Titus 2 Birth Services
Titus 2 Birth Services is an extension of T2 Shepherd
Ministries, Inc. Services include:

Midwifery Services - (under
supervision)
Direct entry midwifery is legal in Texas and a safe option for
most women. Student midwives in the Association of Texas Midwives
approved course are required to perform a certain amount of care
under supervision prior to graduation and documentation.
Kathy has completed both her academic work in the ATM program and her clinical experience requirements prior to taking the
NARM (North American Registry of Midwives) test to become a CPM
(Certified Professional Midwife). She is continuing to work
under her preceptor, Jane Gandy, a local CPM. She also has the
opportunity to work with several area documented midwives in a less
formal relationship.
Kathy is available to take clients under supervision for those
interested in receiving care from a graduate student midwife.
Jane Gandy provides
supervision for this type of care.
Contact Kathy if you are
interested in scheduling an appointment to discuss supervised
student-provided midwifery care.

Christian Childbirth Education
The purpose of Christian childbirth education is to strengthen the
family during the pregnancy and birth experience. Classes focus on
what the Bible says about families, children, childbirth, and how we
choose to rear our children in addition to the anatomy of a
pregnancy, exercises, nutrition, and birth choices.
Classes are 9 weeks in duration and include a study workbook for
each family group. Instruction includes: discussion, videos,
demonstrations, practice sessions and various activities.
You can contact Kathy for
class times, locations and fees.

Parenting Education and Marriage
Enrichment Classes
ParentProject: Tools for Godly Parenting is a parent
education program written by Dr. William Sears and his wife Martha.
Classes are 8 weeks in duration. Instruction includes: discussion,
videos, demonstrations, and various class activities. Student
workbooks must be purchased at Lifeway Book Store prior to the first
class. Class material focuses on children Birth to Age 2, but is also
applicable for older children.
Keys to Loving Relationships is a video series that focuses on all kinds of
family relationships. This series by Dr. Gary Smalley continues to
grow as he adds more tapes to the series. The current offering is for
18 90-minute sessions.
You can contact Kathy for
class times, locations and fees.

What is a Doula?
Doula is Greek for slave or servant. The word has come to mean a
woman trained to provide emotional and physical support during
pregnancy, labor, birth and postpartum. Doulas may be known as
childbirth assistants, professional labor assistants, or
birth companions.
A doula may provide: explanation of procedures, emotional support,
advice during pregnancy, exercise and comfort suggestions, help
preparing a birth plan, massage or other pain relief measures,
position suggestions for labor and birth, support for the partner and
family members, assistance to avoid unnecessary interventions,
breastfeeding help, a written record of the birth, and assistance
after the birth.
Studies show that having a doula can provide a: 50% reduction in
caesarean rates, 25% shorter labor, 60% reduction in epidural
requests, 40% reduction in oxytocin (pitocin) use, 30% reduction in
analgesia use, and 40% reduction in forceps delivery. Mothering
the Mother: How a Doula Can Help You Have a Shorter, Easier and
Healthier Birth, by Kennell, Klaus, and Kennell (1993).

What is a Monitrice?
A monitrice supplies labor support services with limited clinical
skills. These skills may include: vital sign monitoring (blood
pressure, temperature, pulse), fetal heart tones, vaginal exams and
charting. These skills have been verified by a licensed professional.
In addition, the monitrice may also provide assistance like a
doula. This assistance may include: explanation of procedures,
emotional support, advice during pregnancy, exercise and comfort
suggestions, help preparing a birth plan, massage or other pain
relief measures, position suggestions for labor and birth, support
for the partner and family members, assistance to avoid unnecessary
interventions, breastfeeding help, a written record of the birth, and
assistance after the birth.

Birth Support/Assistance for Military Families
Birth Support/Assistance for Military Families is a project supported and assisted by Titus 2 Birth Services to help provide reduced fees for birth services needed by military families where the father of the baby is serving in active military duty at the time of the baby's due date.
Titus 2 Birth Services has joined with a number of area doulas, monitrices and midwives in this project. You can find more information for this
Birth Support program by clicking on the link.

Vaccine Information Assistance
Many parents are concerned about childhood and adult vaccine
recommendations. With the average child now receiving as many as 24
vaccinations before age 6, parents may be understandably concerned
about side effects, vaccine safety and the risk of disease infection.
Additionally, many adults are now confronted with the issue of
vaccinations for themselves in order to gain or retain employment.
After over five years of research, Kathy has accumulated a wide
range of information regarding:
- vaccine safety
- vaccine ingredients and processing
- immune system reactions
- disease incidence and possible short and long-term effects
- vaccine exemption options
- vaccine resources
Some of this information appears on this web site. Permission is
granted to copy the information in the
Vaccine Refusal Form,
Vaccine Exemption page, and the
Religious and Philosophical Exemption
Worksheet. But, this is certainly not all of the information
available. A parent information booklet is available for $12.25 to
interested parents and caregivers.
You can contact Kathy
regarding vaccine information or to receive Vaccines: A Matter of Choice, Safety and Value.

Breastfeeding Friendly Bags
Gift bags provided by formula companies send a not-so-subtle
pro-formula message to mothers who have chosen to breastfeed their
babies. That message includes:
- You may not be able to do this, so we will provide you with
emergency formula so your baby won't starve
- Formula-feeding is just as good as breastfeeding
- Look how convenient we can make this for you
- "Successful mothers" formula-feed.
- Even if you do succeed, you will occasionally need formula for
emergencies.
Fed up with the lack of support in even the breastfeeding mom's
gift bags, Kathy has put together the Breastfeeding-Friendly
Bag for birth professionals who want to provide a more
encouraging message to new moms. Assorted items in the bag include:
diaper samples, diaper coupons, baby soap, diaper soap, personal
hygiene items, samples of various other items, ads on products for
new and experienced parents, baby magazines and information leaflets
on various options parents are concerned about. Items change
regularly, depending on availability.
This service is available to birth professionals at a very minimal
cost. Bags come already stocked and ready for distribution. Bags are
not sealed, so you can add practice-related items.
Contact Kathy if you are
interested in scheduling an appointment to see a sample or place an
order.

Umbilical Cord Blood Storage
More and more couples are finding out about the advantages of
umbilical cord blood and choosing to bank or donate their baby's cord
blood at birth. Umbilical cord blood is rich in stem cells; the same
kinds of cells used in traditional bone marrow transplants. Stem
cells are the cells which produce every type of blood cell in the
human body. Transplants utilizing cord blood stem cells have fewer
problems and pose a lower risk than transplants using bone marrow
stem cells because they generally do not carry exposure to serious
infectious disease which might compromise serious health concerns of
a patient needing the cells. Stem cells in cord blood are less mature
than bone marrow cells and adapt better in transplants patients.
Other advantages of cord blood stem cell use over bone marrow in
transplant include:
- Cost:: If you store your baby's cord blood and need it
later for a transplant for that child (after about age 2), a
sibling, or other family member, the cost is currently under
$20,000 (if the cord blood is a match for any family member other
than the child or mother). If you use donated cord blood in the
transplant and had to find a donor match, the cost is
approximately $30,000.
- Total cost for the process depends on the company you
select. Rates vary from a few hundred dollars to about $1,500.
Yearly storage costs also vary.
- Survival Rates: Survival rates using cord blood are
higher than those transplants using bone marrow. Event free
survival in related transplants is about 72%, and about 48% in
unrelated transplants. Bone marrow transplants rates I have seen
fall somewhere around 40%.
- Graft vs Host Disease (where the transplanted stem
cells attack the recipients): in related transplants, Incidence of
GvHD is around 2% and around 42% in unrelated. Bone Marrow rates
are about 45%.
- HLA Matching: Less stringent matching of HLA is
required in unrelated donors, making a match easier. With bone
marrow, you must match all 6 indicators. Using cord blood, you
must only match 3 of the 6.
- Availability: Cryogenic storage allows for immediate
availability and reduces risks involved in time and disease
progression.
- Collection: Collection is painless, risk-free and
inexpensive. Processing fees depend on the company you select.
- Use: The following diseases are treated using cord
blood stem cell transplants:
- Non-Malignant Diseases: Aplastic Anemia, Sickle-Cell
Anemia, Fanconi's Anemia, ADA Deficiency, Hunter's Syndrome,
B-Thalassemia, Wiskott-Aldrich Syndrome, X-linked
Lymphoproliferative Disease, Hurler's Syndrome, Lupus,
Thrombocytopenia and Osteopetrosis.
- Malignant Diseases: Hodgkin's Disease, Lymphoma,
Neuroblastoma, Acute Lymphocytic Leukemia, Acute Myelocytic
Leukemia, Chronic Myelocytic Leukemia, JCML-Juvenile
Myelogenous Leukemia, Breast Cancer.
Research is also being done in treating other diseases with stem
cells.

For information on any Titus 2 Birth Service option, contact
Kathy.
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