Tag Archives: doula

With Sincere Gratitude…

I can’t believe it has been a year since this… together with Pure Beginnings, we launched Debbie’s Pure Beginnings Pregnancy Journey.

And, as we’ve wrapped up this journey, I’ve become so nostalgic looking back over the past year. Pregnancy and parenting is such a mish-mash of excitement, stress, fear, trepidation, anticipation, joy, tears and leaking boobs.

Together with the incredible Team at Pure Beginnings, we created these videos, spoke at national Childbirth Educators Forums, and opened up many, many everyday pregnancy and birth related topics for discussion.

If you missed any posts – you can find them here:

I love this world; this crazy, frantic, joyful, intense, scary, emotional ride. This busy, tear-filled, beautiful, messy role of Motherhood. And I’ve felt so privileged to walk this road with you all, and the Pure Beginnings Team. What an absolute privilege.

And finally, in wrapping up, I can’t help but give you some inside scoop on who exactly it is, behind the brand. They are a family. But really, they are a real family. A husband and wife team (and some awesome extras), convicted to start Pure Beginnings when their own kids were born. Even with them living in Durbs, I’ve met them on numerous occasions, and been hosted in their home and have been incredibly inspired by their hard working ethic, their gentle and beautiful natures, their humility, care for people and their product and determination to do and be better and provide better alternatives for US.

You want to support that family sending their kids to soccer and/or piano lessons? Those are the people behind Pure Beginnings.

Thank you Kate and Bruce (and Amanda) for allowing me to start this journey with Brea in the best way possible, with a Pure Beginning. xxx

Packing your Hospital Bag

If you’ve had a bub before, did you find packing your hospital bag strange? I kinda do. Maybe it’s admitting that birth is imminent and you’re ‘heading somewhere important’ or it’s just that packing your phone and charger can’t be done until the last minute so it’s all a bit ‘meh’?

Anyways, since my mom has been convincing me this bub is coming early (which now I’m not so sure of), I figured I’d better get it done. Also, thanks to Dischem and Discovery, half my goodies were all over the house and so ‘Nesting Debbie’ needed to put them in their place.

As a doula, I have a list called Packing Your Hospital Bag I usually send expectant moms, but I had to do a bit more research as it seems things are different in SA (they don’t give you nappies, pads or sexy stretchy undies in hospital? – WHAAAAT?).

I combined my doula list with the ones given to me by my midwife, HypnoBirthing instructor, and hospital and so here’s my summary of what you need to pack: (of course this all depends on your personal preference and how long you plan to stay in hospital).

Mom’s Bag: 
Clothes pre and post birth (with easy access allowing breastfeeding)
Slippers, socks and dressing gown
Toiletries (toothbrush, toothpaste, deo, lip balm, shampoo, conditioner, hairband, hair brush, face cloth)
Pads
Breast pads (not many, as your milk will only come in on day 3 or 4)
Nursing/comfy bra
Those super sexy stretchy (but admittedly, very comfortable) hot pants.

Dad’s Bag: 
If planning a water birth, dad might need his boardies. (I refrain from suggesting a speedo type suit because really, that’s just not appropriate, unless you plan on laughing that baby out).
Change of clothes
Toiletries (if staying overnight).

Baby’s Bag: 
Change of clothes (for hospital and going home), beanies, socks, vests, baby grows etc.
Swaddling blanket/s
*Nappies
Wipes
Bum cream (this is most NB for that first meconium poo – slap your natural bum cream all over that kids tush to prevent the meconium from glueing itself to your newborns bum).
*I plan to cloth diaper but that’s not so kosher for while you’re in the hospital, so I’m using the samples sent to me by all the baby marketers.

Dare I be so bold as to say you DON’T need to use Vaseline or Surgical Spirits on your freshie? You can use a natural bum cream or pure organic oil (such as coconut) for his/her first nappy, and that belly button cord would be much happier with weeping wound or graze powder over surgical spirits.

Labouring Bag: 
Anything you have that will assist in labour, although your doula will have lots of tricks if you’ve hired one.
Massage oil, massager, TENS machine, hot/cold pack rebozo etc.
SNACKS! Including sugary drinks (such as Powerade/Energade), and any other nibbles of your choice.

Added Creature Comforts: Pillows, blankets, photos, visualization pictures (and prestick), music, iPod/phone docker, candles (check the hospital regulations on what they allow regarding naked flames), essential oil diffusers etc.

FINALLY, things like: your birth plan, pregnancy card (if you’ve been seeing a midwife), hospital authorization forms, ID books/cards, camera, phone, chargers (and adapter), car seat, cash/credit cards etc.

Anything I’m missing? 

Xxx

A Post Partum Hormone Inspired Post

You all know about the 3rd day bluesy/post partum/milk-coming-in day? If you’ve had a baby, you probably know what I’m talking about. I know it well. With all three kids, this day was real. Real as. I was warned about how the tears might flow, for unexplained reasons and how it’s hard to get a handle on it, but how it is also beautiful and emotional and hard and possibly a little out of control. Don’t get me wrong, I’m a feeler. I FEEL things. And so for me these days were full on. But I anticipated it.

What I had forgotten about, was the 1 week post baby endorphin high/low. Wow. Hormones man, they are HARD CORE. And so this past Friday it all came rushing back. I have to believe that for me the unknown of ‘going into labour’ has a lot to do with it – that hour by hour, reliving what went down exactly a week before, the ‘is this labour’ questioning, the call to the midwife/birth team, the drive to the hospital and the walking into (contraction-ing into) the delivery room… And then marking (and celebrating) the exact time of birth… Even the ‘settling into the quiet, safe, sacred space of your hospital room’… It all came flooding back.


And so after some tears trying to process this all with hubby, and some more tears upon messaging my midwife (and her always-beautiful replies), and some more tears in the shower (those are great hey?), hubby offered to take me back to where it all happened.

So last Friday at 6:30pm, we piled our new family of 5 into the car and went on our first official family adventure – back to the hospital where it all happened. Hubby pulled up at sunset, I hopped out the car with our 1 week old and paid the maternity ward a visit. And honestly… it was a bit random. Maybe I was expecting some ‘Hi Debbie, how are you, so lovely to see you again, would you like a coffee?!’ with the nurses I had befriended on my lone ranger (hubby-less) stay in the hospital. But it was random. I know, a little disappointing right?

Because it was on the way home, while listening to the CD we played when we brought all the kids home from the hospital, that it dawned on me. While place is significant, and always will be, PEOPLE are where it’s at.


It was my midwife (a hero of a woman, who, after being in her care makes me want to sign up for midwifery school immediately), who loved me, empowered me, lead me, and in return allowed me to lead in birth. It was my husband, who held my hand through it all, listened to my needs, encouraged encouraged encouraged, watched, witnessed, and believed I could birth our daughter into the world with grace and dignity. It was our doula, who was thinking about what I couldn’t think about at that time, whose mind was always on what I needed next, and who carried the journey of labour with me. And our friend and photographer, who I’m SOOO glad was there, to celebrate with us, to capture, to document the real life miracle that is birth (for which I am eternally grateful and will treasure the pictures forever!)


It was them. Sure, I loved my quiet, safe hospital stay with wonderfully supportive nursing staff. But that Team. Oh that Team.


They gave me courage, they believed, they knew, they guided, they inspired and they empowered me (in ones most vulnerable state), to do this crazy, beautiful, natural, wonderful, hard, tiring, unforgettable and mysterious thing called birth.

For you, Susan, Theran, Thato and Rebecca. Thank you. May we all do for each other in day to day life, what you did for me in Delivery Room 3, 16 September 2016.

All pics: Love Made Visible

When all you want is to GET THE BABY OUT

To tell you the truth, I didn’t think I’d be here – post 40 weeks. Even though 40 weeks is the estimated time of a full pregnancy, all of that depends on your cycle and when you got pregnant and and and – it is no exact science as to WHICH particular date baby WILL be born. But still, I didn’t think I’d be here… at 40 weeks… still waiting.

Did you know that Term falls anywhere between 37 weeks and 42 weeks. Thats a 5 week window. That’s far off from an exact due date.

The American Congress of Obstetricians and Gynecologists has redefined the meaning of “term pregnancy.” Pregnancies used to be considered at term, and babies ready for delivery, any time after 37 weeks. If mom went past that, those last three weeks (or longer) were almost seen as a write-off. Now, however, after a couple of decades that have seen too many C-sections and record numbers of babies in the neonatal intensive care unit (NICU), those last few weeks of pregnancy are being taken seriously. That’s why “term pregnancy” is now being broken down into distinct categories. (Source)

Early Term: Between 37 weeks 0 days and 38 weeks 6 days
Full Term: Between 39 weeks 0 days and 40 weeks 6 days
Late Term: Between 41 weeks 0 days and 41 weeks 6 days
Poster: Between 42 weeks 0 days and beyond.

That’s just some interesting info to chew on… but say you get to 40+ weeks and despite knowing that bubs is healthy and happy and fully developed for his/her impending adventure in the outside world – if a chemical induction (oxytocin/pitocin) is looming… what can you do to BAHM!!! speed labour along?

HUGE Disclaimer: Some people swear by these methods, and some seem to have zero effect. I am no medical expert. Please speak to your Care Provider before you try anything crazy and at the end of the day, baby will come when baby is ready, so play with this all lightly. Okay? Good.

Clayden skin 2

With our second, we were warned of a fast birth. And at 40+3 days we were getting a bit nervous. Hubby had a HUGE speaking engagement fast approaching and genuinely couldn’t miss it. So on the Monday (40+3), we went nutso on EVERYTHING to do with natural induction, and Tuesday at 4:30am I went into (fast and furious) labour, and at 6:30am, our second was born. So even if it is all mental – I can’t help but believe that our attempts at natural induction were a raging, rip roaring success.

I’ve come to learn it’s all about oxytocin. ALLLL about oxytocin. So, thats the goal. Get more oxytocin running through your body, and do what you need to do to keep it up (and your stress/anxiety hormones at a minimum).

As a mom, and a doula, here’s what I would suggest: (Obviously, again, please chat to your birth team care providers before jumping into any of this.)

Exercise/Long walks. Man these can be hard because you feel like a hand or a head will pop out at any time, but don’t give up. Keep active (within reason).

Stretch and Sweep/Membrane Stripping: Some are not so keen on this one, as it’s a bit intrusive, but it can be very effective. Basically, your doctor/midwife will use a gloved finger to separate the amniotic sac from the uterine wall. This action releases prostaglandins. We love prostaglandins. *Personal preference: I had a gentle stretch and sweep with my 2nd, it didn’t hurt, and it certainly helped. 

Nipple Stimulation: Stimulating your nipples can help release oxytocin and cause your uterus to contract and possibly bring about labor.

Sex: Although research results are mixed, anecdotes abound about late babies making an entrance soon after a love-making session. Semen contains cervix-softening fats called prostaglandins (also used in medical induction) and a woman’s orgasm can lead to strong uterine contractions. (source)

Acupuncture: Acupuncture stimulates the release of oxytocin in the body. In a randomized trial published by the Journal of Perinatal Medicine, over 400 women were given acupuncture, membrane stripping, or both procedures before their labours. There were no significant differences in the outcomes of the groups, but the vast majority of these women did not require medical inductions. Pregnancy acupuncturists are often super clued up with a number of tricks including how to try turn posterior babies – so keep an open mind. Even just for the fun of it.

Acupressure/Prenatal Massage: Some practitioners believe that acupressure can start and restart labor. The key is beginning the practice early and often, or else just head to an experiences prenatal massage therapist. Various pressure points are safe to press starting at 37 weeks. You can increase pressure the closer you are to your due date and during labour itself. But prior to applying acupressure to yourself, make sure you get proper instruction from a trained acupressure professional. Read a great Mommy Potamus article about it here.

pressure-points

Spicy Foods: Spicy foods can cause your body to release prostaglandins throughout the digestive process. These hormones may trigger contractions in the uterus. Either way, even if they don’t, you scored some chilli poppers out of the experiment. So it’s a win-win. (f you’re in the Cape Town area, may I suggest The Pickled Popper‘s Chilli Poppers).

Evening Primrose Oil: Though EPO itself may not cause labor, it can prime and soften your cervix. You may take the oil orally or insert it vaginally for the best results. You can prick the oil capsule with a clean needle and insert. While healthcare providers have long suggested taking EPO to ease birth, there is little proof that it naturally induces labor. Rather, treat it as something which softens your cervix, and that can’t hurt (source).

evening-primrose-oil

Red Raspberry Leaf Tea: Midwives often recommend drinking red raspberry leaf tea in combination with evening primrose oil as your due date nears. The team at OBGYN North in Austin, Texas, share that the tea tones the uterus and helps to organize irregular contractions into regular, productive patterns. Even if it doesn’t work, you’ll stay hydrated. (source)

red-raspberry-leaf-tea

Eat Pineapple: The bromelain in pineapple and other tropical fruit is said to induce labor by stimulating the uterus. Alternately, it could just be the intestinal stimulation from eating large amounts of pineapple that gets labor started. And you would really need LARGE amounts for it to actually kick labour into gear. Either way, this is a delicious way to induce labor naturally.

Eat Dates: Date fruit contains saturated and unsaturated fatty acids such as oleic, linoleic, and linolenic acids, which are involved in saving and supplying energy and construction of prostaglandins. In addition, serotonin, tannin, and calcium in date fruit contribute to the contraction of smooth muscles of the uterus. Date fruit also has a laxative effect, which stimulates uterine contractions.” (source) There is another great article by Wellness Mama about dates and labour here.

dates

All that being said, I’d love to hear if you have tried any of these methods and if anything helped you. And of course… Good Luck!

Image credits: herbs.lovetoknow.comwww.youngandraw.comwww.checkpregnancy.com.

My Experience with HypnoBirthing

I toyed for ages whether or not I should sign up for a HypnoBirthing® class, and then I just did. I mean, this was my 3rd pregnancy, I’d done all the prenatal stuff overseas, attended the breastfeeding lectures, the home birth info evenings, and had witnessed and assisted at many births, so did I need it? Gah! I tend to overthink these things, so I just jumped, which I guess is the best way to do stuff sometimes.

Like a number of people I’ve chatted to, I was a little put off (maybe confused is a better word) by the name, HypnoBirthing®. Kim from Beautifully Born suggested I come for the first week and if it wasn’t up my alley, I could duck and never return. Sounded like a sweet deal to me… of course she knew I’d fall in love with the concept and be itching to return – which I was.

beautifully-born

Kim is the HypnoBirthing® Faculty Member, Regional Liaison, Practitioner trainer for South Africa, and Founder and Owner of Beautifully Born HypnoBirthing® – so you must know she knows her stuff. When you’re dealing in the potentially ‘airy fairy side’ of all this hippie birthing goodness, you want someone legit. Kim is legit.

TIME WILL TELL (ha ha ha) if my HypnoBirthing® training will be effective or not (look out for THAT blog post!) but I thought pre-birth, let me inform you what HypnoBirthing® is all about… well, what I understood it be.

“I’ve been a Labor & Birthing nurse for 17 years; and after attending HypnoBirthings,  I’ll never look at birth in the same light. It’s incredible.”
– Traveling Nurse, Judy Richardson, RN

marie-mongan-hypnobirthing
What is HypnoBirthing®?

HypnoBirthing® is a tried and proven method that guides and prepares a woman in giving birth in a peaceful and extraordinarily beautiful manner. It is a program that considers the psychological, as well as the physical, well-being of the mother, her birth partner, and the newborn, independent of context, whether that be in the quiet of a home, a hospital, or a birth center.

The HypnoBirthing® program is built around an educational process that includes special breathing, relaxation, visualization, meditative practice, attention to nutrition and positive body toning. Most importantly it fosters an air of mutual respect for the birthing family, as well as the health-care provider in a traditional health-care system or an alternative setting. (source)

The HypnoBirthing®  Premise

For me, a LOT of this made sense. Especially experiencing two different birthing cultures, in South Africa and Canada.pink-lineFor most of their lives, women have been inundated with the negative stories of other women’s birth experiences. Everyone, from their mothers, sisters, aunts, cousins, friends, and even strangers, wants to tell them the horrors of giving birth. They have been conditioned to believe that excruciating pain is associated with labor; and because of this, women today hold an unprecedented fear of giving birth. This extreme fear causes their bodies to become tense, and that tension prohibits their bodies from easily performing a normal physiological function. The result is exactly what they feared most–long, painful birthing or unnecessary intervention.

People who are drawn to HypnoBirthing® have long been searching for a way to give birth confidently and as calmly, safely, and gently as possible, whether they have chosen to birth in a hospital, a birthing center, or at home. Until HypnoBirthing®, this kind of birthing almost seemed unattainable for the general population.

Through a very simple program of self-hypnosis and education, healthy, low-risk women, as well as women who need medical assistance because of special circumstances, learn to dismiss fear-based stories, misinformation, and birthing myths; and they are helped to see birth as normal. They learn to trust that their bodies know how to bring their babies into the world in the calm and gentle way that Nature intended. (source)pink-lineNot all HypnoBirthing is the same. Make sure you find a legit teacher, teaching the Marie Mongan Method.

Got it? Easy peasy, right? Ha. There are more details at the very bottom, but for the majority of you, I think you’re reading this to find out what I (the average human) thought of the class. I’ll put it in bullet point for you:

  • Liberating and Empowering – reminding me that natural childbirth is just that, natural. Possible. Beautiful. Doable.
  • I understood it as finding a state of relaxed-ness where your body can do what it was designed to do.
  • The importance of understanding the fear – tension – pain cycle and how it can inhibit birth.
  • Learning about the uterus’ muscles and what your body is doing when the beautiful, gentle and shy hormone Oxytocin leads the way…
  • Rephrasing birth/labour lingo (this was interesting, and refreshing).
  • Remembering the importance of positive thinking, the role of the subconscious, visualization and affirmations.
  • Some of the mild hypnosis (deep relaxation) stuff was a bit out-there, and I’m nervous I might struggle without the lead of someone like Kim, but I’m very keen to give it a go and see how it all plays out.

Practically, here’s what I’ve been doing over the last 5 weeks: Reading the book (NB!), listening to the Rainbow Relaxation track on my phone every night (I fall asleep after about 20 seconds), and listening to positive birth affirmations in the car. Hubby has been practising the light touch massage (like a back tickle – so good!) and I’ve been rehearsing my 3 different types of breathing: calm, surge and birth breathing.

birth-affirmations

Honestly, I could ramble on and on and on about this (ask our Friday night dinner friends). Pre-birth, I would recommend this course to anyone who is inclined towards a natural labour (not augmented) and birth and is wanting to be instructed as to how to think about birth differently – with a fresh, new mindset, and NOT one where you feel like you’re out of control and are being filmed for the next horror movie.

Now tell me, have you tried HypnoBirthing? Did it help? What worked, what didn’t? Talk to me… but really… I need to implement this stuff within days. Yeeeee…

hypnobirthing

I’m sure you have questions. Some of them might be answered here. If you are playing with the idea of attending a class, chat to Kim. You can contact Beautifully Born online and on Facebook.

The Deets: HypnoBirthing® Classes are taught in a format of five, 2 1/2-hour classes.

You will be provided with the official HypnoBirthing® book, Rainbow relaxation CD and all course materials. Refreshments will be provided during classes.

Course prices

  • The cost per couple for a group course is R1950.
  • There are private courses available in your own home or at a practitioner’s venue – contact Kim to find out about your nearest practitioner, prices and availability

Payment terms for all courses can be arranged, please ask your practitioner.

Here is the outline as to what is covered:

Week 1 – Building A Positive Expectancy

Introduction to the remarkable HypnoBirthing® philosophy
The History of Women and Birthing
Why and how you can have an easier, more comfortable, and safer birthing
How Nature perfectly designed women’s bodies to birth
How to assist, rather than resist, your natural birthing instincts
The vocabulary for calm and gentle birthing
Visualizing gentle births by viewing beautiful birthing videos.

Week 2 – Falling in Love with Your Baby/Preparing Mind & Body

The remarkable mind of your newborn baby—Prenatal bonding techniques
Rapid and instant self-relaxation techniques and deepening techniques
Breathing techniques for labor and birthing
Hypnotic relaxation and visualization
Selecting the right care provider
The Birth companion’s role in birthing
Preparing your body for birthing with massage and toning.

Week 3 – Getting Ready to Welcome your Baby

Preparing Birth Preference Sheets
Preparing the Body for Birthing
Light Touch Labor Massage
Your body working for and with you
Avoiding artificial induction and achieving a natural start to labor
Releasing negative emotions, fears and limiting thoughts.

Week 4 – An Overview of Birthing – A Labor of Love

Onset of Labor – Thinning and Opening Phase
Birth explained simply
Settling in at the hospital or birthing center
Preparing for home birth – or baby’s choice of birth
As labor moves along – passing time through labor
Hallmarks of labor
If labor rests or slows – Companion’s  prompts and activities
As labor advances – birthing with your baby
Protecting the natural birthing experience
Birth rehearsal imagery.

Week 5 – Birth, Breathing Love, Bringing Life

Moving into birthing
Positions for descent and birthing
Breathing baby down to birth
Baby moves to the breast
Family bonding with your baby.

Image credit: andrewmicahornoch.tumblr.commombodystroll.com, www.beautifullyborn.co.za, https://us.hypnobirthing.com.

The One about Hiring a Doula

Birth is expensive – I get it. I’m facing all of that right now. Scans, blood tests, Dr’s/midwife bills… it goes on and on. On top of that, I’ve just signed up for HypnoBirthing classes, and for first time mom and dads there are prenatal classes, prenatal yoga, lactation consults, buying a ga-zillion (often expensive) things. It’s all just hectic.

And then there is the doula, which doesn’t seem all that important when facing the million bills, unexpected needs, third trimester exhaustion and hubby asking “what on earth is a doula?”

I’ll save you my shpeel on why I think you really, really reaaaaaally should consider hiring a doula (I am a doula, and have had a doula at both previous births – so am a huge advocate) but I’ll just give you some food for thought, inspired by Wellness Mama Blogger, Katie.

if a doula was a drug

As a doula, it is an honour to be invited to participate in anyone’s birth team, and having done it numerous times, I am always inspired and in awe of labouring moms. There really is something so primal and raw about a mother labouring – it is beautiful and astounding to witness. While doula’s are certainly not the be-all-and-end-all of births, there is a lot of evidence that the presence of a doula can shorten labours and (in some cases, drastically) improve birth outcomes.

What is a Doula and What Does She Do? (Source)

doula-ing

What Does a Doula Do? The word “Doula” comes from the Greek word doule, meaning “handmaiden” or “woman who serves.” That is precisely the role of a doula for a laboring woman: to serve the laboring mother and help her have her desired birth outcome. 

In essence, a doula is a massage therapist, friend, therapist, DJ, court jester or anything else a mother needs her to be in labor. She is a shoulder to cry on or an encouragement when the mother thinks she can’t go on.  Most doulas go through a rigorous training program before assisting women in labor.

A doula is trained in labor and childbirth and provides continuous support to a laboring mother. Her focus is tending to and helping the mom and supporting the relationship of the laboring couple. Doulas often support laboring women by:

  • Providing continuous emotional and physical support,
  • Giving information if asked and helping the mother find resources to research her birth choices (before labor),
  • Using comfort measures like massage, suggesting different positions and helping with relaxation breathing,
  • Accommodating the mother’s wishes for the birth environment (low light, soft music, etc) to the extent possible in the place of birth,
  • Encouraging the mother to communicate with her doctor and to be informed about any procedures and interventions (a doula does NOT give medical advice or interfere with the doctor/mother relationship),
  • Supporting the father or birth partner in the best way to support the mother. A doula never replaces the very important role of the birth partner and a good doula will help the birth partner by suggesting ways that he can support the laboring mom and things that can improve their synergy in labour.

But WHY a Doula?

Women have complex needs during childbirth and the weeks that follow. In addition to medical care and the love and companionship provided by their partners, women need consistent, continuous reassurance, comfort, encouragement and respect. They need individualized care based on their circumstances and preferences.

Doulas are educated and experienced in childbirth and the postpartum period. We are prepared to provide physical (non-medical), emotional and informational support to women and their partners during labor and birth, as well as to families in the weeks following childbirth. We offer a loving touch, positioning and comfort measures that make childbearing women and families feel nurtured and cared for.

Doulas are also great at practical help: taking photos at your birth, moving your bags from one room to another, keeping you hydrated, massaging your lower back through a tough contraction, helping you understand ‘medical talk’ going on around you, filling the bath if you desire a water birth, and they’re always on the other side of the phone when your waters break, you lose your mucus plug, or you’re onto your 17th cup of red raspberry leaf tea…

red-raspberry-leaf-tea

Numerous clinical studies have found that a doula’s presence at birth

  • tends to result in shorter labors with fewer complications,
  • reduces negative feelings about one’s childbirth experience,
  • reduces the need for pitocin/oxytocin (a labour-inducing drug), forceps or vacuum extraction and cesareans,
  • reduces the mother’s request for pain medication and/or epidurals.

Research shows parents who receive support can:

  • Feel more secure and cared for,
  • Are more successful in adapting to new family dynamics,
  • Have greater success with breastfeeding,
  • Have greater self-confidence,
  • Have less postpartum depression.

So, how do you go about Hiring a Doula?

In South Africa, the best thing to do is to check out WOMBS (Facebook and website) as well as MamaBamba and just ask around. Chat to your gynae or midwife. Doulas gain the most business from word-of-mouth, because I think actions really do speak louder that words in this type of ‘industry’.

Interviewing a number of potential doulas is really important – but might feel a bit weird, right? Even if you’re not sold on the idea, I’d recommend just meeting with a couple and chatting stuff through, and soon enough you’ll get a feel for what they can do to support you in your birth and if you want them as part of your birth team.

Here’s a cheat sheet on what to ask (thanks to Wellness Mama)

Important Questions to ask when considering a Doula:

  1. What is your training? If certified, through what organization?
  2. Are you available around my due date?
  3. How many other clients do you have around this time?
  4. What is your philosophy about birth and how do you most often support women in labour?
  5. How many births have you attended?
  6. Have you attended births at my birth location and what were experiences there?
  7. Do you have experience with my caregiver?
  8. Do you have a backup doula and will I meet her?
  9. At what point in labor do you meet up with us?
  10. How do we contact you during labor? Are you always on call?
  11. What coping techniques do you find most helpful?
  12. What are your fees?
  13. Why did you become a doula?
  14. Have you given birth yourself? Did you have a doula? What were your birth experiences?

It is also really important to connect with your doula and feel like you can trust her. She will be with you during one of the most intimate and vulnerable times in your life, so your comfort with her is vital.

Money, money, money…

The cost of a doula varies greatly depending on where you live. Doulas who are working toward certification (student doulas or doulas-in-training) may offer discounted or free rates (WIN!), while some really experienced doulas can cost a pretty penny (but often offer awesome benefits such as a whole toolbox of tricks, use of a TENS machine, prenatal massage, training in HypnoBirthing and so on). In general in South Africa, the rate seems to be around R3000. For the most part, medical aid will not cover this cost, so needs to be calculated into your birth budget.

This might sound like a huge additional (and maybe even seemingly unnecessary) expense, but considering the additional expenses that can occur without the presence of a doula, can be just as much if not more. If for no other reason than protecting the birth experience and the deep (deeeeeep) memories associated with your birth experience, that was enough for me. In my mere 32 years of being alive, one thing I’ll always believe in is community, The Village, and it is in these times of very real vulnerability that continuous loving support can make or break. We were never ever meant to birth alone.

And so, have you ever had or considered using a doula? What was your experience?

Image credit: blissfulbeginningsdoulacare.wordpress.com, antipodeanmushroom.wordpress.com,

 

Let the journey begin…

Debbie Pregnancy Journey

It feels as if my name has been called, I’ve walked onto a stage and I’ve been crowned – a Pure Beginnings Pregnancy Ambassador! And as the music plays, (natural) bath bubbles fall from the sky and Ruby the Rhino, Max & Minky (the Monkeys) and Ollie the Owl have joined me. (To me, this is WAY more exciting than any other pageant).

I am thrilled to partner with Pure Beginnings, one of my favorite organic and eco-certified South African brands, to document the journey of this, our 3rd pregnancy and the birth and newborn life that follows. I can’t imagine a better brand to walk this road with.

Let’s recap…

It was in January that this little life made itself known, and from the minute I saw those two pink lines, I knew this one would be different (least of which, was that it would be a she and not a he, which came as a HUGE surprise after 2 boys!). Waaa… what do I do with a girl?

It was roughly 3 minutes and 47 seconds after seeing those lines that the indescribable, inhumane, unlike-anything-ever-known-to-man exhaustion hit. If you’ve been pregnant, I’m sure you know the feeling. It’s not fun, especially with 2 boys in the house. Wow.

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Having had both our boys in Vancouver, I was not new to pregnancy but somehow this pregnancy seemed new to me. Which prenatal vitamins and supplements should I take? Who would my midwife be? How would I find a doula? Where would I birth? How would I birth? It all seemed so different. My immediate thought was to run back to Canada, but alas, that wasn’t a viable option.

clay and ryler at midwives

Over the years in which I have been thinking, researching and getting my hands really dirty (more like oily) in the ‘natural world’, and as I’ve blogged my findings, I’ve become more and more aware (and at times terrified) of how much is going on around us or within us that we simply don’t know or question. Slowly, and (more importantly) consistently, my choice of skincare has changed. While I could be better in the eating department (my month of strict Paleo starts soon – it’s birthday season and the cake is out of control), there are some new(ish) non-negotiables in our house regarding skincare. Having read an alarming article on the horrific number of chemicals found in a baby’s umbilical cord compared to generations ago, I now have a fresh start, and during this pregnancy I want to expose myself (and my helpless unborn) to as little nonsense as possible. Studies have shown that the average woman directly applies more than 200 chemicals to her skin via personal care products every day. Ermmm… that is terrifying… because we have no idea what these chemicals are or what they do.

So what does this change look like? Well regarding pregnancy, my prenatals don’t need to be coated in sugar, coloured pink and look like over-sized smarties. I’ve done enough research to know to take folate over folic acid and I’m upping my number of magnesium baths and probiotics (to avoid GBS). I won’t be bringing aluminium anywhere near my ever-growing breasts (did you know your off-the-counter deo most likely contains aluminium) and the nasties such as parabens, SLS (Sodium Lauryl Sulfate), Sodium Laureth Sulfate (SLES), Ammonium Laurel Sulfate (ALS) and other hard-to-pronounce, no-one-really-knows-what-they-are ingredients won’t be coming near my skin (as much as I can control).

Pregnancy is a beautiful gift. I’ve always thought of it as carrying the most incredible responsibility with the least amount of control. I cannot control the growth of this little life, the amount of amniotic fluid I have, my baby’s sex, eye colour or the number of chambers in its heart. What I can control, is what I expose myself to, what I consume and what I smear on my skin. I can read, research and learn, and with that, make better choices for myself and this little life. I’m certainly not perfect, but I’m trying.

I’d love for you to join me in this conversation, and on this journey!

xxx

*WIN* a Pure Beginnings Organic Baby Gift Set! Enter on our Facebook page by commenting on what your fave PB product is and tag a friend for an extra entry! Compo is nationwide and closes on Monday 23 May, 2016.

Baby-Gift-Pack-large-510x600Good Luck!

Just Engage’s Online Antenatal Classes

If you know me at ALL, you know that I literally get goosebumps at the talk of birth, babies and all things labour. Trained as a Doula in North America, I love love LOVE end of pregnancy everything and get secretly gushy as woman start to talk about labour, birth and post birth (or even red raspberry leaf tea, herbal soaks for the perineum, stretch and sweeps and mucus plugs – weird right?). One of the things it’s not customary to discuss with potential clients is ones own birth (as everyone has a distinctly different birth experience), but it was the significance of my births that grew the desire to support and empower women in labour. You can read more about how much I looooove all this here.

And so I’m very passionate (especially after returning to South Africa from a very ‘informed consent about everything’ city such as Vancouver) that pregnant moms have AS MUCH information as possible when they make decisions towards the end of their pregnancy. I also desire moms to question, think, re-question, re-think and not just go with the flow or succumb to the fear of the unknown surrounding birth. There is grace and glory in the unknown! There is empowerment, indescribable joy and a mysterious disbelief in birth which deeply touches women, whichever way you birth.

If my days are anything like yours, it includes chaos, business, exhaustion, work, play, multiple cups of coffee, driving, meetings, groceries, events… and and and. And as a pregnant mom approaches due day, exhaustion can hit an all time high, but, you need to be in the know about what’s ahead.

So… I have the perfect way to inspire you into being labour-ready amidst all your goings-on… Online Antenatal Classes (!!), with our friends at Just Engage.

Hang on. Online? “Don’t I need to (drag my husband) to a weekly meeting for all this stuff”, you may ask? Well, you can, but you certainly don’t have to! Read on…

This is what Just Engage’s Antenatal Courses cover:

Course 1: Healthy pregnancies
Course 2: Stages of natural labour and birth
Course 3: Caring for mom and babe after birth and breastfeeding
Course 4: Cesarean births, inductions, VBACs and pain relief
Course 5: Early parenting
Course 6: Life after the birth.

Here is a sneak peak on the topic of water birth. I had a water birth with my second and I even learned something after watching this.

If you watched the link above, you would have met Sharon Kloppers, who began Just Engage in August 2012. She wanted to offer an antenatal class that was convenient and practical for busy working couples.

Her heart behind Just Engage is to offer expecting couples information and resources around all their birth and parenting choices, and to realistically connect them to networks of support depending on the choices they make.

She is most passionate about expecting moms feeling confident and supported in their decisions enabling them to have the best chance of a positive birth experience and beginning to motherhood (and fatherhood). Ah, I couldn’t agree more. Sharon also wants to expose this community of expecting families to the incredible professionals, organisations and resources that exist in South Africa which are maybe less visible or known.

WHY ONLINE?

For generations South African women have attended antenatal classes. Usually run by a midwife or physiotherapist, a group of pregnant ladies (and their reluctant significant others) gather in a hospital basement or someone’s home to learn about pregnancy, labour, childbirth and early parenting. While they have never been compulsory, it’s been a preferred method of meeting other expecting couples who will have babies and toddlers of a similar age as well as preparing yourself mentally for the changes ahead. Antenatal classes can help you and your partner focus on your pregnancy, and help you prepare for labour and birth as well as for the practicalities, and the realities of parenthood.

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However, times are changing. Many women work for as long as possible before baby arrives and so committing to a class with many sessions over many weeks is off-putting or simply impossible. The modern woman might ask ‘So what is the point of antenatal courses anyway?‘ and has turned to resources online to prepare herself for the transition from woman to mother. If you google antenatal class (online) you will find multiple options but not all of these will genuinely be helpful. Some classes are free, others are paid-for and there are now so many different approaches and techniques being taught.

WHY JUST ENGAGE?

Divided into 6 online courses, Just Engage offers video lectures that you can watch on a desktop, laptop or mobile device. You can work through the content at your own pace and in your own time, just log in on the website and pick up exactly where you left off. Basically, you can do your entire antenatal course online! Once you’ve watched a video lecture (usually by Sharon, the main facilitator and mentor, or a specialist lecturing on their area of expertise) you can download the notes from that lecture which you can keep in a PDF format. You can invite other pregnant friends to sign up with you so you are working through similar content and you can post comments on any video at any stage in the class. Subscribe to the monthly newsletter or follow the Just Engage blog to get updates on new video content, blogposts, related products or services now available and personal stories of mothers and fathers from the trenches of parenthood. Perfect for the busy family, right?

WHAT ABOUT THE COST?

Here in South Africa antenatal classes cost roughtly R1000+ for 6-10 classes you have to attend. The Just Engage class costs R780 to join which gives you access to all the content as well as ongoing access to new content as it gets added. A refresher antenatal class is an available extra. You also gain access to the online community, the blogposts, the forum and the online shop (but these are available to the public too).

CONTACT THEM – they’re here to help!

Follow them on Facebook and Twitter to keep up to speed with what they’re doing. You can also read all their FAQs here. SIGN UP NOW and enter the code ‘Debbie‘ at checkout and receive 20% OFF your online class subscription! Do it, do it now!

Keen to know more? Sharon is currently working on a new blog series on Down’s Syndrome. Downs is often a bit of a mystery to those not directly affected by it and she’s digging in and cracking it open for the rest of us. You can read her first post on it here.

If you’d like to know any more about Sharon, the antenatal classes, how to sign up, or what she’s currently working on, please contact her at admin@justengage.co.za.

5 things to think through before you give Birth

Don’t get me started on my birth stories. I could go on forever in so much detail it will either get creepy, weepy, gory or intriguing – depending on who you are and whether you actually asked to hear the stories or not. After my first son was born, I was so blown away by the experience I studied to become a doula (because I felt drawn to attend any and every birth thereafter) and so you can imagine I’m a little obsessed when it comes to (late) pregnancy, labour, birth and squishy, gooey, vernix-covered newborns. I even very seriously considered getting a tattoo of the coordinates of BC Women’s Hospital (the most phenomenal, miraculous, beautifully life changing maternity hospital in Vancouver). Sometimes I used to just drive past, and gaze longingly inside imagining women in the beautiful state of labour. I warned you this could get creepy.

And so, when my (fairly naive) hubby and I arrived at our first pre-natal class in the ‘Couve and the nose-pierced, harem-pants-wearing, tattoo-covered, hair-braided doula-instructor encouraged us to bring rolls of white paper to the hospital to make ‘placenta art’ post-birth, you can imagine we were mentally packing up our ‘birth manual’, breathing exercise CD, incense sticks, and the hypno-birthing business card and running for the hills. Even considering a medication free hospital birth was a huge step for us.

All that to say, I’ve come a looooong loooong way from that first terrifying night of prenatal classes and I think I have given birth (a significant amount) more of the respect I feel it’s due. I’ve taken the time to think through things one might overlook in the signing of the hospital papers and donning of the hospital gown.

Here are a few things that, until I got my head into this big, beautiful birthing world, I’d never considered or even thought much about. But after being on this side of it all, I would highly encourage. (These are mainly directed at those planning a natural delivery, but can most certainly apply to both natural and caesar births).

Doula. Get a doula. A good doula is an INCREDIBLE gift to a birth team. She is consistent, wise, forward thinking, reassuring, safe, hands on, and very, very helpful. She’s not intrusive, and knows the birth is not about her. I can’t imagine having had my babies without a good, supportive birth team, especially my doulas who never left me and knew what I needed before I could articulate it (in nonsense-speak during active labour). I felt so cared for, understood and loved during birth. Good doulas will bring up most of these points below in consultations – and give you even more to think about, such as positions to labour in, natural pain relief options and ways to encourage a natural induction if you’re headed over the 42 week mark, as well as home birth, water birth, or hypnobirth information. Read up on the invaluable benefits of doulas here.

‘If a doula were a drug, it would be unethical not to use it’ – John H. Kennell, MD.

Delayed Cord Clamping. Delayed cord clamping is a birth practice ‘where the umbilical cord is not clamped or cut until after pulsations have ceased, or until after the placenta is delivered’. A growing number of new mums are choosing delayed cord clamping for their baby.

Umbilical cord blood is a baby’s life blood until birth. It contains many wonderfully precious cells, like stem cells, red blood cells and white blood cells (including cancer-fighting T-cells) to help fight disease and infection. Yet common practice is to quickly cut off this source of valuable cells at the moment of birth. More and more, people are holding off from this immediate ‘clamp’. Unless there is a medical reason for baby to be checked immediately after birth (which can definitely happen – it almost did with my first), there shouldn’t be any rush to have your cord clamped. In many cases, baby is birthed, lifted up and given to the mother with the cord still connected and held on mums tummy or chest (depending on how long the cord is) until the pulsations have decreased or until the placenta has been birthed. Chat to your care provider about it. (Also, on a side note – how about having your partner cut the cord?).

Your Placenta. Have you even seen one, or pondered the significance of that ‘afterbirth’ (or afterthought?). Friends of mine planted theirs under a tree at each of their childs’ first birthdays (which I think is incredibly special), and others have encapsulated theirs. Once you are holding a baby, who cares about the placenta right? Wrooooong. It is a beautifully fascinating and mysterious nutrient rich organ. It fed your baby. It sustained it. Instead of just checking its all there (which is very important in post partum!) and then tossing it, consider donating it to medical science, encapsulating it, keeping it, or at least giving it a little wink of thanks for all its hard work.

Kangaroo Care (skin on skin). Fight for skin on skin time with baby as much as you can. If for some reason you can’t have your bub on you, get your partner to strip down and put baby on them. It seems obvious, yet most of the time baby is wrapped up in a blanket and placed in a bassinet. There is so much research about the incredible benefits of (naked) skin on (naked) skin, this one is a no-brainer. And it goes beyond the delivery room – continue intentional skin on skin into the early days, weeks and months of life.

Lactation Support. Breastfeeding is not only beautiful, but very healthy, very normal and creates a particularly significant bond between mum and bub. As everyone says ‘breast is best’, but some new mums really struggle to breastfeed. Find help if need be. There are plenty of lactation consultants around, and heaps of advice online (such as La Leche League SA). And if you can’t breastfeed, don’t beat yourself up about it. Your body made a baby, and that’s pretty darn miraculous.

Featured image credit: Evidence Based Birth Blog.
(It is such a beautiful picture I want to cry.)