muffin with benefits

February 12, 2012

IMG_6059Blog

Mmmmmmmm!

IMG_6055Blog

I got all Valentine’s for breakfast today. Pink bowl. Pink backdrop. Pink goji berries. Pink strawberry muffin!

Rice cooker oats are great for lazy Sundays! I put 1 cup of Holly oats (for 2 servings) plus 3 cups of water in last night and set the timer to porridge. Plus a little vanilla and salt. This morning they were ready and warm at 8 when I woke up. I dressed them with banana (which I am loving on TOP these days) and some Strawberry Muffcake – which I am no longer allowed to called Muffcake because you all told me ‘muff’ is obscene!? – so I will call it a Frosted Muffin or perhaps Muffin with Benefits. And chia seeds.

IMG_6057Blog

This muffin was like cake – not exactly a super food breakfast, but superfoods were underneath!

IMG_6058Blog

Matt joined me a third of the way into breakfast and “The Business of Being Born,” which I enjoyed a lot. More thoughts on the film coming to BERF!

IMG_6053Blog

Previous post:

Next post:

{ 79 comments… read them below or add one }

1 Maria @ Sinfully Nutritious February 12, 2012 at 10:34 am

I love the layered breakfast. The strawberry muffcakes, I mean, muffins with benefits, sound delightful. I cannot wait for strawberry season. I want spring!

Have a great Sunday!

Reply

2 Kinley @ Better Off Barefoot February 12, 2012 at 10:34 am

Love your pink breakfast! Mine was more suitable for St. Patties day because it was green :D

Reply

3 Allison K February 12, 2012 at 10:36 am

I loved “The Business of Being Born.” As a fellow pregnant lady, I’m looking forward to your baby blog coming online….when will it be up and running?

Reply

4 KathEats February 12, 2012 at 10:42 am

2 weeks!

Reply

5 Kaitlyn February 12, 2012 at 11:55 am

2 weeks too long! :) im too excited!

Reply

6 Jess February 12, 2012 at 10:37 am

Haha now I’m giggling about muff cake. That’s awesome.
Love the pink theme! Muffins & oatmeal are a match made in heaven.

Reply

7 Khushboo February 12, 2012 at 10:39 am

If you deliver a girl, Kath…we will have this breakfast to thank!

Reply

8 Laura @ Sprint 2 the Table February 12, 2012 at 10:40 am

That is a gorgeous bowl of oatmeal! I think a strawberry muffcake sounds delish – silly dirty minds. LOL! :)

Reply

9 Claire February 12, 2012 at 10:41 am

“Matt joined me a third of the way into breakfast and ‘The Business of Being Born,’ which I enjoyed a lot.” You missed a verb, and without it, I don’t understand this sentence. What is “The Business of Being Born”?

Reply

10 Cm @ Lazy Healthy February 12, 2012 at 10:42 am

It’s the title of a documentary.

Reply

11 KathEats February 12, 2012 at 10:43 am

It’s a movie.

Reply

12 Cm @ Lazy Healthy February 12, 2012 at 10:41 am

Best post title ever.

Reply

13 Lee February 12, 2012 at 10:44 am

Muffcakes is funny!

Reply

14 robin February 12, 2012 at 10:45 am

HAHA muffcake, cute. I loved the movie Business of being born. Even though my youngest is sixteen. Women are amazing when it comes to giving birth!

Reply

15 lynn @ the actor's diet February 12, 2012 at 10:45 am

yes, muffin with benefits…much better!

Reply

16 Cara Craves... February 12, 2012 at 10:55 am

A lovely breakfast to keep you going for the morning!
I just made your yogurt pancakes for my husband and I…definitely
my fav. pancake recipe!

Reply

17 Emily@ thedoodlebug February 12, 2012 at 11:32 am

I am planning to watch that documentary today too, I hear if you’re pregnant that you MUST watch it!

Reply

18 Jenny@vegetarianhatesvegetables February 12, 2012 at 11:35 am

The business of being born was a great documentary. I had my heart set on a water birth until I found out I was having twins. At that point, I was so scared I would have done anything the doctors told me to. I did feel my c-sec was a little sad, though. It kind of took the power away from me.

Reply

19 elocin February 12, 2012 at 11:39 am

Good Morning Kath and congratulations to your pregnancy. I love your blog and check it several times a day since I’ve found it last christmas. Have you also had birthday these days? I’m really sure, that I’ve read “…28 year old Registered…”
I’ve also fall in love with “Overnight Oats” I found in your page.
Best wishes from germany (where it’s evening now)
Nicole

Reply

20 KathEats February 12, 2012 at 3:06 pm

My b-day was in October! 29 years young and counting!

Thanks for reading :)

Reply

21 Heidi February 12, 2012 at 11:40 am

Hey KERF,

My momma has these same dishes (as her fancy set). Love yer blog and congrats on your lil heartbeat!

Reply

22 KathEats February 12, 2012 at 3:06 pm

These are from my grandmother :)

Reply

23 Kristen @ Change of Pace February 12, 2012 at 11:44 am

Muffins or some type of banana bread over cold yogurt is one of my favorite breakfasts. Gotta try those oats asap!

Reply

24 Meg @ Spandex in the City February 12, 2012 at 11:52 am

wow, never thought of stirring / breaking a muffin into oatmeal !
I guess I would to scared of it being a carbbb overload, but looks so delish.

Reply

25 Sloane @ My Life in Florida February 12, 2012 at 11:57 am

I love the idea! I’ll make 6 muffins but get tired of eating them after the second day… No more wasted muffins :)

Reply

26 Gretchen February 12, 2012 at 11:59 am

I agree, the best way to describe what morning sickness feels like is “A two-month (or more!) constant hangover.” When I went to my 12-week OB appointment the doctor asked me how I was feeling and I said “Like I have a terrible hangover”, and she gave me this horrified look. I had to quickly explain I did not have an ACTUAL hangover, and was shocked that this was the first time someone had said this to her. I also clued her in to the term “pulling the goalie”. What they leave out in medical school!

Reply

27 KathEats February 12, 2012 at 3:06 pm

Hahahahah – I can imagine her reaction!!

Reply

28 Maggie @ Say Yes to Salad February 12, 2012 at 12:02 pm

I had no idea!!!!

Reply

29 Meagan February 12, 2012 at 12:05 pm

Muff is obscene? Seriously. I think you should call it whatever you want.

Reply

30 Allison K February 12, 2012 at 12:47 pm

the obscenity of the term “muff” is personal. I don’t think it’s obscene, but it is a common slang term for vagina. Sort of like…Pecker.

Reply

31 Christena February 12, 2012 at 7:53 pm

Right. It’s not necessarily “obscene” but some people use that word with vulgar connotations.

I didn’t think anything about it when you used “muffcake” originally (even though I do know the other meaning), but I find people started pointing it out in the comments and the way you addressed it in this thread so funny. :) I also like Allison K’s analogy – reading that last sentence is funny!

Reply

32 Averie @ Love Veggies and Yoga February 12, 2012 at 12:06 pm

A Muffin with Benefits…cute :)

I love the peach/coral embroidered linen. So pretty!

Glad you enjoyed the movie, too.

Reply

33 Blessing @ Working Mom Journal February 12, 2012 at 12:14 pm

I watched all sort of baby and birth videos when I was pregnant, it just seemed like the only fun thing to do with the unborn baby. A BERF film? I am excited!

Reply

34 Amy February 12, 2012 at 12:17 pm

Are you using a midwife or an OB?

Reply

35 KathEats February 12, 2012 at 3:07 pm

An OB, because the only nurse midwife was booked up already when I called the day I got a positive test :( I’m happy with the practice though, and I’m hoping to hire a doula.

Reply

36 Nicole February 20, 2012 at 4:43 pm

Have you tried these midwives? http://www.mountainviewmidwives.com/

Reply

37 Liz @ Tip Top Shape February 12, 2012 at 12:17 pm

Looks so delicious!!

Reply

38 Sarah February 12, 2012 at 12:22 pm

I recommend mupcakes! That is why my friends and I call cupcakes that resemble muffins… I’m sure it can work for muffins that resemble cake too. :)

Reply

39 Karen February 12, 2012 at 12:44 pm

I second this recommendation :)

Reply

40 KathEats February 12, 2012 at 3:07 pm

That’s cute!!

Reply

41 ES February 12, 2012 at 12:30 pm

First of all, those muffins look delicious.

Second of all… “Business of Being Born”… Oh boy do I have a million thoughts on that documentary! I, too, watched it while I was pregnant. Pregnant women sure do get wrapped up in that documentary! I urge you to consider that Ricki Lake is not a journalist, and I found the film to be very biased. It implies the WORST about doctors, and sets women up for failure, honestly.

Personally, I ended up with a induction –> pit –> epi –> c-section. But I don’t believe my doctors were evil or trying to profit from me. I’ve felt like I have to explain myself to women (often childless) who’ve watched this film how I could ever “allow” this to happen. But the fact of the matter is, if the doctors had even the SLIGHTEST inclination something was wrong, then slice me open, because my healthy son was all that matters. Recovery was fine, it had no effect on breastfeeding (still going strong at 8 months!) and my son and I had no short-or-long term medical issues. Was it exactly what I wanted? Heck no. But I had a caring OB who thought it was best, and I didn’t want to attempt to substitute a documentary for actual medical schooling. (Not that you have… but some women do…)

OK I’ll stop. Can’t wait for BERF. You think people have opinions on food? Just you wait… ;)

Reply

42 Felicia February 12, 2012 at 1:26 pm

I wanted to echo what ES is saying.

The Business of Being Born is very heavily biased. Michael Odent specifically stated during the film that C-section primates are not able to bond with their young and he equates that to women who have had C-sections- which is sensational and untrue. ES above had a C-section and I can guarantee with absolute certainty that she does not love her child any less than I love my vaginal birth baby.

The film attempts to display only the worst about hospital births to encourage women to have a home birth- however, the film failed to say that home birth has a much higher infant death rate than a hospital.

The film appeals to the emotions of pregnant women but the “facts” in the film are not backed up by scientific evidence.

You are educated, so I hope you use your education to critically think about the film instead of allowing your emotions to color your opinion of it. You have deleted many of my comments so I wont be surprised if you delete this one, but I hope you think about it.

Reply

43 ES February 12, 2012 at 1:36 pm

Thanks Felicia! I do love my baby, haha. Some days I do wish I had gotten to experience a vaginal delivery, but my little guy had a bruise on his forehead from his mom pushing so hard… and he didn’t even have that big of a head. Twas not meant to be.

“The film appeals to the emotions of pregnant women but the “facts” in the film are not backed up by scientific evidence.” So, so, so true. As soon as we women become pregnant, we’re bombarded with ways we can feel guilty about every decision we make. It’s unecessarily cruel that women bear this burden. Don’t we have to go through enough?

I do want to say, the one thing in the film I do agree with, is that women were not meant to give birth on their backs. I pushed for two hours on my back and it felt very unnatural. But that was just MY experience. Every birth is a special snowflake, you really just have to go with the flow!

Reply

44 Salem February 12, 2012 at 2:03 pm

I Also agree. I watched the documentary while pregnant and got into the hype of it all but ultimately we decided on a hospital birth. I did so much research and obsessed over it as the day grew near. I was very specific in my birth plan going in and soon realized that I wanted to put my baby first and not my idea of a perfect birth. I HAD to let go of some control which is very hard for a first time mom. His cord was wrapped twice around his neck and I ended up with a c section. I don’t feel robbed in any way whatsoever! I loved my birth experience and feel nothing but thanks and gratitude for my doctors and hospital staff. We had zero issues with bonding or breast feeding and I too still exclusively breast feed my son at 8 months. I would do it all over again in a heart beat. Next time — no birth planning …. Just going to go with the flow and trust my dr.

Reply

45 KathEats February 12, 2012 at 3:10 pm

Yes, it did seem like the hospitals were ‘evil’ with all the shots.

They did say that home birth mortality rate was lower than hospitals but is that simply because there are so fewer of them? If you looked at them percentage wise it would be higher?

I don’t think I would ever want to try a home birth (unless I could see into the future and know it was going to be OK) but I do like a lot of what they said – especially being up and moving around. Luckily our hospital has birthing tubs that you can labor in for a while (but not deliver).

Reply

46 Felicia February 12, 2012 at 4:04 pm

The infant mortality rate at a home birth is 7x that of in the hospital :( confirmed by CDC.

http://www.ncbi.nlm.nih.gov/pubmed/21380991
http://www.smfmnewsroom.org/wp-content/uploads/2012/01/Abstracts-537-686.pdf
http://www.smfmnewsroom.org/wp-content/uploads/2012/01/Abstracts-537-686.pdf
http://www.mbc.ca.gov/allied/midwives_2010_annual_report.pdf

(I hate linking to Dr. Amy because she is so disliked and kind of crazy but…)
http://skepticalob.blogspot.com/2011/12/latest-cdc-data-homebirth-killing-more.html

I also agreed with this part of the film- “I do like a lot of what they said – especially being up and moving around. Luckily our hospital has birthing tubs that you can labor in for a while (but not deliver)”

Being up and moving around isn’t something that is only accomplished at home, though :) which is what I resented in TBOBB. They acted like being at home was the ONLY way to get the birth you want, and it isn’t.

I’m sorry if my first comment came across as harsh, especially adding the “I’m sure you will delete this” bit :) that wasn’t so much directed at you as it was the people who are rabidly pro-home birth no matter what (!!!) and delete any information from the “opposing” side.

Reply

47 KathEats February 12, 2012 at 9:06 pm

Thanks for the stats, they certainly don’t surprise me.

Think I need to buy an exercise ball to use :)

I didn’t mind your first comment at all. I never mind comments that are respectful! If I deleted one in the past, I probably found it erring on the side of rude or mean.

Reply

48 Nicole February 20, 2012 at 4:51 pm

You must realize that when OBs quote how dangerous homebirths are, they are taking into account ANY birth that happens outside of the hospital after about 20 weeks gestation. If you only look at the PLANNED homebirths with trained attendants, it has been found to be as safe, if not safer, than hospital birth. SO many of the “emergencies” that happen in hospitals are caused by the needless interventions that are done to moms under the guise of “helping” when in fact they really just help the OBs and nurses have easier jobs (like continuous fetal monitoring that has been shown in NINE controlled studies to not improve outcomes in moms or babies but DO increase the chances of a c-section three-fold).
If you really want to educate yourself and not just listen to the opinions of OBs, get Henci Goer’s Book “The Thinking WOman’s Guide to a Better Birth” where she interprets all the studies done on all things births and breaks it down for us. Then you will see what is truly needed for safe births and what is being done for the ease of the hospital staff.

Reply

49 Nicole February 20, 2012 at 4:47 pm

No, it’s NOT because their are fewer homebirths–it’s because so many of the needless interventions that are done to pregnant women in hospitals are not done routinely to moms at home. There is a time and a place for all interventions but to have 98% of women all required to have most of them in hospitals is out of line and why our c-section rate is through the roof in this country (with no added benefits to moms and babies I might add).

The bottom line is that birth is a normal, natural event in a woman’s life and when a laboring woman is treated like she’s an emergency waiting to happen and every intervention is needlessly used on her and her baby, problems ensue.

Babies born at home in a PLANNED homebirth (be careful of studies that count all homebirths–even unplanned ones with no birth attendant!) have been proven to be as safe if not safer than hospital birth (don’t forget the risk of all the nasty infections only found in hospitals and not in your own home!)

Reply

50 Felicia February 20, 2012 at 7:30 pm

Oh sweetheart.

Show me statistics that support your opinion.

(hint- there aren’t any)

Reply

51 Nicole February 20, 2012 at 8:06 pm

I’m glad you’re SO sure of your opinion being right. I have been a childbirth educator and birth doula for well over 10 years and have been VERY in tune with the current research in that time. Again, I will say to you that when OBs quote the most famous homebirth studies that THEY rely on to try to prove how “dangerous” homebirth is, they use studies that count ALL births after 20 weeks gestation–those include spontaneous miscarriages/still births, high risk women, accidental homebirths, homebirths with no trained attendant, births that happen accidentally in cars or in bathrooms etc… I’m sure you can see why the results to these studies would show homebirth to be less safe than hospital birth for THESE women. BUT, there are other studies out there that and THOSE are the ones I am speaking of.
The studies that have been done which control for things such as low-risk moms having a PLANNED homebirths with a skilled and trained attendant have all shown that the outcomes for moms and babies are the same, if not better, than when taking place in a hospital.
You asked for proof and here it is–in the form of a large CONTROLLED study done in North America- The conclusion? “Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States.” http://www.bmj.com/content/330/7505/1416.full
So the outcomes for moms and babies was about the same in BOTH settings BUT, the rates of medical interventions was higher in the hospital births–which could mean a lot to a mom looking at ending up with an episiotomy vs not having to be cut or a baby who is pulled out by a vacuum on his head vs one who isn’t.

And here is one more for you to peruse- http://www.usatoday.com/news/health/2009-09-03-midwife-home-birth_N.htm

So as you can see sweetheart, your assumptions were not correct when looking at CONTROLLED groups of women giving birth in both settings. This is why it’s always uber important to look at the specifics of HOW a study is done and not just look at what the results are (also look at who is funding the study). Both of these studies were published in VERY respected medical journals that doctors use often.

Reply

52 Nicole February 20, 2012 at 8:15 pm

Oh and here is the McMaster study that showed not only was homebirth safe but the outcomes for the 6,700 babies in the study were BETTER in the homebirths vs the hospital births. And yes, there are even more studies just like this one that show the same thing when the groups are controlled for things like risk factors, age, socio-economic backgrounds, planned vs unplanned homebirths–all the things the studies the OBs speak of DO NOT control for.
http://dailynews.mcmaster.ca/story.cfm?id=6366

Reply

53 Felicia February 20, 2012 at 8:28 pm

You are being ridiculous.

The summary of the study you cited? Have you even read the study? It was extremely poorly conducted. I am going to assume that you have not paid to read the study, but I have. The homebirth neonatal death rate FROM THAT STUDY was 2.7/1000 while the hospital neonatal death rate was 0.9/1000.

I am surprised you posted the USA Today article when it specifically states that midwives in the United States are not regulated and ends with “Midwifery needs to be regulated. It can’t be under the radar because then it’s dangerous,” Greenfield said. “There has to be a regulatory process and a licensure process [to protect] women who are going to choose home birth anyway.”

The third article you just posted does not apply to the United States.

Reply

54 Nicole February 20, 2012 at 8:50 pm

We can clearly agree to disagree. And birth is birth–whether it happens at home in the US or at home in Canada–as long as there is a skilled and trained birth attendant present. And yes, I did post it knowing full well it said that at the end of the article–that is our problem here in the US–the OBs want to monopolize ALL births even though they are trained surgical specialists. Other countries with much better birth outcomes than ourselves have figured out this balance of all low-risk women going to low-risk care providers (midwives) and the high risk moms going to high risk care providers (OBs). When you take low risk women and pair them with high risk surgical specialists (OBs) you get our skyrocketing, ridiculous c-section rates of close to 50% in some hospitals (which DOES mean a 3 times higher risk of death in the infant after birth!) and interventions being routinely used that do NOT improve the outcomes for moms or babies (continuous fetal monitoring for example).
And about it being “poorly conducted”…you think that counting miscarriages, abortions, women birthing in bathrooms or at home unplanned are the components of a good study?? Because that’s what the studies that showed homebirths to be more unsafe than hospital births did.
And I’m fairly sure the BMJ was not shoddily conducted seeing as though it’s a well-respected medical journal.

Reply

55 Felicia February 20, 2012 at 9:58 pm

My point is flying straight over your head and landing on the moon.

The problem in the US is not the OBs, that is a sweeping generalization that is not true. The problem in the US is the homebirth midwifery standards- which is the reason that we cannot compare homebirth in the US to homebirth anywhere else.

You keep mentioning skilled, trained birth attendants- and you are correct, that is what it takes to ensure that a homebirth will be conducted safely. However, we do not have skilled, trained birth attendants here. Yes, we have CNMs, but they are not the only midwives allowed to practice. CPMs and DEMs are also allowed to practice in most states and are not regulated or properly educated. The CPM and DEM credential does not transfer to any other developed nation in the world. It is not good enough and those midwives are not educated enough to provide midwifery care (a fact which is recognized everywhere but in the United States).

When I say that a study conducted in Canada or Great Britain cannot apply to anything done in the United States, that is what I mean. Canada only allows trained, well-educated midwives to attend births. Great Britain only allows trained, well-educated midwives to attend births. The United States does not have the same standard, our death rates are MUCH higher (current data shows that the death rates at home with a CPM are 7 times higher than death rates in the hospital with an OB). Therefore, (surprise!) a study proving the safety of homebirth midwifery in Canada does not apply in any capacity whatsoever to the United States.

The Johnson and Daviss study was poorly done and they have been criticised by many doctors and scientists. In fact, on the study summary you posted there are critical responses to the study. They purposefully misrepresented their data, were called on it, and tried to misrepresent it again.

Since you seem to be completely ignorant about what qualifies something as a valid study, I will point out to you the many flaws in the Johnson and Daviss study:

1. It is not published and has not been peer reviewed.

2. Johnson is biased (he has a close relationship with MANA)

3. The study is outdated- the data from California is 20 years old.

4. It is sociological and not scientific.

A study ending up in a medical journal doesn’t mean anything. Seriously?

I don’t think you know anything about how data is collected. Why do you keep blabbering about abortions, unplanned in a bathroom, miscarriages? Are you kidding? Do you think that a miscarriage at home is counted as a death from homebirth? What are you talking about?

Anyway, the FACT of the matter is this- in the UNITED STATES OF AMERICA, as the HOMEBIRTH MIDWIFERY environment currently stands, homebirth is not as safe as hospital birth.

I understand that this discussion is pointless with you, but you are spreading misinformation and need to be corrected. Truly, you do not know what you are talking about.

Reply

56 Nicole February 20, 2012 at 10:58 pm

Wow, you are certainly rude and condescending!
And one of my best friends is currently becoming a certified professional midwife and trust me, her training and education is far beyond what a CNM has and she will have to attend many more births than a CNM before becoming certified. She will also have to pass the rigorous NARM exam. So it only shows your ignorance that you think that there is no regulation in the US for certified midwives! There are many states that do regulate professional midwives where they are able to practice legally and along side OBs and CNMs–it just needs to be country-wide, not just state-wide…and then we’d be on par with those countries that rank so much higher than we do with infant mortality who understand the crucial balance between how OBs and midwives can work together to best service pregnant women.

And if you cannot be respectful with your comments, I’d prefer you just not respond at all rather than repeatedly telling me I’m basically stupid with your backhanded and rude comments.

57 Felicia February 20, 2012 at 11:14 pm

Your last comment doesn’t have the reply option, so I am replying to this one.

Nicole,

You are wrong with regards to the educational standards and I will lay them out for you in detail.

1. OB/GYN Required Education:

Completed a four-year undergraduate degree with excellent grades, including required classes like calculus, physics, and organic chemistry

Passed the MCAT, an intensive, day-long exam that tests students on biology, chemistry and physics, in addition to reading and writing skills

Completed a strenuous application to medical school and beat out at least half of the other applicants (only about half the number of people that apply to medical school are accepted). Medical school applications require up to 10 recommendations from health care providers and community members.

Completed four years of medical school; OB/GYNs take many of the same courses as general physicians, but may choose classes with a concentration in obstetrics and gynecology. Medical school programs also include extensive hands-on practice through clinical rotations in which students can gain experience in OB/GYN.

Completed a 3-7 year medical residency. During a medical residency, OBGYN students may evaluate patients, create treatment plans and observe patient progress as employees of a teaching hospital

Obtained state licensure. Only students who are licensed can legally begin medical practice in the United States. Licensure requires passing the United States Medical Licensing Examination (USMLE), which tests a physician’s ability to relate medical concepts and principles to their practice.

Some OB/GYNs take the additional step of becoming board-certified. The American Board of Obstetrics and Gynecology certifies graduates of approved OB/GYN residency training programs as board eligible. In order to be board certified, the physician must successfully pass a comprehensive written exam, usually done at the completion of the final year of residency. After two years in practice, the doctor must then complete an oral exam before a national examining board.
It is only after successfully passing both tests that a physician can be considered board certified as a specialist. An obstetrician/gynecologist requires recertification every 10 years.

Before an OB/GYN is licensed to practice, she will attend close to a thousand births of all kinds as a caregiver.

2. Family Practice Physician Required Education:

has much the same training as an OB/GYN but fewer maternity-specific experiences and probably no surgical fellowship. A family practice doctor who specializes in maternity care will have attended close to two hundred births before receiving a license to practice.

3. CNM Required Education:

Completed a 4-year nursing degree with excellent grades (Nurses may not pass with less than a ‘B’ grade), including courses in microbiology, anatomy and physiology, human development, nutrition, chemistry, pathophysiology, pharmacology, and statistics.

Usually has a year or more of experience as a labor and delivery nurse

Has taken the Graduate Record Exam (GRE) which establishes baseline competence in mathematics, language, and communication.
Has completed a graduate degree (either MSN or DNP) in nursing, which is 2-3 years of additional coursework and clinical education

Must pass the AMCB certification exam

Most CNMs have attended more than 100 births as caregivers before they are licensed to practice

A CNM requires re-certification every five years

CNMs are recognized nation-wide

4. Certified Midwife Required Education:

Same requirements as a CNM, including prerequisite courses, but no RN required. CMs are currently only recognized in New York, New Jersey, and Rhode Island, and have prescriptive authority only in New York.

5. CPM Required Education:

There are two paths to the CPM.

Completing coursework at an “accredited” (by MEAC, not by any real educational accreditation institution) school. Those midwives who choose this option are required to have a high school diploma. There are no grade requirements to take the exam.

The Portfolio Evaluation Process. These midwives apprentice with another CPM and achieve the didactic portion of their education on their own or through non-NARM accredited institutions. Those midwives who choose this option are not required to have a high school diploma. The vast majority of CPMs received their certification through the PEP process.

The CPM is required to attend 20 births as an “active participant” (i.e. doula or assistant) and 20 births in the primary midwife role. Only 10 of these births as primary need to have been in the three years prior to exam application, for an average of 3.34 births in one year.

Must pass the NARM exam.

Not recognized nation-wide

6. Licensed Direct Entry Midwife Required Education:

Licensed by the state to provide midwifery services.

7. Direct Entry Midwife Required Education:

any midwife who is not a nurse first. This would include CMs, CPMs, LDEMs, and lay midwives.

8. Lay Midwife Required Education:

None. Anyone who calls herself a midwife.

In short, you are wrong. The educational requirements for a CPM are not nearly as hard as the educational requirements for a CNM and you really cannot compare the two.

To be on par with the other countries, we would need to abolish the CPM, LDEM, DEM, and lay midwife credentials and only allow CNMs to practice, which is what those countries with successful homebirth rates do.

Reply

58 Nicole February 20, 2012 at 8:55 pm

Here is a great article discussing the most commonly sited homebirth studies and breaks down the components of them and why the numbers are not all what they seem. The women in the studies must be controlled for many different aspects (namely if it was planned with a skilled attendant, socio-economic background, race etc)
http://www.midwiferytoday.com/articles/ajog_response.asp

Reply

59 KathEats February 12, 2012 at 3:08 pm

Thanks for sharing this feedback – I agree that it painted a pretty bad picture of doctors. I think most of them fall somewhere in the middle. I am respectful and am using an OB practice that I like a lot.

Reply

60 ES February 12, 2012 at 3:14 pm

That’s the way to go Kath! Whether home, hospital, birthing center, the important thing is finding a health care provider you trust to do the best for you and your child to be! Good luck!

Reply

61 Simone February 13, 2012 at 11:05 am

As someone who had a home birth, my midwife was not a “home birth at any cost”. My husband and I chose to have ultra sounds, blood tests, when I was experiencing high blood pressure, my midwife encouraged me to go see a doctor,(one i had met earlier in my pregnacy in case it was needed) whom I continued to see until I had my baby, in case I medically needed to go to the hospital. Women who are pregnant, want to be healthy and have healthy babies and are not going to have a homebirth just to have a homebirth. Every woman gets to decide what she wants, hospital or no hospital. Do your resarch and make an informed decision about what will work best for you.

Reply

62 Nicole February 20, 2012 at 4:58 pm

Great reply SImone! I had my first in a hospital with an OB, second in a free-standing birth center with a midwife and my third at home with a midwife. After being a birth doula for the past 10 years, I can say that OBs end up with A LOT more c-sectionst than midwives do and it really just comes down to the fact that OBs are trained surgical specialists and midwives are not. (Our local OBs in Annapolis have a 40% c-section rate vs our local birth center/hospital midwives who have about a 4% rate when both are dealing with low-risk, healthy women–not high risk women)
It’s not that OBs are horrible people or are out to get us–it’s just what they’re taught and what they defer to when any problems arise–even ones that can be solved using much less intervention than major abdominal surgery. I always say to my childbirth couples–if you don’t want surgery, don’t go to a surgeon. It’s like going to McDonalds and asking for pizza ;)

Reply

63 Leah February 12, 2012 at 12:40 pm

I didn’t know muffcake was obscene, but muffin with benefits made me giggle. :)

Reply

64 Angel7 February 12, 2012 at 1:13 pm

There is a lot going on in your oats :)

http://faithfulsolutions.blogspot.com/

Reply

65 Stacy @ Say It With Sprinkles February 12, 2012 at 1:38 pm

One of my favorite things about Valentine’s Day, and the month of February in general, is the color palette! Pinks, and reds, and pretty things all over the place, love it! <3 Your breakfast is beautiful!

Reply

66 Lindsay @ Nourish February 12, 2012 at 2:27 pm

Just found your blog!! I am SO excited to start following along. I love our similar outlooks on food! xx

Reply

67 KathEats February 12, 2012 at 3:10 pm

Welcome!!

Reply

68 Morgan February 12, 2012 at 2:32 pm

Hi Kath!! Love your blog and haven’t had a chance to say congrats! So happy for you and Matt!! I thought I would chime in with another pregnancy documentary…. Pregnant in America! It is kind of partial to home birthing…but extremely informative and great if you want to consider other options. I will have to check out the one you’re talking about…it sounds like it may be similar. Hope you’re feeling better and have a great day!!

Reply

69 KathEats February 12, 2012 at 3:11 pm

Oh cool – I will look for that one too

Reply

70 Katie @ Peace Love & Oats February 12, 2012 at 2:51 pm

Loving the V-day theme! Maybe you should get some heart shaped sprinkles, like those adorable sprinkles you had during the holidays! I love anything themed…

Reply

71 Lyn February 12, 2012 at 2:52 pm

Baby blog?? I totally missed this! Congratulations!

Reply

72 Marci February 12, 2012 at 3:57 pm

Agree on the thread about the movie. I watched it and fell for the kool aid for a few weeks, and then realized how biased it is and that I trust my doctor! I’m going to do what she says, she’s the expert not me. I can be educated, but I’m going to do what she says!
And on your newer post about your appetite–I think prego appetite and weight gain have a mind of their own. There seems to be no rhyme or reason to the weeks in the beginning when I lost and the periods when I had big or small gains. Your body is in charge!

Reply

73 Emily February 12, 2012 at 4:55 pm

LOVED the business of being born. Amazing. Also loving all of your oat bowls lately! Delish!! Congrats again on the little pumpkin :) so excited for you guys!!!

Reply

74 Adrianna February 12, 2012 at 9:36 pm

how about muffcake with benefits?! über naughty ;)

Reply

75 Brooke February 12, 2012 at 9:44 pm

I’m a big fan of you blog and I just need to say that this is the yummiest looking breakfast I’ve seen you creat yet- and that’s saying something because they all look great! :)

Reply

76 Fran@ Broken Cookies Don't Count February 13, 2012 at 8:06 am

Everything looks so pink and ready for Valentine’s Day!

Reply

77 Brittnie (A Joy Renewed) February 13, 2012 at 8:31 am

Breakfast looks great. Is BERF up and running? If so maybe I missed the link? I will look for the link on your main site.

Pregnancy does funny things to food preferences and cravings. Prior to pregnancy I hardly selected red meat – usually chicken, fish etc. Now red meat sounds SO much better… all the time! Maybe it’s my bodys natural way of letting me know I need some more iron? Oh well… just eating it in moderation and not crazy wild but it sure sounds good!

Reply

78 KathEats February 13, 2012 at 9:28 am

It’s not up yet – 2 more weeks.

I’m into red meat too

Reply

79 Lexi @ Cura Personalis Foodie February 14, 2012 at 12:42 am

Hahah digging the MUFF :)

Reply

Leave a Comment

Current ye@r *

Previous post:

Next post: