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AVAILABLE NOW
Permission to Mother:
Going Beyond the Standard-of-Care to Nurture our Children
By Denise Punger MD FAAFP IBCLC
Why this book?
The "Standard-of-Care" is a legal term, the level at which the average, prudent provider in a given community would practice. It is how similarly qualified practitioners would have managed the patient's care under the same or similar circumstances.
Sadly enough, the standard-of-care legally protects only the provider (the physician or hospital) and is not necessarily in the best emotional, physical, or spiritual interest of the consumer (the patient). Dr. Punger’s personal experience brought this to her attention... a doula-attended hospital birth without intervention, working while tandem nursing & tandem nursing beyond the toddler years, and finally a footling breech birth at home.
Included are other women’s experience's that go beyond the status quo , a twin home birth after cesarean, nursing on experimental medication, nursing a preemie with cerebral palsy despite being told the baby will never swallow, overcoming being below birth weight at 6 weeks, nursing despite breast reduction, abnormal heel stick test, adoptive nursing, etc...
All stories have one feature in common:going beyond the medical standard-of-care imposing on women’s right to mother to the fullest.
Through her warm, attachment feel stories about her own mothering journey and the inspiring women she is in close contact with, Dr. Punger gives you permission -- to birth just the way you want to and to breastfeed for how long you want to.
Table of Contents
Foreword by Bernadette Clark RN CD(DONA)
Preface
Part 1- Childbirth as I Experienced It
Labor & Delivery in Medical School . . . . . . . . . . . . . . . .
Family Medicine with Obstetrics . . . . . . . . . . . . . . . . . .
Childbirth – It’s My Turn . . . . . . . . . . . . . . . . . . . . .
My First Labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pregnant a Year Later . . . . . . . . . . . . . . . . . . . . . . . . .
Birth with a Doula. . . . . . . . . . . . . . . . . . . . . . . . . .
Finding Breastfeeding Medicine. . . . . . . . . . . . . . . . . . . . .
My Friend’s Surprise Homebirth . . . . . . . . . . . . . . . . . . . .
Images of Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . .
Bernadette’s 11th Blessing . . . . . . . . . . . . . . . . . . . . . .
Another Missed Homebirth . . . . . . . . . . . . . . . . . . . . . . .
Getting Ready for My Own Homebirth . . . . . . . . . . . . . . . . . .
"It’s Toes!" . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A Letter to My Third Son. . . . . . . . . . . . . . . . . . . . . . . .
The "Awesome and Powerful" Experience of Rumping . . . . . . . .
The Cost of a Doula. . . . . . . . . . . . . . . . . . . . . . . . . .
A Twin Homebirth . . . . . . . . . . . . . . . . . . . . . . . . . . .
Permission to Birth . . . . . . . . . . . . . . . . . . . . . . . . .
Doctor, Mother and Political Advocate. . . . . . . . . . . . . . . . .
Part 2 – The Breastfeeding Years
Breastfeeding Didn’t Come Natural . . . . . . . . . . . . . . . . . . .
Nursing in Public. . . . . . . . . . . . . . . . . . . . . . . . . . .
Nursing After Conception . . . . . . . . . . . . . . . . . . . . . . .
Tandem Nursing, One Day at a Time. . . . . . . . . . . . . . . . . . .
On Weight Gain . . . . . . . . . . . . . . . . . . . . . . . . . . .
A Case for the Family Bed. . . . . . . . . . . . . . . . . . . . . . .
Tub Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sling Musings . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switching to Cloth . . . . . . . . . . . . . . . . . . . . . . . . .
A Visit to the Pediatrician. . . . . . . . . . . . . . . . . . . . . .
Scott in the Middle . . . . . . . . . . . . . . . . . . . . . . . . . .
Surviving Anesthesia. . . . . . . . . . . . . . . . . . . . . . . . . .
My Spiritual Journey as Physician, Mother and IBCLC . . . . . . . . .
To My Sons: How You Were Named. . . . . . . . . . . . . . . . . . . . .
Unexpected Benefits of Breastfeeding . . . . . . . . . . . . . . . . .
Comfortable With My Body Through Breastfeeding . . . . . . . . . . . .
Working and Breastfeeding . . . . . . . . . . . . . . . . . . . . . . .
Kids at Work with Mom. . . . . . . . . . . . . . . . . . . . . . . . .
Homeschooling: The First Year. . . . . . . . . . . . . . . . . . . . .
Unschooling: The Second Year. . . . . . . . . . . . . . . . . . . . . .
Lifetime of Learning. . . . . . . . . . . . . . . . . . . . . . . . .
Part 3 – Breastfeeding Medicine: More than Permission
Baby Shower Gift . . . . . . . . . . . . . . . . . . . . . . . . . .
Just say NO to Formula Company Diaper Bags . . . . . . . . . . . . . .
Is it Worth Breastfeeding My Newborn All Night . . . . . . . . . . . .
How Dads (and Grandparents) Can Show Support . . . . . . . . . . . . .
“I could not breastfeed because…” . . . . . . . . . . . . . . . . . . .
Sarah’s Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Failure to Thrive . . . . . . . . . . . . . . . . . . . . . . . . . . .
Not Enough Milk? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nursing an Adopted Baby . . . . . . . . . . . . . . . . . . . . . . .
Donating Human Milk . . . . . . . . . . . . . . . . . . . . . . . . . .
All in a Day’s Work . . . . . . . . . . . . . . . . . . . . . . . . .
Breastfeeding and Birth Control. . . . . . . . . . . . . . . . . . . .
Freeing the Infant Tongue . . . . . . . . . . . . . . . . . . . . . . .
Second Opinion on Jaundice . . . . . . . . . . . . . . . . . . . . .
How Long Before Supplementing a Newborn? . . . . . . . . . . . . . . .
First Latch at Six-weeks . . . . . . . . . . . . . . . . . . . . . . .
Another NICU Graduate . . . . . . . . . . . . . . . . . . . . . . . .
A Positive PKU . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Screening Tests: Not Worth Triple the Trouble . . . . . . . . . . . .
Can We Nurse Our One-year Old at Night? . . . . . . . . . . . . . . . .
Permission to Grieve . . . . . . . . . . . . . . . . . . . . . . . .
Part 4 – Why I Do the Work I Do
Breastfeeding Help is Available . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Baby Goals I Wanted to Meet . . . . . . . . . . . . . . . . . . . . . .
Strengthening My Inner Confidence . . . . . . . . . . . . . . . . . . .
Worth the Drive . . . . . . . . . . . . . . . . . . . . . . . . . . .
Putting Me at Ease . . . . . . . . . . . . . . . . . . . . . . . . . .
A Sensitive Two-Year Old . . . . . . . . . . . . . . . . . . . . . .
Comforting Him in Our “special little way.” . . . . . . . . . . . . . .
A Letter From Pennsylvania . . . . . . . . . . . . . . . . . . . . . .
Appendices
Appendix A: Resources . . . . . . . . . . . . . . . . . . . . . . . .
Appendix B: Herbal Labor Inductions - Are They Safe? . . . . . . . . .
Appendix C: Pregnancy and Labor - No Picnic for Dad . . . . . . . . .
Appendix D: Why the Dash? . . . . . . . . . . . . . . . . . . . . . . .
What is there that is new that can be said about breastfeeding?
"Denise Punger surprised me and there is a lot that is new for me. It is so personal of a document. I am fascinated by some of the things she says. I particularly liked the reasons for bed sharing…. The "safe" way, the way we approach breastfeeding, is not really the safe way. (It) robs many women of the extraordinary experience that breastfeeding can be, and the pleasure it usually gives to both the baby and the mother... Denise’s book shows what can be done if we give breastfeeding a chance; the issue is finding the right approach for the baby (and mother) instead of the one size fits all approach that is too often the usual way."
Jack Newman, MD, author of The Ultimate Breastfeeding Book of Answers
Dr. Punger cracks me up. I appreciate how free she and her family are with issues that seem taboo in our society…really gives you that warm/attachment feeling.
A reader of Lactations.com
You've been such an inspiration to us all in SO many ways! It's almost like you've given us "permission," i.e.; to nurse just the way we want to, for how long we want to.
Joan Fischer
Your work is such a contribution to all of us!
Regina Sara Ryan author of Breastfeeding: Your Priceless Gift to Your Baby and Yourself
My daughter will be healthier because of Dr. Punger [and her book].
Shannon Miller
The classic you are about to read will take you along Dr. Punger’s personal journey from medical school training to home-centered parenting. Dr. Punger skillfully weaves her subjective experience as a mother with her clinical expertise as a family physician and international board certified lactation consultant. She examines birth and its outcomes in various elements, hospital and home, with and without professional doula support. Breastfeeding from the first moments of life to beyond the typical weaning years is chronicled together with the joys and difficulties women encounter personally and socially in feeding their young. Dr. Punger has a way with putting life into words we can all relate to. She has amassed information covering a large, but very related set of mothering topics. If I could only put her words of wisdom in a nutshell and pour it into the hearts and minds of each of my “mothers,” this world would be a better place.
Bernadette Clark RN CD(DONA)
Your book looks like it's going to be on my shelf and on the shelves of many others!
Julia Swart, LM, CPM
Information mothers need to consider prior to delivery. Insight to aid the medical professional to understand today’s mothering movement.
John Coquelet, DO
Your book makes me think about my next pregnancy, birth, and breastfeeding opportunity. I would listen more to my heart. I would think more about myself and not so much about what is convenient to others.
Zaneta Defelici
It’ll help me move on from my past birth. I've been thinking about doing something in regards to being a doula myself ... helping women birth the way they really want to.
Catalina Bowen
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Outskirts press is a print-on-demand publisher and this means I get to keep all my copyrights. Outskirts will help me get listings at BN.com and amazon.com. Also, I have a great editor, but by using a non-traditional publisher, I have the final say so in all content.
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