina, and urinary tract. Because this carries a possibility of leading to infection in the newborn baby if a mother has Group B Strep in her vagina at the time of birth, pregnant women are routinely tested near the end of their pregnancy to determine whether they are currently colonized by Group B Strep. Those who are, are termed "GBS positive," and (in the U.S.), care providers typically recommend that they be given IV antibiotics during labor to kill the bacteria and prevent it from spreading to the baby during birth and possibly causing an infection. To learn more about the evidence on Group B Strep and its significance in pregnancy and birth, check out this article by Evidence Based Birth.
Katia's research on Group B Strep stems from a 2016 study conducted by Ho et al. In this study, researchers divided 110 GBS positive women in weeks 35-37 of pregnancy into two groups. To one group, they gave two placebo pills to be taken each night at bedtime. To the other group, they gave two probiotic pills (containing the probiotic strains L. rhamnosus GR-1 and L. reuteri RC-14) to swallow every night. They hypothesized that perhaps taking oral probiotics, which colonize the gut with "good" bacteria, would get rid of "bad" bacteria, like GBS.
When these women gave birth about three weeks later, 43% of the women who had taken the probiotics were then GBS negative, whereas only 14% of the women in the placebo group were GBS negative at the time of birth. These results were significant enough for the researchers to conclude that taking L. rhamnosus GR-1 and L. reuteri RC-14 oral probiotics during pregnancy is helpful to reduce GBS colonization in pregnancy.
This study was significant enough to attract the attention of researchers—like Katia—to dig deeper and get a better idea of what was going on with the use of probiotics to prevent or treat GBS, and whether the results could be generalized for all pregnant women. Subsequent researchers found, however, that the results of the 2016 Ho et al. study can't be generalized to all populations. For instance, when researchers at Stanford University attempted to replicate the study, they did not find the same results.
There are several shortcomings with the study that Katia is digging into and trying to overcome in her research. For instance, we know that it typically takes 30-60 days for oral probiotics to colonize the vaginal and rectal mucosa, but in the Ho et al. study, participants took the probiotics for just three weeks on average. Katia wonders if that oversight may be one reason the results haven't been replicable.
We also know that our gut microbiome is very influenced by our diet and lifestyle. Since the Ho et al. studied was conducted in Taiwan, it makes sense that its results may not be generalizable to pregnant women in the U.S., who have a very different diet and lifestyle. Katia's goal is to further investigate these dietary and lifestyle differences and how they play out in the different bacteria that colonize our bodies during pregnancy, and which specific strains of probiotics would then prove most effective in preventing Group B Strep colonization during pregnancy.
Research in these fields is time-intensive and not for the impatient. As Katia continues to chip away at cracking the GBS code, she spends daily energy to ensure that her midwifery clients are educated and informed decision-makers. On every topic, with every recommendation she offers, Katia makes sure to give her clients lots of information and point them in the direction of more.
"I have informed consent for everything," Katia says. "I think it's a big piece of why people choose midwifery care, is to not be dictated what to do, but to feel like they have a say in their care."
When emergencies come up and long conversation about the pros and cons of a choice aren't possible, Katia relies on the relationship of trust she has built up with her clients throughout pregnancy. She'll have as thorough a conversation with her clients as the situation allows. If a client's birth isn't going exactly as they'd hoped and they're needing to make decisions they didn't want to make to ensure the safety and health of themselves or their baby, giving them a chance to talk about it as much as possible makes a big difference. "The outcome, we can't change. But how we feel about the outcome…" Katia believes that these conversations can make a big difference in those feelings. "Those conversations are really meaningful, because it does make the women feel like they were part of the decision-making process."
From my conversation with Katia, I could easily sense her expertise as a midwife and her trust in her clients to be the decision-makers in their pregnancy and birth journey. Whether she's guiding her clients through the process of making a decision or continuing to research Group B Strep, Katia is thorough, professional, and compassionate in her work.
This is the fourth post in a series of blog posts based on interviews I'm doing with midwives who serve Utah County.
This week, I'm spotlighting Seasons Warner (CPM, LDEM), owner of Four Seasons Midwifery. Seasons has been practicing as a midwife since 2014 and attends home births in the greater Utah County area (especially south of Utah county, extending into Juab, San Pete, and Sevier counties). Fun fact: if you see a car with a Utah license plate the reads MIDWIFE, you're tailgating Seasons. So give her some space if it seems like she's in a hurry to get to a birth!
Alongside Melissa Chappell, Seasons also co-owns Utah Birth Suites: a beautiful birth center with locations in Orem and Provo. Both locations are beautifully and thoughtfully designed to give expectant families a feeling of homey comfort with all of the medical tools needed for pregnancy visits and birth. They're also just minutes from local hospitals, in case a transfer of care is needed.
I spoke with Seasons about the postpartum care she gives her clients. In the US medical model of maternity care, new mothers are typically discharged from the hospital 48 hours after giving birth and then not seen by their care provider until six weeks postpartum. This large gap in care, which comes after weekly prenatal visits at the end of the third trimester, can feel jarring and isolating to new parents who are physically recovering from giving birth and adjusting to caring for a (very sweet and cuddly but very needy!) newborn. Midwives, like Seasons, work to make sure that their clients continue to be monitored and well-cared for in the hours, days, and weeks shortly after birth.
After Seasons' clients give birth, she closely monitors them and their babies for a few hours to ensure that baby is eating and there are no pressing medical needs. Then, she packs up and leaves them to settle in as a family (if the birth was at home) or sends them on their way home (if they birthed at one of the Utah Birth Suites locations). Within 24-48 hours after the birth, Seasons visits her clients in their home (whether they birthed at home or at the birth center).
Seasons again checks in with her clients via text every couple of days during the first two weeks after birth, and then they come to the birth center for appointments at two, four, and six weeks postpartum. This way, she's regularly in touch with her clients as they recover from birth, and she's able to offer ongoing newborn screenings and care. As a midwife, Seasons is licensed to offer well-baby care during the first six weeks of life. If any needs arise for mom or baby in the weeks after birth, Seasons is able to spot the need and care for it—or make recommendations for further care—before it becomes a larger issue.
At her postpartum visits, Seasons offers standard postpartum care. She checks in on how breastfeeding and sleeping are going, bathroom needs, stitches and perineal healing, and cracked or sore nipples. She notes baby's weight and growth, umbilical cord stump, and does a heart and lung check-up. She provides newborn metabolic screening (PKU) tests. After her check-ups, she'll refer her clients to other medical care providers if anything looks abnormal.
Another important service Seasons offers is repeated mental health screenings. Seasons asks her clients about how they're feeling, who's in their support system, and what their daily habits are. (Are they getting enough to eat and drink? Are they getting dressed, able to do some daily activities, and feeling like themselves?) This sort of screening is especially important at the four- and six-week postpartum visits, when lingering emotional or mental health concerns are an indication that her clients are in need of further care from a mental health professional.
Throughout the days and weeks after birth, Seasons is always available through text or phone call if her clients have questions or needs along the way. She's also well-connected with a local network of lactation consultants, pelvic floor physical therapists, chiropractors, pediatricians, obstetricians, mental health providers, and other specialists. Utah County has a village of postpartum care specialists, and Seasons connects her clients with the village when they have a specific need!
As we concluded our conversation, Seasons reflected, "I think the thing that sets midwifery apart, really, in the postpartum period—not even just the frequency of our visits—is just the level of intimacy and care that you have with a midwife." Those who are able to have this sort of connection and care with Seasons certainly count themselves blessed.
This is the third post in a series of blog posts based on interviews I'm doing with midwives who serve Utah County.
For this post, I was honored to interview Amber Adams (DEM) and Teryl Stay (CPM, LDEM), who attend home births in northern Utah County and southern Salt Lake county. Together with student midwife Kirsten, Amber and Teryl are Birth Mind Body, midwifery care that "brings back the village" to care for new parents. Both Amber and Teryl attend all prenatal visits and births together and work as a team.
Teryl and Amber each became midwives after first working as doulas. I loved talking with them about their journeys to midwifery, as my goal is to become a midwife as well! (I'm hoping to attend Vanderbilt's CNM program. Fingers crossed!) Teryl became a doula at a friend's suggestion and fell in love with community birth. She started attending Midwives College of Utah when her then-youngest child started kindergarten. For Amber, a series of random events led her to choosing midwifery care for her own first pregnancy and learning more about pregnancy and birth. After three people separately told her that she ought to be a midwife, Amber accepted the call to midwifery and also enrolled at Midwives College of Utah. Both Teryl and Amber had a baby (or two) while in midwifery school, and have personally experienced a range of birth experiences. They agree that the variety among their own births is an invaluable resource they drawn on as they support their clients. "I really believe that every midwifery journey gives you a different perspective to be able to help a client down the road," Amber reflects.
The main topic I chatted with Teryl and Amber about was how they support their clients through decision-making. Throughout the conversation, they both emphasized that they view their relationship with their clients as a partnership, and that they expect their clients to be involved, active participants in their care.
Whenever their clients are making choices, their role is to teach their clients about benefits and risks of each of their options and respect their informed decisions as they move forward. Anytime screenings, tests, or interventions (such as glucose screening, Strep B testing, etc.) are offered, they provide an informed decision-making document with information about the possible benefits and risks of each option. Together with their clients, they talk through all of the information on the document and offer the chance to discuss any further questions they may have. The document also points them towards other resources they can consult as they make their own informed decisions.
"A lot of it is based on trust," Amber says. It's important that their clients trust their midwives to give them the information they need to make decisions about their care, and that they trust themselves enough to confidently make decisions.
Of course, there are times when, as medical care providers, Amber and Teryl sometimes need to hold firm on certain guidelines. They insist that all clients have an ultrasound to determine the placenta's location during pregnancy, as placenta previa (when the placenta covers the cervix) is a serious complication that needs a higher level of care.
If other complications arise during birth, trust is again key. Teryl explains, "It's also so important to talk about this prenatally, and even during the interview, that these things can come up… We want to make sure that you have enough trust in us that if we're telling you, 'you need to go to the hospital; there's a higher level of care needed,' that they will trust us."
With this relationship of trust, Amber and Teryl strive to honor their client's autonomy and provide safe, quality care throughout pregnancy, birth, and postpartum.
Pam England's Birthing from Within has been hailed as "… a landmark in the history of childbirth" (Dr. Michel Odent). Published in 1988, this book is still relevant and influencing couples preparing for childbirth today. Pam England is both a Certified Nurse Midwife and a psychologist, and she calls on each of these backgrounds and experiences in her childbirth preparation education and recommendations.
When my brother-in-law saw this book sitting out at my house, he jokingly said, "Birthing from within? What other way is there to birth?" But, as Pam explains, its often the internal preparation that is overlooked when preparing to give birth, and that can make a huge difference in the way parents experience birth. Throughout the book, Ms. England offers a wide range of activities to help expectant parents prepare for birth—from the inside out.
The book is divided into seven sections:
1. Beginning Your Journey
2. The Art of Birthing
3. Preparing Your Birth Place
4. Being Powerful in Birth
5. Fathers and Birth Companions
6. Birthing Through Pain
7. Gestating Parenthood
In each section, Pam offers activities that expectant parents can do together or individually as they prepare for birth. Here is a sampling of some of the activities:
Surrounding all of the activities is tons of important information about birth: what to know and expect physiologically and psychologically, historical and ethnographic perspectives, and research and experience say about various birth choices (e.g. helpful comfort measures, home birth considerations, birthing positions, epidural use pros and cons, how to have an empowered cesarean, etc.).
In all, Birthing from Within is a vastly useful book with information that can appeal to and offer relevant information for families in a variety of circumstances, with varied goals and backgrounds. It certainly appeals most apparently to those preparing for an unmedicated birth, but it calls on all birthers to do the internal work necessary to have the best birth experience possible. I'd definitely recommend it as a resource to call on in preparation for birth. Check it out from my Lending Library!
Hi, I'm Sara. I'm a birth + postpartum doula serving Utah county. I'm a twin mom (plus one!), natural VBACer, and birth lover!
October 2022


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text: A Plastic Wave You are here: Main Eco News A Plastic Wave < All Topics Rate this Video / Article 0 0 What did you learn from this article/video? Please submit the reason for your vote so that we can improve the article. Submit Tags: Global WarmingPlasticVideo Previous A Midwestern Town Moved Uphill to Survive Climate Crisis Next A Simpler Way: Crisis as Opportunity Submit a Comment Cancel replyYour email address will not be published. Required fields are marked *Comment * Name Email Website Δ


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Robert RuschDigital Designer – Marketing Team
If you could open an online store, what would you sell and why?
I do have an online store, I sell greetings cards, gift wrap and stickers.
What's something most people don't know about you?
I'm partially colour blind...I'm the Designer so don't tell anyone.
What one thing couldn't you live without?
My road bike. Not much point to life if I can't ride my bike.


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Why does God hate me?
If you or someone you know is thinking about suicide, text 741741, call 1-800-273-TALK (8255), or go to www.suicidepreventionlifeline.org.
After "Who created God?" and "Why does God hate me?" the third most popular question on Google is "Why does God hate me?" The church affirms that each of us is created in the image of God and that we are loved unconditionally through God's grace. Reading this article made me realize just how many incorrect ideas about God are still out there.
How do you know when God doesn't like you?
One of the most telling signs that God has stopped loving you is His complete absence from your mind, thoughts, heart, spirit, and soul; if He truly didn't care about you, He wouldn't be tugging on your emotions, and He wouldn't be completely absent from your life.
What do you do when you feel like God doesn't love you?
Surrender means handing over your doubts to God. Confess them to Him; speak them out loud. He already knows about them, but you'll be surprised at how much relief you'll feel just talking it out with Him.
How do you know if he's the one God has for you?
You can't imagine spending the rest of your life with him. You aren't willing to sacrifice or lay down your life for him out of love. He is controlling or shows signs of narcotic behavior. He doesn't show his love for you in action or his actions don't align with what he says.
How do I wait for the right man from God?
While you wait for God, here are some fun things to do.
- Read your Bible more. Most people find it difficult to read their Bible.
- Pray more. A two-minute prayer before bed will not suffice.
- Fast more.
- Go to church more.
- Pay your tithes.
- 6.Be happy alone.
- Learn more.
- Truly make God the center of your life.
How do you know when God is punishing you?
Because you're a normal human being in a broken world, you're experiencing difficult losses, painful emotions, terrible situations, depression, and loneliness. Your feelings are normal, but they're not accurate; you think God is punishing you, but that's just how you feel. God loves you and is watching over you.
When God wants you to grow He makes you uncomfortable meaning?
u201cYou mean God doesn't want me to be happy, comfortable, and satisfied?u201d God created you for something much more than happiness, at least in the way we usually think of happiness. Our natural concept of our existence is far too shallow, tame, and comfortable.
Does God care about what I want?
God is able to do abundantly more than we can ask for, think about, or pray for, just as Solomon was able to do abundantly more than we can ask for, think about, or pray for. God's heart is to do even more than you are asking for.
Why do God doesn't answer prayers?
– God will not answer your prayers if they are motivated by selfish motives and driven by hidden pride in your heart; whoever turns away his ear from hearing the Law, his prayer [shall be] abomination.
Will God love me no matter what?
It means that God loves you no matter what happens; however, God demonstrated his great love for us by sending Christ to die for us while we were still sinners. (Romans 5:8 NLT) God loves you no matter what you do or what happens to you.
How do you know if a man is pursuing you?
21 Signs That A Man Is After You And Is Serious About Taking It
- He frequently 'accidentally' touches you.
- His posture is open around you.
- He smiles a lot when you smile.
- He looks into your eyes.
- He carefully plans the dates.
- You feel listened to.
- He holds your hand tightly.
How do you know he is a godly man?
A godly man will recognize that obeying God's word is another way he can demonstrate his love for God; however, observing his character may take some time; ask God to reveal any character flaws or behaviors that are inconsistent with God's word.
How do you know if he's the one spiritually?
So, according to psychics, here are some early signs that you've met "The One."
- You Glow When You're With Your Partner.
- You Feel A Level Of Comfort and Connection You've Never Felt With Anyone Else.
- You Feel Like Your Best Self.
- You're In Sync With Your Partner.
- You Allow The Relationship To Unfold Naturally.
Does God show you your soulmate?
According to the Bible, there is no such thing as a "soulmate." While there can be a soul tie or bond formed when a person is intimate with another person, the Bible does not mention a predestined relationship between two people.
What to do while waiting for the right man?
Let's get started:
- KNOW YOURSELF FIRST. Wanting love is one thing
- knowing what you need is another.
What does God say about waiting for a man?
Isaiah 30:18 But the Lord longs to be gracious to you, so he will rise up to show you compassion; for the Lord is a just God, and blessed are those who wait for him!


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The pain and anxiety caused by trauma has often felt more to me like getting a haircut — recurring experiences I go through over and over, because the emotional after-effects are ever-lasting as a survivor of nearly eighteen years of violence and emotional abuse. I've experienced my share that is fair of like I'm trapped, or that i am going to not be worth love.
Although we no further have experience of and am actually a long way away through the individual who put me personally through the abuse, I've been kept with numerous causes and worries. And these signs aren't unique if you ask me. Speaking with other survivors has helped me realize that in certain means, my very own injury and grief is right right here to remain once and for all. I will be very nearly particular We might always experience PTSD, depression, and anxiety. But In addition understand I am not alone, no matter how much it might feel like the opposite is true that I am enough, and.
To learn precisely what friends and family can do in order to assist, I spoke with fellow survivors, friends and lovers of survivors, counselors, and Cognitive Behavioral Therapists to place together this guide. As it happens, there are lots of how to relieve the blow of traumatization, in line with the survivors and professionals Teen Vogue spoke with.
Survivors of violence or punishment need validation.
Probably one of the most essential things you can certainly do for survivors is inform them that it is ok to be having difficulty also to have to take the area to heal, according to Alicia Raimundo, an internet health counselor that is mental. "i might tell individuals to ask the individual just what could be many great for them at this time and do this thing. Tell them you might be right here to hear them, validate them and help them, " says Raimundo.
Numerous survivors of physical violence and abuse experience fears that are extreme from sugarbook previous punishment, that may result in what's known as catastrophic reasoning, thought as obsessively ruminating over worst-case results. The step that is first combatting that, according to Dr. Lindsay Gerber, PsyD, Licensed Clinical Psychologist during the Mount Sinai Adolescent Health Center, is always to recognize as soon as we are participating in catastrophic reasoning. Dr. Gerber claims that certain tip she encourages her patients to use is to inquire of themselves, "What could you inform your closest friend if he/she/they were in this example? "
Sometimes, listening or becoming there clearly was anything you can perform into the moment.
Providing help to a survivor can include being receptive and nonjudgmental about whatever apparent symptoms of injury may be present, and paying attention to whatever they're speaking about and responding nonjudgmentally aswell. Be mindful about asking way too many concerns, or trying to provide hugs, or details, that could result in the survivor to feel afraid and start to become counter-productive, in accordance with Dr. Doug Miller, PhD, Licensed Clinical Psychologist and Forensic Trauma Professional.
Experiencing traumatization can feel totally isolating. Virtually every single survivor whom talked with Teen Vogue indicated feeling alone, trapped, or separated, that are typical responses to abuse, according to Dr. Doug Miller.
Ben, a 26-year-old survivor of parental punishment states the individuals who've been many beneficial to them are those whom "truly pay attention utilizing the intent to know and focus both you and your experience as opposed to attempting to wall themselves off as a result by tossing away platitudes or searching for everything you will need to have done or exactly what it really is in regards to you that 'made' this take place for your requirements. "
Other people, like Samantha, that is 18 and whoever closest friend is really a survivor of emotional and intimate punishment, explained that hearing a survivor is key. "Some people want advice or insight about what they're feeling or doing. Other people simply want a place to vent. Other people still might not wish to talk about any of it, and will simply desire a pal to just take their brain off it, " Samantha claims.


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Lower fat bean dip is the nomero uno that appears to most people's mind when it arrives to a perfect meal. Today, we will provide you procedures on preparing a appetizing Lower fat bean dip.
We hope you got insight from reading it, now let's go back to lower fat bean dip recipe. To cook lower fat bean dip you only need 5 ingredients and 5 steps. Here is how you cook that.
First of all, below are the ingridients that you should ready to make Lower fat bean dip:
- Get 1 can of fat free refried beans.
- You need 1 of brick low fat cream cheese.
- Take 1 cup of sour cream.
- Get 1 packages of taco seasoning.
- Use 1 of lots of shredded cheese.
After preparing the ingridients, now we are ready to make our delightful Lower fat bean dip:
- Preheat oven to 350.
- Mix everything except the shredded cheese in a bowl..
- Spread it in a 13×9 baking dish..
- Top with the shredded cheese..
- Bake at 350 for 25 minutes..
Reviewed by millions of home cooks. See more ideas about Layered bean dip, Bean dip, Seven layer bean dip. It's fast, simple, low-carb, and uses everyday pantry ingredients. The creamy lemon sauce is perfect with potatoes or rice. In electric blender or food processor container, blend beans, salsa and garlic until. desired.
Recipe : Lower fat bean dip
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Wholesome eating is all about balanced diet and moderate consumption, consisting of healthy meals at least three times every day. Healthy eaters eat several different sorts of foodsrather than limiting themselves to a special food type or food category.
Eating healthy necessitates a significant bit of leeway. You may possibly eat too much or inadequate, consume foods which are sometimes more or less wholesome. But, you always ought to fuel the system and your brain regularly with enough food to help keep the your body and mind strong and attentive.
A wholesome eater is a great problem solver. Healthy eaters have discovered to look after themselves and their ingestion together using sound judgement and making prudent decisions. Healthy eaters are almost always aware about the things they eat, and know exactly the effect that it will have on their bodies.
Whenever some one is not able to take charge of these eating, they are also likely to escape control with other aspects of life also. They are able to wind up spending a lot, talking too much, even going to bed later and later.
You always need to keep in mind that restricting food whatsoever is almost always a bad thing. Healthful eating is a way of life, something that you can perform to boost your body or the way you live. In the event you've considered making your own life better, healthy eating is only the place to start. You'll make life easier for yourself, those around you, and even your loved ones.
After reading this instruction, now you are ready to be able to cook your first incredible Lower fat bean dip and be a chunck of the few people that can produce the phenomenal Lower fat bean dip. If you wish that your families can also make a remarkable Lower fat bean dip or even to serve the extra delicious Lower fat bean dip for you, dont hestitate to share this page to them.


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MTV's Catfish aired what could be the wildest episode of the show yet!
On last night's episode of Catfish, a young lady from North Carolina claimed she had been dating rapper Bow Wow via the Internet. Not only had they exchanged romantic and sexual messages for months, but "Bow Wow" also sent her a $10,000 money order.
Oh, and it gets better…
When the fake Bow Wow was never available to Skype or meet up because he was so "busy" filming 106 & Park (with his new co-host Keisha Chante), the young lady became skeptical about whether she had been dating the REAL Bow Wow all this time. That's when she called the show.
So after Nev and Max got to the bottom of it all and caused the inevitable frenzy on social media, Mr. 106 & Park himself responded to the foolishness with a video inviting the young lady who had been "Catfish'd" onto the show. We won't ruin the episode for you, but suffice it to say, this girl was NOT dating Bow Wow.
Check out Bow Wow's video response below.


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Health, Safety and Environmental Advisor
Northwest London
£30,000 - £40,000
We are currently working with a lighting and rigging technology company who are looking for a Health, Safety and Environmental Advisor to join the team. Reporting into the Health and Safety Manager and working with the wider team, this position will see the successful candidate leading on Health, Safety and Environmental initiatives across warehouse, studio and office environments.
The Health, Safety and Environmental Advisor will be responsible for:
- Delivering Health and Safety on site, including audits, risk assessments and accident and incident investigations
- Driving Environmental initiatives, helping the company to implement and deliver a net zero plan
- Supporting projects and events, advising on Health, Safety and Environmental guidance and legislation
The Health, Safety and Environmental Advisor will have:
- Experience working in both Health and Safety and Environmental, ideally in a similar events environment
- A Level 3 Health and Safety Certificate such as the NEBOSH/NCRQ Certificate
- Strong communication skills and the ability to liaise with stakeholders at all levels
Vacancy Reference: PR/026039
Vacancy Owner: Georgie Ramsdale | email@example.com | | (+44) 7725 258695


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Posted on :
3 Oct, 2019
3 Oct, 2019
To promote quality in life, dignity in death and support in bereavement for all living with a life-threatening illness by supporting member hospices and partner organisations.
Job Title: Testing Linkage & Retention Mentor
Location: Mpumalanga
The primary purpose of this position is to provide technical support to staff, CBOs, WBPHCOTs and government structures in day to day roll out of HIV Testing Services, Referral Systems, Linkage and Retention in Care, Adherence Clubs and viral load suppression on APACE Community interventions.
Create an enabling environment for the provision of community based HIV Testing Services, provide technical assistance to WBPHCOTs/ CBOs to strengthen HTS in the community. Implement targeted community strategies to enhance update of community HTS & linkage to care among children, AGYW, men and key population. Support door to door index HIV testing in targeted high HIV prevalence and hard to reach areas, coordinate targeted & integrated community outreach interventions to increase Early Infant Diagnosis & Paediatric HIV testing.
Create demand for HIV self-testing in the community, Leverage critical entry points for HIV cases, ensure quality & proficiency testing of HIV test kits in the communities.
Support active referral of HIV positive clients from community to facilities for linkage to care and treatment initiation, Leverage community & facility sensitization and mobilization to increase acceptability of community HTS results and foster early linkage to care & treatment initiation. Improve communication & coordination to ensure coverage and update of HTS & linkage is achieved. Interface with Department of Health to strengthen commodity supply chain for community based testing. Support community ART initiation & linkage to rapid initiation of ART; Strengthen facility linkage to community care & support services; Improve bi-directional referral systems between community and facility-based services; Improve utilization of community-based health information systems to track community/facility referral.
Collaborate with CBOs and CSOs to mobilize demand for HIV treatment services, deploy staff to trace Pre-ART patients and ART defaulters; support community-based HIV services for new ART patients; Differentiate HIV treatment services for priority populations with age-appropriate and targeted approaches for children, AGYW and men; expand Central Chronic Medicine Disease Dispensing and Distribution Program to improve access to medicines in communities; Integrate NACS into Adherence Clubs. Support Linkage and retention officers and WBPHCOTs / CBOs to trace patients LTFU and those with virologic failure.
To apply
Please submit a detailed CV, covering letter and names of three contactable references including email contact to [email protected].
Application Deadline: Friday 04th October 2019


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In this article, I'll be looking at every little thing Helium 10 related, so that you end up with an understanding of what it is and whether or not you ought to select it up.
I'll be reviewing the rates, the functions, the frequently asked questions, several of the choices, all of the tools and how to use helium 10 cerebro what each of them do … and basically anything and also every little thing I can find, so as to make this an extremely extensive resource.
What Is Helium 10
Helium 10 is an on the internet software application as a solution business (SAAS company) that offers you all the sources you need to offer your own products on the Amazon.com market, successfully, successfully as well as purposefully.
It does this, by incorporating extremely effective competition research tools, keyword study tools, item research tools, and various other attributes such as pattern searching for tools, e-mail follow-up software, refund and repayment assistance, providing optimization as well as also analytics information.
Helium 10, has more than 20 skilled, potent and highly sophisticated tools, that encourage Amazon.com sellers to take their sales to the next level. The business also has:
- 700,000 Worldwide users
- Over 400,000+ Chrome expansion downloads
- Over 2 Billion tracked products
- Processes around $1.4 billion in month-to-month sales
Thus Helium 10 is excellent for any person that's interested in selling their own items on the Amazon system, whether you're just beginning as a seller, or have some experience and also intend to start automating and also scaling your works, by assisting you conserve time and money, revealing you prospective competition voids, upcoming fads, undiscovered "golden" products, how to maximize your listings properly … and far more.
Helium 10 Tools
When it concerns the tools required to make all of this job, Helium 10, has a big array of them. These can be divided into various categories, which are: Item research study tools, Key phrase research study tools, Listing optimization tools, and also operations tools.
Product Study Tools
This set of devices, like the name recommends, will certainly aid with whatever and also anything related to item study. This includes feasible products that you can sell, trending products, item rates, estimated income for various items, consumer evaluations, ASIN scraping and a lot more.
Inside the Helium 10 item research group, there are currently 4 various devices. These tools are: Black Box, Trendster, Xray, and also the Profitability calculator.
Search Phrase Research Tools
Keyword study is the bread and butter of contending as a vendor in Amazon.com, and virtually on any one of these "rank-based" industries and also platforms, and it's definitely important to do both properly and also correctly.
These collections of devices, allow you to both locate successful and also opportunistic key words that offer you a competitive advantage in the industry, along with program you search phrases that are possibly a lot more saturated or whose particular items get on a drop, to ensure that you can stay away from them.
The Helium 10 Keyword research study devices consist of 3 distinct devices. These are the Helium 10 Cerebro, the Magnet and the Misspellinator.
Listing Optimization
The listing optimization tools enable you to maximize your product listings, to fit the Amazon.com search formula. Maximizing your product for the Amazon.com search algorithm is vital to having your item appear on the organic look for the different keywords and also keyword phrases you're targeting.
Maximizing the listing consists of, including appropriate variety of photos, the appropriate key words density, description length, right title, title size, appropriate related search phrases … and so forth and so forth.
When it concerns listing optimization devices, Helium 10 has 3 unique devices. These are: Monster, Scribbles and also Index Checker.
Helium 10 Prices
When it pertains to the Helium 10 rates structure, you can discover what are technically 5 noticeably different prices plans for it. These are the Helium 10 Free strategy, the "A la carte" strategy, the Platinum strategy, the Ruby strategy, and finally, the Elite strategy.
In the following area, I'll be going over all of the various plans as well as what they provide.
Helium 10 Free Strategy– $0/month.
The Helium 10 cost-free strategy, is 100% totally free.
The fantastic thing about this strategy, is that it enables you to make use of all of the tools within the platform, which is something that a lot of the business in this room will certainly not necessarily allow you to do (several of the competitors will certainly give you a 14 day free trial, however ask you for settlement details, Helium 10, does not).
That being said, the free plan, which you can get here, will certainly give you only restricted use of the tools. In some cases, you'll have a few addresses the device, as well as in other instances you can use them for a minimal time after producing your account.
Helium 10 A La Carte– $-/-.
The a la carte strategy, enables you to cherry-pick from within a subsection of the Helium 10 tools, which device you wish to make use of.
This choice will certainly save you cash in case you do not require all of the various other tools, nonetheless it does make the tools usually a bit more expensive than what you would obtain them for on the other paid plans, as a result of the adaptability.
Keep in mind that with the a la carte alternative, several of the tools like the Helium 10 Monster or the Helium 10 Scribbles, are not available.
Helium 10 Platinum– $97/month.
This plan, is the primary, most affordable and most popular paid plan from within the Helium 10 platform, and also it provides you access to every one of the tools, as well as some extra features like the follow-ups and also the Flexibility ticket online program/course.
Keep in mind that several of the tools inside the Helium 10 Platinum plan, are "limited" in the feeling that the Diamon and also Elite plans, which are much more pricey, enable much more use on the tools. So as an example, with the Platinum plan, you'll be able to make use of the Search phrase tracker, for approximately 2,500 key phrases, whereas with the Diamond plan, that number rises to 5,000, so ensure to keep an eye out.
Helium 10 Ruby– $197/month.
This strategy, costs $197/month, and is the following down the line in the Helium 10 pricing strategy alternatives.
The important major distinction in between this strategy as well as the previous one, is that the Ruby plan, enables the expansion of the use of several of the tools, like the e-mail automation, keyword tracker and also notifies … amongst others.
The major distinction between the Helium 10 Ruby plan, and also the Platinum strategy, is that the Diamon plan, enables some extension of the usage and also restriction, of some of the tools like the Follow-up email automation, the alerts, the keyword tracker as well as the index checker.
An added attribute that this strategy has that the others up till this point don't, is the extra logins on your account.
Helium 10 Elite– $397/month.
Ultimately, we have the Helium 10 Elite strategy.
This plan, is one of the most costly strategy, however additionally the one that has the most attributes.
In addition to giving you all of the Helium 10 tools, it also maxes out your ability to utilize them, contrasted to any other strategy. You'll obtain a boost in Index checker restriction, in.
Not only does the Helium 10 Elite strategy, give you accessibility to every one of the tools in a practically unlimited manner, like the priced plans do, but it also maxes out the ability for the tools that had a restriction.
With this strategy, you'll obtain a boost in the Index Checker limit, a boost in the Alerts limit (to approximately 1000 ASINs) and also an increase in the follow-up tools, for approximately 50,000 emails per month.
Along with these tools, you'll be obtaining functions and services that aren't offered on the various other plans. These are the month-to-month trainings, personally workshops as well as FaceBook team.
These are incredibly powerful as well as very much worth the investment. You'll be getting hands on help, as well as a chance to network with people who're in the exact same watercraft as you are, which is extremely essential. It must tell you something regarding the solution, that they have actually obtained all 3 attributes, only available to Helium 10 Elite participants, as well as not even the Diamond strategy individuals can access them.
Helium 10 Review: Final thought.
That would be the end of this Helium 10 Review!
As you can see, Helium 10 really is just one of the very best all-in-one remedies when it pertains to selling products on Amazon.com, that there is around on the market today, by far.
Not only is it the most durable as well as total option out there, but it's also one that is methodically improving and better every day. With brand-new tools and also attributes, integrations and sites appearing, Helium 10 is possibly the location where you intend to be, as well as is what I would think about to be the most effective alternative right now for all your Amazon vendor requires.


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Reported via desktop in the Traffic lights problem at temporary roadworks category anonymously at 09:54, Wed 17 March 2021
Sent to Buckinghamshire Council less than a minute later
3 way temp lights are causing massive disruption. Cars park on that road meaning that coaches and larger vehicles are taking so long to navigate through that even when the light is green you can't move because they're still coming through
Receive email when updates are left on this problem.
Thank you for your report which is currently under review.
We will investigate this and if you have provided an email address, we respond to you within 10 working days.
We will continue to update you by email (if provided) when your report reaches key stages.
IMPORTANT: To report anything dangerous, please call us on: 01296 382416 (09:00 – 17:30 Mon-Thurs, 09:00 – 17:00 Friday) or 01296 486630 (out of hours and weekends).
Transport for Buckinghamshire
Posted by Buckinghamshire Council at 09:54, Wed 17 March 2021
Only the original reporter may leave updates.
If you made the original report please
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Offered is a group of 4 medals consisting of. Canadian Volunteer Services Medal; War Medal 39-45 unnamed as issued; UN Korea medal, Clasp COREE, impressed named 25236 J. MAYER (French Canadian) & Canadian Forces Decoration (Queen Elizabeth). With 2 Clasp (22+ years service), impressed named SGT J.
26,000 Canadians served in the Korean war. We list militaria and coins weekly. We provide quality mounted medals, badges and historical research.
We can mount your miniature or full size medals, ribbon bars or supply replacement ribbons or badges. We can also conduct military research on your behalf and value cherished objects with a current market or insured value.
2/135 Russell St, Morley, WA. We run two specialist military auctions per year. Items are accurately described & photographed. Additional costs for this standard service will be added for this service based on publicly available Australia Post rates.Please note, these items are located and will be posted from Australia. We appreciate fair feedback from you once you receive the item. We aim to give you, the customer our best customer service. The item "WW2 & KOREAN WAR CANADIAN GROUP OF 4 MEDALS TO MAYER" is in sale since Saturday, October 12, 2019. This item is in the category "Collectables\Militaria\1939 - 1945 (WWII)". The seller is "jb_military_antiques_14" and is located in 2/135 Russell St, Morley, Perth, WA. This item can be shipped worldwide.


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Stuart Pearce has delivered a rousing, sping-tingling message to the England team as they prepare for the game of their lives.
The Three Lions can win a major tournament for the first time in 55 years as they take on Italy at Wembley on Sunday in the Euro 2020 showpiece – LIVE on talkSPORT from 8pm.
Pearce is an England legend who came so close to glory with his nation at both the World Cup in 1990 and European Championship in 1996, going out on penalties to Germany in the semi-finals on both occasions.
He was renowned for the passion he showed every time he pulled on the Three Lions shirt and was one of the finest defenders ever to play for his country in an outstanding career which saw him collect 78 caps.
Pearce has never lost his passion for England and has now delivered an incredible speech on talkSPORT which he hopes will spur Gareth Southgate and his team on to achieve Euro glory this weekend.
In the video – which you can watch in full above – Pearce said: "What does England mean to me? I was born in Shepherd's Bush, London, the capital.
"I worked as an electrician, whilst playing non-league football for Wealdstone, eventually I signed for Coventry City, then Nottingham Forest.
"The best was yet to come. On the 19th of May, 1987, I was called up to play for my country. It was the greatest honour of my life.
"I'll never forget the feeling each time I was able to pull on my national shirt to be one of the best 11 players in your nation felt incredibly special, singing the national anthem with 100,000 patriots singing alongside you at Wembley.
"It makes the hairs on the back of your neck stand up even now, nothing comes close. So what does England mean to me? It's Cornwall, it's the Lake District, the New Forest, Stonehenge, Buckingham Palace.
"It's a Cornish pasty, fish and chips, clotted cream and scones, pie and mash. It's The Who, The Stranglers, Oasis, The Sex Pistols.
"It's the bridges of Brunel, the sonnets of Shakespeare. Her Majesty the Queen. It's a Bristolian, a Brummie, a Scouser, a Geordie, a Cockney and a good old fashioned cup of tea.
"More than anything, it's home. This country, this England, my England. And if anyone knows that as well as I do, it's Gareth Southgate and these players.
"So do us proud lads. Think about what your country means to you. Keep dreaming, keep believing. Do it for yourselves. Do it for us. Do it for England."
Pearce's speech – recorded ahead of the semi-final win over Denmark – has already got the seal of approval from the England camp.
Declan Rice was among the thousands who liked the speech when it was posted on Twitter and told talkSPORT how inspiring it was to hear those words from Pearce, who is his coach at West Ham.
"I watched it and I was buzzing," he said. "That is Pearcey to a tee really – someone who motivates you, gets you up for big games and someone who has been there and done it for England.
"He's an icon for England so to listen to that and the reaction it had as well, was amazing.
"It's amazing. It gives you that real excitement to go out and perform."
England vs Italy in the Euro 2020 final is LIVE on talkSPORT this Sunday. We will bring you all the build-up, expert analysis, the latest team news and interviews from the Three Lions camp, plus exclusive commentary from Wembley.


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Popular Yoruba activist, Sunday Adeyemo a.k.a Sunday Igboho addresses a crowd at Ibarapa in Oyo state at the expiration of his ultimatum for Fulani herdsmen to leave.
The activist who accused the herdsmen of being behind criminal activities in the area, also alleged that the administration of President Muhammadu Buhari has brought nothing good for the South-West except social vices .
He said;
"The Fulani have gone, we have sent them out of our land and they cannot come back again. Kidnappers cannot rule over us, they can't take over our land from us. It belongs to us; they should stop threatening.
"Those who live with us peacefully; we are not fighting them but how will a visitor claim one's house from him. If you live with us in peace, we have no problem with you but if you decide to kidnap and kill us, we don't want you here. I assure Yoruba people, particularly those in Oyo State, that there is no danger.
"This one we have started here in Oyo State will not end here. We are going to other parts of the South-West. Tell Fulani herdsmen in Ekiti State, Ondo State and Osun States; in fact, in all South-West states that they should get ready for us because we are coming."


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20 May 2019 09:09

Expert Recommendations on Discovering Your Weight loss Technique

Certainly one of the important thing elements of success in the area of weight loss is dedication. That is one among the numerous extraordinarily essential pieces of recommendation that you will see in this article. Read what the consultants are talking about and learn to apply it to your own situation.

Make your weight-reduction plan a life change and you'll keep off the load. The brand new fad eating regimen available on the market may promise the world, but if it isn't a weight loss program that you could maintain for the long term it will not be just right for you. Use diets as a leaping off level to learn to eat well, but be sure that it consists of foods that you'll eat for the remainder of your life.

When setting your weight reduction goals, ensure that they are challenging but achievable. An unreasonable objective will solely leave you annoyed and upset, and you will find yourself quitting prematurely. A goal that is just too simple won't problem you and you will not find yourself reaching your weight reduction potential.

When first beginning out in Great Concepts For Top Notch Personal Fitness , focus on one change at a time. In the event you attempt to scale back your caloric intake, improve your exercise and reduce out all the junk meals all in the identical week, you will end up overwhelmed. Have a simple, single goal and stick with it and then add on more, as every new objective becomes a behavior.

That will help you together with your weight reduction regime, make an inventory of your favorite fruits and vegetables, and research attention-grabbing and appealing sounding recipes you can also make with them. Smoothies or juicing vegetables are great for this, as are more exotic gadgets you won't usually attempt. Remember, making your eating regimen fascinating and fun will increase the chances of you sticking with it.

If you wish to get a handle on weight reduction, it is essential to understand the idea of nutrient density. Historically, nutrient density has been spoken of by way of nutrients per unit of weight or volume, i.e. calories per ounce, and many others. Of Searching for Informative Options To Maintaining Shape? Attempt These Fitness Suggestions! , however, is to consider the nutrient density when it comes to nutrients per CALORIE. Measured by that standard, a head of romaine lettuce, which has about a hundred calories, is many occasions more loaded with nutrients per calorie than nearly every other meals. It's just that most of us don't consider consuming a complete head of romaine lettuce. These findings, primarily based on research recommend that specializing in essentially the most nutrient-dense foods (by calorie, not by weight) will help individuals lose the best amount of weight.

Your cellphone will be an important software in your weight loss journey. If Fitness Tricks to Enjoy A greater Body And Better Well being find yourself tempted to eat an unhealthy food, name a buddy or household member and chat about anything aside from eating. Your need to snack solely lasts a couple of minutes, so this simple distraction may be all you want to remain on track.

A tip that may help you shed pounds is to cut back the amount of carbohydrates you eat in each meal. Carbohydrates are very important as a result of they offer us power, but it can be really easy to eat too many, and excess carbohydrates are guaranteed to be stored as fats.

A good way that can assist you drop pounds is to share your progress and outcomes with your friends and family. Having that exterior motivation will push you to try even harder to continue together with your health targets. It's also good to have the ability to inspire another person to shed extra pounds.

Ensure what that your footwear is snug while you workout. You will be working hard, and you do not wish to risk getting a blister or hurting your foot indirectly. You do not necessarily have to buy the most effective sneakers on the market, but be sure to get a top quality pair.

 Ideas For Health And Health! to consider weight loss is in a mathematical sense. In the human physique, a single pound of body fats equates to roughly 3500 calories. So when you would like to shed one pound of weight you'll have to lose 3500 calories above what you consume. So as to efficiently keep observe of this caloric intake and output, divide it into manageable items and time frames. For example, try to eat 500 less calories per day than you utilize. This can make it in order that you will lose one pound every seven days.

To summarize, there may be lots of data that explains how to seek out success with your weight reduction plan. This text has every part that you must get began and hopefully the guidelines and tricks offered will be beneficial to you. Go ahead and get started on your new life.