Do-Las

This was a thought provoking read about the role of a doula and how sometimes our job is to do less - to focus on creating that sense of peace in the birth space:

In the doula training I provide, we certainly go over a whole bunch of nifty tools gleaned from almost two decades on the job, but those are only stepping stones. I prefer to focus on the quality of presence a doula holds for her clients. How do you listen? How do you tune in? How do you hold the space? How do you channel calm into a stressful environment? What may you need to work on within yourself to have more access to insight and intuition? What can you broadcast energetically to bring a positive change to a situation? This is doula-ing in the deepest sense of the word "holistic".

Yes, ironic in light of my training post below. Training is GOOD, it provides another skill set. But I absolutely agree with the author that some of the best doulas are those without any formal training - they know how to help a laboring woman feel empowered and safe, confident and at peace. That's the most crucial work of a doula - to remind a mother that SHE knows best how to birth her baby, and all of us are simply there to support her.

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ICAN Meetings & Special Scars

This Saturday (February 11th, 6pm) we'll be hosting a special ICAN meeting for doulas and other birth professionals. One doula will talk about how to support mothers through cesareans, in the OR and during recovery. Another will discuss how to best help VBAC moms and tell us about the Special Scars group. And I'll be speaking about cesarean and VBAC support from the mother's perspective. The three presenters are all doulas and cesarean moms ourselves, and I'm very excited to learn from these other two amazing women. (Hopefully I'll have something useful to contribute, too!) 🙂

Also this week there will be a new support group meeting location. Every other month there's been a cesarean support group in Plano, but as that coordinator takes maternity leave we're grateful to welcome a new coordinator onto the team. They will meet every even month (Feb, April, etc) and the first gathering will be THIS Thursday (February 9th, 7pm) at the Gentle Beginnings Birth Center in Keller. Because of the nature of this group it is open only to cesarean mothers (no birth professionals.)

While some mothers recover from their births without a second thought, for many mothers recovering from a cesarean is a challenging ordeal, both emotionally and physically. Too often they may hear, "All that matters is you have a healthy baby!" which implies that their own healing shouldn't matter. (Sometimes mothers have a cesarean birth and our baby isn't healthy!) C-sections can be incredibly challenging and a support group is a chance to meet with other moms who understand some of what you may be feeling as you recover. Whether your birth was years ago or just weeks ago, all cesarean mothers are welcome to come listen and share.

I'm also very happy to share that this week on the ICAN blog they are featuring articles about the Special Scars group. What is a special scar? The vast majority of cesarean incisions are done as a low transverse (also known as a horizontal or bikini line cut.) Because of various circumstances like the baby's position or the need for a stat delivery a different type of cut may be used - vertical (or classical), inverted T, J, or a plus sign cut. These incision types are more rare and as a result there are fewer studies done for moms having VBACs after a special scar birth. As you can imagine this creates a vicious circle with fewer care providers supporting moms with these types of scars, and thus fewer studies to demonstrate the safety of VBACs. Special Scars moms have even greater challenges finding information, recovery support, and care providers encouraging them to VBAC. We are fortunate to have one of those rare care providers in our town! During our birth professionals meeting this week we'll hear from a mom who had a VBA3C with an inverted T* - she's amazing!

(*In case you wanted the translation - that's a vaginal birth after THREE cesareans, the first an inverted T incision!! To further confuse you, my youngest is a 3VBAC - third vaginal birth after cesarean. The code is fun to learn!)

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Wedding Doula!

I often share the analogy that a doula at a birth is like a maid of honor at a wedding. But I'm starting to realize that a doula provides all sorts of extra help you don't even think about, so I'm thinking there are benefits to have a wedding doula, which isn't exactly the same as a maid of honor. 🙂 Like a birth doula, a wedding doula helps the couple to learn about their options and decide what feels best to them. A wedding doula encourages a couple to articulate their hopes and dreams for their birth wedding and to convey these wishes to everyone in their family. During the stressors of the day the doula helps the couple to focus on each other, to remember why they are there and to enjoy the moment. A doula helps to eliminate the little distractions that could intrude into that private space, and helps to ease the anxiety of the couple as they go through this momentous occasion. I've been there myself and know the tricks and tips to make the day go more smoothly!

My littlest sister is getting married. She's the youngest of seven, the final wedding of the siblings, and you can imagine we're all excited. As we were discussing the various things to be done for the wedding and all the ways family is helping, I joked with her that I could bring my doula bag to have on hand with the fan, mints, etc. Then I realized that's it - I WANT TO BE THE WEDDING DOULA! And she said I could be. 🙂 She made my very cute mini doula bag and I asked if she had any yarn in green (their wedding color.) She had some, so tonight while watching a movie I crocheted that little satchel for her wedding day. Mini-fan to cool you off, emergency tissues, tiny toothbrush & mints/gum, baby wipes, water bottle spare pen, lotion, and a back up camera.

How fun is that?? I get to be a wedding doula.

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Your Doula’s Own Birth Experience

I've had some interesting discussions lately about hiring doulas, and the criteria parents consider. Here are some of the questions I've heard pondered:

* Would you hire a doula who was not a mother?

* What about her birth history? Is it important that she have births similar to yours, or similar to the type you are going for? (Hospital, natural, vaginal, cesarean, VBAC?)

* Would you hire a mom who only had vaginal births if you've had (and were planning to have) cesarean births?

* If you're going for a VBAC mom would you want your doula to also be a VBAC mom?

* When having an out of hospital birth (home or birth center) do you care if your doula only had hospital births?

* You want a natural/meds free birth, your doula has only birthed with the epidural/meds - does that matter to you?

* Would you hire a male doula? Would you hire a male OB?

It's been thought provoking for me to consider types of birth and how they influence our choice of doulas. When we interviewed doulas for our fifth birth we chose someone who had one natural, hospital birth. It didn't matter to me that she hadn't birthed out of the hospital or experienced a cesarean birth and VBAC. She was the right fit for us. However, it was important to me that she had experienced a meds free birth because I felt that meant she would better understand what I was going to be feeling and how to better support me. I wanted her to know the intensity, and how to connect to me in that moment.

Sometimes a doula's birth history really matters to a couple. I've heard of some moms looking specifically for a doula who had a cesarean and VBAC as the client prepared for their first VBAC. It was important to them that their doula had firsthand experience with the emotions involved and that extra level of concern.

I underestimated how relevant my own birth history has been to clients, but without fail it's been brought up by parents at prenatal visits, and sometimes at the births themselves! I've experienced a variety of births, both in and out of the hospital, vaginal, cesarean, VBAC, epidural, and finally a waterbirth. My six births have varied dramatically! I'm thankful for what each has taught me, and humbled when my own experiences can help me better connect and serve parents. I do think our births influence our work, and I hope it makes me a better doula.

So as you choose your doula, consider what feels right to you. Do you care if your doula's birth experiences are similar to yours? What if she's worked with clients in situations like yours, but not personally birthed like you? Ultimately I think it comes down to what feels best to you and your partner, and finding the doula who you feel is the right fit. While that may be a doula with very similar experience to your own, you may find your perfect doula has birthed in ways completely different from you - or never given birth at all!

And for the record, I've heard of some incredible doulas who are not yet mothers, and one birth attended by a male "doula" who was apparently quite amazing! While firsthand birth experience gives us one type of knowledge to draw from, the hands on work of doulas and intuition are also crucial contributors to a doula's skill set. The free, in person consultation with a doula is an important way to determine who will be the best doula for YOU.

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Action Shots!

A doula mentor mentioned to me that it's rare a doula gets photos of herself at work, unless there's a professional photographer at the birth. I was lucky that a father at a recent birth was taking some photos, and they kindly said I can share them!

Here we're talking about how she's feeling and what we're going to try next:

I know this looks like I'm torturing her with my elbow (and smiling about it!) but we were doing some counter pressure and massage. 🙂

More counter pressure on her lower back as she labors in the tub:

It was fun for me to see myself working as a doula!

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POSTPARTUM CERTIFICATION!

I just received my certificate so I am now official, I'm a Certified Postpartum Doula! This was my last training and it feels wonderful to be done. Until I find another program that I'm interested in learning more from... 🙂

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Quotes for Families and Doulas

Birth InspirationI printed up these quotes, glued them to cardstock (with cute paper) and then laminated them and hung them on keyrings as a thank you for my doula mentors. Here they are in case you need some inspiration!

We have a secret in our culture, and it's not that birth is painful. It's that women are strong. -Laura Stavoe Harm

Birth is a rite of passage of women. Their journey should be honored, their rights should be fiercely protected, and their stories should be shared. - Marcie Macari

"Birth is not only about making babies. Birth is about making mothers ~ strong, competent, capable mothers who trust themselves and know their inner strength." - Barbara Katz Rothman

There is such a special sweetness in being able to participate in creation. -Pamela Nadav

"There is power that comes to women when they give birth. They don't ask for it, it simply invades them. Accumulates like clouds on the horizon and passes through, carrying the child with it." - Sheryl Feldman

Speak tenderly to them. Let there be kindness in your face, in your eyes, in your smile, in the warmth of your greeting. Always have a cheerful smile. Don't only give your care, but give your heart as well. - Mother Teresa

I praise You; for I am fearfully and wonderfully made. - Ps. 139:14

A woman, when she is in labor, has sorrow because her hour has come; but as soon as she has given birth to the child,
she no longer remembers the anguish, for joy that a human being has been born into the world.
- John 16:21

All truth passes through three stages
1st it is ridiculous
2nd it is violently opposed
3rd it is accepted as self evident.
- Arthur Schopehauer(1788-1860)

Just as a woman's heart knows how and when to pump, her lungs to inhale, and her hand to pull back from fire, so she knows when and how to give birth. - Virginia Di Orio

A woman in Birth is at once her most powerful, and most vulnerable. But any woman who has birthed unhindered understands that we are stronger than we know. -- Marcie Macari

Birth is an opportunity to transcend. To rise above what we are accustomed to, reach deeper inside ourselves than we are familiar with, and to see not only what we are truly made of, but the strength we can access in and through Birth. -- Marcie Macari

Let choice murmur in your ear And love murmur in your heart. Be ready... here comes life. - Maya Angelou

A new baby is like the beginning of all things - Wonder, Hope, a dream of possibilities. - Edna J. Le Shan

Before you were conceived I wanted you Before you were born I loved you Before you were here for an hour I would have died for you This is the miracle of life.

Children are the hands by which we take hold of heaven. - Henry Ward Beecher

Every child born into the world is a new thought of God, an ever-fresh and radiant possibility. - Kate Doulgas Wiggin

I love these little people and it is no slight thing that they, who are so fresh from God, love us. - Charles Dickens

Making the decision to have a child - it's momentous. It is to decide forever to have your heart go walking outside your body. - Elizabeth Stone

Life is not measured by the number of breaths we take, but by the moments that take our breath away.

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Acupressure Trick for Labor

Here's a site that shared this handy video!

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Formula Feeding

The World Health Organization has a pdf explaining how to safely prepare formula for infants. I was NOT aware of these guidelines when we offered our first baby a bottle of formula (which he soundly rejected), and thankfully I was able to breastfeed our first two babies without problems. Our third was our micro-preemie and in order to get him enough calories I needed to pump then add a special preemie formula to the breastmilk. I wish I had been given more explicit instructions about how to ensure we were doing it safely! I hope the above information will help other parents. The most crucial points to remember are keeping things clean, boiling the water, and then cooling it quickly (in the refrigerator) to a safe drinking temperature so it's not in the "danger zone" for bacterial growth for long. You also need to toss formula left at room temperature for too long.

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Christmas Cutie

My phone didn't get the best shot, but how adorable is this??

Here he is in his coming home outfit:

More images here.

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