From the WBWC Blog:

Spotlight: Tianna Dean, RN

WBWC’s nursing staff is expanding! Tianna Dean, RN moved to NC from Texas to join us as a full-time nurse. Since September, she’s been providing labor, delivery, and postpartum care, as well as doing home visits.  Her warm, comforting bedside manner, thorough knowledge of women’s health, and dedication to the midwifery model of care have made her an excellent addition to our team. Tianna graduated from Southern Union State in Alabama and has been working as a nurse since 2013. Her husband’s career as a US Army Ranger has given her the opportunity to provide nursing care across the country. She has worked at large Level I trauma centers in Columbus, GA and El Paso, TX, and has served our military women and spouses at Martin Army Medical Center. She gained invaluable experience as a labor and delivery nurse in a high-risk setting. However, her strong desire to provide nursing care in an out-of-hospital setting inspired her to make the big move when an opportunity to work at WBWC arose.   She is passionate about supporting women through empowered birthing choices, education, and excellent quality care. Tianna is continuing her commitment to women’s health care by pursuing her Master’s at Frontier Nursing University and plans to become a midwife. Outside of work, Tianna stays busy raising her 5 amazing children, ages 7 months to 17 years, entertaining, and decorating her home.“I am blessed to be able to serve women every day, and I gain a wealth of wisdom from the amazing midwives and nurse practitioners I work with!”

We Love Referrals!

The best compliment we can receive is a referral from you. We hope that you enjoyed your time with us so much you’ll tell your friends. You’ll receive a $25 gift card after their visit!

Spotlight:Nancy Albrecht, RN, BSN, IBCLC

Nancy Albrecht, RN, BSN, IBCLC is celebrating her tenth year as a WBWC clinic nurse and lactation consultant! Over the past decade, she has made extraordinary contributions to the WBWC and its clients. In many ways, Nancy has been the face of the birth center. She is the kind nurse on the phone, patiently and thoroughly answering questions about pregnancy, health concerns, and breastfeeding. She is the knowledgeable and compassionate lactation consultant helping a new mother work through a difficult breastfeeding challenge. She is the leader of breastfeeding classes, teaching groups of parents the ins and outs of feeding their newborn. She is always willing to help wherever and however she is needed; she has even worked as labor nurse on a particularly busy day, attending a birth with her daughter, midwife Jessica Albrecht! But her behind-the-scenes work at the birth center has been equally important. Nancy’s hard work and dedication led to the birth center being designated as a Baby Friendly facility in 2010. There are multiple criteria that must be met to earn and maintain this designation — including continuing staff and patient education, helping to initiate breastfeeding within the first hour after birth, and establishing breastfeeding support groups — and Nancy has helped to ensure that WBWC has successfully met these goals year after year.  She has played a key role in establishing birth center breastfeeding policies. She is continually improving documentation protocols for LCs and finding ways to integrate communication about breastfeeding issues among LCs, nurses, and midwives so no client is left unsupported. She has placed emphasis on providing both staff and patients with areas where they can comfortably breastfeed. As a result of her efforts, the WBWC received the Breastfeeding Friendly Business & Employer Award from the NC Breastfeeding Coalition. Nancy has also built an incredible community of support for new mothers. She spearheaded efforts to start the Breastfeeding Café, an informal group for nursing mothers, and the Coping with Motherhood group, which offers support and coping skills for mothers dealing with depression. Her vision of a community where women come together and support each other has been realized and has made a lasting impact. Nancy’s work as a breastfeeding advocate and educator has spanned more than three decades, and we at the WBWC are so grateful that she has spent the last ten years with us! Her passion and dedication are inspiring to … Read More

Community Prenatal Care is Coming Soon to WBWC!

Community Prenatal Care (CPC) is our own brand of group prenatal care. CPC is inspired by an evidence-based/researched model of delivering prenatal care to women in a group setting and by the needs of WBWC families. After two individual prenatal visits in the clinic, you will begin six monthly group sessions in an informal, relaxed setting with other women (and partners) who are all due in the same month. You will also schedule regular visits in the clinic between group meetings. In each 90-minute session there is time to discuss common pregnancy, birth, and parenting topics, as well as a private “tummy check” with one of our midwives. Having a forum for discussing questions and concerns about pregnancy, birth, breastfeeding, and parenting provides you with a community for support and information. You will help to empower each other with confidence in your body’s knowledge and wisdom, trust in your ability to cope with pain, and belief that you know your body and your baby better than anyone! Our first CPC group will start on January 4, 2017 for moms and partners who are due in June. To join this group, please email nurses@ncbirthcenter.org. And check out FAQ’s on our website: http://ncbirthcenter.org/wp-content/uploads/2014/10/Community-Prenatal-FAQ.pdf.

Legal Concerns for LGBT Families

  WBWC is looking forward to supporting families in the LGBTQ community who need timely legal advice. Please join Kelly Fairman, Family Law attorney and WBWC parent, as she discusses “Legal Concerns for LGBTQ Families” on Monday, November 28, 6:30-7:30 pm, at Women’s Birth & Wellness Center, Suite 304 (Living Room). Attorney Fairman will also be available for free 20-minute individual consults on Monday, December 5, 6:00-8:00 pm at WBWC. Registration is not needed for the informational session, but space is limited for the consultations. Please call Kelly at 919-794-5963 to preregister for a consult on December 5 at 6:00, 6:20, 6:40, 7:00, 7:20, or 7:40 pm.

The Circle of Life

By Maureen Darcey, CNM      Thirty-six years ago, when I first moved to North Carolina, I met an amazing woman who changed my life.  I was a brand-new graduate of midwifery school, here in Chapel Hill for my husband to go to school, no job, no friends.  I found out about the Women’s Resource Center (now the Compass Center) and attended a meeting about birth options. That’s when I met Svea Oster!            She was a home birth/nursing mom, a childbirth educator, a doula, and a home birth assistant to various “underground” folks who were attending births.  As our friendship developed, she taught me to trust my instincts and trust the process of birth. She encouraged me to start attending births of folks she knew through her friendships and with women who were getting care at the Chatham Family Birth Center (CFBC).            CFBC, the precursor to WBWC, was started by two CNMs: Linda Glenn (my personal hero) and Debbie Stanford.  Linda had been doing home births in the area, but stopped to open the CFBC.  Svea and I attended births for almost a year before I “got caught” – attending home births was illegal per state law.  (That baby has purposefully gone on to have her baby at WBWC. She was the last baby I caught before I stopped taking call shifts!)            Svea and her husband Arnie were instrumental in getting the midwifery law passed that opened the doors for CNMs to attend births in homes, birth centers, and hospitals.  Arnie worked on the study bill for two years, showing the safety of out-of-hospital births with skilled practitioners. Svea helped me open the Birth Center twenty years ago when we met with people from the Carolina Association for the Advancement of Midwifery and were able to get a state grant.  Svea continued to teach childbirth education classes in the community and at WBWC until she retired a few years ago.           Svea was the birth assistant at the birth of my own daughter thirty-four years ago, and I was the CNM at her daughter’s birth at home thirty-three years ago.  Over the years, we have continued to travel in the same “birth circle.”  I had the pleasure of delivering the first child of both her son and daughter at the birth center.  Her daughter-in-law was also born at the CFBC.           Thank you, … Read More

Maureen Darcey Wins AABC Professional Award

by Brianna Honea Maureen Darcey, CNM, Executive Director of Women’s Birth & Wellness Center, won the American Association of Birth Centers’ 2016 Professional Award at the Birth Institute in Pittsburg, PA on Sept. 24th. Kitty Ernst, CNM, the honorable 90-year old midwifery pioneer, presented the award and celebrated Maureen’s life-long passion as a midwife and mentor.   Maureen believes birth is a unique and personal event in the life of a woman, which intimately involves family members and close friends. She is patient-focused and believes women of all socioeconomic backgrounds should receive high-touch, low-tech, time-intensive care. She instills the birth center philosophy in her staff who are committed to advocate and support the rights of healthy women and their families to receive care in a safe and nurturing environment with low interventions at minimal cost. Maureen’s vision of having a community-based Birth Center with a board of directors will ensure this model of care is available to women long after she retires. In 1981 Maureen began offering prenatal, delivery, postnatal and gynecological and family planning services in a non-profit alternative birth center at Chatham Family Birth Center (CFBC) in Siler City.  She became the director of Nurse-Midwifery Services for this site in 1987.  When political and insurance industry issues forced CFBC to close in December 1991, she worked to re-establish midwifery service in a stable environment. Maureen’s relationship with the maternal-child physicians of the UNC Family Practice Center allowed the nurse-midwives to have hospital privileges at UNC Women’s Hospital and thus paved the way for the state’s second free standing birth center.  The center first opened in 1996 under the auspices of Piedmont Health Services and then in 2003 the practice was organized under a new name: Women’s Birth and Wellness Center (WBWC).  In 2016, WBWC celebrated its 20th year of operation and welcomed the 6,000th baby. As a champion of Birth Centers as an alternative to hospital based nurse-midwifery care, Maureen has promoted and helped to firmly establish the birth center model of care by working nationally with the American Association of Birth Centers (AABC). Maureen helps teach the AABC How to Start a Birth Center workshops and consults with people around the US who are trying to open birth centers.  She also contributes to the education and growth of birth centers by writing and reviewing articles for the AABC workshop manual to keep the content up to date … Read More

Spotlight: Holly Lindsay-Miller

by Tori Hinde If you’ve been in the boutique in the last few years, there’s a good chance you’ve met store manager Holly Lindsay-Miller, who celebrates 5 years of working at Women’s Birth and Wellness Boutique this month. If you came in to shop, you likely left feeling like you just made a new best friend after she fit you for a bra, taught you everything you needed to know about cloth diapering, or helped you find just what you needed. Holly has a way of talking to you and listening that makes you know she hears you and understands. “I love to learn the specifics about people. Every family’s story is unique,” says Holly. “There’s more than one way to parent. I’ve learned a lot about empathy and compassion – I know pregnancy and motherhood aren’t simple.” When asked about her favorite part of her job, Holly says, “Connecting with moms. Hands down. And bra fittings – a good bra can change a woman’s day. It’s the best when someone walks out of here happy, standing a little taller and feeling more confident.” Holly initially started as a sales associate in the boutique, coming in afternoons and staying after closing to place orders.  She took over as store manager two years ago. Since then, she’s focused on expanding the selection of bras, carriers, and cloth diapers and always bringing in new things. “If I mix it up, people come to check it out,” says Holly. “We’re growing. We have more women-owned and local business now.” Holly also appreciates the supportive environment at WBWC and that she can bring her daughters along to work if she needs to, and no one blinks an eye. “To come to work with people I love and respect means everything,” she says. “My kids were born here, and I work here. It feels very cyclical. It’s the best care you can find – you just don’t get that time anywhere else.” Thank you, Holly, for all you do, and for 5 years of making all of us here feel loved and respected, too. 

“Baby Makes 3” and a Nursery for Free

by Tori Hinde WBWC expectant parents Tracy and Bradley Bethel made their television debut this summer on “Baby Makes 3,” an HGTV-style home improvement show on PBS that helps first-time parents-to-be make over a room into a nursery. The Bethels live in Pacifica, a co-housing community in Carrboro, which is an environmentally sensitive, intentional community. Residents live separately but share community gardens and a common house for events and are expected to devote hours to community service every month. The Bethels have a strong sense of environmental awareness and community that led them to their neighborhood community.  Bradley was an AmeriCorps member and now works part-time in the film industry and outdoor retailing.  Tracy is employed at a non-profit with a focus on child welfare. The values that led them to Pacifica also influenced Tracy’s decision to choose WBWC when she learned she was pregnant. “My degree is in public health and I work at Duke coordinating research,” Tracy says. “My idea of healthcare is client-centered and patient-informed with patient education built in. The Birth Center really does that. To have such a resource in a community, I had to use it.” Each “Baby Makes 3” episode features a different nursery theme. For the Bethels’ nursery, the team tapped into their environmental consciousness and did a gender-neutral “book-ish baby” design. The design team bought organic bedding, used reclaimed wood, and designed pieces that could grow with baby and be useful for years to come.   “My favorite part of the room is the bookshelf turned desk – they made it out of galvanized pipes and reclaimed pine,” says Tracy. “The way they did the bookshelf, it is fully functional storage unit now and will serve as a desk when she needs a desk. Sort of modern and pretty cool – a one of a kind piece they built just for us.” Tracy and Bradley were put to work on the nursery as well. Bradley made a lamp, and Tracy made a Mason jar storage rack for the bathroom. They worked as a team on a craft project that turned a window into a stained glass window, and they also made a toy bin. It can be a bizarre experience to see oneself on television, but Tracy felt comfortable with how they were portrayed. “.” Tracy said. “There were a few times the camera was running and caught our banter. They … Read More

WBWC Officially Part of First Breastfeeding Family Friendly Community

by Rebecca Costello, IBCLC One year ago, the mayors of Chapel Hill and Carrboro partnered with members of Rotary, Chamber of Commerce, health departments, faith communities, and UNC-Chapel Hill on an initiative to become the first Breastfeeding Family Friendly Cities in the country. One important step is for businesses throughout the community to welcome and support breastfeeding families. They just have to follow 4 simple practices: 1.      Breastfeeding mothers are always welcome and respected. They will never be treated poorly, asked to stop breastfeeding, or asked to cover up or move.2.      All lactating employees are allowed breaks to express milk or nurse their children, and access to a private space for expressing milk or nursing that is not a bathroom. The space is lockable and shielded from view, includes an electrical outlet, and has hand hygiene available3.      Business does not advertise infant formula or related products.4.      Business will post the “Breastfeeding Welcome Here” window cling.WBWC definitely qualified on all counts, and we were excited to join the other local businesses that have signed up – everything from physical therapy to boutiques to optical shops to restaurants! Above is a photo of Kathleen Anderson, from the Carolina Global Breastfeeding Institute at UNC, with our executive director Maureen Darcey and with our new window cling. Do you know other businesses in Carrboro/Chapel Hill that might be interested in signing up? Or do you own a business and want to complete a quick and easy application? You can e-mail klanderson@unc.edu for an application. Get more information at:  https://www.facebook.com/BreastfeedingFriendlyCommunities/ – like the page to get updates on businesses that have joined

What is Diastasis Rectus Abdominis?

By Lindsay Mumma, DC As a chiropractor, I see many pregnant and postpartum women in my office.  The topic of diastasis rectus abdominis (DRA) comes up fairly regularly, as many of the women I treat present with this condition.  I also serve as a Regional Director for the organization BIRTHFIT, and we’re working to educate women about their bodies during the preconception, prenatal, and postpartum period, so I end up talking DRA quite frequently. I first heard about DRA from a Dynamic Neuromuscular Stabilization course in 2009. It actually had nothing to do with pregnancy, but was demonstrated via videos regarding poor loading techniques in those with Cerebral Palsy or simply folks who could not effectively manage their own intra-abdominal pressure system.  DRA is a stretching of the connective tissue that holds the two rectus abdominis (six-pack) muscles together; it occurs from repetitively using poor loading techniques (not stabilizing your body when lifting an object), but also in rapid expansion of the abdominal tissues, as in pregnancy.  There are some thoughts on how to prevent/correct/heal DRA, but there isn’t a lot of consistency.  It can be hard to sift through the info, especially when you’re a new mom.  Since I’ve been studying DRA, I’ve learned quite a bit about it, and have seen which methods work and which have been less than ideal.  While some of this will be a little science-heavy, I’ll try to keep it relatively concise. Image courtesy of momsintofitness.com To keep things simple: if the diaphragm is not stacked on top of the pelvic floor in all postures, then the body is set up for some amount of dysfunction.  This occurs when posture isn’t ideal, but also when a person sucks in their stomach or holds tension in their abdomen.  This prevents ideal diaphragmatic breathing, wherein the diaphragm lowers and the abdomen expands 360 degrees, which would set the diaphragm on top of the pelvic floor easily.  This is unfortunately where most fitness programs regarding DRA are currently failing.  They’re missing the big picture when it comes to stability of the torso being established by the diaphragm. In the ideal breathing and postural pattern, the abdomen is solid and stable without having excess tension of the musculature.  Stability is created by the diaphragm.  The diaphragm rests parallel to the pelvic floor (relatively speaking considering both are rounded structures), which gives an almost piston-like stabilization of downward motion … Read More

Spotlight: Lydia Dominic, CNM

     If you’ve been with WBWC for a while, you might recognize our newest CNM, Lydia Dominic. She was a labor and delivery nurse here from 2009-2012, and now she is returning in her new role as midwife!         Lydia earned her BSN from Case Western Reserve University and began her 14-year nursing career in 2002.  She dedicated most of her nursing career to maternal-child health.  Upon graduating from nursing school, she served as a Peace Corps volunteer in Nepal, providing health education on multiple topics, including neonatal resuscitation.  She then returned to Ohio and began working on a medical/surgical unit.  She spent the next several years gaining experience in caring for women and babies in a hospital setting, first as a postpartum nurse, and then then as a postpartum nurse, and then as a labor and delivery nurse.          In 2009, Lydia and her husband moved to North Carolina. Lydia’s desire to witness birth as she felt it should be – guided by the woman’s desires and intervening only when necessary – led her to join the staff at WBWC as a labor nurse. While working at both WBWC and Wake Med, she found herself drawn to WBWC’s model of care.  In fact, she gave birth to her own son in the peach room!          In 2012, Lydia and family returned to Ohio, and a year later, she began midwifery school at Case Western. She completed her MSN in 2016. Her graduate school experience included a mission trip to Guatemala, and clinical rotations in a hospital-based birth center, and a homebirth practice.      Lydia is ecstatic to return to WBWC to continue to care for and empower women and their families. Her midwifery career has been off to a great start so far – she caught five babies on her first call shift! In her free time, Lydia enjoys hiking, cycling, and being with her friends, husband, and son.