Hillary – Page 2 – Doula Group of Evansville

#ExpectingEVV Giveaway!

There are few things that I honestly love more than a great massage, and a FREE massage is even better. We’re giving away a prenatal massage to one lucky pregnant person near Evansville. If you are currently pregnant and living within driving distance of Evansville, IN, this giveaway is for you! The other awesome point of this giveaway is to help expecting parents in and around Evansville connect via social media. We want to help put the social back in social media & to help expecting parents feel less lonely too. Sound interesting? Read below for the rules to enter!

Why Massage?

Self-care is incredibly important all the time, but especially when you are pregnant. Growing another human is hard on your body, and not just because of the kicks to the internal organs. Massage is an excellent way to not only care for your body, but also to help turn your mind away from your worries and the demands of your life. Massage can help you connect with your body and the present moment too. The benefits of a massage with a skilled practitioner for a pregnant body are honestly phenomenal. We’re giving away one 60 minute prenatal massage with the marvelous Christina Renock (who also happens to be one of our amazing postpartum doulas). Christina has been practicing massage therapy for 10 years! This massage is an $80 value & you could get it for FREE just by entering our giveaway!

How to Enter

Follow us on Instagram
Subscribe to our Newsletter
Post a picture or reel of yourself on Instagram using: #ExpectingEVV

Complete these 3 steps by 7am Central on Thursday 8/31/23. We will have a live drawing to select the winner on Friday 9/1/23 on Instagram.

Ideas

-show off your bump
-show us your favorite place in Evansville
-pregnancy announcement
-favorite place to shop for clothes & baby things

Get creative! We are so excited to connect with all the amazing expecting families in our area & hope you are too.

P.S. If you are a previous client, we are also doing a special private giveaway just for you! Check your email for more details.

Welcome Doula Abigail Hand!

When most doulas join our team, they are just starting out on their journey, which is humbling to be trusted to help them get started. However, Abigail brings a very different set of seasoned hands and skills to the team, and I’m honestly honored that she is going to join our already awesome group of doulas. Not only has Abigail already attended more than 100 births as a doula, but she’s also done most of that outside of the United States! Abigail’s patience and fascination with all things birth was apparent from the first time we spoke, and her Christian faith is also an important part of her life. She’s impressively knowledgeable and compassionate, as well as a little goofy, so clearly she’s going to fit right in on our team.

In Her Own Words:

Abigail was born in Evansville. Grew up in Indiana then spent 8.5 years living in Australia and Asia working as a Birth Doula and trained Midwife. Mid 2022 Abigail moved back to Indiana and made her home in Evansville. Abigail enjoys teaching about pregnancy, birth, and caring for your newborn. She is always up for a laugh and regularly is attempting new nutritious recipes. Her passion for caring, supporting, and nurturing women has grown throughout the years as she has witnessed women from many cultural backgrounds lean on her for support and wisdom throughout their pregnancy and as they enter into motherhood.

Why did you want to become a birth doula?

When I saw the beauty, joy, and pain of a baby entering the world 14 year ago, I knew I wanted to support women through this vulnerable and transforming time in their lives.

What do you love about living in Evansville?

Honey + Moon Coffee Shop, Bike Riding Lanes, and the River.

Where can we find you on a regular Saturday?

Spending time outdoors with my Husband.

Abigail is available!!

If you are due September 2023 or later and giving birth within an hour drive of Evansville, IN, Abigail is available to be your birth doula! Abigail has extensive experience supporting both hospital and home birth clients. Working part-time as a midwifery assistant does take up some of Abigail’s time, but she’s really excited to jump into birth doula work in Evansville, Jasper, Vincennes, Washington, Henderson, Owensboro, & Madisonville too. If you see her around town, make sure you tell her welcome back to Evansville. We’re so lucky she’s here and excited to have her join Doula Group of Evansville too.

5 Things to Pack for Your Hospital Birth

Packing for the hospital when you are expecting a baby can feel a little daunting. Sure, you want to pack the essentials like an outfit for your baby to wear home and the car seat, what do you really need to pack for yourself? I’ve had some clients bring only their purse and others who look like they are moving abroad for year with giant suitcases full of stuff. Neither of those approaches are really my style, but there are a few essentials that you might not think about when it comes to packing your bags for your hospital birth. These are my top five:

Lip Balm

All that breathing in labor can make your lips dry. Kissing your baby’s head a million times can make your lips dry. All the talking you are going to be doing to all the people coming in and out of your room and on the phone telling everyone how amazing your baby is, that will make your lips dry too. Indoor air is dry, especially in a hospital. Trust me! Bring the lip balm.

Your Own Pillow & Blanket

While your first reaction to bringing your own pillow and blanket into a hospital might be ick, this one is essential. Pillows can sometimes be hard to find in a hospital, and their blankets are not exactly known for being fuzzy and soft. Bringing your own pillow and blanket also has the extra added bonus of helping your room feel more like your own, and smelling like home helps your body actually feel safer too. Thank you olfactory senses & pheromones! Comfort is important during your stay, and I promise that your washing machine has a disinfect cycle that you can use on the pillow and blanket when you get them back home.

Cheap Nightgown & Slippers

One of my doula secrets is that the cheap nightgowns that button or snap up in the front are seriously awesome for the hospital. Pants aren’t great because of needing to pull them down all the time for your nurse to check your bleeding, and if you have a surgical birth you will constantly worry about the waistband. Easy access to your chest is essential, so definitely something to look for when you are shopping for a nightgown. I also recommend not purchasing anything you actually really love, because you want to not feel bad for getting bodily fluids on it and maybe just throwing it away. Slippers are just nice for your feet to not have to touch the hospital floor. I don’t know about you, but I definitely feel like I have to relax when I’m wearing slippers too.

Snacks

Yes, the hospital will have food for you, but packing your own snacks can help bring you comfort too. Have a favorite road trip snack? Pack it! Have a snack you’ve been craving your whole pregnancy? Pack it! Planning an unmedicated birth and having a healthy pregnancy? Pack some snacks to eat & drink during labor too! Yes, seriously!

Nursing Bra & Pads

No matter how you are planning to feed your baby, you will want to bring a nursing bra and some pads. If you are planning to breastfeed, then having access to the breast is essential, and the nightgown is only part of the deal. The nursing bra is not entirely essential, but I personally always liked to have one for when I slept. I really like this one from Kindred Bravely, but there are tons of really great options. I also always appreciated having the absorbent pads to put in my bra, because when my milk came in it was full force. If you are planning to formula feed, a tight bra and some pads will help keep your milk at bay. You can also talk to the lactation consultants about other ways to dry up your milk with medications. (Yes, they do that too.) Having a bra on also helped me feel more comfortable with all the people who were constantly coming in and out to check on me in the hospital. That’s just a personal preference thing.

Figuring out what to pack for your hospital birth doesn’t have to be overwhelming. There are tons of packing lists that you can find online if you like a good list. These are the 5 essentials that not everyone thinks about bringing. The nice thing is that even if you forget something, either the hospital will have it for you, or you can send someone to the store to grab it. Heck, you could even have it delivered. Packing a little something nice for yourself, like delicious smelling shampoo for the best shower you’ve ever had in your life, the one after you give birth, is also a great idea. Pack the things you think you’ll need, and I promise, you’ll probably bring less with you the next time.

3 Ways Doulas Support Partners

Your doula will never know you as well as your partner. Some partners don’t want to hire a doula because they are concerned that we might replace them. That is frankly never the goal of our doulas, though there have been a few times when we’ve had to step in because a partner couldn’t be there for multiple reasons. The truth is that hiring a doula helps support partners too. I’ve supported clients whose partners were in the birth pool squeezing their hips and others whose partners had to hide their eyes during their entire labors because everything medical made them nauseous. I’ve caught dads who passed out at the sight of blood and helped others find better places to stand for camera angles. Here are the top 3 ways that doulas help partners.

Knowledge

Doulas help partners know what is going on in the birth room and during postpartum. We answer all kinds of questions like: is that normal? Is everything ok? What’s going on? Why are they suggesting that? Where should we go for help? Our doula knowledge helps not only reassure partners, but also help them ask good questions too. We suggest resources specifically for partners to learn if they’re interested. All Doula Group of Evansville packages come with access to Supporting Her (a $69 value) an online class specifically designed with partners in mind, because we know you want to know how to be the best support you can be too!

Practical Support

Partners need physical support too! I’ve seriously massaged more than one dad’s shoulders during the course of a long labor, and reminded more partners to pee than I can count. We help partners find pillows and towels in the hospital room, or make sure they know when a good time to sneak to the cafeteria to eat would be. We help you know where to press on their back when contractions come and remind you to hydrate too. Postpartum doulas will teach you the best swaddle and bring you a one-handed snack while you’re rocking in the chair with your newborn. Doulas are the extra set of hands that anticipate everyone’s needs!

Emotional Support

I’ve waited outside the doors to the operating room with anxious worried partners waiting to be called back. I’ve hugged a sobbing father whose baby was born sleeping, and handed more tissues to silently crying and ecstatic partners. I’ve reassured frustrated partners that yes, they can and should speak up when they’re not getting the answers or care they need. This holding space for partners is a dance that we know and prepare for as doulas. This is one of the reasons we want to meet with you and your partner before birth and postpartum; getting to know you and your wishes helps us help you better.

Doulas help partners participate and engage however they want and are able to. We never try to step on partner toes, literally or figuratively! We love all kinds of partners and know each family is unique. Having a doula on your team can help you have a better experience too. When you’re ready, we’re here to support your whole family from your wet pregnancy test all the way through the 4th trimester.

A little anecdote for you: pre-COVID, I taught a 3 hour class on natural coping techniques for labor and delivery. I had been talking to this awesome pregnant mom who really wanted to hire me as her birth doula but her husband didn’t want to spend the money, and they came to my class. After 3 hours, her husband was 100% convinced that they definitely needed to hire me as their doula. Unfortunately, I was already booked for their due date, but I know they had an awesome birth anyway. If you’re on the fence about hiring a doula, reach out to set up a FREE consult together. We’d love to chat!

Know Better, Do Better

When I was pregnant the first time, I was completely overwhelmed by the process that seemed to be shrouded in mystery. No, not the birth part, that I could find good information about. The great unknowns of how to find a provider, navigating where to go, what to ask, & evaluating my options were the real frustration for me. I did seriously look at the person doing my intake forms with me and say, “this is really confusing, and I’m a graduate student! I can’t even imagine how confusing this system would be for someone with less resources!” No, a doula can’t help you figure out your insurance, BUT here are 3 ways that doulas help demystify things for you:

We’ve Been There!

Yes, most of us have kids and have been there personally, but we’ve ALL been there professionally. As a team, if someone hasn’t been to a birthing location before, we fill each other in on all the details. It’s important to know which door to go to in the middle of the night or if you as the doula are going to be allowed into the triage room with your client. Our experience helps demystify the specifics with each other, but also with our clients. One thing that we focus on during our 2nd prenatal visit with our birth doula clients is discussing logistics. When should you call your doula? Where will we meet up when you’re in labor? All our birth doula clients also get postpartum planning sessions, to try to get your brain thinking about life with a newborn. Having been there, we know how important it is to have a roadmap for when things get foggy. We also know that talking about options and preferences helps take away the mystery and get you started thinking about resources and questions.

Resources Galore

Even if you have great questions, that doesn’t always mean you know where to ask them. Sharing local resources and connections are things that doulas do. I remember being a first time parent and struggling with lactation and not knowing who was knowledgeable enough to help me. Feeding resources are just one place that doulas can help point you in the right direction. This may not sound like a big deal, but doulas make having those resource lists for you a priority so that you don’t have to go searching. We don’t have an opinion about how you do things either, which as a new parent is pretty priceless really.

We hold YOU!

As you’re navigating your life that’s shifted 30 different ways since you got pregnant, your doula holds you. We remind you that shifting is normal and help you find your way forward. This is the kind of demystifying that you don’t often appreciate until it happens to you. Validating your feelings and helping you know that you’re not alone is what having a doula on your team does for you. We remind you that you don’t have to have it all figured out and that pausing in the unknown is ok too. My doula held me as I wrestled with all the options, my doula not only gave me the information to come to my own understanding and decisions, but also the space to do so without pressure. That was so helpful for me, and I know our clients really appreciate it.

How we work

If you’re interested in talking about having a doula for your birth or postpartum team (or both), we’d love to talk to you. You can use this link to schedule a FREE 30 minute call to talk about your needs and who on our team might be a good fit to work with you. We’d love to demystify the doula process for you too.

3 Reasons Cesareans Matter

April is International Cesarean Awareness Month, and as it comes to a close, we want to talk about 3 reasons why cesareans matter. International Cesarean awareness month was originally created by ICAN to raise awareness about cesarean surgery, reduce preventable cesareans, advocate for better patient experiences during cesarean surgery, and advocate for vaginal birth after cesarean surgery too. Here are 3 reasons we believe cesareans matter:

Life Saving

Cesarean surgery saves lives. Medical technology is a great thing when needed. We’re thankful that cesarean surgery exists. If you’ve had cesarean surgery, we’re really glad you’re still here, because 100 years ago, you might not have been. For sooo many reasons, cesarean surgery is a great thing and we love supporting families through the process.

Too Many

There is a whole canon of scholarly research & professional opinons that say we’re doing too many cesarean surgeries. There are higher rates for complications for both the person who is cut and the person being cut out. The population cesarean rate is a challenge, but how does that effect you?

Some questions to think about: What kind of skills does your provider have when it comes to delivery complications? Are they knowledgeable about optimal positioning for labor and delivery? Do they have the skills to deliver a breech baby vaginally? What is their personal cesarean rate for first timers with a head down baby and an uncomplicated pregnancy? You can look up the hospital one here, but your provider’s specific rate isn’t public. How do they feel about delivering multiples vaginally? What tools do they have available? Does everyone on their team have similar tools and approaches?

Remember: “If the only tool you have is a hammer, you tend to see every problem as a nail.” -Abraham Maslow

Do Better

Regardless of if you are planning to have a cesarean birth or not, it is good to know your options so that you can have a better experience. Here are a few questions you can ask your care team:

Will your arms be strapped down to the table during surgery? What kind of drapes do they have available for you? Regular blue drapes, clear drapes, and pass through drapes are options that you could discuss. Will you be allowed to have your doula in the operating room with you as a second support person? What kind of medications are given for anxiety? Definitely specify if you have a preference. Are family centered/gentle or assisted cesarean options? What kind of pain relief options does your provider typically use? Does the hospital provide belly binders for after your surgery? How many patients do nurses with post-cesarean parents have in their care at once? What is the stay length after your surgery and what are the visitation policies?

When it comes to your birth, knowing what to expect can make a big difference, no matter how it happens. Taking a comprehensive childbirth class that discusses ALL the options and how to navigate them can help you be more confident and relaxed when the big day comes, no matter the twists and turns that your path may take. As you can see in this post, even cesarean surgery has options, and if one of these isn’t available to you, ask why! Keep pushing for change and remember, that your experience matters.

Don’t Worry, Be Picky

Choosing a care provider that fits isn’t always easy.

After the shock of the positive pregnancy test wears off a little bit, one of the first things you will need to decide is WHO you are going to have as your care provider for this pregnancy and birth. If you’re like me, you start by asking your friends who they used for their pregnancies, and then you make an appointment. Other people make an appointment with their usual GYN and leave it at that. Here are a few things you want to think about when you’re choosing a provider:

Does their idea of birth align with yours?

All providers have ideas about birth based on their training and experience (both professional and personal btw). Generally, OBs are watching to make sure nothing goes wrong and midwives are watching to make sure everything goes right. While that may not sound like a huge difference, I urge you to think about what their expectations might be with each of those approaches. OBs are generally looking to DO something to help while midwives are looking to NOT have to do anything to help. This is a really broad generalization, but an important distinction when you’re thinking about the kind of care that you’re looking for, and the same answer isn’t right for everyone. Think about your specific situation and how you’d like to approach birth. Research has shown, that the provider you choose can make a difference in how your baby comes out in case you didn’t know that already. Here are a few things you might want to know your provider’s attitude about:

Weight Gain: What limits do they have for you? When do they get concerned about baby’s weight in utero?
Ultrasound: How many & when? Why?
Induction: When? Why? How?
Questions: When & where can you ask them? How long are usual appointments?
Schedule: How often are you on call? Who do you share call with? Surgery days?

Location AND Provider Matter

Many times your insurance will dictate which hospital or group of providers they will cover. Look at some of the stats for the location where you’re planning to delivery. You won’t be able to look at provider specific data, but you can definitely ask potential providers their cesarean and episiotomy rates by the way. What about their induction rates? All of these things add up to the way that pregnancy and birth are handled at an institutional level. Is birth handled like an emergency no matter what? Is the staff trained in trauma-informed care? What does it look like to arrive in labor and to go through triage? Can you get a tour before the big day? You’ll have plenty of unexpected things to navigate during your pregnancy and birth, but the location and your treatment shouldn’t honestly be one of them. What are their policies about eating and drinking during labor? What kind of pain relief options do they have? Is anesthesia on site at all times? Do they support VBAC?

This can all seem really overwhelming, especially to first time parents that haven’t ever had to deal with any of these questions. Maybe you’re still trying to figure out how YOU feel about these things before you even can have an opinion about how your provider does. That’s ok, seriously. As doulas, we want you to feel ready to make these decisions. We want to give you all the information you might need to figure out how YOU want to approach pregnancy and birth without any bias. This is one of the reasons we highly recommend a quality childbirth education course for everyone by the way.

Not the vibe?

Finally, it needs to be said that if a provider isn’t the right fit for you, then it’s ok to move on and find someone else. You have NO OBLIGATION to stay with a provider just because you’ve established care or even because you’ve been seeing them since you were a teenager for GYN services. Chances are, they’re so busy they may not even realize you’ve stopped coming to them. Also of note: YOU HAVE A RIGHT TO SWITCH AT ANY TIME, including during labor. You are under ZERO obligation to be cared for by anyone who is not the right fit. You have the right to fire them on the spot and ask for someone else, yes, seriously…including your nurse btw. While that might sound scary, so is being cared for by someone you don’t trust during labor and delivery! You’re the boss applesauce, and if anyone in your space makes you feel anything other than that, you can make a change at any time!

Choosing a provider doesn’t have to be overwhelming. This is one of the things we cover in our FREE E-Book: Getting Started. We also talk about this stuff with all of our clients. Even if you have a limited pool to choose from, we can talk to you about our experiences with different providers. Yes, we do have a list of providers we won’t work with too, and we’re happy to tell you who they are if you ask! You deserve the best, no matter what your skin color, income, or insurance situation is. Demanding better options and hitting the bad providers in the pocketbook is the only way we’re going to make change here, clearly.

After a Cesarean Birth

CBAC, HBAC, or VBAC?

April is Cesarean & VBAC Awareness month, and we know exactly how important it is to recognize both of these ways of giving birth. We know that nationally, around 1 in 3 births happen via cesarean section, and locally that holds fairly true according to the latest available data. While we don’t know the full extent as to WHY the planned hospital birth cesarean rate is so high, “It seems increasingly clear that anxiety and easy access to many medical procedures at hospital may lead to increased levels of intervention, which in turn may lead to further interventions and finally to unnecessary complications (Olsen & Clausen 2023).” All of that is big picture stuff though, and this post is really seeking to speak to the patient side of things. We celebrate ALL births, no matter how they happen. Let’s talk about 3 big areas where doulas can help after a cesarean birth.

Postpartum

The first 6 weeks after cesarean surgery can be challenging. Your body really needs to rest, but you have a newborn to take care of too. Maybe you’re still dealing with pain when you get home and timing medications, or your other kids really want to cuddle but you’re worried they might bust your incision. Lifting restrictions make moving baby, other kids, laundry baskets, etc challenging after a cesarean birth too. Hiring a postpartum doula, even when you didn’t plan to, can be a huge help to your family and your health in those first 6 weeks. Whether you get a doula or not, delegating should definitely be in your wheelhouse, because your body needs TIME to recover properly in this postpartum period at home.

Recovery

Physical recovery is what most people think about after a cesarean birth, and yes that is really important. After that initial 6 weeks, you may want to talk to your provider about physical therapy to work on scar mobilization and pelvic floor therapy too. Yes, even after having cesarean surgery your pelvic floor might need some work. Honestly, I don’t know why pelvic floor PT isn’t a standard referral after having a baby, but that is a blog for another day.

Mental recovery after a cesarean birth is something that we need to talk about more. I often find myself processing with my clients who’ve had cesarean surgery to talk about how things went, even if I wasn’t there for that birth. People react very differently to having cesarean surgery, and we truly believe all feelings are 100% valid. Mental recovery can be very easy for some and others struggle with it for a long time. Processing with a birth professional like a doula or with a therapist trained in birth trauma can be really validating and helpful for some people. This is a service we offer for clients all the time!

Next time

The big question that many people have after a cesarean birth is often, what should they do next time. Should you try for a VBAC (vaginal birth after cesarean), maybe an HBAC (home birth after cesarean), or maybe a planned CBAC (cesarean birth after cesarean) is for you. There is no one right answer that will work for everyone in this situation, and there are many many factors that go into making that decision. As doulas, we tend to nudge people to think about 4 things when they’re discussing what to do for their next birth:

What were the factors that lead to your cesarean surgery?
How do you feel about giving birth again?
Is there information or other support that would be helpful for you to know when making this decision?
How will you feel about your choice in 10 years?

Everyone answers those questions differently, and honestly there is no one right answer that will work for everyone. One thing we can say with the utmost certainty is that no matter what your choices are, our doulas will be there to support you 100% of the way. We’re working to try to help hospitals understand the value of having your doula in the operating room to support you during your surgical birth too, and will keep pushing for this here locally!

We’re very grateful that cesarean surgery exists, as we’ve seen it save lives. At the same time, we know that it is often over used. We LOVE that VBAC is a truly viable option here locally with many providers, and have seen some amazing HBAC births too. Birth is honestly just amazing in all the different ways it happens. If you’ve had a cesarean birth and want support in any of the above ways, don’t hesitate to reach out to us!

I <3 This Community

11 days ago my family, including our sweet dog Buzz was safely outside staring at our house burning down. We lost almost everyTHING in that fire, including our cars. Everyone is ok, and honestly as quickly as it happened, I’m so very grateful for that. That is a picture of my living room the next day. I’ve met with clients in that living room. There is an antique birth stool on the table in the center of the picture that was a gift to me from my mother in law. I do NOT recommend losing your home and everything in it, including your cars, in a house fire, but I want to share a few lessons with you about it here:

Our Community is Amazing!

There were 7 fire trucks at my house in less than 15 minutes. That was impressive. They were all so incredibly kind, and I even got to see a familiar face who took a selfie with me…yes, seriously. Our neighbors came out to put clothes and shoes and blankets on us immediately. We sat in one neighbors’ house when it started to rain. We have had an endless stream of kindness coming our way ever since, and honestly have never felt so surrounded in love.

My doula community both here and around the world has also come together to help us feel the love. My doula mentor Robin Elise Weiss, who many moons ago also had a house fire, has been indispensable! She seriously ran a board meeting for me y’all. I’ve gotten messages from Australia, Germany, California, Canada, Mexico, and sooo many other places, and my heart is so full right now because of them.

2 Small Things

We had a small fire-proof box with all our important documents inside it like our marriage certificate, passports, etc. Get one if you don’t already have one and go make sure all your important documents are actually in it if you do. Change the batteries in your smoke detectors. Seriously, go check them! They can save you. If you don’t have one in your garage already, do that too!

Choose Kindness

There have been incredibly kind people that we’ve interacted with, and then there have been the outlier jerks. When in doubt, choose kindness every single time. I have learned so much about trauma and recognized much of it in myself and my family these past 11 days. We will continue to focus on the goodness and laugh about the ridiculous people, but seriously, choose to be kind to everyone you meet. You never truly know what someone else is dealing with in their life.

Pieces are starting to fall into place for what our life is going to look like for now. We’ve rented a house already where we can stay for the next year if we need to. Life goes on, and we are so thankful for all the kindnesses and for each other more than ever before really. Thank you to everyone who has reached out to us. Doula life continues, and I’m so grateful for the awesome team here that has provided seamless services as I’ve worked to get back to my managerial role. They have continually amazed me as I asked them to step into some roles that I typically have filled. I seriously LOVE this community more now than I even probably could have before this fire. Thank you.

Insider Information

Doulas have the inside scoop on local options without any of the insider bias and protections.

As a doula who has been working here since 2014, I’ve learned quite a bit of insider information that can be really helpful in several situations for expecting families. I recently had a great conversation with a nurse friend who was bemoaning the fact that because she works at a specific facility, she can’t warn people about specific provider habits or tell them all the things that she wishes she could because of policy. My reply, “I do that!” As doulas we are employed by our clients, therefore we answer to them. We get to say the quiet part that hospital employees might know but can’t say out loud, and that’s a pretty valuable service that doulas can offer. Here are three ways that we use that type of insider information with our outside voices.

Provider Selection

Have you ever wondered if your provider is the one driving up the episiotomy rate? The biggest issue I see is a lack of transparency regarding individual practice statistics. Until that issue gets solved, we doulas are happy to tell you what we’ve seen with our clients’ providers. Since 2014, we’ve had the privilege to be able to see most of the providers in our service area catch babies. That means that we know which ones like to pull the old bait and switch–telling you what you want to hear your whole pregnancy and switching gears to their agenda at the end, so late that you don’t even feel like you have a choice to switch to another provider. We know which providers deal well with push back and which ones don’t. We know which ones love to help you have a great experience in the OR and which ones will talk about sports ignoring all of your wishes. Wondering if your pediatrician is going to judge you for exclusively pumping or using a supplementary nursing system? We can tell you that! If you’re looking for a provider, don’t ask your friends or some random group of strangers on the internet all of whom probably only have experience with one or two providers max; ask a group of doulas who’ve actually seen them work and can talk to you about those experiences.

Policy vs Evidence

In case you don’t know, there are a TON of maternity care policies and practices that aren’t based on the scientific evidence at all. As doulas, we can not only tell you what the policies are, but we can also remind you that a hospital policy is not the law. In case nobody has ever told you: you cannot be arrested for drinking water during labor. We work for you, and know that not only is this type of policy not based on the latest scientific evidence or statements from organizations like the American Society of Anesthesiology, but also that it is cruel. We’ll remind you that you are the boss of your own body and you get to make all the decisions regarding what goes in and how things come out too. That’s doesn’t always make us popular, but it does make our clients happy.

Reporting

Whenever we repeat stories of medical mistreatment, we often hear the refrain, “oh I hope they will report them.” It’s pretty hard to report behavior if you don’t know how to do the actual reporting. Not only will we doulas help point out bad behavior, but we’ll help you know how to report it if that is something that you want to pursue. Seriously, we know what to do and will be happy to help you write the correct letters and deliver them to the correct people to help make sure people are held responsible. Reporting obstetric violence is really important to us by the way, and even if the information is supposedly publicly available, we know that finding it can be challenging and especially overwhelming when you have a new baby.

One of the benefits of being a doula is that we get this insider perspective without having any of the bias that comes from being employed by the facility or providers that we work with regularly. We’re employed by our clients. That kind of freedom comes with all the usual self-employment caveats, but it also means that we’re free to say the quiet part out loud. We’re free to talk about our experiences and let people know about which providers we wouldn’t send our worst enemy to versus who we’d let catch our babies. (Yes, there are a few locally that I’d still let do that.) That essence of doula service, the outsider with insider knowledge, is KEY to why we’re such a valuable part of your team!