Nurses Hotline? No.

So often, postpartum doulas get confused with "baby nurses"
but they are not the same!  And it reminds me that parents often don't know the difference between real baby nurses (like the RN kind who work with doctors) or the babysitter kind who are not necessarily trained in anything...

Postpartum doulas are trained (and our San Antonio Doulas are not just trained, but also certified by MaternityWise International) in supporting the mother and helping her to care for her baby without completely doing it for her.  We are often called baby nurses because people don't know the term "postpartum doula".  And they also often don't know the difference.

A baby nurse traditionally (the non-medical kind) will take care of your baby for you like a nanny or grandmother.  Years ago, she was also considered a nurse because she literally nursed the baby - yes breastfed it.  This was common among affluent families and especially in the south.  Don't be squeamish.  Get over it.  It happened.  And for mothers who truly didn't make enough milk, it was a godsend.

These baby nurses usually had experience with babies children, and took over the mothering duties to allow the mother more freedom to live a less motherly life.  Remember Peter Pan?  The dog was the "nurse".  Many children's stories have a nanny who is referred to as the "nurse".  Again, don't be offended.  It happened.  And it still happens.  If you don't want to be one of those mothers, it is OK!  You can get an extra hand and get some more sleep without giving up your mother-ness.

MaternityWise Certified Postpartum Doulas are trained in helping to empower the mother who wants to be THE mother.  :)  We can help troubleshoot breastfeeding issues and assist with mom's nutritional needs.  We can give advice on everything baby related including gassy, fussy colicky babies, burping, diaper rash, food sensitivities, gentle sleep training assistance, etc.  Meanwhile we can also help with more practical matters such as laundry and dishes, and meal prep as well as errands - so that your world can revolve around your baby!!  (as it should)

Now, to clear up a few things.... 

We at Tranquil Seasons Doulas in San Antonio, come into your home, listen to you as the mother.  We ask questions and get to know you and your baby and your preference in the way of doing things.  At some point, we may have tips to tweak your routine, and you might ask us loads of questions and want all of our advice, but we never "walk in and take over".  A number of the services in our city do just that, and parents come to us, worried that we will do the same.  They don't want a less expensive, less qualified service, if it means having a stranger come in to tell them how to rearrange their lives.  Neither would I.

I was speaking to a mother recently, who is expecting twins.  She said something very wise.  She knows that there is no way to really plan for or know in advance exactly the way things will go with the twins, but she wants to learn and she wants to have the freedom to make mistakes.  I thought that to be one of the most healthy and mature perspectives on early parenting that a mother could have.  It is going to be a real pleasure to walk that journey alongside her, assisting, supporting, never judging or "bossing", but having her back, reassuring and helping her learn about her babies at her own pace.

One more clarification...

We are NOT a baby nurse hotline - as in the medical kind.
I've had several calls in the middle of the night recently with parents I've never met asking whether or not they should take their baby into the emergency room.  I could hear the concern and the anxiety in their voices, but this is not something I can help with.  They were not my clients, I did not know them or their baby.  I had no prior history or experience with them.  Unfortunately, I could not give them the listening ear they wanted.  If their baby was exhibiting symptoms that concerned them, I explained, they needed to contact their pediatrician's office.

While I might be able to explain what normal is for my clients, it will always be in their hands to make the decision to seek medical treatment or not.  As a doula, my job is to educate, but not to make a parent feel pressured to make a choice in any direction.  That is not my decision, because it is not my baby.

That probably sums it up.  We are not the parents.  We are the assistants.  The servants.
The Doulas.
And you'll be glad we limit our care to the Scope of Practice in which we do.
Because we know our place, our role, we do it well and the benefits you'll receive are immeasurable.

If you need help getting sleep, or caring for your newborn, and you want advice that could make your life easier in this sometimes rocky transition, please visit our website or give us a call.

Many Blessings,
Anne Croudace
CLD, CPD, CLDT, CPDT, CLSE
Tranquil Seasons Doulas in San Antonio, TX
210-548-8800

Delayed Cord Cutting - What's All the Fuss?

Healthy start for newborns safe in mothers' arms

Originally published by the BBC:

A new study shows that newborn babies can reap the health benefits of a delay in cutting their umbilical cord - whilst they're safe in their mothers' arms.

It had been thought that gravity was necessary for the blood to drain from the placenta to the baby - who had to be held lower than the mother.

But research carried out in Argentina has shown that babies can still benefit from this "extra" blood during their first cuddle.  More from Health Check

-----------------------

So... I have a question.  If moments before birth, baby was essentially on top of mom, and receiving it's blood supply then...  How does it differ, if he is now on top of mom (albeit on top of her skin, instead of under it) in terms of the blood flow of the umbilical cord?  

If a cord has enough strong pressure pumping through it, to prevent a true knot from cutting off baby's blood supply as demonstrated by this little boy's internal acrobatics and the result thereof...  how is this small difference of on top of mother or not, going to make a significant impact?

Sure, I get how gravity may make placental infusion of a newborn's blood happen faster, but who is in a rush and why?  I think the true question here is how long to wait before interfering in the natural process?  Can you watch this beautiful process unfold or must you control it, manage it, and interrupt it...?  And why would you?

Is anybody asking these questions?

Parents, Are you?

Do we really need to leave it to Argentina to tell us what is best for our babies?  (No offense, Argentinians!!)

While you're writing your birth plan, read up on early vs delayed cord clamping.  And then ask yourself the questions of how logical is any of it.  Is there another mammal on the planet who cuts or clamps the cord of their young before the placenta is even expelled?  I'll give you the short answer: No.  So why are we?

Sometimes nature already does what scientists just haven't had time yet to discover.

Just sayin... The world HAS been peopled after all.

Become a certified doula.  Attend a doula training, and be better equipped to answer these questions!

The Many Hats of a Postpartum Doula - Part 2

 Part 2

So just what does a postpartum doula do? 

Remember, not all doulas are made alike.  Since doulas are an unregulated occupation, many women call themselves doulas without any doula training or certification.  Find someone who is not only a Certified doula, but also has references to help you be assured she's got the skills and integrity your families needs to rely on during this vulnerable, and blissful time in your life.

In addition to what we already mentioned in part 1, a postpartum doula’s hats can also include:

4. Peer to Peer Counselor. Is mom feeling stressed, anxious, depressed, or just simply overwhelmed with her new role? Mom’s postpartum doula is there to guide her through this time of transition. Giving birth is a huge feat to accomplish! Recovering not just in physical but emotional ways is crucial for any mother. Her postpartum doula is there to counsel her through this time.

5. Personal Assistant. With dad heading back to work and mom still transitioning, wouldn’t it be nice if someone else could go get the milk? A postpartum doula is more than happy to run errands for mom and dad including grocery shopping, picking up baby items, and more.

6. Newborn Nanny. Another dirty diaper? Postpartum doulas can assist with feedings and diaper changes. This is especially wonderful at night so that mom and dad can catch up on much-needed sleep. No need to wake -- baby will be taken care of by the loving arms of the postpartum doula.

The ultimate goal of any postpartum doula is to be a professional mother. No, not a mother to the baby, but a mother to the new mother.  She is there to support, guide, nurture, and love mom as she travels this sacred journey. Even seasoned mothers can gain from the experience and assistance of a postpartum doula as the family transitions into life with a new baby.

Would your family benefit from a postpartum doula? 
Contact Tranquil Seasons where we will gladly serve you and your family’s needs during this exciting time! 

Call 210-548-8800 
www.tranquilseasons.com 
or email annecwj@gmail.com for a consultation.

The Many Hats of a Postpartum Doula - Part 1

The many hats of a postpartum doula, part 1

Okay, now the labor is over. 

The easy part of child-rearing begins, right?

Oops! Did no one warn mom about her wacked-out sleep schedule or late night feedings? That dishes still aren’t cleaning themselves? That eggs still come unscrambled and bread still comes untoasted from the grocery store?

Being a new mom is a glorious time, but it comes with challenges. Having a trained, and CERTIFIED postpartum doula there those first days after birth can be a life saver for any new mom!  Not all postpartum doulas come with all these skills - so make sure yours is certified and not just "trained" which could mean anything.

A postpartum doula wears many hats as she assists mom and dad in those early days with baby.  Here are just a few of her "Hats":

1. Breastfeeding supporter. New to breastfeeding? Postpartum doulas are there for mom to assist her during those first stages of breastfeeding. It can be stressful or difficult to breastfeed at first, but mom’s doula will make the process more enjoyable. Difficulties will not faze an experienced doula who will lovingly guide mom and baby until they reach success.

2. Health coach. Is mom getting enough to eat and drink? Postpartum doulas make sure that the mother is having well-balanced meals and plenty of liquids to keep her energy up and health in prime condition. This in-turn will ensure baby has a well energized mommy to care for him or her.

3. Maid. Remember those dishes that are piling up in the sink and those eggs that can’t seem to scramble themselves? A postpartum doula will make sure that the kitchen gets cleaned up before the next morning. Mom will wake up smiling when she walks into the kitchen to find dishes done, countertops clean, and a hot breakfast on the table.  A postpartum doula can also do the other things that pile up, like laundry and basic nursery organization tasks.  You will wonder at how one little person can produce so much dirty laundry every 24 hours!

4. Chef.  Speaking of eggs that don't scramble themselves.  A new mom is a hungry mom.  Particularly if she's breastfeeding!  A postpartum doula will make sure mom has something to drink every time her baby feeds.  She will prepare snacks to keep mom nourished which helps with recovery as well as milk supply.

A postpartum doula wears these hats as well as many others! 

Stay tuned for Part 2! 

Emotional Vulnerability as a Doula

It's not easy being a doula. One aspect that might surprise you when you begin attending women, is the vulnerability you must allow within yourself when a mom NEEDS you in that way. 

Ever really held the gaze of someone suffering who is literally pulling the strength and hope they need from you - out of your eyes?!  You cannot look away in that moment. You just cannot, no matter how uncomfortable it makes you feel. It may be a full length contraction from 1-2 minutes long. Yes. It happens. Have you held someone's gaze that long, while emitting love and approval, pride and concern within your eyes?

 Postnatal moms also at times will want you to hold them, nurture them, even cuddle them as they cry. It's part of mothering the mother. Can you be that open?  Can you be that emotionally available?  It's challenging. 

In order to do this, one must be very solid within themselves. They can't waiver. They can't back off. They must possess the kind of humble confidence and surity that isn't common in the regular population. 

Do you have what it takes?  In all honesty, not everyone does. It takes very special women to do right by this blessed role. 

You can't approach becoming a doula just thinking about what you will get out of it because it's not about that. It's far more about how much of yourself you will be giving to each and every client (and it's more than you think).

Only in that, the more you give and the deeper your commitment, will you gain anything as a doula. 

Peaceful birthy blessings,

Anne

Two of our amazing doulas, Natalie and Melody, at the 2014 Mama & Baby Expo!

Http://www.tranquilseasons.com 

Am I Making Enough Milk?

Breastfeeding and the New Mom

Something I haven't mentioned that I also do for families is I support breastfeeding for many mothers, and as a postpartum doula client with us, you will receive free, ongoing breastfeeding support as part of our care. If you choose to bottle feed or formula feed, don't let that stop you from getting help.  We support all families, but we DO have the ability to help you through all phases of breastfeeding - should you decide that is how you want to nourish your little one.

This isn't the norm for doula care.  I've received special training and certification as a Lactation Support and Educator.  Not all doulas have this additional training, but many are still wonderful when it comes to the basics of breastfeeding support.

Like the mother I met with today, at times, you might also find yourself wondering if you are making enough milk. Babies go through growth spurts that can trick us into thinking we aren't producing enough because they are gobbling it all up and wanting more - which is good, because in the end, it will increase your supply.

Think:  More Demand => More Supply. 

 

So today, I was visiting a lovely mama who is adjusting to life with her new baby.  She asked me to visit because she was concerned about her supply.  I offered to bring my newborn scale so that we could do a little experiment... 

 

We were able to weigh the baby after waking and a diaper change (9 pounds, 3 ounces), then she fed from both breasts for a total of 25 minutes (he was efficient, relaxed and happy when he was done).  Then we weighed him again (9 pounds, 6 ounces). 

 

Low and behold! Even though he had been eating like a crazy little monster and acting like he wasn't getting much, he was actually eating 3 ounces total from both breasts - which is a lot for a newborn of his age (3 weeks)!! 

 

He has also grown over a pound since I last saw him, we discovered. So that answers a lot of questions for that mom, and reassures her that she is doing everything right and he is just growing super fast and that her breasts WILL catch up to his demand for more milk. :)

 

My #1 piece of advice for new moms who are experiencing what feels like a set-back in their breastfeeding relationship, is to seek out qualified help.  Do you have a breastfeeding consultant who can come to your house?  Those are the best.  We have support available, and if a situation goes above and beyond our expertise, we have resources in the community that we are happy to direct you to, in order to get your needs and the needs of your baby met, in a timely, professional manner.

 

Keep checking back, because soon, I will be posting another segment on how to make your best milk.  Quantity AND Quality.  :)

 

For now, keep loving those babies, mamas!

Anne

 

Postpartum doulas and lactation support in San Antonio

 

 

 

What to Buy/Register for Baby!

Tranquil Seasons BabyRegistry Recommendations

(if it's not on this list, you probably don't need it)

Newborn Necessities:

v  Layette  - Fave Brands:  Carters, Sage Creek Organics, Under the Nile and Kicky Pants

Ø  Onsies - #5

Ø  Footies (coveralls with feet) - #5

Ø  Sleep Gowns (elastic bottoms) - #5

Ø  Receiving/Swaddling Blankets (fave brand: Aiden and Anais) - #8

v  Diapering - Fave Brands: Honest Co. and Pampers Swaddlers

Ø  Diapers, newborn-size and size 1

Ø  Wipes (fave brands: California Baby, Mustela or just get regular and rinse the brick)

Ø  Cloth Diapers - (fave brands: G-Diapers, Kissaluvs)

Ø  Diaper Rash Cream - Burts Bees wins hands down

v  Feeding

Ø  Lansinoh Nipple Cream, or Earth Mother Angel Baby brand nipple cream

Ø  My Brest Friend Breastfeeding Pillow (yes, this is important!!, if you plan to bfeed)

Ø  Burp Cloths (anything absorbent and soft against baby’s face will do) #8

Ø  Medela Pump in Style breast pump, if you’re going to be breast/bottle feeding

Ø  Lansinoh breastmilk storage bags

Ø  Dr. Browns or Tommy Tippee bottles, if you plan to bottle feed at all

Ø  Soft, sleep bras (at least 3 of these in the beginning, 1 size bigger) + Breast pads

v  Furniture

Ø  Changing pad

Ø  Rock-n-Play Sleeper - we call it the “Taco Rocker”

Ø  Co-Sleeper (fave brand: Arm’s Reach Mini)

Ø  Co-sleeper sheets

Ø  Stroller/Car Seat Travel System (fave brand: Britax)

v  Other Misc.

Ø  Nail file (you can use the fine gauge side of your own emery boards)

Ø  Thermometer (fave brand: Thermoscan)

Ø  Baby Carrier (fave type:  Pouch-Style - check out “Go, Baby, Go” to try them on)

Ø  Baby Bath Wash & Lotion/Massage Oil (fave brand: California Baby or Weleda)

Ø  Target Brand or Purex Baby Laundry Detergent (fave: same as but less expensive than Dreft)

 

Newborn Nice-to-Haves:

v  Layette  - Fave Brands:  buying from WAHMs is a great way to support your community

Ø  Carseat cover (in winter)

Ø  Additional blankets are nice, chenille or fleece layered blankets are especially warm

v  Diapering -

Ø  Wipes Warmer (fave brand: Lionheart)

Ø  Changing Station, either on top of dresser or pack-n-play

v  Feeding

Ø  Breast shells (fave brand: Avent)

Ø  Pumping bra for hands-free pumping (fave brand: medela)

Ø  Mother’s Milk Tea by Traditional Medicinals or Nursing Mother Tea by Yogi

v  Furniture

Ø  Rocking Chair with foot stool/ottoman for mom

Ø  Nursery crib and dresser set

Ø  Baby Swing (fave brand: Mamaroo)

Ø  Bumbo Seat (this is for baby once he/she is 3-4 months, but awesome nonetheless)

Ø  Pram-style stroller / jogger (depending on your lifestyle)

v  Other Misc.

Ø  Bath Time (fave brands: Under the Sea Sponge and Spa Baby Eco)

Ø  Pacifier (if you use them, get several Wubbanubs, they are so great!)

Ø  Skin Care (Calendula Cream by California Baby solves most skin irritations)

Ø  Pelvic Support for Mom (you want a thicker band like: Medela Postpartum Support)

 

Did we forget something?  Have a question about a product?  Just ask!

Call 210-548-8800

email Anne at annecwj(at)gmail.com
or visit us on the web:  http://www.tranquilseasons.com

-------------------------------------------

 

Historical Doula

Couldn't have said it better myself:

"Having someone by your side during the marathon we call childbirth is not only helpful, but it's historical.
What do we mean by that?

 

Well, for as far back as there are birth stories to be told, you will hear about women attended by other women, supported, encouraged, and often times physically held by the strong arms of this wise, nurturing companion.

Doulas are nothing new, but they have found a name for themselves in the Greek. To be simple, it means servant. With a humble heart, these precious women patiently wait with the mother while actively assisting her to labor more quickly, easily, and safely. Doulas provide information, reassurance, positioning and pain relief without the use of drugs."
Thanks, MaternityWise International, for that!!

To get more familiar with doulas, please read my other blog posts.
If you feel an urge to become a doula yourself, feel free to send me an email and ask some questions about the process.
You can also find more here:
http://www.maternitywise.com

 

Kissy Faces

Kissy Faces

Seriously, who wouldn't want to spend time with adorable little faces like this?  When my little ones were still nurslings, I relished every moment of quiet face-making and knew the entire time that we were having real communication.

I remember a time when my little Rosebud was learning to breastfeed and she looked up at me with milk dripping down her cheek and a big open mouthed, toothless grin.  She was a few days old. 

Now, surely we've all heard that this is not real communication.  As a mother, and as a doula, I've heard everything from uncontrollable reflexes, to gas and everything in between.  There is no doubt in my mind that, that day my now-seven-year-old, smiley, outgoing girl was sharing with me her internal happiness.

The people who say this is not real communication are the same people that say babies cannot feel pain.  It's silly.  It's not logical and in fact, it's just unprovable.  Sadly, it reminds me of practitioners who give no anesthesia before cutting a boy's foreskin off.  It's the same ill-logic.  If a baby winces in pain, we know by the sound and facial expression.  How else do we interpret it?  Why should we disregard happy expressions?  Rather, how beautiful when we begin to see our babies for the small people they are!

We don't ignore older children or adults.  We should not ignore our newborns' amazing (albeit limited) ability to communicate as they experience life, process information and learn, learn, learn from us!  Take away language and we can all communicate with each other in the simplest of terms - namely facial expressions.   I think it's a scary beginning and a very frightening life, to have your every need (physical and emotional, too) depending on someone who sees you as not a real person or fully human. 

I just have to say...  I don't do well when left to cry.  I sometimes need to eat before dinner is served.  And occassionally I need to sleep in, in the morning and nap in the middle of the day.  I'm so thankful no one deprives me of what I need - emotional or physical.

Next time you're with a little baby, the newer the better...  Look into their eyes and listen to what they tell you.  It can stir your soul and you might just understand those kissy faces have meaning after all.