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!

“The Secret Menu”

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

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

Secret Menu for Pregnancy Top 5

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

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

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

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

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

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

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

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

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

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

Secret Menu for Birth Top 5

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

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

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

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

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

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

Secret Menu for Postpartum Top 5

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

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

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

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

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

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

We truly hope…

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

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:

  1. This Cesarean Section data  is for NSTV (research speak for 1st 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.
  2. 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%.
  3. 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%.
  4. 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.
  5. New numbers that reach or exceed the Leapfrog goals are in blue.
Hospital NSTV Cesarean SectionsEarly Elective DeliveriesEpisiotomies
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 Health29.5% (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, IN11.1% (12.8%)5.9% (0.0%)7.9% (9.8%)
Daviess Community Hospital Washington, IN17.9% (15.2%)0.0% 1.9%)8.2% (13.1%)
Good Samaritan Hospital Vincennes, IN20.7%4.0%14.2%
*Previously St. Vincent’s Medical Center of Evansville
**Previously Methodist Hospital of Henderson
DoulasEVV Evansville Doula Newburgh

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?