I can't afford a doula... :(

"I want a doula but I can't afford it."

You may have thought that yourself.

Or you may be a doula who has heard that from women who really want to hire you, but they don't believe their budget allows for it.

This issue isn't about dollars.

This is about perceived value.

Is it common in your community for women to hire a doula for labor, birth or postpartum?

Ask yourself these questions:
  - How many women in my community find a Doula as a helpful part of their birth team?
  - Are postpartum Doulas used? Do women know they exist or what they do?
  - How do women find a Doula in our community? 

Doulas are not just for women who want a natural childbirth. Doulas are for women who want continuous emotional and physical support for their birth and also during the postpartum transition to parenthood.

There is a Doula for every mother out there!

Doulas are a vital tool to moms no matter where or how they give birth. Imagine emotional support from a Doula who has gotten to know you throughout your pregnancy. She is there to encourage you as things go just the way you want or keep you calm and help you to understand all your options as things change and you have to make decisions. 

She is a woman who has most likely given birth before and because of that she can empathize with you as you bring your own baby into this world. The physical support, comfort measures and pain relief in labor comes in many different ways, it can be at home during the early stages of labor, helping you and your partner work through each contraction, helping you into the tub, birth ball, shower, applying counter pressure as you need, massaging your back, neck, jaw or arms, helping move you into optimal positions to help "spin" your baby if they are in a bad position causing painful back labor, being there to support you when it is time to push, helping you and your partner understand the stages of labor that you are going through and offering assurance for this special event.

Perhaps you need a quiet presence to support you, perhaps you need a loud coach. A Doula can be all of these things, that is what a Doula does. She supports you exactly how you need to be supported to give birth how you want.

And afterward, she will support your personal style of parenting. She will gently teach you how to care for your newborn and support your intuition and instincts when it comes to feedings, learning sleep solutions and dealing with gas, colic or other bumps along the way.

Doulas come from a variety of backgrounds and doula training programs.  Some are in-person workshops that last several days, some are online doula training programs.

So the question:  

How much do you value a doula's support?

If you know what a doula does and you recognize your need for her care, most women will find a way to get the money to pay for it.  

Here are a few suggestions so that you can get the support you desire during labor, birth and postpartum:

1. Fundraise.

     Ask friends and family members to donate to your "doula fund"

2. Sell stuff.

     Surely you have things around the house that you could put on eBay or Craig's List?

3. Shower Gift Suggestion.

     Many clients I've had in the past had an additional "joint" shower gift from all attendees.

4. Talk to your insurance company.

     This requires a bit of tenacity, to demand it be covered.

     You'll also need to hire a doula who can help you with insurance claims.

5. Look into Flex Spend Accounts / Health Spend Accounts.

     These will often cover a doula's services 100%.  You just need to ask your HR dept.

If you want a doula, you deserve to have one.  It may take some creativity on your part, but it's possible.  If you're a doula (or a parent) and you want to know more about insurance reimbursement for doula services, MaternityWise has a training JUST for you.  

Call me to find out more. 952-457-6506

Inspired to find a way for all things,

Nothing is impossible!

Blessings,

Anne

annecwj@gmail.com 

Spinning Babies - Love that Gail Tully!

You just gotta love a woman who gives like this mother of birth movement education.  I had the privilege what seems like eons (a decade and a half) ago, to be trained as a doula by this remarkable lady.  She is still so near and dear to my heart - even though we've not spoken in months!

When you're in labor, especially if you're experiencing back labor, the last thing you want to be doing is trying to figure out what position you should be in for best fetal motion and tilt and angle and and and...

Gail makes it look so easy.  She's a natural teacher, and so gentle.  Her hands have magical love beams coming out of them.  OK, I might be exaggerating, but only slightly.  I promise.

If you're an expecting parent, get a load of these online classes.  You will be so glad you prepared yourself fully when the Big Day comes along.  If you're a doula/midwife, you cannot afford to practice another minute without these techniques.

http://muvi.es/w6753/330222

Trust me, you can take all the usual childbirth prep classes you want, but as a doula, the one thing I use the most in birth is OFP.

OFP = Optimal Foetal Positioning  or MFP = Maternal Foetal Positioning 
(Yeah, Canadian spelling, ey?)

That means we get the mama into her best position/pose/tilt to allow the baby to get into their best position/angle/tuck.  Because babies will.  They want to be born easy.  They do.  Our bad posture becomes an obstacle to baby's proper descent at times.  But you can correct the problem.

Doulas, midwives, partners...  You need to see this movie too.  Understanding these techniques by watching and listening to Gail yourself is like having a secret weapon in your arsenal of birth tools.  These concepts make me a super hero at complicated births.  They really do.  I feel fine to admit that. No shame.  Gail - the Spinning Babies lady turned me into a super hero almost 2 decades ago.  It's her fault that I have such an incredible low cesarean % rate.  Maybe if her techniques didn't work so good, I wouldn't have such an ego.  Thanks, Gail - you are the best!

Do you want your birth to go smoother, safer, easier?  Do you want to help your clients' births to go smoother, safer, easier?  Want to lower your practice's cesarean rate?  Learn these techniques.  Employ them.  Don't wait.  It's totally worth every penny and more.

http://muvi.es/w6753/330222

Imagine me looking at you with that weird eyebrow thing now, where my eyebrows are saying why haven't you clicked the link yet...?  Yeah, I feel quirky today.  Can you blame me?  It's like the weekend has almost started!  And Spinning Babies is accessible right on your computer anywhere in the world.  It's like Christmas!

Have a great weekend, People of the Birthing Planet!
Anne

Sneaky Psychology of Birth Expectations - Part 2 Setting a Solid Foundation

Continuing on the thread of messing with moms' minds as part of the profit-driven practitioner...

Have you ever been told at your 37/38/39 week prenatal, during a vaginal exam, that you're ___cm and ___% effaced and "baby is really low"?

Was it followed with, "I doubt you'll make it through the weekend"...?

It seems like that was the previous trend (before the unfavorable cervix shenanigans began) that OBs and even midwives were using to build an expectation in mothers' and partners' minds.  Again, education is the key to overcoming this silly gullibility before birth and the depression due to regret that comes afterward.

Put yourself in the profit-driven practitioner's shoes.
What happens is this: As a profit-driven practitioner, you tell a woman what you're "expecting" and since you're the professional, so she expects it too.  Mother tells all her friends and family members that she's bound to go into labor before the weekend.  She builds it up in her mind.  She finishes the nesting, packs her bags, over-analyzes her cravings, her sleep, her poop, her aches, pains and everything her body does.  Poor thing gets all excited.  Day after day she wakes up, and expects that today will be the day.  Then it doesn't happen - because she and her baby are not ready, but your prediction has effectively poisoned the waters.

Imagine how she feels...  A strange combination of disability, failure, impotence, embarrassment, even shame.  She wonders what is wrong with her (but doesn't question what was wrong with the prediction, because her heart is tender and vulnerably focused inward, as it should be).  Another week passes and her anxiety increases.

Her family and friends are sharing this unrealistic expectation and start pressuring: "What's wrong?"  "Haven't you had that baby yet?"  "This happened to _____ and she had to have a cesarean because her body just wouldn't go into labor."

Half of the work of a profit-driven practitioner is done for him/her already!  
Guess who is now primed and ready to sign up for that induction...
and worse, the scheduled cesarean, which is allowable after 37 weeks for very little reason - if any.  All that needs to be done now, is to give it an official diagnosis:  Failure to progress, Unfavorable cervix, Low amniotic fluid, YOU NAME IT, we can put a labor on it.  :)

Remember how I mentioned the depression due to regret earlier?  These are the moms whose babies end up in the NICU, whose deeply desired breastfeeding is ruined, whose baby struggles in their first weeks and months to thrive and grow, because they are so sleepy, jaundice, allergic to formula.

I just want moms to stop signing up for the snowball effect with their eyes closed.  I want them to be educated about the process of birth.  I want them to know how their bodies REALLY work and that they were built for this process.  I want them to understand that their mind is where the battle really is - not their bodies.  And if they can trust themselves to give birth the way they trust themselves to do anything else, they will give birth when their baby says they are ready, and they will have a healthy, alert, good eater and good sleeper in their arms upon delivery.

The USA has a profit driven health care system.  If you want to make lots of money, this would be a great industry to get into.  That is, until individuals begin to take responsibility for their own health and begin to question what is being recommended to them.  At some point, the insurance industry is going to fall apart because the public cannot afford to pay and the industry itself cannot sustain the abuse it's been funding for decades.

Most of all, I think we as women need to get back to the way we've cared for the health of our families for millennia - and that is to educate ourselves but follow our intuition.  Why have we replaced intuition and good sense with beeps and pills?

Your children depend on your good sense and intuition for all other areas of their lives and well-being.  Don't let them down on the day they arrive earth-side.

To learn more, to be mentored, or to take online interactive childbirth classes, please give me a call and I will be happy to direct you to some fantastic resources.

May this new year be the year you start asking questions and taking charge of your own health and the health of your family.  You deserve to have respectful, honest caregivers and so do your children.

Warmly,
Anne Croudace
952-457-6506
http://www.maternitywise.com

How nice! Massage in Labor...

Did you know....?
Massage benefits laboring moms in a lot of ways!

When was the last time you had a massage? It may have been a professional massage at a spa or it could have just been a quick backrub from your honey, but didn’t it feel good?

According to research, massages can actually assist mothers to labor faster and more comfortably. Even a quick and simple massage can do wonders for decreasing a mother’s anxiety and pain. 
Just check out the findings from this study:
“Twenty-eight women were recruited from prenatal classes and randomly assigned to receive massage in addition to coaching in breathing during labor, or to receive coaching in breathing alone. The massaged mothers reported a decrease in depressed mood, anxiety and pain, and showed less agitated activity and anxiety and more positive affect following the first massage during labor. In addition the massaged mothers had shorter labors, a shorter hospital stay and less postpartum depression.” (1)

During labor, sometimes the focus can all be put on having the mother breath and push. Without a relaxed body, however, focusing all energy (emotional and physical) on these important tasks becomes difficult for mom. Having nurturing support she can trust and feel safe with is important.  Massage facilitates this.

That’s where a well-trained, certified, professional Doula comes in. Having a doula there who knows how to massage and comfort a mother with touch throughout the labor process means that mom can receive that much-needed massage any time she needs it! Find a doula who is certified and specifically trained in maternal-fetal positioning, and the best techniques for helping mom relax her muscles. A massage during labor (whether from Dad or Doula) also allows the mother to breathe easier and keep her rhythm. The results? A less-stressed, less-depressed mom and a shorter labor process and hospital stay. 

Who can say no to that? 


Resources:
(1) Field, T., Hernandez-Reif, M., Taylor , S., Quintino, O., & Burman, I. (1997). 
Labor pain is reduced by massage therapy. Journal of Psychosomatic Obstetrics and 
Gynecology, 18, 286-291.