What does a doula do? #2

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Continuing my new series

What does a doula do?

A doula makes the dad look good. 

Here is the truth:  Birth makes most dads a tad nervous.  He wants to support her wishes, keep her safe, keep baby safe, not pass out, not have a baby in the car, say the right things, not get yelled at, have fresh breath at all times, look confident, and not melt into a pile of mush. 

Dads really shouldn’t have to learn everything there is to know about birth in order to be Mr. Super Birth Partner.  He already has all the tools to be this superhero.  A doula can take the load off and let him do what he does best.

And what is that? 

Love on the mama. 

Inviting a doula into your birth scene frees up the dad to love on the mama.  See, birth needs this one special hormone to get it going and keep it going.  The Love Hormone, Oxytocin.  Why yes, it does deserve to be in all-caps.  An important hormone, this.

Oxytocin releases when you feel good.  When you feel safe, warm, nourished, juicy.  The saying goes “What got the baby in gets the baby out.”  Go ahead ask.  I know you want to.  How many of my couples make out in labor?  This doula’s lips are sealed.  But it does work beautifully!

Dads do this best.  I’m not going to smooch on my clients.  And while I can hug and rub and spoon with them…I’d much prefer to guard their privacy and let the dad take this role.  She probably would too!

My job is to quietly give them safe space to get cozy.  Some clients want me to stay physically present and others want me to hang out downstairs or go for a walk.  Some just want me available by phone until things really pick up.  Often, for dads, the fact that I’m relaxed and in no hurry to call the midwife or go to the hospital frees them to relax. 

During active labor, I might show the dad some ways to lay hands on the mama or hand him a warm rice sock for her back.  Though I want to rush in and do it myself, it is best if I can stand back and let the couple do the work of birth. 

If interventions of the doula sort are called for, then I step in.  A dad shouldn’t have to worry about what to do with a cervical lip or a posterior presentation.

I’ve interviewed couples with concerns that the doula would “take the place of the dad.”  Far from it.  I give the dad peace of mind.  I give him ideas or, better yet, make them look like his ideas.  I give him bathroom and sleep breaks.  I bring him dinner.  I offer him gum.  And I make him look like a rockstar. 

I’ve never met a dad who said, “I really wish we wouldn’t have hired a doula.”  Most become doula evangelists.

Killer Bees and Underwater Breastfeeding

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Did you hear about the one where the woman was nursing her baby while sitting on the pool steps? 

The story goes that she got stung by something on her shoulder and she freaked.  She dunked herself to get rid of the horrible monster attacking her.  She completely forgot about the baby until she re-emerged.  Her husband yells, “the baby!”  She looks down to find the baby still latched on.  Cedar, er, the baby, goes back to her nursing without any fuss. 

Ah, but the mother can’t let it go. 

Expecting to find a huge swollen sting, she sheepishly discovers a tiny red mark from what was probably a wee little sweat bee. 

The mother is troubled by her complete absorption in self-preservation.  For a moment, she truly forgot about the babe in arms.  She’s been imagining all sorts of scenes (concentration camps, hostage situations, famines) and wondering if she would sacrifice her children to save herself.

Her sister, the counselor, helpfully suggested that it is like the rule on planes to place the oxygen mask on you before the child.  Another friend praised her for saving the baby from the killer bee.  Her husband…well, I won’t mention what he says.

The mother is relieved that it was a private pool with no witnesses.

November

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I’ve had an unexpected doula opening for November or early December.  I know I have turned several women away for this time frame. 

If anyone needs a doula or if I turned you away and you have not found another birth professional, please email me for a free consultation/interview.  j_byers(at)bellsouth(dot)net.

You give me

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   What you give me is
   the extraordinary sun
   splashing its light
   into astonished trees
 
                   –Denise Levertov

Mid-Year Review (sorta)

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Funny Points

At a homebirth, we ran out of ice so I threw a bag of frozen tater tots on the mama’s chest.

By the glow of lamplight, I watched a midwife “dirty dance” with a laboring woman.  Très romantique.  Ladies, you know who you are. 

I got peed on.  Twice.  At the same birth.  On the same foot.

I heard a woman say “schrikeys” during her most intense contractions.  Not sure how that is spelled.

Highpoints

I was witness to a homebirth VBAC (vaginal birth after cesarean).

I threw a chux pad under a woman who gave birth standing up in a hospital bathroom.

Along with Carey, I started an upstate chapter of the nonprofit BirthNetwork (more to come on that!).

No cesareans, pain medications, or chemical inductions for any clients or students this year.

Lowpoints

I continue to confuse terminology between hypnobabies students/clients and non-hypno clients. 

Through a weird twist, I ended up with my 5 month old at a homebirth.  Had to wrap her on my back and rely heavily on the midwife assistant to doula for my client.

I turned away more women than I was able to serve.

A former client took her own life 9 months postpartum.  If you know someone struggling with postpartum depression or postpartum psychosis, please encourage them to get help.  We have a wonderful postpartum support group that meets monthly and can provide the resources for help that might be needed.

Wonder what the rest of the year has in store…

What does a doula do?

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The most common question I get:  What exactly does a doula do?

I can’t speak for all doulas but I don’t have a “scope of practice.”  I do whatever my families need me to do.  There is no “exactly.”  I’m going to do a series, then, on what we do–in general.  I’ll carry it on until 1)  I get tired of it.  2)  I forget about it.  or 3) I reach the end of all that doulas do (which means I’ll post about it forever).

Today I’m going to look at one thing I do.

I ask questions. 

I didn’t go to medical school.  I’m not a midwife.  I don’t read obstetric textbooks in my spare time (anymore).  I don’t know all the answers.  Sure I keep up with some research.  I peruse the Cochrane database and read blogs like this and this.  I have a doctor and a midwife on speed dial when I have burning questions.  But I don’t kid myself into thinking that I have some special knowledge.  I probably know enough to be dangerous.  Which is why… 

I ask questions. 

To the family, questions like “Have you considered?”  “What is most important to you?”  “What would that look like to you?”  I carve out the space for families to ask their questions, express their concerns, tease out informed consent.   

To the caregiver, “Can we wait?”  “Could they go home?”  “Could we try?”  “What are the benefits? risks? alternatives?”  “Can we wait?”  “Can we wait?”  “Can we wait?”

I ask questions.

I do not make decisions for families.  That is the glorious privilege of the new parents.  My job is to support them in whatever decision they make.

Update on the Young Pregnant Couple

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For those of you who’ve been following the pregnancy of my sister and brother-in-law, an update:

Noelle and Zach expect their wee lad in early August.  He seems a strong soul–making big solid movements in Noelle’s belly.  When I feel her belly, I think of an oak. 

They are planning a homebirth.  Noelle has a really relaxed attitude about birth.  She doesn’t seem to have much fear or many expectations about the way it should go.  She has surrounded herself with good tools and support and believes that her body will know what to do.  Zach is fantastic and will be a rockstar during her birth.  Plus she has an incredible doula (you’ve probably heard of her).  Her midwife team isn’t half-bad either.  🙂

They continue to prepare for Cambodia.  They will be moving there in the spring.  From your wonderful advice on which cloth diapers to use in a place without hot water, they’ve stashed prefolds and covers.  And they continue to work through the vaccination decisions–what vaccines are suggested for a baby in Cambodia, which can be skipped/delayed, which can be found in Cambodia, and will these contain mercury as many overseas vaccines still do?  If they followed the standard recommendations, baby Asher’s newly born system would be saturated with vaccines. 

If you haven’t noticed, I’m pretty excited about this tiny soul and the smart couple who will raise him.  

Melissa’s Hypnobabies Birth Story

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I have a new story posted in my birth story section.  I was honored to doula for Melissa and Josh as they welcomed baby Bowen into the world.  They were kind enough to share their story.

Go check it out!

Norah on the Oil Spill

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At breakfast this morning:

Norah (with wide eyes and much emphasis):  Mama, did you know something what was very bad happened.  The ocean BLEW UP.  Yes it did. 

Me:  How do you know?

Norah:  Mimi and I were going to watch sumpin on TV but the news was talking about oil in the ocean.  And THAT is important so we watched it.  And did you know that somebody’s son DIED when the ocean blew up because there was a fire.  And now there is oil going into the water.  It is very sad.

Me:  yes, it is very sad.

Norah:  Hey, I have an idea.  I know how we can close the leak.  When Daddy’s shoulder heals up, he can put on some goggles and swim down into the sea.  And he can take a pipe and put it in the hole.   Ta-Da!

(Photo by Tracie)

Mirrors Burn

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Some mornings

in summer I step outside

and the sky opens

and pours itself into me

as if I were a saint

about to die.  But the plot

calls for me to live,

be ordinary, say nothing

to anyone.  Inside the house

the mirrors burn when I pass.

–Lisel Mueller