What is a Doula?

What is a Birth Doula and Why Should I Consider One?
195-3-300x199-300x199

— By Sharon Muza, certified doula (DONA), BDT (DONA), LCCE, FACCE. To learn about becoming a doula, visit Bastyr’s Simkin Center for Allied Birth Vocations.

A trained birth doula provides continuous emotional, physical and informational support to a birthing woman and her family.

Many women and their partners wouldn’t think of heading into their birth without a doula as part of their team. The term “doula” (pronounced “doo-la”) comes from the ancient Greek language for “a woman who serves,” although nowadays both men and women fill the doula role.

A trained birth doula is hired by the mother (and her partner, if applicable) to provide continuous emotional, physical and informational support to a birthing woman and her family. Many research studies and reviews over the past few decades find that doula support during labor helps reduce interventions (including cesarean sections, forceps and vacuum deliveries), shortens the duration of labor, increases breastfeeding rates and raises overall birth satisfaction. You can use a doula whether you plan on giving birth in a hospital, a birth center or at home.

Before the Birth

If you are interested in having a doula support you at your birth, consider the resources atDoulaMatch.netDONA International or the Puget Sound local doula organization PALS Doulas. You may find this list of questions to ask a doula to be useful. Interview several doulas to be sure you have found a good fit. Friends, family and your health care provider can also make suggestions.

Once a doula has been hired, she will meet with the family several times prior to labor to learn about the birth preferences of the mother and partner. The doula will ask about fears and concerns, share information, answer questions and help the family feel confident and positive about the upcoming birth. They will get to know each other and find out how the doula can best help make the birth a positive experience.

During Labor and Delivery

The birth doula will then join the clients in labor, offering comfort measures, providing emotional support for the partner as well as the laboring mother, and helping the client gather information and make decisions during the labor and birth. She will remain until a few hours after the baby is born and everyone is stable, then return for a postpartum visit or two in the days and weeks after birth, to help answer questions about feeding and newborn.

A mother can hire a doula at any point in her pregnancy, though she might find she can make best use of the doula’s knowledge if she selects one earlier on in her pregnancy. But no worries, if a mother makes a decision in the last month or weeks, there will still be a qualified doula available and ready to help.

The price of a doula can range from a few hundred dollars to $1,500 or more, based on years of experience, number of births attended, certification level and other factors. Financial factors should not prevent you from hiring a doula. Discuss your budget and needs and let each doula share how she can help you have a doula at your birth.

For families that meet income qualifications, Open Arms Perinatal Services offers free doulas in the Seattle area.

— By Sharon Muza, certified doula (DONA), BDT (DONA), LCCE, FACCE. To learn about becoming a doula, visit Bastyr’s Simkin Center for Allied Birth Vocations.

Stumbling Intentionally into Motherhood

Revelations on becoming a parent

Wowza! Life looks a little different now… Six months already into it and I’ve been meaning to write all along… one of the many things on the bottom of my incredibly long to do lists.

Revelations come daily, usually in the last moment while standing on the brink of sanity with “where the hell am I in space and time?!” moments along with moments of “Can I actually do this?!”  Can I pull off this day of a thousand things, can I be a mother, a wife, a business owner, a nurturing therapist, a friend, a woman of this world AND a calm and centered person at the same time? It’s crazy, it’s turbulent, it’s shocking madness AND it’s wonderful, peaceful, joyful and quiet. Like I said, blessed revelations come in each moment when I feel like I just can’t take the rollercoaster ride for the day and I am left afterwards with a smile, strength and so much gratitude.

So, here I am for the first time hit with the cosmic 2 x 4 of “you can’t live in black and white, take it or leave it, on the wagon (of whatever) or off the wagon, all or nothing anymore”. I can’t map things out like I used to and I can’t count on the next day being just as I plan it to be. I can’t say that I’ll go to the gym everyday and expect each day to allow that for sure. I can’t plan things to infinite detail like I didn’t even realize I had the luxury to do before. I can’t say that I’ll sit and get two hours of work done and know that that will happen. I have mourned this part of myself that wants so badly to plan and control my destiny on a moment to moment basis and I am letting it go. I am learning that I if I don’t expect to have control over the details, then I don’t need to.

I’m learning this new flow of motherhood and am reinventing myself within it. A wise friend just told me to stop comparing myself BB to AB (before baby to after baby), to just let myself be who I am now. I would say that there are a lot of parts of myself that I didn’t even realize I valued as necessary for balance, sanity and happiness. Examples of this are: exercise, walks with friends, SLEEP, time alone, reading, organizing and cleaning and dates with my hubby. There are other things like travel, adventure, sports, wild nights out, concerts, looking hot, etc. that can just rest for a bit without too much loss. These other things I just can weave into this new fabric of my life as I can with such a huge sense of gratitude for them now that I hadn’t had before. I am so grateful for even twenty minutes of any of the above things. I get an hour to myself to write at a café and I feel new again and inspired.

I can now appreciate these moments as they come rather than needing to own them and plan them all out so much. It is just this great little gift that I’ve given myself that makes me more present as a mother, wife, therapist and all of the above. I hope for more of these but don’t expect them and that makes them even sweeter.

I ask you to reflect on those things in your life that make you feel whole. Are you making enough time for them or are other things more important right now? Are you holding onto old blueprints of who you think you are and how you should operate, are there any updates needed to shift toward the current, true you? Can you let priorities shift while still doing those things that are important for your mind, body and soul to feel good? Can you allow more flexibility and self-compassion in any area of your life?

Be well!

 

Baby Time!

I feel so blessed….

The Poetry of Pregnancy

It’s amazing and humbling to feel your body go through so many changes so quickly. I feel so thankful for many things that I have discovered along the way now at 8 months pregnant, I’m learning to move into it all with fascination and respect for the miracles I see in:

1) a woman’s body that morphs like the natural animals we are

2) conception, creating human life from such basic elements

3) a baby fitting inside of a space that previously housed other things ( I have yet to feel it “fit” through the way out).

WOW.  I wanted to share some of the things that have really knocked my socks off through this very appreciated journey. It is a beautiful song that the body dances to in a time like this.

The lessons of each moment

The body changes every day (especially in pregnancy), the mood, mind spirit evolving every minute. In this fluidity, it feels there is a lesson around each corner. Some of my personal lessons in pregnancy:

  • Just eat some ice cream if that’s what calls you (oh, how it calls to me). Don’t dwell. Be happy while you eat it. You can eat a salad for breakfast tomorrow.
  • It’s nice to not get everything done that you could have before. Let it go.
  • If possible, allow your days to be mellow and short.
  • Set up reminders for yourself as pregnancy forgetfulness is real. It’s ok to laugh at yourself for not being “on it”. Who’s keeping track?
  • Attitude is everything and you can change it in a second, with some music, some reflection on what’s good in life, a conversation, a nice walk or whatever inspires you. It helps to have the added responsibility in this time of knowing that your child feels what you feel, so you want positive, loving, happy thoughts.
  • Let discomfort steer you towards your self-care. Don’t just accept that things are going to be uncomfortable without a little effort towards balance on your part. DO all of the things you think might help: hot water (bath, hot tub), stretching, drinking some tea/water, a nap, exercise, swimming/floating, get a massage or chiropractic or acupuncture, distract yourself with a great movie, book or a nice chat with a friend, laugh to a comedy. If none of the above work, then you can complain.

 

Hypnobirthing

From a video I saw on peaceful birthing to getting to be present at a very graceful hypnobirth, I decided to try it. I believe fully in the power of the mind to dictate what happens to us physiologically, especially with response to pain and intense situations. We signed up for Hypnobirthing as our “birth preparation class” and did 5 sessions over 5 weeks. We learned deep relaxation techniques along with how to reframe birth and our cultural perception of it as a medical emergency to new thinking that our bodies know how to do this. So long as we can think calmly, respond calmly and go inward as practiced regularly, at the time of birth, our bodies will know what to do and can work with the birth, rather than against it (fear=contracted muscles and resistance, calm thoughts= relaxed muscles and release).

Not only have I learned how to approach birth without fear, I have learned some amazing relaxation and meditation techniques that in daily practice are influencing my mood and my life every day. I feel like a lot of the anxieties that could be coming up in such a huge life transition as this are kept at bay, that I feel like a mellow and focused person (which is not what I’d always expect of myself pre-meditation practice).

It has also been cool for my husband and I to have a format through which to connect to each other and the baby in this time of change and growth as a family. We do guided meditations together and I laugh that now every time he puts his hand on my shoulder, I will go into a deeply relaxed state. It sounds like a great tool for him to use when he’s not getting his way. Ha.

So, just to explain, during the birth a Hypnobirthing mother is in a deeply relaxed state, rather than thinking of it as “hypnotized”. She’s still aware of the world around her, can respond and is still thinking and awake. She’s just able to go into a deep alter-world where she’s focusing on breath, affirmations and releasing that’s free from “pain”, fear and emergency. She’s super in tune with her body and the birth process. I’m sure I’ll have a different way of looking at it after our birth so I’ll keep you posted.

 

Prenatal Yoga

Thank you to the Seattle Holistic Center and Aditi Yoga for inspired classes that help me connect to my expanding hips in a loving way, to relieve the arm numbness I get at night from changing posture and for giving me the time to sit in peace with my body on a regular basis. There are many hidden gifts in yoga. I am grateful for the reminder of returning to practice in a time when the return on just one session is so huge.

 

Community

How nice it is to connect with other women, especially pregnant at this time. To be able to share, vent, listen and laugh with others is really, really healing. It makes me realize at such a sensitive, vulnerable time in life, how important it is to always be building community around you. This can mean whatever it means to you, whether its appreciating the same coffee shop with a familiar crowd every week or whether it’s actively seeking out a group (meetup.com is amazing) of like-minded souls to delve deep into things that fascinate and connect you, FIND YOUR PEOPLE! You’ll be so rewarded with the experience. In pregnancy, I’ve found this great benefit in yoga groups as mentioned above, in pre-natal classes at Birth and Beyond, and by not being too shy to strike up conversation with other pregnant women anywhere.

Other thoughts:

  • Doula’s are great for support and resources. Births statistically go much smoother with a Doula, regardless of setting or who else you have there.
  • Midwives spend a lot of time with you and hold your hand well through your pregnancy.
  • Some hospitals offer a centering group or mother’s groups to look into (Ballard Swedish).
  • So many other thoughts… I’ll share more later!!