Category: General

  • The refuelling station, or the importance of self care for doulas and birthworkers

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    A couple of days ago I was given a beautiful self care analogy. I was treating my friend Teddy with Reiki. He is an osteopath. For some reason, that day, I was drawn to treat his hands, something I haven’t been trained to do. But when I was treating a new mother recently, she mentioned her hands were aching from holding her newborn so much, so I treated them and it was lovely. Somehow it made sense to treat Teddy’s hands too because, as his main working tools, I figured out they could do with some recharging.

    It produced very interesting effects. As soon as I started treating his hands, I felt a great amount of tingling energy flowing through my hands. Teddy became aware that his hands had felt empty and thenĀ  said that it felt like a petrol pump or a fuelling station refilling them with energy.

    I treated him until it felt like the Reiki has done its job. It took a good 20 min, which, in my personal experience, is quite a long time. Especially for him as he is one of the fastest responders to Reiki I know.

    It was a very interesting learning experience for me on several levels.

    Firstly from my own Reiki angle-I found myself wondering why treating hands isn’t part of the standard positions suggested as part of Reiki training. We do so much with our hands, all of us, even those of us who aren’t body workers. We touch with them, we give with them, we express love with them. From now on this is something I will remember to offer to my clients. When I treated my new mother client, the treatment was very significant for her. She said it felt like it was acknowledging the hard work her hands were doing.pexels-photo

    Secondly, it reminded me of the importance of self care, and the fuel pump was a beautiful analogy. It is a well known fact that people who work in professions that involve healing or caring for others are usually pretty bad at looking after themselves, because they tend to put the needs of others ahead of their own.

    I learnt this the hard way myself during my first year as a doula. When I was working as a scientist, my self-care routine involved eating well, getting enough sleep and running 3 times a week. That seemed to do the trick.

    Then I left science to pursue my heart’s calling (read more about this here).

    I LOVED every minute of my first year as a doula: the births, supporting postnatal families, everything. I felt so blessed to the able to do this special job.

    Then towards the end of my first year I suffered massive burnout. I remember at the end of two long weeks looking after several postnatal clients, I felt physically, emotionally, and (that was new to me) spiritually empty. I had never experienced anything like this before and I didn’t know what to do.

    I called my wonderful doula mentor Suzanne, and she explained to me that, due to the giving nature of doulaing, I needed to develop a new kind of self-care routine.

    You see when you have a job that involves giving to others, day in day out, and especially if you happen to also be a parent, so you have to do it all over again for your family in the evenings, your fuel tank can get empty without you even noticing. So have to find new ways of refilling your own tank.

    This is important because you simply cannot fill somebody else’s tank if your own tank in empty.

    So ultimately, by looking after yourself, you are also looking after your loved ones and clients.

    In the months following months after that burnout experience, I tried out a lot of different self care approaches. I had treatments with different practitioners: massages, reflexology, osteopathy. I learnt to religiously book myself a treatment after a birth. I tried mindfulness and meditation. I developed a liking for something I call a “birth hangover”-if I can after a birth I have a sofa day at home in my pj’s watching DVDs and eating lovely food. I also learnt to pace myself, and that I could only take so many clients at once. Eventually this, helped by the wisdom of other doulas who were further in their journeys than me, led me to continuing the Reiki training I had started 15 years ago and completing my level 2 and then my reiki master level. This is something I did first and foremost for myself and my own self development. Today I am beyond grateful for the caring gifts it has imparted me, my family, friends and clients. Self treatment with Reiki is my go-to treatment of choice. If I feel off-balance nothing works as well as that. My kids come asking for it whenever they hurt themselves or are upset. I still have regular body treatments too.

    So if you look after others in one way or another, I would like to encourage you to think about ways you can fill your own fuel tank. I like the SPICES acronym for this. S is for social, P is for Physical,Ā  I is for intellectual,Ā  C for creativity, E for emotional, S for spirituality.

    How are YOU going to look after your fuel tank?

     

  • Why attending antenatal classes in your third trimester might be leaving it too late

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    I have just had a realisation that attending antenatal classes in the third trimester of your pregnancy might be leaving it too late.

    Part of it is based on my own experience during my first pregnancy, part is based on my experience supporting women as a doula and antenatal teacher.

    When I was pregnant with my first child, I had the choice of going to antenatal classes when I was 5 months pregnant, or when I was 8 months pregnant. I am so grateful to the kind booking lady who when I asked her which ones I should book said that by 8 months I would be more tired and probably would feel less like going out in the evenings. Now I reckon she was wise and just used it as an excuse, because she knew how I would benefit from it.

    You see, starting antenatal classes earlier allowed me to really think and mature my decision about what I wanted (and not wanted) for the birth. It opened my mind to think about aspects of birth I didn’t even know existed. It made me want to find out more, and to read more and to talk to more people., and completely changed the course of my experience for the better. I now know almost for certain that I would have had a completely different (and less positive) experience had I waited until the later part of my pregnancy.

    But this isn’t about me really. It’s about you and making decisions about an experience that is going to impact you for the rest of your life. Because what makes a good birth experience isn’t so much what happened during the birth, but how you were made to feel about it, and how much decision making you had in the process. What you don’t know about, haven’t thought about, is very difficult make decision about if you are confronted with it during your labour and birth.

    Trust me, this is important.

    I know we are all very busy, and I hate to break it to you, but just attending a handful of evening classes is barely scratching the surface of what you need to know. You need not only to know all the options, but you need time to ponder and mature your decisions. Weigh up the pros and cons of each option. Risk perception is a very individual thing, and to make a truly informed decision, you need to know all the options and have time to think about it. Nobody can do this overnight.

    I think that deep down, you know this.

    So why wait?

    Here are several reasons why having antenatal education in your second trimester might be one hell of a good idea:

    • You’ll be less tired. Yes, believe me, if this is your first pregnancy, you have NO IDEA, now that you are in the blooming phase of your pregnancy, how knackered you’re going to be after you hit 32 weeks.
    • You’ll have more time to ponder, to reflect, to plan and think and mature your options. You might end up realising that you want something completely different from what you thought you would. If this was your wedding day, would you wait until 6 weeks before it to start planning and organising it? Would you say “I’m just going to wing it?”. Now, guess which of these days is going to have the longest lasting impact on your future wellbeing?
    • You will feel more confident and less anxious about your labour and birth-this is because you’ll have had more time to explore what scares you, debunk some myths and explore some strategies to alleviate the fear.

    It isn’t just about the birth either-it’s about finding out about postnatal recovery (I’ve written two blog posts about this, one about recovery, and one about why starting your maternity leave earlier might be a good idea), and about becoming a parent. There is a minefield of conflicting advice out there, and you need time to access information and debunk the many myths that our culture pushes upon us. You also need time to think about what feels right for YOU, to peel the onions layers of “should” laid upon us by our culture, and also have the time to reflect on your own experiences of being parented.

    Does it feel like it’s a bit too much right now? It’s a lot of time and work to dedicate right? Again, coming back to the wedding analogy, that’s lot of time and work too. But it is really worth it! How would you react if someone told you that you’d spent too much time preparing your wedding? Ridiculous, right? Well, it’s the same for your birth.

    The good news is that you don’t have to do it alone-a doula can be a bit like a wedding planner for your birth and parenting journey-she knows all the right people in the field, she can save you a huge amount of time and stress when it comes to finding out the info and signposts for you. She will listen to you and handpick the books, DVDs, articles and website links etc, that resonate with YOU.

    If you are reading this, you are half way there and I would like to say well done for thinking of investing in yourself. This isn’t just about your baby, it’s about you, now and the future you once your baby has been born. You deserve this. It isn’t indulgent and it isn’t too early.

     

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  • Babywearing and postnatal traditions

    I’ve done a podcast with Alexia Leachman, on babywearing and postnatal traditions-you can listen to it below

     

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  • Why postnatal recovery starts before the birth

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    I had a lightbulb moment this afternoon whilst chatting with my lovely yoga teacher and therapist friend Stephanie Satriawan. We were musing over the fact that we see more and more women working right up to their due date. It isn’t usual these days to hear stories of women going into labour at work, or the day after their maternity leave started.

    In a culture that glorifies busy, and is also focused entirely on the health of the baby, not the mother, is it perhaps not surprising, especially as mothers want to keep their maternity leave for when they feel it matters most, after their baby is there. I can’t help but wonder if expectant first time mothers also believe that somehow they will get their rest once their baby has arrived.

    But, I can’t help but wonder, are we missing something very important there?

    My instinct tells me that this period of “doing nothing” before the birth is very important indeed. It feels that the mother needs the rest physically (that’s a given: most of us feel pretty tired during the third trimester of pregnancy), but beyond that I feel that she needs the time to just “be”, to connect with her baby, and to build her strength, both mentally and physically, for the birth and postnatal period afterwards. This article, “the last days of pregnancy-a place in between” describes this very well.

    I cannot help but wonder how much impact this has on women’s physical and mental wellbeing. I can’t help but wonder what the outcomes would be if women maternity leave was automatically starting a few weeks before their due date (This is the case in France, you stop work 6 weeks before, but then women only have about 2.5 months left after birth which is another story).

    I started to wonder if there was some actual peer reviewed research on this topic, so I searched for articles and was quite pleasantly surprised to find a couple of papers on the subject-I didn’t even know that this had been studied! One Canadian study found that the risks of obstetric complications during labour decreased with the duration of leave, an American study found that women who stopped work at 36 weeks were 4 times less likely to have a cesarean than women who worked right up to they gave birth. A Mexican study also linked no antenatal leave with low birth weight. There are also several studies showing a link between short antenatal leave and preterm births and low birth weight.

    This really exemplifies theĀ  fact that our culture has little understanding of how important the perinatal period is, on both sides of the birth!

    I want to make something clear : I am certainly not blaming women for this, and I know that some women work until they give birth because they have no choice, for example for economic reasons. I feel that the blame should rest squarely on a culture that fails to understand and support the needs of birthing women, rather than on women themselves.

    Still, because a shift in cultural treatment of expectant women, I would like to encourage women and birthworkers to think that postnatal recovery starts before the birth.

    I am going to start adding that to my discussions with pregnant women.

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  • Why you need to write a postnatal recovery plan

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    If you’re pregnant or have ever had a baby, you’re heard of birth plans, I’m sure, but have you heard of writing a postnatal plan? I doubt it.

    As a doula , antenatal teacher and babywearing educator, I’ve been working with expectant and new parents since 2010, so I have met quite a few pregnant and new families and their babies (I think it’s something like close to a thousand now).

    So you see I thought I kind of knew quite a bit about postnatal recovery. Expect I had missed something crucial in the mix.

    When I attended the doula UK conference a few weeks ago, Mia Scotland (she is a clinical psychologist and doula, and author of the awesome “why perinatal depression matters”-the best book I have read about depression and perinatal mental health) gave a talk about postpartum practises from around the world and the dire lack of them in the West. I kind of knew all of this-I bang on about it in my antenatal classes-my friends from China, Africa, India or South America tell me stories of spending a month in bed with their babies whilst family members rally round to take care of chores, or people fighting over who is going to cook them delicious, nourishing food, or daily full body massages etc. Heck I even teach a postpartum massage from Ecuador called closing the bones.

    What do we get in the UK? Two weeks leave for the partner, and we get told to “leave the chores” and “sleep when the baby sleep”. But chores need doing eventually (you need to eat, at least, and some clothes to wear for you and your baby!), and what if your baby only power naps in 40 min batches? When do you rest then? Also most mums have no family nearby, and the majority of them find themselves alone at home all day with their new baby-with no social network because their friends are at work. So you get an exhausted and lonely new mother, with no support. Feeling guilty because she isn’t feeling serene and fulfilled by new motherhood. Ah! This isn’t what we were supposed to get as a species. This isn’t right, and deep down, we know it.

    So yeah I’ve been rabitting on about all this to pregnant couples. But that wasn’t enough.

    What Mia suggested if that we encourage expectant couples was to write a postnatal plan. This was new to me. I think this is a genius idea!

    It’s quite revolutionary when you think about it.

    A postnatal recovery plan.

    Just like a birth plan-I guess we could call it a postnatal recovery preferences plans.

    It’s a lot more focused than just talking about what’s missing in our culture. It is encouraging parents to think about what is missing and what they can do about it. BEFORE they have their baby.

    So what would it look like? I asked my birthworkers friends on Facebook over the week-end to come up with an acronym. They came up with several brilliant ideas! The one that appealed to me most was the RECOVER acronym by author and breath coachĀ Catherine Holland. I then adapted her idea and added the words describing what each letter prompts for. It’s a great starting point for parents to think about and put support in place for after the birth.

    Rest-you need to recover from growing and birthing this baby. Adult help, daytime naps (Sleep when baby sleep ), early nights, taking it in turns, or other sleep deprivation strategies that work for you.

    Eat-nutritious food- fill your freezer, ask friends and family to cook and deliver food, take away menus…

    Chores-can you get another adult to help? A cleaner, family members, friends, a postnatal doula, mother’s help?

    Optional-refers to the visitors below but also to the fact that the plan will only work if it is tailored to your needs-some new mums prefer to stay at home, some prefer to go out and see people for example

    Visitors-This can be a good or a bad thing, depending on yourself and the visitors. Visitors who come and expect to be waited upon, and insist on holding your baby, can leave you feeling exhausted with a cranky baby. Can you discuss this with friends and family ahead of time? If you don’t want visitors but don’t want to confront them, note on the door with “new mother and baby asleep” might do it.

    Emotional Take it easy, this is a big change and the first few weeks are usually very chaotic. New parents need solid emotional support, Think “mothering the mother”. Yet most are bombarded with well meaning “advice” which can undermine their confidence. Find someone to talk to who can listen unconditionally.

    Receive- this isn’t a time for you to give to other people-you are supposed to receive support. Demand nurturing present for yourself, like a postnatal massage. It is much moreĀ useful to have nurtured parents who feel strong enough to look after their baby than lots of flowers, babygros and cuddly toys.

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    Of course a postnatal doula can help you design such a plan, signpost you to the right people and provide all the support highlighted above šŸ™‚

    Let’s start the postnatal plan revolution!

  • Weaving the cloth of support through a woman’s life, part 2: Why every parent supporter should know about slings

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    As a parent supporter, why should YOU know about slings? I feel that this is an essential part of reclaiming ancient wisdom about gentle parenting-for both parents and baby. That wearing a baby in a sling not only allows the parent to meet the needs of their baby effortlessly whilst getting their hands back, but that it also helps parents to bond naturally with their babies, to get in tune with them, and in turn, to learn to trust into their instincts.

    Have you heard many parents complain that they can’t put their baby down? That their baby is only happy in their arms, and that when they try and put them down, even when deeply asleep, they wake up and cry? Have you had parents desperately ask for a solution to this “problem”? Are you fed up of hearing so many desperate cries for help and you don’t know what to say?

    There is a wonderful solution to empower new parents to feel both competent and confident, and it’s to use a sling (Please note, I use the word sling to describe any type of baby carrier (not just a soft fabric carrier).

    As a doula I wouldn’t be without my sling! I find it invaluable to be able to help parents choose a carrier for their baby, to see the joy on their faces when their baby contentedly falls asleep in the sling and they can meet their baby’s needs effortlessly whilst still being able to look after themselves. Postnatally I am usually found giving a new mama her hands back by showing her how to safely tuck their newborn into a carrier. You’ll also find me with a sleeping baby tucked inside a stretchy wrap whilst mama is enjoying a nap or a long, uninterrupted bath. I can then get on with a bit of tidying up/folding some laundry etc, safe in the knowledge that mama and baby are both cared for and happy šŸ™‚

    I get it, believe me, my first child was a velcro baby-he point blank refused to be put down, and screamed blue murder if I as much as tried to lower him down into a bouncy chair or play mat).Today I am so glad he made me learn about slings, but it was bloody hard at the time! (mostly because I kept on trying to fight it instead of just doing what he needed)

    Why is using a sling so important and helpful? The answer resides in our biology. We are primates. Where do you see primate babies? On their parents. That’s right. We aren’t caching or nesting mammals. We don’t put our young in nests or burrows. Yet our society seems to think that we are meant to do that (and this abnormal expectation creates a lot of unnecessary stress in new parents-but this is a topic for another blog post altogether!).

    So what are the advantages for parents when they use a sling? You’ll be surprised to hear there is some actual science behind it. There is the obvious: it gives you your hands back! In our nuclear family culture, most partners return to work within 2 weeks of the birth, leaving the new mum alone at home with the new baby and no social circle. This is an absolutely essential survival kit. With a sling, new parents can get on with household tasks, make themselves a snack or a meal, play with older siblings, socialise, and generally get on with the things they want to do whilst caring for their baby at the same time. It is easier to get around in places like town centres and shops, or for a walk in the countryside. No need to lug around a heavy car seat, or battle getting a pushchair into your car, on rough terrain, in public transport or up stairs.

    But the advantages do not stop there. Did you know in particular that carried babies cry 40% less? that being carried in a sling can help babies sleep for longer stretches at night? That carrying your baby stimulates milk production and so helps breastfeeding? That it helps to promote attachment with your baby and there is some science to prove that? And that it can also help parents with postnatal depression?

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    Using a sling is also great for baby's mental development. Close to his carer, baby's needs for physical contact are met effortlessly. Babies spend more time in a "quiet, alert state" when carried – the ideal state for learning. When carried, your baby sees the world from where you do, instead of the ceiling above his crib or people's knees from a stroller (there is a brilliant Norwegian video showing this at http://www.youtube.com/watch?v=zga_mW9vqnE)

    Using a sling is great for baby's emotional development. Your heartbeat, breathing, voice and warmth are all familiar. Babies are quickly able to develop a sense of security and trust when they are carried.

    Using a sling is great for baby's physical development. Contact with an adult helps newborns regulate their temperature, breathing, and heartbeat. Being carried also stimulates the baby’s balance and muscular strength and help his back and hips develop more harmoniously than when being left to lie flat. Being carried in a sling also counts as ā€œtummy timeā€ and can help avoid plagiocephaly (flat head syndrome).

    So why do you need to learn about it? It's an ancient practise, it's easy, it is just using a piece of cloth to put your baby in, right? Wrong! In the UK today there are hundreds of different carriers available. The parents you support will turn to you for advice, and slings are a bit like jeans or shoes-one style doesn't not fit all, so you need to know your wraps from your meitais, and your ring slings from your soft structured carriers. You need to know how to use them comfortably and safely, and to ensure that you do not pass on your own biases about carriers to new parents-because what worked for you may not work for them. It is all about unconditional support
    In my course you will learn how to use all kinds of slings available, and the theory behind using them (both anatomy and safety), as well as how to do it in a way that is gentle and supportive, and empowering to each parent. You will feel confident to tackle pretty much any situation new parents throw at you. That's priceless. If you want to find out more about my babywearing peer supporter courses, please go to https://sophiemessager.com/divi/peer-supporter-courses/

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    And for the science geeks like me-here are some references

    Antunovic E. strollers, baby carriers and infant stress. 2010 [ONLINE] available from http://www.bobafamily.com/research/strollers-baby-carriers-and-infant-stress/ [accessed 3rd of February 2013]

    Hunziker UA, Barr RG. Increased carrying reduces infant crying: a randomized controlled trial. Pediatrics 1986;77(5):641-8.

    Taylor T. Slings and arrows. New Humanist 2010 [ONLINE] available from http://newhumanist.org.uk/2330/slings-arrows [accessed 3rd of February 2013]

    Schƶn RA. Natural Parenting ― Back to Basics in Infant Care. Evolutionary Psychology 2007. 5(1): 102-183

    Sears W. Benefits of babywearing. no date. [ONLINE] available from http://www.askdrsears.com/topics/fussy-baby/baby-wearing/benefits-babywearing [accessed 3rd of February 2013]

    Anisfeld E, Casper V, Nozyce M, et al. Does infant carrying promote attachment? An experimental study of the effects of increased physical contact on the development of attachment. Child Dev. 1990;61(5):1617-27.

  • Weaving the cloth of support through a woman's life, part 1: an overview of using fabric to support women throughout their lives.

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    This morning I was writing the teaching plan for my new rebozo workshop when I had an epiphany: all the work I do, whether it being rebozo, closing the bones or baby wearing (read about that in the next parts of this blog), involves using a piece of cloth to support women. Then it hit me: it isn’t just about supporting expectant, new and more experienced mothers : the piece of cloth, traditionally, would have been used from cradle to grave, to support women at times of transition in their lives.

    Let me explain: in pretty much all cultures on the planet, some kind of cloth has been used to cradle and carry a baby. In some cultures it would have been used to rock and soothe the baby too. Rocking is such a primal rhythm we all experienced it in our mother’s womb, that we find it soothing all through our lives. Later, when the baby grew into a toddler, she would have used the cloth to dress up, pretend play, make a den etc.

    As the child grew into a young woman she would use the cloth as a shawl to keep warm, as a clothing accessory, a blanket, to carry siblings ( in traditional cultures women learn baby care from a very young age due to living in extended family conditions), and to carry loads.

    It wasn’t just in the South American, African or Asian continent that women used such a cloth, it was all around the planet. Even in Europe-there are pictures of women wearing their babies in Welsh shawls which date from the 1940s (See http://celticbabycarrying.blogspot.co.uk/). As the shawl came out of fashion and modern practises like using s pushchair became seen as more fashionable and desirable this skill was soon lost, and because like most traditional women-only practises, it was just passed on orally rather than written about, the knowledge was lost very quickly.

    Later still when she became a woman, she might have been given a shawl as part of a menarche ceremony. She might have worn a special cloth on her wedding day.

    When she became pregnant, she would have used the shawl to support her belly, and her midwives would have used it to alleviate the aches and pains of pregnancy, and maybe to help the baby move into the best position for birth.

    During labour she would have used the shawl to hang from, to pull on, and her birth attendants would have used it to provide comfort measures, such as sifting, rocking, and shaking the apples.

    After the birth she would have had a “baby moon” period. Again this is something pretty much universal in the world-women the world around have been alleviated from household tasks and cared for by family members for the first 30 to 40 days postpartum so they could recover and get to know their baby and learn to care for them. Her birth attendants and “godsibs”and the village wise women would have come to feed her nourishing food, and close her bones and help her body heal from the pregnancy and birth by usingĀ  a combination of their hands, massage techniques and using the cloth to help move and bind her hips, organs and bones back into place.

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    She then would have start to use the cloth to carry her baby and start the cycle all over again.

    Later as she grew old, her family members would have used the cloth to rock and soothe aches and pain.

    So you see, a traditional cloth, rebozo, shawl or cloth can be used to support a woman throughout her whole life. It is a universal phenomenon on our planet, something that we need to reclaim and teach all women, as it is part of the essence of women circles and supporting women through life transitions. This is why I am so passionate about passing this skills to both expectant and new mothers, and to anybody who works with expectant and new mothers. It is our birthright!

    In my next posts, I will tell you more about the rebozo and how to use it specifically to support the expectant and labouring mother.

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  • Evidenced based woo, or the confessions of a hippy scientist, part 2

    As a scientist, one of the things that irritate the hell out of me is when people dismiss complimentary therapies by saying that they aren’t evidence based.
    We live in a narrow minded, sceptic’s culture, whereby anything that hasn’t been proven to be true in a double blind randomised controlled trial is dismissed as quackery. I have coined the term “flat earth syndrome” to describe this way of thinking. Because let’s be honest, it just isn’t a very scientific way of thinking. Science keeps on disproving itself, and many of the beliefs we hold true today were dismissed as quackery yesterday!
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    It isn’t in the patient’s interest for different therapists to dismiss each other. What people need is for western and complimentary therapists to work together and respect and value each other. If a person gets relief from a therapy which isn’t backed up by published evidence, if it helps them, if it is part of the patchwork quilt of holistic support, does it really matter if is evidenced based or not?
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    As a scientist, especially as I published papers in several high ranking journals, including medical ones, I feel entitled to say this.
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    First, many alternative therapies simply haven’t been studied in double blind randomised controlled trials, and never will be, because it is too costly and there simply isn’t the financial or social impetus to do so. It doesn’t mean that they do not work-it just means that we haven’t looked!
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    Second, clinical trials (and I know what I am talking about having worked in the biotech and pharma industry for many years), are based on the precept that every drug is given at the same dose per Kg of weight and affects everybody in the same way-that is your body, my body, everybody’s body and metabolism, metabolises every drug in the same way. We know that this simply isn’t true. Most complementary therapies approach each person as a unique individual and treat them as such-hence making them unsuitable for clinical trials. With therapies such as touch based healing in particular, it is very difficult to establish a baseline because the sham treatment itself tends to induce results.
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    Third, medicinal chemistry completely ignores the mind body effect-there is ample evidence that if people believe that they are given treatment (whether by a person or a sugar pill), the effect on the body can be very real indeed.
    Fourth-I believe that many of the subtle effects of complementary therapies can simply not be quantified yet -because we lack the tools to measure their effects.
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    And fifth-there is a lot of what so-called “circular science” in research-sadly we tend to only fund projects set out to prove something we already know to be true.
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    Another interesting fact, is whilst people believe that much of clinical medicine is based on solid clinical evidence-only one third of the Royal College of Obstetrician Green top guidelines are actually based on randomised controlled trials, the rest are based on non randomised clinical studies or personal opinions (http://www.ncbi.nlm.nih.gov/pubmed/24922406)
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    Much of the quality of the alternative therapy also lies in the ability, personality and dare I say, energy of the practitioner. We know that intention if extremely important in healing. I once had a massage in a posh place in Cambridge-it was brand new, looked great, heck it even had showers with changing lights in them. But the woman who massaged me was obviously thinking about something else whilst massaging me-I don’t know, maybe she was thinking about what she was going to have for diner. Needless to say, even if technically good, the massage felt crap. It was such a huge disappointment! Such a contrast with the beauty of the space! On the other hand I have had a massage in somebody’s spare room, nothing massively special looks wise, but it was one of the best massage I ever had, because the therapist really put heart and soul into her work. I felt transformed afterwards. Then I also had an experience with someone who was obviously very good as what she did technically, but I just didn’t “click” with her so won’t be going back. You know what I mean?
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    What my work as a doula has taught me is the incredible variety of the human population. In everything there is a continuum, a spectrum. One person’s miracle therapy (and yes that include Western medicine too!), is going to do bugger all for another. And vice versa.
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    This is where a doula’s strength lies-she won’t be coming at you with a readymade recipe of support-she will tailor-made one for you. This is why is it so difficult to explain what a doula does, this is why it is so difficult to quantify why it works (though there is actual evidence that having a doula affects hard clinical outcomes-see the Cochrane database review for this ), but this is also the very nature of why it is so special, and why it works. It is designed with YOU and only you, in mind šŸ™‚
    Ā 
    I think it is healthy to always retain a critical mind. And also to trust one’s instinct. But I think it is also unhealthy to point blank dismiss stuff you haven’t tried for yourself. My challenge to you is: try various therapies and see if they work for you. Many of them you won’t “get” or know if they work for you unless you give them a go.
  • Being not doing as a postnatal doula

    Being not doing as a postnatal doula

    Ā Ā Ā 
    It’s a well known fact in the doula community that the essence of a doula is about being not doing.
    Ā 
    Recently I reflected upon how important this is as a postnatal doula too. The interesting thing is, doulaing for postnatal families, is like all doula work : a mix of informational, emotional and practical support. So with a new mum I often find myself with her baby asleep on my chest in a sling, whilst she is having a nap or a gloriously long uninterrupted bath (a true luxury for new mothers). At the same time I might be doing the washing up or folding some laundry. It feels good to be supporting her practically like this. It doesn’t look like much but it is so important in the early days postpartum for the new mum to have an extra pair of hands so she can rest and recover and feel strong enough to be looking after her baby.
    Ā 
    But more often, you’ll find me sitting on the sofa with the new mum. We might both have a hot drink in hand. To the outsider it looks like we are two friends having a chat. Like I’m not doing anything. Only, something really momentous is happening: she is talking about her feelings and finding her feet as a new mother, navigating the treacherous waters of conflicting advice and listening to one’s heart versus to what she thinks she ought to be doing, worrying about doing it wrong (especially when everybody tells her she ought to be doing what they think is right rather than what she thinks is right). I listen deeply and non judgmentally, and reflect back to her what I am hearing, and help her work out what is right for her – along with debunking some myths.
    Ā 
    It is important, because let’s be honest-who else is going to do this and truly listen without an agenda? This is the heart of counselling, or coaching-helping someone listen to the voice within. From childhood onwards we are led to believe that the answers lie outside ourselves-with the “experts” . The parenting world is awash with self proclaimed gurus cashing in on new parents insecurities-people who promise the holy grail of a baby who sleeps through the night, and have rigid quick fixes answers to every problem.
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    Only real lives and real people don’t work like that.
    Ā 
    I have lost count of the number of times a new mother has said to me “My mother/Mother in law/friend says…..” followed by a statement implying the mother is doing it all wrong. And usually I also get a strong vibe that this just doesn’t fit with what the mum wants to do. So I say something I learnt from doula Mars Lord : “Does that sound like well researched advice to you or just an opinion?” followed by “what do you want to do with your baby”?
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    Another sentence I often use, when a new mum is carrying out a task (feeding her baby, bathing etc), and she asks “is this ok?” I often reply ” I don’t know-what does it is feel like to you”, “What do you think?” etc
    Often I might be the only person who does this, who encourages the mother to trust herself and her inner voice. Yet to outsiders it might look like “just” two people having a chat and a cup of tea , but it is life changing work. I am helping her build her confidence and it might be the first time in her life that she starts really listening to her inner voice.
    Ā 
    With a brand new mum, I never feel guilty doing this, because I know how important it is. But what about “older” mums, the ones who aren’t in the newly postpartum period anymore? With these mums my experience has been that the support often morphs into more practical stuff with time-cooking, tidying up, looking after the baby so she can have a break.
    Ā 
    It was particularly important recently to reflect on my guilt working with a long term client who doesn’t want me to do practical tasks. Yes she will hand the baby over to me for a bit of baby free timeĀ or a shower, but she doesn’t want me to empty her dishwasher or tidy her house. Mostly we sit down and talk. I felt strangely guilty for not “doing” anything. So I reached out to t
    he community of doulas and I realised : there is a lot more value in the counselling, the “intelligent tea drinking” than there is in someone emptying the dishwasher. Even for the mum of an older baby, the reflective listening and the unbiased signposting, the unconditional support-they are still momentous. In fact, it is important and useful work for any mum. As another doula called Nina Fox said ” It takes the right person to ‘listen’. The dishes will get washed no matter what, but if a happy family have eaten off them then isn’t that the point? “
    If you are an expectant or a new mum and want to find out more about my postnatal doula services, head over here
  • Ten things I wish I had known before I became a doula.

    I wish I had known how much awe I would feel watching a woman birth her baby.

    I wish I had known how much sacredness there is in birth-when the baby has just been born there is this incredible energy in the room-it is so palpable you can almost touch it.

    I wish I had known how much my heart would expand and well up and how I would cry with joy and gratitude, on my way back home from a birth.

    I wish I had known that I would also cry with frustration on the mother’s behalf when things didn’t go the way she wished.

    I wish I had known how much love I would feel for her, how motherly and protective I would feel towards her, like a fierce mama bear.

    I wish I had known how humble serving birthing women would make me feel.

    I wish I had known how intense and demanding being on call would be, almost like being pregnant and overdue myself.

    I wish I had known how high the highs would be and how low the lows would be.

    I wish I had known that sometimes being a doula would break me apart, tear my body and my soul apart, and put me back together all at the same time.