Category Archives: Birth and Postpartum Doula

Labouring with a Posterior Baby

Having birthed 2 posterior babes, and supported many women through labours with posterior babies – I have learned a few things worth sharing with mamas to be, and doulas.

First off are signs to look for.  A well known “symptom” of a a posterior labour is back labour.  Back labour isn’t necessarily an indication that the baby is posterior, some women experience back labour because of previous back problems or muscle strain, but it should be taken into consideration that it may be an indication of a posterior baby.  Another clue to baby’s position is the contraction pattern. A typcial contraction pattern for posterior babies is coupling.  First an intense wave / contraction, then followed by a less intense one, then a longer gap followed by a strong one, quickly followed again by a less intense one, and again.  An observaion of this wave / contraction pattern should alert the doula to the possibility that the baby may be posterior.  A long first stage or stalling in active labour is another indicator.

Secondly – consider how the posterior position impacts progression and birthing.  When a baby is posterior their head does not apply the same even pressure the cervix that an aterior baby does, and this can cause a delay in dilation.  Posterior babies are generally associated with longer harder labours, but there are solutions!

For some more information on solutions I refer to you to the Spinning Babies website.  I could re-iterate everything she has here, but her website is dedicated to dealing with babies in “difficult” positions – so go there to learn more about optimal fetal position in late pregnancy and early labour, and physical ways to help turn your baby / your client’s baby anterior.  Using inversions (shown on the SB website), pulsatilla homeopathics, hands and knees positions, rebozo techniques, lunges, positive visual cues, and patience babies will often turn to a more optimal position.

IF the baby does not turn, it may do so later in the labour, or it may simply be delivered posterior!

As for medical interventions: often in a posterior labour, if a mom’s dilation stalls for a significant amount of time, an epidural may be recommended.  An epidural can facilitate the baby turning by allowing the pelvic muscles to relax.  I have also seen a mom have her baby manually turned to the anterior position after the relief of an epidural and with the skilled hands of an OB.  Before all that though – check out spinning babies, and keep these 3 tools in your doula bag / birth kit: a TENS machine to relieve back labour, homeopathic remedies pulsatilla to encourage baby to turn, and caulophyllum to stimulate a more regular contraction patter, and a rebozo that can be used to “sift” the belly encouraging baby to turn.

For me personally: I had an epidural with my first baby when I stopped progressing at 6 cm – it was disappointing as I’d planned an unmedicated home birth.  My son didn’t turn in the end, but I did fully dilate after another 10 hrs and I delivered him vaginally - posterior and asynclitic .  My second baby was posterior for weeks leading up to the birth, and I did everything I could to try and turn her – she simply refused – so I surrendered myself to delivering another posterior baby.  What a difference between the 2 births!  As my body had done it all before (and other factors I’m sure), it took only 3 hours as opposed to 46 despite her position.  Now pregnant with #3 I am almost certain that my body simply favours a posterior position and anticipate to deliver that way again.  So although we do talk about “optimal” positioning for a good reason – if you do all you can and baby remains in their chosen position – have faith in the process!

Also posted in Uncategorized, Vancouver Doula |

1 Comment


Doula Partnership

The benefits to you having a doula team:

  • If you require physical support from your doula for more than 24 hrs it is often helpful to have a rested doula with fresh energy!  It is wonderful if you have already gotten to know and develop a relationship with both the doulas that may be attending your birth.
  • If your doula is sick or has an emergency, you will need a backup! Again – knowing the person standing in is part of what helps you feel relaxed, and comfortable.
  • Your doula can get in touch with her partner in births where some brainstorming may be helpful – in a partnership you are drawing on doubled years of experience while maintaining confidentiality within your support team.

I worked as a “solo doula” from 2005-2010.  I was on call 24/7 and had a couple of near misses where one client was in labour before their expected due date, another was running late, and I was concerned I’d have to send a back up for one of my clients.  I never want to miss a birth!  I think most doulas would tell you the same thing.  We develop a relationship with our clients, we love birth, and we want to be there to support the people who have given us the honour of choosing us as a member of their support team.

In 2010 I met Jill Colpitts.  What a lovely she is!  A busy woman, running Midwifery Supplies Canada, Mama Goddess Birth Shop, teaching CPR, and a doula.  I was working as an office manger at Pomegranate Midwives, the busiest midwifery clinic in Vancouver, parenting my 2 boys, and running my online business.  We started discussing our passion for birth, our love of doula work, and the challenges that come with juggling other work with being on call.  This was the first time I’d considered partnering with another doula – as we talked I felt that our philosophy in supporting families, our commitment to clients, and our need to find more of a balance in our busy lives would make us a perfect pair.  I asked Jill if she’d ever considered a doula partnership, and the rest is history!  Between us we have supported over 150 families.

Jill and I attend interviews with potential clients together.  Us working on a call schedule means that our clients need to feel great about hiring us both, because either of us could be on call the day their baby decides to make his/her way in to the world.

If a mother and her partner choose to hire us, we each attend one prenatal visit allowing some one on one time to get to know each other.

We provide our clients with a call schedule – we use a Google Calendar, so for those that have gmail we just share the calendar, and those that don’t I send a PDF.

We offer on call support 24/7.  We often have clients calling and emailing as their birthing time draws near.  We welcome any questions or chats, whether it’s regarding a discomfort, a fear, or an excitement and suggestion needed for infant carriers!

When early labour begins we ask our clients to give us a heads up.  We make every effort to have whichever one of us goes, to stay throughout the birth.  One of us is with you from when you feel you need support, until about 2 hours after your baby is born.  If you are birthing at home we tidy and throw on a load of laundry, make you something to eat and make sure you are settled in for some rest.  If you are birthing in the hospital we again make sure you get something to eat, assist with latching baby and help with getting you settled in with everything you need from your car / hospital bags.

We also provide postpartum support.  Assistance with normal infant care, again phone and email support as you adjust to parenthood, and additional resources.  Jill is close to finishing up her requirements and becoming a La Leche League Leader, we are both breastfeeding our own babies and are very experienced in supporting women in breastfeeding.

Our partnership in doula services allows us to offer you experienced and immediate support.  Please feel free to contact us to find out more or set-up an interview!

Emily

 

Also posted in Uncategorized, Vancouver Doula | Tagged , , , , |

Leave a comment


Tips for Achieving a Positive Birth Experience

***Please be aware that not all of the tips given are necessary or safe for everyone – please talk to your midwife or doctor about all of the information here before using any of it!***

  • Eat well – it is important to maintain a healthy diet throughout your pregnancy.  Frequent, small meals high in protein throughout the day will help minimize sugar cravings and maintain energy levels.  Snacking on nuts and vegetables is a great way to nourish your body.  Fruits and sugary snacks should be kept to a minimum so as not to increase your risk for gestational diabetes.
  • Exercisemaintaining flexibility and fitness levels is important for the work of labour!  Prenatal yoga, swimming, and walking are all excellent forms of moderate exercise.  Exercise can help you maintain your energy levels and improve your sleep and overall comfort throughout your pregnancy.  Be sure to consult your health care provider before beginning any new exercise routines, or if you feel any unusual discomfort.
  • Cervical Ripeningbefore labour can begin, the cervix has to soften and shorten.  Acupuncture, the application of evening primrose oil to the cervix, sexual intercourse, and the use of homeopathics can all aid in the progression of cervical ripening.  Make sure the acupuncturist you see is experienced and specializes in working with ecxpectant mothers, and of course consult with your health care provider before doing anything to ripen your cervix.  Cervical ripening (if approved by your health care provider) is often something that one would begin at around 36 weeks.
  • Perineal Massage - massaging the perineum before childbirth helps to stretch the tissues, and more importantly – creates an awareness of the muscle.  When a baby’s head is crowning, the mother must consciously relax her perineum to help prevent tearing- this can be a challenge unless one devlops an awareness about this muscle, and practices relaxing it even when there is pressure against it.  Ask your health care provider or doula for a hand out with detailed instructions on how to do this and what stage of your pregnancy this is appropriate.
  • Educationgroup or one on one prenatal education classes can make a big difference for people.  Also reading inspiring and educational books can help you gain an understanding about the physical and emotional changes you can expect throughout your pregnancy and labour.  Become aware about common medical interventions and medications – find out the common reasons for their use and the possible side affects.  Ask questions of your doctor, midwife and doula - knowledge is power!
  • Meditation practicing meditation throughout your pregnancy, and particularly leading up to labour can help you stay feeling centered.  Meditation can mean many different things for different people – it can be guided meditation with a mentor, or simply taking 10 minutes out every day to sit and enjoy nature, or some quiet time to connect with your baby and your body.
  • Choose your support team carefully -  people often envision a bit of a gathering for their birth, it’s important to realize that labour is a very primal experience and one needs to feel comfortable on every level to do whatever it is their body feels.  It’s a good idea to have an extra set of hands because labour can be long and often requires a lot of: massage, counterpressure, the fetching of food and beverages, preperation of comfortable places, photo taking if desired, additional information and suggestions when mom and partner are exhausted, giving the partner a break to pee / eat/ sleep when needed, and of course reassurance and support for the partner as they support the mother.  Choose somebody that you feel comfortable vocalizing around – if the people you have in mind are going to be anxious about seeing you experience intensity, or fearful of possible complications, or tend to ask a lot of questions for reassurance (ie: are you ok? do you need anything?) it may be wise to consider other support people or deligate someone to guide and reassure the people you have with you.
  • Hire a doula doulas are educated and experienced in such a way that they help create a quiet, calm, and confident environment through gentle guidance and reassurance to loved ones and the labouring mother.  A doula can offer updates, reassurance and guidance to family or friends that are present or waiting near by; a doula provides the mother with physical necessities (or guides her partner to) without having to be asked; a doula offers appropriate phrases and statements to mother and partner for the various stages of labour; a doula can provide, and show the partner, acupressure to ease pain for the labouring mother; a doula often carries heating pads, homeopathics, aromatherapy and other tools to help mom cope with the intensity of labour; a doula can help the parents remain calm, informed and empowered throughout even a complicated labour therefore creating a more positive birth experience.
  • Perineal healing – after giving birth many women experience discomfort as a result of hemorrhoids, tearing, or swelling – this can be soothed by applying cold pads soaked in Natural Creation Postpartum Wellness Bath Tea.  Postpartum Wellness Bath Salts can also be added to a hip bath.  Taking homeopathic arnica can also help reduce swelling, and sore muscles over the whole body (again – consult your health care provider).

For more information on how to help achieve a positive birth experience please contact a doula in your area Vancouver –  Kelowna —  Victoria for a free consultation.

Also posted in Motherhood, Uncategorized, Vancouver Doula | Tagged , , , , , , , , , |

Leave a comment


Enter to Win a Free Aquaborn Pool Rental!

Enter to win a free Aquaborn rental for your birth!

birth pool rental

Aquaborn Birth Pool

Here are some of the benefits to using water for your birth:

  • greater comfort
  • ease and freedom to move
  • reduction of pressure on the abdomen
  • can make contractions/ pressure waves feel less intense
  • helps mother to conserve her energy
  • promotes relaxation
  • can speed up birth
  • helps to relax the pelvic floor muscles
  • can reduce the need for drugs to artificially stimulate labor
  • can reduce the need for pain medication
  • water can help mom focus inward as birthing waves strengthen
  • Aquaborn pool are large enough that the mother’s partner can be in the water with her, supporting her
  • can reduce tearing

Some benefits to renting your birth pool:

  • cheaper to rent than buy
  • submersible pump, air pump and disposable liner are included in the fee (these items can add $200 to the cost of purchasing)
  • you don’t have to worry about selling or storing your pool after the birth
  • the pools are inspected and sanitized before you get them

Tell us why you are planning a home water birth and be entered to win!  Please include your due date in your email.  This contest is open to residents of Greater Vancouver and surrounding areas.  Contest closes Jan 1st 2012.  Good Luck!


Discuss this in the Forum!

Also posted in Birth Stories, Vancouver Doula | Tagged , , , , , , , , , , , , , , |

Leave a comment


Event this Tuesday!

Come to the Pomegranate Open House this Tuesday from 6:30pm-9:30pm

 

Pregnant in East Van

I will have Natural Belly Bars on sale for $9 (reg 13.95)

Home Birth kits on sale for $22 (reg $28)

Postpartum Bath Teas on sale for $5 (reg $8.95)

Serious savings at this wonderful community event!  That’s just from Natural Creation – meet and explore the amazing support for growing families in the Vancouver.  Hope to see you there!

Emily

 

 

Also posted in Breastfeeding, Events, Pregnancy, Uncategorized, Vancouver Doula | Tagged , , , , , , , , |

Leave a comment


Research on Maternal Separation

Most of my clients are certain of a few things from the beginning – one thing is that they want immediate skin to skin contact with their baby, as long as it is medically safe.  There is always new research and further confirmation to support this basic instinct.

Baby

Sleeping Baby

Ways to reduce the need for your baby to be separated after birth are:

- interview your health care provider

- keep healthy throughout your pregnancy

- hire a doula 

- educate and prepare yourself – knowledge is power

 

 

Maternal Separation stresses Baby, Research Finds

ScienceDaily (Nov. 2, 2011) — “A woman goes into labor, and gives birth. The newborn is swaddled and placed to sleep in a nearby bassinet, or taken to the hospital nursery so that the mother can rest. Despite this common practice, new research published in Biological Psychiatry provides new evidence that separating infants from their mothers is stressful to the baby.

It is standard practice in a hospital setting, particularly among Western cultures, to separate mothers and their newborns. Separation is also common for babies under medical distress or premature babies, who may be placed in an incubator. In addition, the American Academy of Pediatrics specifically recommends against co-sleeping with an infant, due to its association with Sudden Infant Death Syndrome, or SIDS.

Humans are the only mammals who practice such maternal-neonate separation, but its physiological impact on the baby has been unknown until now. Researchers measured heart rate variability in 2-day-old sleeping babies for one hour each during skin-to-skin contact with mother and alone in a ….” Read More

 

Also posted in Uncategorized, Vancouver Doula | Tagged , , , , , , , , , , , , , , |

2 Comments


Register your Waterbirth!

If you had your baby in water, at home or in the hospital, register it here!  Waterbirth International is an excellent site that provides positive birth stories and information about birth pools.  This organization is collecting data about births to “provide extremely valuable information about the safety and efficacy of  Waterbirth”.  I just registered our daughter Camille’s birth!  One of these days I will get around to finishing her birth story and share with you the joy of her Waterbirth!

To rent an Aquaborn pool for your upcoming birth visit our rental page.

Also posted in Birth Stories, Motherhood, Vancouver Doula | Tagged , , |

Leave a comment


Finding your parenting style.

A conversation I find myself having with many clients, friends, and myself ;) is about the decisions we make around schedules vs no schedule, co-sleeping vs sleeping separetly, and how all these decisions impact our children as they get older.  So what do you do?  We receive a huge range of opinions and advice from various friends, family members, books and websites.  What’s the right answer?  If we respond to a crying toddler every time they make a sound are we spoiling them?  If we sleep with our babies are we setting them up for sleep issues in the future? If we let children cry it out are we damaging them? if we respond to them crying are we damaging them?

Baby Bear at 3 days old!

Baby Bear at 3 days old!

So here are my thoughts:

First – despite the sleep deprevation, the various ideas we have coming at us from every angle, and our worries about the future I really feel the most important thing we can do (or try to do) is be present – think about the now and how you feel in your gut.  Every mother is different, every baby is different, and every mother and baby’s relationship is slightly different! So there is no recipe.   There is no “right” answer to any of these questions except the right answer for you and your baby’s unique needs and wants.  If you feel instintctually that one way or another is better for your baby, then listen to that.  Try not to worry about the future and what you are setting up for you and your child because if you are acting from a place of love you are doing the best thing you can.  Which leads to my second point…

Secondly – be aware of your own needs.  You may have certain beliefs, and sometimes they collide with your own sanity!  What I mean by this is: you may believe that you should let your baby cry it out, you’ve been told this is what they have to do, and you believe it – you may find that you really feel terrible hearing them cry for X amount of time, and it’s actually affecting your stress levels.  If you find that your stress is higher, you’re not taking care of your needs.  On the other hand – you may believe that co-sleeping is the way to go, you may believe in rocking your baby to sleep etc., and you may find that your stress levels are affected because you personally aren’t getting enough sleep.  This is where the balancing act comes in with checking in with your intuitive sense of what to do, and also recognizing your own needs.

My personal experience (thus far) – I thought I would co-sleep with my son indefinitely, I thought I would nurse him until he was 2, and I thought many other things before I began parenting!  I co-slept with my son until he was 9 months old (or there abouts).  I loved it most of the time, and then towards the end I found that he was nursing frequently in the night, rolling around and kicking me accidentally in his sleep, and overall I was not getting an appropriate amount of sleep for my own needs.   I was a single mother living alone, and I thought this would make the perfect situation for my son to decide on his own when to leave my bed, but in the end I decided I needed my space and my sleep, and I moved him into his own bed.  Despite what I’d dreamed of while pregnant with him, I decided that it was time for him to sleep on his own, and at 15 months I decided I was finished nursing.

Nursing

Nursing

I weaned my son, and wondered if I was doing the right thing – but I had to listen to my body, and I was exhausted!  I hear of some babies weaning themselves before a year – and I think if I’d let my son self-wean if would have been 3 or 4 years.  I admire people that nurse their children until they themselves are ready – it requires a lot of energy to keep producing the milk, and it also requires self sacrifice of allowing your child access to your body.  Don’t get me wrong – I can’t WAIT to nurse the baby currently in my belly, I have many fond memories of nursing my son, and at times still miss those moments.  I just reached a point where it wasn’t enjoyable for me anymore, and it was something I wanted to end while it was still positive before resenting it!  I had moments when my son was 2 where I wondered if I’d made the right decision, I questioned the choices I’d been making along the way, but now he is 4 and I feel good about how secure, confident, and well adjusted he is.

Ethan carrying Walter in a sling

Baby bear carrying his Cabbage Patch Kid in a sling

It gives me confidence to take each moment as it comes, to listen to my baby, to listen to my heart, and to trust that if I act from a place of love for my child & myself all will be well.

What I’m taking from my last experience with a baby into this one is to be more relaxed about it all!  If I could share one thing with new / first time moms (and what I will be re-reading here in the difficult moments) is that all you can do is your best, and that IS enough!  Love your baby, love yourself, and all will be well.  Don’t be afraid to ask for help when you need it (goodness knows I did!  11pm calls to my best friend / dad when I had to change the bedding for the 3rd time after baby bear puked / pooped on everything & he STILL wasn’t sleepy), try to take the pieces of advice (from the many people that offer it) that ring true for you and ignore the rest, and above all remember time changes all!  If it seems like your baby will never sleep through the night, know that this is temporary.  If you’re struggling to get the latch right or master nursing while lying down – know that it won’t be long before that is a distant memory.  If your baby has a couple of fussy days, don’t worry – soon he / she will be cooing, smiling, and melting your heart once again.

Loving and taking care of yourself enables you to be the best mother.   Regardless of where you choose to have your baby sleep, how you choose to feed your baby, whether you wear your baby or push him in a stroller, when you choose to leave your baby with a friend or family member for a break: love is really all our babies need to grow into their loving selves.  Enjoy yourself, and enjoy them!  Happy mothering!

Also posted in Motherhood | Tagged , , , |

Leave a comment


Silent Doula

She holds your hand.

She wipes the hair from your eyes.

She refills your water.

She brings the straw to your lips.

She gives a reassuring smile to your partner.

She massages your back.

She warms compresses.

She turns down the lights.

She trusts that, you know how to birth your baby.

doula_3.234101330_std

- Chelsea

Tagged , , , , , |

1 Comment


How To Make Healing Postpartum Pads

Natural Creation’s Postpartum Wellness Tea contains the healing herbsCalendula and Comfrey. These Herbs are known for their ability to repair and rejuvenate skin cells, making them ideal for healing after childbirth. Icing your perineum after birth can help bring down swelling and numb discomfort.

Here is how to make healing frozen pads with Natural Creation’s Postpartum Wellness Tea.

Step One:

Boil one liter of water. Remove from heat.

Step Two:

Add tea bag to boiled water. Place lid on pot and steep for 2 hours.

Step Three:

Over the sink, pour infused water onto a thin maxi pad until the pad has fully absorbed the water before water starts dripping.. Repeat with other pads until water is used up or you have the desired number of pads (remaining water can be added to hip baths).


Step Four:

Re-wrap pads in their original packaging, place them in a ziplock bag and in the freezer.

Step Five:

Place frozen pad on top of whatever heavy flow pad you are using for your lochia and this will also absorb the liquid as it melts to your body heat.

After baby is here, you may not have the extra time to prepare pads, so plan ahead. Making Postpartum Pads is a great early labour project. Have the instructions available so your support team can make them for you if you run out of time or if you need more.

Postpartum Wellness Tea Pads are a must have for any new mom, and all Natural Creation doulas make these pads for their clients!  If you are an expectant mom, or a doula wanting to provide your clients with this amazing healing relief, purchase a pack of 4 Postpartum Wellness Bath Teas to make the pads and healing infused water for baths!


Also posted in How - To, Products | Tagged , , , , , , , , |

Leave a comment


Web Design, WordPress Development & SEO by BE3Designs