Category: Evidence

Your Feelings Matter for Birth & Postpartum

Your feelings during labor and delivery make a difference not only on the big day, but also in how you remember your birth experience.

Our thinking brains like to imagine that our hearts and feelings don’t influence the way our body or brain works, but it is so wrong. Your emotions affect so many things, and keeping that in mind when you are going through pregnancy, labor, delivery, & all throughout postpartum can be a little daunting. For me, protecting my emotional health during that time felt like one more thing that I didn’t have time to worry about really. First, let’s talk about why your emotions matter and a few things that may challenge you during this time. I promise, this blog post is going to end with some helpful ways to keep your peaceful mindset, because we all need some extra tools to handle this whole wildly human experience.

Because of Hormones

Your hormones are little messengers that run around your body telling it what to do. They are really important for pregnancy, labor & delivery, & postpartum for so many reasons, but I’m going to outline two big ones here. The first thing they do for you in labor and postpartum is they keep things going. Anxiety & stress produce hormones that make your labor slow or even stop, and does the same for your milk production. The giant flood of hormones you get during labor and early postpartum also means we remember MORE and in greater detail. Seriously, ask anyone who has given birth about their story, and they will share far more details than you can even imagine even MANY years later. There are all kinds of evolutionary reasons that our bodies have adapted to do this by the way, because we’re mammals. Anxiety & stress produce these hormones because if we were an animal giving birth in the wild and a predator started stalking us, then we would WANT our bodies to stop labor so we could get up and run away. (Also a reason for animals to eat their placentas–to hide the evidence.) The distinctly human part of this is that our anxiety & stress can be triggered by all kinds of things, including just thoughts inside our amazing brains or even just a sideways look from someone.

Challenges

There are all kinds of things that can increase our likelihood of our anxiety and stress being triggered in labor, delivery, and early postpartum. Things like a lack of privacy & interruptions in your flow can inhibit your ability to relax and for your body to make the hormones to keep your contractions going. People with a history of abuse, assault, or other trauma can really feel their stress hormones escalate in labor and delivery, which is another reason that trauma informed care is sooo very important. Bright lights, strange noises, & smells can all bring those stress hormones whooshing around our bodies. No matter what your specific challenges are to keeping calm and relaxed, developing the tools you need before you have to use them will help you meet any challenges that might arise!

Tools to Help

Don’t be shy about asking for what you need to feel better during labor and postpartum. Keeping the lights low in your room can be really helpful for decreasing anxiety & making a space more cozy. Some people bring twinkle lights to hang up or a tapestry to hang to make the space more their own too. You can even bring a sleep mask and earplugs if they help you. I always suggest packing your own pillow and blanket to make the space smell and feel more like home too, and keeping your partner close definitely helps some people relax more. You can make a sign for the door to remind people who enter to please use hushed voices and respect the energy in the room. Nothing ruins your flow more than someone walking in and talking loudly while you’re just trying to get through your contractions or trying to get your fussy baby to latch. Protect your space and communicate your needs, and if you need some help with that, a doula might be someone to consider adding to your birth or postpartum team.

You can’t live in a bubble, but you can hold space for yourself for this profoundly human experience of bringing a new baby into the world. Developing tools such as breathing techniques, body awareness, meditation, self-hypnosis, & grounding techniques can help you not only stay calm for labor and delivery, but also for postpartum. Psst, these techniques even work for parents to teenagers—ask me how I know. With 20 minutes a day of calming practice, you can learn to bring your nervous system back to calm and keep those good hormones flowing. Your feelings matter!

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!

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.

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 less2017201820202021
The Women’s Hospital Newburgh, IN1.4%1.7%6.8%4.1%
Ascension St. Vincent Evansville2.1%.8%0%0%
Owensboro Health2.1%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.

Want more? Sign up for our FREE Biweekly Newsletter.

Spinning Babies Training Opportunity

This training will change the way you think about helping pregnant people!

Mark your calendar, because we are soooo excited to announce that we are hosting a Spinning Babies training for birth professionals on Saturday March 12, 2022!!

If you’re already excited…

follow this link to go get registered ASAP!

If you need more information:

Spinning Babies is a unique approach to birth developed by midwife Gail Tulley that uses movement and positioning to help humans birth babies more easily. You can read so much more about the approach on the website, but I am here to tell you that I have been a HUGE fan of SB ever since I first became a doula. I regularly use many of these techniques like side-lying release & shake the apple tree! The SB website is one of my go-to sources, and honestly I’m so excited to get to do some hands-on learning with the widely traveled and revered trainer Tammy Ryan.

I love the approach of figuring out how technology and nature can work together to make birth better. I’ve been dreaming of getting a training here in Evansville! I know we’re going to have great interest from nurses, midwives, doulas, chiropractors, doctors, and so many more who can benefit from learning these techniques and upping their skills to help even more. I would be absolutely happy to talk to you about why I think this is an important training for Evansville, IN especially!

Don’t wait!

Spots will be limited to 30 participants for this one day training! There is an early-bird discount of course. We would LOVE to see you there if you are a birth professional nearby. (Psst, if you’re coming in from out of town, let us know and we’d love to meet you too!) We’re excited to host this event for our birthing community here in Southern Indiana!!

5 Induction Truths

An induction is discussed with every pregnant person at some point, & these are 5 truths you may not hear anywhere else.

1. Sometimes Induction is Necessary.

High blood pressure, blood sugar control issues, protein in your urine, health concerns for the baby, and more can make it healthier for your baby to be better on the outside than on the inside. These are very valid medical reasons to be induced. Some providers prefer inductions to take place because of suspected big babies, low fluid, getting close or passing your due date, and other reasons. As we know from the evidence, these are NOT medical indications for induction.

2. You CAN Say No.

If everything is fine with you and the baby, then it is perfectly ok to say no to an induction. Even if you are in the hospital for an induction, you are STILL allowed to say no to anything that they offer, and you should be having a true informed consent and refusal discussion for each and every procedure. This includes breaking your water, starting medications, cervical exams, internal monitoring, the type of cervical ripening medication, and ANY TIME someone wants to touch you! Signing up for an induction does not mean you leave your autonomy at the front door. You’re still the boss applesauce!

3. Induction Increases Your Risk of Needing Cesarean Surgery.

Yes, there was ONE study that found that inducing everyone at 39 weeks reduces the cesarean rate, which actually was really problematic. I have discussed this previously along with a BUNCH of other scholars, however there is far more research that says the opposite. I really appreciate Dr. Sara Wickham’s resources on induction for help making informed decisions. This is something that needs to be discussed before you agree to any induction, no matter why it is being advised.

4. Induction Affects More Than Just When the Baby is Born.

Induction is forcing your baby and body to do something before they are ready to do it on their own. Most due dates are an estimate, and none are expiration dates, as babies keep developing even after they are born. Induction interrupts the hormonal physiology of birth, as Dr. Sarah Buckley has published on extensively. Interventions also affect breastfeeding, which can make feeding your baby more challenging after an induction. This needs to be part of the discussion when you are weighing the risks and benefits of whether to choose an induction.

5. Induction Can Take a LONG Time.

Especially for first time parents, induction can take a really long time. Locally most inductions start overnight with a cervical ripening medication and then proceed the next day. Will you be allowed to eat and/or drink during that time? Will you be allowed to take a shower? Will you be on the monitors the entire time? When are you allowed to get an epidural if you want one? Will your provider be there the whole time? What kind of time limits will they put on your progress? Will there be breaks? Can you bring your Fire Stick to keep watching your current favorite binge-worthy show? Ask questions to help yourself make the most informed decisions regarding your care!

The bottom line is this: If your provider is recommending induction, have an open and honest conversation with them using the BRAIN acronym:

  • Benefits–what are the benefits to this?
  • Risks–are there any?
  • Alternatives–what else could we try?
  • Intuition–what does your gut say?
  • Nothing–what happens if we wait?

Only YOU get to decide what is the right choice, and we want to make sure everyone goes into birth and parenting with their eyes wide open from the beginning. Want to do some more digging before making a decision about an induction? Asking for TIME can be the most empowering way to step away from what can be a high pressure feeling power imbalanced situation when you are sitting there with your pants off talking to your provider. We talk to clients about this all the time, so feel free to give us a call for a consult if you want a little help!

Online Learning Options

Evidence-based online courses for learning about childbirth, feeding your baby, and postpartum planning.

Everything might feel upside down right now, but learning what you need to know when you are expecting doesn’t have to be a scramble! In the past few years, there has been a wealth of information for expecting families that has moved online. I know that online learning isn’t everyone’s preferred method, BUT it can be really great, not just for times when we are in the midst of a pandemic. Online learning can be a great way to work around busy schedules. It also allows you to learn about things privately that you might not want to discuss in front of a group of strangers. Learning about what to expect is a great way to mitigate fears.

I have searched the internet and found some great online courses for learning that I am honestly excited to recommend to you. This is by no means an exhaustive list, but it will definitely get you started in looking at online courses. (Full disclosure: some of the links below are affiliate links, and I may earn a small commission if you click through and buy things.) I am only posting links to evidence-based courses that I am happy to send my clients. I will try to keep updating this list when I find more great online classes too!

Childbirth Education

Lamaze has 6 different online courses for expecting parents:

  • FREE Labor Confidence with Lamaze Course here
  • Safe & Healthy Birth: Six Simple Steps here
  • Labor Pain Management: Techniques for Comfort and Coping here
  • Breastfeeding Basics: From Birth to Back to Work here
  • Bringing Home Baby here
  • Vaginal Birth After Cesarean (VBAC): Informed and Ready here

If you are looking for a great overview, you should check out Alice Turner’s FREE class Birth A to Z here. This is filled with videos about all kinds of topics that you might not find in every birth class.

The Birth Nurse has an entire Lamaze course already online, if that is something you have been searching for. She also co-teaches a live class called Fearless Birth, Delivered where you get a fun box of tools in the mail and live instruction. You can save money on both these courses by using the coupon code: BIRTHGEEKS. Mandy’s YouTube Channel is chock full of information too!!

If you are looking for a more comprehensive online learning class with a natural focus, you should check out the Giving Birth Naturally Courses here. I have also had clients rave about Mama Natural’s online childbirth education course that you can find here.

Thinking about trying out hypnosis for labor? Check out this course by the Positive Birth Company here. This class is inexpensive and includes printable content as well as downloadable tracks to listen to in labor.

Supporting Your Partner

Adriana Lozada, of the Birthful Podcast fame, has this great course that promises to take partners from clueless to “I got this!” Check out The Birth Partner’s Ultimate Labor Support Toolkit here.

If you loved Birth A to Z with Alice, you should definitely check out her course just for partners called Supporting Her here. She’s even added a new labor practice module recently due to the pandemic!

Feeding Baby

Bonnie Holt Logsdon is an International Board Certified Lactation Consultant that I know in Louisville, & she has some great new online courses to check out here. These include a FREE 2 hour breastfeeding basics class, as well as low cost classes on back to work pumping & starting solids too.

Lactation Link has some great classes too that you can find here on brestfeeding basics, hurdles & how-tos, & pumping and storing breast milk too. You can get 15% off their courses when you use this coupon code: doulagroupofevansville15.

If you want to learn more about feeding your little humans, first of all you should go follow the Feeding Littles pages all over social media, because they are great for information! But if you want to learn more about feeding babies and toddlers the healthy way, check out their online courses here. You can use our coupon code for $10 off the courses too: DOULAGROUPOFEVANSVILLE

Postpartum

Oh yeah, there are courses for that too! Adriana Lozada has a postpartum planning worksheet that you can get just by giving her your email address here. She also has a great class called Thrive With Your Newborn: Postpartum Prep Course that you should check out here.

Online learning options have come so far recently. I hope you will consider checking these things out, especially if your planned class got cancelled recently due to COVID-19. Preparing for birth, breastfeeding, and postpartum helped ease my anxiety and take some of the worry out of it all. I hope that these classes will be able to do the same for you.

If these online learning opportunities still leave you wondering how they compare to our local options, I would love to talk to you! As a doula and childbirth educator in Evansville since 2014, I am a professional at helping people navigate the local birthing scene. Happy learning!

COVID-19 & Pregnancy

Keep Calm! Wash Your Hands! Make a Plan. I am too.

You might be worried. Wash your hands. Maybe you are freaking out and wondering what is coming. Wash your hands. Who knew you touched your face so much? Wash your hands! We don’t need panic, we need to have plans for what to do. I have some advice for you, and want to tell you what I’m thinking about as a doula. Also, if you see me, give me an elbow bump!

Keep Calm

What we know is that it seems that pregnancy and birth doesn’t seem to be a big risk factor with regards to transmission of this virus. Special precautions may need to be taken to avoid contracting the virus, so take this time to stay home if you can and be very health conscious. It’s not a bad idea to socially isolate & generally stay away from huge groups of people.

Wash Your Hands

This may seem like a no-brainer, but seriously, do it, and do it well. Test out some new songs to sing for 20 seconds or more. Be thorough & keep your hands away from your face as much as you can. Wash your hands!

Doula Concerns

There are currently no restrictions in place at local hospitals with regards to a doula’s presence at births that I know of, but there are elsewhere. I have contacted all clients close to their due window about this. I have contacted my local professional contacts at the hospital to let them know about my concerns with COVID-19. Doulas should NOT be considered a visitor, but I can’t control if they let me in or not. Pregnant people need to contact their providers and birthing locations. My certifying organization has put out a toolkit for dealing with this COVID-19 issue for doulas. It includes a letter for hospitals & links to other important statements, like this one from the Association of Women’s Health Obstetric and Neonatal Nurses on 3/11/2020.

I will be doing my normal precautions for staying healthy. I am certainly open to being extra cautious when I go to a birth. Some doulas have had to wear masks, hair nets, gowns, shoe covers, and gloves. I would be fine with that. I will support clients virtually via Zoom or something else if necessary, but I sincerely hope it doesn’t come to that.

Bottom Lines:

Keep calm. Keep growing that baby. Make some contingency plans, and hope you never have to use them. Wash your hands!

The Importance of Childbirth Education

Inform yourself and know your options!

An excellent childbirth education class is worth your time and money! Learning about the path that many have trodden before you is a GREAT thing to do. Evidence-based childbirth education classes help parents prepare for labor and birth by teaching pain-management strategies, while also providing information on informed consent for the pre-labor and labor processes. Classes can help instill confidence in parents’ abilities to cope with labor, which is pretty priceless! Childbirth education helps lower fear and anxiety regarding labor and birth, and has been shown to be a critical factor in reducing early elective delivery by induction. Don’t just take my word for it, read the policy brief that my certifying organization wrote. Not all childbirth education classes are the same, which is great because not everyone learns the same way or needs/wants to know the same information.

January 25th-31st is International Childbirth Education Week

2020 is the very first year of celebration for International Childbirth Education Week. I am so very proud to have helped start this movement & to be one of the first endorsers of this important week. Childbirth educators are special people that love to talk about the pelvis and cardinal movements. We love to dispel myths about childbirth and set the record straight when we hear or read people spreading misinformation. My style is more to pull the listener to the side to say, “you know that’s not really how that works,” and then explain what I know, rather than trying to correct someone’s grandma who just told them to rough up their nipples with a towel. (That’s totally not something you need to do BTW!)

I LOVE teaching childbirth education classes!

Those little A-HA moments are priceless. I love helping students know all their options. Helping people grow their resource list for who to ask and where to go is great too. A skeptical student converted when they try a double hip squeeze is awesome! There is nothing like the faces of satisfied students who feel more confident. Their emails with baby pictures and birth stories touch my heart.

Upcoming classes

I am currently only teaching private childbirth education classes that include 6 very full hours of instruction in my office space or your home. A 96 page binder full of information, handouts, & worksheets is included. Relaxation techniques, massage, movement, positions, & how to use tools will of course also be covered. I promise we’ll practice the breathing techniques that everyone seems to expect from Lamaze too. You can find more information on pricing and contact us here if you are interested.

If group classes are more your thing, in 2020 we have 4 group classes scheduled for “Natural Coping Techniques for Labor and Delivery.” This is a 3 hour class where we focus on how to deal with contractions without pain medication. This is not a “tell you what to do” kind of class. This is more of a “give you some ideas” kind of class. Importantly, it also includes snacks & is only $30/couple. Here are the links to sign up if you’d like to join us for a Saturday in 2020:

  • February 8th 9am-noon here (2 weeks from today!)
  • April 4th 9am-noon here
  • July 11th 9am-noon here
  • October 3rd 9am-noon here

Taking a childbirth education class is something that everyone should try. Even if you hate it, at least you and your partner will have something to laugh about on the way home. There are a ton of online options too if in-person isn’t you thing, and FREE ones too. Here is the Lamaze FREE class on increasing labor confidence and here is my friend Alice’s FREE online class Birth A to Z! No matter what kind of childbirth education classes you choose, INFORM YOURSELF!! You will increase your confidence even just to ask more questions, and that’s a good thing!

Childbirth Education Improves Outcomes

A recent study found that taking a childbirth education class improves birth outcomes. People who took a childbirth education class in this study were three times more likely to have a vaginal birth. Taking a childbirth education class helps improve confidence and skills for coping with labor and delivery. Childbirth education is still important, no matter what kind of birth you are planning.

Group & Private Classes Available

Coping with Labor Naturally is a 3 hour group class that covers the basics you need. The next one will be Saturday February 8th, 9am-noon, and you can sign up here. I will also teach this class in April, July, & October in 2020, so stay tuned if you are interested but not quite ready to sign up yet. This is a great class to bring your partner so they can learn ways to help you in labor. You will also learn which tools to bring with you and which to request when you get to the hospital.

If group classes aren’t your thing, maybe a full private childbirth education class would be right for you. Full private childbirth education classes have 6 hours of private instruction in your home or at my office space. I am a Lamaze certified childbirth educator who only uses evidence-based information. Yes, we will talk about the hee-hee-hoo-hoo breathing, but I cover everything from pregnancy nutrition to birthing positions to postpartum healing. I’m also an experienced birth doula, so I know the ins and outs of the local birthing scene too. This 6 hour class comes with a 96 page spiral-bound book of handouts and articles packed full of information for parents too!

I also have the option of a private 3 hour birth planning only session. This class is easy to customize for your needs and specific situation. I’m happy to cover whichever topics you might be interested in learning about, and help you come up with a plan. This is a great option for people who might be shy or have a very specific situation that needs specific information. This is also a great option for those birthing at home, who might want all the comfort techniques and help writing a transfer birth plan. Contact us directly to schedule a class and get more information!

Online Options

Maybe you’re really busy and would prefer an online option? Lamaze has some great online courses that are inexpensive and evidence-based.

  • FREE Labor Confidence with Lamaze Course here
  • Safe & Healthy Birth: Six Simple Steps here
  • Labor Pain Management: Techniques for Comfort and Coping here
  • Breastfeeding Basics: From Birth to Back to Work here
  • Bringing Home Baby here
  • Vaginal Birth After Cesarean (VBAC): Informed and Ready here

There are other online courses as well that I like, but I will say that most people benefit from some in-person, hands-on learning too. No matter how you choose to learn, taking the time to prepare for childbirth is a GOOD thing to do. Refreshing your knowledge and skills, even if this isn’t your first birth, are also good uses of your time and energy. I’m always happy to recommend books to read too! Childbirth education is important. Childbirth education is helpful. Childbirth education is worth your time.