Tag: birth

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.

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!

Helpful Tools for Birth**

Learning about helpful tools for birth before you get there can mean you know what to ask for and how to use the things available to you! This can improve your confidence and birth experience.

Not all labors and deliveries are the same, but using tools can be a great thing for almost every birth. The same tools don’t work for every situation but learning what is available, when, and how to use them is really helpful! **Don’t worry, none of the tools in the picture are used for labor or delivery.** No matter where you are planning to give birth, there are tools that you can use. These are my top 3 most helpful tools for birth!

The Birth Ball

The birth ball is really just an exercise ball that gets a fancier name in labor and delivery. There are a ton of ways to use the birth ball during pregnancy, labor, & postpartum. These are very versatile and helpful tools for birth. You can use it by sitting and bouncing with less upward pressure while you still have a baby inside. You can lean on it. Kicking it works too. You can do all kinds of things with this ball. (I advise against sit-ups on it while in labor.) The birth ball opens up your pelvis and keeps you out of bed while laboring. Moving your hips in a circular motion keeps you moving too. I’ve had several clients just want to bounce on it in labor. I spent months postpartum bouncing on a ball to keep my firstborn happy. Ask for the ball when you arrive at the hospital! If you are planning a home birth, you should plan to purchase one in the right size for you.

Peanut Ball

Every time I see a yellow peanut ball, I cannot help but think of minions while simultaneously wanting to draw a monocle on them. Peanut balls might look funny, but there is science behind these amazingly helpful tools for birth. Contrary to what some might believe, you can absolutely use a peanut ball if you do not have an epidural! They are great for parents with epidurals too though. Peanut balls help keep your pelvis open while you are resting. There are all kinds of positions for using this ball. Learning about how to use it to shorten your labor before you go is a great thing to do. Seriously, ask for the peanut ball! I will warn you that if you don’t have an epidural, using a peanut ball can be uncomfortable, but it can also be very effective.

Bed + Squat Bar

Staying out of bed is a great thing for while you are laboring, but hospital beds can also be helpful. I love to request the squat bar attachment to the bed for laboring and pushing. I also like to call them Go-Go-Gadget Beds because of how many different positions and options they have. This is why the whole bed plus the squat bar is really a helpful tool for birth. Squatting has all kinds of benefits for birth, but it can be exhausting if you try to do it without breaks or without preparing yourself. You can even use a squatting position for pushing or wrap a sheet around the bar to pull on while you lean back. There are lots of possibilities when you know your options and how to use them.

FYI: If you are planning a home birth, finding places to squat and learning to do a supported squat with your partner or doula are great alternatives to the bed. Looking around your house and finding places to do all the best birth positions is something I always like to do at prenatal visits with home birth clients. Bonus: your midwife might bring along some of the things from my wish list below!

Tool Wishlist:

The bottom line is this: There is no one set of helpful tools for birth that will work for everyone. Having more tools in your tool box and knowing how to use those can give you more options. Practice using these tools if you can, or even just watch some helpful videos. You can bring more tools with you too if you’d like. Heck, even dancing can be a helpful for birth!

If you’d like to come learn more coping techniques, including getting to practice with these balls before labor, we have a class for that! Spend 3 hours on a Saturday morning learning more tools and non-medical coping techniques for labor and delivery. Here are the dates and links to sign up if you are interested:

Midwives in Southwest Indiana?

Evansville needs midwives to support healthy birthing families!

Southwest Indiana needs midwives, and the lack of them here is surprising. It is frustrating for me as a doula for several reasons. Our area deserves to have midwifery options, especially as midwifery care has proven benefits for patient satisfaction, cost, and birth outcomes.

What does the landscape look like for people searching for midwifery care here? We currently have two Certified Professional Midwives that travel here for home births, one from Bedford and the other from Bloomington. However, home birth is not an option for everyone. In 2019, we only have one Certified Nurse Midwife catching babies at one Evansville area hospital.

So what is the big deal? Midwives are experts in normal pregnancy and birth. According to the Midwives Alliance of North America “all midwives are trained to provide comprehensive prenatal care and education, guide labor and birth, address complications, and care for newborns.” Midwives are not surgeons, and all obstetricians are, which fundamentally changes the way that they approach your care. The Midwifery Model of Care “whether practiced in clinics, private homes, hospitals or birth centers, has at its core the characteristics of being with women, listening to women, and sharing knowledge and decision-making with women” (MANA). Midwives expect pregnancy and birth to be normal and watch out for signs that pregnancy, labor, and delivery might need intervention. That is not the same approach as an Obstetrician, and if you want to read more about the comparison or some social science research about this I highly recommend this book and especially this article and this one too from Robbie Davis-Floyd. She is the most renowned anthropological expert when it comes to this stuff!

Midwives have also been proven time and time again to be linked to better outcomes for their patients. People who use midwives for their care are THREE TIMES more likely to be satisfied with their care when compared with obstetrician-led care. Midwifery care has also been shown to be the most cost effective care in the hospital setting.

Who cares? Well, I do, and I’m not alone. I chose midwifery care for myself when I delivered my babies in Cleveland. As a doula, I regularly get asked for recommendations about providers, and I can’t even count the number of disappointed people I have talked to when I tell them that there is only one midwife here in town available to catch babies in one hospital. There are plenty of factors that go into choosing a provider, including insurance, location, practice style, personality, and so much more. While one midwife is certainly better than none, people choosing to birth here surely deserve more options. We need more midwives in Southwest Indiana.

For a little comparison, just down the road in Owensboro, KY there are 4 Certified Nurse Midwives catching babies at the hospital. Owensboro has a population of around 60,000. Evansville has a population of >115,000! If we include the populations of the surrounding 5 counties (Gibson, Posey, Spencer, Vanderburgh, & Warrick) We have a local population of over 320,000 people, and we know that there are people traveling here from Northern Kentucky, Eastern Illinois, and even further counties in Indiana to give birth, and they aren’t even included in that population count! Not every pregnancy and birth here needs to be attended by a surgeon. Yes, family practice physicians are also an excellent option, and there are some great ones here, but midwifery care is more specialized and has a different approach than the medical model of birth.

Southwest Indiana needs midwives, and we have some currently working to complete their training. As I sit writing this I know three midwives who are currently in school and planning to practice here when they graduate. Two will be Certified Nurse Midwives who catch babies in the hospital and one will be a Certified Professional Midwife who attends home births. Growing families deserve options for their care, and these midwives will be an amazing addition to our community when they are finished with their training. I can’t wait for the day when birthing families in Southwest Indiana have more midwives to support them as they grow.

Have you ever considered hiring a midwife instead of a physician for your pregnancy, birth, and postpartum care?

Things Doulas Know

Unsolicited advice is not my style

I have stopped giving random advice to pregnant people that do not ask for it, essentially for two reasons. The first reason has to do with other people and the second because of me.

  1. Everyone seems to feel entitled to give pregnant people advice, and I do not want to add to the mostly annoying cacophony.

I do not know what it is about pregnancy that makes everyone feel like they need to give you advice and tell you what to do. I know that most everyone really means well, but holy moly it can be really exhausting to be constantly bombarded by people who think they know better than you about what you should do. I won’t even get started on the horror stories that people feel obligated to tell you like they can’t stop the flow of awfulness spewing from their mouths. I have a strict no spreading trauma policy when it comes to speaking to pregnant people, and I highly encourage all clients to tune out any and all negative messages surrounding birth and parenthood, especially while you are extra vulnerable and pumped up full of hormones!

2. I know way more than most people about pregnancy, birth, babies, etc than most people, and I have a tendency to go on and on about it.

I know a ton of really specific and sometimes seemingly random things that can really help people who are navigating pregnancy, planning for their upcoming birth, and getting prepared to take care of a new tiny human too. I am happy to talk about all these things all day long, and I do quite a bit, BUT not everyone wants to hear that. I respect people’s wishes and only expose my super birth geek side when requested.

As a doula and childbirth educator, I have extensively studied pregnancy, birth, and postpartum. I know where to find great evidence-based and unbiased information. I know different comfort techniques to get through labor and delivery. I make sure to keep up on all the local resources for new families in our area including great breastfeeding support services, chiropractors who specialize in the Webster technique, prenatal yoga classes, which physicians will provide parallel care for home birth, support for victims of abuse, stores that sell green baby products, and more. I am seriously committed to life-long learning and I want to help everyone be better connected with the resources and information that they need.

I never want people to feel afraid to ask me questions. I would rather my clients ask me anything rather than sit around worrying or wondering. I make an effort to not overshare or overwhelm people. I am always happy to answer questions, especially for my clients. BUT, I can’t send you answers that you don’t ask for, and I won’t, not because I’m protecting the information, rather because I know it is really hard to sip from a fire hose and it has taken me YEARS to gather all this information that you are trying to digest in 40-ish weeks.

What was the worst unsolicited advice you ever received about birth?

My Goals as Your Doula

As a doula, I listen and follow your lead.

  1. Support you and your family how you want to be supported.

End of list.

Yes, seriously.

As a doula, I listen and follow your lead. If you want information about anything pregnancy or birth related, I am happy to help you find great and unbiased information about all your options. I love answering pregnancy and birth questions, but make a big effort not to inject my opinion into any of it. That is because my opinion about what you should do is pretty much irrelevant. I do not tell people what to do, and completely understand that there is no one right way that works for every birthing family and every situation.

Most people only think of the physical support a doula can offer, and that is certainly part of the job description, but it definitely is not all of it. I hold space for my clients to give them room to think things through and listen to their gut without an audience. I talk through tough decisions and help you get to the root of your desires for your birth. I am an empathetic ear when you are frustrated, excited, anxious, worried, elated, exhausted, etc. I also don’t have ALL the answers, but I am really great at helping people wade through the sea of information out there to find excellent sources and resources too.

In my 5+ years as a doula, my practice has certainly changed, but my #1 goal has always been steadfast, and I don’t ever imagine it will change! I have no agenda for your birth; I only want your family to feel fully supported as you would like to be. I truly strive to check any bias I might carry and leave it outside of the space of your blossoming family.

Would you like to have an extremely knowledgeable, experienced, and compassionate person in your contact list and at your birth? If you said yes, then I would love to talk to you about birth doula services!

Doula? A do what now?

Midwives and doulas have very different jobs!

One of the most common misconceptions that I run into as a doula is that people think that we are the same as midwives. While I have worked with some really great midwives in my time as a doula, and LOVED having midwives catch my own 2 babies, I do not want to be a midwife or be confused for one. Doula care can compliment midwifery care very well, but we certainly do not replace a midwife.

As a doula, I do a whole lot of things that can improve your pregnancy, labor, delivery, and immediate postpartum. I help you ask more (and sometimes better or more specific) questions prenatally and think through all those decisions about what you want for your delivery before it is actually the big day. I help you practice different comfort techniques and even help you know exactly what things you actually need to have for your birth and immediate postpartum period either at the hospital or home. I hold hands and help people move around, sometimes with all kinds of wires attached to them. I push on your lower back, squeeze your hips, and massage your hands during labor. I help you to the bathroom and comfort you through the challenges of labor and deliver with all kinds of affirming words. I will let you squeeze my hand and listen to the changes in your voice and demeanor for clues on how I can better help you. I do not doula the same for any two births, as each one presents its own unique set of circumstances.

Midwives provide care for healthy pregnant people prenatally, during labor and delivery, and postpartum. They approach birth differently than an Obstetrician, but essentially do all the medical things an OB can do other than surgery. Midwives view birth as a normal process and often practice watchful waiting while expecting everything to be perfectly normal and fine instead of trying to prevent things from going wrong through action. It can seem a very subtle difference in philosophy, and not all midwives take this approach, but this is the midwifery approach generally to pregnancy and birth.

  • A short and completely non-comprehensive list of things a midwife can do that I do not as a doula:
  • Check your vital signs like blood pressure and temperature
  • Order labs
  • See you for in-office prenatal visits (monthly, biweekly, then weekly)
  • Check your cervix
  • Catch your baby
  • Give you stitches
  • Check your fundal height after delivery
  • Order and administer medication

If you want to learn more about midwives, this link is a good place to start.

If you would like to learn more about doulas, you can read about us here. I would also LOVE to talk to you about my services! You can contact me through this website, via email, phone, or message me on social media–whatever you are comfortable with is fine with me. You can read reviews from previous clients and check my availability at this link as well if you would like.

I love helping my clients navigate pregnancy, birth, and postpartum, and have more than five years of experience as a doula at both hospital and home births. I have worked with some amazing midwives and OBs too. I have been to 8 different hospitals as a doula and learned all about their policies and who has which equipment. I know which cabinets have the towels and where to find the emesis basins. More than that though, I support my clients however they want to be supported, because each one is different and each situation demands different techniques and approaches.

Someone once asked me what the #1 most important quality is for a good doula. That was easy for me to answer: EMPATHY! What I may lack in midwifery clinical skills, I make up for in compassion and listening skills. Midwives and doulas can work really well together and there is definitely room for both in your chosen birthing space!

Ask Questions!

As humans, we like to ask questions. As patients, we are often not encouraged to do so. That is a problem. You are in charge of your body. You are in charge of what happens to it. That means that nobody gets to do things to you without you saying yes; that’s bodily autonomy. You deserve to be given true information to make the best decision possible for you and your family. As a doula, I encourage my clients to inform themselves as best they can and find a provider that they trust to be able to have open and honest conversations about your care.

Misinformation can spread like wildfire, and you have to be mindful about who you are getting your information from, even when you might trust the source for other things. Just because your mother gave birth 25 years ago does not mean that she is up on all the latest evidence regarding birth practices. Just because your neighbor had a fantastic planned cesarean does not mean that committing to major surgery is what is right for you or guarantee that you will have similarly easy outcomes. The point is this: question the source and motives of anyone giving you information!

This is a short list of things I often hear about that are NOT TRUE:

  • Once a cesarean, always a cesarean. (VBAC is an option!)
  • Everyone should be induced at 39 weeks. (Nope)
  • If they think your baby is big, you have to schedule an induction or cesarean surgery. (Nope)
  • Induction is no big deal. (Not always)
  • Laying flat on your back is the best pushing position. (Not according to the evidence)
  • You are in “active labor” at 4cms. (Not since 2010)
  • There are no risks to getting an epidural. (Not true)
  • Doulas are judge-y jerks who only help people who want to go without medication! (not me) I could honestly write a whole post about ideas about doulas that are wrong, but that is for a different day.
  • Home birth is not a safe option. (There is plenty of evidence to say it is.)

The truth is that everyone you ask for their advice is informed by their own knowledge and experience. Your great-grandma may have LOVED being asleep for the birth of her children, but that just isn’t how most people choose to birth anymore. Your doctor may have had a string of 3 traumatic deliveries that they attended in the week before your appointment. Your sister may have had a medical condition that necessitated her induction. You need to make sure to temper any opinions you get with unbiased information too, and then figure out what you would like to do using the BRAIN method:

  • Benefits–Why are you suggesting this intervention?
  • Risks–Is there anything negative that could happen?
  • Alternatives–Are there other options available?
  • Intuition–What is your gut saying you should do?
  • Nothing–What happens if you do nothing?

That last one is REALLY important to remember. If nobody is in danger, it is perfectly prudent to ask for more TIME! Sometimes doing nothing is a perfectly reasonable option, and you are well within your rights to say no to interventions being offered in a non-emergent situation. Even when a non-emergent intervention such as a cesarean needs to be done, it is also perfectly ok to ask for a few moments to gather your thoughts and prepare your mind for what is to come. Though some do, not all necessary cesareans need to RUN to the operating room, and a massive shift in plans can be a bit easier to stomach if you have a moment to wrap your head around it before it happens.

The Rights of Childbearing Women is a great place to start when thinking about what you might want to question. You are not a bad patient for asking questions! Some people prefer to have a provider who tells them what to do, and that is ok too by the way, but if you prefer to have a provider who is open to communicating with you and explaining their reasoning for recommendations, I HIGHLY recommend checking out your options and knowing that you may have the option of switching providers for any reason and at ANY time. Providers all have different styles, and finding one who fits with your style is a GOOD thing. Not all providers are created equal, and sadly there are providers who are less than honest in their recommendations. Trust your gut! Don’t be afraid to speak up, ask questions, and switch if you feel like your provider is trying to push you into something you are uncomfortable with and isn’t necessary, including using coercive techniques to persuade you.

If you want to do research, here are some trusted sources for good information that I send to my clients:

If you are a childbirth professional and you want to learn more about your clients’ rights in childbirth, you can check out Birth Monopoly’s Know Your Rights course designed specifically for us in mind.