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. Â 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. Â 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. Â An epidural can facilitate the baby turning by allowing the pelvic muscles to relax. Â 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. Â 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
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The benefits to you having a doula team:

I worked as a “solo doula” from 2005-2010. Â 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. Â I never want to miss a birth! Â I think most doulas would tell you the same thing. Â 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. Â 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. Â We often have clients calling and emailing as their birthing time draws near. Â 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. Â We make every effort to have whichever one of us goes, to stay throughout the birth. Â One of us is with you from when you feel you need support, until about 2 hours after your baby is born. Â 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. Â 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. Â Assistance with normal infant care, again phone and email support as you adjust to parenthood, and additional resources. Â 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!
Also posted in Uncategorized, Vancouver Doula
Tagged doula, doula services, labour support, partnership, vancouver
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***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!***
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.
Enter to win a free Aquaborn rental for your birth!
Tell us why you are planning a home water birth and be entered to win! Â Please include your due date in your email. Â This contest is open to residents of Greater Vancouver and surrounding areas. Â Contest closes Jan 1st 2012. Â Good Luck!
Also posted in Birth Stories, Vancouver Doula
Tagged aquaborn, birth, birth pool, childbirth, easy birth, natural, pain relief, pregnancy, preparing for labour, support, unmedicatied, vaginal, vancouver, water, waterbirth
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Come to the Pomegranate Open House this Tuesday from 6:30pm-9:30pm
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! Â That’s just from Natural Creation – meet and explore the amazing support for growing families in the Vancouver. Â Hope to see you there!
Emily
Also posted in Breastfeeding, Events, Pregnancy, Uncategorized, Vancouver Doula
Tagged aromatherapy, birth doula, hospital birth, infant massage, labour, massage, postpartum doula, pregnancy, Vancouver Doula
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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 aquaborn, pool rental Va, waterbirth
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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!
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
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! Â 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. Â 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. Â 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. Â 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! Â 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.

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. Â 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. Â Enjoy yourself, and enjoy them! Â Happy mothering!
Also posted in Motherhood
Tagged expectations, new mom, parenting, parenting style
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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.

- Chelsea
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! Â 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 baby, calendula, comfrey, frozen pads, healing, How - To, pads, postpartum, pregnancy
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