Tag: birth

  • rebozo master class

    rebozo master class

    I did a 45 min rebozo master class on facebook yesterday and I have uploaded it so you can watch it here

    Play

     

  • Why a rebozo, shawl or scarf might be the most powerful tool in your toolbox

    Why a rebozo, shawl or scarf might be the most powerful tool in your toolbox

    Why a shawl or scarf might be the most powerful tool in your tool box

    Over the last 8 years, since I started my reconversion in the world of science to that of a birthworker, the one tool that has amazed me the most is the humble shawl or scarf.

    You might know it foremost as a rebozo, which is a Mexican shawl, traditionally used by Mexican midwives to provide comfort and support to pregnant and birthing mothers.

    But to me, it’s much more universal than that.

    All through history, women have traditionally used shawls and scarves for all sort of purposes, from clothing to carrying and indeed providing comfort, but not just for the childbearing year.

    Lately I have felt a drive, actually a real sense of duty, to pass on this skill.

    This is because I have been having one amazing experience after the other using shawls of scarves.

    “Recently, I supported an amazing woman through a very long birth at home, which also happened to be a VBAC. She laboured for 4 whole days. Through the early parts of her labour, I used my trusted rebozo scarf to relax her belly and help engage her baby. On the last day, when she got the dreaded “stuck at 6cm” situation (her cervix seemed to remain dilated at 6cm for several hours, with no further progress), a simple inversion with sifting on the buttocks through a few contractions, completely changed the pattern of her contractions for the better. In fact, when she got back her from her inversion, she said “My back doesn’t hurt anymore”, the midwife confirmed shortly afterwards that her baby had turned in a more optimal position, and she roared her baby out in the pool a few hours later. There wasn’t a dry eye in the room when that baby was born. I have no doubt that the rebozo technique made a big difference to her labour progress.”

    I had heard of amazing stories like this one at the various rebozo and Spinning Babies trainings I had attended, but this was the first time  I had my own experience of a miraculous difference like this, and it really drove the message home.

    Since I starting showing families how to use a shawl or scarf for their own comfort, I have received many more testimonials of the same nature.

    Jess used a shawl to great use to comfort herself during labour

    ” I was in labour recently, homebirth, my husband squeezing my hips was helping so much to keep me grounded. At one point our younger son woke up, this was late at night, and my husband had to go to him to settle him. Right at the same time I had a massive contraction while I was bouncing away on the ball and desperately thought, “OMG, I need pressure on my hips now!” I also happened to be sitting next to a box of wraps, so I grabbed one out and did the hip squeeze on myself. It was super helpful and really empowering at that point to remember I had so many tools in my tool kit to draw on and I totally could rock this birth”

    Recently, after sending a rebozo to a mum who suffered from PGP, I got the following message the next day ” It’s the second time I’ve had pgp. I was induced early because it was so bad and this time is even worse! Your videos were the first time I had ever heard of rebozo or using the shawls to wrap your hips and thought that anything was worth a try as I am in such horrendous pain. Since using the wrap I have been able to do shopping and walk around without crying in pain, it makes a huge difference, so easy to use, looks pretty and I love that I can use it during labour and after the birth as a sling!” Hannah

    I also offer and teach a postnatal ritual called closing the bones, which involves some hip rocking with a rebozo shawl (or a manta as it is called in Ecuador, which is where this particular massage comes from) a massage of the abdomen and wrapping.  The experiences women have with this ritual can be life changing.

     

     

    Here are some examples of what women have said after receiving it:

    “The massage felt incredibly calming and nurturing and I felt very relaxed (almost went to sleep!) I felt a lot of tension which I was holding from the birth just disappear. “

    “Amazing, emotional and cleansing. I feel very supported as a new mum and feel hugged by the love this ceremony brings.”

     The massage and rebozo wraps not only felt absolutely amazing, they also helped remind me of the importance of caring for myself. During the ceremony, I felt so safe and comfortable and at peace, and I was aware of how strong, resilient and loved I am. “

    You can read more here 

    In terms of using it to carry and calm babies, I have also lost count of how many times I’ve seen parents with this wonderful look on their face when they realise they can meet their baby’s needs for closeness AND get their hands back. And, as a doula myself, I recently supported a mum of twins,and I found it pretty elating to be able to carry both twins together in a stretchy wrap!

    So you see I have accumulated many more stories like these, more than I can share here.

    I have a innate desire to share knowledge (funnily, it’s even in my name, Messager means Messenger in French) so others can benefits from it too.

    I started teaching live rebozo workshops a couple of years ago but there is only one of me and whilst I travel up and down the UK to offer it, I wanted it to be available to a wider audience.

    Today I am proud to announce that my rebozo, shawls and scarves course is now available as an online course-which you can find here.

    This means that I am now offering 3 different levels of training, an ebook,  the online course, and a live course (link coming up at 9pm tonight!). (and of course, I also have a my online rebozo shop too)

    If you’d like a short taster of what’s available in my training, just sign up to receive a free guide with 3 different rebozos techniques on my website here

     

  • Rebozos, shawls and scarves-the lost art of supporting women through the childbearing years

    Rebozos, shawls and scarves-the lost art of supporting women through the childbearing years

     

    I was introduced to the art of using the traditional Mexican shawl called the rebozo back in 2013 when I attended a workshop by doula Stacia Smales Hill on rebozo use for labour and birth. During the same year I also attended a workshop by Dr Rocio Alarcon, who taught us a postnatal massage technique called closing the bones, some elements of which included rocking and binding with a rebozo.

    Over the course of the following years I pursued my knowledge further by doing several more workshops with Rocio, and several other rebozo workshops with different focuses, such as the rebozo for labour progress and malposition with Selina Wallis, micromovements with Francoise Freedman, and 2 iterations of spinning babies with Jennifer Walker and Gail Tully, and a workshop on healing diastasis recti  with Birthlight which included many rebozo techniques, and training with Mexican midwife Naoli Vinaver.

    I am also a babywwearing instructor and tutor, and as such use rebozos and wraps to carry babies too.

    When I started teaching workshops around closing the bones and rebozo work as well as babywearing, the incredible versatility of the cloth really blew my mind.

    As I met people through teaching, I constantly ask questions to people I met about their culture’s practises, I started to build a picture in my mind of something much more universal than the rebozo.

    It seems that every culture had a piece of cloth of some kind, call it a shawl, a sarong, a scarf, or a wrap.

    Cold countries have thick, woollen fabrics (think Welsh Shawl or Scottish plaid), and warmer countries, cooler, thin, cotton fabric (think African Kanga or Indonesian Sarong).

    There are almost too many fabrics to count, but one thing is for sure, women have used all sorts of cloths in incredibly versatile ways, and what I’m going to say below about the rebozo is true for many other cultures too. It’s a truly universal practise.

    I spent a few years believing that the rebozo use for labour was uniquely South American but I have met a Somalian midwife who told me how they use their traditional shawl, called a garbasar, in a similar way during labour. I also had a birth client from Somalia who confirmed this, and her mother showed me how to wrap her belly with the garbasar after birth.

    I trained a Moroccan birth worker in doing closing the bones, and when she started offering the massage, women came forward and told her they’d had a similar treatment in the local hammam  (using a Moroccan cloth called a mendil).  Tunisia offers a similar practise called a fouta massage (the fouta is a hammam towel, which is very similar in nature to the Turkish towel).

    I am lucky to be part of a multicultural family, being French and married to a man from Hong Kong. In Hong Kong, they use a long piece of muslin cloth to bind the woman’s hips and abdomen after birth, and my mother in law also showed me how to do it with a towel.

    It’s also quite fascinating to see how contact with foreign cultures can influence each other. For example I acquired a Dutch postpartum girdle called a sluitlaken. I couldn’t help but notice how similar to Indonesian postpartum binding it looks, then a friend pointed out than Holland used to have Indonesian colonies.

    Hip carry with a rebozo

    What can you do with a rebozo (or a scarf of shawl)?

    Pretty much all cultures on the planet, some kind of cloth is used to cradle and carry a baby. In some cultures is 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.  Even in Europe there are pictures of women wearing their babies in Welsh shawls which date from the 1940s.

    Later, when the baby grew into a toddler and child, she would use the cloth to dress up, pretend play (including carrying toys and/or animals, pretending to carry a baby), 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 as they tend to live with extended families), and to carry loads on her back or head.

    Later still when she became a woman, she might have been given her own 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, shaking, and wrapping.

    After the birth she would have had a “baby moon”. 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. During this time they would rest so they could recover from growing and birthing their baby and get to know their baby and learn to care for them. Her birth attendants and the community of women would have come to feed her nourishing food, and close her bones and help her body heal from the pregnancy and birth by using  a combination of their hands, massage techniques and using the cloth to help move and bind her hips and abdomen to help them back into place. In the West we used to have this practise called “churching” you can read about it here.

    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.

    Women would have been buried with their shawl using it as a shroud.

    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.

     As the shawl came out of fashion and modern practises like using pushchairs 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, in one or two generations. We also tend to embrace “modern” practises mindlessly, seeing traditional ones as backwards and old fashioned.

    Mexican and Chinese friends tell me that nobody wants to use the traditional shawl or carrier these days as only remote farmers or beggars still use them.

    This is  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!

    You can learn more about Rebozo and its many wonderful uses in my online courses: Rebozo for an Easier Birth and Postnatal Rebozo Massage and Closing Ritual.

     

  • What’s in your doula bag, and does it really matter?

    What’s in your doula bag, and does it really matter?

    When I started working as a doula nearly 6 years ago, I spent much time researching what other doulas had in their bags.

    I loved looking at blogs and getting ideas from other more experienced doulas.

    I discovered and bought much stuff, from honey straws to massage tools.

    Interestingly, many more experienced doulas told me that my bag would get smaller as I got more experienced. I didn’t question that, they had been doulaing for longer than I had, so they must have been right.

    I started with a smallish tote type bag (pictured above).

    But this soon became too small, and the tote bag is now my antenatal appointment and postnatal doula bag.

    I also had a period of having a spare sports type bag in the car with change of clothes, and heavy stuff I could only use at homebirths, like microwaveable rice bags.

    I moved on to using a rucksack.

    The problem with the rucksack is that, whilst it was roomy, getting stuff from the bottom meant emptying the whole bag. This annoyed me.

    When my friend Maddie raved about her skip hop twin duo bag, I got myself one off eBay too and tried that for size.

    But I still needed something bigger, because I couldn’t close the skip hop bag once I had put all my stuff in it.

    Also, I like things to be organised in different compartments and being easily accessible and organised.

    So last year, when I bought myself a new gym back called a Workplay bag (aptly named “the goddess” bag!), I realised it would work very well as a doula bag. Workplay bags are expensive but I got mine second hand on eBay for about £20.

    It’s great, there is plenty of room and it’s very organised and easy to find stuff. The only problem is that the bag is very heavy when full, and I cannot carry it on my back and still have my hands free for my client mid contraction when we walk from the car part to the hospital. I’m now toying with the idea of buying something on wheels, I’ve been ogling a midwife friend’s new Zuca bag…

    Interestingly because my bag has so much kit, I’ve shied away from sharing it online over the last couple of years, because so many doulas say they take almost nothing with them at a birth, that I felt that I was somewhat a lesser doula for having so much kit, that there was something wrong with me.

    So I’m super grateful for doula Staci Silvan to having stated that she likes to bring a lot of kit in her bag, and to Zara de Candole, for saying that she should embrace all the kinds of doulas, the ones who just bring themselves, and the ones who bring everything but the kitchen sink.

    It’s interesting how most of us can’t help but judge and compare ourselves to others, instead of seeing the beauty in the amazing variety of uniqueness each one of us brings.

    So I’ve decided to embrace the fact that I am a “hoarder” kind of doula, and not be ashamed of my enormous doula bag.

    I’m coming out as a big doula bag doula 😉

    The thing is, I am also a fully paid up member of the “doulaing is about being not doing ” school.

    I know that the most important thing I bring to the table is me, and how I hold the space for the woman during her labour and birth (which is also why a large chunk of the contents of my bag are actually designed to keep me going rather than for my client)

    Most of the time I don’t take much stuff out of my bag at all. But I’m the kind of person who would hate not having something available if I knew it could help.

    I really want to emphasise the fact that, (especially as I’m a doula mentor and the last thing I want is my mentees to think that they need to have everything that in my bag-it’s not about me), I am not writing this post to encourage you to do it like me, or to say that my doula bag contains the perfect kit.

    But I often see posts from new doulas asking what people have in their bags, and I know how useful it was for me when I started, so I want to pay it forward, because I think it’s really helpful to have it in a link that’s easy to find rather than trawl through stuff on facebook.

    Just remember: This is my kit. It fits me. This isn’t necessarily the kit that is right for you.

    I would like to encourage you to look at my very large amount of kit, and and thing to yourself: do I need this shit? Do I want all this stuff in my bag?

    You may want to experiment and try it for size, and when you realise that you like something, then by all means keep it, but also feel free to dump it when you realise it’s not working for you.

    Heck less than a week ago I went to a birth with only my handbag-it was for an elective cesarean and I knew it was likely to be short and that I wouldn’t need my labour comfort bits and bobs.

    Let’s embrace variety and celebrate all doulas, the ones who go to births with just their handbag, and the ones who go to birth with a ginormous bag, and everybody else in between!

    The right doula bag is the one that is right for you!

    Here is my current birth bag. I know it’s big but I love it!

     

     

     

     

     

     

     

     

    Here are some other doulas who favour big bags

     

    Staci Sylvan who is another member of the big bag club, sporting her doula bag, which a Stanley tool bag

     

     

     

     

     

     

    Zara de Candole another fan of big doula bags

     

     

     

     

     

     

     

    And for balance, here are some examples of doulas who prefer  small bags!

     

    Eva Bay and her basket (Cards, rebozo, notebook, diary, birth beads and water)

     

     

     

     

     

     

     

    Mars Lord and her tote bag

     

     

     

     

     

     

     

    Amber Strong and her handbag style doula bag (contains snacks, lip balm, essential oils and homeopathic kit, straws and honey. For me – clean underwear, deodorant, mints, charger and purse)

     

     

     

     

     

     

     

    And if you’d like to know what inside my huge bag here are some pics

    My antenatal/postnatal bag (pictured at the top of this blog) contains a small pelvis and baby, a beaded birth line and client notebook (for antenatals), a small knitted boob, baby and syringe, to explain hand expressing/positioning, some slippers (I hate getting cold feet), and most importantly, some good quality, dark chocolate (I once got caught up without chocolate at a postnatal job, mum was taking a nap, baby was asleep in the sling (I usually chuck a stretchy wrap in my bag too), I’d done what I needed to do and was having a cup of tea and there was NO chocolate-never again).

     

     

    The snack section. It’s all for me, so I can keep going when I am at a long birth and can’t get away. Hospitals are a very dehydrating environment so I have a Hydaway collapsible silicone water bottle. I’ve tried plastic water bottles in the water and didn’t like the taste they gave to water. It’s much more convenient than the horrible polystyrene cups from the hospital, and also helps in not creating more waste. I usually add some squash or some sports tablets in the water too, to encourage more drinking (has to be balanced against not needing to pee every 5 min though) I also have a Pokito silicone collapsible coffee cup, for pretty much the same reasons I highlighted re water. Good coffee is important to me (hospitals usually only have the most vile cheap brown powder instant coffee) and I love the coffee “teabags” from Taylors of Harrogate. I have some cereal bars, some nuts, and sweets and other high calorie, nutrient dense stuff.

    The “therapy” section of my bag. Helios homeopathy childbirth kit, rescue remedy pastilles, essential oils in a tiny little keyring pouch (I take lavender, clary sage, peppermint, frankincense, and Katseye blend 10 and 1) , sports tablets, earplugs and eye mask, washcloths, honey straws, various smelly sprays and roller balls and crystals and amulets (mostly for me), and a homemade poo-pourri (a small, essential oil based product to spray onto the toilet because you do a poo-so if your client goes in straight after you it doesn’t stink), and some disposable gloves just in case. The little pouch on the top left had toiletries for me, toothbrush and toothpaste etc.

     

     

     

    The birth pool kit: plastic mirror, thermometer, collapsible jug to pour warm water on the mother’s back, torch, and a wet bag.

     

     

     

     

    The comfort measures section: wheat bag, birth ball pump, portable air conditioning unit, fairy lights, massage balls (got mine really cheap in Tiger), small hot water bottle, portable essential oil diffuser.

     

     

     

     

    The spare clothes section: tshirt, knickers, socks, leggings, swimsuit (in case I need to go in the pool with mum)

     

     

     

     

     

    The comfort/rebozo section: 2 rebozos (you can buy some here), one blanket and one poncho (for when both me and mum or dad feels chilly in the middle of the night, I once lent both my poncho and blanket to cold midwives at a homebirth, and wrapped myself with my rebozo), one cooling towel for when mum feels too hot, a couple of inflatable neck travel pillows (handy for a labour nap for me or the partner, especially in hospital)

     

     

     

     

    A shewee. Sometimes the labouring mother loves to labour on the toilet. If you’re in a flat this might be a problem for the doula, hence this handy piece of kit (I have not had to use it yet)

     

     

     

     

    The book section-speaks for itself

     

     

     

     

     

     

     

    And I also always take two more things with me at a birth: when I go on call, I bake and then freeze a groaning cake for my client, and I also freeze myself a sandwich made with something that won’t perish quickly at room temperature (like cured ham and cheese). I take these with me when I get the call (the sandwich is for me). Once the baby has been born I share the cake between the parents and the midwives.

    Update November 2018: I finally got a bag on wheels as my big gym bag was getting too heavy to carry comfortably. It’s a Santoro wheelable craft tote.

     

  • The value of a doula

    The value of a doula

    3 years ago I wrote my first blog post, in response to an article in the independent, accusing doulas of being money grabbing opportunists.

    Today I feel compelled to write another blog post, as this time a medical professional is saying that we charge “extortionate prices”.

    Dr Ahmed Rashid, an NHS doctor, wrote this piece in the British Journal of General Practise

    ” I first came across a doula as a junior doctor working in obstetrics and the idea has fascinated me since. In case you haven’t heard of them, they are trained or experienced lay women who provide social, emotional, and practical support during pregnancy and birth, but do not provide any clinical care. Although the practice has ancient origins, the modern doula movement began in the US in the 1970s and private doulas, hired by mothers (often for extortionate prices), have been popular in certain parts of the UK for some time. A recent Oxford study focused instead on volunteer doulas, trained by third-sector organisations. After interviewing 19 doulas and 16 mothers who had received their support, the authors concluded that they can play an important role in improving women’s birth experiences by offering continuous, empowering, female-focused support that complements the role of midwives, particularly where the mothers are disadvantaged. Perhaps it’s not such a bad idea after all.”

    The part of this piece that triggered me, was the ” often for extortionate prices” comment.

    Nothing could be further from the truth.

    When I left a prestigious career in science to become a doula (you can read why I did that here), I also left behind a salary over 40K, regular and predictable working hours, and job security.

    I did this to follow a calling, something that pulled at my heart, the deep need to support women through birth and make a difference to their experience.

    I sure didn’t do it for the money!

    I started as a new mentored doula (Doula UK, the association of doulas in  the UK, has a strict mentoring process  in place, which means that new doulas called themselves mentored doulas, and usually charge lower fees to reflect this, until their mentor feels that they have acquired enough experience and  can become recognised doulas), charging £250 for a birth.

    When I wrote my first blog post, after 2 years as a doula, I was still not earning enough to pay tax.

    Now, 5 years down the line, I only just paid my first tax bill. And this wasn’t because of my doula work, this was because of my other  hats, in particular the fact that I teach workshops. Most of us have “side jobs” to complement our income, because it is very difficult to make a decent living at a doula.

    5 years down the line, I am still quite far from earning what I earned as a scientist.

    Doulas charge as little as £300 to as much as £3000 for a birth. On average, most of the recognised doulas I know charge between £600 and £1000 for a birth.

    My birth fee now starts at £950.

    What does this include?

    This includes several antenatal meetings (those tend to be at least a couple of hours each), and unlimited support on the phone/email, accompanying clients to medical appointments etc. Whilst I offer a system with a set number of appointments, I find that I cannot restrict my support when a woman needs it. For example, I have been supporting a woman pregnant with twins , there have been many complications to her pregnancy, and I have attended well over 10 appointments with her. I am also in contact with her several times a week. It takes a lot of headspace, and I am more than happy to do it, but, with this in mind, it is easy to understand why I feel so rattled by the accusation of money grabbing.

    At 38 weeks, I go “on-call” until the baby is born. This can be a week, 2 weeks, or up to a month or more. The majority of my clients are first time mothers, and on average they tend to birth beyond 40 weeks (last year, one of my clients birthed at 43 weeks so I was on call for 5 weeks).

    During this time, I need to be able to leave everything and go to my client at very short notice when she goes into labour, at any hour of the day or night. I (like most of the doulas I know) have young children so this means complex, multilayered backup childcare arrangements, sometimes including at night (which cost money).

    Whilst on call, my phone is always with me (I even bring my phone to the side of the pool whilst going for a morning swim so I can check half ways through that she hasn’t called). I cannot go anywhere more than an hour away from home. I do not drink alcohol, and I always tell everybody I have made plans with that I’ll come “unless I’m at a birth”.

    This also means that there is a lot of pressure on my family and social life, as births have to take precedent over almost everything. This means always knowing that I may not make important family events, like birthdays or other celebrations (yes even your kids). My husband and I rarely go out and I have had to cancel a rare evening out more than once as I was called to a birth. Being on call makes us lose “brownie points” with our friends and family – who as much as they try and understand it, still find it stressful. I remember once during a difficult on call period (my client was a repeat client and her first birth had been very traumatic, and I was very invested emotionally in making sure this didn’t happen again), my parents were visiting and my mum said “you’re not there”-meaning I was physically present, but mentally, I was with my client.

    The on call period, up to 30 days, 24h a day. This can mean a total of 720h or more.

    When on call we also tell all our other clients, including the ones who have hired us for postnatal support, that we may need to cancel at short notice. Of course, when we get called to a birth, it also means that we lose out on the money we would have earned for supporting other people that day.

    Then there is the birth. Many of my clients are first time mothers, and it’s quite normal for a first birth to take anything between 24h and 48h. One year, all the births I attended were between 30 and 40h long (that’s the length of time I was with my client). The shortest birth I have ever attended was about 3h long, but I was there for 6h because I always want to make sure the mother is settled and her baby feeding well etc before I leave. The longest was 4 days (a long induction).

    Then after the birth I make a postnatal visit (again at least a couple of hours), and I am available for 6 weeks for unlimited email and phone support. New mothers contact me for support, for example when feeding isn’t going well, and I do everything I can to help them. I put no limits on the hours I spent doing this. This means many unseen hours talking to them, sending them links, and signposting them to other professionals. For example, last year when my nephew’s daughter was born, and they had problem with breastfeeding, I couldn’t support them myself because they lived too far, I spent a couple of hours late at night, when I should have been in bed. contacting my network of doulas, until I found a breastfeeding counsellor who was able to visit them the next day. We doulas constantly pull incredible feats like this because we’re all very passionate in supporting women.

    Many of us have discussed this in the past, and found that when we break down the hours spent on average with our clients, it usually works out at less than the minimum wage per hour.

    To top this, up, I personally only take 6 to 7 birth clients a year. This is because being on call in an intense, emotionally demanding time, and I have suffered burn out in the past and learnt that I need to keep the Christmas, Easter half Term and the last 2 weeks of August free for relaxing time with my family in an absolute requirement.

    Because I make a strong commitment to my client to be available for her, I also almost never take clients with overlapping on call times. This means turning clients down, or working as a shared-care team with another doula, splitting the fee in half. Most of the doulas I know do the same. So if you imagine taking on a maximum of 12 clients a year, even at my fee of £950, this only makes an annual income of £11400 before tax (and doesn’t take account of all the other expenses associated with this job, like travel, hospital parking fees, etc).

    Even the rare, top of the range doulas, who charge £2 to £3K, assuming they took on a birth client every month, would be looking at earning between 24 and 36 000 a year. Hardly a six figure salary.

    And let’s not forget that Doula UK has an access fund, which allows women in personal or financial hardship to access the services of a doula for free. The doula, in this situation, only gets paid expenses. I have done this myself, and so have most of my colleagues.

    I love my job, I love supporting women, I love making a difference, seeing the transformation that true, unconditional support does, especially when women have had a traumatic first birth, and end up with a positive, empowering one with doula support.

    I wouldn’t go back to my previous job for anything in the world.

    The value of a doula, how transformative and life changing it can be for many women, goes well beyond how much we charge, and most of our clients, after they’ve been doulaed, feel that our support was worth a lot more than what they paid for.  You can read some of the testimonials my clients have written about I supported them at the bottom of this page.

    But please, do not ever imply that this is an easy, money grabbing job.

  • The mother blessing -a mother centered alternative to the baby shower

    The mother blessing -a mother centered alternative to the baby shower

     

    Recently I had the privilege to organise a mother blessings for one of our local doulas who was pregnant.

    A mother blessing is an alternative to the “baby shower” were friends of the pregnant mother gather to give her presents.

    The big difference is that in the baby shower, all the presents are for the baby.

    In the mother blessing, it is the mother who is the center of attention, and the gifts are for her, not for her baby.

    It feels very important to me to facilitate such gatherings, because our culture focuses on the mother only has a vessel for the baby, and usually once the baby has been born, nobody focuses on the mother anymore.

    Therefore with the mother blessing we can help start a cultural shift towards a more mother centered culture.

     

    I have written before about what new mothers really need, and how much of a raw deal we get, once our baby has been born, our partner has returned to work, and we’re alone at home all day, trying to make sense of this new experience, whilst trying to understand the needs of this new life helpless being we have given birth to, whose needs come before ours, always. We’re not meant to be doing this without a support network.

    Organising a mother blessing does not have to be complicated. It can be simple yet beautiful and powerful.

    This is what we did for our doula sister:

    We sat in a circle with her.

    We sang to her

    We gave her a bead each to have during her birth and the postnatal period, and we said good wishes as we gave her our bead.

    We threaded the beads into a necklace, to remind her of her circle of sisters being there with her in spirit, holding her, through the birth of her baby and the early postpartum weeks.

     

     

    We bound our wrists, in a circle, with some wool, then cut the thread, tied the individual bits around our wrists, and all agreed to keep our little wool bracelet until her baby was born.

     

    We read poems about motherhood.

     

     

     

     

    We massaged her hands and feet with gorgeous scented oils.

    We gave her a candle and all took away little tealights to light when we would hear the news that her baby was soon to be born.

    We gave her a goody bag of nurturing gifts.

    And of course we shared some yummy food.

     

     

    It was simple, yet magical and powerful. It was, like birth, an everyday extraordinary event.

    She knew this was meaningful, and it was touching and special for her and all those involved.

    We reminded her she could call upon us after the birth of her baby for support and companionship, and we also offered to gather around her to give her a closing the bones ceremony after the birth of her baby.

    This is what Ceci wrote about her mother blessing

     

    Today my doula friends gave me a “mother blessing”, which is a day to share before the baby is born, like a baby shower but more focused on  mum, with food to share, poems, songs, made me a necklace with beads and a wish of each one.  They gave me a candle and they also got one each also for when I start labour. We also sat in cicrle, each one told me a few words and we were passing a thread that we all tied up on the wrist and that we will have until my daughter is born. They gave me massages and we laughed a lot! I am super grateful to have them and to have had this day for me”

     

     

    I would like to see the tradition of mother blessings to replace that of baby showers, I sincerely hope that it will help place mothers back were they should never have left, at the centre of the circle of support, with the reverence they deserve for bringing new life into the world.

     

     

  • Reflections on what I did in 2017

    Reflections on what I did in 2017

    In my last blog, I suggested you spent some time reflecting on what you achieved in 2017.

    Inspired by my favourite doula, Maddie Mc Mahon, review of the year (you can read hers here), I decided to blog about reviewing my year too.

    As you will see, one should really do what they preach because I had a very interesting experience doing this.

    I have many hats so I’ll break it down in sections: my doula year, my teacher/facilitator year, my personal development and self care.

    My doula year.

    This year I supported 8 families through birth and 4 through the postnatal period.

    As usual in the doula world, it was a rollercoaster of variations and unexpected twist and turns. There was a woman who had had a very traumatic first birth, and who ended up with such a speedy birth this time that I only made it 30 min after the birth. The birth was a beautiful healing experience for her.

    Then another woman went beyond 42 weeks of pregnancy and decided to have an elective caesarean, instead of the homebirth she had planned, because she said that with the lack of support and “risk” pressure from the hospital she didn’t feel she could go into labour naturally. This is one of my pet hates, the arbitrary induction for “postdates” and the pressure women are under when they reach 42 weeks of pregnancy. As a mother who birthed my first baby 16 days past 40 weeks, I feel very strongly about it. I have written about it before here , and in the light of new scientific evidence about the supposed “failing” of the placenta post term, I shall be writing about this topic again in 2018.

    I provided backup support for a doula supporting a refugee mother, who didn’t speak any English. This was a new experience for me, somewhat reminiscing of my visit to a refugee camp in the North of France a few months before. Gone was the softly-softly, gentle approach I normally favour. here is no room for that, when all you’ve got is to communicate is an translating app that mostly spouts gobbledegook, and pictorial birth plans. Yet I know we made a massive difference to this mother, providing her with the information that allowed her to birth her twin babies vaginally with no interventions, and also with much needed donated baby equipment, and contacts with other local mothers who spoke her language. It felt really good to do this.

    I found myself supporting a repeat client through a miscarriage, which whilst different from a full term birth, needed the same kind, and even more gentle and loving support, than for a full time birth. I accompanied her to hospital appointments, and provided much needed emotional support in a system that only went through the motions and never acknowledged her loss. As someone who experienced recurrent miscarriages myself, this is another area that I feel very strongly passionate about supporting. After the miscarriage had happened, I went to close her bones, and it felt really good to be able to offer her something that acknowledged and honoured her loss. I wrote a blog about how closing the bones can help with loss shortly after that.

    I supported a first time mother through a long labour which ended with an instrumental birth in theatre. As in many occasions before, the couple requested my presence in theatre. In this particular case both the midwife and the obstetrician thought this was a good idea, but the anaesthetist said no. This had happened to me before, and had always felt so wrong, because when a couple ends up with a theatre birth and it wasn’t what they wished for, they are often very distraught, and for their doula to not be allowed to carry on supporting them through this difficult moment is very upsetting for them (and for the doula). I had tried to raise this with our local head of midwifery in the past, without success. This particular birth spurred me to finally try to do something about it again. A few months later I met with the head of my local delivery unit to discuss it. The meeting was very positive, and he promised to discuss it with the consultant anaesthetist. I was hopeful. Sadly, the consultant anaesthetist said no. I have been present in theatre in this very hospital with a couple myself in the past, and I know other doulas who have, so I know it can be done. I wrote to the consultant anaesthetist asking for a meeting, but didn’t get a reply. In, 2018, along with Doula UK, I will take part in a campaign to try and make this change happen.

    Doulas often say that births come like buses, and this year I had my most unexpected experience yet, as I attended 2 births within 12h of each other. The odds of this happened were very small indeed. I am grateful to my doula buddies Ceci and Maddie, with whom we provided an awesome shared care doula team for the second birth, and I was safe in the knowledge that this client would be in good hands should I not be able to attend. As it turned out, both births were swift and straightforward, so I was able to attend both. It left me so high on oxytocin, that I only managed 4h sleep the following night before waking up for the day, and had the most amazing glow going for a few days. There is never a dull moment in doula life.

    This was a year of firsts for me, as I also started supporting a repeat client through a twin pregnancy (she hasn’t had her babies yet), this is a foray in a new territory for me, with a lot of heavy handed medical approach and many appointments. There have been quite a few scares during this pregnancy, and I am grateful for the fact that I am supporting this client together with my doula colleague Ellie. Having another doula to share support, especially when faced with a complex situation makes the work lighter and easier, and means that there is always someone at the end of the phone who “gets” it, someone to share ideas and concerns with. I’ve also been able to reach out to the wider doula community to access knowledge. It makes a world of difference. Doulas need the support of other doulas too.

    The last “first” of the year was supporting my first home VBAC. The birth itself was straightforward and the mother coped beautifully and got the birth she wanted.I hadn’t anticipated how anxious the midwifes attending her birth would be, and how keen they would be to try and transfer her to the hospital. Reflection is a very important skill for a birthworker, and it took me a few hours after the birth to understand what had felt so odd and uneasy about the atmosphere during the birth: the midwives were outside of their comfort zone, and it is amazing that the mother managed to labour so well within such a distrusting atmosphere. I feel that I was the only one there (apart from the mother and her partner) who trusted the process. Never in my 5 years as a doula have had ever had to do so much space holding and protecting, and been so utterly convinced that if I hadn’t been there, the outcome would have been completely different. Whilst on paper, the birth was straightforward, the protecting and managing the space left me completely wrung out, so much self care was needed afterwards.

    Early in the year, I became a doula UK mentor. I loved every minute of my own mentored doula journey and wanted to be able to give this back to the doula community. This year I had the honour to support 7 mentored doulas. I had expected to enjoy supporting them, but not how much more depth of knowledge of my own doulaing it would give me, and how much I would learn from my mentees. It has brought me much joy, and I have loved this new experience of reflection and self-development.

    I wrote 24 blog posts on topics ranging from birth to motherhood and I hope what I wrote helped women and birthworkers feeling empowered in making informed decisions. I also wrote blogs for other people and 2 articles for The Doula magazine.

    My teaching/workshop facilitator year.

    In 2017 I got to do a lot of something I love, facilitating workshops for birthworkers. I facilitated 34 workshops in total (Closing the bones, rebozo, babywearing peer supporter (one was with the local hospital NICU staff and one with my local nursery), and reiki workshops). I trained around 230 people. I travelled up and down the country (from Cambridge, to Peterborough, Bristol, Manchester , Sheffield, Liverpool, Brighton, Canterbury, and London (several times)). I meet some awesome people, and shared some incredible moments of connection. I also braved my ultimate nemesis which was driving through central London. I feel blessed to be able to do this.

    I also delivered a couple of conference presentations about using rebozos at a babywearing conference.

    I did several one to one babywearing consultations through the year, either as part of my doulaing or for a single one to one consult. It’s always a joy to witness the expression of joy on a new mother’s face when she realises she can meet her baby’s need for closeness effortlessly and get her hands back. I was particularly touched by a mother whose baby had a flat head, I suggested she visits my osteopath and I got a delighted thank you email later when the baby’s skull roundness had been fully restored.

    2017 also saw me develop the beta version of my online rebozo course to a group of early adopters. I thought I’d get about 10/15 people but 115 signed up, and I was totally blown away by the response I got (and to be honest, a little overwhelmed!). I will launch the live version of the course in the first quarter of 2018.

    I celebrated having trained 300 people in offering the closing the bones massage, and also launched a website dedicated to closing the bones, to spread the word further and help people find practitioners. https://www.closingthebonesmassage.com/. I hope this will help play a role in changing our culture’s attitude towards supporting women during the postpartum.

    I developed and launched the second level of the closing the bones workshop, called Deeper into closing the bones. I also started developing the massage table version of the technique, which I will launch sometimes in 2018.

    I also started an online rebozo shop at the end of 2017, something I’d sworn I would never do, as I’m more about services than products, but I had reached the stage where, having started selling rebozos at my live workshops only, there were enough people who knew I had them, and therefore I receive requests for them on a weekly basis, which was a time consuming process. My shop is a work of love, as I went to great length talking to suppliers to make sure the process is ethical. Have a look, there are some lovely stories (including videos) about the suppliers in there.

    My healer year

    Healing, with Closing the bones and/or Reiki is something I love to do, and this year there was plenty of this in my life too. I heard many harrowing stories and it felt good to be able to listen deeply and offer this powerful ritual to honour them. I got to treat a range of people, closing the bones in particular to women having experienced trauma or loss. I loved doing the massage 4 times on a new postpartum mum within 2 weeks of the birth. I taught closing the bones to a male doula (who had a fantastic healing experience from it). I usually incorporate Reiki into my closing the bones treatments, and I treated several people with alone Reiki too, and got to experiment with my new skills using the drum to channel Reiki.

    My personal development year

    Earlier in the year I set out that I’d like to attend a minimum of one day of personal self development/learning new skills per month. It’s interesting because until I wrote this post I didn’t think I had quite achieved that, but in reality I attended well over 15 days of training in 2017, which means that I beat my goal (I had no idea I had until I started writing this post!)

    I attended Sara Wickham’s post term pregnancy course, Gena Kirby’s cultured doula programme, an advanced spinning babies workshop with Gail Tully, Diane Garland’s waterbirth workshop, a Birthlight course on healing Diastasis Recti (which to my delight, included a lot of work using a rebozo), and a 2 day workshop on Closing the Bones with Rocio Alarcon. I also went to the doula UK conference, to a babywearing CPD on inclusivity, and to the annual doula retreat, were I made the most powerful and magical drum. I have using this drum for healing since, and even more so after training in the Reiki drum technique in September.

    My self care year

    I kept to my promise to myself of having a body work treatment after every birth, often within days of the birth, mostly with my osteopath and friend Teddy Brookes. I tried something new too: I had two floatation tank sessions, which I loved. I did several healing/massage skill swaps with my brilliant massage therapist friend Emma Kenny, who gave me some of the best aromatherapy massages I have ever had. I did some kind of meditation/Reiki self treatment most days too. I was lucky to be invited to a one day mini retreat called “nurturing the mama” run by two wonderful women, Jo Gray and Suzanne Morgan, who are both Reiki masters, therapists, healers and general awesome women. I had met them when they attended a closing the bones workshop. I feel very grateful for the people that my work puts on my path. And of course the 4 days doula retreat in North Wales in May, away from the hustle and bustle of the “normal” world, was the highlight of my self care year. Huge thanks to doula Selina Wallis for organising it!

    Another very important part of my looking after my soul, is that in 2017 I re-joined a community choir. I had spent 10 years in a Cambridge community choir before, but I hadn’t taken part regularly since my daughter had been born in 2009, so this was a big deal. Coming back to singing made me take stock and measure how much I’ve changed since my scientific career days, how much more in tune with my body am I. I also found the singing is such an important medicine for the soul, in a job as emotionally and spiritually demanding as doulaing.

    Sports wise, I kept to my normal regime of 3 swims a week. In April I joined an online fitness club called Rebelfit and started learning lots of new fitness techniques I had never done before, including playing around with kettlebells. I can now squat and do proper situps and press-ups, something I couldn’t do before. I also started experimenting with eating a paleo type of diet and mostly eliminated grains and dairy. I’m make exceptions to this regularly, but I notice I have much more energy when avoiding these foods.

     

    Writing all this, which I would probably not have done in so many details for myself if I hadn’t been writing this blog post, I’m oscillating between feeling very proud and feeling a little worried it comes up as boasty. I’m quite surprised that I have done so much because it really didn’t feel like it until I looked back. I’m getting a taste of my own medicine when I tell people to focus on their achievements. I’m quick to dismiss my own because I mostly focus on what I’m not yet doing, not yet achieving, against my own impossible standards. And yet, looking at it all written like this, this is rather a lot.

    Because I wrote this blog, I spent a lot more time than I normally do reflecting on how I work. It has allowed me to see pattern and things I want to do differently, and plan differently. It’s been a real eye opener. Who knew?

    I just took part in a live seminar on goal setting with my friend Charlie Ashley Roberts, from “your time to grow”. During the seminar, Charlie explained that only 3% of people write goals, 13% think about goals but don’t write them, and 84% of people don’t do any goals at all, yet research shows that people who set goals are much more likely to achieve them than people who don’t. I oscillate between the 13 and the 3%. My struggle is to find a good balance as I have such high standards, that I often use the goal tool to berate myself, to feel that I’m not  good enough.

    I just received an email newsletter from Lissa Rankin, a brilliant American doctor/healer, and her it said this:

    Studies show that approximately 40% of people make New Years Resolutions, but only between 8–19% of people actually follow through on fulfilling those promises two years later which means that 81–92% of people who make New Years Resolutions wind up feeling like undisciplined losers…”

    This year I’m planning to work more creatively around the goal setting thing, rather than making it a chore/or a stick to beat myself up with (I’m not finding bullet points type lists very exciting). I’m going to apply the principle that it’s best to do little and often, rather than setting unrealistic goals (for instance, committing to meditating 10 min a day is much easier than 30 min which I know I’m unlikely to do). I’m going to be playing around with a law of attraction diary and also meeting up regularly with a couple of friends to set goals together, starting with making a vision board.

    Mostly, I’m making the promise to myself to spend more time having fun with my work, than trying to stick to a rigid working schedule.

    I’d love to hear how you balance celebrating your achievements and finding the right balance in goal setting and work planning.

     

     

  • A tale of two VBACS

    A tale of two VBACS

    I wrote this blog with Sarala’s permission, and it is now featured on the Cambridge vbac friends blog

     

    Sarala’s two VBACs in the Rosie Delivery Unit and the Rosie Birth Centre as told by her doula

  • Energy hygiene for birth and perinatal professionals

    Energy hygiene for birth and perinatal professionals

    What is energy hygiene and why do you need it as a birthworker?

    Please don’t let the “woo” undertone of this title put you off and read on because I am going to try and explain it in a way that is hopefully both meaningful and helpful for those of you who aren’t used to dealing with energy work.

    Let me start by making an analogy. As a doula (and I’m sure you do the same whether you are a doula, a midwife, an antenatal or postpartum educator or a therapist who work with expectant, birthing and postnatal families), I naturally use a certain level of physical hygiene. Before interacting with a family, I make sure I’m clean. For example, I wash my hands before touching a newborn or before entering a ward in the hospital. So this is the part of the hygiene where I make sure that I protect the families I look after against any germs I may be carrying.

    During the actual process, during birth for example, most of the time I do not feel the need to apply extra hygiene measures, however I may choose to wear gloves whilst cleaning bodily fluids, or give my hands an extra thorough wash after dipping them in birthing pool water. By doing this, I protect myself again germs that may be carried by the people I look after.

    Finally, when I get home from a birth, or from visiting the hospital or a new family,  I also clean myself appropriately. After a long hospital birth, for example I always put all my clothes straight in the wash and usually have a shower or bath. This is about my own comfort and well being, as well as protecting myself and my family (i.e. trying to limit bringing hospital germs back into my home for example).

    Of course, all of these practises are something I do without even thinking about it, and they are also adapted to the levels of risk and vulnerability of the clients I am supporting, both in the way I protect them (disclosing to clients that one of my children or another client’s child has come down with an illness for example), and the way I protect myself (choosing to wear gloves to clean up).

    I bet you do it too, especially if you are a health professional or therapist. These basic hygiene measures will have been drilled into you. And you don’t even think about it anymore.

    For a long time I thought of energy hygiene as a long and complex task that I just couldn’t do (a bit like I used that I couldn’t do meditation because I thought this required to think of nothing (if you still believe this watch this fantastic animation about it)

    But various experiences made me dabble more and more into techniques of energy hygiene. It boils down to 3 aspects: Grounding, Cleansing and Protection. Good energy hygiene didn’t have to be complicated, because intention is key and the principles are the same as with physical hygiene.

    But before I go into this, let me explain about bit about what I mean about energy, and energy work.

    The human body (and all living things) emits an electromagnetic energy field. This can be measured scientifically with electrodes for example. But the field produces energy that also goes beyond the physical body. Traditional medicines like the Chinese and Indian medicine have a deep understanding of these energetic systems and how they affect health and wellbeing. The organ that produces the biggest, most measurable electromagnetic field is our heart, and its electromagnetic field can be used to communicate between people. The institute of HeartMath has some cool science on this.

    The tricky bit for us Westerners is our current medical view of the human body doesn’t acknowledge the existence of such an energy field, so it can be difficult to understand, or to believe in. Yet, everything in our world is made of particles and energy. A friend once told me “if you believe in quantum physics, you believe in Reiki”.

    Interestingly, even the most sceptical among us have felt energy. We have all felt stuff like the gaze of someone behind us, feeling really good or really uneasy somewhere for no apparent reason, or that when someone walked into a room, the room instantly felt uplifted, or the opposite, the room felt suddenly heavy and uncomfortable.

    Energy work can simply be summarised by saying that every time we interact with someone, we exchange energy. Whether we are mindful of it or not. So coming back to the physical hygiene analogy, we bring our own energy to the table, and so do everybody we interact with. Therefore the same rules of cleansing and protection apply on both sides.

    As birthworkers and healers, we need to make sure we’re as clean as possible, that we protect our clients and ourselves, and clean ourselves again when the work is done. When we get that close to people, especially in the birth space, where massive energetic shifts  are taking place, then energy hygiene is essential, for the same reasons as physical hygiene is essential.

    So whether you teach a class, do massage or healings, attend births or support families after birth, anything that involves getting close to other people who are in a state of flux energetically and/or in a vulnerable state, then you need to apply the same principles.

    First, keep your own energy clean. Don’t bring your own shit to the table. As a doula, if I have some personal challenge going on, I do to mention it to my clients. Similarly, I try to leave my own energetic crap at the door. Grounding yourself will help with this (more about that later). So be mindful about protecting the people you work with, and make sure you’re as clean as possible.

    Second, protect yourself. Everybody you interact with will bring their own energetic state to the space, and like for physical hygiene, some people are clean and full of positive energy and some people aren’t. You don’t want to catch the energy issues of others.

    Third, when the work is done, be sure to cleanse yourself again.

    So how can you do this?

    It’s quite easy, because it is all about the power of visualisation and intention.

    Grounding is the earthing of our own energy to the energy field of the Earth. Again some cool science behind earthing-we know that earthing helps people heal a lot faster, having measurable effects on inflammation, the immune response, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases. One of my two favourite ways to ground myself are the tree meditation, and walking barefoot on the grass. Super simple an quick, and they work!

    The tree meditation goes like this: stand up, close your eyes, give your body and mind a quick scan (how do you feel etc). Then imagine that you are a tree. Visualise the tree in as many details as you can. Then, with each out breath, imagine that you are growing your roots deep into the earth. That’s it! do this for a couple of minutes, then scan yourself again. Be prepared to be amazed at the difference!

    Protecting yourself is a simple as visualising some kind of protection system around you. Find something that work for you, because in my experience if the visualisation isn’t your bag it’s harder to visualise. Some people picture a bubble (including one with a reflective surface), some see some kind of suit or cloak, or shield, etc . As you visualise your protection recite in your head what you want it to do (for example, to stop any negative energy from coming in but letting positive energy circulate both in and out). If the idea of the bubble appeals to you, you could try listening to this guided meditation.

    Again it’s interesting to experiment how you might feel before and after a protection visualisation!

    Cleansing can be done by grounding yourself again, whilst visualising all unwanted energies flowing into the earth works well. Walking barefoot on the grass/the earth is a quick and powerful way to ground and cleanse. You can also try and visualise whatever works for you as a way to sever the energetic links you will have made with all the people encountered that day and that you no longer need. It could be just visualising something like a shower or waterfall cleaning you, seeing the energies flow down into the earth, visualising scissors or other cutting implements actively cutting the ties you no longer need. Again intention is key, and so is finding a visual tool that speaks to you.

    Another nice way to cleanse your energy is to smudge yourself with sacred herbs (sage is a classic, and there are many other. I personally love Palo Santo) or an essential oil spray made with cleansing intention (or you can buy a ready made one).

    There are many many other ways to practise these energy hygiene techniques,  and like the physical hygiene techniques, you may feel drawn to activate some of them depending on your circumstances and what you feel the need to do in a particular situation. For example, I often feel the need to add a layer of protection to  myself on crowded public transport like the subway in London. Similarly I may feel the need to ground myself more than usual after teaching a bit group, after providing a healing session, or to cleanse my house after doing a healing in my space.

    If you’re a Reiki practitioner, then there are all sorts of ways you can use the Reiki energy for grounding, protection and cleansing, depending on your intention (and specifically, if you’re trained at level 2 you can use the Chokurei Symbol for both empowerment, protection and clearing negative energies).

    So in a nutshell, energy hygiene is healthy and necessary, and actually simple and easy to do! Give it a try and see what difference it makes to your life.

  • How to survive a long birth as a doula

    How to survive a long birth as a doula

    When I started working as a doula, one of my biggest fears was: how will I survive the sleep deprivation of a long birth?

    The universe was kind to me, because my first birth was a text book, 12h long easy birth centre water birth, I came back elated and full of joy!

    And overall, during my first year as a doula, I never had a marathon birth.

    True I supported a birth that lasted 2 nights, but as the labour ebbed and flowed and we were at home for the longest part of the labour, I managed to have naps and even went home for a couple of hours, so I wasn’t beyond exhaustion.

    My first marathon birth happened about a year into my doulaing. My client waters broke with no contractions, she declined induction. So before labour started, there were a couple of interrupted nights with phone calls etc, until I eventually joined her at home 2 days later. This was followed by 40h of labour-spanning a whole week-end and 2 sleepless nights.

    I had no idea that I needed to pace myself. I had no idea inductions could last this long (I know now!), so the first night I didn’t sleep at all, and the second day I didn’t function very well at all.

    I had no idea until then how lack of sleep affects your mood for the worse. When after about 24h (it was in the middle of night) the midwife announced that she was only 4cm dilated, I had to go into another room to cry, and I beat myself up for it.

    I had no idea moods ebbed and flowed and that after the dark night of the soul (usually around 3/4 in the morning when your body temperature is at its lowest), my mood and energy would lift again.

    I had no idea I should make sure I ate and drank at regular intervals.

    I was pretty crap at looking after myself.

    By the second day I was falling asleep on the chair I was sitting on without even meaning to. And whilst I waited for them in recovery, I fell asleep on a trolley.

    When I got home after the birth, and had slept for 12h, I still felt very crap and also very weepy and again didn’t understand this was just caused by the tiredness (I felt OK about the birth).

    Since then I have attended many long births (though none were I was present for quite as long as this one). One year pretty much all the births I attended were between 24h and 37h long-which is pretty standards for first time mothers.

    So what I have learnt, and how do you look after yourself during a marathon birth as a doula? (I wrote this for my doula colleagues, but if you’re a birth partner, much of it applies too!)

    First, talk to the parents about it antenatally, so you don’t feel guilty worrying they’ll think you’re a crap doula when you take a nap. I explain (especially with first time parents) that first time births can take anything between 24h and 48h and that’s normal, and I talk about how to manage the early stages (basically try to ignore it until you can’t). I also explain that I will take naps in order to be at my best to support them, and I’ll also encourage dad to sleep too (we can tag-team). If you can’t sleep, doing some relaxation/meditation/deep breathing/ being quiet in the corner for a while will help as well.  This is well worth practising ahead of time as you get better at it the more you do it. And if you’re trained in energy work, like Reiki, a self treatment can really help.

    Second-pace yourself. I might go to reassure the parents in early labour, then go home, or sleep on their sofa/their spare room, during the early stages of labour. I’m also more relaxed and much better as waiting than I was in the early days-but I guess some of that just comes with experience. The good thing is, I’ve learnt to doze and sleep pretty much anywhere. It’s much easier in someone’s home by the way, where there is soft furnishing. If in the hospital, I might ask for a mat and curl up and sleep on it for a while. I fold my rebozo and use that as a pillow, and I have a nice warm shawl to use as a blanket in my bag to cover myself with. I never turn down the opportunity for a little sleep, because it can be difficult to guess how long I am likely to be there for, so I would rather prepare for the long run just in case (and mentally it’s easier to be prepared for this and then be pleasantly surprised than the other way round). Even a 20 min catnap can make a huge difference!

    Third-stay hydrated/fed. Make sure you have good nutritious snacks in your bag. Junk food won’t cut it. I have a collapsible water bottle which I fill as soon as I arrive in hospital (hospitals are very dehydrating) and I chuck a rehydration tablet in there too (I like the brand Nuun). I have some good quality nuts/dried fruit and energy bars. And some dark chocolate, and good quality instant coffee (instant coffee in hospital is vile)! Oh and when I get really tired I drink some Guronsan (a French effervescent tablet made from caffeine, sugar and vitamin C-you can buy it in the UK too. I guess it’s a bit like red bull but in a much more portable format). I also have a couple of energising rollon essential oil bottles and sprays-made by 2 doulas I love, when I use them it feels like they are kind of with me in the room giving me a hug (you can get them here). If you get the chance to go grab any kind of proper food (for me, getting something hot like soup etc hits the spot) during the birth-do that!

    Fourth-Look after your body, do some stretches, go for a walk, get some fresh air. If the birth is going on for a very long time, I get cabin fever. So going to the toilet and splashing water on my face (I go to the outside toilet even if there is an ensuite for example, so I get to stretch my legs), going for a walk,  getting  a cup of coffee (I encourage the dad to do this too), can leave you feeling refreshed. Similarly, my rebozo has also come to great use to soften stiff shoulder muscles when I have been in the same position for a long time (see my video on how to do that here)

    Fifth-be kind to yourself. Don’t beat yourself up, accept the low moods when they come (they will!), because berating yourself will waste precious energy. You’re only human and you are doing the best you can and making a huge deal of difference by just being there. If you need to exit to have a good cry, do (the toilet is a good place for that). If you can call a doula sister for a pep talk, do that.

    And finally, sometimes I worked in a shared care team with another doula-it can be absolutely priceless to be able to tag team if the birth goes on for a really looooong time.

    Remember-this isn’t selfish, because you cannot be your best at supporting parents through a long birth if you’re dehydrated, starving and exhausted. I also find it really useful to explain this to partners antenatally, because they too, tend to be crap at self care whilst supporting their partners through labour, and to worry that they are being selfish if they need a break/some food/a nap etc.  By explaining this and modelling this behaviour, we help them too.

    So there you go, my guide to surviving long births. It’s quite simple really. This is what works for me so far, it doesn’t mean that it necessarily will be what works for you-do experiment and find out! I would love to hear tips from others too 🙂

    If this resonates with you and you’d like to work with me-head over here 

     

    PS: A comment also reminded me-although this is more likely to be the topic of the next post below, that if you are seriously sleep deprived-do try to make safe choices as to whether you are able to drive home or not.

    PS: This is only half of the story-I’m planning another post called “How to recover after a long birth as a doula”