Recently I've come across quite a few articles and blog posts written by disgruntled mums blaming their Doulas for things not going right.

In some cases these mums have a right to be disgruntled - a couple of those so-called "doulas" were operating well outside of our scope of practice. Very scary for the mum who has never had the support of a good doula to read, and horrifying for the doulas who do their jobs well and stay within our scope of practice.

One of the prevalent things mentioned in these particular articles and blog posts describes doulas as "Airy Fairy Hippies who promote themselves as producers of births that are so good and wonderful that they are like rainbows and unicorns" (this is my take on the statements made in these articles and blogs and not the original wording, however the words "Airy Fairy Hippies" and "Rainbows and Unicorns" to describe Doulas all come straight from the blogs and articles themselves).

The biggest issue that I've found with these articles and posts is that these mums never "shopped around" for the right doula for them. They heard from a friend that there was a "great doula" in the area and upon meeting said doula they hired her on the spot. No questions asked, no mention of "meshing" between them and the doula and then lots of complaints in the blog/article about everything that the doula "did wrong" during mums pregnancy and labour.

Now I am not everyone, but I personally shop around for things that are important to ensure that I get "the best deal" or "the best fit". This applies to a service on my husband's car, and electrician to check the wiring in our house and a plumber to check the pipes. Most recently (and currently at this point in time) we are shopping around the various real estate agents in a bid to get the best price possible for our old house back in Morwell, Victoria.
You have to do the same with Doulas as well. Not every doula will be a match for every mum who contacts her and vice versa. You need to do your research and, unless there is only 1 doula in your area or none at all, you are guaranteed to have a variety of doulas in your area who would love to have the chance to meet you and see if you are a "good fit" together.

All doulas are different, some are the equivalent of the "Airy Fairy Hippies" described in the above mentioned blog posts and articles, others are serious and studious and stick to a strict schedule in their business practices. Some are male, many are female, some are bisexual, gay, lesbian or transsexual. Some have lots of kids, some only have 1 or 2, some adopt or foster, some don't have any kids at all for various reasons that are their own.
Some are "crunchy" parents who use gentle parenting techniques, others are strict parents. Some promote and only attend drug and intervention free births, others only support women who are having an elective cesarean,  while others support families who have lost their baby in utero or who will lose their baby soon after birth. Some doulas also support people who are dying from a terminal illness (these are called Full Spectrum Doulas). Doulas are all of these and more.

I myself never had a Doula for my own births, although now I wish I had, it would have made my births be much better experiences.
The picture at the top of this post is of me and my youngest child just minutes after she was born - my 2nd VBAC delivery after 55 hours of labour that could have been much shorter and far less traumatic if I'd had a Doula there to bolster my confidence and help me to find my voice. I look at this picture and I am filled with a mixture of happiness that my baby girl arrived safely, and sadness at how I was treated in the process of bringing her into the world and that I didn't have the extra support that I needed. Don't get me wrong, my husband was a fantastic support to me during labour, but there was only so much that he could do and he would have benefited from extra support as well.
As you can see I am a normal mum. I don't see myself as a "crunchy" mum or a strict mum. I am somewhere in the middle, I have to be with a child who has extra needs. I live my life day to day and plan ahead when needed. While I love the idea of natural drug and intervention free birth I know that that is not for everyone - I have not experienced it for myself either - and what worked for me won't necessarily work for everyone else. I devote my entire being to my clients, if they need me I am there ASAP to the point where I can leave my whole family in the lurch (lucky they support me wholeheartedly in my chosen profession and my kids are always excited to hear a new baby has been born). What I want out of your birth doesn't matter, all that matters is that you have the best birthing experience possible and I will support you and your decisions with my whole being. I cannot speak for you, but I can reassure you and tell you that you are doing an amazing job, whatever the outcome may be.

So as you can see we (including myself) are many and varied, but the one thing that brings us all together is the desire to provide extra emotional, physical and mental support to people going through the most important stages of our lives, whether it be bringing new life into the world or helping others on their journey out of this world. It is a very demanding job - we don't do this just for the money, we don't make millions of dollar's and many of us barely manage to put food on the table from what we earn once all of our expenses have been paid for - and not just anyone can do it. Quite often we burn out from everything that we put into our work and need to take reasonably regular breaks to rest and recharge before getting back into it again. We regularly attend marathon labours that last for over 24 hours (and in the case of the last birth I attended it was 53 hours lol and I only managed 3 hours of broken sleep somewhere in the middle because the adrenalin was still pumping). We are passionate, we love birth, we love being able to support people and feel blessed and honoured to be able to do this as a job. We are drawn to it like moths are drawn to a flame. Many of us (myself included) feel that we were born to do this and only this and anything that we did beforehand was only a stopgap measure until we found our true calling. Sometimes we end up with 2 or more clients going into labour at the same time. We cannot predict or control this, and on the rare occasions that it does happen we do everything that we can to either be at all births for as long as possible (sometimes we end up having to drive from one birth on the east side of the city/town to another birth on the west side, or north and south sides of the city/town, it is not ideal but we try to make it work) and if all else fails we try to arrange a back up doula to attend in our stead. This isn't ideal, but sometimes it has to happen.

What I am trying to say is that, no matter how much a friend or someone you know extols the benefits of a doula that they have personally hired or if they know somene who has hired a particular doula, you should always look around and make sure you mesh well with the doula that you decide to hire. This can sometimes mean having an interview meeting with 10 or more different doulas before you find the one that suits you the best. It will be worth it in the end as with the right doula even the most traumatic of labours can become something beautiful and special and be worth all of the pain that was involved at the time.

I have been lucky, I have become good friends with all of my clients, and they all had good outcomes even with things that came up during labour/birth, and we still talk regularly and share what our children are up to. We meshed so well that we were able to take the "client-doula" relationship further and will most likely remain friends for life. The best part is that we probably would never have met if they hadn't contacted me to ask if I could be their doula, and because of that I am truly blessed.
I know that in future I will be faced with clients who I don't mesh with or who don't mesh with me even if I do mesh with them, and that is OK.  It is part of the learning process and it is why I insist on an introductory meeting first to discuss things and see how well we get along. So please, please do your research before hiring a Doula! It will be more beneficial for you if you do.

As always, feel free to share :)

Jenna Edgley
Student Doula
FOOTPRINTS & RAINBOWS

Planning on having another baby but not sure what to do to increase your chances of a happy, relaxed, and healthy pregnancy and labour? Take these 11 things into consideration.
They are also good for every day life as well :)

1) Start exercising, even if it's only for 30 minutes a day, moderate exercise not only increases blood flow but also helps you to stay fit, increases your stamina (really good for during an unexpectedly long labour and also great for those sleepless nights with a newborn), increases oxygenation of your blood and makes you feel better too (once you get past the sore and tiring stage in the beginning anyway lol).

2) Eat a healthy, varied and balanced diet, if you are eating too much reduce your portion sizes and eat more fruits, nuts, seeds and vegetables. If you are overweight this can also help you to either loose weight or be healthier in general even if you don't lose any weight.

3) Increase your protein intake. Protein is needed to keep your muscles healthy and strong and to help them to grow, the uterus is a bunch of muscles in 3 layers and it needs protein to stay strong and healthy too. This is extremely important if you have previously had surgery involving your uterus, whether it was for a uterine rupture/tear, the removal of a fibroid, a D&C, a previous cesarean section or other uterine surgery.

4) Start drinking red raspberry leaf tea for 6 months prior to trying to become pregnant, not only does it contain trace vitamins and minerals that are very good for you but it also tones the muscles of the uterus which helps the uterus to be stronger and healthier during pregnancy and helps the uterine muscles to be more effective during labour, and the tea also helps to improve digestion of food, the absorption of essential vitamins and minerals and can help reduce the severity of PMT/PMS symptoms. If you don't have any risk factors or prior history of premature labour then you can continue drinking it throughout pregnancy to keep your uterus toned and strong.

5) Do your kegels to strengthen your pelvic floor muscles. If you don't do this already then start doing it now! Your pelvic floor is needed to help your baby move through your pelvis and down the birth canal when you are pushing, and a weak pelvic floor can (not always) result in weak and ineffective pushing which can lead to interventions like forceps or ventouse/vacuum delivery and cesarean section.

6) Research your options for pregnancy and birth, from which doctor/obstetrician who will support you to achieve the birth you want to the hospital you want to deliver at (if you have more than one hospital in your area), pain relief (or lack of it if you decide to go all natural), Doula's, Independant or student Midwives and how you want to give birth eg. at home, in a birthing center, in a hospital, in a birthing pool, in the bath, standing up or sitting down, lying down etc or wherever/whatever else you can think of.

7) Start putting together notes for your birth plan. Don't finish it now as things may change when you are pregnant but you can put together a rough draft of what you want it to be like, type it up on the computer (if you have one) so that you can edit it as things change. This will also help you to find a supportive care provider as you can use it as a guide when asking questions.

8) Start working on your household budget, do up one for your current circumstances, do one for emergency circumstances and do another one for the future taking into account another baby and the expenses involved in caring for another child. If you feel the need to save up some money just in case then implement the future budget and put what you would be spending on another child in future into a savings account (for example the ANZ bank have a Progress Saver account where for every $10+ you deposit one transaction each month without any withdrawals you get 10% interest on that deposit for that month, other banks will have something similar and possibly even better so shop around for the best deal).

9) Plan ahead. This is similar to #7 but for physical/practical things. Start implementing a weekly/fortnightly meal plan if you don't have one already. Do a weekly bulk cook up - spend one day a week cooking up 7 days worth of meals, this will save you time, especially once you are pregnant or have a newborn, and once you are pregnant you can then cook extra and freeze it for a later date (really good for when you get home from hospital and are too tired or too busy with your new baby to cook). Also start putting together lists of the things you will need for a new baby, if it has been a few years since you last had a baby or you haven't had a baby yet this can be really helpful, you can start buying a few things in the lead up to trying to get pregnant, a few packs of wipes (they are also great for wiping up spills and cleaning bench tops), some baby socks, some blankets, sheets, wraps etc, you can also start pricing car seats, prams, nursery furniture and nappies (disposable or cloth) and this will help you to find out what you really want/need and if you write it all down now you can compare prices when you are pregnant and know if you are getting real value for money.

10) Take some time out for you. Whether this is just time to read a good book, a massage, manicure/pedicure etc, it is essential that you are happy and stress free when you are trying for a baby. This extends to pregnancy and labour, and post birth as well. Oxytocin is the happy hormone, it is also the predominant thing that kick starts dilation and labour and gets contractions going, and it also starts breastmilk production (baby is the other thing, if baby isn't ready to be born and isn't releasing the birth/labour hormones then labour won't start without medical intervention). A happy mum also makes a happy baby as they pick up on our moods and react to them accordingly, so start working on things that make you happy and stress free now so that you have plenty of practice for once you are pregnant and after baby is here.

11) Research, Research, Research. I can't stress how important this is, and I have mentioned it subtly in the above points. Whether it is the prices of baby items or the method of birth you would like always do your research. If a doctor tells you something during pregnancy that concerns/worries you then research it and get 2nd/3rd/4th opinions until you are 100% satisfied that there are no other options or that you have chosen the right option. Medical professionals aren't God's, they are human and they don't know everything, and like any human they can and will use their personal opinions to influence you to do something that you wouldn't otherwise do, most notably in women who have had a previous cesarean and are thinking of having a VBAC the "dead baby" card is often brought into play to scare women into having a repeat cesarean, and in women with gestational diabetes the "big baby" card is thrown around and those mums are told that their babies will be too big for them to push out their vagina which means an early induction before baby is ready or a cesarean. Not only are these two things wrong in general but they also go against current evidence based research and ACOG and WHO guidelines. Women have birthed big babies (10 pounds +) for millennia with few or no complications, so why in this day and age is it more dangerous to deliver a larger baby than a small baby vaginally? This is why you need to research, and also why you need to research labour and birthing positions if you are given the "big baby" card.

I hope this post has been helpful. Feel free to share it.
Jenna
Student Birth Doula

This question has been asked many times on various pregnancy and birth forums so I thought I'd address this question in a blog entry.

The answer is: At any time before, during and after pregnancy.

You can start looking for a doula as soon as you start thinking of having a baby. There is no set time frame to find one, you can even find one right before you give birth if needed, or you can hire a post partum doula in the 6 week post partum period to help you out with housework, dealing with older kids or helping with establishing a good breastfeeding relationship if you choose to breastfeed.

When looking for a doula you want to be sure that you mesh/get along well with your chosen doula, this may mean contacting several doula's during your search to find the right one that suits you. Ask lots of questions, if a doula makes you uncomfortable then don't hire him/her and look for another one. The same applies to if you have found one already but start to have "red flags" show up during meetings, eg. doula doesn't show any interest in your concerns or in helping you with something. Please don't mistake a doula not responding to your contact straight away as a "red flag", we can sometimes be very busy, not only with other clients but also with our own families. As a general rule allow 48 hours after you have emailed, private messaged on facebook, sent a text message or called and left a message before trying to call again unless it is a true emergency, if it is a true emergency contact your health care provider and try calling your doula again in 15-30 minutes, and repeat this for the next hour or so. If you don't hear back from your doula within 7 days however then consider it as a "red flag".

When you make contact with a prospective doula and an introductory meeting is set up and takes place ask lots of questions, find out what his/her limits are, what he/she is comfortable with when it comes to the type of birth that you want - some doula's won't be comfortable in supporting a homebirth even with a midwife in attendance, an unassisted birth, a cesarean birth or other types of birth (eg. induced, lotus, high intervention) depending on their comfort levels and ability to remain impartial when certain subjects that have affected them come up. Doula's who find certain methods of birth uncomfortable find it easier to avoid having to deal with the things that they know they cannot be impartial about by just not taking on a client who intends for their baby to be born in a way that makes the doula uncomfortable, which can be a good thing for a doula to do in some cases so as not to worry his/her clients.

For me personally, I am willing to support women in all forms of Birth.

So now you know when you can start looking for a Doula and what to do when you interview one - happy hunting!


Jenna
Student Birth Doula
FOOTPRINTS & RAINBOWS Birth Doula Services