Apr 012012
 

March was a whirlwind month for me as a doula. And I had some pretty awesome experiences. Last night I was driving home from a long birth that ended up in the OR for a cesarean. I did what is my custom, I called my best friend who also is a doula and educator with my company. She usually talks me home when I am sleepy and also allows me to regroup or process a birth. And she reminded me that we can’t take credit or blame when a birth does not go as the mom wanted any more than we can take credit when it unfolds beautifully just as the mom has  dreamed. And of course it made me realize this needed blogging about!

Last week a women chose to not hire one of my newer, less experienced doulas since many of her births had ended in a cesarean. And I wrote the woman back an email letting her know of the other doulas who were available. She had originally specifically asked about this particular doula. This is what I wrote her:

I understand your concerns- I will say that this doula’s outcomes are more about where the moms have chosen to birth and chosen as their care providers more so than her lack of experience. But the more experienced the doula, the more experience she will have with water births and particular practices and hospitals. For instance 49% of my births are at the hospital you are choosing- 68% of my births are unmedicated and 28% are water births- but that says something about the moms as well as the doula… all of the women who come to me do not want to have an unmedicated birth and some do not choose water births… so keep that in mind when finding the right doula.

I often have moms ask my for my stats as if it is a grade of what kind of doula I am.And I do keep my stats to see trends and also outcomes overall. But my stats don’t prove what kind of doula I am.  I support moms. I offer suggestions and guidance. I do not make them do what I think they should do nor do I judge them when they make decisions different from the ones I would make. Where and how I would give birth is fundamentally not part of the equation for their births. If someone is looking for a birth that is quite different from the ones I have had or like the ones I mainly do, it does not mean I can’t support them.

Continue reading »

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I have been a doula for a long time. I have owned the VHS tape the Rebozo Way by Guadalupe Trueba. I have used rebozos in labor for more than a decade. I teach the use of them in my childbirth class. I have attended a Spinning Babies training with Gail Tully and am certified as a Dancing for Birth instructor with Stephanie Larson  where they both teach the use in helping facilitate movement for babies in labor.

But not until I attended Gena Kirby’s Rebozo Workshop had I ever heard the analogy of using the rebozo like arm extensions in supporting a mom in pregnancy and labor. When she said that something clicked! Did I learn anything I had never been exposed to before in my previous training?- no. But was it delightful to be challenged to take that which I had been shown in the past to a new level and begin to really incorporate it into my labor support more fully- yep! And for that I can say thank you to Gena for inspiring me to take a rebozo use to a new level with my work as a doula and childbirth educator.

She told us about a company out of Vancouver that supported a village of women in Laos who made jias and supported their families in doing so. A jia is the asian version of a rebozo- the mexican shawl that midwives use in labor to help a woman be more comfortable and also for use in labor.  I contacted the company and put together an order for several of the birth professionals in the Atlanta area. but I also ordered some for inventory to sell to others.  These are very large rebozos- they average 8.8 feet long and are about 27 inches wide.

They can be used to carry infants and children as well as the “extensions of your arms” if you are a birth care provider.

If you want to purchase one, let me know.The pics are below. The cost is $50 and is a pick up price and I will have them in stock by late April. Here are some photos of a rebozo in use for inspiration!  And I hope Gena returns to Atlanta- I would happily host her again to be further inspired!

 

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Sometimes when I remind a mom who is due soon that she should be using the last weeks of her pregnancy for pampering, she thinks this is frivolous behavior. Pampering is a great preparation for birth! Here are the ideas and the benefits to each of these things that I suggest!

Resting, getting more sleep! Our bodies when we are almost due becomes in more need for sleep and rest. So listen to your body! If it says to call in to work for a rest day- do it! If you need an afternoon nap- take it! And although you are feeling the need to finish all of your last minute tasks, don’t! Go to bed early! Why? Fear and fatigue are the main reasons women who did not plan to get medication end up doing so in labor! So deal with your fear- but definitely don’t go to bed late to only wake up in a few hours in full labor and not have had any sleep. So, please listen to your body- your body and baby will appreciate you doing so!

Massage. Circulation improvement, muscle tension relief, round ligaments being softened so that the baby can position themselves beautifully, mind release… need I name more reasons? Really, come on now- if you are one of those folks who does not think they enjoy a good massage, there are different types of massage. Try something different! Watsu is a gentle water massage in a warm pool and is very passive- stretching and swirling and softening tight muscles. Shari Aizenman offer this in the metro area. KMI is my favorite- and everyone knows Harry Kramer is my go to man for keeping my body albe to be at births over and over! I see him once a month! This is a deeper, stretching massage but he caters to what your body is craving. And one of our doulas, Charlotte Scott offers energy body work that is a different approach as well. She has this magnificent table that offers music and rhythm as part of the experience in a unique way. She does more lymphatic massage when working on me and it is wonderful as well.

Chiropractic. I have a few favorite chiropractors. I think you should consider regular chiropractic care during your whole pregnancy- just like regular massages. Why? A well aligned body keeps the baby well aligned. Blood flow and your organs working at peak performance can only enhance your birth body! I think you should choose your chiropractor based on where will you go most- is it close to your work or is it close to your home- or are they open in the evening- whatever it is – make sure they are well versed in good alignment for the best birth body you can go into labor with! I enjoy going to see Leyla Cheveney in Lilburn and Danielle Drobbin in Midtown. But I must confess I need to go more often! Find the chiropractor you love and go!

Acupuncture. I have to say going to my acupuncturist is one of my favorite things to do. I love the environment of his space and his energy is contagious. I always leave feeling energized and whole. So, who does not need to feel energized and whole for labor? Two of my favorites include the gals at Intown Acupuncture but I have to say my acupuncturist is Gurusahay at GRD clinic. But in order to get the most benefit from acupuncture, go early in your pregnancy- don’t wait til you are in your final months! Continue reading »

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So here we are. 40 weeks and 5 days and still no baby. I hear the average first baby comes at 41 weeks and a day. If the average holds true, we’ve got a few days left.

The nursery is decorated, the laundry is done, our hospital bags are packed, the freezer is stocked, the apartment is cleaner than it’s ever been … I ran out of projects two weeks ago! I’ve spent the last two weeks sleeping in late every day, reading lots of books, doing whatever small cleaning projects I can find, doing LOTS of walking, and spending a lot of time reflecting on what is to come in the next couple of weeks.

Perhaps the thing I’ve most realized over the last couple weeks is how thankful I am that we did the incredibly hard work of finding a new doctor about 20 weeks ago. From very early on we knew we weren’t completely comfortable with the thought of delivering at a hospital where the caesarian rate was over 40%. Our OB/GYN practice seemed impersonal and we were afraid our childbirth experience would be very similar. After much conversation and prayer, we began our search for a new practice. One that would help educate us about both natural and medicated childbirth. One that would encourage us when we got discouraged along the way. One that would believe in my body’s ability to carry and birth the precious child growing inside of me.

We put together an incredible team of people to help us have the best possible birth experience we can have. As the days go on, I wake up a little bit discouraged and disappointed that I didn’t go into labor while I was asleep. And every day someone from the team sends a message that helps pick up my spirits.

If there’s anything I’ve learned about the final days of pregnancy, it’s that you need a good team of people to surround you. So, you might ask … who’s on the team?

  • Spouse. I have the best husband in the world. Hands down. He has supported my crazy desire to go all natural from the very beginning. In an attempt to help me wrap my head around it, the first baby book he read was Raising Baby Green. The “crunchy” side of both of us has come out and although there have been a couple of times when he looked at me like I had two heads, he is always willing to figure out what would be best for both of us. He has sat with me through 40 weeks of morning sickness, researched the best essential oils to help with nausea and swelling, made me feel beautiful no matter how huge I feel, and has truly been my hero for the last 10 months.
  • Midwife. Switching practices mid-pregnancy was perhaps the best decision we have made. Last week I was so fed up with being pregnant that I just about begged her to induce me. Had I stayed with my old practice, they would have scheduled a date right then. But not Janet. She just calmly reminded me that no one stays pregnant forever and that my baby would come when she was ready. She talked through natural things we could do to help get labor started and walked us through what would happen if she doesn’t come by 41 weeks. As we left her office I turned to D and said, “We picked her for a reason. I don’t really want to be induced. But I was desperate. And instead of letting me cave to my uncomfortableness, she talked me out of it. Gently. I’m thankful for that.” She has been a rock for me during the last half of my pregnancy. I’d recommend her to anyone. {This is Janet Fedullo with Alpharetta Women’s Specialists} Continue reading »
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Feb 182012
 

In a doctor’s office this week I overheard a mother telling the birth story of a friend.  The birth began with an induction and ended in a cesarean.  Imbedded in the tale were words like “big baby”, “she was past her due date”, “she is a short woman” and “she was in SO much pain.”

The woman speaking these words was a lovely young mother herself.  As she spoke them she loving held her own daughter in her lap.  Her daughter was maybe 4 or 5 years old. Five feet away and well within earshot was a woman expecting her first baby.  She was 2 weeks away from her estimated due date.

And so I wondered, these little girl ears and this almost a new mamma’s ears, how did THEY hear the story and how will it affect their perspective on birth? Will this sweet little girl grow up believing that birth is frightening and needs to be managed?  Or perhaps believing that babies are too big for short women to birth? Will the soon-to-be first time mother approach her own birth with fear and trepidation?

 The words we speak are powerful.

 A few days later I visited with a client due to give birth in the next month.  She told me the story of her own mother.  In South Africa her mother traveled two hours to give birth.  Her father recalls the stoicism of his laboring wife through the journey.  My client feels proud to know that her mother gave birth in strength.  She feels sure she will, as well. My client’s husband told of his own family history.  Six of his eight siblings were born at home.  He too, has no fear of birth.

   The words we speak are powerful.

 Be careful what you say.  And be watchful for who may be listening.

Guina G. Bixler, CLD, Certified Birthing From Within Mentor

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