Archive for the ‘Doula to Doula’ Category

The “A” Word

Wednesday, February 16th, 2011

Now I want to talk to you about the “A” word. There are few words in the childbirth arena that are as loaded with negative connotations as the “A” word. I am talking about abortion. For women who are trying to have children, abortion is usually the last word on their minds. But miscarriages occur.

If a woman loses a pregnancy or baby before approximately the 22nd week of gestation, it is a miscarriage. Women who were celebrating this pregnancy and longing to hold a baby mourn this loss. Sometimes they mourn publicly. Often they mourn silently. Still more often they mourn with no one to really support them. Their midwife’s job is done when the womb is empty. But their doulas’ job is not done. Here is a grieving woman who needs support and empathy.

However, why do we use the “A” word with this woman? Our society is strongly divided (almost to the point of civil war) over whether women should be allowed to have an abortion if they wish one. But that is not the case here. Here we have a woman who wanted a baby and whose heart is torn asunder. Why is her midwife or doctor using the “A” word with her? Why is she hearing that her abortion is now complete? Medically, a spontaneous abortion = miscarriage. Emotionally, this couldn’t be further from the truth.

When a woman is beginning the mourning process for the loss of the child she had longed for, please let’s not use the “A” word with her. Miscarriage is tearful enough. Abortion in this context is hurtful.

Physiologic Reasons to Delay Cord Clamping

Tuesday, February 8th, 2011

Here is a video of Dr. Nicholas Fogelson, OB-GYN, discussing the benefits of delaying cord clamping until after at least one minute. He is doing a lecture to other OB-GYNs at the USC School of Medicine in what are called “Grand Rounds”. The video is about 50 minutes long and is very interesting. He discusses research which shows infants who have had a delay of at least a minute before their umbilical cord is clamped have more iron and more blood (about 40 % more blood) than babies whose cords are clamped immediately. This increase in iron helps a baby have more iron for six months!

If you are interested in having your doctor or midwife wait before clamping your baby’s cord, give them the URL for this video. Doctors are always having to learn new things (as are doulas). Dr. Nicholas Fogelson believes that the routine cord clamping we do is like the blood-letting practice doctors used to do for patients. When we observe other mammals give birth (like cats, horses, orangutans, etc.) they do not cut the cord quickly. They lick off the amniotic fluid and bring the baby close, but are in no hurry to cut the cord. Perhaps routine cord clamping has been doing our babies out of some necessary blood they would have had normally. After all, if there is no emergency, why should we been in a hurry to clamp the cord?

Beyond the physiologic reasons, you might also have emotional reasons for delaying cord cutting. If your baby is still attached to you, they can’t take him away from you off to a warmer. They have to do Apgar scores on your belly while you gaze at your long-awaited child. Sometimes if a puff of oxygen is needed, the baby can have a puff right on your belly. Isn’t that nicer than routine separation?

Postpartum Doula Training

Saturday, February 5th, 2011

Jan Mallak led the first postpartum doula training for ICEA in Export, PA today. I was one of the doulas who attended. We shared ideas about how to be better postpartum doulas and had some lively role playing exercises. We even had a cute baby to help us with the 6  S’s of The Happiest Baby on the Block, by Dr. Harvey Karp. Our goal as postpartum doulas? To support new mothers and be baby whisperers. Soon, I hope to have a new certification: postpartum doula with ICEA.

Doulas — Keepers of the Faith

Sunday, January 16th, 2011

Because our job as doulas is to support you during your birth, we become the keepers of the faith in your ability to birth vaginally. Most mothers can birth vaginally, but most mothers also give birth in hospitals in the U.S. While you labor, it is very hard to keep your goal in mind and to keep your faith in view. Doulas do that. We believe in your abilities as a birthing woman and in your ability to be a wonderful mother. We encourage you and keep encouraging you, no matter what.

Your partner will support you and cares for you, but probably hasn’t seen as many births first-hand as your doula has. Your caregiver, Doctor or midwife, will be in charge of your health and the baby’s health and your nurse will have to chart. Your doula only has you as a person and as a mother, in mind. Are you tired, scared or just unsure? Your doula will help you renew your determination. She will help you keep the faith, through the work of your labor and  through the hours of your birth. You can lean on her, she will support you.

Get your bumper sticker

Tuesday, December 14th, 2010

Get your own bumper sticker and start supporting your local (in some cases very local) perineum. And in turn, support your local midwives and family practice doctors. You can now get your bumper stickers at Zazzle.com. Get yours today and let’s support laboring moms where they really need it.