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Really, Come On, One bottle of Formula Really Could Not Make a Difference,….Right?


Well, actually, it could! The smaller and younger the baby, the bigger the difference! Add on the

exposure that new born babies get who are in the hospital, who have been on antibiotics, or who

are not allowed to breastfeed or are unable to breastfeed, and you have possible life threatening

circumstance from just ONE bottle.


Here are the facts:


Before birth, the stomachs of babies are sterile and have no bacteria. Babies born through the

vagina get the good bacteria of their mothers in to their stomachs. Babies born by surgery

(cesarean) get their first bacteria from the air, the staff at the hospital, and the linens and

equipment of the hospital, unless they go immediately to the skin of the mother, which is not

always practical. The more separation from the mother and her life saving bacteria, the more

contamination of the baby’s stomach and intestines by other bacteria.


After birth, babies who receive their mother’s fresh milk are the healthiest. By four days of life the

differences in the bacteria in the babies stomachs are striking. Some of the deadliest bacteria just

simply can not live in a breastmilk environment. ANY formula will dilute this protective

environment and could change how sick the baby will be in the future! The first seven days are

critical to the development of a healthy gut and babies who are fed formula may not ever be able

to develop the healthy levels of the good bacteria that protects them for future illnesses.


Additional reasons to avoid formula in the first year of life are:

It is not needed and often can cause the mother to produce less milk the next day. (less demand

from baby leads to less empting of the breast and less milk production…..this is the way babies are



In families with a history of cows milk allergies, babies given cows milk proteins early in life

through formula develop earlier and more sever milk allergies. Also, avoiding cows milk protein in

the first months of life reduces the incidence of insulin dependent diabetes in later life.

Your baby needs your milk and if not yours, consider a human milk bank before you resort to formula.


Rosanne Gephart, MSN, NP, CNM

  1. Introduce yourself – “Hi, I’m Sally. I am your nurse/midwife/doctor/doula tonight. I am here to help you have the most amazing and rewarding birth experience possible.
  2. Do you have a written birth plan? –
    Yes – great I would love to see it and place a copy on your chart. We here at _______________ want you to know your expectations and plans as they are important to us.
    Now – Let’s plan what you would like for this experience. What is most important to you? Who will be at your birth? What position do you see yourself delivering? How do you feel about interventions? Are you familiar with the newborn procedures here at ______________?
  3. How can I make you more comfortable?
  4. Is there anything you would like?
  5. Let me take a minute to explain how this machine works.
  6. Would you like to get into the shower?
  7. We find warm water, like the tub or shower, is often very effective in helping women relax while in labor.
  8. Would you like a glass of water? Something to drink?
  9. Would you like me to rub on your back?
  10. Would you like a cool wash cloth over the back of your neck?
  11. Have you tried kneeling on the floor on a pillow? Women often feel safer closer to the ground.
  12. Are you hungry? When was the last time you had something to eat?
  13. Would you like some ___________?
  14. Would you like a sucker?
  15. Are your lips dry? Try lip balm or chapstick.
  16. Would you like to get up and to the bathroom?
  17. Would you like to get up and walk in the hall?
  18. Would you like to get up and walk in your room?
  19. Would you like to sit in a rocking chair?
  20. Would you like me to show you some other positions?
  21. Would you like to lie on your left side?
  22. Would you like to lie on your right side?
  23. Would you like to semi-sit?
  24. Would you like to sit on your hands and knees?
  25. Would you like to kneel?
  26. Would you like to lie on your right side while lunging?
  27. Would you like to lie on your left side while lunging?
  28. Would you like to stand with some support?
  29. Would you like to sit in a squatting position?
  30. Would you like me to show you some relaxation techniques that can help your labor be more efficient and you to be more comfortable?
  31. Would you like me to work with you on an inside focus? – pick a safe place and we will go there in our minds.
  32. Would you like me to work with you on an exterior focus? – calendar, family picture
  33. Would you like me to teach you touch relaxation?
  34. Would you like me to teach you shiatsu touch?
  35. Would you like me to massage your neck?
  36. Would you like me to massage your back?
  37. Would you like me to massage your shoulders?
  38. Would you like me to massage your hands?
  39. Would you like me to massage your feet?
  40. Would you like me to massage your belly?
  41. Would you like me to massage your legs?
  42. Would you like ice in your water?
  43. Would you like to wear your own gown?
  44. Would you like to be naked?
  45. Would you like a robe?
  46. Would you like socks or slippers?
  47. Would you like me to breath with you?
  48. Try this – slow relaxing breathes.
  49. Try this – light breathing through peak
  50. Try this – slow sounds
  51. Try this – saying words out loud like “O-U-T”, “B-A-B-Y”, “COME OUT BABY”
  52. Focus, focus
  53. Would you like lotion on your back?
  54. Would you like a hot or cold pack?
  55. If I press here does it help? – grip accelis heel
  56. If I press here does it help? – fist in lower back
  57. If I press here does it help? – finger pressure to sacrum
  58. If I press here does it help? – heels of hands compressing hips (hip squeeze)
  59. If I press here does it help? – heel of hand to sacrum
  60. Would you like some massage oil/aromatherapy?
  61. Would you like some lavender?
  62. Would you like some almond?
  63. Would you like some lemon?
  64. Would you like some vanilla?
  65. Do you ever use homeopathic remedies?
  66. Do you ever use herbal remedies?
  67. Would you like some rescue remedy?
  68. Do you believe in prayer? Would you like to hear a birth prayer now?
    1. Lord we put this birth in your hands.
    2. You have designed women to give birth.
    3. You have made them strong, and filled with love for their baby.
    4. Be with this woman lord. Grant her your peace. Give her your faith.
    5. Help her care providers to be strong and have faith.
    6. You have us all in the palms of your hands.
  69. Would you like a priest/minister to visit?
  70. Does your labor feel more powerful in your back or on the front?
  71. What have you tried for back ache?
    you heard of sterile water papules or optimal fetal positioning? Your baby is pressing down, he/she wants out. You can help the baby by ___________. You are strong, you are female, you are designed to birth.
  72. Is the room too hot?
  73. Is the room too cold?
  74. Is the room stuffy?
  75. Would you like to be alone with your doula/partner?
  76. Would you like everyone to talk a walk and give you some space?
  77. Is there anything you are worried about?
  78. Have you ever been to a birth?
    How did it go?
    How did you feel about it?
  79. Would you like me to read to you?
    I feel you coming, You are coming
    Child of mine.
    Pressing, Pressing, Pressing down
    Wanting out.
    I open to you (and to you)
    Child of mine.
    Opening, Opening
    Wanting you out.
  80. (say to her softly) Your baby is coming.
  81. You are safe.
  82. You are strong.
  83. You are having your baby.
  84. You are giving birth.
  85. Everything is working.
  86. Your baby is strong.
  87. Your baby is helping you.
  88. Your baby is pressing down. Your baby wants out.
  89. Think “open, open, open”
  90. Think, relax, release, relax, release, relax, release.
  91. I trust birth.
  92. I believe women know how to birth.
  93. We are all in awe of you giving birth.
  94. You are amazing.
  95. Tell baby “come to me little one”
  96. You are ready to be a mother.
  97. You can do it.
  98. We will help you.
  99. You are not alone.
  100. We are here for you.
  101. You will give birth.
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