Participants: Patti Barnes, Don Mackintosh
Series Code: HFAL
Program Code: HFAL000057
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00:49 I'm your host Don Macintosh
00:50 and today I'm happy to have Patti Barnes with us. 00:54 Patti, welcome! Thank you Don 00:56 So you are a certified midwife, right? Professional midwife. 01:01 And you've delivered quite a few babies. 01:03 How many is it now? Over 750 01:05 And today, I think we're going to deliver another one today... 01:09 so-to-speak, kind of hypothetically here. Yes 01:12 We have models and different things. 01:13 I think it's going to be a great time. 01:15 You have entitled this segment or what we're talking about... 01:19 "When to call for help" Right? Right 01:22 And I assume that has something to do with the signs of labor. 01:26 What are the signs of labor? 01:27 Well, right before labor most women have 01:32 what they call "lightening. " 01:33 Not thunder but lightening! Yes 01:35 And is that like talking about the heaviness or something 01:38 ...I guess you're going to explain it; 01:39 you have a graphic here! Yes - yes 01:41 This is mostly with the first-time mothers. 01:45 The baby settles into the pelvis. 01:47 It's usually about 2-4 weeks before labor. 01:51 And they'll feel that... Yes 01:53 Braxton Hicks contractions increase more, 01:56 and that's tightening of the uterus. 01:58 A bloody show which is a pinkish glob of mucus 02:03 as the cervix is dilating; and starts thinning out. 02:07 And that's not a couple of weeks before... 02:09 No, not always; sometimes it can be. 02:14 Several soft bowel movements and a burst of energy. 02:17 Now, every person can vary; not everybody is alike. 02:21 Again, the first mothers - when it's the first baby, 02:25 you will see this more because you could almost tell 02:29 when the baby has dropped. Okay 02:32 So they'll feel that - they'll sense that. 02:34 You know, I guess before I was born, 02:36 my mother always tells me that she got this real 02:38 burst of energy and she cleaned the entire house! 02:40 Yes, it's like a nesting syndrome. 02:45 I see, nesting syndrome. Um hm 02:46 But again, they'll say... 02:48 "Well you know, I feel like I can breathe again" 02:50 Because the baby has dropped and again, they'll feel 02:58 pressure on their bladder. 02:59 So the beginning of pregnancy, they have that pressure 03:03 on the bladder, they have to urinate often, 03:05 and then toward the end, when the baby drops, 03:07 they'll free pressure on the bladder; 03:09 they'll have to urinate often again. 03:12 Did you bring any pictures to show us? 03:13 Yes I did bring a picture to show you. 03:18 This picture, the baby on the left is what we call "engaged" 03:24 So when the baby drops into engagement, 03:27 then she will feel pressure on the bladder. 03:31 That's the "lightening" Yes 03:33 And next comes the thunder... or next comes the delivery! 03:37 Well you know, many times, as a nurse working in a hospital 03:41 I'd work there at the front door triage in the 03:43 emergency room; people would come in 03:45 that thought they were having a 03:48 baby and many times they weren't 03:49 Sometimes they were... many times they weren't. 03:51 What are the true and false, 03:54 or maybe the false and true signs of labor? 03:56 Okay, well first of all, the false labor begins with 04:02 usually you have the irregular contractions... 04:05 So they're not... if it's true, it's irregular, okay. 04:10 And they won't intensify, in other words, 04:13 they stay the same; they're not getting harder. 04:15 There's no change. 04:16 Contractions will rarely exceed 60 seconds, 04:20 and they do not get closer together. 04:23 ...Mostly felt in the front and high. 04:26 So up high. Yes, and not lower... 04:29 And also, they may cease with position change or activity 04:33 Hot baths or sleep usually stops the contractions, 04:37 and that's a good indication... 04:39 And also you usually do not lose the mucus plug, 04:43 you may but you may not, most of the time you don't. 04:45 And minimal cervical station if the doctor or midwife 04:50 checks your cervix and she would see no change. 04:54 Okay, for dilation or anything. Yes 04:57 Those are false signs. What about true signs? 04:59 Okay, with the true signs we see that the contractions 05:06 turn into being more regular and they intensify, 05:12 they'll get harder. 05:14 The contractions will exceed 30 and then 60 seconds 05:18 and longer; they'll grow closer together, 05:22 and not only will they feel it in the back, 05:26 but also in the lower front. 05:28 So they really feel it just coming... Okay, anything else? 05:31 They will not cease with position change; 05:35 hot baths or sleep will not stop them, 05:37 and that's a good indicator - like if they call me, 05:42 and tell me that they believe they're having true contractions 05:46 I will have them go take a warm bath and try to go to sleep 05:51 and if they cannot... Then you're on your way. Yes 05:56 Or they are on their way! 05:58 And of course, when I check them, 06:00 the effacement and dilation will change. 06:03 And we can see that, sure enough they are starting to dilate. 06:07 Had there ever been any times when someone 06:10 just has a baby without any of these true or false signs? 06:12 No warning at all... Well it's rare 06:15 I have had a couple of ladies that just felt a little unusual, 06:23 and their cervix starts changing and then they would feel 06:27 the heavy-duty contractions around 8 centimeters 06:30 and that's pretty rare... 06:31 But then I've had only one; she was a little Amish lady, 06:35 that she never felt anything. 06:38 It was the strangest thing. 06:40 She would just feel a little funny in her stomach. 06:44 She would say, "I feel a little 06:45 stomach ache and a little crampy. " 06:50 First of all, the first birth she had, she went to the doctor, 06:54 in the hospital, and she didn't make it in time. 06:56 Her husband flagged down a police officer. Oh great! 07:00 And that was a first delivery which they're usually longer. 07:02 The second one, I think she 07:05 had it on the lawn or somewhere. 07:07 She got a little closer to the hospital... 07:10 But finally, the doctor said, we need to just keep her at home. 07:15 And so we tried to get there and she called me, 07:21 well actually, her husband called and said... 07:23 "She feels a little funny" 07:25 I said, "I'm on my way. " I'm out the door! 07:27 And I didn't get there in time. 07:31 But the husband called back and my husband answered the phone, 07:33 and he said, "What do I do... I see the baby's head!" 07:37 And my husband... He should know 07:40 at least how to talk them through but he got so nervous, 07:42 he said, "I'll pray for you brother!" 07:46 Oh no, so did you get there in time that time? No 07:50 I would have like to talk to that policeman afterwards. 07:52 What do you mean, he flagged a policeman over and... 07:56 Police officers, they do NOT like to deliver babies. 08:00 They really would prefer not to. 08:03 But anyways, yes, he ended up delivering that baby also. 08:07 So finally, the doctor said we need to just train 08:13 the husband what to do. I can imagine! 08:16 So the police officers don't like that. 08:18 Maybe they would have given the lady a ticket for speeding 08:21 or having her baby too fast but delivering the baby. 08:25 You know, in the hospital, many times, they have the 08:28 ladies lay down and different things, 08:30 I hear you talking about moving around... 08:31 Is it okay, or is it good for a lady to be laying on 08:34 their back during delivery? 08:35 Well we encourage being in the upright position. 08:40 You know, in Exodus 1:15-18, it talks about the Hebrews 08:45 having their babies quicker and easier, 08:48 and they were sitting on birthing stools... 08:51 Birthing stools... Um hm 08:52 And we do see that once 08:56 they are sitting in an upright position, 08:59 they have their babies; it opens their pelvis wider, 09:04 and they have them quicker and easier. 09:07 I brought a birthing stool with me. 09:09 So this is an actual birthing stool here. Um hm 09:12 And I guess this is probably after the birth 09:14 ...this baby is on this, but we should take 09:17 the baby off and then which way do they... 09:18 Oh, I think it's pretty obvious which way they sit. Yes! 09:21 They'd sit on the birthing stool... 09:23 Back is right here, and there are... 09:24 We try to put some back support, 09:26 you know, pillows behind her back. 09:29 And this is up on the bed, or this is... 09:31 No, we cover the floor. It's on the floor... Um hm 09:34 And it's like almost a squatting position but with support. 09:39 It opens their pelvis and the reason 09:43 why I end up getting this is because I notice that 09:47 a lot of ladies when they are at home, 09:49 they like the upright position, 09:54 and I have a hard time getting them out of the bathroom, 09:56 and I didn't want to have any babies on the toilet. 10:02 Or in the toilet; one of the two! 10:05 Did your husband build this for you? 10:06 No, I bought this. Okay 10:08 And so many of the babies that you've delivered, 10:12 this has been the stool that they've used... 10:14 in the 700 and... how many babies is it now? 10:18 Over 750 and not all of them on the birthing stool, 10:23 but a lot of them. 10:24 And the reason for that again is because 10:26 that's kind of a natural position to be pushing, 10:29 and all those different things. 10:31 Yes, the gravity is in their favor. 10:33 GRAVITY is in their favor. 10:36 Isn't that what they call it when you're pregnant 10:39 "gravid" or something like that? Gravida 10:41 Gravida! But that's a little different than this... 10:42 this is actually the force of gravity. 10:46 Well, you've written a book about some of this 10:48 haven't you? Yes, it's "The Ministry of Midwifery" 10:52 And, didn't you just finish that recently? 10:55 Yes, I just finished it. 10:57 Oh great, well we're looking... 10:58 And are the things that we're talking about today, 11:00 are they covered in that book? 11:01 Yes, that's all in the book. 11:03 Great, I know that some people are saying... 11:05 "I'm not going to be able to remember all that" 11:07 but at least they'll have a resource. 11:09 We're talking to Patti Barnes; 11:11 she's a certified professional midwife, 11:15 and she has a lot of wisdom from delivering 750 babies. 11:21 When we come back, we're going to actually walk through a birth 11:26 and talk through it. 11:28 You're going to learn a lot of interesting things, 11:30 and we hope that you can join us. 11:35 Have you found yourself wishing that you could shed a few pounds 11:38 Have you been on a diet for most of your life, 11:40 but not found anything that will really keep the weight off? 11:44 If you've answered "yes" to any of these questions, 11:46 then we have a solution for you that works! 11:49 Dr. Hans Diehl and Dr. Aileen Ludington 11:52 have written a marvelous booklet called... 11:54 "Reversing Obesity Naturally" 11:56 and we'd like to send it to you free of charge. 11:59 Here's a medically sound approach successfully 12:02 used by thousands who are able to eat more and 12:04 lose weight permanently without feeling guilty or hungry 12:08 through lifestyle medicine. 12:09 Dr. Diehl and Dr. Ludington have been featured on 3ABN 12:13 and in this booklet, they present a sensible approach 12:16 to eating, nutrition and lifestyle changes that can 12:19 help you prevent heart disease, diabetes and EVEN cancer. 12:23 Call or write today for your free copy of... 12:25 "Reversing Obesity Naturally" 12:26 and you could be on your way to a healthier, happier YOU! 12:30 It's ABSOLUTELY free of charge, so call or write today. 12:36 Welcome back, we've been talking with Patti Barnes 12:39 She is a certified professional midwife, 12:41 and we're talking about home deliveries, or deliveries right? 12:45 Tell us a little bit about delivery itself. 12:48 Okay, first of all in a normal delivery, before labor begins, 12:56 we have what they call "cardinal moves" 13:00 As the baby moves down into the pelvis, 13:02 it starts to rotate, and as you can see, 13:08 the cervix is thinning and the baby's head is starting to 13:14 rotate internally. 13:17 Labor is continuing and the cervix is starting to dilate, 13:20 and the water, the amniotic fluid in front of 13:25 the baby's head is bulging and the baby continues to rotate 13:31 until the head or the face is looking down at the rectum 13:36 because that's the normal position 13:38 of the way the baby is supposed to come out. 13:41 And the water is broken at this point? 13:42 Yes, usually it is. 13:45 This crowning of the baby's head, 13:49 and then when the head comes out beyond the pubic bone, 13:54 it's looking down at the rectum, face down. 13:58 And then, externally, it needs to rotate for the 14:03 shoulders to come through. 14:04 This is external the rotation. 14:09 And, at that point in time, when the baby rotates that way, 14:12 we check for cord and then we suction the baby. 14:15 And the anterior shoulder usually will come first, 14:19 and then the posterior. 14:21 And then, of course, after the baby comes out, 14:24 then the expulsion of the placenta. 14:27 The placenta will come out and then the uterus will start 14:32 contracting going back to it's normal size 14:35 which is called "uterine involution" 14:38 So that it stops the bleeding 14:40 and all those different kind of things. Yes 14:41 If it doesn't contract, you'd have problems 14:44 with bleeding. Right, you definitely would. 14:45 So these are called what again? "The cardinal moves" Um hm 14:48 When the baby comes down into the pelvis, 14:50 it rotates and the pelvis is greatly influenced 14:57 in pregnancy. What happens to it? 15:01 Well the hormones, progesterone and relaxing will 15:06 cause the sacroiliac joints of the pelvis to be more flexible. 15:14 And show us where those joints you are talking about. 15:15 Okay, as the baby comes down, joints on either side... 15:19 Right here... these joints in here. Um hm 15:22 The pelvis will open up like this. 15:24 Okay, so you're talking about these joints right here. 15:26 Yes, on each side, and the sacrum will 15:30 move out of the way. 15:31 Okay so it's like the sacrum here moves out of the way 15:35 like how again? 15:37 Um hm, will move out of the way... 15:38 And the last little coccyx joint will move out of the way. 15:43 The symphysis pubis joint here... There in the front 15:47 Yes, that will... Relaxes as well. Yes 15:51 Is that why they call it "relaxin?" Yes 15:55 It's not supposed to be this open, 15:56 but this pelvis had too many babies... 15:59 It's supposed to be together a little more. 16:01 I see... So this then just normally happens, 16:05 you don't have to take a medicine for this or anything; 16:07 it just relaxes and it's doing it on its own... 16:09 The pelvis opens up as the baby comes down 16:12 through the pelvis. 16:13 It opens up this way and then the sacrum, 16:16 and then the coccyx; now it moves out of the way. 16:20 Do that again and point that 16:22 towards the camera there in the middle. 16:23 How would you do that again? 16:24 Okay, as the baby comes down 16:26 it opens up this way, and then sacrum, 16:31 and then the last little joint here, back out of the way. 16:35 Wonderful! 16:38 I take it you've done this before, 16:40 and shown this many times. 16:42 Yes... This is your teaching pelvis. 16:47 Well, you've told me that you want to show me 16:50 the entire process here of delivery as well. Okay 16:54 And so, we've brought some different things here, 16:56 and we have some time to work through this here. 17:01 What's going to be best for me to do? 17:03 You just tell me what to do here. All right 17:07 Now you've already delivered babies, remember? 17:10 Right, yeah, but I've usually had most of the 17:12 people here with me, you know; I didn't just have the pelvis. 17:15 ha, ha, ha... All right. 17:17 Well as the baby is coming down, 17:18 Okay, let's turn it this way so everybody can see this. 17:21 As the baby is coming down... 17:25 The best position... Where is lightening? 17:26 Okay, it's when the baby is engaged... 17:30 Right there... that what you 17:33 called a little bit earlier "lightening" huh. 17:35 And as the baby is moving down into the pelvic cavity, 17:39 it begins to rotate and the head will rotate internally 17:43 as it starts to crown to look down at the rectum. 17:47 Okay, so the back of the head is going to be 17:49 what you see here. Yes... Crowning 17:53 The baby comes through the pelvis... Through the pelvis 17:59 All right, and this is all opening up... Yes 18:02 Then it turns this way? 18:03 Yes, but you don't... I don't turn it. No 18:06 If I turn it, that could be a problem. 18:08 Now when it's coming out, 18:09 do I check for anything as it's coming out? 18:10 Yes, you do... What I was going to say 18:14 is if it doesn't rotate, if it stays this way, 18:17 it should indicate to me that the baby could have 18:22 what they call "shoulder dystocia" 18:24 The shoulder stuck behind the pubic bone. 18:26 Okay, so what do you do then? 18:28 Well, the baby always needs to rotate; 18:30 in other words, rotate the shoulders this way 18:34 so that the baby can come out, 18:37 but if it doesn't, we do different maneuvers like 18:39 we'll turn the mother over on her hands and knees 18:43 to open the pelvis up wider. 18:45 Or we'll go in this way and get a hold 18:51 underneath the armpit and just try to rotate it 18:54 counterclockwise. 18:56 Now is the shoulder this way so that it is right there 18:59 where the pubic symphysis is, so it can open up... 19:01 is that why it's there? 19:03 Well, yes it does open it up, but it needs to rotate 19:07 sideways so that the anterior shoulder should come 19:11 through first. Oh okay 19:12 And then the posterior, but at this point, 19:14 you should be just supporting the baby's head. 19:16 Support... okay, you tell me what to do. Okay 19:18 Support the baby's head... 19:19 Immediately check for the cord around it's neck. 19:22 Okay and why do we do that? 19:23 We're checking now - You're saying this cord... Yes 19:25 And it could be down there around... It could be 19:27 What do you do if it is? 19:29 Well, we have several and it's usually no problem. 19:32 We just loosen it over the head, or over the shoulders. 19:35 And push it back in. 19:36 And we just lift it up and let her push the baby right through 19:41 And if you DON'T do that, what happens? 19:42 Well if it's too tight and you cannot do that, 19:44 then we just clamp in two places and cut in-between 19:48 ...You know, clamp it off in 2 places 19:51 and then cut it off the baby's neck. 19:53 Now you do that though only if the... If it's too tight 19:55 If it's too tight and if the baby's mouth is outside? 19:58 Oh yes, when it's out you check, 20:01 you could feel around the neck, 20:04 and then you suction the baby at this point. 20:06 Okay, take this and you told me that I need to push 20:09 it in like this first, right? Yes 20:11 I had to do it first before instead of afterwards, 20:14 or I'll get a big squirt... All right 20:17 Rinse out the mouth and then the nose. 20:19 And the nose too... Yes 20:20 All right... I'm suctioning the mouth and the nose. 20:25 All right, I got it. Okay 20:28 How did I do? You did great! 20:30 I think so. All right 20:34 Okay, now she's pushing... she's pushing the baby out 20:39 All right, at this point... How do I hold it? 20:42 Just like that... Just like this? Uh huh 20:44 When do I give it a spanking like they normally... 20:47 Well you don't. You don't have too? 20:49 We don't, usually it will come out crying, 20:52 or you could stimulate it by rubbing the back, massaging it. 20:56 Do I need to suction it again? 20:57 If it's mucousy, you could suction it again. 20:59 You say "it," "the little one," or how do you say... 21:02 "The little baby" The little baby - okay 21:04 And I suction again... Now isn't it slippery 21:06 with all that stuff on it. Yes 21:08 So I have to be careful. Yes 21:09 How do you usually hold it, like this? 21:10 Yes... Like that, okay 21:12 And I'm suctioning again... 21:14 Oh wait a minute, I'm supposed to do it like this, 21:16 and then the nose again. Right 21:18 This baby has it's eyes opened being delivered, is that normal? 21:21 Yes, that's normal. Okay 21:23 And then what do I do? 21:25 It's still hooked up there somehow. 21:28 Yes, usually I let the mother nurse the baby... 21:31 If the cord stops pulsating, you can go ahead and clamp it off. 21:34 Okay, so wait for the cord to stop pulsating. 21:38 Let me ask about this cord, 21:39 it looks like you have a blue cord in there, 21:41 and then a red cord. 21:42 How many cords are there in there, 21:43 and how many vessels are there in there? 21:45 There are 3, 2 arteries and 1 vein. 21:48 All right, let me just have you 21:51 hold this... Okay, and I'll hold the baby. 21:53 And so I take this clamp... this is the clamp, right? Right 21:57 And I put it right there... I'm not going to clamp it 21:58 because I probably won't be able to undo it. Go ahead 22:00 I CAN clamp it? Um hm 22:02 Well thank you. All right, right there. 22:04 And then I take one of these, I suppose, 22:08 and I put it right here? Yes 22:09 Okay, and then I can clamp it. You can clamp it. 22:12 And then, let's just pretend these are scissors, 22:14 is this what I'm supposed to do? Right 22:16 Cut right between... And I cut right there. Yes 22:18 Okay, cut... And let's pretend that we 22:21 took it off and then you... The baby nurses 22:24 And then what happens next? 22:26 Now you get a hold of the cord because you're waiting 22:28 for the placenta to detach. 22:30 Okay, we're waiting for this... the placenta is this up here 22:33 to detach from the uterus. 22:35 And as the baby nurses, it causes Oxytocin to release 22:44 a natural Oxytocin and the Oxytocin will encourage 22:48 the contractions and as the uterus contracts, 22:51 it starts bringing the uterus down to size, 22:54 it's called uterine involution, and it detaches the placenta 22:57 from the uterine wall. 22:59 So actually the baby triggers that... it's amazing isn't it? 23:03 The baby triggers that, okay. 23:05 Now what we do is like a cord traction, 23:08 wrap it around your finger. Wrap it around the finger... 23:10 You know, like have you ever been fishing? 23:14 Okay, just put some cord traction on it, 23:17 pull it a little bit. 23:18 Okay, you can feel that it's tight right? Right 23:21 Okay, well as the uterus contracts, 23:23 and it releases, you'll feel it. 23:26 And I just take up a little bit more slack then. 23:27 Yes, you'll see that it's loosening, 23:31 and you'll see a little gush of blood. All right 23:33 And then you will have her push it out. 23:37 Okay, so as she's pushing it out, 23:39 what we do at this point, when you see the placenta, 23:43 is I'll take and twist it right here, just to wrap the membranes 23:50 all around the placenta because I want to get every bit 23:54 of the placenta out, I don't want to leave it... 23:56 And then once it comes out, 23:57 do you check it to make sure it's all out? 23:59 Yes, I check every bit of it because I want to make sure 24:01 I didn't even leave one little 24:03 piece of placenta inside the uterus. 24:05 Now I remember from nursing school, 24:07 they have 13 places. Is that right or not, 24:09 maybe I'm wrong. What do you call it? 24:11 I don't remember, but there are 24:12 different places it's hooked in, 24:13 and then do you checkup as well in the uterus 24:16 to make sure it's all out of there too, 24:17 or do you just do it by checking the placenta? 24:19 Well, we could usually see if everything is here. 24:22 This is the maternal side of the placenta; 24:25 this is the side that is attached to the mother... 24:28 And all these little pieces are called "cotyledons" 24:32 and they fit like a puzzle. 24:34 And we can see that they're all there, 24:36 and then on this side, the shiny side, 24:40 this side is attached to the baby. 24:43 Okay, and we make sure that 24:46 the veins end before the edge of the placenta, 24:50 so we know that it's all there. 24:52 Now if the veins run off the edge, we can know that 24:56 something is left up inside the uterus. 24:58 Okay, and then we check the amniotic sac. 25:01 This is what the baby was in. 25:03 There are 2 layers; the amniotic sac, 25:04 the amnion and the chorion. 25:07 And we hold it up to see that it's all there. 25:10 Because you don't want to any of that in there as well. 25:13 It might have infection or something if it's left in there 25:15 Well even just a little piece of membrane that's left in 25:20 where the placenta side was, could cause a major hemorrhage 25:23 or even an infection. 25:24 So that's really important... 25:26 the afterbirth is as important 25:28 as the birth... in terms of your work. Yes 25:31 So then what's happening with the baby right now? 25:33 What do you do next with the baby? 25:35 Well, I let the baby nurse, 25:36 and the parents bond with their baby. 25:39 The most important thing is to make sure that the baby 25:42 has good color and is nursing well and the baby is warm. 25:50 So you cover it up with a warm blanket. 25:52 We have a warm blanket... we have a warm cap 25:54 we put on its head, and we make sure that 25:59 the mother is not bleeding also as well, not a whole lot. 26:04 Okay, so then... I've heard this expression used 26:07 "Apgar scores" When do you do that? 26:09 Right when the baby is born. 26:11 And you have like a little chart or something? Yeah 26:12 It's 1 minute and then at 5 minutes again. 26:16 What are you checking on the Apgar score? 26:17 We're checking the fetal heart tones, the respirations, 26:22 the color of the baby; is the baby well-flexed 26:27 or is it limp... you know. 26:29 Do you let the dad in the room? 26:31 Do I let the dad in the room? 26:33 I encourage the dad to help with the delivery. 26:35 With the delivery... is that why you had me do this? 26:37 Um hm... Okay, that's great! 26:42 How long does this whole process normally take then? 26:44 The delivery itself? 26:46 Labor and delivery or just... 26:48 Not labor and delivery, but the delivery itself. 26:50 When it starts coming down, 26:52 the cardinal moves when they start. 26:54 Well, it's different for... Different for different people. 26:56 Yes... if it's your first baby, it could be 8-16 hours, 27:05 but then again, I've had some primips or first-time mothers 27:10 surprise me with 5-hour deliveries. 27:13 I'm talking about labor and delivery, I'm sorry. 27:17 The pushing stage, just when the mother is pushing 27:22 the baby out... for the first mother 27:25 it could take 2-4 hours. 27:27 BEAUTIFUL isn't it! 27:28 Every time you see this it's a miracle for you, is that right? 27:31 It's a miracle! 27:32 We've been talking with Patti Barnes 27:35 She is a certified professional midwife. 27:37 She has delivered over 750 babies. 27:39 She has written a new book entitled... 27:42 "The Ministry of Midwifery" 27:44 And really, it's a beautiful thing to see 27:47 a new life come into the world and be a part of it. 27:50 And it's wonderful to have people that know 27:51 what they're doing that can help us, 27:53 and help that little one have life right from the very 27:57 beginning that hopefully, as a result... 27:59 will last for a lifetime! |
Revised 2014-12-17