Tag: doula

  • 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 3: Using the rebozo to support and comfort through pregnancy and birth.

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    If you’re a birthworker, you will no doubt have heard of the rebozo, this mystical scarf that can be used to support women in all sorts of ways during pregnancy, labour and birth.

    What is a rebozo? It is a traditional Mexican shawl/scarf that women use for all sorts of purposes: to keep warm, to carry loads, to be supported with during pregnancy and birth, and to carry their babies. I’m going to keep calling it a rebozo because this is the most known term in the birth world, but it is much more universal than that. In Ecuador it is called a Manta, and I have found accounts of cloths used all around the world for similar purposes. Often they don’t even have a name. People just use whatever fabric they happen to have.

    So, what can you do with a rebozo?

    First and foremost, the rebozo can be used to support and promote relaxation. By wrapping the fabric around someone’s body and using it to provide a rocking motion, we are tapping into the most primal rhythm we experienced in the womb, gently rocked by our mother’s hips swaying, by her breathing rhythm, by the beat of her heart. Rocking is universally soothing to all ages.

    During pregnancy, a simple sifting (rocking movement) of the back/shoulders, hips or bump can provide a wonderful and easy relaxation for the mother. It works in a manner similar to a progressive muscular relaxation, only it is more powerful because someone is doing it for you. Another reason is it so efficient is that it is impossible to remain tense whilst you are being jostled. When you are heavily pregnant and feeling tired and achy, it is simply wonderful to have someone wrap a rebozo around your bump whilst you are on your hands and knees, and gently lift the weight of the bump off your spine, then gently rock your bump. Similarly, having your hips gently rocked is also deeply soothing and relaxing at the end of a long day.

    It is easy to do and the woman’s partner can learn to do this in a few minutes, and can then do it regularly, which is an awesome way of connecting and relaxing and preparing for the birth together. At the end of the pregnancy, when the mother is impatient of waiting for labour to start, it can work wonders in helping her feel more patient and relaxed as she waits for her baby to arrive.

    You can also use a rebozo to support your hips before and during pregnancy.

    The rebozo can also be used in pregnancy or during labour to help a baby get into an optimal position for labour. By rocking the bump in a hands and knees position, the rebozo can help relax tight ligaments and achieve a more balanced uterus, as well as helping gravity to move baby in an anterior position (see http://spinningbabies.com/learn-more/techniques/the-fantastic-four/rebozo-sifting/ and http://www.ncbi.nlm.nih.gov/pubmed/26255805)

    During labour there are many ways a woman can use a rebozo to provide comfort. The mother can knot it and stick it in a door frame for something to pull on, she can use it to cover the windows, cover the hospital bed or equipment and make the room more homely, she can cover her ears or eyes with it to provide a dark, private cocoon. Her birth partners can use it to provide gentle rocking or vibrations on her body, wherever it feels good, for example around her thighs, hips, back, bump etc, Ā to soothe and relax her both during and between contractions, or to provide counter pressure on her hips or lower back.

    I offer “mindful rebozo” workshops in Cambridge for doulas and birthworkers. I am also happy to travel and run the workshop in your area. Ā See dates of future workshops here and get in touch if you would like to organise one near you.

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