Is your Cervix ready?

Preparing your cervix for birth might be something to think about and discuss with your provider.

The cervix is the narrow passage at the lower end of the uterus that changes to open and allow the baby (or babies and hopefully the placenta[s] too) to come out for a vaginal birth. Your cervix has a whole bunch of changing to do to get that to happen, including thinning out (effacement), moving from pointing toward your back to your front (posterior to anterior), and opening from 0cm dilation to 10cms. That’s a whole lot of change to happen in a relatively short amount of time for most people. But cervixes can also be confusing, especially when you’re trying to determine if you’re ready to give birth or not. Here are 3 consternating things about cervixes that you might not know!

1. Checks

Checking your cervix is a really common thing for providers to want to do in the office before you ever go into labor. Practices vary as to when this happens, BUT what we do know is that your cervix is NOT a crystal ball. Checking your cervix when you aren’t in labor isn’t necessary, especially if you are planning to wait to go into labor on your own. If you’re planning an induction, getting a cervical exam in the office is a great thing to do so you can talk about your Bishop Score with your provider. If you’re planning to wait, then saying “no thanks” is perfectly ok, as is just keeping on your pants.

Cervical checks when you are in labor are fairly standard. All the hospitals where we attend births require a cervical exam when you arrive to confirm that you are indeed in labor. It is really common to think that you’re in labor, when in fact your cervix isn’t changing at all. Since labor is defined as contractions that cause cervical change, that is why checking your cervix helps confirm this. I have of course seen people have babies without ever getting their cervix checked, mostly at home births and once at a hospital birth where the baby was pretty much born right after the clients arrived, but you should definitely expect to have your cervix examined by someone’s fingers when in labor.

2. Changes

Contractions commonly help your cervix change, BUT there are all kinds of factors that go into when and how your cervix changes. Some people have a cervix that doesn’t like to stay closed. The terrible medical term for this is “incompetent cervix.” Many people with this issue have a medical procedure called a cerclage to hold their cervix together until their baby is developed enough to be born. On the opposite end of that spectrum are people who have had a LEEP procedure. Often times those people have consistent powerful contractions yet struggle to realize change in their cervical dilation due to the buildup of scar tissue from that procedure. There are all kinds of other changes that can cause changes to your cervix to either speed up or slow down such as having had multiple previous births or other cervical procedures. These are definitely something to consider when you are thinking about your birth plan and when you’re preparing your body for birth.

3. Taking Charge

Have I peaked your interest? Did you know there are actually things that you can do to help get your cervix ready for labor? Evening Primrose oil capsules have been shown to help ripen your cervix and shorten the length of the first stage of labor. If you have scar tissue on your cervix, after a LEEP procedure for example, you can also talk to your provider about cervical massage for preparation and during labor too. These are just two of the methods that we know help people take charge of their cervical change before it even has a chance to hinder them.

The other thing we always suggest for people: educate yourself. If you don’t know what all the numbers that are being thrown around you in labor are because you didn’t get a chance to learn before, ASK! The people caring for you WANT you to know what’s going on so you can be an active participant in your care. Your cervix doesn’t have to be one more confusing thing about having a baby. It isn’t some cryptic cone that nobody knows anything about, its a body part that we actually understand fairly well. Pssst, even if you aren’t having a baby, your cervix is a pretty cool thing to understand regarding your fertility too. So take charge of your learning and get to know your cervix. You’ll feel so much better prepared to talk to your provider, ask better questions, & know what’s going on when the big birth day comes.

Approved Doulas: Kentucky Medicaid

Hey there friends in the Bluegrass state! We are now part of Humana’s healthy Horizons Kentucky Medicaid doula program!! This is seriously exciting news, as we know doula services so often aren’t affordable for the people who really need them most. This is part of the value added benefits of this program, and we’re really excited to be part of this initiative.

What does this mean?

If you have Kentucky Medicaid through Humana, then you can hire one of our doulas and they will pay us! We had an awesome meeting with the team at Humana who walked us through the entire Healthy Horizon program and how it all works. Honestly, I was pretty impressed by the resources included in their program for expecting parents.

This program covers both birth and postpartum doula services too, which might be what had my jaw on the floor to be honest. We love that birth doulas are getting so much love right now, but know that the value of postpartum doulas is also imperative for new families. Through this plan, you can actually get 4 visits with a postpartum doula, even if you don’t employ a birth doula at all. That’s HUGE! That also includes miscarriage support by the way. Your doula can even speak to your care manager if you give them permission, so coordinating care is even more well rounded.

How do we make it happen?

If you are planning to deliver in Owensboro, Henderson, or Madisonville and are part of the Humana Healthy Horizons program, we’re here to help you! Contact your care coordinator to find us on the referral list. That’s it! Once you hire us, you get all same exact benefits of ALL our clients including access to our online client classroom, 24/7 unlimited virtual support from your doula, and all that jazz.

We’re new to this, but soo excited to be able to offer these services. We got very excited a few years ago when Indiana passes a bill to provide doula services to Medicaid recipients, but then they pulled the funding in a committee meeting. Way to go Kentucky for putting your money where it is most needed to combat maternal mortality and morbidity!!

Coming Soon?

We hope Indiana will get its act together so we can start offering more services like this to our expecting families here in Hoosier-land too. We’re working to also get added to Anthem’s Kentucky Medicaid program and to Tri-Care too for our military families. We know doula services aren’t in everyone’s budget, and we’re really excited to see more recognition of the value of doula services regardless of someone’s ability to pay.

For now: Kentucky, we’re ready to serve you!

The Latest Local Maternity Statistics

Statistics reflect the culture of a hospital and the institutional priorities. What has changed here since 2017?

Anyone who has met me can tell you that I’m a huge fan of data! Words and images can hide a multitude of things, and opinions can be influenced by those too. But basing ideas and approaches to things on DATA is honestly my jam. Seriously, I get very excited about this stuff. Every year, Leapfrog Group publishes data they collect from hospital surveys about standards of practice. They measure all kinds of things, but naturally as a doula I’m the most excited to learn about the maternity care statistics. I’ve been collecting this information for our area hospitals since 2017, which is exciting because we’re definitely seeing some changes in the data. If you’d like to read my previous posts, you can do so here, here, and here. Please note, I did not collect the 2019 statistics because they were published in April 2020, and well, you all remember that year right? Without further fanfare, here are the 3 data points I’m always interested in seeing for our local hospitals.

Episiotomy

data from https://ratings.leapfroggroup.org/

I’m REALLY excited to see the episiotomy rate in serious decline because the evidence has been telling us they aren’t an evidence based routine procedure since the late 1980s!! It shouldn’t take this long to change, but at least it is changing. Don’t take my word for it, this paper concluded that, “Our systematic review finds no health benefits from episiotomy,” in 2005. Despite that scientific fact that has been repeatedly proven, as a doula in 2021 I heard a provider at a local hospital say that cutting an episiotomy would help prevent my client from “tearing too much.” I’m not naming names here, but I will if you call me. I have heard that the hospital this doctor works at requires all their physicians to provide explanation for every episiotomy they cut, so this particular doctor must be quite busy with those reports.

Early Elective Induction

Defined as scheduled cesarean sections or induction of labor prior to 39 weeks gestation without a medical reason, early elective induction can happen for a lot of reasons, but there are definite consequences to it. Here is what the picture looks like in our local facilities:

Hospital Goal: 5% or less	2017	2018	2020	2021
The Women’s Hospital Newburgh, IN	1.4%	1.7%	6.8%	4.1%
Ascension St. Vincent Evansville	2.1%	.8%	0%	0%
Owensboro Health	2.1%	1.4%	.7%	1.6%
Memorial Hospital & Healthcare Center Jasper, IN	–	0%	5.9%	6.3%
Daviess Community Hospital Washington, IN	–	1.9%	0%	Declined
Deaconess Henderson Hospital	–	2.4%	0%	0.0%
Good Samaritan Hospital Vincennes, IN	–	–	4%	0%

Local Statistics for Early Elective Induction

Cesarean Rates: what everyone really wants to know

Before you look at this chart, I want you to know what the data is telling us. An NSTV Cesarean is defined as first-time low-risk mothers giving birth to a single baby at full-term in the head-down position delivering their baby by C-section. Hospitals should have a rate of C-sections of 23.6% or less according to Leapfrog Group. Some people will argue that this rate should be 10% according to the WHO, but honestly that isn’t true. So what does this data tell you then? This chart shows you how many people pregnant for the first time with a low-risk pregnancy with one head down baby delivered their baby via cesarean surgery. This is also retrospective data, so it really isn’t predictive of the future or exactly what will happen to you either, but it does at least give you an idea of the culture of a place and what their staff sees.

The actual NSTV Cesarean Rates for 2021 are as follows:

36.6% Ascension St. Vincent
30.5% Deaconess Henderson
28.9% Owensboro Regional Health
24.5% Deaconess The Women’s Hospital
17.6% Good Samaritan
17.5% Memorial Hospital in Jasper
Daviess Community Hospital declined the survey this year.

What I Wish We Knew

As a doula, I always try to make sure my clients have the best most up-to-date information about their decisions. There is of course such a thing as having too much information, but I don’t think we’re anywhere near that right now with regards to choosing providers and birthing locations. These numbers honestly hide sooo much in the aggregated hospital data. How do I know what my provider’s rates specifically are for these things? They know them, but I have yet to find any providers willing to share that information readily with us. In fact, I’ve encountered a bunch of providers willing to say they don’t know them, when they get monthly reports from the hospital about their own statistics. What are they hiding & why? Why isn’t that information made public so that we can make more informed choices? I’d love to know about VBAC rates, induction rates, & percentage of high-risk vs low-risk deliveries. What about NICU admissions percentages and average length of stay in the NICU? Are there numbers you wish you could see when deciding on a provider and birthing location?

I’m going to keep watching to see how and if things change. I’m going to keep asking questions, as annoying as they might be. I’m a data geek after all. Transparency helps build accountability. Accountability can help push change and improvements. We’re all about improving the way things are done in our area, because seriously it is past time.

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One Size Fits None?

Hospital Gowns are terrible. First there is the fact that they leave your bum hanging out for the whole world to see, but they are also one-size-fits-none! Putting on a hospital gown is symbolic. It strips away your normal role of the clothes that you put on that morning and magically transforms you into a “patient” without any form of individuality or expression. Putting on that gown also visually communicates to anyone in the room what your “role” is there, and honestly strips away more than just your dignity. Studies have shown that when you put on that gown, you also strip away some of your perceived control and feel more vulnerable. What you wear affects how you feel, and it turns out that hospital gowns aren’t likely to make anyone feel powerful or better.

Standard Operating Policies & Procedures

Similar to those gowns, many other policies and procedures in the hospital make people feel bad unnecessarily. Standards are put in place for a reason, but many people have argued that hospital birthing policies and procedures are more often than not written primarily to protect the hospital from liability. That subject is a whole can of worms that I’m not opening right now, but my point to you is this: just because something is standard, doesn’t mean that it is required, evidence based, or that it fits with your plans/desires/wishes. Standard is the mold and you don’t have to try to force yourself into it. You can decline things and say, “no thank you.” Maybe you aren’t planning a “standard” birth or approach to your birth. Maybe your postpartum and parenting plans and priorities are different from your pediatrician’s approach. That’s ok! One size honestly fits NONE and even as a parent with older kids, I still have to be a different parent to each kid.

This is not to say that all Standard Operating Procedures (SOPs) are the exact same at every hospital or birthing location. In fact, we KNOW they aren’t and have seen that in action. A great example is the SOP for eating and drinking during labor. One local hospital doesn’t allow anything other than ice chips during labor, a practice not at all supported by evidence by the way. At another hospital where we attend a births, the labor and delivery nurses there taught me how they make “slushies” for laboring parents out of popsicles. At a 3rd hospital, they have a standard laboring mom tray of snacks and drinks that they bring. What are the policies and procedures where you are delivering? Are they followed all the time?

What size fits you?

There are so many lies that are told to us about pregnancy, birth, and postpartum, and one of those is that the standards are in place to protect everyone, evidence based, and enforced equally. I can tell you that is definitely not the case from what I have observed as a doula. In a medical system that is forced to treat patients as consumers though, you do have some power if you decide to hold onto it. If it helps, bring your own gown to wear during labor or go buck naked to remind yourself (and signal to the staff too) that you are not sick and are indeed powerful. It also sends a visual signal that you want something other than the SOP, whether you choose to say anything about it or not. Spend some time finding out what the policy is where you are planning to deliver and what aligns with your approach. Humans are not all the same, and figuring out what size fits your needs and wants is helpful to do before the big day. That is one of the things that doulas do too, help you find what works for you and your family. Keep asking questions and demanding the individualized care that you deserve just for being an awesome human being with a new one in your care.

Welcome New Birth Doula Clara Strong!!!

We are soo very excited to welcome another passionate birth doula to our team: Clara Strong!! Clara comes very highly recommended from some really awesome people I know personally here in Evansville, and I’m not even sure she was looking to join the team already. Clara had been through her birth doula training when she set up a meeting with me to talk about the birth scene here locally. She has such a calming presence and laid back sense of humor, which honestly is one of my favorite combinations of personality traits when it comes to doulas. She’s had some great personal experience with birth here locally, and is excited to get started serving expecting families. She’s excited to join a team full of science-loving, anti-racist, LGBTQIA+ accomplices too, and that made my heart happy as a human too.

Clara Strong, birth doula

A Little About Clara:

Clara is a birth doula working toward full DONA certification. She has a bachelor’s degree in psychology and an MFA in creative writing. She is passionate about reproductive justice and is committed to empowering all kinds of families. She lives on the West side of Evansville with her husband, their two small children, the family dog, and a passel of chickens and geese.

(Side note: I may have shuddered when Clara told me about all the birds at her house and then promised to never come over.)

Don’t you just love that when I asked for pictures to share that Clara sent me one with a changing table & pack-n-play in the background?!?!

In Her Own Words

Why did you want to become a birth doula?

I have always been obsessed with all things birth– it was my favorite part of growing up on a farm!– but it wasn’t until after I learned how pervasive birth trauma is that I decided to become a birth doula.

What is your favorite thing about living in Evansville?

My favorite thing to do in Evansville is get tacos from La Campirana (seriously, they catered my wedding) and comb the racks of our local thrift stores for hidden treasure.

Where would we find you on a typical Saturday?

On a regular Saturday, I am probably fighting back weeds in my vegetable garden, or watching movies while snuggled up with my kids on the couch.

Want to talk to Clara??

Clara is available to start taking clients with due dates after 8/12/22! The first 3 clients will get a 50% discount on Clara’s birth doula fees as she tries to get going toward her certification. Contact us today if you’re interested in chatting with Clara to see if she’d be a good fit to have on your birth team.

Hiring a Doula

We know that the decision to hire a doula can be a BIG one for many families. Maybe you’ve been thinking about it for a long time and trying to decide if adding a doula to your team is something you want to do. Maybe hiring a doula for your birth isn’t really that important to you, but planning to have help around the house and someone to ask all the questions postpartum would be nice. We know hiring a doula is a big investment, but we also know that doulas help not only improve outcomes, but also improve parental stress levels, mental health, & overall confidence.

How does it work?

We have 2 types of doulas on our team: Birth doulas & Postpartum doulas. (One of our doulas does both, for those families that want that continuity of care too.) Our manager, Hillary, talks to every person who inquires about doula services to see what they are looking for and match them with a doula on our team who will be a good fit for that family. She’s kind of like a doula match maker that way. The family then gets to interview the doula to decide if they’d like to work with that doula. Once you make the decision to hire your doula, then we send you a digital contract & invoice. You pay a deposit to reserve your time on your doula’s calendar, sign the contract, & then get access to our online client classroom filled with resources and information for you.

Every doula in the group is mentored by Hillary, who has been a doula here in Evansville, IN since 2014. She’s served at more than 200 births and has been invited to speak about doulas at both our local Evansville hospitals. At this point, she takes less clients so that she can run the business side of things for our group including all the emails, contracts, invoices, website, social media, bookkeeping, outreach, etc. Clients interact with her as the primary point of contact, but then move to interacting with their specific doula for birth and postpartum services.

Birth Doulas

Our birth doulas are phenomenal! Their experience ranges from brand new to very experienced, and they set their own prices. Each and every birth doula client gets two prenatal meetings to get to know their doula, to talk about birth planning & logistics, to practice comfort techniques, & more. Birth doulas are there with you for the big birthing day to help with all the things like movement, deciding when to go to the hospital, handing you things you didn’t ask for yet, suggesting positions, offering information about options, and so much more. After baby is born, birth doulas typically stay for 1-2 hours to help with the initial feeding and bonding time before they skedaddle out of there to give you time alone as a family. Your birth doula will come visit you once more after baby is born to check on you, talk about how things went, and offer any resources that you might need at that time. We might even bring you a little present too. Hiring a doula means you not only have someone to text with random questions throughout your pregnancy, but you also have someone to walk with you for the journey from expecting to beginning. All of our birth doula clients will also be getting a postpartum planning session with one of our postpartum doulas.

Postpartum Doulas

If everyone knew about postpartum doulas, then honestly EVERYONE would hire one! Postpartum doulas come for 3-4 hour daytime shifts to help you with light housework that might be piling up because you’re busy taking care of your new human. They answer questions without any judgement & help with resources if you’re concerned that something isn’t normal. They hold the baby while you shower and help with meal planning too. Postpartum doulas help the family as a whole to transition to having a new baby in the house, because postpartum can be challenging for everyone. So whether you would like an in-home postpartum massage, help with meal planning & grocery orders, someone to look at your surgical scar or help you off the couch, then one of our postpartum doulas would be happy to help. We currently have one postpartum doula who is also able to do overnight shifts for families that would like help throughout the night for feedings & baby care too, so feel free to inquire if that is something you are interested in learning more about. Postpartum doulas are a little big magic and also *ahem* one of the BEST gifts you can get for your friend who already has everything they need for baby and could just use some extra TLC in those first weeks at home.

Don’t Wait

If you’re thinking about hiring a doula, don’t wait! We have an awesome team that is pretty flexible in being able to accommodate all schedules, but sometimes we really do ALL get booked up. July-October are the most busy times of year for us, so definitely reach out early if your due date falls in that range. (In case you’re wondering, September is the most popular birth month in the United States for several reasons.) As I write this, it is June 2022, & we’ve started booking clients into February 2023 already!

Hiring a doula takes some courage, and we know that. We also know that hiring a doula can help the entire process of bringing a new baby into the world feel much more personal and cozy when you have a doula by your side. We’re here to help you navigate it all like a tour guide who’s been down this path many times before. If that sounds like something you’d be interested in exploring, then hiring a doula might be right for you. Reach out to us if you’re interested. You can even see some great videos of our doulas on our YouTube channel before you reach out too!

AND, if hiring a doula isn’t in your comfort zone, we really do try to put out a lot of FREE content on our Instagram & Facebook pages too. Find us there! We have a FREE e-book available here on our website, as well as lots of free blog posts, including this perennial favorite about how to have a good conversation about induction with your provider. Oh yeah, and we do placenta encapsulation too if that is something you want to explore. We want to be a one stop shop for helping expecting families in the tri-state area.

Welcome Our Newest Doula: Andi Conkright!!

We love growing our team to be able to serve more clients & Andi is honestly just the perfect addition.

New doulas have the BEST energy about them. They are ready to take on the world and help their clients have the best birth possible. There’s nothing like the passion of a new doula either, and when I met Andi for the first time, it was so very clear that she is a great doula in the making! She has the easiest most gentle smile and navigated me peppering her with questions with grace and poise. Though she’s young, she’s prepared and so very thoughtful in her approach to clients already. I was really impressed by her, and I invited her to join the team on the spot!

In Her Words

“I am a trained birth doula currently working on full certification. I was born in Evansville and returned to be closer to family after spending a couple of years living on the coast in Florida. My pregnancy and the birth of my daughter in 2021 inspired my journey to becoming a doula and made me fall in love with the miracle of life. I am passionate about holistic health and look forward to integrating that into my practices as a doula when applicable. “

Why did you want to become a birth doula?

I became a doula because the birth of my child proved to be the most powerful and impactful experience in my life. There is so much to learn about pregnancy and birth, and so many options that birthing people don’t even realize they have. It is so important to me to support and inform every birthing person to help them have an empowered birth.

Andi Conkwright, Birth Doula

What do you love about living in Evansville?

What I like the most about Evansville is the growing diversity and individuality. Different communities are expanding and thriving. I feel as though we are all becoming more aware and accepting of one another.

Where can we find you on a regular Saturday?

If i’m lucky my partner and I will go out hunting for mushrooms in the morning- something we love to do together. I’ll then spend my day with my daughter, exploring and laughing and loving.

Andi is a new birth doula who is looking forward to serving clients starting NOW! If you are expecting in Evansville, Newburgh, Owensboro, Jasper, Vincennes, Washington, or Henderson, she’d LOVE to talk to you about birth doula services. Don’t let the newness dissuade you, Andi has a team of 9 other doulas behind her helping her navigate all the twists and turns that she’ll be helping her clients navigate. Our team not only helps back each other up in case we need someone to step in on our behalf, but also is behind the scenes encouraging one another, answering questions, bringing each other supplies/food, and all kinds of other things you’ll never see. Andi will be on the list of approved doulas at The Women’s Hospital soon as well, just like all our other doulas! As we support our clients, so we also support each other. It’s a pretty great set up really.

Andi Conkwright, Birth Doula

So reach out today if you’d like to talk to Andi about doula services. She’ll surely wow you with her sweetness and knowledge about birth! Welcome to the team Andi. We’re so glad you’re here to help us serve more families in the tri-state!

Welcome Birth Doula Jessica Baxter!!

We are pleased to announce the arrival of the one and only birth doula Jessica Baxter to our team!!! This small and mighty doula has been trained by two different organizations (DONA International & National Black Doula Association) and is already on the approved list at The Women’s Hospital in Newburgh. She’s ready and excited to start serving clients here with this team of doulas behind her.

Jessica Baxter, birth doula

In Her Words:

“I am a birth doula currently working on full certification . I was born and raised in Evansville and had 2 amazing boys and a very supportive spouse to match. I have over 12 years experience as a Certified Nursing Assistant and 5 years as a Patient Service Coordinator at Deaconess Chancellor Center for Radiation Oncology. Becoming a doula has always been a dream of mine since I was a child. After having children my passion elevated. With my own medical experience I’ve had with my personal births I felt the need to become an advocate for my community. I am a loving and compassionate birth doula who provides emotional, physical and educational support in order to help families have a safe, memorable and empowering birthing experience.”

Why did you become a birth doula?

“I wanted to become a doula to advocate for my community, especially because I know some mothers are too scared to speak up & the black mortality rate is terrible. I want to provide services especially to young black mothers who have no support or the funding to educate themselves about their options.”

What do you like about living in Evansville?

“My favorite thing about living in Evansville is my community. Where I grew up everyone knew everyone and it made it easy to lend a helping hand when needed. I couldn’t go 2 miles without someone calling my mother telling them where they saw me riding my bike.”

What does a typical Saturday look like for you?

“Saturdays after cooking a big breakfast for my family. I go to the gym then spend time with my family. ”

Teamwork Makes the Dream Work!!

We are especially excited that Jessica is joining our team to add more black doula magic because we know that parents love to have doulas who not only look like them, but who also relate to all their experience on a personal level. Jessica is exceedingly kind and has a true heart for service. She has an infectious giggle and asks great questions. She’s also extremely knowledgeable about how to navigate the medical system, which is a VERY valuable skill for a doula to have! She is available to start taking clients now with due dates of May 2022 or later. We would love to help you set up an interview with Jessica so you can chat about her joining your birth team.

Exciting Additions!

Adding value to your experience is what doulas do, and in 2022 we are expanding to help our clients even more. We’re excited about a couple of additions to our birth doula package that we really think are going to be helpful for our clients. These are of course in addition to what was already included, and partly to fill in some gaps that will help us serve you better too.

First, we have added a client workbook! We purchased a beautifully designed workbook from our doula friend Victoria Wilson at Mother Well Doula, because we honestly love what she put in there. This workbook will help our clients throughout their pregnancy with excellent advice, and will help your birth doula know how you’d like to be supported. I was especially excited that Victoria quoted a very famous medical anthropology study in the workbook! I added a few little touches to the workbook to make it more our style, but I promise you are going to love these 42 pages of ideas, questions, & activities that will get you thinking and talking about your birth.

Cover of our birth doula client workbook

The other exciting additions we have added to our birth doula packages come from another doula and childbirth educator friend: Alice Turner! All of our 2022 doula packages now include 2 online courses created by Alice: Supporting Her & Birth Tool Box! These two classes would be $78 to purchase on their own, and they are now included for all our birth doula clients. We know that a quality childbirth education course can help clients feel prepared for pregnancy, labor, delivery, & postpartum too. Birth Tool Box is a full evidence-based online childbirth education class that is ready to watch whenever you have time! We’ve also seen some pretty amazing partners who would really like to learn specifically how to be more supportive for labor and delivery. The Supporting Her online class will help them learn all kinds of techniques and tips for helping on the big day.

FREE Access for Doula Group of Evansville Birth Doula Clients ($78 value)

The Doula Group of Evansville 2022 Birth Doula Package includes:

FREE interview to choose your birth doula
2 prenatal meetings with your chosen birth doula
Unlimited support via phone, text, email
Online client resource classroom
Birth Doula Workbook
FREE access to Birth Tool Box & Supporting Her
1 meeting with a postpartum doula
In-person birth doula support for labor and delivery
1 postpartum visit from your birth doula

We’re so excited to be able to keep expanding our offerings to help birthing families here in the tri-state area. We attend births at 7 local hospitals and work as a team to make sure that you will always have a qualified and approved birth doula to support you at your birth. We would LOVE to talk to you about how a birth doula can support your family as you journey from expecting to beginning.

More exciting news about our group coming soon!

“The Secret Menu”

Have you ever wanted to order something that wasn’t on the menu at a restaurant like they do in Ratatouille the movie? What about finding that ever elusive Unicorn Frappucino? Well, we firmly believe that when it comes to your pregnancy, birth, & postpartum, there should NOT be a secret menu. That’s why we’re here to both demystify some of the evidence based things you could be using/requesting AND to make recommendations for you too. Secret menu items might be all fine and good for fast food restaurants, but we’re not keeping these secrets from you any more!

**Note, some of these links are affiliate links and we may get a small compensation if you use them. We promise this is not how we are getting rich, and we only recommend products we really love!**

Secret Menu for Pregnancy Top 5

Pregnancy can be rough, but we’re here to tell you some of our favorite “secret menu” things that can make it a little bit better. Here are our top 5:

1. Compression Socks–yes they can be tough to get on, but they seriously help with swelling so much. Kindred Bravely has some that don’t even look like your grandma would wear them, & bonus this mom owned company has comfy cozy clothing for every step of your pregnancy to postpartum journey.

2. Slide on shoes–bending over to tie your shoes is overrated, & we’ve been hearing rave reviews of Hey Dude Shoes from lots of our clients.

3. Magnesium lotion is great for helping with restless legs, and our favorite is the lavender sleepy lotion from 8 Sheep Organics.

4. A good support belt will save your lower back as your belly grows & we think the awesome belts that Belly Bandit sells are soooo worth your investment.

5. Finally, our secret menu favorite thing to recommend is to take an independent childbirth education class that fits with your goals. We know of a ton of great online classes to fit every budget (including free), & if you want to try an in-person class, hit us up, because we totally do that!

Lamaze Classes for VBAC, Bringing Home Baby, Breastfeeding Basics, Labor Pain Management, Safe & Healthy Birth in 6 steps, or Labor Confidence (free).

Alice Turner has awesome classes including Supporting Her (specifically for partners), Birth A to Z (free), & FREE live Lamaze classes via her YouTube channel too.

If you’re looking for an awesome class for partners to learn how to help, The Birth Partner’s Ultimate Labor Support Toolkit is an excellent one!

Mandy Irby (The Birth Nurse) has a really great pre-recorded full Lamaze class that I like to recommend as well: Ultimate Guide to Taking Control of Your Childbirth. (Use coupon: BIRTHGEEKS for 15% off)

Secret Menu for Birth Top 5

Not all of these options are available at all facilities, but it never hurts to ask and even asking for these things helps plant a seed that people would like them.

1. Intermittent &/or Telemetry Monitoring can be soo helpful for movement while you are in labor! Intermittent monitoring is typically available if you don’t have any drugs in your system & everything is looking great with you & baby. Times for intermittent monitoring can vary, but typically 15-20 minutes out of every hour used as a metric. Telemetry monitoring is WIRELESS & AMAZING for sooo many reasons including moving, getting up to use the restroom, walking the halls, etc. ASK for these things!

2. Squat Bar–YES, they have them, & no you don’t have to use them to squat if you don’t want to. I like to wrap the center of a sheet around the bar & put the ends in your hands so you can put your feet on the bar and pull the sheet while you’re pushing. It works really well for some people!

3. A Roller Ball Massager is something that you’ll need to bring, but you can grab a cheap one at 5 Below to help with massage and counter pressure on your partner’s sacrum. It is one of my most used tools in my doula bag.

4. Eye Masks are great for both helping you focus internally on how you are feeling & coping with labor AND signaling to the people around you that you want to be left alone to concentrate. Psst, I really like to wear one when I’m trying to sleep during the day and my kids keep coming upstairs to ask me questions too.

5. Alternate Pushing Positions are NOT used enough, & I’m here to say that they need to be, even for people who have epidurals!! As a #birthdoula, I’m a HUGE fan of whatever works for you and your baby, but I hear soo much misinformation about pushing positions, & the constant assumption that flat on your back with your legs in stirrups is just how it is going to be, is frankly annoying and not at all supported by evidence or physiology for the most part. I’m here to say that you CAN push in other positions and you probably SHOULD at least try a few before you figure out what will work for you.

Secret Menu for Postpartum Top 5

Everyone wants to buy stuff for your baby, but all of our “secret menu” things are specifically for YOU!

1. Milk Collectors are awesome for catching that extra liquid gold that might otherwise end up in your bra, but be aware that there are passive collectors like Milkies Milk Saver on-the-go & active ones like the Haakaa silicone pump. If you have a tendency to overproduce, be aware of if you are demanding more or just collecting.

2. The fancy peri-bottle made by Frida Mom is Ah-mazing if you’ve had a vaginal birth. Seriously!

3. #Cesarean or not, a belly binder can be your friend in those first days when your abs & organs are all still rearranging.

4. Clothes that are especially made for nursing your baby and being comfortable are important, & Kindred Bravely has some of our favorite pieces (& you can 10% off by using our link.

5. Our favorite pillows for nursing are from My Brest Friend, and not just because of the awesome pockets, though those are great too.

We truly hope…

We truly hope to keep breaking down the secret menu for our clients and community. If you don’t know to ask for these things, you might not get them. Keep learning and pushing for change, you know we will too.