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A birth story of two doulas and one baby for World Doula Week 2018

This world doula week we’re really pleased to bring you the birth story of a Hampshire Doula baby.

We talked to his mum and their doula and we’re sharing the story here and across our social media to celebrate the way doulas help make ‘it’ happen. That ‘it’ might be: better births, bonding, support, breastfeeding, information or comfort.

Doula Vikki Young starts the story.

I saw the birth of a brand new soul last year. His name is Brodie. He’s a Hampshire Doula baby through and through!

Mum, Ali is a Hampshire Doula and I was her birth Doula.

It’s a pretty huge honour to be asked to be anyone’s Doula. But when it’s for a Doula herself you literally BEAM sunshine and rainbows.

Doula and Mum Ali Russell-Webb can start the story from further back. She tells us about her first birth and why she wanted a doula with her during her second birth.

After my first birth, I was completely traumatised. Naive to the world of, anything to do with, healthcare, I had no real idea what was happening to me or what was about to happen. Everything had been quite stressful, I had undiagnosed antenatal depression and I was overdue. This led to me being coerced into an induction, with the only thing I was terrified of, being a c-section.

My induction failed (or as a VBAC midwife once told me- it didn’t fail because it put me into labour). Well after 24 hours of that induced labour, and pain, I ended with a c-section for, what we thought was a failure to progress. This, we later found out, at a VBAC session, was not the reason, but the baby had turned OP and couldn’t get out. I stayed in the hospital for 7 days, after the birth. During which time my baby was topped up with formula, I was made to feel like I couldn’t feed him and I was shouted at by a midwife. This all resulted in terrible PND, with which I was suicidal, and PTSD. It took me 10 months to go near the hospital again.

[Editor’s note: post-traumatic stress disorder is something that can happen after any traumatic event including a traumatic experience of birth. There is help and support available if you think you may be struggling with this the birth trauma association is one good place to start. If you’re local please contact us here and we can also help you find local support. If you’re planning a birth and looking to avoid this please consider attending your local Positive Birth Movement meet-ups and look into having doula support for your birth.]

Despite all this, I knew I didn’t want an only child. When I found out I was pregnant again, I was terrified. This pregnancy was awful- HG, for 4 months followed by nasty PGP. Between both babies, I had trained as a Doula, and studied, inside and out, maternity care. I knew I needed a Doula to support me this time, and wonderful Vikki Young agreed. Even though I am not easy to support, and probably even worse when pregnant. I spent my whole pregnancy beating myself up because I was a Doula, I know about birth, why was I so terrified? Also, I have never felt so lonely, as I did in the last weeks, probably another bout of, less severe, antenatal depression.

So now we come on to the birth story. Ali tells us how things got started. 

I planned my HBAC, still terrified of the hospital and was fairly content with the plan. Due to my newly learned knowledge about my first son being OP [positioned back to back with mum in the uterus more details here] and PGP [pelvic girdle pain –more details here], I had chiropractic treatment all the way through my pregnancy. I did yoga, Spinning Babies and anything else to ensure good positioning.

After a second dose of evening of primrose oil, [this is a personal experience Hampshire Doulas recommends you research anything before deciding if it’s for you which applies to alternative therapies as well as suggested medical interventions] I woke up about 3.30am, the date after my EDD (estimated date of delivery – those are nonsense) with a lot of fluid, but mostly smelling of evening primrose oil. 😁 I thought it was my waters but tried to go back to sleep. After being kicked in the face, by a toddler, for the millionth time, I gave up. There were mild surges starting (remember I’d never gone into natural labour) and I was bloody determined they were going to develop because I was so over being pregnant! (I don’t do pregnancy or babies small)

After labouring, well, staying active and being able to chat to Vikki, everything seemed all good. I got into the pool, which was blessed relief. Everything gets a little hazy, at this point, perhaps due to the amazing gas and air, perhaps I was in the zone.

One of the advantages of having a doula is they can fill in the gaps of your hazy memories of the day! 

Ali laboured at home all day. Having one contraction every three minutes from about midday to the point Brodie was born at 21:20. Not just the little breathe through it contractions. But the ones that curl your toes and make you try and glue yourself to the floor. She had a bit of gas and air and a pool. I mean MAN ALIVE she was awesome.

That kid was quite happy where he was though. Unaffected by his mum’s heroic birthing efforts.

Intensity was really building and from the look of everything, Brodie was ready to come into the world. The room was peaceful and I was able to make it through the intensity of the contractions with Vikki keeping my eye contact and reminding me to breathe. Her calmness was invaluable.

After a while, and some gas runs later, things seemed not to be moving and I couldn’t feel his head. I am absolutely an advocate of physiological birth and less focus on interventions, but there is a reason we have medicine and are fortunate to be able to access expertise.

I had received no VEs but knew at this point, although it was uncomfortable out of the water, there was something not quite right. The midwife examined my cervix and found I was 3-4cm dilated, and after the work so far, I knew I needed some relief if I was going to be able to birth him. Vikki’s calm reassurance was amazing, as I had that nagging feeling of failure, but it went.

After hours at the same dilatation and no let up in those contractions, it was time to get some help. Drugs would be good right now.

Birth is unpredictable, but with good support and knowing the decision to change to plan B is yours,  that unpredictability and positive birth are not mutually exclusive.

An ambulance came…

The ambulance ride was hell for Ali. Being told to lie down and keep still on this teeny bed are not things a woman in the throes of labour will ever take well.

She made it to the ward with only a few choice words 🤣

As they monitored her with the CTG [Cardiotocography (CTG) is a technical means of recording the fetal heartbeat and the uterine contractions during pregnancy.] it was clear the contractions were still coming thick and fast with no sign of the baby. An epidural was requested.

Your doula and your midwife will always tell you to trust your instincts and this was one time those instincts were needed and right.

Once we arrived at hospital I knew, in my heart, I was done and I needed a section. I am so grateful that I was in a position to know what was happening to my body, and feel self-assured enough to make an informed decision about the way forward.

I am indebted to my wonderful Doula for her sitting with me through the section, keeping me calm during the hardest parts of pain, and her presence reassuring me of my body and my ability to know exactly what I needed.

Ali had decided that this was the same road as Fin. She knew it. Mums always know. The baby was not coming without some assistance and trying to delay it was futile.

 

As the doc suggested waiting a bit, Brodie’s heart rate started to dip with the contractions. [This is one sign that baby might not be coping well with labour anymore.]

He was tired, she was tired and more importantly, Ali knew this baby needed to be born by c section. And soon.

The medical staff listened to Ali and she was whizzed round to theatre. I accompanied her as by now we were pretty much one unit. The eye contact was keeping her going and she needed that.

Her totally amazing husband knew it was what she needed and totally supported her ❤

So off Ali and I went to theatre.

Little (ha!) Brodie was out in no time. He was in my arms and held up to Ali so she could get those intoxicating new baby smells and hugs as she was stitched up. [Sometimes skin to skin isn’t possible immediately but it’s never too late.]

I popped out to get Ali’s husband while she was still in recovery so he could meet his brand new baby boy 💕

It may not have been the HVAC I planned, but as Doulas, we know birth is never a sure thing. I was safe and followed my instincts as my space was held for me, with love.

What started off as pretty textbook labour (whatever that is, right?) turned in to a real need for those wonderful obstetric wizards to come out and say “Hey, it’s ok. I’m here to help you. Let’s make a plan.”

I know we moan about them a lot. Terrible communication skills and an inability to listen to the woman are most common complaints. They are often seen as the worst thing to walk through a delivery room door BUT do you know what? Sometimes we need those peeps. We need their years of training in seriously complicated surgery. They can step in and save lives.

So what can we learn about doula support from this birth story?

Doulas still need Doulas. We lose our rational brains when we’re in the zone of labour and birth and are TERRIBLE at taking our own advice.

 

Doulas need Doulas

Positive Pregnancy, Birth and Beyond

conferencedeetsAt Hampshire Doulas we’re always on the lookout for good local opportunities to learn more about supporting women and families through pregnancy birth and postnatal times. So, of course, we’re very proud to be able to be involved with Positive Birth Portsmouth first ever conference.

It’s going to be an interesting day learning all about how the way women and their families are cared for during the perinatal period affects their mental health throughout life.

One of the speakers is a trained doula, and also a consultant anaesthetist. We’re really looking forward to hearing all about how those two things can be brought together to promote positive birth experiences for more women. We will also be hearing about supporting women with mental health issues and about recovery from birth trauma.

If you would like to join us make sure to get your name on the guest list on the PBP website https://www.positivebirthportsmouth.org/conferencedetails.html

 

Five practical ways to work with your contractions and why they work.

Everyone will find their own way of coping with labour on the day. But being prepared with some ideas of things you can try that might help you cope with your contractions and positively work with what your body is doing is a great way to feel prepared and confident for when you go into labour.

  1. Active labour positions:

    Your body’s first job with your contractions is to move your baby into the best position for coming out. Sometimes early labour with contractions that stop and start and often feel strongest in your back can be frustrating especially if they are very intense but don’t seem to be having a measurable effect on your cervix. This is very normal and doesn’t mean anything is wrong. Moving about and changing position can not only help the potentially overwhelming sensations of your contractions to be easier to cope with but can also help to create space in your pelvis to allow baby to move around and tuck their chin in to be in the best position to move easily through your pelvis.

  2. Deep relaxing breathing:

    Just breathe Positive Birth Afirmation
    Planning to ‘just’ breathe through your contractions might sound hippy-dippy or too simple to be of actual use. It’s good solid science though. Controlling and relaxing our breathing allows us to relax our other muscles which allow our body to get to work birthing. Tensing our muscles feeds into a fear response which encourages our bodies to produce adrenaline which is the natural enemy of oxytocin the most important hormone for labour and birth. Switching off our thinking brains and doing everything we can to raise our oxytocin levels gives our bodies the best chance they can have to get on with the job. Breathing doesn’t have to be done any one specific way as long as you breathe in a relaxing way and find a rhythm that feels relaxing to you it will have a relaxing effect. It can help you to feel relaxed and ready with ways to remind yourself to breathe deeply if you practice in pregnancy. Some places you can do this are at pregnancy yoga or Daisy Foundation classes.

  3. Birth affirmations:

    My job is to relax and allow birth to happen
    Having something to repeat to yourself in your head is another effective way of keeping your thinking brain relaxed and allow your body to get on with the job of labour and birth. There’s another blog post with more details on how they work to get your head in a good place approaching birth and can be used to keep your brain busy thinking positively during labour and birth.

  4. Water:

    Water can help you in two ways, labour is really hard physical work and like with other physical activities your body needs to stay hydrated. Having something that’s easy to sip and easy to drop when you need to focus on a contraction is a handy tool. Water can also help to relax you when you get into it. A shower or a bath can be a useful tool for early labour and in later labour, a birth pool is brilliant for providing a lovely safe space and wonderful support to allow you to relax and to find comfortable and effective positions for birthing.

  5. Connection:

    Hands
    The sensations of labour and birth can be really overwhelming, finding something that keeps you grounded can help you to focus on the things that keep you relaxed. This is where a good connection with your birth partner is vital. Not only can your birth partner help you keep calm by helping you feel that you’re not alone but the way they make you feel loved and cared for actually raises your oxytocin levels. The physical connection your birth partner provides also raises your oxytocin levels and increases your relaxation.

 

practicalcontractions

Planning a positive birth

In a previous post, we established what a positive birth is as far as the Hampshire Doulas are concerned. Now it’s time to get practical with some tips for enjoying your birth.

(Please note the book links in this post are affiliate links if you click through and choose to buy these wonderful books I will receive a small amount of commission but even if I didn’t I’d still recommend them).Positive Birth. Learn about birth and surround yourself with positive people.

I asked the Hampshire doulas for their top tips for planning and having a positive birth. They came up with some varied ideas but when it comes down to it we’re all saying the same thing, surround yourself with positive people, people who know about birth and how good it can be. Choose people you can trust to be honest with you not sugar coat things but focus on what’s under your control. How can you do that?

Here are our top 5 ideas.

      1. Join a Positive Birth Group. There are Positive Birth groups all over the world. These are a network of groups where pregnant women come together and support each other. There are no experts and no medical opinions it’s just women sharing their positive experiences with each other.
      2. Read and watch positive birth stories. There are lots of places to read positive birth stories online. The Birth Without Fear Blog is a very good place to start. There are lots of positive birth stories on YouTube too. On the flip side avoid watching popular TV programs that feature birth, they’re edited for drama not education.  If you prefer to read on paper this book is a good start.
        Home Births: Stories to inspire and inform
      3. Get the negativity off your chest before the big day. If you have fears and worries about labour or birth and how you will cope talk them through with someone who knows about birth. If you had a previous negative birth experience consider having a birth debrief (ask your midwife to refer you to this service at your local hospital) or finding a counsellor who can help you move forward and work through any trauma you’re still carrying. You might also find this book helpful.
        How to Heal a Bad Birth: Making sense, making peace and moving on
      4. Learn about birth. Most doulas will have a few good books they can lend you to read. These will help you start learning how our bodies work when it comes to birth and what the range of possibilities might be for working with your body and cope with your contractions. A good antenatal course such as a hypnobirth course will help with this too and of course your antenatal sessions with your doula. Here are some of the books we recommend and lend out most often.
        The Positive Birth Book: A New Approach to Pregnancy, Birth and the Early Weeks
        Ina May’s Guide to Childbirth
        Bump: How To Make, Grow and Birth A Baby
      5. Make a really good birth plan. Writing a birth plan has a value of itself regardless of who reads it on the day. The most important thing about birth planning is the process of thinking through what might happen and working out what choices you would like to make in many different situations. Writing a birth plan together is a great opportunity to have a really good talk with your partner about your expectations and what they can do to best support you through all the stages of labour.  Having a doula or a well-trained birth partner with you who knows your birth plan in their head (and has an easy to read short and sweet copy to refer to in their back pocket) might be the absolute top thing you can do for yourself. But it’s important they and you know what plan B and plan C are as well as being able to focus on plan A and all the things that will give you the best chance of plan A being the only one you need on the day.

       

Put it all in one sentence: how do I plan a positive birth? Learn about birth and surround yourself with loving supportive people.

5 tips for planning a positive birth

 

 

An introduction to hypnobirth with Wendy from WondrousBirth

We wanted to find out what hypnobirth was all about so we thought a good place to start would be a chat with a hypnobirth teacher. Here’s what we asked and what we found out. It’s all about relaxation and practice.

There are lots of assumptions about what hypnobirthing is and people can feel quite confused about whether or not it’s for them. Can you explain to us what hypnobirthing really involves, please?

To understand hypnobirthing it’s good to come from a place of understanding how the body and brain work together during labour and birth. As you will know as a doula and if you’ve had a birth doula, birth is something the body does and anything that stimulates our neocortex (thinking brain) can cause us to produce adrenaline which is the natural enemy of the hormone oxytocin. Our body needs oxytocin to produce the contractions which allow birth to happen. Adrenalin also stops us producing our own natural pain-relieving endorphins. So we need to switch off our thinking brains to give birth the best opportunity to unfold without any assistance. This will help us to feel safe and let our bodies get on with the job.

Hypnobirth provides practical tools to really deeply relax and allow our bodies to let birth happen.
It’s not just ‘woo’ and it’s not just putting on some relaxing music and hoping for the best. For hypnobirthing to work as it should the relaxation exercises need to be practised consistently through the pregnancy until your body relaxes without you having to think about it when you use the prompts. It needs to become second nature.

Some people are concerned because they have an idea about stage hypnosis appearing to show people being controlled by the hypnotist but not only is hypnobirth nothing like that neither is stage hypnosis. When ‘hypnotised’ no one is completely out of their own control. People may be open to suggestion (like eat an onion or cluck like a chicken) but they still have the ability to say no, I’m not doing that. No one can make you do something you’ve already decided is dangerous or not for you by hypnotising you. Likewise,
when you use self-hypnosis as a relaxation tool for birth you are able to take yourself to a relaxing place in your head and feel separate from what’s going on around you but you’re equally able to switch back on to what’s happening around you and interact with other people if you need or decide to do so.

Some people compare the relaxation they experience in hypnobirthing to that feeling you get when you are between waking and sleeping. They say it’s like when you’re aware that your alarm is going off but you choose to keep on drowsing through. Others describe it as being like when you drive somewhere that’s very familiar and your body takes over and gets you there on auto-pilot and when you arrive you can’t really remember the journey but you’ve made it to the destination.

So if we practise the hypnobirthing relaxation we’re definitely going to have a zen floaty birth and be completely serene and pain-free?

Maybe you will maybe you won’t. Hypnobirthing cannot promise you how your birth will go or how you will feel but what I can say is that by doing hypnobirthing you will maximise your chances for a straightforward birth if you acknowledge the conditions for enhancing your birth hormones. Hypnobirthing will reduce fear and stress and you will have the tools that will enable you to be calmer and therefore more comfortable no matter what path your birth takes.

Some people find they don’t experience labour as painful and some people labour silently. But not necessarily. Using hypnobirth tools won’t change who you are as a unique person and your birth journey will be unique to you. If you don’t feel zen or stay silent it doesn’t mean you’re doing anything wrong and it doesn’t mean you’re not relaxing. Sometimes and for some people, the best way to relax and allow your body to work hard at contractions is to let all the feelings go in a vocal way. Sometimes, despite everything we do, things don’t go according to our plan for our birth but the relaxation tools you learn in a hypnobirth class can be incredibly useful even in these situations to help you keep calm and focused when your plans need to change. There is evidence to show that the more relaxed you are during surgery, the better your healing time is afterwards.

I always loved the mantra ‘failing to plan, is planning to fail’, although we can’t make any guarantees that things will go according to our plans for birth this doesn’t mean we shouldn’t do what’s in our power to increase our chances.

What practically speaking can people expect from your classes?

The classes are a complete antenatal preparation so you can expect to cover all the birth basics, what happens when things don’t go to plan, how dads can support the mums complemented by how hypnobirthing works, what tools and visualisations to use, breathing, positions and techniques for dads to physically support mums. I try to make the classes as interesting as possible so we mix things up and get everyone involved and try to avoid a typical death by powerpoint scenario.

There are 4 sessions that last 2.5 hours long and they can go away and practice something after each session and come back for more support at the next session setting them up to practice little and often up until the birth so that everything becomes second nature.

For the dad’s, I prepare a cheat sheet to help them prioritise the most important things on the day as on the day, mum needs to be able to relax and dad is charged with sorting things out which can be a lot of pressure.

Dad’s are my biggest cynics but funnily enough, they are often the biggest converts too. During the classes, the parents get the opportunity to bond with each other and with their baby in a way that our busy lives often limit. They have the chance to really focus on each other, on their hopes and choices around the birth and on their feelings about becoming parents.

I am also a trained doula and have attended many births supporting mums and dads navigate the minefield of birth choices that are out there. I feel this helps me deliver my classes in a very informative manner always keeping the parent’s right to choice at the forefront of my teachings.

The relaxation tools can become tools for life not just for labour and birth. The principles can be useful in the early days, for example, if they want, there’s a script you can use for breastfeeding and the principles are relevant for later for any stressful and challenging situations we come across in life, both for mums and the dads.

The relaxation has positive health benefits for mum and also for baby. There’s some evidence that mum being stressed during pregnancy can affect baby’s brain development so that they will be more sensitive to stress. We can’t control if stressful life events happen when we are pregnant so having a tool to use to keep our bodies calm can not only benefit us but can even have positive effects on baby’s development.

As someone who has experienced hypnobirth for their own birth what was it like for you on the day?

I’ve watched the video of my third child’s birth and it does look like it was a wonderful zen calm birth. In some ways it was but inside my head, it still felt really intense and fast and I had to really focus on relaxing my body. I’ve always been a mind over matter sort of person so for me the hypnobirth tools were great because they allowed me to get quickly into that relaxed state.

When it came to the birth itself I felt really present in my body, really aware of all the different sensations and what my body was doing as it pushed out my baby. The breathing techniques were key in helping me to consciously work with my body slowly allowing my body time to stretch and not tear. I found being so relaxed through my labour had allowed my body to build up such a great amount of oxytocin that the high of holding my baby for the first time was amazing. The same oxytocin resulted in no blood loss at all, my midwife was amazed and said she would have to write 100ml in my notes as no one would believe her if she said none at all.

That said, I am very aware that every birth is different and we all have our own challenges to overcome and I try to be sensitive to that at all times and encourage a couple to find what works for them to empower them as they begin one of life’s greatest adventures.

You can get in touch with Wendy and Erika via their website https://www.wondrousbirthhypnobirthing.co.uk/

On the website, you can book a taster session or a whole course group class or private classes just for you.

You can also find Wondrous Birth on Facebook 

All of our Hampshire Doulas will be happy to support you with hypnobirth if it is one of your chosen tools for birth. Find the right doula for you on our find a doula page. 

 

Hypnobirth in Hampshire

5 of the best Positive Affirmations for birth

What are positive birth affirmations and how do I use them?

Doulas, above everything else, are positive about birth and about women and about new families. One of the most outstanding benefits of inviting a doula to your birth is the positive way she will talk to you and encourage you. Sometimes (especially as women and especially as British people) we’re not all that kind to ourselves and thinking positive thoughts about ourselves and our abilities doesn’t always come easily. This is one reason positive birth affirmations can be so helpful. Make your own or print ours if you like. Stick them around your house where you will see them when you’re going about your day and read them every time you pass. That repetition of thought will make those thoughts start to get into your brain. Then when you’re in labour you can choose the one that works for you and repeat it to yourself as you breathe through your contractions. If your baby has arrived already you might find the positive affirmations for life with a new baby more useful.

  1. I love my baby and I am doing all that is necessary to bring about a healthy birth.

healthybirth

This one can be helpful as you’re planning your birth, especially if you’re making choices that are not in the normal routine of things. People may say discouraging things to you but focusing on why you make your decisions and remembering you’re making good choices for you and your baby is important. It can also be helpful if you reach a point in labour when you make a different choice to your first choice birth plan you might need to help yourself focus on letting go of that first choice and feeling positive about your new choice knowing you’ve made it for good reasons.

2. Keep breathing slow and even. Inhale peace, exhale tension.

inhalepeace

This is a good affirmation for anytime you need to relax, for times you feel stressed while pregnant and as your contractions start to feel like really hard work during labour and then when you’re holding your new baby wondering at the enormous love and responsibility you’ve taken on.

3. I feel the love of others around me.

loveofothers

It’s always good to remember as we birth we’re never alone, we’re surrounded by the love of the long line of birthing women we come from. The love of our sisters (by blood and by choice). One of the most positive things you can do for yourself as you prepare for your birth is to surround yourself with that support. Hang out with people who tell positive birth stories. Prep your birth partners to focus on increasing your oxytocin through every stage of your labour. Always remember if someone is in your birth space and is not helping you feel the love you have the right to ask them to leave no matter who they are.

4. My body will give birth in its own time.

owntime

Due dates are just estimates. Guidelines that stipulate a certain number of centimetres of dilation per hour are not the rules. There are no rules in how birth unfolds. If you’re happy and your baby is happy it’s all good.

5. I accept myself completely here and now.

selfaccept

Each birth is a new adventure for you and how you deal with contractions, the choices you make and the way you feel in each moment is always okay. Birth is not a pass or fail event it’s part of your journey and it’s up to you to speak kindly to yourself and accept how you feel and love yourself through each moment.

What’s in your bag?

positivebirthspacesWhen your doula goes on call for your birth one of the first things she will do is make sure her doula bag is all packed and ready to go and safely kept so it can be grabbed on the way out the door to be with you.

You’re probably wondering what’s in this bag that makes it so special but before we get into that always remember what’s outside the bag is much more important. Sometimes birth happens fast and sometimes it takes even an experienced doula by surprise and we turn up by your side with nothing more than purse and keys. Any of the things we’re going to talk about can be improvised from what we find at your house or the hospital and many women will give birth without any ‘things’ at all just calm loving people marvelling at how wonderful they are.

Sometimes it can be a challenge, especially in our society where we find speed and measurement are so often expected to be a feature in birth experiences and where we often birth in unfamiliar surroundings, to reach that place of being totally in the zone and able to find the power in us to follow what our body is doing. The calm relaxing presence of a doula by your side is her main tool in helping you reach that place of feeling safe and relaxing into what your body is doing and letting it take over and get birth done. Her reassurance and ability to help those around you respect and honour your need for that calm quiet zone is her main tool and you can’t keep that in a bag.

When I asked the Hampshire doulas what from their doula bag they were most likely to use at a birth it came as no surprise that the things we use the most often are things that help women to find their birth zone and follow their body’s cues with the least possible disturbance. Our tools of the trade are the things which work with us in helping to hold the space women birth in and increase their natural levels of the all-important oxytocin.

Here we go with the answer to what is in our doula bags?

Battery Tealight Candles or Battery Fairy Lights.

One of the most important things for increasing the levels of oxytocin a birthing women is producing is to keep the lights low. Bright lights can make women too aware of their surroundings and the possibility of being observed which can stimulate the production of adrenalin -oxytocin’s natural enemy. Even when we’re at a birth without our bag we will help women to find a nice quiet spot to labour with low lights. The added benefit of the tea lights or fairy lights is they have a soft comforting light that we naturally associate with warm cosy evenings with our loved ones which helps women feel safe and produce more of the lovely oxytocin.

Bendy straws.

Women in labour need to keep hydrated, their bodies are doing really hard work and when we exercise we need to stay hydrated to keep our muscles working well. But when a woman is following her body’s cues to find the best position to stay comfortable she may not be in a great position for sitting back and drinking from a cup or bottle. Also taking small regular sips of water is often easier than trying to take a big drink. One frequent task doulas take on is holding the water and popping the straw in the right place to help the birthing woman stay hydrated without having her natural rhythm disrupted.

Coconut water, honey sticks, honey water, high protein nibbles.

As well as staying hydrated women need the energy to maintain their muscles to keep going through all the hard work, especially if they have a long labour. This needs to be provided, just as with the bendy straws for water, in a way that doesn’t disturb their natural labouring rhythm. So, having small easy to nibble high energy options to tempt mum with that she can finish in between contractions is something we’re practised at. We’re also very prepared for (and used to having) small amounts of things spat into our hands if a contraction hits and a woman feels she would prefer an empty mouth during contractions. One of the other things often in our doula bags is hand cream for ourselves in case we need to wash our hands frequently or have them into the water of the birth pool giving a back rub etc.

Essential Oils

Not in every doula bag but in many because of the benefits of positive and relaxing smells in helping women stay in their labour bubble. A smell that you enjoy can help you relax and can cover up any unwanted smells like the medical smell of the hospital. There are other smells which can help you if you feel sick and others that can help you get your energy back. Some doulas have training or experience in using essential oils and will have a whole selection for you to choose from, the most popular during labour seem to be lavender and peppermint. Your doula will always chat to you about this during your pregnancy to make sure she only brings smells that you like into your birth space.

Flannel or face cloth.

This is a practical tool that gets used for various reasons. Sometimes it can be combined with the essential oils to keep them close enough to smell. (Not to be used for other things after that so sometimes we need two.) Other times it’s covered in cold water and used to help soothe a sweaty brow or on the back of the birthing woman’s neck to help cool her down. Sometimes it’s not needed till right at the end of labour when it can be soaked in warm water and used to support the perineum to help prevent tearing. Last but not least sometimes it’s needed after the birth to help the new mother clean herself up -those times we are ready to say thanks for all the hard work and goodbye to that trusty flannel and time to get a new one.

Homoeopathy, Acupuncture, photography, hypnobirthing, etc.

Some doulas are trained in other therapies or skills too and will bring their tools for that job with them. It might help you decide who’s the right doula for you if you know you would be interested in a certain type of complementary therapy or service check if your doula is willing and able to support you with that.

Snacks and a really good coffee for myself.

Knowing that we may well not get the chance for a break once we arrive at a birth we make sure we have good energising snacks for ourselves and potentially to share with a birth partner or midwife too. We need to keep ourselves full of energy so we can be as useful to you as long as you need us to whether your birth is short or long we’re totally in it with you for the whole time.

Home breech birth

During World Doula Week we have the privilege to share a series of interviews with people who have benefited from doula support. Kirsten had a baby who was in the breech position and decided to have a home breech birth. For more information on why some women prefer to choose vaginal birth rather than caesarean for a breech baby, this website is a good place to start reading.

How did you hear about doulas?

When I had my first son in New Zealand I had a pregnancy massage with an English girl. She had been a doula in the UK and told me all about it. I thought it sounded lovely but as I had an independent midwife, I didn’t feel that I needed a doula.

Why did you want a doula?newbornskintoskin

When it came time to have my second son I had moved to the UK. Since NHS midwives are not guaranteed to be at your birth (unlike in NZ), I really wanted someone that knew me and my birth preferences to be with me through the birth (apart from my hubby!).

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My hubby thought it was a great idea.

How did your doula help you prepare for your birth?

My doula gave me lots of positive affirmations which I stuck around my house to help me keep feeling positive and prepared for my baby’s birth. She was happy to answer any questions I had. If she couldn’t answer she would find out the answers for me. She came to meetings with me. I was planning a home breech birth which was outside of normal hospital protocol so I had some meetings at the hospital about this. My doula supported my decisions and choices throughout the preparation.

What did your doula do on the day when you went into labour?

My doula was available on the phone to discuss options/plans. When I asked her to she came over to my house (I had a home birth) and helped calm the atmosphere. She coached me through the contractions reminding me to slow my breathing and relax my shoulders. She encouraged me. She answered the door when the midwife arrived. After my baby arrived he was a little slow to breathe deeply (which is normal for breech babies and he remained well with a strong heartbeat throughout). The midwife asked my doula to call an ambulance so that she would have any equipment and fast transport if needed. As it happened the ambulance crew weren’t even needed in the room as baby began to breathe deeply of his own accord and the midwife was able to give him a little oxygen and was happy with how well he was doing after a couple of minutes.

What did she do after the baby was born?

Cuddled him! While I was feeling faint and my husband was engaged in necessary practical tasks and my midwife looking after me it was good to have my baby still held in loving arms. My doula then looked after my placenta ready for encapsulation and tincture. She gave me a small piece of placenta for under my tongue to help prevent excess bleeding. She was able to remind my midwife that I did not want the injection to expel the placenta. She made me Vegemite toast and a glass of chocolate Nesquik! Later she brought me an amazing chocolate cake!

What was the best thing about having a doula?

The total unbiased support. Knowing she’d be in my corner.

Would you recommend having a doula to other families?

Without hesitation. Every woman should have a doula in my opinion!

Caesarean birth

During world doula week we’re privileged to be able to share a series of stories from people who have benefited from doula support.  A common misconception is that doulas only support ‘natural’ births but that couldn’t be further from the truth. Vickie’s baby was born by planned caesarean birth and she found the support of her doula invaluable.

How did you hear about doulas?

I heard about Doulas from Mumsnet and from a friend who I ended up choosing as my Doula.

Why did you want a doula?

I have complicated pregnancies, and having had a really terrible experience with my second child, I wanted an informed third party to advocate for me, and act in my interests as I didn’t feel my partner was confident enough to fully assert my wishes.

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My family had no clue what a doula was, but when I explained it they all said having someone with both medical and holistic information was a great idea. My partner was equally confused initially, but valued the support particularly when our daughter was taken straight to NICU.

How did your doula help you prepare for your birth?

My Doula gave me information on my birth options, even down to types of caesarian, and empowered me to actually request these things. She came to consultant appointments and translated the medicalised language used, and was another pair of ears.

What did your doula do on the day when you went into labour?

My birth was a planned section at 33 weeks, my doula arrived on the morning of the section with my partner, and massaged my legs, and helped me decompress from the previous horrid evening. She advocated for me as there was some confusion regarding whether the birth was happening that day. My Doula went with my partner to NICU to meet our daughter, which was a comfort to him in such an alien environment.

What did she do after the baby was born?nicudoulasupport

My Doula acted as a buffer between me and the rest of the world, which was needed as I was exhausted, had lost a lot of blood and had a baby in NICU. She provided me with information and encouraged me.

What was the best thing about having a doula?

Having another female to support, inform, and advocate for me. Someone who fully understood and unconditionally supported my decisions. This was especially valuable in a situation where a partner may not fully understand what you are experiencing.

Would you recommend having a doula to other families?

I have, and will continue to! Such a positive experience that every woman should be able to have!

Home birth after c-section

During World Doula Week we are sharing a series of interviews with people who have benefited from doula support. Emily and Stuart’s first baby was born by c-section and their second baby was born at home in the birth pool with the support of both a doula and an independent midwife.

How did you hear about doulas?

I met a doula in a breastfeeding support group who explained what doulas were.

Why did you want a doula?

In my first pregnancy, I felt clueless and unsupported. I felt I had to go along with everything I was told to do without having it explained to me. I felt that with a doula to support me I would be more confident finding all the information I needed to make decisions. I felt I would be more confident asking questions. I also felt I would be more confident making and expressing my decisions. I felt I would have someone to be my back up if I disagreed with what I was told to do.

I also wanted more support for my partner because he felt pushed out during my first pregnancy and birth. I knew that a doula would support us both and help him to feel involved and confident with asking questions and talking to health professionals. I knew it would also help him feel more confident during the birth. DSC_0327

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My partner thought it was a good idea, he was keen to have that support just like me. My family were confused about what a doula would do and how one was different to a midwife. Once explained, they were supportive of the idea. My mum had another job looking after my eldest which helped her not feel too disappointed at not being a birth partner.

How did your doula help you prepare for your birth?

My doula supported me in a meeting with the hospital to review the notes from my first pregnancy. This was good as it helped me to get closure on what had happened. We also did birth partner training with our doula which helped my partner know what to expect and how to support me through the stages of birth.

My doula reassured us that no matter what happened on the day she would support us to make birth a positive experience regardless of anything that came up which might cause us to change our plans for the birth.

She suggested alternative therapies and comfort measures for dealing with the aches and pains of pregnancy, labour and after childbirth and to help my body get ready and go into labour naturally.

If I or my partner had any questions I could always ask my doula and she would support me finding answers or reassure me what was normal, keeping me away from the worry that can come with googling!

My doula supported me at hospital appointments when I had an ICP diagnosis (this is a rare liver condition associated with pregnancy there’s more information here http://www.icpsupport.org/ ).  She supported me thinking through and making decisions around plans for if I needed to be induced or potentially to choose a c-section as a result of this condition.

She supported me when pre-labour started and stopped. Including one occasion when things seemed to be happening one evening, she came round to our house and then helped me stay positive when everything stopped.

What did your doula do on the day when you went into labour?

I first called in my doula at 4 am when I was having contractions and my son was awake and needed attention. She provided an extra person to occupy my son, or set up the birth pool or support me.

In the morning, she helped my son get ready for a party he’d been invited to and co-ordinated a friend to pick him up and look after him for the day so I could rest and focus.

She tried to encourage me to eat and drink to keep up my energy through the day. She kept this up gently even when I wasn’t keen to eat as I was struggling with nausea and vomiting. She helped to keep track of how frequent contractions were and also encouraged my husband to eat and drink to keep up his strength too.

My doula helped me deal with sickness with acupressure, massage and essential oils and by avoiding strong food smells and helped me choose small amounts of food that I could manage. She also caught my sick for me (in a bowl) when that became necessary.

She helped my husband fill the pool the first time and empty and refill the pool when it got cold and needed reheating.

She reminded me to get out and go to the toilet and encouraged me to change positions to help keep things moving.

She allowed my husband to be able to focus on supporting me in the way I needed him to and not be distracted by all the practical things that also needed doing.
She took turns with my husband providing physical support when he needed to rest, eat or go to the toilet. She used hand massage during contractions. This helped because I was more able to concentrate on my hand being held which distracted me from the intensity of my contractions.

She also took photos and video during the labour and when our baby was born. Although I didn’t notice this happening at the time I enjoyed looking at them after my baby was bornTheIdiditmoment.JPG.

What did she do after the baby was born?

My doula helped to empty the pool and take it down after the birth. She put fresh sheets on our bed making it all comfortable to get into with our new baby to sleep. Which was a real relief and allowed us to relax and enjoy our baby rather than worry about those practical things.

She made a placenta smoothie right after the birth and prepared the placenta into ice cube trays for freezing for future smoothies.

What was the best thing about having a doula?

Knowing that I had someone with me who would be sure to stay calm and have a level head. Knowing even if something happened that might have made me and my partner feel confused or upset someone would keep us calm. That we had someone who would be on our side whatever situation occurred.

 

Would you recommend having a doula to other families?

Yes, I regularly do. 😊