Real-Life Positions for Birth!

Maybe you’ve always assumed that you’d birth your baby lying on your back with your feet in stirrups. Rachel Green did it, so why wouldn’t you?!

Because it is actually not the most ideal position for physiological birth!

This is true for a number of reasons, but the two biggest are because it inhibits sacral mobility and increases length of pushing time. No one wants to push longer than they have to, am I right? So here are a few REAL LIFE birthing positions, as modeled by some of my wonderful clients.

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All Fours

This seems to be one of the most common positions I see in physiologic births. It can feel very relieving, especially if you're experiencing back labor.⁠

Benefits of All Fours in labor: ⁠

✨ Allows you to do pelvic tilts as needed.⁠
✨ Allows your partner or Doula to offer massage, hip squeezes, light touch massage, etc.⁠
✨ Gives your legs a break if you've been standing a lot.⁠
✨ Can be done on the floor, in the bed, in the tub, in the shower, with a birth ball, or with a chair!⁠
✨ Prevents uncomfortable pressure on your sacrum.⁠
✨ You can birth your baby in this position!⁠

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Dancing

Hands down my favorite birthing position. There are SEVERAL benefits of dancing in pregnancy and in labor. Here are a few: ⁠

✨ Releases oxytocin and endorphins - the hormones that progress labor and minimize pain! This has been scientifically proven time and time again. ⁠
✨ Opens your pelvic ligaments and muscles.⁠
✨ Encourages baby to move down.⁠
✨ Distracts you from focusing on discomfort.⁠
✨ Reduces technological and medical interventions.⁠
✨ Reduces chance of emergency cesareans.⁠
✨ Shortens overall labor time. ⁠
✨ Allows for bonding with baby and partner.⁠

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Lunges

Lunges are a labor POWER MOVE! They are an active position with many benefits including:⁠

✨ Opening your pelvis by releasing pelvic muscles and ligaments.⁠
✨ Encouraging baby to move down.⁠
✨ Can help an OP (Occiput Posterior) or Asynclitic baby turn or descend.⁠
✨ Can encourage labor to kick into gear.⁠
✨ Creating connection and intimacy for birthing person and their partner. ⁠

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Side Lying

Side lying is a wonderful resting position! It can be done with pillows or a peanut ball between the legs to help open the pelvis. Here are some benefits of side lying:⁠

✨ REST! Not many positions in labor can accommodate rest, but this is one of them.⁠
✨ Can be done with an epidural.⁠
✨ Allows a trained birth worker to perform a side lying release, minimizing tension and pain.⁠
✨ Using the peanut ball can create a nice asymmetric position in the pelvis, giving the baby the opportunity to turn or descend as needed. ⁠
✨ You can give birth in this position!⁠

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Supported Seat

This is a great resting position that can still work wonders in your labor. I'm a BIG fan of doing this on the toilet, but you can also do it on a birthing ball, a birth stool, or on a chair. Some benefits include:⁠

✨ Opens your pelvis.⁠
✨ Doing it on the toilet REALLY relaxes your pelvic floor.⁠
✨ Allows for connection and bonding with your partner, which increases endorphins and minimizes pain.⁠
✨ Gives your legs a chance to rest.⁠
✨ The forward lean can reduce back pain. ⁠
✨ Gives space for a second support person to do light touch massage or other body work. ⁠

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Leaning/Squat

I put these together because they often go hand-in-hand. Leaning is a very intuitive birthing position (it's a natural way to cope with discomfort), and when you add in some squats during the surge, you can get some really effective work done!⁠

The leaning tends to happen in between surges to rest, then squats happen during the surge. You can also just lean through the surges, but if you feel up to squatting, there are MANY benefits!⁠

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Birthing Tub

This is definitely a fan favorite across the board. I call this a "position", but you can do most of the previous positions I posted IN THE TUB! So, what are the benefits of laboring/birthing in the tub?⁠

✨ Warm water reduces pain.⁠
✨ Increases relaxation and beneficial blood flow to the uterus and baby. ⁠
✨ Reduces the uncomfortable effects of gravity. ⁠
✨ Allows your tissues to be more supple, reducing the risk of tearing. ⁠
✨ Shortens overall labor time.⁠
✨ Reduces risk of unnecessary interventions. ⁠
✨ Is a gentle way for baby to enter the world. ⁠
✨ Basically makes you a mermaid.

The Value of a Doula

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Why Have a Doula?

Many people wonder why a Doula is such a crucial part of the modern birthing experience. If one has a birth companion or feels completely confident in their birth, is it really necessary? Actually, it harkens back to an ancient model of birth wherein the birthing mother is supported by a knowledgeable support person, typically a female elder. Doulas provide continuous, educated support to the birthing mother that encourages deeper relaxation, increased comfort, and a more empowering birthing experience. In addition, the Doula can aid the birth companion with ways to meaningfully support the mother, as well as be a backup when they may need rest. In my practice, my goal is to fully support the birthing mother in whatever way she needs. Whether that is by guiding the birth companion in the best assistance methods or acting as her main support person, I aim to improve the birth experience while inspiring the birthing mother to feel fully in charge and empowered.

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Not only do Doulas increase relaxation and comfort, they can actually reduce interventions!  In 2017, Bohren et al. published an updated Cochrane review on the use of continuous support for women during childbirth. They combined the results of 26 trials that included more than 15,000 people. The birthing people in these studies were randomized to either receive continuous, one-on-one support during labor or “usual care.” The researchers looked to see if the type of support made a difference. They wanted to know—does it matter who birthing persons choose for continuous support? Does it matter if they choose a midwife, Doula, or partner for continuous support? The researchers were able to look at this question for six outcomes: use of any pain medication, use of Pitocin during labor, spontaneous vaginal birth, cesarean, admission to special care nursery after birth, and negative birth experiences.

For these outcomes, the best results occurred when a birthing person had continuous labor support from a Doula– someone who was NOT a staff member at the hospital and who was NOT part of their social network. The researchers found that overall, people who have continuous Doula support during childbirth experience a:

·         39% decrease in the risk of Cesarean

·         15% increase in the likelihood of a spontaneous vaginal birth

·         20% decrease in the use of any medications for pain relief

·         Shorter labors by 41 minutes on average

·         38% decrease in the baby’s risk of a low five minute Apgar score

·         31% decrease in the risk of being dissatisfied with the birth experience

 

Here’s a conceptual model of the impact of a certified Doula:

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Giving birth is the most powerful, meaningful thing a person will ever do in their life. In fact, a 1979 study showed that over 6,000 birthing people over the age of 90, each with a degenerative brain disease, all had one memory still entirely intact: their children’s births. Unfortunately, Western medicine can take some of that innate power away from birthing people by ignoring their instincts and overusing interventions and pain medications. Having a Doula gives the birthing person an advocate, a voice, and a pillar of strength during this vulnerable and sometimes challenging time. A person to remind them of their strength, their abilities, their options. A person to comfort them, pamper them, and assuage their fears. A person to reinforce and strengthen the love and support of the birth companion. For such an important and impactful experience, one should have the best and most effective support team imaginable. A Doula is no longer a supplemental or superfluous member of that team, but an essential one.

Financial Breakdown

Labor and delivery are an important but fractional part of the holistic birth experience. A truly empowering birth is achieved through proper prenatal preparation and strong postnatal support. We draw on our knowledge and experience to provide physical, emotional, and informational support to birthing persons and their partners. We are independent and self-employed. As your Doula team, we are working for you, not for your caregiver or the hospital. On average, we spend around 50 hours with our Doula clients in the form of prenatal meetings, HypnoBirthing classes, our presence at the birth, and postnatal support. This doesn’t take into account text messages, phone calls, or travel time.

Doulas provide a priceless service, don’t hesitate to ask how we can support you!

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My HypnoBirthing Story

April, 2017.

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I was having pre-labor contractions for about a week before labor started, mostly at night, and was already dilated 2cm. Then on Thursday morning I was woken up around 4:30am with a mildly painful surge. Then another ten minutes later, and after the third one I knew it was real labor. The sensations were mostly in my back. I filled my birthing tub, turned on my essential oil diffuser and HypnoBirthing Affirmations, turned off the lights, then got in the zone! I labored in the bathroom for a few hours on my own, enjoying each surge and remembering how to use my breath. I played the Rainbow Relaxation and Affirmations twice, then put on my birthing playlist. This time was incredibly special and it gave me a chance to go inward and feel exactly what my body was doing. For example, I followed the "pain" in my back and realized it was actually my pelvis opening, which made the sensation less painful and more productive! Around 10am I emerged from my bathing cocoon (my skin was starting to sluff off!) and checked in with my husband, Pete, and doula, Ali. They'd been there since about 8am, feeding me oatmeal and green smoothie in the tub. The weather was nice so we went into the backyard and enjoyed the sun. I kicked a birthing ball around between surges and used it during a surge. I eventually got bored and hungry, so we packed up the car and went to Restaurant 415 for lunch! Funnily enough one of my midwives was there and she couldn't believe I was out and about. My surges were about 5 mins apart during lunch. I ate a salad and Mac n cheese. So good! I mention all the food because I'm certain it gave me invaluable strength later on. After lunch, we walked to Mugs and got tea. We walked around old town for a bit, and when my surges started to get closer (about 4 minutes apart) and last longer, we decided to go to the hospital.  

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They checked me into a beautiful room with a tub around 3pm. At around 3:30pm, my midwife came to check my dilation to ensure I could be admitted and I was at 3cm. In no way was this discouraging as my labor up until this point had been, and I say this seriously, super fun! I think it was my body's way of easing into it. I was proud to have dilated 1cm in such an awesome way! That said, her performing the vaginal check really got the juices flowing and things started to speed up. I hopped into the birthing tub and did some laboring in there. The surges started to get more and more intense, so I added a lot of low growling and other noises. Anytime I started to focus on pain instead of progress, I'd return to my breath and making those noises louder and lower. 

I didn't really feel like I needed much from Pete and Ali, other than the standard water, honey stick, cold wash cloth, positive words. It felt like a very solitary labor, in a good way. But having them there for that support was so needed!!

I went in and out of the tub, did some labor laying over the back of the bed, hanging off of Pete (we called it slow dancing), and on all fours. The last time I went into the tub, my water broke, the surges went to a new level, and I went even deeper. It was like I was literally in the womb with my baby. I suddenly felt the need to get out of the tub and as soon as I did, my surge changed and I felt the need to "push" at the end. It wasn't actually pushing, but more my body bearing down I think. I went to the bed and used the squat bar, telling Pete and Ali "I think I'm close". The midwife checked me and I was at 8cm. She said "not quite", and my next surge caused me to bear down completely. Her tone quickly changed and the room began feeling more active. People getting lights out, pulling medical trays from every cabinet, the midwife putting on gloves and scrubs. Then she said "OK Katy, it's time!" I smiled for the first time in hours and said "I can go?!" Pete and Ali smiled too and everyone encouraged me to breath my baby down. In 5 breaths and only a couple actual light pushes, baby Pete entered the world!!! I went from 3cm to him being born in only 5 hours. 

It was such a deeply empowering experience. One I attribute strongly to HypnoBirthing. If I ever looked distressed or tense, Pete and Ali would say "limp and loose" or "you're so relaxed". It never got old, and it ALWAYS brought me back to focusing on my body and my baby. It was hard work, but I used each surge as an opportunity to be more alert and in tune with my body. I will always cherish the feeling of completely owning my body during that process. 

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Again, I want to shout from the rooftops that labor doesn't have to be miserable and scary! It's hard and intense, but in the most beautiful way possible!! I'm so excited to hear more stories about how my clients incorporate HypnoBirthing into their labor as each one is so different and magical. Just remember that you are WARRIORS and your body has a purpose for each sensation. Don't run away from it. Run toward it and move with it! You are powerful beings!

Love and light,

Katy 

How To Increase Bodyfeeding Success

Bodyfeeding/Chestfeeding/Breastfeeding is hard. You can read all the books and blogs, listen to all the podcasts, go to all the support groups, and you may still struggle. Research has shown that 95% of mothers in the US want to breastfeed, but only 50% are still breastfeeding by 6 months postpartum. If bodyfeeding is a natural, normal process in the human body, why is it so difficult?

After pouring over dozens of research journals, I believe there are 4 factors contributing to the low success rates in the US:

1) Increased levels of stress.

2) Lack of constant skin-to-skin.

3) Undiagnosed lip/tongue/cheek ties.

4) Lack of education.




Let’s break these down, shall we?


INCREASED LEVELS OF STRESS

This is especially prevalent right now in the midst of a global pandemic, a social justice uprising, an election year, and mass wildfires. The upside is this climate allows for more bonding and skin-to-skin time, which we’ll get into next. Stress has a MASSIVE impact on breastmilk production. Stress releases the hormone catecholamine, which inhibits endorphin and oxytocin production, the two hormones most crucial to the bodies ability to create breastmilk. Obviously you can’t always control the life events around you that may increase the feelings of stress, and adding on the guilt and frustration of low milk supply is certainly not going to alleviate those feelings. My recommendation in these moments is to return to your body. Take a moment, maybe 5 minutes each day, to take some nourishing breaths and remind your body that you are safe. Getting your body out of “fight or flight” and into a more relaxed state can do wonders for your supply. Another trick is to surround yourself with visual affirmations like “I AM SAFE”, “I TRUST MY BODY”, or “I AM NOURISHING MY BABY”. Just some gentle reminders that your are a badass who can sustain life with your body. Also, stress inhibits digestion. So try to remember to take good care of your badass body with good nutrition and LOTS of water.


LACK OF CONSTANT SKIN-TO-SKIN

An unexpected silver lining in the world right now is increased bodyfeeding success. Why? Because a lot of new parents are spending more time at home with their newborns. Without distractions/stressors such as constant visitors, working in the office, and traveling, we’re seeing an increase of skin-to-skin time in the first few months which leads to higher bodyfeeding success. As I explained to a sweet four year old at a home birth recently, the newborn body has a super power: it is able to talk to it’s parent’s body without saying words! Simply by having their skin touch your skin, your baby can communicate their needs and can gather life-saving information such as how to breathe, what temperature to keep their body, and when to sleep. The more time you can spend with your baby’s skin touching yours, the more your bodies can communicate and understand each other.


UNDIAGNOSED LIP/TONGUE/CHEEK TIES

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The medical term for the condition known as tongue tie is “ankyloglossia”. The tongue is made up of a very complex group of muscles that are important for all oral functions. When the small fold of tissue that extends from the floor of your mouth to the bottom of your tongue is too thick or too short, this abnormality can cause many issues, affecting many daily activities. Not all tongue ties cause functional problems, and procedures to correct the condition are only necessary if issues with oral function are present. There are also lip ties, which are present when there is an unusually tight labial frenulum, which keeps the upper lip tied to the gums. As well as cheek ties, which are caused when there is more connective tissue from the gums to the inner cheek. If you suspect a tongue/lip/cheek tie, it is important to see a well versed expert to understand if a procedure is needed. How does this affect bodyfeeding success? Well, to breastfeed successfully, the baby needs to open wide and latch onto both the breast tissue and nipple. Babies with tongue/lip/cheek ties aren’t able to open their mouths wide enough to latch onto the breast properly, commonly resulting in a shallow latch and nursing issues. Some symptoms you may notice while nursing include difficulty latching, a clicking sound while nursing, long feeding times, chomping on the nipple, or overall frustration. These struggles are SO HARD on the nursing person. Studies show that nursing persons whose babies have undiagnosed ties have a 50% higher rate of Postpartum Depression. So looking for and diagnosing ties can be an absolute game changer.


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LACK OF EDUCATION

Research shows bodyfeeding initiation, exclusivity and duration can be increased with prenatal bodyfeeding education. Regardless of form—individual, group or technology-based—education programs are effective in providing nursing persons with evidence-based bodyfeeding information and guidance. Taking an education class or scheduling a consultation with a lactation consultant can not only help answer any and all questions you have about bodyfeeding ahead of time, it can also help calm your fears and prepare for the birth of your baby. Learning about what will happen immediately after the delivery of your baby – when skin-to-skin contact is initiated, hospital routines/tests, lactation support, home birth expectations, etc. – will allow you to organize and plan ahead to make the most of your experience. While some prefer one-on-one attention, signing up for a group class also may be beneficial. Having the opportunity to ask questions of professionals and meet other parents-to-be who plan to embark on the same journey can be invaluable. Postpartum and real-time education can also be an incredibly beneficial as new issues arise.


Obviously, there are several other factors that can impact bodyfeeding success such as schedules, nutrition, sleeping, and pumping. But these were just some of the most prevalent I’ve seen!

Bodyfeeding/Chestfeeding/Breastfeeding can be a beautiful, spiritual experience between parent and child, so removing as many road blocks and stressors as possible is absolutely key to increase enjoyment. This is not an experience you should suffer through or feel pressured into continuing. Sometimes the best option might actually be formula feeding. Your physical and mental health are paramount, so the most important step is finding good support in every aspect of your journey. As a CLC, I am here to guide you to the best information and resources out there. You are not alone!

Doula Services and COVID-19

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I know, I know, can we just stop talking about it already?!? No, we can’t. Because basic human rights are being violated. These are bizarre times, and everyone is feeling the impact that COVID-19 has made on our lives. Whether it’s having the kids home 24/7, needing to work from home, not being able to work from home and therefore losing income, still having to go to work in spite of dangerous conditions, getting extremely sick, or losing a loved one, we will all be forever marked by this rapidly changing virus. But my job is to educate and support people in labor. Childbirth is arguably one of the most challenging, vulnerable, and powerful experiences in ones life. It is most definitely not an experience that should be over-shadowed by policy and procedure. Don’t get me wrong, I am a HUGE advocate of self-isolating, quarantine, and social distancing. I haven’t seen anyone up close (except my husband and kids) for 5 days. I take limiting the spread of this virus VERY SERIOUSLY. But current hospital policy in Northern Colorado limiting birthing persons to 1 visitor in a 24 hour period, including partners and doulas, is simply wrong.

The Association of Women’s Health, Obstetric and Neonatal (AWHONN) released the following statement in regard to doulas and COVID-19:

“AWHONN recognizes that doula services contribute to the woman’s preparation for and support during childbirth and opposes hospital policies that restrict the presence of a doula during a woman’s active labor.

“Doulas are not visitors and should not be blocked from caring for patients in the antepartum, intrapartum and postpartum period. Most doulas have been contracted by patients weeks to months ahead of time and have established provider relationships. They are recognized by AWHONN and ACOG as essential personnel and part of the maternity care team,” said AWHONN member Nancy Travis, MS, BSN, RN, BC, CPN, CBC, Florida Section Chair.

AWHONN supports doulas as partners in care and acknowledges their ability to provide physical, emotional, and partner support to women. AWHONN opposes hospital policies that restrict the presence of a doula in the inpatient setting during an infectious disease outbreak.”

When one of my clients recently submitted an exemption request to our local hospital regarding the ban on doulas (if a partner is present), this was the response she received:

“I am very sorry but we are not permitted to make any exceptions to the visitor policy for the safety of our patients and babies. I realize what a hardship this poses, but we are in alignment with the other hospitals in the state and are doing everything we can to ensure the safety of our patients. Our nurses have all been trained in labor support techniques and will partner with their patients to provide them the best experience possible.”

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I understand that nursing staff is trained in labor support, but it is simply not the same. I have spent 20+ hours getting to know my clients one on one prior to their births. We’ve explored past traumas and fears that may arise during childbirth. We’ve bonded over ancestral experiences and poop jokes. We’ve spent numerous coffee dates ironing out the ideal birth plan that accounts for every possible intervention and scenario. And while my goal is for my clients to be completely prepared and in their power for their births, supporting them in person is also a crucial part of my role in their birthing team. Why? Because a birthing brain does not function the same way and neutral state brain does. Get nerdy with me for a minute. The primary drivers of the brain during childbirth are the limbic system (hormone master) and the rhombencephalon (aka, the hindbrain) that is composed of the medulla oblongata, the pons, and the cerebellum. The hindbrain coordinates functions that are fundamental to survival, including respiratory rhythm, motor activity, sleep, wakefulness, heart function, blood pressure, muscular movements, and contractions. As for the limbic system, labor and birth are involuntary processes controlled by hormones from ancient parts of the brain, namely the Hypothalamus and the Pituitary Gland. During labor, these ancient limbic system structures are the most active. This is a reversal of the way the brain operates in everyday life. Every other day of a woman’s life, impulses from the limbic system are inhibited by the pre-frontal cortex. The pre-frontal cortex is a part of the brain which is responsible for our abilities to focus our concentration, plan ahead and behave appropriately for a given situation, among other functions. The pre-frontal cortex does this via nerve projections which go down into the Hypothalamus. The frontal cortex prevents behaviors which might be considered socially inappropriate or anti-social. In simple terms, 70% of the brain is there to inhibit the other 30% of the brain. In labor, inhibitory control of the limbic system by an active frontal cortex is problematic, because it is precisely these parts of the brain which are running the show.

Photo Credit: Jai’ Ma Birth

Photo Credit: Jai’ Ma Birth

A birthing person is less able to make critical decisions based on their previously determined wishes. With the prefrontal cortex working at a minimum, they are more likely to concede to procedures and interventions that are not in line with their actual desires. This makes consent during labor a tricky state of affairs. The birthing person might be saying yes to a cervical check/pitocin drip/breaking of waters, but sometimes it’s because they do not have the ability to analyze options and decide accordingly. THIS IS WHY DOULAS EXIST! While I cannot speak for my clients, I can remind them of the questions we practiced asking in these moments. I can assist them in finding alternative options. I can remind the medical staff of their wishes. I can support them emotionally if they do in fact have to veer from their visualized birth. I can’t tell you how many people I’ve held in my arms while they cried because of a scary and unexpected turn of events. I can tell you that, out of sadness or joy, I have cried at every single birth I’ve attended. I’ve sat with partners as they held their newborn babies and quietly wept while the love of their life was undergoing emergency postpartum surgery. I’ve held the shaking hands of women who are getting stitched up while their baby and partner had to rush to NICU. And I’ve been in the middle of a magical bear hug consisting of myself and a new little family. These are services I absolutely cannot provide through a Skype session. These are also services that cannot be provided by hospital staff.

There are some remarkable nurses in our local hospitals. Truly, I’ve seen them do selfless, miraculous things. They are the hardest working, kindest, most dedicated people I’ve ever worked with. But the bottom line is they work for the hospital. They will be compassionate and gentle as they carry out the procedures they are required and ordered to do. But they have other patients. They have charting. They have shift changes. They are spread thin, especially now. They are not aware of your triggers and nuances. They don’t know that your partner suffers from white-coat syndrome and will agree with anything the doctor says. They don’t know you in a non-labor state, and therefore cannot always make educated decisions based on your birthing behavior. This is NOT an “us against them” situation. It is a "we/us”, a “both/and” situation. It shouldn’t even be a consideration that one can replace the other. I cannot put in a I/V or check your cervix or give you fentanyl. And they can’t stay with you 24/7 and advocate for your wishes to the extent a doula can. It’s apples and oranges.

The bottom line here is this: a birthing person deserves and is entitled to high-level support. They should ALWAYS have their partners there (if they are able), because it is their birth too. They should ALWAYS have their doulas with them, because we are their safety. And they should ALWAYS have their care provider available. This is not negotiable. The fact that hospitals are enacting policies that ban the doula, and sometimes even the partner, from the birth is asinine. Again, I completely understand the desire to minimize the spread of this virus, but I can assure you that most doulas are still visiting with their clients leading up to the birth anyway. The same way doctors are still seeing patients in their clinics. We are already in their field of company and are taking necessary precautions to prevent the spread of germs. And we are professionals who are trained in sanitary hospital measures and can easily adapt to any new ones as needed.

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So what can we do to change these policies?

STEP ONE: Contact your care provider and demand that your doula be present at your birth.

STEP TWO: Sign this petition.

STEP THREE: If you are low risk, consider birthing at home or at a birth center.

This is just another example of birthing rights being curtailed by sweeping policy that does not take in to account the spiritual experience of childbirth. And it needs to stop. Immediately. We are all in this together.

Do you have thoughts on this new policy? Comment below if you do.

10 Rules to Help New Parents

Are you expecting a baby, but unsure of how to ask for help once baby arrives? Or are you struggling with setting boundaries with people in your life when it comes to baby? Here are 10 handy rules you can share with those around you to maximize their support … and minimize your stress.

What to Pack in Your Hospital Bag

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We spend months preparing for the arrival of our sweet babies, and one of the many things we tend to fret over is what to bring to the hospital. What will be provided, what is essential, what if I hate everything I bring and my partner has to run home 21,946 times during labor?!?!

It’s OK. This simple list will help you feel as prepared as possible.

BEFORE YOU GO

So many things we pack ahead of time are actually needed while laboring at home! It’s best to only pack things you won’t be using and print a list of things to pack last minute. Here’s what you might use at home that you shouldn’t pack just yet:

  • Pillow

  • Blanket

  • Phone Charger

  • Bluetooth Speaker

  • Toiletries

  • Hair Care Products

  • Oil Diffuser and Essential Oils

  • Perishable Snacks (fresh fruit/veggies, smoothies, etc.)

  • Vitamins, supplements, medications (bring them all if you take them regularly)

Things you can pack ahead of time:

  • Comfy Clothes (literally anything that makes you feel cozy and beautiful and is easy to remove)

  • Slippers/Sandals

  • Robe

  • Socks

  • Birth Class Folder

  • Battery-powered Tea Lights

  • Salt Lamp

  • Extra Change of Clothes

  • Bra or Bathing Suit if Desired for Tub

  • Non-Perishable Snacks (honey sticks, protein bars, chocolate, gum, mints, nuts, anything that tickles your fancy)

  • Advil/Tylenol/Ibuprofen for Partner in case of a headache (hospital will not give it and it is common when sleep deprived)

  • Birth Plan

ONCE BABY ARRIVES

I recommend packing a second “baby bag” that you leave in the car until you’re moved to the Postnatal room. Here’s what should be in it:

  • Changes of Clothes (anything that is loose-fitting and comfy and makes you feel awesome)

  • Toiletries

  • One cute baby outfit for cute pictures (hospital has onesies)

  • Pillows (in case your birthing ones got soiled)

  • Maternity pads (the hospital provides mattress-sized ones, maybe bring a few smaller ones)

  • Post birth belly band (optional - I like The Belly Bandit series)

  • Nipple cream (I recommend the one from Mother Love)

  • Nursing pads (optional - I like the Bamboobies)

  • Breastfeeding bra/top

  • Snacks

  • Going home outfit for you and baby

  • Cash (sometimes partner’s have to pay cash for meals)

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WHAT THE HOSPITAL PROVIDES

Luckily, the hospital provides A BUNCH of stuff so you don’t have to weigh down your bag with unnecessary items. Most hospitals in Northern Colorado provide the following:

  • Some light snacks and beverages 24/7

  • Meals during specific times

  • Towels

  • Blankets (warm ones, too!)

  • Pillows (not the nicest, which is why I recommend bringing a few of your own)

  • Large Maternity Pads

  • Peri Bottles

  • Tucks Pads/Lidocaine Spray

  • Baby Clothes (all-white onesies)

  • Baby Hats

  • Swaddling Blankets

  • Bottles

  • Pacifiers

OTHER CONSIDERATIONS

  • The car ride to the hospital can be uncomfortable. Be sure to create a comfy space in the car with pillows and towels. Maybe bring a bucket in case the drive is nauseating.

  • Make sure your Partner has a bag with changes of clothes, a bathing suit, layers, entertainment (books, etc.), phone charger, headphones, slippers, and toiletries.

  • If it is an induction, bring fun things to pass the time like games, iPads, books, etc.

  • If you are ever worried the hospital won’t have something you need, just bring it! Sometimes the peace of mind is worth it.

 

That’s about it! I’m very much into minimizing the amount of stuff you bring with you so you can simply ENJOY the experience without feeling weighted down by things. But, again, do what brings you JOY! Pack what makes you HAPPY and COMFORTABLE! And hire a Doula to help carry all of it .

Welcome Baby Heath!

I had the distinct pleasure of teaching Megan and Jared, rather informally, just a few days after my HypnoBirthing practitioner training. They had already taken a HypnoBirthing class a few months prior, so it was a good opportunity for me to hone my skills and learn the flow of the class. They were so kind, understanding, and open hearted through the whole process! Megan’s estimated due date was 11/25. We finished our last class on 11/20, celebrated Thanksgiving together on 11/23, and on the morning of 11/24 I received a text from Megan that read “Call me when you wake up. The turkey is done.” (Best text ever). I called her and she said her water had broken after going to the restroom around 6am. I honestly wish I was there to witness it because it sounded hilarious! Her membranes released right in front of Jared while their dog stared in disbelief. I told her now is a great time to get in the zone. Listen to Rainbow Relaxation and Affirmations, put on essential oils, relax, relax, relax! She said she felt super relaxed and was about to eat a hearty meal of eggs and waffles, a late pregnancy favorite.

                I went over to visit and have dinner around 7pm. Megan was in a great place, relaxing comfortably (or as comfortably as you can at 40 weeks pregnant) in bed. Consistent surges had not yet started, but she was feeling cramping in her legs and back. The entire day she’d had continual spotting and releasing of membranes. She ate some Thai food, I did an induction hypnosis, and she rested for a few hours. Around 10:45pm, Jared texted me that they were going to the hospital because they wanted to have the baby checked since her membranes had been released for so long. She was admitted around 11pm at Poudre Valley Hospital, where the nurses are truly a dream! They did a vaginal check and an initial reading on Megan and the baby. She was 1.5cm dilated and 60% effaced already! The midwife did want to induce, but all signs showed that Megan and baby were completely healthy, so we asked to wait 24 hours after her membranes initially released before considering interventions. Jared and I got the room prepped: dimmed the lights, turned on the essential oil diffuser, covered the clock, and turned on music. Every time a nurse walked in they’d say “Wow! It smells amazing in here!”

The baby’s heart rate seemed to drop when Megs was in certain positions, so she laid on her side, where baby was content, and was able to get a few more hours of off and on rest. I went home to get a few hours of sleep as well. Jared texted at 6:15am on 11/25 saying they had decided to give her Cytotec (a prostaglandin pill) to help speed up the softening of the cervix. She had begun cramping shortly before then, indicating labor was about to start, so the Cytotec may have sped things along a bit. By the time I arrived back at the hospital around 7:30am, Megs was in labor! She was beautifully calm and relaxed, breathing through each surge perfectly. Jared was providing for her every need, giving light touch massage and reminding her how relaxed she was. They made a great birthing team and the room was filled with this beautiful energy of soft yellow light!

Megan was mostly lying on her side because earlier in the morning the baby was still not a fan of many other positions. She was on a constant monitor, so it was easy to see when the baby’s heart rate fell. They decided to use a bed pan for urination since even getting up to go to the bathroom seemed to cause a drop. I saw that Megan’s surges began to lull and even stop at times, so I thought it might be a good idea to get her up and moving again around 10am while Jared went to get some fresh air. This movement seemed to start a new phase of her labor as surges went from 3-4 minutes apart to about 2 minutes apart and became more intense. Fortunately, baby seemed completely OK with the switch, as long as Megan stayed elongated, not curling up her knees or sitting. She continued to peacefully breathe through each wave and her faced literally looked like she was sleeping the entire time. She had gone deeply inward and rarely opened her eyes. At 11am, we drew a bath for Megs in the tub where she did some incredible work. Her surges were intense, but she managed to stay calm and make some low moans when they got to be stronger. Around 11:30am Megs exited the tub because she was getting cold. I spoke to our acupuncturist friend, Lindsay, and she helped guide me with some laboring pressure points. She was a huge help, telling me about points that initiate uterine surges, encourage baby to descend, release endorphins, and even increase endurance! Megan kept calmly breathing through the surges, moving from the bed to a standing position where myself or Jared would provide encouraging words and light touch massage. At 1pm, Megan began to seem a little worn out from the hours of inward work and she had that long awaited moment of “I’m not sure how much longer I can do this”. She also had some bleeding and mentioned that she may need to have a bowel movement. All three of those signs combined made me think she might be close to completion! I went to get the midwife and nurse who said “we can come check but that’s HIGHLY unlikely”.

Sure enough, when the midwife checked Megan’s cervix, she was 9cm dilated, 90% effaced, and baby was at +1! The look on the midwife’s face was priceless, as I believe she saw the true power of HypnoBirthing! For a first time mom to move quietly from 1.5cm to 9cm in under 6 hours is pretty remarkable. Megs was starting to feel the natural expulsion reflex and did a wonderful job of breathing through it for a while. However, she went with her body’s strong desire to push when the sensation came. She pushed for over an hour, and baby was so close the entire time! Her stats dropped a bit from all of the hard work, so they offered her oxygen. She kept going, switching between breathing down and pushing. She saw her baby’s head in a mirror, felt the softness of its hair in between surges, and continued on. Each surge stretched her body a little bit more, allowing for the entrance of her sweet baby. Her best friend Summer came to photograph the birth but ended up helping to hold a leg toward the end so Jared could receive his baby. They didn’t know the gender so we were all full of anticipation. Finally, at 2:59pm, Baby Boy Heath exited his mother’s body (with his hand on his head!) and entered his father’s hands in a calm I can barely explain. He was perfect in every way! Beautifully pink, head full of dark hair, breathing immediately. He looked exactly like Jared and Megan both at the same time. He moved up to his mother’s chest, as everyone in the room had eyes filled with tears of joy.

Jory Levitt Heath weighed in at 6 pounds, 13 ounces, and 20 inches long. He began nursing less than an hour after entering the world, seemed to recognize his dad’s voice, and then fell into a sweet, peaceful sleep. Megan had just accomplished something magical and stunning and innate. She birthed her baby in a serene and perfect way, in the face of obstacles that could have easy derailed her plan. She and Jared handled everything with such intelligence and grace that their birthing team felt compelled to do everything they could to avoid unnecessary interventions. Megan could have easily accepted Pitocin as soon as she entered the hospital, as they recommended, but she knew it wasn’t necessary just yet. Her body and her baby still had a plan and she was going to follow it. As a new Doula, I learned a lot about the delicate balance of encouraging a calm, natural birth while ensuring the safety of mom and baby. When membranes rupture and labor doesn’t start, there is a real risk of uterine infection. However, at no point did Megan or the baby show any signs of distress. The umbilical cord was not prolapsed. Any time the baby’s heart rate dropped, it was easily righted by a change in position. When birthing in a hospital setting, it is important to remember that everyone there has your best interest in mind. They’ve been trained to avoid any and all risks, which is perfectly understandable. At times, however, this caution can take all power away from the mother and devalue the strength and knowledge of her birthing body. I’m looking forward to learning more about this dichotomy throughout my career in childbirth. Thankfully (and not surprisingly), the nursing staff and the midwife were incredibly supportive and kind to all of us. I am absolutely thrilled that Megan and Jared trusted the natural birthing process and were able to learn the true power of the female body. There’s nothing like it in the world!

 

Congrats to the Heath family! Thank you for giving me the honor of witnessing a miracle.

Katy Iengo, HBCE

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