Tag: doula

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!!

Doula Investment

We know that choosing to add a doula to your birth or postpartum team is a pretty big investment for most families, but you won’t regret it! From the time you hire your birth doula all the way through your 4th trimester postpartum, a doula can be there to help you every step of the way. Here are three ways your doula investment pays off for you:

“Is this normal?”

Pregnancy brings a whole lot of aches, pains, and questions about your changing body as you grow another human inside of it. Once you decide to make that doula investment your services begin right then. You get your doula’s phone number and can call or text them with ANY worries or questions you might have. We promise ZERO judgement for any questions, because we’ve probably already heard most of them before too.

We also know that the internet can be an overwhelming place for pregnant people. Not only can you ask your doula all your personal pregnancy, birth, & postpartum questions, but we also have an online classroom for our clients. Our classroom is filled with links, handouts, & even coloring pages that are helpful. We filter the internet, so you don’t have to worry about getting advice from random groups of possibly uninformed fellow parents.

Birth options

Contrary to popular belief, doulas don’t think everyone should have the same kind of birth. Investing in doula services means having someone on your team that wants to know YOU and your specific requests. Doulas invest in your experience, because that is our job on your team! Research has shown that doulas actually spend more time with you than anyone else on your birth team by the way, and that’s a pretty big deal. So whether you want to go without pain medication or want your epidural ASAP, a doula can still help you know all of your options. Doulas start getting to know your preferences during pregnancy and help you move through all those decisions during the entire process of bringing your baby earth-side.

Postpartum resources

Once your baby arrives, your doula doesn’t just ditch you! We have a ton of resources for families once you’re holding that baby. Whether you are looking for lactation information, local professionals that can help you physically recover, or even someone to come help out around the house while you shower, we can doula that. Sure our online classroom has resources for you, but sometimes you just need someone to come over and check on just you. Your birth doula will do just that.

Postpartum doulas are a newer thing here in Evansville, Indiana, but we are here to tell you that this is one doula investment that is going to knock your socks off too. A postpartum doula gives physical, emotional, & information support to families in the 4th trimester. Want someone to come do the dishes, fold your laundry, & give you non-judgmental feeding advice while never asking to hold your baby? That’s what a postpartum doula does.

You’re worth it too!

We know that the price-tag for doula services can leave you with sticker shock. We get it. We hope that this blog post has helped explain a bit of what you are going to get for your doula investment. No two client experiences are going to ever look exactly the same, and that is honestly a great thing. We want to help you have the best experience possible from the time you hire your doula until well after you cuddle your baby for the first time. Your doula will be with you every step of the way as much as you want them to be. The experience of bringing your baby into this world is one that will be with you forever, and hiring a doula who is entirely focused on you means investing in your well-being. We know you’re worth it, and we’d be happy to talk to you about how we might be able to help your family.

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!

Home Birth in Evansville, IN

Home birth is an option here in Evansville, and I love attending home births as a doula. This post will help you think through some of the considerations.

As a doula, I often get asked about home birth here in Evansville, IN. There are plenty of myths and misconceptions about home birth, midwives, and doulas, and plenty has been written on these. My purpose with this post is to give you Evansville area specific resources and a little bit of advice too. As always, I am happy to chat with anyone who has questions about home birth here, and about my experiences as a doula at home births as well.

Choosing Home Birth

There are plenty of reasons that people choose to birth at home. Currently, I am fielding concerned messages about the safety of the hospital and visitor policies. We haven’t seen a restriction of zero visitors here yet, but it could come in the future. One important fact: only low risk parents are able to choose home birth. That means if you have any risk factors such as insulin controlled diabetes or placenta previa, then you are not a candidate for home birth. The good news is that 85% of pregnant people are considered low risk!

Finding a Provider

There are currently 2 home birth midwives that serve the Evansville area: Michelle Sanders, CPM & Jennifer Williams, CPM. They are both Certified Professional Midwives who carry emergency supplies such as oxygen & medicine to stop bleeding. Both are newborn CPR trained, very experienced, and have local assistants in Evansville. They both hold prenatal meetings at their office spaces around 2 hours away. I believe they are both doing virtual visits currently because of the concerns about COVID-19.

Both midwives also require you to have a parallel care provider. That means if you hire a home birth midwife, you will still need to have another provider with hospital privileges such as an OB or family doctor. There are not many providers locally who are able to openly support home birth. That may be changing, but I am also happy to talk to you about which providers we have found to be supportive. It is important that you have an open and honest conversation with all of your healthcare providers about your wishes and plans for your birth.

Cost

Home birth is not cheap. It is also not covered by most insurance companies. You can ask your insurance about a “gap exception” for covering the cost of your midwife. The midwives are not able to bill your insurance, and you should expect to pay your midwife out of pocket and then to perhaps be reimbursed from your insurance company. Some people may be able to use their HSA or FSA for these costs, but again you should consult your individual company.

In addition to the cost of the midwife, you also need to factor in the cost of either renting or purchasing a birth tub and supplies for it if you want one. You will also need to purchase other supplies; your midwife will give you a list. I always recommend getting more towels than you think you would ever need and that you don’t mind throwing away if necessary.

Other Considerations

  • If you are thinking about a home birth, call early! Both of the midwives who travel here get busy very quickly, so don’t wait to contact them.
  • Study up on childbirth and coping techniques! You will want to know what to expect even more at a home birth. I will have a blog post up soon about online childbirth education options.
  • Unassisted Birth or Free Birth is not an option you should choose lightly. If this is something you are thinking about, please reach out to us so we can talk to you about some of the things you might want to consider. Home birth with a midwife and free/unassisted birth are NOT the same thing.

Home Birth Doula

I love being a doula at home births. I have worked with both of the above mentioned midwives. My job as a doula is very different than their job as a midwife. I have balanced on the end of a bed while holding my client in a supported squat position as she pushed her baby out. One client gave birth sitting on my lap. I’ve poured warm water over one clients back as a she labored in a birth pool for hours. As a doula at a home birth, my job remains to help my client ask good questions, move around, be more comfortable, & be emotionally supported. We doulas always try to fill in where we are needed, no matter the location. I often arrive before the midwife and their assistant. I am there to help you.

Reach Out

If you are thinking about home birth in the Evansville area and want to talk about your options, please reach out to us! I love talking about my home birth experiences. Birthing at home might not be the right choice for everyone, but it is an option here. I have spent the last 6 years gathering resources, making professional connections, and learning all I can to help support families in all kinds of birthing situations. I would be happy to talk to you about all of your options.

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!

3 Reasons to Hire a Doula

There are a million reasons that people hire a doula, and I’m only listing three here. As I have written before, families deserve support and doulas know a few things that can help you along the way. I love winning over the skeptics. I honestly find that many of the partners who were skeptical in the first place become the doula’s biggest fan when they meet us and see us in action. Birth and postpartum can be challenging; doulas are here to help.

1. Personalized Care

When you hire a doula you are getting a pregnancy, birth, and postpartum BFF who knows all kinds of great information and resources to send you. Doulas get to know you and what you want for your birth and the beginning of your life with a new baby. Sometimes you scour the internet and ask in parent groups online only to find conflicting and confusing advice. A doula can help you sift through that information for what you really need, what is evidence-based, and what will help you toward your own personal goals. We know about about pregnancy, birth, and postpartum.

2. Navigation

Navigating the healthcare system is challenging, and doulas can help with that too. When you hire a doula you get a professional person who knows the trail and can help you navigate the twists and turns. We have worked with many of the local providers in Evansville and Owensboro, and I always joke that we know all the stuff on the secret menu too. What I mean is that knowing the right things to request at the hospital can be extra helpful.

3. Zero Judgement

Hiring a doula means you have a completely non-judgemental person with professional support training and zero personal interest, because that is good and important thing. Doulas are there to serve you without agenda. We know our opinion is irrelevant and we are there to serve the birthing person and their partner. So no matter if you are planning to get an epidural as soon as possible, birthing at home with a midwife, or planning a scheduled cesarean, we can help.

Don’t take my word for it…

“Couples often wonder if they should hire a doula. Maybe your friends had wonderful births and didn’t hire a doula, why should you? All I can say is that doulas are like guides for the trek of labor. They know the landscape, are familiar with the people, sights, and sounds, and know special tricks that just might help you over a peak or through a valley or help facilitate that magical experience that lands firmly in your memory forever. And doulas are there for the whole family. They support partners, too, helping them understand what’s going on, get food, rest, and much needed breaks, and they can also guide partners in better ways to support the laboring parent. You do not have to go it alone. There are others who have trekked before you and know the way. Ask them for help.” (Transformed by Birth by Dr. Britta Bushnell, p136)

The path may be well worn, but sometimes having a doula can make it more enjoyable. Hire a doula to help you move around and suggest position changes. Hire a doula so your partner can go to the bathroom without leaving you alone. Maybe everything medical makes your partner nauseous. If you want someone there to go through it all with you, hire a doula. A doula works for you and nobody else, and that can be invaluable on one of the biggest days of your life.

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.

15 Doula Lessons from 2019

As an experienced birth doula learning is important to me, and I grow with each birth I attend!

Every single birth I attend is an opportunity to serve a family. I am always honored to be invited into that space. With more than 5 years under my belt as a birth doula, I still feel like I learn things each time. Even as I inch closer to 150 births attended, I am always in awe of the process and my amazing clients. I will never feel like I have seen it all, and this year definitely brought some surprises. Instead of posting statistics about how many births I have attended, I prefer to post about doula lessons that I have learned this past year. Some of these have reinforced things I learned previously, and others have challenged me in new ways. This year has been interesting in so many ways, and I love that I keep growing and learning along the way.

Here is my list of 15 doula lessons in no particular order:

1. In childbirth, faster is not always easier.

2. I don’t have to agree with all of your decisions to support you.

3. A little determination goes a very long way for labor and delivery.

4. Communication and trauma informed care are not taught to all medical providers.

5. Rice socks smell like burnt popcorn if you microwave them for too long.

6. Home birth can be beautiful beautiful beautiful! Make sure to remind people to PRACTICE with their birthing tub at home!

7. Things I may view as traumatic, may not be viewed the same as my client. Don’t project my views onto other people’s memories. Recovering from a challenging birth is really important for me, physically AND emotionally.

8. Sometimes I burst into tears at the magnificence of it all, and that is ok.

9. Repeat clients are seriously, just the best! VBACs are pretty amazing too.

10. Watch the partner’s face; those glimpses of true joy and love are amazing!

11. LISTEN to the birthing person; their opinion matters.

12. Sometimes clients still surprise me with their ferocity, and I LOVE that!

13. Amazing providers who give individualized care and continue to consider experience and preference over standard operating procedure give me hope! All the preparation in the world cannot make up for an unsupportive provider.

14. Trusting my doula gut when it says GO is still the right thing to do.

15. Patience is undervalued and wholly necessary.

2019’s doula lessons were not easy, and this is certainly not going to be a year that I will soon forget. As I grow in my doula knowledge and skills I am also constantly reminded of how much I really don’t know. These doula lessons all help to increase my confidence and capacity to deal with new situations, hopefully with grace and humility.

2019: Connection & Growth

A year for transition has been excellent for growing and connecting with so many new people.

Every year I pick a focus word, and for 2019 I chose: connection. It has felt like a year for transition for my business for many reasons, and I am looking forward to some exciting new connections and growth in the new year. Before we get there though, I think it is important to look back and recognize what was accomplished in 2019.

I started the connections of 2019 by orchestrating an entire blog series connecting with other great local businesses! This even included 2 giveaways to local businesses, and I am looking forward to hopefully coordinating more in 2020. I taught a new class this year on natural coping techniques for labor and delivery, and it seemed to go over really well with the students. I did not teach any group childbirth classes, but I did teach some private childbirth education courses. I had a few speaking engagements as well at Common Grounds connecting and growing with fellow entrepreneurs and at Central High School with students too!

Making connections and growing with fellow doulas and childbirth professionals was also an important priority for me in 2019. I hosted a certified lactation educator training, a birth doula training, and a TENS training for doulas in 2019. I helped plan a meet the doulas evening where we hosted potential clients who came to ask us all kinds of questions. Some of my favorite conversations happened around my kitchen table at our doula gatherings too, and those connections are always extra special. Additionally, I became a member of the Southwest Indiana Breastfeeding Coalition, and that has been really great way to learn, connect, and grow with all kinds of local lactation professionals too.

I made connections and grew through learning and the wider profession a priority in 2019. I continued serving on the data collection subcommittee of the advocacy committee of DONA International, my certifying organization. I attended and received continuing education at 5 online conferences through GOLD Learning. I presented and attended the Evidence Based Birth Conference in Lexington, KY. I reviewed three books for the Lamaze International blog this year too. I also cultivated connections with the whole wide world through the launch of The Birth Geeks Podcast with my friend and doula mentor Robin Elise Weiss.

All of these connections and growth, local to international, doula to client, brain to information, face to face, they have all been so very special to me. I am proud of the work I have done this year, and I haven’t even started talking about my connections with my amazing clients. (That’s for my next blog post.) 2019 has been a special year as I have stepped whole-heartedly forward and grown with each new connection that I have made. These connections have sometimes been hard won, but I would not trade them for the world. Thank you to every single person whose connections have been invaluable to my amazing year.

Families Deserve Support

The continuous support of a doula is supported by science!

The continuous support of a doula is an evidence-based approach to improve outcomes, decrease intervention, & increase satisfaction. Multiple scientific studies and committee opinions have concluded that doulas make a difference! This is an easy to read summary of the evidence if reading academic text isn’t your thing. As a birth doula, I believe that all birthing families deserve support, and not just on the big day.

These are the kinds of support that I have been able to provide for my clients in the past:

Prenatal

Knowing what all the local options are for prenatal care and planning for birth. Calming fears is another thing I do to support my clients in the prenatal period, and this comes in many forms, but most often through education. I also find myself supporting clients prenatally by connecting them with trusted professionals. This can be for all kinds of things including prenatal massage, chiropractic, and more. I also am happy to share my shopping tips when clients are looking for specific things!

Birth

As a doula, during birth I am giving physical support by helping my clients move around. I give hand massages and help keep their gown closed as we walk the halls. I also like to say that I help clients ask more questions about their care. This is part of helping them know what all their options are as well. I like to say that sometimes I help them order off the secret menu of options that aren’t necessarily the norm, but are perfectly fine to request.

One area that I wish I could support birthing families better here is during cesarean surgeries. All families deserve support, and it can be so hard for families when their plans go sideways. In many other places in the United States, they allow doulas in the operating room as a second support person. Doulas are even trained in how to behave inside an operating room, and how to support clients having a cesarean. Doulas are not currently allowed in operating room of all our local hospitals, but maybe we can change that in the future.

Postpartum: direction to proper resources & support!!

The most important thing that I can do for birth doula clients is to direct them to the people who are actual experts in the things that they are dealing with in the moment. If they have questions about breastfeeding, I make sure I send them to an International Board Certified Lactation Consultant. That is just one example, but knowing WHO to ask questions is really important. Breastfeeding is a great example because so many people don’t really understand how little training most physicians have in breastfeeding science, and they end up getting non-evidence-based advice despite best intentions by everyone involved. Part of my job as a doula is helping clients connect to the right people for whatever questions they might have. I don’t always have the answers, but I do make it my business to know who to send you to.

I have not had the capacity to serve postpartum clients this year, but VERY soon, I am going to have an announcement coming, so be on the lookout for that in early 2020!

All families deserve the support of a doula. Part of my job is helping insure you get the right support at the right time from the right people. I’m constantly learning, so I can continue to know the best local and online resources for my clients.

What was the most helpful resource you found to help you after you brought your new baby home?