Tag: hoosier doula

3 Things I Wish I Knew

Learning the hard way has always kinda been my thing. I have a kid who takes the same approach to life, and it is soo incredibly frustrating to witness. Looking back, there are several things I really wish I knew going into my first pregnancy, birth, and postpartum. I really tried to inform myself as much as possible, and honestly I maybe read too much–partly reflected in the B I got in one of my grad school classes the semester I found out I was pregnant–though all the vomiting & napping surely didn’t help that either. Some of these hindsight observations might surprise you! 

Approach Matters

I wish I knew the difference between the obstetric & midwifery approaches to prenatal care. While my friends were getting 5-10 minutes with their OBs, I was getting 30 minute talks with my midwife about all of my worries so that they had a whole picture of my life and not just some measurements and numbers in a chart. My friends who had family practice doctors for their care had much more similar experiences to mine with the midwives too, and for low-risk pregnancies some family practice doctors are amazing. Finding a provider that you’re comfortable with and who you don’t dread seeing is probably the most important part though, regardless of what model of care they practice. 

Expectations?

I wish I knew that giving birth inside a hospital could be an amazing experience. I read and heard ALL the horror stories about getting run over by the system. I walked into my birth fully armed with all the information and ready for a fight to get the birth I wanted. I ended up having the most supportive team around me including my amazing nurse, my midwife, my doula, and even the supervising OB who stopped by for my whole pushing stage and whose words frankly got me through to the end. I will fully own my privilege and say that being a middle class presenting, white, fairly attractive & fit person (at the time anyway)–all of those things signaled different things to the people in the room on how to treat me. But I didn’t expect everyone to be so kind and supportive of my plan to give birth without medication or intervention in a hospital whose reputation is a “baby factory” known for high intervention rates in the area. The support afterwards with lactation was also so great. I wish more people would talk about their GREAT experiences too. 

Right Way?

I wish I knew that there was no one right way to do all of this. My first time around, I was searching for what the RIGHT way to do things was. The lesson I continually come back to with parenting and birth and all of it, is that there is no one right way. I would have spent so much more time thinking about what was right for me and my family and my baby and the situation we were in at the time regarding finances, location, information, ability, capacity, etc. I stressed myself out to the point of exhaustion trying to find the “right” way, when I truly wish I had spent more time focusing inward and figuring out where & who to ask the questions when they came up later. 

When you look back on your pregnancy, birth, & postpartum, what did you learn through hindsight? Are there things that you would do differently? If this is your first time, I urge you to take the 20 years perspective and think about how important some things that you might be fighting for right now, might actually be in the grand scheme of things too. As a doula, I can say that how you remember this will stay with you for the rest of your life. Your experience matters, so find what is important to you and surround yourself with people who share your values and approach to things. What would you add? 

If you are wondering where to get started in your journey through pregnancy, birth, and postpartum, we have a resource just for you! Grab our free EBook written to help take the worry out of the beginning. Ready to talk about adding a doula to your team? Book a FREE 30 minute call to talk about who on our team might be the right fit for you. We also offer a FREE Biweekly newsletter with ideas, news, & resources open to anyone. We truly do want our experience to help improve yours!

Meet Birth Doula Eliza Brock

Eliza is trained & ready to help you have your best birth!

My first impression of Eliza was a recognition of a kindred spirit. She is incredibly genuine and earnest, and smiles easily. She didn’t balk at all when I mentioned our non-negotiables and came to our first meeting with well thought-out questions, especially for someone who was brand new to doula stuff. She is thoughtful and observant, and all of these traits will serve her greatly in her new role as a birth doula on our team at Doula Group of Evansville.

Eliza has spent the last nine years growing up with her big family in Newburgh, Indiana. She currently still lives in Newburgh with her fiance and two cats. She has worked as a patient care technician in pediatrics and has a passion for working with families and their children. Working as a doula is a career that she knew she wanted to pursue when she took child development in high school. Learning about the intricacy of families and their birth experiences inspired her to apply her knowledge to help others in her community as a doula. With a little experience, she’s going to have even more insider information to share with the families in her care too!

Eliza Brock, birth doula

Why did you want to become a doula?

When I started babysitting at a young age I realized I wanted a career working with families and their children. When I took a child development class in high school that solidified my choice to be a birth doula!

What do you love about living in Evansville?

I love all the local events that happen here and bring the community together for a fun time!

Where can we find you on a regular Saturday?

When it’s warm outside I love being outdoors with my fiancé!

Eliza has completed her training and is now working toward her certification. To that end, she is offering 1/2 off her birth doula services for her first 3 clients! Don’t wait; these will surely go fast.

Click here to book now!

Welcome to the team Eliza! We’re so excited to help you get started on your doula journey. The best part of working on a team of doulas: you’re never alone just winging it trying to figure out all the things yourself. Eliza has the most experienced team of doulas behind her helping every step of the way. I know she’s going to be an AMAZING doula for every family she serves!!

#ExpectingEVV Giveaway!

There are few things that I honestly love more than a great massage, and a FREE massage is even better. We’re giving away a prenatal massage to one lucky pregnant person near Evansville. If you are currently pregnant and living within driving distance of Evansville, IN, this giveaway is for you! The other awesome point of this giveaway is to help expecting parents in and around Evansville connect via social media. We want to help put the social back in social media & to help expecting parents feel less lonely too. Sound interesting? Read below for the rules to enter!

Why Massage?

Self-care is incredibly important all the time, but especially when you are pregnant. Growing another human is hard on your body, and not just because of the kicks to the internal organs. Massage is an excellent way to not only care for your body, but also to help turn your mind away from your worries and the demands of your life. Massage can help you connect with your body and the present moment too. The benefits of a massage with a skilled practitioner for a pregnant body are honestly phenomenal. We’re giving away one 60 minute prenatal massage with the marvelous Christina Renock (who also happens to be one of our amazing postpartum doulas). Christina has been practicing massage therapy for 10 years! This massage is an $80 value & you could get it for FREE just by entering our giveaway!

How to Enter

  1. Follow us on Instagram
  2. Subscribe to our Newsletter
  3. Post a picture or reel of yourself on Instagram using: #ExpectingEVV

Complete these 3 steps by 7am Central on Thursday 8/31/23. We will have a live drawing to select the winner on Friday 9/1/23 on Instagram.

Ideas

  • -show off your bump
  • -show us your favorite place in Evansville
  • -pregnancy announcement
  • -favorite place to shop for clothes & baby things

Get creative! We are so excited to connect with all the amazing expecting families in our area & hope you are too.

P.S. If you are a previous client, we are also doing a special private giveaway just for you! Check your email for more details.

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.

After a Cesarean Birth

CBAC, HBAC, or VBAC?

April is Cesarean & VBAC Awareness month, and we know exactly how important it is to recognize both of these ways of giving birth. We know that nationally, around 1 in 3 births happen via cesarean section, and locally that holds fairly true according to the latest available data. While we don’t know the full extent as to WHY the planned hospital birth cesarean rate is so high, “It seems increasingly clear that anxiety and easy access to many medical procedures at hospital may lead to increased levels of intervention, which in turn may lead to further interventions and finally to unnecessary complications (Olsen & Clausen 2023).” All of that is big picture stuff though, and this post is really seeking to speak to the patient side of things. We celebrate ALL births, no matter how they happen. Let’s talk about 3 big areas where doulas can help after a cesarean birth.

Postpartum

The first 6 weeks after cesarean surgery can be challenging. Your body really needs to rest, but you have a newborn to take care of too. Maybe you’re still dealing with pain when you get home and timing medications, or your other kids really want to cuddle but you’re worried they might bust your incision. Lifting restrictions make moving baby, other kids, laundry baskets, etc challenging after a cesarean birth too. Hiring a postpartum doula, even when you didn’t plan to, can be a huge help to your family and your health in those first 6 weeks. Whether you get a doula or not, delegating should definitely be in your wheelhouse, because your body needs TIME to recover properly in this postpartum period at home.

Recovery

Physical recovery is what most people think about after a cesarean birth, and yes that is really important. After that initial 6 weeks, you may want to talk to your provider about physical therapy to work on scar mobilization and pelvic floor therapy too. Yes, even after having cesarean surgery your pelvic floor might need some work. Honestly, I don’t know why pelvic floor PT isn’t a standard referral after having a baby, but that is a blog for another day.

Mental recovery after a cesarean birth is something that we need to talk about more. I often find myself processing with my clients who’ve had cesarean surgery to talk about how things went, even if I wasn’t there for that birth. People react very differently to having cesarean surgery, and we truly believe all feelings are 100% valid. Mental recovery can be very easy for some and others struggle with it for a long time. Processing with a birth professional like a doula or with a therapist trained in birth trauma can be really validating and helpful for some people. This is a service we offer for clients all the time!

Next time

The big question that many people have after a cesarean birth is often, what should they do next time. Should you try for a VBAC (vaginal birth after cesarean), maybe an HBAC (home birth after cesarean), or maybe a planned CBAC (cesarean birth after cesarean) is for you. There is no one right answer that will work for everyone in this situation, and there are many many factors that go into making that decision. As doulas, we tend to nudge people to think about 4 things when they’re discussing what to do for their next birth:

  1. What were the factors that lead to your cesarean surgery?
  2. How do you feel about giving birth again?
  3. Is there information or other support that would be helpful for you to know when making this decision?
  4. How will you feel about your choice in 10 years?

Everyone answers those questions differently, and honestly there is no one right answer that will work for everyone. One thing we can say with the utmost certainty is that no matter what your choices are, our doulas will be there to support you 100% of the way. We’re working to try to help hospitals understand the value of having your doula in the operating room to support you during your surgical birth too, and will keep pushing for this here locally!

We’re very grateful that cesarean surgery exists, as we’ve seen it save lives. At the same time, we know that it is often over used. We LOVE that VBAC is a truly viable option here locally with many providers, and have seen some amazing HBAC births too. Birth is honestly just amazing in all the different ways it happens. If you’ve had a cesarean birth and want support in any of the above ways, don’t hesitate to reach out to us!

I <3 This Community

11 days ago my family, including our sweet dog Buzz was safely outside staring at our house burning down. We lost almost everyTHING in that fire, including our cars. Everyone is ok, and honestly as quickly as it happened, I’m so very grateful for that. That is a picture of my living room the next day. I’ve met with clients in that living room. There is an antique birth stool on the table in the center of the picture that was a gift to me from my mother in law. I do NOT recommend losing your home and everything in it, including your cars, in a house fire, but I want to share a few lessons with you about it here:

Our Community is Amazing!

There were 7 fire trucks at my house in less than 15 minutes. That was impressive. They were all so incredibly kind, and I even got to see a familiar face who took a selfie with me…yes, seriously. Our neighbors came out to put clothes and shoes and blankets on us immediately. We sat in one neighbors’ house when it started to rain. We have had an endless stream of kindness coming our way ever since, and honestly have never felt so surrounded in love.

My doula community both here and around the world has also come together to help us feel the love. My doula mentor Robin Elise Weiss, who many moons ago also had a house fire, has been indispensable! She seriously ran a board meeting for me y’all. I’ve gotten messages from Australia, Germany, California, Canada, Mexico, and sooo many other places, and my heart is so full right now because of them.

2 Small Things

We had a small fire-proof box with all our important documents inside it like our marriage certificate, passports, etc. Get one if you don’t already have one and go make sure all your important documents are actually in it if you do. Change the batteries in your smoke detectors. Seriously, go check them! They can save you. If you don’t have one in your garage already, do that too!

Choose Kindness

There have been incredibly kind people that we’ve interacted with, and then there have been the outlier jerks. When in doubt, choose kindness every single time. I have learned so much about trauma and recognized much of it in myself and my family these past 11 days. We will continue to focus on the goodness and laugh about the ridiculous people, but seriously, choose to be kind to everyone you meet. You never truly know what someone else is dealing with in their life.

Pieces are starting to fall into place for what our life is going to look like for now. We’ve rented a house already where we can stay for the next year if we need to. Life goes on, and we are so thankful for all the kindnesses and for each other more than ever before really. Thank you to everyone who has reached out to us. Doula life continues, and I’m so grateful for the awesome team here that has provided seamless services as I’ve worked to get back to my managerial role. They have continually amazed me as I asked them to step into some roles that I typically have filled. I seriously LOVE this community more now than I even probably could have before this fire. Thank you.

Insider Information

Doulas have the inside scoop on local options without any of the insider bias and protections.

As a doula who has been working here since 2014, I’ve learned quite a bit of insider information that can be really helpful in several situations for expecting families. I recently had a great conversation with a nurse friend who was bemoaning the fact that because she works at a specific facility, she can’t warn people about specific provider habits or tell them all the things that she wishes she could because of policy. My reply, “I do that!” As doulas we are employed by our clients, therefore we answer to them. We get to say the quiet part that hospital employees might know but can’t say out loud, and that’s a pretty valuable service that doulas can offer. Here are three ways that we use that type of insider information with our outside voices.

Provider Selection

Have you ever wondered if your provider is the one driving up the episiotomy rate? The biggest issue I see is a lack of transparency regarding individual practice statistics. Until that issue gets solved, we doulas are happy to tell you what we’ve seen with our clients’ providers. Since 2014, we’ve had the privilege to be able to see most of the providers in our service area catch babies. That means that we know which ones like to pull the old bait and switch–telling you what you want to hear your whole pregnancy and switching gears to their agenda at the end, so late that you don’t even feel like you have a choice to switch to another provider. We know which providers deal well with push back and which ones don’t. We know which ones love to help you have a great experience in the OR and which ones will talk about sports ignoring all of your wishes. Wondering if your pediatrician is going to judge you for exclusively pumping or using a supplementary nursing system? We can tell you that! If you’re looking for a provider, don’t ask your friends or some random group of strangers on the internet all of whom probably only have experience with one or two providers max; ask a group of doulas who’ve actually seen them work and can talk to you about those experiences.

Policy vs Evidence

In case you don’t know, there are a TON of maternity care policies and practices that aren’t based on the scientific evidence at all. As doulas, we can not only tell you what the policies are, but we can also remind you that a hospital policy is not the law. In case nobody has ever told you: you cannot be arrested for drinking water during labor. We work for you, and know that not only is this type of policy not based on the latest scientific evidence or statements from organizations like the American Society of Anesthesiology, but also that it is cruel. We’ll remind you that you are the boss of your own body and you get to make all the decisions regarding what goes in and how things come out too. That’s doesn’t always make us popular, but it does make our clients happy.

Reporting

Whenever we repeat stories of medical mistreatment, we often hear the refrain, “oh I hope they will report them.” It’s pretty hard to report behavior if you don’t know how to do the actual reporting. Not only will we doulas help point out bad behavior, but we’ll help you know how to report it if that is something that you want to pursue. Seriously, we know what to do and will be happy to help you write the correct letters and deliver them to the correct people to help make sure people are held responsible. Reporting obstetric violence is really important to us by the way, and even if the information is supposedly publicly available, we know that finding it can be challenging and especially overwhelming when you have a new baby.

One of the benefits of being a doula is that we get this insider perspective without having any of the bias that comes from being employed by the facility or providers that we work with regularly. We’re employed by our clients. That kind of freedom comes with all the usual self-employment caveats, but it also means that we’re free to say the quiet part out loud. We’re free to talk about our experiences and let people know about which providers we wouldn’t send our worst enemy to versus who we’d let catch our babies. (Yes, there are a few locally that I’d still let do that.) That essence of doula service, the outsider with insider knowledge, is KEY to why we’re such a valuable part of your team!

Becoming a Doula

Way back in 2014, a mere month after walking the stage to receive my PhD in Medical Anthropology, I traveled to Louisville, KY to attend a birth doula training with the brilliant Robin Elise Weiss. Since then I’ve attended more than 200 doula client births and learned so much along the way. This is the story of how I became a doula.

When I got pregnant during graduate school (not something I recommend btw), I voraciously read everything I could about pregnancy, birth, and postpartum. I could not get enough, and I even had professors sending me articles about how babies learn language before they are born. Naturally I scheduled my German conversation course for the spring semester while I was pregnant. By the time I neared the end graduate school I’d had 2 children and wasn’t sure I wanted to be an academic. That was when the idea to become a doula really started to take hold.

I started in 2013 by networking with other doulas in Evansville, and oh my goodness they were all soo nice to me. They invited me to a “doula night” at one of their houses where they talked business, trainings, & all things doula. One of them even had a placenta in their freezer, and I knew these were my people. I was hooked. I went to the training in June 2014, and have been taking clients ever since then. None of those doulas I met that night are still taking clients, which speaks so much to how challenging this job can be, especially the unexpected bits of it.

The Unexpected Bits

I didn’t expect to need to run my own business. I know that sounds naïve, even to me now, but it is the truth. I wanted to help birthing families sure, but finding clients, building & maintaining a website, setting up the proper legal paperwork, social media, paying taxes, networking, and all that jazz were not part of the thought process of getting started. I may have had a PhD, but I had much to learn about business. I’m happy to say that I feel much more confident now, though the imposter syndrome does sneak in occasionally.

The challenge of life on call was not something I was wholly prepared for in the beginning. As a birth doula, I have to be ready to leave my life for a couple days with sometimes not much warning. I have to be willing to miss holidays and plays and family events to go be with my clients. When my kids were little, the biggest challenge was having childcare ready at any moment of the day for possibly an entire month of 24/7 on-call time. This is the part that I always talk to people thinking about becoming a doula about, because not everyone has the resources to be able to do that. The reality of how much energy being a doula takes also almost always has new doulas re-thinking how much they charge for their services, though that is a topic for another time.

The best unexpected bits have been the amazing connections that I’ve been able to make with clients and their families. I’m forever grateful to be a part of some of the most memorable moments of their lives. There are so many families that I’ve had the chance to meet and be part of that I would never have met otherwise. That is something so beautiful about this job and I’ll never take it for granted. Though it does sometimes make it challenging to walk through a crowd without someone yelling my name and getting random hugs. (BONUS!!)

Learning

I’ve continued learning from some of the best doulas around the world, and I’m going to keep learning probably forever, because that’s just my style. I’ve gotten amazing doula agency business advice from Jessica English. I took a brilliant postpartum doula training from Jen Chandlee. I continue to learn from Ann Grauer, who also trained the 2 other postpartum doulas on my team. I am learning about leadership in the doula world from Melissa Harley & Nikia Lawson all the time too. I’m sure this year will be a huge one of learning, as I step into the role of President at DONA International.

I’m asked all the time about how to become a doula. This is my story. I started with DONA International, and have worked hard to keep learning and growing as a doula. I have an abundance mindset, and I honestly feel like that has helped bridge so much learning and connection for me. It is also why I’m passionate that more people in Evansville should learn to be doulas too! I love talking to new doulas and am HAPPY when more doulas are trained here. I started Doula Group of Evansville so that more families could be supported by doulas and more doulas could feel supported by each other.

Ever thought of becoming a doula?

Becoming a doula has been one of the best decisions that I’ve ever made. It hasn’t been easy, but it has honestly been more rewarding that I ever could have imagined. If you’re thinking about becoming a doula, please feel free to reach out to talk to me. I will continue to pass on the kindness shown to me by the doulas here back in 2014 by always being willing to share my experience with others who might be interested in traveling this path too.

The Latest Local Maternity Statistics

Statistics reflect the culture of a hospital and the institutional priorities. What has changed here since 2017?

Anyone who has met me can tell you that I’m a huge fan of data! Words and images can hide a multitude of things, and opinions can be influenced by those too. But basing ideas and approaches to things on DATA is honestly my jam. Seriously, I get very excited about this stuff. Every year, Leapfrog Group publishes data they collect from hospital surveys about standards of practice. They measure all kinds of things, but naturally as a doula I’m the most excited to learn about the maternity care statistics. I’ve been collecting this information for our area hospitals since 2017, which is exciting because we’re definitely seeing some changes in the data. If you’d like to read my previous posts, you can do so here, here, and here. Please note, I did not collect the 2019 statistics because they were published in April 2020, and well, you all remember that year right? Without further fanfare, here are the 3 data points I’m always interested in seeing for our local hospitals.

Episiotomy

data from https://ratings.leapfroggroup.org/

I’m REALLY excited to see the episiotomy rate in serious decline because the evidence has been telling us they aren’t an evidence based routine procedure since the late 1980s!! It shouldn’t take this long to change, but at least it is changing. Don’t take my word for it, this paper concluded that, “Our systematic review finds no health benefits from episiotomy,” in 2005. Despite that scientific fact that has been repeatedly proven, as a doula in 2021 I heard a provider at a local hospital say that cutting an episiotomy would help prevent my client from “tearing too much.” I’m not naming names here, but I will if you call me. I have heard that the hospital this doctor works at requires all their physicians to provide explanation for every episiotomy they cut, so this particular doctor must be quite busy with those reports.

Early Elective Induction

Defined as scheduled cesarean sections or induction of labor prior to 39 weeks gestation without a medical reason, early elective induction can happen for a lot of reasons, but there are definite consequences to it. Here is what the picture looks like in our local facilities:

Hospital Goal: 5% or less2017201820202021
The Women’s Hospital Newburgh, IN1.4%1.7%6.8%4.1%
Ascension St. Vincent Evansville2.1%.8%0%0%
Owensboro Health2.1%1.4%.7%1.6%
Memorial Hospital & Healthcare Center Jasper, IN–0%5.9%6.3%
Daviess Community Hospital Washington, IN–1.9%0%Declined 
Deaconess Henderson Hospital–2.4%0%0.0%
Good Samaritan Hospital Vincennes, IN––4%0%
Local Statistics for Early Elective Induction

Cesarean Rates: what everyone really wants to know

Before you look at this chart, I want you to know what the data is telling us. An NSTV Cesarean is defined as first-time low-risk mothers giving birth to a single baby at full-term in the head-down position delivering their baby by C-section. Hospitals should have a rate of C-sections of 23.6% or less according to Leapfrog Group. Some people will argue that this rate should be 10% according to the WHO, but honestly that isn’t true. So what does this data tell you then? This chart shows you how many people pregnant for the first time with a low-risk pregnancy with one head down baby delivered their baby via cesarean surgery. This is also retrospective data, so it really isn’t predictive of the future or exactly what will happen to you either, but it does at least give you an idea of the culture of a place and what their staff sees.
The actual NSTV Cesarean Rates for 2021 are as follows:
  • 36.6% Ascension St. Vincent
  • 30.5% Deaconess Henderson
  • 28.9% Owensboro Regional Health
  • 24.5% Deaconess The Women’s Hospital
  • 17.6% Good Samaritan
  • 17.5% Memorial Hospital in Jasper
  • Daviess Community Hospital declined the survey this year.

What I Wish We Knew

As a doula, I always try to make sure my clients have the best most up-to-date information about their decisions. There is of course such a thing as having too much information, but I don’t think we’re anywhere near that right now with regards to choosing providers and birthing locations. These numbers honestly hide sooo much in the aggregated hospital data. How do I know what my provider’s rates specifically are for these things? They know them, but I have yet to find any providers willing to share that information readily with us. In fact, I’ve encountered a bunch of providers willing to say they don’t know them, when they get monthly reports from the hospital about their own statistics. What are they hiding & why? Why isn’t that information made public so that we can make more informed choices? I’d love to know about VBAC rates, induction rates, & percentage of high-risk vs low-risk deliveries. What about NICU admissions percentages and average length of stay in the NICU? Are there numbers you wish you could see when deciding on a provider and birthing location?

I’m going to keep watching to see how and if things change. I’m going to keep asking questions, as annoying as they might be. I’m a data geek after all. Transparency helps build accountability. Accountability can help push change and improvements. We’re all about improving the way things are done in our area, because seriously it is past time.

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One Size Fits None?

Hospital Gowns are terrible. First there is the fact that they leave your bum hanging out for the whole world to see, but they are also one-size-fits-none! Putting on a hospital gown is symbolic. It strips away your normal role of the clothes that you put on that morning and magically transforms you into a “patient” without any form of individuality or expression. Putting on that gown also visually communicates to anyone in the room what your “role” is there, and honestly strips away more than just your dignity. Studies have shown that when you put on that gown, you also strip away some of your perceived control and feel more vulnerable. What you wear affects how you feel, and it turns out that hospital gowns aren’t likely to make anyone feel powerful or better. 

Standard Operating Policies & Procedures 

Similar to those gowns, many other policies and procedures in the hospital make people feel bad unnecessarily. Standards are put in place for a reason, but many people have argued that hospital birthing policies and procedures are more often than not written primarily to protect the hospital from liability. That subject is a whole can of worms that I’m not opening right now, but my point to you is this: just because something is standard, doesn’t mean that it is required, evidence based, or that it fits with your plans/desires/wishes. Standard is the mold and you don’t have to try to force yourself into it. You can decline things and say, “no thank you.” Maybe you aren’t planning a “standard” birth or approach to your birth. Maybe your  postpartum and parenting plans and priorities are different from your pediatrician’s approach. That’s ok! One size honestly fits NONE and even as a parent with older kids, I still have to be a different parent to each kid. 

This is not to say that all Standard Operating Procedures (SOPs) are the exact same at every hospital or birthing location. In fact, we KNOW they aren’t and have seen that in action. A great example is the SOP for eating and drinking during labor. One local hospital doesn’t allow anything other than ice chips during labor, a practice not at all supported by evidence by the way. At another hospital where we attend a births, the labor and delivery nurses there taught me how they make “slushies” for laboring parents out of popsicles. At a 3rd hospital, they have a standard laboring mom tray of snacks and drinks that they bring. What are the policies and procedures where you are delivering? Are they followed all the time?  

What size fits you? 

There are so many lies that are told to us about pregnancy, birth, and postpartum, and one of those is that the standards are in place to protect everyone, evidence based, and enforced equally. I can tell you that is definitely not the case from what I have observed as a doula. In a medical system that is forced to treat patients as consumers though, you do have some power if you decide to hold onto it. If it helps, bring your own gown to wear during labor or go buck naked to remind yourself (and signal to the staff too) that you are not sick and are indeed powerful. It also sends a visual signal that you want something other than the SOP, whether you choose to say anything about it or not. Spend some time finding out what the policy is where you are planning to deliver and what aligns with your approach. Humans are not all the same, and figuring out what size fits your needs and wants is helpful to do before the big day. That is one of the things that doulas do too, help you find what works for you and your family. Keep asking questions and demanding the individualized care that you deserve just for being an awesome human being with a new one in your care.