Tag: postnatal

  • Why I wish I had hired a postnatal doula

    Why I wish I had hired a postnatal doula

    When I was pregnant with my first child, I hired a birth doula.

    This was the best thing I have ever done and it has had positive effects beyond anything I could have expected, because it didn’t just impact how positive my pregnancy and birth were, it led to a complete transformation of who I was, both personally and professionally (read about that here Ā and here)

    But my biggest regret is that I didn’t hire my birth doula as a postnatal doula.

    Today, these feelings were re-triggered by reading this article called self care with a newborn.

    I wish, and I have wished so many times that I could go back to my newborn mother self and tell her to hire my doula for postnatal support.

    I cannot change that, but at least I can try and help other mothers understand why it’s so worth it.

    You see when my son was born, I struggled massively with the changes having a newborn baby brought to my life.

    I went from being an independent, successful, corporate woman, at the peak of my career in science, to being at home, alone, all day, with a helpless and very needy infant.

    And nothing had prepared me for how challenging this would be.

    My son was one of those “velcro babies”. He wouldn’t be put down without screaming for the first 3 months of his life. Today, I can see how this was helpful, as it was instrumental in my becoming a babywearing instructor, but at the time it was so fucking hard! Not only did he cry every time I tried to put him down, but I also needed to be moving constantly whilst he was in the sling, otherwise he still cried.

    It was exhausting. I couldn’t rest, I couldn’t sit down to eat, I couldn’t look after myself.

    Helping him sleep took hours, and I paced and paced whilst longing to sit down and rest.

    After my husband had gone back to work, I longed for another adult to just take the baby away so I could shower or sleep without worrying about the baby crying. Or simply have my arms baby free for an hour or two, or to have some adult company during the day.

    I felt utterly lonely, because my social circle was at work from 9 to 5, and whilst I did eventually re-create a new mummyhood social circle, this took months, during which I felt miserable, at home all day or walking by myself in parks, feeling pangs of envy when I saw other mums hanging out together.

    I also spent weeks struggling to make my son fit within the constraints of what I thought I “ought to do” (pushing him in a pram which he hated instead of the sling he loved, trying to make him sleep on his own in a moses basket for hours without success etc). This just resulted in a lot of tears and frustration.

    When I look back (hindsight is such a wonderful thing isn’t it?), especially through the lens of my 13 years as a mother, combined with my 8 years as a doula, it’s easy to see that most of the problem stemmed from my being a control freak, from desperately trying to live my life like I did before I had a baby, from a loss of identity, and from a inability to make sense of the whole experience.

    I had a really hard time adjusting to motherhood, and those feelings had nowhere to go, because I wasn’t even able to articulate them and understand what I was going through.

    I also felt somewhat guilty that I wasn’t enjoying being alone with my baby, and that I wasn’t feeling “fulfilled” by motherhood.

    I didn’t know at the time, but there was an element of shame there.

    Now I know how much hiring my birth doula for just a few hours of postnatal support would have made a world of difference.

    Sadly at the time I felt I could not justify the expense.

    It felt selfish, and unjustifiable, somehow, to spend money on myself, especially when I had a much reduced maternity pay salary.

    Yet I bought tons of crap I didn’t need for my baby. That I felt was OK to spend money on. When I look back, all I feel is sadness for my newborn mother self about it. I wish I could go back and tell her.

    Because, when I look back at the cost of raising a child, over the course of the last 13 years, I really wish I had been able to see that spending a bit of money towards a few hours’ worth of postnatal support would have been SO worth it.

    If I had hired my doula as a postnatal doula, she would listened to me deeply, she would have reassured me that it was NORMAL not to enjoy every minute of being a mother.

    By actively listening to me, and holding the space for my thoughts and feelings to come out, she have been able to reflect back them back to me, and help me identify them and untangle the complex and conflicting emotions I was feeling.

    She would have helped me understand the delicate process of transition I was undergoing, like a caterpillar becoming a butterfly.

    She would have empathised.

    She would have helped name and validate those emotions.

    She would have helped me understand why it was so hard, and helped me to not feel so guilty about it.

    She would have helped reframe those feelings of not being useful, of not having achieved anything with my day (and that I see so often in other mums).

    She would have encouraged me to rest more and not run around like a headless chicken trying to do all the chores I did before the baby was born.

    She would have explained the wisdom in postpartum rest traditions, and help me see how short changed we are with this in the Western world.

    She would have helped me see that things would get easier and not constantly stay in this unbearable intensity of early motherhood.

    She would have been someone I trusted to look after my baby whilst I slept, or had a much needed moment of me time.

    She would have prepared me something nice to eat, and held the baby whilst I ate it (whilst it was still hot).

    She would have sat down next to me during those endless feeds, and made me a drink and a snack and listened to me, making me feel like me and my feelings mattered.

    She would have helped reframe what normal newborn behaviour was, as opposed to the fear of “bad habits” our screwed up culture had instilled in me, and encouraged me to follow my instincts.

    She would have helped me find ways of managing my time and relax more.

    She would have signposted me to local mother groups, where I could have found other mums to hang out with a lot faster than it happened organically.

    She might even have given me a nurturing and much needed massage designed for new mums like closing the bones.

    In short, I know she would have helped transform my early postpartum weeks from a difficult and uncomfortable period of growth to one of understanding and acceptance.

    She would have helped the transition.

    I know it’s easy for me to say all this, because I’m a doula myself, and often I shy away from telling this to new mums, because I don’t want them to think I’m just doing it to tout my business.

    I just want you to have a better experience than I did.

    I want you to put your needs first, because you matter.

    Because trust me, I know what a difference it would have made.

  • How a doula can support you if you are having a planned cesarean birth

    How a doula can support you if you are having a planned cesarean birth

    It’s a commonly held belief that there is no point having a doula if you are having a planned cesarean, and I want to debunk this myth.

    I too, once believed that I couldn’t justify charging to support a woman who was having a planned caesarean.

    There would be no on call period, no phone call in the middle of the night, no unpredictable length of birth care.

    Or would there?

    Last year I got called unexpectedly (as I was busy packing the car for a week end away) by a client, pregnant with twins, who was only in the 32nd week of her pregnancy. She said “they are taking them out now”. I abandoned my week end plans and made it to the hospital with 15 min to spare.

    I was also called by a woman who unexpectedly found that they were moving her cesarean a week earlier. She asked if I could come to the hospital immediately.

    I have also been hired just to cover the on call period for a mother planning a cesarean, just in case she would go into labour before the scheduled date.

    I have worked as a doula for 7 years, and having supported several planned cesareans births, I’ve learnt that there isn’t such a thing as predictability, and also that doula support can be just as needed, just as useful as it is for a planned vaginal birth.

    I’ve learnt that, as every woman who births vaginally has her own set of individual needs, so do women who are having a planned cesarean birth.

    So, if you are having a planned cesarean birth, you can benefit from the exact same support you get from your doula as you would if you were hiring her for a planned vaginal birth.

    Doula support is a three legged stool of support, emotional, practical and informational support.

    This support applies regardless of the way your baby is born.

    So what can a doula do to help you before, during and after a planned cesarean?

    Pregnancy-the preparation

    When you are having a planned cesarean ,there are still many aspects of what will happen before, during and after the birth to think about.

    Having someone at your side who knows the hospital system in and out and how to navigate it, and help you push for what’s important for you, is very valuable.

    It is very much like going to a restaurant : you need know everything that’s on the menu to make your choice. If you’re a vegetarian and I only offer you meat stew this isn’t a great option for you isn’t it?

    I once supported a friend who was very keen on having what is known as a gentle cesarean. Her local hospital completely refused to support her choices, so I suggested she might want to try another more supportive hospital. I pointed out that, as she was having a planned cesarean birth, she could go where she wanted. She ended up finding the perfect hospital and obstetrician and having a beautiful and empowering birth.

    Sometimes, women who prefer to have a planned cesarean for all sorts of very valid reasons, can find themselves having a battle on their hands to get this choice respected. Having a doula on your side to help you navigate your rights can be invaluable in this situation too.

    So knowing all the options and having help navigating them and knowing how to get what you want is what having a doula is all about.

    A doula can also help prepare you emotionally for what is going to happen which can help you feel more in control.

    She can help you plan for your recovery after the surgery and how best to manage life with a new baby post cesarean.

    She can help you access a whole network of medical and complementary practitioners too.

    Alex Heath, doula

    “Doulas definitely help clients to negotiate an elective cesarean in the first place. Using knowledge of hospital pathways, language and mindset to support them in asking for an elective cesarean if that’s what they want…”

    Pippa Moss, doula

    “Helping with any preferences/alternative birth plan. Letting their clients know there are “gentle” cesarean options they may not know about, optimal cord clamping, gown on back to front to facilitate skin to skin etc. Calming nerves before surgery”

    Kristina McKeown, doula

    “Being aware that as a doula you may be one of few people fully supporting them in their choice. There still a lot of judgement in choosing a cesarean birth and just having someone to talk that through can be really helpful.”

    Ceci Goldaracena, doula

    “My client was booked for a elective cesarean. ā€œPast Due dateā€ and with a preview cesarean. She could not have an induction. We worked a lot in the birth plan for a gentle cesarean. Went together to hospital that morning and started to work in keeping oxytocin and happiness in high levels. Turns out that after a couple of hours when the medical team was ready they did a last monitor and she was having labour contractions. We asked to stop the A plan. Lots of walks , stairs,dancing and laugh…baby was born that night naturally.”

    On the day-waiting for the cesarean

    When you get scheduled for a cesarean birth, you get told to come to the hospital at a certain time, without having eaten any food. It is not uncommon for the wait to be longer than expected-because emergency cesareans can take priority, so having a doula at your side whilst you wait can help you stay as calm and relaxed as possible whilst you wait.

    Sarah Budden, doula

    “My role was all about the before. I spent 5 hours pre surgery distracting – playing cards, talking about Homes under the hammer, looking at pictures of their first born, getting dad involved in some foot massaging. She was scared. I was there to make the wait less intense, to stop her legs from shaking and discharge some adrenalin.”

    During the cesarean

    Having a doula there means that there is a familiar, friendly face to keep you calm in theatre. Your doula can hold you whilst they place the spinal anesthesia. She can hold your hand during the surgery. The birth itself is usually quite quick, but the longest part is the stitching afterwards. Is you are having your baby skin to skin in theatre she can help facilitate this too, and even help you to feed your baby then if you wish to do so.

    Most hospitals have a one partner policy only, however hospital policies are only guidelines and should be adapted to the need of the birthing family.

    I have been present in theatre with a couple.

    I have also been present with the mother when there was no partner, and I have been present with the mother when it felt like the right choice for a couple (for example when the father felt uncomfortable being in theatre, or when the father needed to stay at home to look after other children).

    Nicola Collins, doula

    “I supported an elective as one of my first births and it was so calm and beautiful. I helped with putting birth preferences together and going to appointments. Worked through any worries and concerns she had before the birth. On the day she was fourth down and we just chatted and laughed and I reassured her and reminded her of the golden thread breath when she was a little anxious. She had a bit of a tricky start as couldn’t get the spinal working properly for 40mins and all I could be was a voice of reassurance and give her my support. Finally got going and section went great and I just kept talking to her and keeping her informed about what was happening. Then I got to take photos of the baby being lifted out which was amazing and then mama got skin to skin straight away and even baby had latched on just before we left theatre. Back in ward, I helped with anything that mum needed. Breastfeeding support, got her food and drink. Called her parents and kept them updated. Let her have a little rest and just sat with her while she slept”

    Claire Walker, mother

    “When I got pregnant with my twins I knew I would have a planned c-section due to an emergency c-section with my first daughter. I had no hesitation in hiring a doula as the emotional support on the day was what kept me calm and relaxed as I could be. Having someone that is just there to support you before and after who will listen and comfort you is priceless.

    My twins were born 8 weeks early so had to go straight to NICU. I wanted my partner to go with them as I didn’t want them to be alone and also to make sure our wishes for them where kept. I also didn’t want to be left alone in the theatre so asked for my doula to be around in when my partner left. This really helped me to stay calm as I knew my babies had dad with them and I also had someone to support me as it can be very lonely even in a theatre full of doctors and nurses. Having someone to talk to and hold my hand stopped me panicking. It also meant that when I was taken to recovery I wasn’t by myself. It was very hard being wheeled past other mothers with their babies, I don’t think I would of have coped if I didn’t have my doula with me. She also helped me hand express my colostrum into syringes. Just having someone with my while my partner was with the babies was amazing, she kept me calm just by being by my side and holding my hand.”

    Nuria Pozas, doula, from her client

    Nuria who accompanied me was very helpful, caring and professional. Even though I had a cesarean she helped me all the way through specially with my fear and later on with my emotion. She was also a great support after the birth and gave me useful advice regarding to breastfeeding and newborn baby.”

    Beau, mother

    “I had planned a home birth but knew if my labour was anything less than ‘perfect’, I would need another c-section, so the presence of a doula was necessary (no other support was possible as both our families are far away). There was meconium in my trickling waters so I was sent to the hospital. There was no question about it – my doula, who had been with me since 2h after labour started, came with me (my husband stayed at home to be with our first daughter) and it was the most amazing experience because, unlike my husband, my doula wasn’t squeamish (obviously!) so I asked for the drape to be lowered and saw my baby come out. I didn’t have to keep chatting to my doula to prevent her from fainting, as I had done with my husband with our first daughter. She took pictures and films. Having a doula was a no-brainer in pregnancy, and it was the best decision ever considering how my birth panned outĀ šŸ™‚

    Emilia, mother

    “My decision to seek the support of a doula was driven by the fact that I wanted a vbac in the face of a number of ā€œrisk factorsā€ and to help me navigate and to support me through a medically complex pregnancy. The anomaly scan revealed that my son would be born with a complex health condition. After the diagnosis, my pregnancy became enormously stressful, requiring regular monitoring and checks, and involving the healthcare professionals who would be involved in my son’s postnatal care strongly advocating a range of birth interventions that I had always intended to avoid. In the final month leading up to the birth, we came across more complications, which led to me reluctantly deciding that an elective cesarean birth was the safest mode of arrival for both me and my baby. My birth doula was incredible. She helped me research my ā€œrisk factorsā€ and the options open to me, knowing how important to me it was that my birth choices were well informed. I felt empowered and heard out, and although I was sad to abandon my vbac plans, with her help I felt at peace with my decision.”

    Immediately after the cesarean

    In the recovery room, your doula can help support you to to feel comfortable, look after you and help you to feed your baby. You will be having cannula in your hand still, and be hooked to equipment like fluid delivery, blood pressure monitors etc which can make handling a newborn a little trickier.

    If your baby has to go to the NICU (which can be more common with elective cesareans as they often occur earlier in pregnancy), then your partner can go with the baby, and this means that you aren’t alone in recovery. In this situation, your doula can also help support you to express colostrum to feed your baby.

    Recovery nurses will look after your vitals etc, but they won’t stay with you every minute of the few hours post surgery, and they won’t be a familiar face, someone you know and feel safe with. Your doula’s presence can help you feel more comfortable and safer. I have had women hiring me for this reason alone.

    Bryony Vickers, doula

    “Calming nerves after surgery. Having someone to sit with you in a dedicated way after you have had surgery is invaluable. I think women forget that they can feel not great after surgery. We can help to hold the baby, get skin to skin, help other parent with learning baby care – dressing, nappies, holding etc. Helping with getting food, drinks, with knowing what is normal, what will happen next.”

    Jo McCracken, doula

    “I was touched once when a client of mine had to have a section and, once she was in recovery, she did nothing but moan for me to be there. Finally a midwife came to get me and said, ‘We need you in recovery. She won’t listen to any of us’. When I arrived, she burst into tears and said, ‘thank goodness you are here now’. So, maybe, calming nerves after surgery too.”

    Emilia, mother

    On the day, we knew that only one birth partner would be able to accompany me into the theatre. Nonetheless, my doula was waiting for us in the lobby at the crack of dawn. Her presence helped to diffuse and lighten the atmosphere. I was nervously anticipating and looking forward to the birth rather than dreading it. Knowing what was really important to me, she was able to prompt discussions on the day. It had previously been agreed that my newborn would be taken away to nicu. We agreed that my partner would accompany him. The team agreed that my doula could enter once my partner left to take his place and to keep me company. She remained with me in recovery when I otherwise would have been left alone. She maintained contact with my partner and gave me regular updates on how my baby was getting on. She advocated for me with the midwives in recovery, passed me drink and food, talked to me, made me laugh. Having my birth doula made my pregnancy and my caesarean birth a very positive experience, despite it being complex, stressful, and not what I had wanted it to be, and I am completely convinced that it would not have been so positive if it wasn’t for her wonderful support and friendship.

    In the postnatal ward

    A few hours after the birth, once your vitals have stabilised, you will be transferred to the postnatal ward, where you will stay usually a minimum of 24h or so.

    Postnatal wards are often understaffed, especially at night, and it can feel very frustrating if your baby is crying and you can’t pick her up (you’re still immobile due to the spinal or epidural anaesthesia for a few hours), and if you ring the bell, it can take a while for someone to come.

    Having a doula supporting you there means that someone can help you with simple tasks like getting you a drink or a snack, passing your baby to you, changing your baby’s nappy, helping with feeding, and generally making sure you are comfortable.

    Sometimes the partner can do this, but sometimes the woman has no partner, or the partner may need a rest, or need to go home to look after other children etc, so having a doula there means that you won’t be alone whilst you cannot move whilst the spinal or epidural wears off. It also means that someone can be there to support you whilst you take your first wobbly steps or have your first shower.

    If you end up staying in the postnatal ward for a few days, then having a doula can also mean that someone can give your partner a much needed break, that your doula can hold your baby whilst you have a nap, or even bring you some much needed home cooked food.

    After the cesarean-at home

    When you get home, your doula can help you with settling in at home with your new baby (or babies!), helping you with feeding, with finding positions that feel comfortable to do so (feeding lying down can be a godsend for some post cesarean mums), and generally being a much needed extra pair of hands around the house,Ā  so you can rest, get to know your baby, and recover from the surgery.

    I have supported many mothers post cesarean, both as a birth and as a postnatal doula. This has taught me that, similarly to a vaginal birth, everybody’s experience of recovery is very widely varied. I have seen mums bounce around 3 days for cesarean looking pink and healthy, and also at the other end of the spectrum, mums having issues with retained placentas and/or scar infections which meant that their recovery journey was long and protracted.

    Partners usually only get a couple of week’s parental leave, and post cesarean mums are more likely to need antibiotics and have a longer stay in the hospital. On many occasions I have seen mums stay in the hospital for 3 to 5 days, so by the time they got home their partner only had about a week’s leave left. It can feel very scary indeed to be alone at home with a new baby when you are not only recovering from surgery, learning to look after a new baby, but also are more limited in your ability to get around (I’ve seen mums who lived in a remote areas getting very lonely as they couldn’t drive their cars for several weeks).

    Ultimately no new mum should ever be alone coping by herself in the first few weeks post birth, she needs aĀ  community around her to support her, and this is even more true for post cesarean mums.

    Kate wilson, mother

    Our doula, Candie, provided us with a huge amount of support both before and after the birth. She was with us in recovery and helped us to initiate breast feeding – which was so important after a traumatic experience with our first child. She then visited us at home and provided lots of support in helping us to adjust to life as a family of four. She supported me with breast feeding as Charlie had a tongue tie, she played with my older children and made sure I rested.”

    Georgia Wakins, doula

    I supported a third time mum after a cesearean recently and there were lots of practical things I could help with for all three kids, but the most satisfying thing was the blissed out expression she had after I gave her a back and shoulder massage. The oxytocin and endorphins released with physical touch can be amazing for post-op discomfort, just like for labour.

    If this resonates with you and you would like to work with me, head over here if you’re an expectant or new mum, or here if you are a birthworker

    Also feel free to signup to my mailing list to receive my newsletters by using the signup form at the bottom of this page

  • Taking the red pill: why I became a doula course leader

    The Developing Doulas course, and its founder, Maddie McMahon, have a special history for me.

    Back in 2005, when I was pregnant with my son, I hired Maddie as my doula.

    The experience was so incredibly empowering and life transforming that it started me on the path of a complete career conversion, and I went from being a scientist to becoming a doula and childbirth educator.

    Three years later, when Maddie ran the first ever Developing doulas course, she asked me to attend as a guinea pig.

    I absolutely loved the course, the course facilitators, and the amazing women I met.

    Fast forwards ten years andĀ  I’ve been a doula for nearly 7 years, a doula mentor for 2 years, and it feels right and fitting that I should start to facilitate Developing doulas courses myself.

    I’ve felt for myself the power of being supported unconditionally through one’s pregnancy and birth choices and I feel it has the power to change the world we live in. So it feels right, and important, to help more women embark on their journey to become a doula.

    Whilst I went into doulaing to help make the world a better place and to serve parents (and to help families have the same positive, supported experience I had), I’ve personally benefited from becoming a doula in ways that I could never have envisaged. It has been such an amazing journey of self discovery, and has given me such joy, such personal growth, and such incredible self belief.

    As I’m reflecting on this journey, I’m finding it quite hard to pinpoint exactly what is it about becoming a doula that had such a positive effect on me.

    I’ve found that it’s a multilayered combination of several factors.

    Firstly, supporting women through birth and the postpartum is incredibly rewarding. I’ve joked several times that when I was a scientist, I had many exciting moments, but I never cried tears of joy like I have many times since becoming a doula. Also as a scientist, I hoped that my research may lead to advances in medical care someday. With doulaing, the positive effects one has on families is immediately visible. On more occasions than I can count, I’ve been sitting in my car after a birth or a postnatal support session, and I’ve burst into tears of joy and gratitude. I feel that I am incredibly lucky to be able to do such a fulfilling job.

    Second, becoming a doula has broadened my mind beyond belief. When I was a scientist, I hung out all day with other scientists. Yes they were all different people, but they all operated within a similar mindset. As a doula I’ve met the most incredibly range of people, doing jobs I didn’t even know existed. Supporting families through such a vulnerable time as pregnancy and birth, the relationship we develop with our clients over the course of several weeks or months means that we get to know people really well. And what has amazed me the most, is, the longer I do this job, the more people keep amazing me. We are all so different, with different life stories and different needs. You start to realise that nothing is black and white, and just many different shades of grey. and that what’s right for one isn’t for another. Nothing exposes you to breadth of this difference as supporting women through birth.

    I have likened becoming a doula to taking the ā€˜red pill’ (as in the Matrix movie). Once you start doing this job, it opens your eyes, your heart and your mind beyond what you thought possible, in a way that I find hard to articulate with words, especially to people who are outside the doula world. You cannot unsee what you’ve seen.

    Everything in your life starts to change too, because what you learn is so opening and so deep, you cannot stop it from percolating to the rest of your life.

    Take questioning everything. Something that we discuss in depth during the doula course. The world, especially the medical maternity care system, isn’t as evidence based as you believe. Once you start digging into the evidence for that, and you realise it’s all a house of cards, you start questioning other aspects of medical care, you start questioning parenting, you start questioning education, the list goes on and on.

    Take unconditional support. This is the cornerstone of doulaing. We’re here to work alongside women and support their choices, and help them discover what’s right for them. Often we might be the first person in their life do to this for them. Just listening with no agenda. There is incredible power in doing this. Once you start doing that for clients, it also becomes a part of who you are. You judge people less, you ask open questions instead of making statements, you stop projecting your own beliefs on other. Your close ones, your family and friends benefit immensely from this. I am proud to say that becoming a doula has made me a better mother, and that I am raising kids who will take no shit from the system.

    Take becoming self employed. I don’t know if this applies to any self employment because I haven’t tried anything but doulaing, but since becoming self employed nearly 7 years ago, I’ve realised that I was pigeon holed without knowing it, in my previous job. Within science, there was a common, quite judgemental, and narrow minded way of thinking and an unspoken rule that if you didn’t know everything, you were incompetent. I used to feel very vulnerable after giving a talk at a conference, in case I didn’t know the answer to all the questions. Becoming a doula taught me that you don’t need to have all the answers, and that it’s ok to say “I don’t know, but I’m going to try and find out”. It’s incredibly liberating, and has built my self confidence no end.

    Take entering the most amazing community of women I’ve ever encountered. The doula world is almost entirely composed of women who are passionate about supporting women, and each other. It kicks the patriarchy in the teeth. My local doula community is simply the most amazing, non competitive, non judgmental, supportive community of awesome, kick-ass women I have ever entered. We lift each other up. We laugh and we cry with each other. So not only did I gain a job I adore, but I have also gained a local and UK wide community of women I love and admire. And, after many years of buying into the patriarchal model of competition between women, I’ve discovered the joys of sisterhood.

    Take all the opportunities for learning new skills that comes with this job. Since entering the world of doulaing I have attended countless study days on topics I didn’t even know existed before. Many of these I have enjoyed so much that I’ve honed my skills, and ended up teaching others. For an eternal student and knowledge freak like me, it’s incredibly exciting.

    Take the self esteem boost. It’s so good for the soul to follow your calling and do a job that you love. Beyond that, not having to know everything also led me to start believing I was good enough, so the effects on my sense of self (along with the incredible rewards of this job) have been very far reaching indeed.

    Take breaking the mold and becoming truly myself. Doulaing has allowed me to explore what I love doing and learning beyond the confines of what’s considered “ok” by society. I’m a scientist AND an energy worker, and it’s completely ok! When you spend your days encouraging others to trust their instincts, it rubs off! So the biggest gain for me as a person has been able to grow into who I really am, and embracing my weird quirks and blend of science and woo unashamedly. I feel I’ve really grown into the person I am meant to be. I no longer fit into a nice neat box and I love it.

    As Brene Brown says

    ” Belonging is the innate human desire to be part of something larger than us. Because this yearning is so primal, we often try to acquire it by fitting in and by seeking approval, which are not only hollow substitutes for belonging, but often barriers to it. Because true belonging only happens when we present our authentic, imperfect selves to the world, our sense of belonging can never be greater than our level of self-acceptance.

    Becoming a doula has been instrumental in my journey of self growth and self acceptance.

    These are all the reasons I’m grateful that I have become a doula. These are also the reasons I’ve become a doula course facilitator.

    I’m teaching my first course in North East London in May. Visit the Developing Doulas website to find out more.

    Would you like to join me in taking the red pill? What are you waiting for?

     

  • Postnatal Recovery Massage, a new kind of postnatal massage inspired by closing the bones.

    Postnatal Recovery Massage, a new kind of postnatal massage inspired by closing the bones.

    I’ve been offering and teaching a postnatal massage called closing the bones since 2014.

    I never intended to teach this technique, I just wanted to share it with my community as we had been urged to do.

    But then women started to ask us to show them. So we put together a workshop.

    Since we started we have grown organically and have now trained nearly 400 people in providing this amazing nurturing ritual.

    I hope to use this media to help change the face of the postnatal support in the UK with this, towards a mother centered one.

    Over the last couple of years more and more people who had trained to do the massage started contacting me, asking if it would be possible to provide a version of the massage on a massage table instead of on the floor (we normally practise on yoga mats), because they had bad knees, or bad backs, and found working on the floor difficult.

    I have a bit of a theme in my professional life, that I seem to always end up teaching stuff because people ask me to!

    So I had a chat with my lovely local osteopath friend Teddy (who had already provided all the anatomical and effectiveness knowledge for the workshop handout, and therefore already knew the technique inside out), if he fancied the idea of developing a massage table version of the technique with me.

    He liked the idea a lot so we started working on it. This was about 18 months ago, in summer 2017.

    This was a true work of love, and in the end it took us over a year and many sessions of practise and hours of trial and error to get it working.

    This is how each session would go: I would setup both a massage table and a yoga mat on the floor. Teddy and I would try each technique on the floor then on the table, taking turns giving and receiving each technique.

    I would record the session and make some notes. After each session I’d listen to the recording paying attention to what Teddy said, and write down questions and make more notes for what to practise/change at the next session.

    At the beginning we did get plenty of stuff wrong. I think I was so intent of getting the exact same treatment on the table as on the floor, that this got in the way. Teddy has much deeper knowledge of body function than I do, so he had to explain to me repeatedly why some of the stuff that was done standing up or crouching over a person lying down simply couldn’t be done from the side of a table, due to biomechanics.

    We tried and tried. The most challenging part were the rebozo rocking and the hip squeezing. It was challenging because of the biomechanics (you can’t produce much force when you’re on the side compare to standing above a person), and because I wanted the technique to do the same thing to the body, but also to feel good.

    Teddy wanted to make sure the technique was safe and effective but also easy on the body of the therapist (a basic rule for bodyworkers).

    It proved extremely frustrating at time. Many times we thought we had got it but when we revisited it didn’t feel right and so we were back to square one. Some techniques worked mechanistically but just didn’t feel nice so they were discarded.

    It was also a fun experience and a huge learning curve for me, especially as Teddy educated me on how to position my body for maximum power and effectiveness around the table, something I am still learning to master.

    The real magic happened when I finally let go of it being exactly the same. Teddy had tried to explain to me repeatedly that it wasn’t necessary (that we were aiming for the same effect) but I am a perfectionist and like things to be “just right”

    One day we finally worked out a way to make the rocking work from the side.

    From then on everything seemed to flow magically.

    As we progressed we also ended up modifying and adding several elements to the massage.

    Some were based on discussion about the effectiveness of a technique and how to make it work more easily.

    Some were based on the changes in the pregnant body that weren’t treated as part of the original massage, namely treating the ribs (which flare during pregnancy), and the shoulders (which hunch during pregnancy and often during breastfeeding as well).

    Some just happened because it felt logical to add them to the flow of the movements we had created.

    In the end we ended up with a massage which is inspired from the original technique but is really quite different. I did it for the first time on a doula friend and she loved it. We added a few more movements after that. I also practised on my massage therapists friend Emma Kenny, a massage therapist, who loved it too.

    We named it the Postnatal Recovery Massage (PRM).

    We finished our individual practise work at the beginning of October, and we then went on teaching it to a small group of guinea pigs, composed of 2 doulas and 2 massage therapists.

    We all had a very fun morning of practise teaching this new techniques, and all our guinea pigs loved it.

    This is what they said:

    ā€œKnowing Sophie and Teddy as I do, I knew they would design something that is both relaxing and effective. I was not prepared for how beautifully the movements flow into each other, and how true to the spirit of Closing the Bones they have stayed. For people who find floor work tiring or painful, I highly recommend learning these new techniquesā€ Maddie, Doula.

    ā€ This new version of the postnatal ceremony blends effective rebozo (shawl) massage techniques and lymphatic drainage massage to support post natal mamas. Rather fabulous it is too!ā€ Emma Kenny, Massage therapist.

    ā€œI think one if the reasons I like the massage that you have developed for the table as it feels like a modern way of adapting the traditional massage. It feels like a new technique, a therapists technique. I also like being able to connect to the anatomical benefits. I want to practise giving the massage and feel newly inspired.ā€ Katie, Doula

    We are now putting the final touches to the handout for this new technique, complete with my signature set of description, pictures, videos, and an explanation of the effect of each movement on the body by Teddy.

    This should be ready by sometimes in December and we are looking forward to teaching this workshop together in the new year.

    The first workshop will take place in Cambridge on Saturday the 5th of January.

    I can’t wait to introduce more people to this amazing technique!

    Update January 2019.

    Teddy and I taught our first course last Saturday. The course was extremely well received by our trainees. Here is some of the feedback they gave us

    “What a wonderful, professional, well constructed and instructive course with plenty of time for step by step practical, complemented by Teddy’s expertise and Sophie’s organic shamanism and such a wonderful community of like minded body workers. Thank you. Thoroughly recommended” Jenni Tribe, Therapist

    “Thank you so much for an informative and inspiring day. I can’t wait to use the techniques on my clients and support women more effectively. You are doing an amazing work and I’m so grateful ad excited to be part of it!” Grace Lillywhite, Pilates teacher.

    “I loved this course. It is just as nurturing as the closing the bones massage but much easier to do. Sophie and Teddy worked amazingly well together” Michelle Parkin, doula.

    “The course was well organised, very informative and easy to follow. The level of practical support was fantastic and I feel confident to take what IĀ  have learnt and help local women postnatally. Thank you!” Becki Scott, doula and massage therapist.

    “Amazing workshop! Loved being in a small group to work through techniques in enough details. As an osteopath this experience has been invaluable in improving my practise if postnatal patient , in fact all of my patients!” Rob Ballard, osteopath

    “Amazing. Thank you both so much. More than the sum of the parts. Just lovely” Charlotte Filcek, doula.

    “The tutoring, the technique, the group, just exceptional!” Alison Duff, therapist and therapy centre owner.

     

  • 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

    RebozosI was introduced to the art of using a traditional Mexican shawl called a rebozo to comfort birthing women at my doula course by Maddie McMahon in 2008.

    Whilst I developed my antenatal and doula career, in my usual, knowledge junkie style, whislst I learn to use the tool for myself, I decided to learn as much as I could about this magic tool by attending training.

    Over the my first few years as a doula, I pursued my knowledge further by learning from several doula colleagues (I am especially grateful to doula Bridget Baker who showed me how to properly wrap a rebozo around a pregnant woman’s belly during a doula UK AGM).

    I attended my first formal workshop with Stacia Smales Hill on rebozo use for labour and birth in 2013. In the same year I also attended a workshop by Rocio Alarcon called closing the bones, a postnatal massage techniqueĀ  which included rocking and binding with a rebozo.

    Frustration over long and difficult labours, and especially malpositioned babies led me to seek more specialist training,Ā  such as the rebozo for labour progress and malposition with Selina Wallis, micromovements with Francoise Freedman, and 2 iterations of different levels of spinning babies with Jennifer Walker and Gail Tully.

    As my experienced developed I also brought more focus towards postpartum support, and recently attended a workshop on healing diastasis recti with Birthlight which included many rebozo techniques.

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

    I started facilitating workshops around this topic because people asked me to. Repeatedly.Ā  At first, I refused, as I didn’t feel qualified or experienced enough. But after a few years of constantly using this amazing tool in my birth work and my antenatal and babywearing classes, and seeing howĀ the incredibly versatile such a simple piece cloth could be, and the miraculous experiences that ensued, I finally felt ready to start teaching workshops around this topic, because I had so many positive experiences I felt I needed to share this skill with others.

    As I met people through teaching, I constantly questioned 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 has (or 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 since met a Somalian midwife who told me how they use their traditional shawl, called a Garbasar, in a similar way during labour.

    I trained a Moroccan birth worker in doing closing the bones, and she was surprised when she started offering the massage that women came forward and told her they’d had a similar treatment in the local hammam after birth (using the traditional Moroccan cloth called a Mendil).Ā  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 I’ve been told 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 she was taught how to use a towel to bind her hips and abdomen after birth.

    It’s also quite fascinating to see how contact with foreign cultures can influence each other. For example I recently 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!

    So, what can you do with a rebozo, shawl or 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. Ā 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 usingĀ  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 UK we used to have this practise called “churching” you can read about it hereĀ 

    She then would have started 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. And certainly my recent trip to Hong Kong showed me that it took less than 15 years for the traditional baby carriers to have been almost forgotten andĀ  superseded by more modern, yet less ergonomical, models.

    This is Ā 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 skill to both expectant and new mothers, and to anybody who works with expectant and new mothers. It is our birthright!

    How fitting is it that my friend Awen Clement just wrote this poem, for me it sums up everything the use of the rebozo is about.

    We are all weavers

    Life is a cloth
    our stories the threads
    carried across the warp by breathĀ 
    and memory
    Every soul
    unique in its tapestry
    with tangles unpickedĀ 
    and rewoven anew
    A rainbow of colour
    where our threads meet others
    and when we take our last breath
    love will weave the ends”

    (C) Awen Clement 2018

    You can learn more about rebozo and its many wonderful uses in my online course

  • What do you get when you hire a doula, or why she’s totally worth the money

    What do you get when you hire a doula, or why she’s totally worth the money

    This week I saw this meme.

    It made me want to write about what you get when you hire a doula.

    The birth/wedding spending is a very well known analogy in the birth world. Most people spend A LOT more time and money planning for their wedding day than they do for their birth.

    I’ve written about this before here.

    So why do I feel compelled to write about why doulas are worth the money?

    Because I keep hearing/reading stuff about the fact that doulas are expensive.

    This simply isn’t true.

    The fact that people are reluctant to invest much time and/or money is preparing for their birth is a reflection of the low value our culture places on motherhood, and of a lack of understanding of the impact that birth has on women, and on society as a whole, but this is a topic that deserves its own blog post.

    I’ve written recently about the value of a doula, but this time I’d like to explore and explain what you really get when you hire one and why it’s worth every penny.

    My friend Maddie McMahon also wrote a brilliant blog about doulas and money this week.

    And doula SallyAnn Beresford also wrote about budgeting for your birth.

    I’d like to correct some misconceptions about doula work and its worth.

    I think the biggest misconception is that you hire a doula to support you through the birth of your baby and that’s all that matters.

    Recently a colleague was asked how much she’d charge to only come to the birth, and do no antenatals.

    This has happened to me too and I had to explain it just doesn’t work like that.

    Much of the work we do is in the preparation, the getting to know you and the support and information we give prior to the birth.

    I saw another meme last week that summed it up very well “the power of a birth plan isn’t the actual plan. It’s the process of becoming educated about all your options”.

    It’s a big myth that there is no point writing a birth plan because birth is unpredictable (and I encourage all my clients to write 3 births plans (Read about this here)

    So back to what you get from your doula, and I’m in the thick of it at the moment as I’m supporting a woman pregnant with twins and one planning a VBAC , one having her first baby, one having her 2nd baby and one having her 3rd (they are not all due at the same time!).

    The minute you hire a doula, she’s completely dedicated to you.

    Whilst most of us have letters of agreement that cover a certain number of antenatal appointments, we also state that you get unlimited phone and email support from us.

    These days I’m in contact with my clients via email, text, phone and whatsapp groups.

    All this work can seem invisible because it’s not face to face, but I spend hours for each client beside the face to face meetings, researching information for them, on whichever topic they need information about.

    I send them various signposts, from online articles, examples of birth plans I’ve collected through the years, books etc. I contact other people for information when I’m facing a situation that is new to me (this happens all the time by the way as everybody is unique).

    I help them write their birth plans, reading through and making suggestions about things they haven’t thought about.

    I send them up to date hospital policies that I’ve managed to collect through my knowing of the right person to contact at the hospital.

    I lend them books and DVDs, slings and other pieces of equipment.

    I signpost them to the huge network of midwives, doctors, osteopaths, massage therapists, and other complementary practitioners that I trust and with whom I’ve built links over the years in my community.

    I suggest they meet with a different consultant or with the consultant midwife, and I often accompany them to the appointment.

    I’m truly passionate about this (and all the doulas I know are too), so I put absolutely no limit on the time I spend doing this.

    With more complex pregnancies, Ā it can mean an incredibly high number of hours.

    And of course I meet face to face with my clients at least twice antenatally (not including the first time we meet for an interview).

    I prepare extensively for these appointments, discussing what they want ahead of time and preparing the right props to take with me.

    I listen deeply to their wishes, their concerns and worries, and I try to provide the information that maximises the chances of them achieving these wishes.

    This is the antenatal prep.

    Then there is the on call period. Most of the time we go on call from 38 to 42 weeks pregnancy, or until the baby is born which can be longer than 42 weeks.

    This means that for up to a month (it’s pretty rate that it’s shorter than 2/3 weeks especially for first time mums, and I’ve been on call for 5 weeks in the past), we are on standby 24/7.

    We literally put our life on hold. We don’t go away more than an hour from our house. Most of us have young children ourselves so we have to make very complex childcare arrangements to be able to drop everything and come to your whenever labour starts (including at night). We can’t drink alcohol, even at a party. We can’t let our hair down. We tell all our other professional engagements that we’re on call and may need to cancel at short notice (“unless I’m at a birth” becomes a recurrent sentence).

    We pack clothes ready for the next day so we are ready to disappear in the middle of the night when needed. We need to be careful what we wear in case we have to hot foot it to the birth. We repack our doula bag, making sure everything we need is in there, and replenishing supplies.

    Our phones are glued to us 24/7, and placed on the bedside table at night (And we’re always making sure the battery is charged).

    We sleep less well (we experience a level of heightened alertness and often wake up at night to check our phone in case we missed a text/call from you). We always make sure we are reachable, are paranoid about phone reception which something means giving someone else’s landline just in case (some clients live in areas with poor mobile reception).

    Our clients are always on our mind. We care deeply for you at this vulnerable time.

    We know that we might need to come to you very quickly when labour starts. We never know when.

    We have to remind our partners of the fact that we may disappear in the night or day, and make sure they know what’s happening with the kids etc.

    Our partners and children find the unpredictability difficult to handle ,especially as they don’t know how long we’ll be gone for.

    We keep telling our friends and family : if my client calls I’ll need to go. I choose to take the car instead of the bus when going to town, incurring extra parking charges, because I want to be as quick as possible in case I get called, plus my doula bag is usually in the car and it’s really big. I have to remind my kids when we go to the park or the cinema, remind my husband when we go for a rare meal out. Several times I have had to tell my choir leader at the beginning of a concert that if I may need to disappear.

    We miss study days and conferences we have paid for because we don’t feel safe going that little bit further away in case labour happens during that time.

    It takes a very special kind of person to cope with this level of unpredictability and low level tension on a constant basis. It gets easier as you become more experienced but it never quite get to the state when you feel completely relaxed.

    The on call period is up to 30 days, 24h a day. This can mean a total of 730h or more. So if you think that my birth package starts atĀ  Ā£950, one third of which is for the on call period, that’s 316 divided by 730, which amounts to 43p per hour. Not exactly minimum wage hey?

    Then there is the birth itself.

    I’ve been a doula for 6 years and the shortest birth I attended was about 3h long (I always stay a few hours after the birth to make sure mother and baby are ok and help with establishing feeding etc, so I was there for 6h). The longest was 4 days. The average was 21h.

    We spend hours supporting you and your partner, holding you, massaging you or whatever other comfort method helps at the time, managing on very little sleep and food.

    We help you navigate unexpected curve balls. We stay strong. We cheer you on.

    We have a firm commitment to the families with support and we’re not going anywhere until the baby has been born.

    When we get home after a birth, we often take days to recover.

    Then there is the post birth support. I offer a minimum of one postnatal visit and unlimited phone and email support for 6 weeks after the birth. I also offer standalone postnatal support for an hourly rate of £25.

    Some parents take to parenthood like a duck to water and require very little support from us. The shortest postnatal job I’ve done was a one-off visit of 3h. The longest one was 2 years.

    Some parents have very complex situations to deal with and this can mean hours of support.

    I recently supported a new mother of premature twins so she could achieve her goals of breastfeeding them and this took much hard work, sweat and heartache, with incredibly rewarding results at the end.

    Some parents struggle with feeding, with adjusting to being parents, with sleepless nights, with conflict with their partner, with being a single parent, with complex medical situations and more.

    We’re there for them and we don’t go anywhere until we have helped them achieve their goals. We move heaven and earth, we reach out to other knowledgeable people, we spend hours talking and researching topics.

    I haven’t written this to moan about it all and I sincerely hope it doesn’t come across this way.

    I do this because it’s all worthwhile and I don’t resent it.

    I do this because it’s a calling and because I care about birth, and about women.

    But I just want you to know what it means to be a doula, and how challenging it can be at times.

    I want you to know that when you hire a doula, she puts her life aside for you for weeks or even months at a time.

    Because you are worth it.

    And your doula is worth it too.

  • 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 amazingĀ 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,Ā and sheĀ roaredĀ her baby out in the pool a few hours later.Ā 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 Ā 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.Ā  The experiences women have with this ritual can be life changing.

     

     

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

    ā€œThe 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. ā€œ

    ā€œAmazing, emotional and cleansing. I feel very supported as a new mum and feel hugged by the love this ceremony brings.ā€

    Ā 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. ā€œ

    You can read more hereĀ 

    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,Ā  the online course, and aĀ 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 rectiĀ  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 hammamĀ  (using a Moroccan cloth called a mendil).Ā  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. Ā Even in Europe there are pictures of women wearing their babies in Welsh shawls which dateĀ 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 Ā 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 itĀ 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.

    Ā 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 Ā 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.

     

  • 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 boundĀ 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 readĀ 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 Ā mum, with food toĀ share, poems, songs, made me a necklace with beads and a wish of each one.Ā  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 doulaĀ 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 notĀ  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.