Tag Archives: labour support

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

 

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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

 

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The Birth of The Doula Within Me

It was 2004 and I was ready to figure out my calling in life. I knew I wanted to be in some area of medicine, but how does one choose which area? I decided to go to overseas and do some volunteer work. There I would get some exposure to a variety of areas of medicine and hopefully I would be able to narrow it down.

I made a spontaneous decision. I traveled to Uganda with an organization called Friends of Mengo to do the groundwork for a study on how selenium supplements affect the quality of life in AIDs patients. This turned into an incredible 6 month adventure. I was given the opportunity to sit in on many surgeries, work with TB patients, do home visits to AIDs patients, and work in an orphanage with several infants as well as toddlers. It was at Sanyu Babies Home where I discovered my maternal instinct. I had no experience with newborns before this trip, and there was a couple of days where I was alone in the nursery feeding and changing 5 babies under 3 months. I quickly learned how to help care for these babies, and grew very attached to many of them.

At Sanyu Babies home in Uganda 2004

At Sanyu Babies home in Uganda 2004

I traveled to Kitgum in northern Uganda. Here, I had the honour of shadowing in a maternity ward at St. Joseph’s Hospital. I participated in rounds with the Dr.s and deliveries with the midwives. I was given the opportunity of checking dilation, starting IV’s, and participating in many other medical tasks that helped me to gain a great deal of background knowledge about the process of birth, the physical changes and possibilities in the birthing mother’s body, and a tangible understanding of the changes that occur throughout labour. I watched women labour with such strength, and I saw the ways in which they coped and moved through the intensity.

I was in awe when I saw my first birth. I was amazed at the abilities a woman’s body has to accommodate another being both in pregnancy and in childbirth. I knew then that working with labouring women was my calling.

When I returned to Canada I started a Bio-Psych degree with the goal of going to med school, and I began researching ways to get involved in childbirth. I discovered the role of a doula, and I was fascinated. After much reading and studying, I began my work as a doula. I volunteered at a few births where I gained experience in the emotional and physical support techniques by learning from midwives and nurses.

In June of 2006 I became pregnant with my own son.  I chose midwifery care and a doula for my birth. Without the support of my midwives Lorna McRae, and (then student midwife) Leah Seibert, and my doula Chelsea Lafrance – I know that I would not have succeeded in having a vaginal birth of a 9lb 6 oz. posterior, asynclitic baby. I gave birth in the hospital with obstetricians and pediatricians present, and I saw how well the midwives and the hospital staff worked together with my doula.  It has now become my longterm goal to attend the midwifery program, and my interim goal to offer my extensive knowledge, experience, and expertise to help families to achieve their own unique goals in the birthing process. I work well with doctors and midwives, and I am experienced in home births as well as hospital births.

I am here to provide resources and information, choices and solutions, tools and techniques. I am available for your emotional and physical needs, to gently guide partners and loved ones in supporting the labouring mom, and to help you achieve a positive journey.  It is my role and my joy to empower you in the birth experience, and ultimately as parents.

Birth Doula Services ~ Postpartum Doula Services ~ Contact Me

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“Birth with my Doula” – Livvy’s Birth Story – Shared by Allison

My first pregnancy was very easy. I decided not to have a doula – against the advice of my friend (who is a doula). I didn’t want to have “other people” invade my private experience, but I was more than fine going with a doctor, in a hospital, and going the medical route of labour and birth.

When I started leaking some fluid, I had to go to the hospital to confirm it was amniotic fluid and not mucous I was leaking. When that was confirmed, I wasn’t allowed to leave. I was induced less than 6 hours later because my labour hadn’t yet started on it’s own. Because of the induction, the contractions came hard and fast with no rest in between and after about an hour or two and being only 2 cm dilated (I was 1cm before even going to the hospital) I opted for an epidural. My mother and husband could only sit by and rub my hand, no idea how to help or what to say. The epidural was a lovely feeling but I had no idea the consequences of the epidural or the induction on my body or on my baby. Another couple of short hours later, they discovered my baby was breech and a c -section would have to be performed.  All of this lead to a very dopey, unfocused birth with many “other people” coming in and out and not knowing what was going on or where my baby was and not really participating much at all in her entry into the world – something I was not prepared for and not even aware that I would feel so badly for it.
Because of all of these “snowball” effect events, I decided next time would be different.
My second pregnancy consisted of reading material such as Ina May Gaskin’s Guide to Childbirth and the video “The Business of Being Born” and had my husband do the same. I went to a midwife and asked my friend Emily to be my doula. I was going to attempt a VBAC.
There are so many things I was happy about with my above choices. 1) I would not be medically induced because of the stress it puts on the body, it risks opening the uterine scar from my c-section. 2) Epidurals were an options, but not recommended because then I wouldn’t be able to feel if my scar did open during labour. 3) All of my labour partners were in full support of a natural birth and would be coaching me to stay as close to that goal as possible.
When I did go in to labour, I called my doula first. My contractions had been going throughout the night, and were about 5 mins apart, but only lasting about 30 seconds at 5.30am on Monday morning. She came over around 7am and chatted, did our dishes (!), made sure we had food for labour for both me and my husband, and made frozen tea pads for perineal healing after the birth. She left for a few hours, calling to check in, to run a few errands, and returned around 4pm,  My contractions still weren’t longer or closer together, but they were more intense, and I was having to moan through them instead of just breathing. She would moan with me, time my contractions, make sure I was getting fluids between them, make food for me, suggest other positions to help the pain, and by 6 or 7pm, when they were getting longer and more intense still, she would apply counter pressure to my back and hips and sway with me while we moaned together to keep the tones low.
When it was time to go to the hospital, she was right there with us, knew where to go, helped put bags away in a corner, grabbed a birthing ball for me to sit on, and prepared beverages and cloths to help keep me cool and hydrated. Every time I had a long or intense contraction she would help keep my tone low when it needed to be lowered, and assured me when I was doing well. She helped prepare the shower for me to sit in while Andrew ran warm water over me, and made sure there were warm blankets around when I got chills.
She also supported Andrew. She made sure he was getting enough rest and food to be there for me, guided him to massage and provide counter pressure through contractions as well, and reassured him while I was groaning like a slow-motion football replay :)
I could not imagine labouring without Emily. Every time I thought “oh it would be great if someone could….” she was already doing it. And even when I thought “that’s not necessary,” like doing our dishes or making frozen pads…..it was the biggest help in the world! I just didn’t know it. It was great to come home and not have to clean dishes to make a meal and the pads have really helped sooth my tender bottom.
From the bottom of my heart Emily………thank you!

I do not think I would have stayed at home as long or stayed as calm or been as comfortable with my decisions if you weren’t there providing the support that you did.

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How Doulas Support and Enhance the Role of the Partner During Birth.

Often when a couple considers hiring a doula they have concerns that the partner’s role will be overshadowed during labour, or they may rule out the need for a doula because the partner plans to take an active role in supporting the mother. It is important to understand that the role of the doula is to support both the mother and the partner. Both doula and partner play an important role in enhancing the birth experience for the mother and the partner.

“While the doula probably knows more than the partner about birth, hospitals and maternity care, the partner knows more about the woman’s personality, likes and dislikes, and needs. Moreover, he or she loves the woman more than anyone else there.” – Penny Simkin (founder of DONA International)

dad&babe

There are many advantages to having a doula at a birth, one of which is the guidance they give the partner in supporting the mother. The presence of a doula at the birth frees the partner from having to remember everything they learned in prenatal class, and allows him to be there emotionally for the labouring woman. The doula can draw on her knowledge and experience of labour to make suggestions, and show the partner techniques to assist the mother.

Labour can be a long and tiring process for everyone involved, the strength of one person is often not enough to physically and emotional support the labouring mother. The doula can take over while the partner; uses the washroom, naps, eats or makes phone calls. It is a lot to ask of one person to tend to the needs of the mother without receiving any support and encouragement themselves. Given the doula’s knowledge of labour, she can reassure the partner that things are going well and he is doing a good job of supporting her. Having this support for the partner allows to mother to relax and the partner to enjoy the process of birth.

It may be a concern of both the mother and partner that a doula’s presence will hinder the intimate experience of having a child. It seems as though the opposite is true. Studies have shown that a mother reports more satisfaction in her partner’s role with a doula present than without. The doula will support your wishes and help the two of you to maintain a physical and emotional connection enabling you to experience the birth together.

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Caleb’s Birth Story

From the moment I found out I was pregnant I knew I wanted to try to have a natural birth. Despite the fact that midwives are not covered by Medicare in Nova Scotia, my husband Todd and I were willing to pay to have their expert support. Because this was our first baby we decided to have the baby in the hospital. Todd felt more comfortable there, and I knew that was important for us as a team, to have Todd comfortable. Midway through the pregnancy our friend Emily, offered to come out and be our Doula free of charge. Todd was a bit hesitant at first, he was worried she would be imposing on his role, however after some reassurance from Emily, Todd felt more comfortable.
It was 7:45 am and I was sound asleep on October 18th 2007, when my water broke. My bed was soaked! I was leaking amniotic fluid all the way to the bathroom. I never thought my water would break first. I was excited and nervous, I was really ready to have my baby. I called my midwife Kelly and told her what had happened. She was excited and told me to eat some breakfast, try to get some rest and to call when the contractions started. So I cleaned up, was still gushing amniotic fluid (Kelly said it was normal, when I moved the baby would shift allowing more fluid to come out), put some towels on the spare bed,(I had to strip my bed) and tried to sleep. Around 9am I had my first contraction, I waited 20 minutes for the next one, just to make sure, and then called Kelly. She said to keep resting if I could, the contractions would take a while to settle into a rhythm. Since Emily and her son Ethan had arrived the night before, Kelly suggested I wake Emily when I felt I needed someone around. I was too excited to sleep much longer, I went down stairs and watched a bit of Pixars ‘Finding Nemo’. At 11 am Emily and Ethan woke up. (They had spent the day flying, so I wanted them to rest, especially since Emily was going to be up with me for who knew how long). I barely gave Emily time to wake up before I spurted out ‘I’m in Labour’.
I took care of her son while she showered and called her sister to come and take care of Ethan while Emily helped take care of me. Todd called from work to check up, as he always does, and I told him it was time to come home. He was so excited he didn’t say goodbye. While Todd drove Emily’s son to her sister’s home, Emily and I went for a walk. It was a beautiful, warm fall day. The sky was blue and the weather was warm, it must have been around 15 degrees. My contractions had been slowly getting stronger. While on the walk I had to stop a few times. But I was still talking a lot, and still excited. I had no back labour and I was managing well through the contractions, although it was harder to try and relax your body than I thought it was going to be…My best friend from BC called, since in the morning I had put on facebook that I was in labour. She was so excited and since she has two children she gave me encouraging words and support.
Around 1pm Kelly arrived, Emily had been phoning people and keeping track of my contractions for me. I was in Active labour. Todd was by my side giving me strong support. Emily was always ready with something for me to eat or drink, or to give Todd a break. I laboured on the exercise ball, in the bath, up and down the stairs, even on the toilet. I found movement, vocalization, and massaging my thighs and bum a huge help in releasing the energy of the contractions as well as helping them flow through my body. It was tiring and hard work, but Todd, Emily and Kelly were so supportive. They all helped physically, emotionally and psychologically. Emily and Kelly are both mothers and have been through labour, they had great suggestions, went through the vocalizations with me. Todd held me, swayed with me, let me rely on him completely. All these things helped me through the contractions.
When I had reached 7 cm Kelly decided it was time to head to the hospital. It was one of the most difficult times, but somehow I made it there. Once there we had a private room and a private nurse, and although the nurse was a nice young lady she was nothing compared to my three main supports. We arrived at the hospital around 7pm and Dr. Cervin our obstetrician arrived around 8pm. She had me lay on the bed, something I did NOT like doing, and found part of my cervix swollen and not fully pulled back. She said she wanted to see if I could labour more to have it pull back on its own. I laboured in the shower for a while, that was the only time I thought about taking drugs, and by this time I was 9.5cm so close to pushing but I didn’t know it. After about an hour the Dr wanted to check and see how I was doing. I begged her that I not go back on the bed, it was too hard for me to manage the contractions while on my back. She obliged and so I squatted while she went underneath me. Unfortunately the cervix was still stuck, so she pushed in back during a contraction. Finally I was ready to push. As they tell you in prenatal class the haze of labour lifted, I had an adrenaline rush and was eager to see my baby. For the first 15 minutes I enjoyed the control I had back. However when the Dr. and Midwife told me I had to push through the pain to get the baby out I finally started to get serious. About 45 minutes later our Son Caleb was born. No drugs, just excellent support and a belief that my body/I could do it.

Laura K, Halifax NS

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