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August 23, 2010

Portobello-Prosciutto Burgers

Filed under: Health,Nutrition,Pregnancy and Birth,recipes — Tags: — laurafields @ 3:20 pm

I normally only post recipes I’ve tried myself, and I admit I haven’t made this recipe yet.  It’s on my list, and it looks so delicious I can’t imagine not liking it.  For a full pictorial version of the recipe, visit this link.  Portobello mushrooms have 5 grams of protein per cup.  They are low in fat and high in fiber, and also contain selenium, potassium, and B vitamins.

Ingredients

  • ½ cups Mayonnaise
  • 16 whole Basil Leaves
  • 8 whole Large Portobello Mushrooms
  • 1 cup Red Wine (optional)
  • Olive Oil For Brushing
  • Salt And Pepper, to taste
  • 4 slices Provolone Cheese
  • 4 slices Prosciutto
  • 4 whole Kaiser Rolls, Split
  • Extra Basil Leaves

Preparation Instructions

Rinse mushrooms thoroughly. Soak in red wine for 20 to 30 minutes (this is totally optional!)

Combine mayonnaise and basil in a food processor or blender. Pulse until basil is totally mixed in with the mayonnaise. Set aside.

Grill mushrooms in a grill pan or on a charcoal grill, brushing lightly with olive oil and sprinkling with salt and pepper. Melt provolone cheese over the four largest mushrooms. Remove mushrooms from grill and stack the other four mushrooms on top of the cheese-topped mushrooms.

Drizzle griddle with olive oil. Toast kaiser rolls over medium-low heat until very crispy and toasted.

Spread basil mayonnaise generously on both the top and bottom halves of the kaiser roll. Place the double-decker mushroom on the bottom half, then place the prosciutto slice on top. Finally, top with basil leaves and the other half of the roll. Press lightly so some of the juices from the mushrooms will run into the bottom half of the roll.

Serve immediately.

Baby Steps offers natural and prepared childbirth classes, breastfeeding classes and support, and doula services in the metro Atlanta area.  Current locations include East Point, Douglasville, Marietta, Kennesaw, Buckhead, Sandy Springs, Lawrenceville, and Decatur.  If these locations are not convenient for you we also offer private, in-home classes on your schedule.  Contact us for more information.  babysteps@babystepsonline.net

August 12, 2010

Being emotionally receptive may help your baby sleep

Filed under: Education,Health,Parenting — Tags: , , — laurafields @ 9:57 am

A new study published in the Journal of Family Psychology has found that being emotionally responsive to our children may be more important for good sleep than a routine.  The study contradicts past studies that have found physical contact with a parent prevents babies from sleeping on their own.  Infant and toddler sleep issues run rampant in the parenting world – it’s probably the biggest single complaint you hear about from parents.  Do you think there’s something to this new, observational study?  How did you get your kids to sleep?

Baby Steps offers natural and prepared childbirth classes, breastfeeding classes and support, and doula services in the metro Atlanta area.  Current locations include East Point, Douglasville, Marietta, Kennesaw, Buckhead, Sandy Springs, Lawrenceville, and Decatur.  If these locations are not convenient for you we also offer private, in-home classes on your schedule.  Contact us for more information.  babysteps@babystepsonline.net

August 9, 2010

Munchy Monday: a new twist on turkey burgers

Filed under: Health,Nutrition,Pregnancy and Birth — Tags: , — laurafields @ 6:00 am

In my Farmer’s Market Basket last week, I got these long, yellow peppers.  I thought, “What the heck are these?”  Soon after, an email from the Powers That Be (that is, those who assemble the baskets) let me know that they were hot banana peppers.  They included this recipe, which we had for dinner.  These burgers were delicious!  The recipe says to grill them, but I stuck them under the broiler instead.  I topped mine with Tastefully Simple’s Merlot sauce, which complimented them nicely.  Chad used just plain ketchup and said his was good too.  I doubled the recipe and froze half of it to use later.  We served them on whole wheat buns.  Turkey is high in protein and low in fat.  It’s a great way to get part of your 80-100 grams a day during pregnancy!

Feta and Hot Banana Pepper Turkey Burgers

Ingredients
1 pound ground turkey
1/4 cup seeded, chopped banana peppers
1/2 cup crumbled feta cheese
salt and pepper to taste

Directions
Preheat an outdoor grill for high heat.
In a bowl, mix the turkey, peppers, and feta cheese. Season with salt and pepper. Form the mixture into 4 patties.
Cook patties about 8 minutes per side on the prepared grill, to an internal temperature of 180 degrees F (85 degrees C).

July 29, 2010

Cesarean vs. VBAC

Filed under: Birth Videos,Education,Health,Pregnancy and Birth — Tags: , , , , — laurafields @ 6:00 am

I came across this video on Facebook recently.  It really shows the stark difference for moms, dads, and babies when comparing cesareans to vaginal births.  The mother in this video has two cesareans, then a homebirth.  The video is very emotional to watch.  It’s amazing to see the differences in her experiences, and also her husband’s reactions during her natural birth.

Cesarean vs. VBAC: A Dramatic Difference from Alexandra Orchard on Vimeo.

The American College of Obstetricians and Gynecologists recently released a new statement about VBAC, which you can read here.  If you’ve had a previous cesarean section, that doesn’t mean you’re automatically forced to have cesareans for future births as well.  If you’d like to learn more about VBAC, contact us, and join our local ICAN message board.

Baby Steps offers natural and prepared childbirth classes, breastfeeding classes and support, and doula services in the metro Atlanta area.  Current locations include East Point, Douglasville, Marietta, Kennesaw, Buckhead, Sandy Springs, Lawrenceville, and Decatur.  If these locations are not convenient for you we also offer private, in-home classes on your schedule.  Contact us for more information.  babysteps@babystepsonline.net

July 26, 2010

Munchy Monday: Crunchy Romaine Toss

Filed under: Health,Nutrition — Tags: , , — laurafields @ 6:00 am

Getting enough leafy greens is often a challenge, whether we’re pregnant or not.  Salad with dark leafy greens is one of my favorite ways to get them, but salad gets boring if you always eat it the same way.  I tried this recipe recently and it was really tasty.  I’ve made some modifications to the original recipe to make it a little healthier.

Crunchy Romaine Toss

1/4 cup sugar
1/2 cup vegetable oil
1/4 cup cider vinegar
2 teaspoons low-sodium soy sauce
salt and pepper to taste
1 (3 ounce) package ramen noodles, broken
2 tablespoons butter or margarine
1 1/2 cups chopped broccoli
1 small head romaine lettuce, torn
4 green onions, chopped
1/2 cup chopped walnuts

Directions

In a jar with a tight-fitting lid, combine the sugar, oil, vinegar, soy sauce, salt and pepper; shake well. Discard seasoning packet from noodles or save for another use. In a skillet, saute noodles in butter until golden. In a large bowl, combine noodles, broccoli, romaine and onions. Just before serving, toss with dressing and walnuts.

Baby Steps offers natural and prepared childbirth classes, breastfeeding classes and support, and doula services in the metro Atlanta area.  Current locations include East Point, Douglasville, Marietta, Kennesaw, Buckhead, Sandy Springs, Lawrenceville, and Decatur.  If these locations are not convenient for you we also offer private, in-home classes on your schedule.  Contact us for more information.  babysteps@babystepsonline.net

June 22, 2010

Babies born by cesarean are more vulnerable to disease and allergy

Filed under: Health,Pregnancy and Birth — Tags: , , , — laurafields @ 6:47 am

Cesarean surgery can be life-saving for both mothers and babies. C-sections are not bad things, in and of themselves. But in the United States almost one third of babies are born by cesarean, mostly unnecessarily. These excess surgeries, above and beyond those which are truly necessary, put moms and babies at unnecessary risk for all kinds of complications that they would not face during a normal vaginal birth. This article summarizes a study which found that babies born by cesarean are more vulnerable to certain infections and allergies than babies born vaginally. This includes bacteria linked to food poisoning, and MRSA.

All expectant mothers face the risk of a cesarean, and unless you prepare to avoid one, you may find yourself on the receiving end of an unnecessary surgery. There are things you can do to avoid an unnecessary c-section:

  • Hire a birth attendant with a low c-section rate.  10-15% is the maximum, including high-risk women.  If your practice’s rate is higher than this, or if they won’t or say they “cant” disclose their rate, find a better practice.
  • Avoid induction unless absolutely necessary.  Be sure to research what are true valid reasons for induction; most women who are induced were not induced for medical reasons and induction doubles your risk of ending up with a c-section.
  • Hire a doula.  Women with doulas are half as likely to end up in surgery.
  • Take a comprehensive childbirth class that teaches you not only how to handle labor, but how to be a smart consumer when it comes to your health.
  • Eat well, making sure you get a wide variety of foods and 75+ grams of protein per day during pregnancy.
  • Stay active during your pregnancy, exercising at least 30 minutes per day, 5 days per week.

May 25, 2010

How safe is your sunscreen?

Filed under: Health,Parenting — Tags: , , — laurafields @ 7:11 am

For a long time, my very unscientific mind has hypothesized that it made little sense that the sun could cause cancer.  We get less sun now than our ancestors, who often worked outside, did.  We need sun for Vitamin D.  Some people become depressed during the winter when there isn’t enough sunlight to maintain their mood.  I recently read this article, which discusses a study finding that out of 500 studied sunblocks, only 39 were considered safe and effective.  There are several ingredients in sunscreen that may be hazardous to your health, and some sunscreens aren’t as effective as they claim to be.

This link has a list of sunscreens that are supposed to be both safe and effective.  When trying to balance your kids’ need for sunlight and protecting them from painful burns, be sure to check the ingredients in the sunscreen you use.  Allow kids a little time each day in the sun without sunscreen, preferably when the sun is not at its peak (the hottest part of the day and the time most likely to result in burns).  Try to find parks and playgrounds with natural shade.

May 14, 2010

Veganism and Pregnancy

Filed under: Health,Nutrition,Pregnancy and Birth — Tags: , — laurafields @ 10:49 am

by Kate Bastedo

Vegan? Pregnant? Wondering what to eat for your health and that of your growing baby?  Read on!

You’ll find that, for the most part, the dietary and health advice for pregnant women is pretty much the same, no matter what your normal diet; eat lots of veggies and fruits, whole grains and minimally processed foods, drink plenty of water, exercise daily, get enough sleep, and try to avoid stress, caffeine, alcohol and fried foods.

A pregnant vegan has the challenge of meeting all her nutritional needs on a plant based diet.  Fortunately, with a little thought, that isn’t very difficult!

For those who don’t know, a vegan consumes no animal products at all.  Of course not meat, (which includes fish) but also no milk, eggs, cheese, gelatin or honey.  Although many vegans consume soy products and meat analogs, many others don’t. It’s really a matter of personal preference, as they aren’t necessary for health.

Many people, vegan or not, are concerned about the dietary needs of vegans, and those concerns are magnified during pregnancy, so let’s address the more common ones; protein, calcium, iron, vitamin D, omega 3s, vitamin B-12, folic acid and chocolate.

Protein

Your protein needs only go up about 20% during pregnancy.  The average woman needs between 37-50 grams of protein a day; when you are pregnant, the RDA is 47-60 grams each day.  HOWEVER, research by Dr Tom Brewer shows that increasing protein intake to 80-100 grams a day is very helpful in preventing toxemia, pre-eclampsia and HELLPS.

These amounts are easily met on a plant based diet; remember that ALL non- fruit foods contain at least a small amount of protein.

Here are some foods that are high in protein:

bagel: 10.0 g

refried beans, 1 cup: 15.8 g

garbanzo beans, 1 cup: 14.5 g

navy beans, 1 cup: 19.7 g

soybeans, 1 cup: 28.6 g

rolled oats, 1 cup: 13.0 g

wheat gluten, 1 cup: 58.0 g

Burrito with beans, rice, veggies: 42.5 g

Cereal with soy milk, 1 bowl: 26.4 g

Peanut butter and jelly sandwich: 19.6 g

Rice, brown with stir fried veggies and soy sauce: 21.2 g

salad with veggies, sunflower seeds, raisins: 19.4 g

vegetable soup, 1 bowl: 10.2 g

Spaghetti with marinara sauce and analog meat balls: 32.1 g

And don’t forget protein bars and shakes…add some protein powder to your breakfast smoothie and drop a protein bar in your purse for a quick snack.

See how easy and delicious it will be to get your daily protein?

Calcium

Animal milk is not the only, or even the best way, to get calcium.   Since the consumption of animal protein is known to deplete calcium, vegans actually may need less calcium for optimal health.  A pregnant woman needs approximately 1000 mg of calcium per day.

Some good sources of calcium are:

Nuts and legumes:

Almonds, 23: 70.0 mg

Brazil nuts, 6 to 8:  45.0 mg

Sesame seed, roasted, 1 oz: 37.0 mg

Great Northern Beans, 1 cup: 120.0 mg

Navy Beans, 1 cup: 126.0 mg

Soybeans, 1 cup: 175.0 mg

Grains and cereals:

Amaranth, 1 cup: 276.0 mg

Rice, brown (long grain), 1 cup: 20.0 mg

Wheat germ. toasted, 1 cup: 51.0 mg

General Mills Total Corn Flakes, 1 1/3 cup: 1000.0 mg

General Mills Total Raisin Bran, 1 cup: 1000.0 mg

Cooked veggies:

Beans, Green, 1 cup:  55.0 mg

Beet greens, 1 cup: 164.0 mg

Bok Choy (Chinese Cabbage), 1 cup: 158.0 mg

Broccoli, chopped, 1 cup: 65.0 mg

Broccoli, Chinese, 1 cup: 88.0 mg

Broccoli raab (Rapini), 1 bunch: 516.0 mg

Collards, 1 cup: 266.0 mg

Kale, 1 cup: 172.0 mg

Nut/soy/grain milks:

Soy milk, fortified, 1 cup: 200.0 to 368.0 mg

Rice milk, Fortified, 1 cup: 250 to 300 mg

Almond, Fortified, 1 cup: 200 to 300 mg

Hempmilk, 1 cup: 460

Other:

Baked Tofu, medium to extra firm, 3 ounces: 100 to 150 mg

Black strap Molasses, 1 tablespoon: 172 mg

Orange Juice, Fortified, 8 ounce glass: 300 mg

Such a wide variety to choose from!

Iron

Pregnant women need about 30% more iron during this time. Increasing iron rich foods in your diet is a safe and effective way to meet your body’s needs without the unpleasant side effects that many iron supplements can have.

Try green leafy vegetables, beans and legumes, dried fruits, black strap molasses, nuts and seeds, and sea vegetables.

Cooking food in cast iron skillets can also increase the iron content of foods, and consuming foods rich in vitamin C with your iron rich foods can improve iron absorption.

According to a study done in Denmark, the vast majority of pregnant women do well with 40 grams of iron daily; contrast that with the normal recommendation of 100 mg a day.  No wonder iron supplements have a reputation for causing constipation and intestinal discomfort!

Here are some to try:

Cereal, 100% iron fortified, 3/4 cup: 18 mg

Oatmeal, instant, fortified, prepared with water, 1 cup: 10 mg

Soybeans, boiled, 1 cup: 8.8 mg

boiled lentils, 1 cup: 6.6 mg

kidney beans, 1 cup: 5.2 mg

Source: U.S. Office of Dietary Supplements

A study published in the July 1986 issue of the Journal of the American Dietetic Association shows that cooking in cast iron significantly adds iron to foods. For example:

unsweetened applesauce, 3 oz:  .35 mg in non-iron skillet; 7.38 mg in iron skillet

Spaghetti sauce, 3 oz: .61 mg in non-iron skillet; 5.77 mg in iron skillet

Spanish rice, 3 oz: .87 mg in non-iron skillet; 2.25 mg in iron skillet

So pull out that heavy pot for your morning oatmeal!

Vitamin D

This helpful nutrient is easy to get; 20 to 30 minutes of direct sunlight on the hands and face, three to four times per week will allow your body to make all it needs. The RDA is 400 IU, but a recent study shows that after 12 weeks, women who consume 4,000 IUs a day have much lower risks of gestational diabetes, preterm labor, premature births and infections. Vitamin D is needed to allow our bodies to absorb enough calcium, so if you don’t get enough D, you probably aren’t getting enough calcium, either.

If you live north of a line drawn on a map from the northern border of California to Boston, Massachusetts, you will probably need additional vitamin D from the foods you eat during the winter.  If you’re fair skinned, experts say going outside for 10 minutes in the midday sun—in shorts and a tank top with no sunscreen—will give you enough radiation to produce about 10,000 international units of the vitamin. Dark-skinned individuals produce less vitamin D, but your body stores what you make, so a summer of daily exposure will give you a great start for winter.  The UV rays needed to trigger Vitamin D production do NOT pass through glass, so sitting near a window won’t help.

Mushrooms are the “plant” that have the most Vit. D, about 160 per 200 calorie serving.  Fortified soymilk contains roughly 200-300 IUs per cup; that’s a lot of milk to drink in a day!   I suggest a supplement, but don’t rely on your prenatal vitamins; get one specifically for Vitamin D from a health food store.

Omega 3 oils

ALA (Alpha Linolenic Acid)  is converted to Omega 3 by our bodies.The Institute of Medicine recommends 1.4 g/day during pregnancy.  Flax oil (unheated), walnut oil,  hempseed oil, flax seeds, wheat germ, walnuts, canola oil, and soy products all contain the ALA your body needs, and it’s so easy to incorporate them into your diet! Try adding wheat germ or flax seeds and walnuts to your salads, cook with walnut or canola oils, eat some tofu or drink some soy milk, or drizzle a little flax oil on toast. It has a mildly sweet, faint cinnamon taste…yum!  And try chia seeds; they have 4915 mg per ounce! (plus phosphorus, potassium, calcium and dietary fiber).  I order mine online to get better prices.

Folic Acid (folate)

The most frequently encountered vitamin deficiency in the U.S. is folate deficiency. Vegan women consume more folic acid on average than meat-eaters  but it’s very necessary for a healthy baby, so don’t assume you get enough.

A pregnant woman needs about 600 ug (micrograms) of folic acid per day.

Many foods commonly consumed in the US are fortified with folate.

fortified breakfast cereals, ¾ cup: 400 ug

Cowpeas (blackeyes), ½ cup: 105 ug

Frozen spinach, ½ cup: 100 ug

Great Northern beans, ½ cup: 90 ug

Asparagus, 4 spears: 85 ug

Fortified white rice, long-grain, ½ cup: 65 ug

canned vegetarian baked beans, 1 cup: 60 ug

In addition, enjoy baked goods made with fortified flour, cauliflower and orange juice.

Vitamin B-12

Pregnant females require 2.6 micrograms of B12 daily…and it’s not easy to get on a plant based diet.

Although it has long been thought that vegans can easily get enough B-12 by consuming fortified foods such as nutritional yeast (delicious sprinkled on popcorn), soymilk, meat analogs (vegetarian meat substitutes), or breakfast cereals, the amounts in those foods can vary widely, depending on how they were grown, processed and stored.

In addition,  there is some evidence that suggests that a mother’s stores of B-12 may not be available to the fetus, so it is critical that you include a regular, reliable source of this nutrient in your diet. Sea vegetables and tempeh are not reliable sources. Red Star Vegetarian Support Formula nutritional yeast is considered a good source. My recommendation? Hit the health food store and pick up a good supplement to be on the safe side.

Chocolate

Oh yes!  I know, you probably thought that little addition to needed nutrients was a joke, but in fact, I’m quite serious.

A four year study  conducted by the Yale Center for Perinatal, Pediatric & Environmental Epidemiology, at Yale University, concluded that dark chocolate reduces the risk of preeclampsia by 69%!

Although vegans don’t eat milk chocolate, they can enjoy dark chocolate, and by consuming 1 oz a day, enjoy a healthier pregnancy, too.   Get a good quality bar..Green and Black’s Organic Dark Chocolate comes in a 3.5 oz bar, so 2 bars will last you a week.  Don’t go overboard and eat one a day; they are also high in fat and have a significant amount of caffeine.  If it’s too tempting, look for the smaller 1.5 oz bar.

I hope this information helps you make healthy decisions, to enjoy your vegan pregnancy, and to have a beautiful birth!

Sources

brewer diet protein–even has a vegan checklist to print out!

http://www.blueribbonbaby.org/

meat consumption depletes calcium

http://www.news.cornell.edu/chronicle/96/11.14.96/osteoporosis.html

dietary sources of calcium

USDA National Nutrient Database for Standard Reference

http://www.nal.usda.gov/fnic/foodcomp/search/

iron study in Denmark

http://tinyurl.com/2bfhhb7

dietary sources of iron

US office of Dietary supplements

vitamin D

http://www.cnn.com/2010/HEALTH/04/30/vitamin.d.pregnancy/index.html

omega 3

http://www.pcrm.org/health/veginfo/pregnancy.html

http://www.nutritiondata.com/facts/nut-and-seed-products/3061/2

folate fact sheet

http://ods.od.nih.gov/factsheets/folate.asp

dark chocolate article

http://afp.google.com/article/ALeqM5ioc0zukLqOeatj7-oMX2AfHrW1Ow

April 26, 2010

Bok choy: healthy & delicious

Filed under: Health,Nutrition,Pregnancy and Birth,recipes — Tags: , — laurafields @ 8:57 am

Last week, my Farmers Market Basket included bok choy, otherwise known as white Chinese cabbage.  Bok choy contains vitamin C, fiber, potassium, folate (B9), beta-carotene, and calcium as well as substances that are believed to prevent cancer called indoles.

I found this delicious recipe for a bok choy soup here.  Everyone liked it, even the kids.  I added some cooked diced chicken to make a meal out of it (it would also be tasty with tofu).  I also couldn’t find chili oil at the local grocery store, so I used regular vegetable oil and added some crushed red pepper.  I found that there was no need to add salt and pepper at all.  This made a great meal, but would also be great to serve with an Asian main course.  This soup was quick and easy to prepare, the most time consuming part being the chopping.  It’s as good left over as it is fresh.

Ingredients:

  • 8 cups canned low-salt chicken broth
  • 6 ounces fresh shiitake mushrooms (about 10 large), stemmed, caps sliced
  • 2 tablespoons minced peeled fresh ginger
  • 3 tablespoons fish sauce (nam pla)
  • 1 tablespoon soy sauce
  • 1 tablespoon oriental sesame oil
  • 1/4 teaspoon chili oil
  • 3 cups thinly sliced bok choy
  • 4 teaspoons rice vinegar
  • 2 green onions, sliced

Bring broth, mushrooms and ginger to boil in large pot. Reduce heat and simmer 3 minutes. Add fish sauce, soy sauce, sesame oil and chili oil and simmer 2 minutes. Add bok choy and simmer until bok choy is tender, about 2 minutes. Stir in rice vinegar. Season soup to taste with salt and pepper.

Ladle soup into bowls. Sprinkle with green onions and serve.

April 18, 2010

What is Cesarean Awareness all about?

Filed under: Health,Pregnancy and Birth — Tags: , , , — laurafields @ 5:52 pm

April is Cesarean Awareness month, and I think there’s a lot of confusion about what that means.  The Georgia Birth Network and ICAN of Atlanta put together a rally this weekend outside Piedmont Hospital.  We received a lot of encouraging honks and waves and thumbs-up, but also a few negative comments and angry reactions.  Whenever the subject of birth comes up, it seems to bring about strong, even defensive reactions.  I think it would help for more women to understand why those of us who are passionate about natural birth and cesarean awareness feel the way we do.

ICAN is not an anti-cesarean organization.  Women who advocate for cesarean awareness are not opposed to c-sections.  Cesarean awareness is about making more women (and their partners) aware of the fact that most cesareans done in the United States are not necessary, and that c-sections carry greater risks than vaginal births.  The c-section rate in the United States in 2008 was 32.3%.  Georgia’s rate is even higher, and we rank last for maternal mortality in the U.S.  There is a small percentage of women who choose elective c-section, and a small percentage of c-sections that are necessary for medical reasons.  But most c-sections are not medically necessary, even when women are lead to believe that they are.

Women who advocate for natural birth and/or cesarean awareness don’t do it because we look down on other women’s choices.  What we want is for all women to be allowed to make their own informed decisions.  We want doctors to explain the true risks of cesarean surgery to their patients before cutting them.  We have to speak up for natural birth so loudly because the hospitals don’t support it in a way that makes it possible for most women who would prefer it.  We have no desire to force other women to have natural births; we only want to be able to choose hospital birth if we’re so inclined without having our own natural birth choices sabotaged by the system.

So when you see all of our Facebook and blog posts about birth-related topics, keep in mind that what we’re about is education.  We want women to be informed, and we want them to be in control of how and where they give birth.  If you’re someone who gave birth by cesarean and you’re pleased with your experience, then we’re pleased too.  But there are many, many women who are not pleased, who feel they were cut unnecessarily, even deceived by the practice they trusted to help them with the births of their babies.  Cesarean awareness is about educating the public, and supporting all women in making their own informed decisions about their births.

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