"Permission to Mother is an account of one doctor's personal journey into motherhood. She seeks the best possible choices including exhilarating birth experiences and breastfeeding beyond current societal norms, and explains how her personal choices affected her professional choices on her quest to find a more baby and woman-centered approach to birth and breastfeeding." ~ La Leche League International
"I am so grateful that a medical doctor has stepped outside the tired and dangerous old protocols to truly give us mothers "permission" to connect with our babies in low-intervention, highly nurturing ways." ~By Robyn Openshaw-pay (AKA--Greensmoothiegirl.com)
Permission To Mother --Find it on Amazon HERE!
by Denise Punger MD FAAFP IBCLC
(Also available in the office and at Permission to Mother Events)
Table of Contents
FOREWORD by Bernadette Clark RN CD(DONA)
PREFACE
PART 1 – CHILDBIRTH AS I EXPERIENCED IT
Labor & Delivery in Medical School 5
Family Medicine with Obstetrics 15
Childbirth – It’s My Turn 23
My First Labor 25
Pregnant a Year Later 29
Birth with a Doula 31
Finding Breastfeeding Medicine 35
My Friend’s Surprise Homebirth 37
Healthier Images of Pregnancy 41
Bernadette’s 11th Blessing 43
Another Missed Homebirth 47
Getting Ready for My Own Homebirth 49
“It’s Toes!” 61
A Letter to My Third Son 67
The “Awesome and Powerful” Experience of Rumping 69
The Cost of a Doula 73
A Twin Homebirth 77
Permission to Birth 81
Doctor, Mother and Political Advocate 85
PART 2 – THE BREASTFEEDING YEARS
Breastfeeding Didn’t Come Natural 95
Nursing in Public 99
Nursing After Conception 101
Tandem Nursing, One Day at a Time 103
On Weight Gain 107
A Case for the Family Bed 109
More About Our Family Bed 111
Tub Time 113
Sling Musings 115
Switching to Cloth 119
A Word about Wipes 123
A Visit to the Pediatrician 125
Scott in the Middle 127
Surviving Anesthesia 131
My Spiritual Journey as Physician, Mother and IBCLC 133
To My Sons: How You Were Named 137
Unexpected Benefits of Breastfeeding 141
Comfortable With My Body Through Breastfeeding 143
Working and Breastfeeding 145
Kids at Work with Mom 149
Homeschooling: The First Year 153
Unschooling: The Second Year 157
Lifetime of Learning 163
PART 3 – BREASTFEEDING MEDICINE: MORE THAN PERMISSION
Baby Shower Gift 171
Just say NO to Formula Company Diaper Bags 173
Is it Worth Breastfeeding My Newborn All Night 175
How Dads (and Grandparents) Can Show Support 177
“I could not breastfeed because…” 179
Sarah’s Thyroid 181
Failure to Thrive 183
Not Enough Milk? 185
Nursing an Adopted Baby 187
Donating Human Milk 189
All in a Day’s Work 191
Breastfeeding and Birth Control 193
Freeing the Infant Tongue 195
Second Opinion on Jaundice 199
How Long Before Supplementing a Newborn? 201
First Latch at Six Weeks 203
Another NICU Graduate 207
A Positive PKU 211
Screening Tests: Not Worth Triple the Trouble 213
Nursing with Teeth? At Night? 217
Permission to Grieve 221
PART 4 – WHY I DO THE WORK I DO
Breastfeeding Help is Available 231
Baby Goals I Wanted to Meet 233
Strengthening My Inner Confidence 235
Worth the Drive 237
Putting Me at Ease 239
A Sensitive Two-Year Old 241
Comforting Him in Our “special little way.” 243
A Letter From Pennsylvania 245
APPENDICES
Appendix A: Resources 249
Appendix B: Herbal Labor Inductions – Are They Safe? 255
Appendix C: Pregnancy and Labor – No Picnic for Dad 257
Appendix E: Why the Dash? 261
Book
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