doula newburgh – Doula Group of Evansville

Doula Group of Evansville: 2021 All Wrapped Up

2021 brought a few surprising numbers for Doula Group of Evansville.

2021 has been a wild ride for our group! We grew from a group of 3 doulas to our current size of 6 doulas. This growth is especially exciting because it has meant that we can serve more families in our community. We’ve all continued to learn and grow in our professional skills this year too, which has been so amazing to do together. We continue to be in awe of the families that invite us into their space to help, and are so grateful to be able to keep doing our jobs during this pandemic. We’ve seen some incredible things this year including one of the most patient providers ever during the pushing stage and healthy beautiful babies born at home without even a cervical exam. The most surprising statistic we found was that 42% of our birth doula clients were induced, but honestly, it shouldn’t have been surprising at all considering that a 40% induction rate is average in the USA currently.

Our Numbers

5: the number of hospitals where we attended births. Our birth doulas went to births at Ascension St. Vincent Evansville, Deaconess Women’s Hospital, Good Samaritan Hospital Vincennes, Jasper Memorial Hospital, & Owensboro Health Regional Hospital. We didn’t have any clients deliver at Henderson Hospital or Daviess Community Hospital in Washington this year, but we definitely do go to births there too. We kept tabs on all 7 of these hospitals’ visitor policies this year as well, because COVID has kept them shifting throughout the year. Keeping up with those shifts has become much more a part of our jobs than we ever expected, but that’s doula life for you.

19: the number of providers we saw catch babies. That number includes 1 nurse midwife, 2 certified professional midwives, and 16 different OB/GYNs! This is one reason we spend so much time talking about the importance of providers. We SEE the difference provider preference and approach make when it comes to your experience of pregnancy and birth!! We know which providers are patient and kind, and which ones will tell you whatever you want to hear in the office and then change their tune completely when you are in labor. We know which providers ALWAYS cut an episiotomy and which are going to push you to induce at 39 weeks for any possible reason they can find. Are you looking for a provider who will sit and answer your questions at your appointments without their hand on the doorknob? We know some!!

43: the number of FREE weekly virtual office hours we had in 2021! This one hour a week is one of my favorite times to answer all kinds of questions. I’ve talked to people about becoming a doula, and made provider recommendations. Birth options & feeding issues have been the other main topics I’ve discussed with people who’ve stopped by to chat. I look forward to continuing this weekly chat, though I’m honestly thinking I will change the timing of it so that more people can come if they’d like. Perhaps an evening time?? I’ll decide soon and keep you all posted!

Gratitude

Beyond the numbers, we are 100% grateful for the families that have invited us into their space. We are so thankful to be able to talk to people as they prepare for the arrival of a new baby, and to walk with them through the journey from expecting to beginnings with their expanded family. As a group, we all honestly feel so very lucky to be able to doula in this community, and strive to be the best possible doulas we can be for each and every family we serve. The changes I have seen since 2014 have been remarkable, and I’m so proud of this team of rock star doulas that I’ve been able to gather around me in this group. My gratitude for their trust in me as their leader is enormous, and I strive to be worthy of that on a daily basis. Thank you!

Coming Soon…

We are looking forward to 2022 in a BIG way!! We’ve got some exciting things planned, and some changes are coming for our group too. Keep your eyes peeled on our social media and here for announcements about:

new doulas on our team
a free downloadable E-Book
new resources for our doula clients
online classes from us
outdoor classes (during warm months)
and more!!

We can’t wait to keep growing in 2022!

Psst, are you a birth worker who might want to come to a Spinning Babies training in Evansville March 12, 2022?? Come learn along with us!!

Measuring Change: Local 2020 Hospital Statistics

That numbers are out for 2020, and they might surprise you.

Statistics tell us part of the story of how a hospital cares for their patients and about the culture of a place. They do not tell us the entire story in any way shape or form, but they are a way to measure change and track goals. Leapfrog is a group that tracks statistics about hospitals around the country using a survey that 75% of hospitals participate in each year. Today was the day that they published this data for 2020.

You can find the 2018 Statistics in this post we wrote. I did not write a post for 2019’s statistics, but I think we all remember April 2020 right? You can look these statistics up for yourself here, because you really don’t have to just take my word for it.

Definitions & notes for you:

This Cesarean Section data is for NSTV (research speak for 1^st time parents, 38+ weeks pregnant, with a single head-down baby) cesarean rates and does not include repeat cesarean deliveries or 1st time cesarean deliveries in people who have had previous vaginal deliveries. This is an important distinction. Leapfrog Group uses the Healthy People 2020 goal of 23.9% for primary cesarean deliveries in this category. I want to note here that the WHO stated target NSTV cesarean rate is 10-15%, so that is something to also think about when looking at this data.
Early Elective Deliveries are defined as elective induction or cesarean sections before 39 weeks. This does not include medically indicated early deliveries, therefore the goal is for these to be less than 5%.
Episiotomies are a cut made to the perineum during the birth process. While sometimes necessary, routine episiotomies are not evidence-based practice, and Leapfrog sets their goal as less than 5%.
The numbers in (parentheses) are the previous numbers reported in 2018. I did not include numbers for Good Samaritan Hospital previously, so apologies to our friends in Vincennes for the lack of change comparison possible in this table.
New numbers that reach or exceed the Leapfrog goals are in blue.

Hospital	NSTV Cesarean Sections	Early Elective Deliveries	Episiotomies
The Women’s Hospital Newburgh, IN	26.2% (22.9%)	6.8% (1.7%)	11.5% (14.8%)
Ascension St. Vincent Evansville*	25.3% (27.2%)	0.0% (.8%)	5.9% (6.8%)
Owensboro Health	29.5% (29.7%)	.7% (1.4%)	5.7% (12.7% )
Deaconess Henderson Hospital**	25.5% (26.1%)	0.0% (2.4%)	2.8% (2.4%)
Memorial Hospital & Healthcare Center Jasper, IN	11.1% (12.8%)	5.9% (0.0%)	7.9% (9.8%)
Daviess Community Hospital Washington, IN	17.9% (15.2%)	0.0% 1.9%)	8.2% (13.1%)
Good Samaritan Hospital Vincennes, IN	20.7%	4.0%	14.2%

*Previously St. Vincent’s Medical Center of Evansville
**Previously Methodist Hospital of Henderson

What the Numbers Don’t Say

What these numbers don’t say is what an incredible strain 2o20 was on all hospitals, including in maternity care. While there were clearly jumps in early elective deliveries at Memorial in Jasper and The Women’s Hospital in Newburgh, we don’t know when those happened. Were those elective deliveries in March and April last year when everything was locking down due to the growing pandemic and people were truly scared for their lives? Conversely, maybe the pandemic was an easy excuse to push for early elective induction too. We can’t know that from the numbers. These statistics represent thousands of birth stories that we can’t know just by reading them.

These statistics are also not the only ones worth looking at when making decisions regarding your care. Other important factors such as VBAC success rates, availability of lactation help, availability of anesthesia, proximity to your home, provider access, insurance coverage etc. Sometimes that last one ends up being the deciding factor no matter what your preferences are on location.

How to Use These Numbers

First use them to think about where you want to deliver. You do have options and choices on where to go, and we would be happy to talk to you about our experiences at these places as well. Know that these are overall statistics that paint a generalized picture, and start there. Even if you don’t have a choice on where to go to birth, because we know that happens, these statistics can help you look at the norm where you will be delivering. They can help you know what to expect and watch for during your delivery.

Next use the numbers to start a conversation with your provider. Where do they deliver? What are their personal statistics compared to the facility? How do they feel about episiotomies?

We ALWAYS encourage everyone to have open, honest, and frank conversations with their providers. Don’t be intimidated by the white coats, they are people too. Keep it positive and be inquisitive, and go with your gut when it comes to making decisions regarding your provider and location for delivery.

We look forward to comparing 2020 with 2021 when those numbers come out!

What is the first question that comes to mind looking at this table?
Do any of these numbers surprise you?
Which of these statistics most line up with what you previously thought about these facilities?

Online Prenatal Yoga with Mandy Rodenberg

Mandy Rodenberg now has her prenatal yoga classes online in a FREE YouTube channel.

So many in-person events have been cancelled during this pandemic, and prenatal yoga has unfortunately been one of them for safety concerns. Mandy Rodenberg turned that lemon into some great lemonade by recording her yoga classes for students to watch and move along with her for FREE on YouTube! The first time I met Mandy, I felt and instant connection with her, and I am certainly not alone. I have had so many clients tell me that her soothing calm voice helped them during their pregnancy, and her prenatal yoga classes are an amazing chance for them to connect with their bodies and their babies. Mandy is a gifted yoga instructor, and all around fantastic human. Mandy let me ask her a few questions, and I think you can see from her answers why so many people love her.

Q & A:

Doula Group of Evansville: Why are you passionate about the restorative and healing properties of yoga practice, especially for the perinatal period?

Mandy: During my 200 hour yoga teacher training in 2009, we were asked to write a paper on ways yoga benefits and heals the body from injury. My teacher at the time allowed me to instead write about how yoga movements ease a mother throughout pregnancy and childbirth. My research solidified my passion for helping bring yoga together with the most life changing and amazing experience a woman will go through. Prenatal yoga will help moms start to understand the connection of mind and body and how and what movements make her body feel safe and nurtured and comfortable. She can use these tools to breath through a tough labor or even preparation for caesarian. She will learn to mother herself.

Doula Group of Evansville: What special training have you taken for prenatal yoga instruction & why is that important?

Mandy: I completed my 200 hour teaching certification in 2010 here in Evansville with Chris Crews as my teacher. Before I was even pregnant, I participated in a prenatal yoga class with another local teacher, Leslie Ward. I began teaching prenatal yoga in 2011, 6 months after giving birth to my daughter. In 2015, when I traveled to visit friends in Denver, Colorado I completed my Prenatal Yoga Certification at Belly Bliss Yoga. The training empowered me to focus on what pregnant mothers CAN do, instead of focusing on what they can’t. The teachers covered more that just the basics of yoga. One taught us about birth trauma and how to listen without taking on the emotions, but witnessing them for her. One afternoon class was all about the benefits of doulas and they put us through a simulation to help us to better understand the empowerment a doula gives the mom. The training was so much more than I expected. Truly though, my best teachers are my pregnant moms. By them reaching out to me, letting me know their own struggles and discomforts, I am able to be a better teacher. I usually teach live classes in 6 week sessions, and no two have been the same in all 5 years. I did also have the pleasure of teaching while I was pregnant with my second child, that was the best.

Mandy Rodenberg, prenatal yoga expert

Doula Group of Evansville: What sparked your interest in creating a YouTube channel to house such awesome resources?

Mandy: My husband, Andrew, and I both teach yoga at several locations here in Evansville. We were both home during the shut down in March and were wondering how we could continue to stay connected to our clients. We decided to try making videos that we could make available to everyone. We have resumed some in-person classes this past summer, but we have some clients that don’t feel safe returning to class. With our videos we hope to stay connected to our clients in hopes they do return to class when they feel safe. My prenatal yoga classes at Deaconess Women’s Hospital have not yet resumed since the shut down. The need to limit the number of people coming into the hospital is paramount to the safety of moms and babies, so all classes have been canceled for the time being. This year has been so stressful for everyone, I knew pregnant moms would need yoga and relaxation now more than ever.

Doula Group of Evansville: How did your own pregnancies, births, and postpartum experience influence your yoga practice?

Mandy: I am an anxious person, and had no idea until my first yoga class. I sat on my mat with my legs crossed and the instructor said to quiet your mind and focus on my breath. I had no idea that I was thinking all of the time. I still struggle with it. That was my biggest challenge with the birth of my first child, just trying to fully relax, to give in. I was fortunate to have great birth experiences with the support of my husband though. My pregnancies were both pretty blissful. I walked 3 miles nearly everyday and practiced my yoga, more so with my first pregnancy for obvious reasons. My second pregnancy I had the wonderful opportunity to teach prenatal yoga to a lovely group of mommas. I loved how we all mothered and supported each other. They would call me afterward to talk about their birth and give me support for my big day, which by the way I was still nervous about even though it was my second birth. My experiences guided me to form a style of yoga that simply focused on learning how to make your own body feel better through movement and relaxation. Sure my practice builds strength and flexibility too, but listening to your own body’s cues is what will help you through your toughest moments in labor, birth, and even motherhood. Yoga has helped me in every aspect of my life, but especially for motherhood. The postpartum period, or fourth trimester was really challenging for me. I realized that I just couldn’t do everything I could before. I think of my yoga practice the same way. I do what I can and when I can’t always roll out my mat, I try to be kind to myself about it. It’s hard. We moms have so much on our plate. I try to live my yoga, by breathing at traffic lights, watching my children play, enjoying nature, and trying to be in this moment.

Doula Group of Evansville: What is your favorite way to connect with clients in a virtual space?

Mandy: I have so far had most of my connections with clients through facebook messenger and posts. It warms my heart to have someone describe to me how they benefited from one of my classes. Comments help me to understand my audience’s needs. You can always click on the like button at the bottom of the screen and subscribe to my channel. Likes show me the most popular videos, and I can make more like them. You can leave me more personalized feedback in the comment section below on each video. I look forward to hearing from you. Thank you for this opportunity, Hillary to connect with moms. Ladies, you are in good hands with The Doula Group!

Prenatal Yoga Benefits

According to the Mayo Clinic, Prenatal Yoga has the following benefits to practitioners:

improved sleep
reduced stresss and anxiety
increased strength, flexibility, & endurance of muscles needed for childbirth
decreased lower back pain, nausea, headaches, and shortness of breath

Online learning is so quickly becoming the norm, even for childbirth classes. We are looking forward to a time when we can meet in person, but for now, online learning is where it is. We know that you will find Mandy’s YouTube channel a great stand-in until she can resume teaching in-person prenatal yoga classes. Have you tried prenatal yoga?