Pregnant holidays can present some joys and some challenges. Allison of Divine Doula Services, Emma of (Em)powered by Birth Doula Services, and Johanna of Nested Mama Prenatal & Postpartum Doula Support collaborated to share their best tips and suggestions for making your way through a holiday season full of expectations!
Many families also spend their first trimester keeping their pregnancies on the DL. A few things with this - there is absolutely no rule or proper etiquette when it comes to announcing a pregnancy besides announcing at the time that is best for you and your partner! You can't announce too early or too late. If you want to announce in the early weeks of pregnancy because it is the holiday season and you have family around to celebrate with you and also support you during this time - then announce and celebrate! (As I am writing this, I just looked up holiday pregnancy announcements and they are just the cutest.) If you and your partner choose to keep your news to yourselves, set up a plan prior to going to any sorts of gatherings to be sure you will be able to get the space and time you need to keep yourself healthy and happy.
This holiday will be unlike any other! Enjoy the beauty of the season, the company of so many loved ones, and the excitement that your little "poppyseed" will be a sweet baby to snuggle by the tree at this time next year!
Eat as much as you would like:
Hold off (until next year):
As your pregnancy becomes increasingly visible, you may find friends, family, or random people while you are out running errands making comments about your size. First of all, anyone who says anything to you other than that you are beautiful and glowing needs etiquette lessons. Secondly, know that your body is doing exactly what it needs to grow that sweet little babe, and anyone who assumes that you are "having twins" or "ready to pop" or declares with astonishment that "you should have had that baby already" has no obstetric knowledge and no conversational skill, either.
If you find that people are reaching out to touch your growing belly without your consent, feel empowered to say no - this is your body and no one should touch you without your permission. The work of establishing your little family will certainly come with moments where you have to emphasize boundaries and advocate for yourself. This is the perfect, if totally annoying, chance to practice. Know that you are strong, and you've got this. And, baby will be here soon!
Feeling all ready for baby? Check out all the services offered by Doulas of Iowa City and see how we can support you before, during, and after birth.
With baby number four on the way, my husband and I started reminiscing about our past labors with our other three kiddos.
I was induced at 38 weeks with my oldest for pre-eclampsia, my middle came all on his own at 37 weeks, and my youngest (and at the time, we thought last) decided he wanted to make his own statement coming into this world by arriving at just 35 weeks.
With my third child, my water broke around 1 p.m., and I did not start having contractions until 8 p.m. The OB intended to start Pitocin (a medication to induce contractions) but was pulled away to an emergency, and in that time my body decided to kick start itself.
A mere two hours later my little Elias entered the world. During labor my contractions got more intense than the ones before, but when I was not contracting I felt fine and was even joking with my husband, the nurse, and some friends. Because my labor was progressing quickly, when I was about 7 cm dilated my doctor said, “If you want the epidural you better get it now because if we wait any longer there will not be time. There is just a little lip left on your cervix and when that is gone it will be go time, your body will rev up, and you will completely dilate very fast.”
With my other two kiddos, I got epidurals during labor. But this time I wasn’t in as much pain. Had he not scared me with the “now or never” approach, I probably would have declined pain medication with that labor. But, I was already in an anxious state of mind knowing my baby was coming too early and may need NICU time so I just gave in.
The story of my third labor still makes me disappointed every time I tell it, because I felt I could have continued to labor unmediated, but out of fear I let my doctor's commentary sway me. Now do not get me wrong, I was absolutely in love with him and would have him again if he didn’t move away. I think he was just giving me a harsh reality check that it was now or not at all for an epidural.
After we found out about baby number four, I did some research. I had never had a doula before but had heard about the benefits and how others had positive labor experiences with them. Previously, I never wanted a doula because I associated that term with midwife which I associated with home births. While that may be the way to go for some, for me, with my history, it was not an avenue I was willing to take.
But after doing research, I found out they are not the same at all. In fact, a Midwife has medical education while a Doula is a non-medical support person during labor. Doulas have training in understanding labor and its stages along with techniques and positions to help support you during labor, but they do not offer medical advice (whereas midwives are trained medical professionals). During my research I also learned many midwives will work in the hospital and are not exclusively for home births.
After sharing this with my husband and talking about it, we decided to hire a doula for my fourth birth.
As I say to potential clients, make sure you interview several doulas and pick the one you mesh with best. We found a local chiropractor that I ended up going to due to my severe SPD. After talking with her more and more, I learned she was also a doula. We got along so well it wasn’t long before we hired her. With her on my side, I felt that I would have the support I needed to continue to push through this labor and make my dream of a medication-free birth a reality.
My fourth labor with doula support left me convinced that everyone can benefit from a doula. I cannot even begin to describe the amount of support I felt from her. I went into labor at 35 weeks (again!) and due to some unforeseen circumstances, my birth plan went out the window (and that itself was very hard for me to grasp). She was there and helped keep me calm when I wanted to just run home and be done with it all. I was able to labor without pain medication even through Pitocin-induced contractions, and I am extremely proud to say that! I absolutely would not have been able to do it without her. (There were a few moments of despair on my end, and I will admit I did ask for some IV pain meds, but I was too close to delivery to receive them.)
Our interactions with our doula did not end there. She offered support postpartum as well, which I firmly believe is so important, and I preach it to anyone I can. Moms always put themselves last, and we cannot keep doing that. We need to take care of ourselves so we can take care of our family too!
After everything she helped me through, combined with my love for labor and delivery, I chose to become a doula myself! I am beyond excited that I chose this path, and I just can’t wait to be that person to them that my doula was to me.
A version of this blog first appeared on the Divine Doula Services blog.
Looking for a birth or postartum doula to support you in this exciting time? Join us for our next Meet the Doulas event!
As a birth worker, families ask me in many different ways - Why are childbith prep classes so important? Not to sound like a broken record for those who have already asked me, but here's why I feel so strongly about them.
Picture yourself planning a big vacation. You may pick a place to go immediately or take time to figure out the best option for your destination. Once you've picked your spot, you figure out travel plans to get there, where to stay, make dinner reservations or schedule tours, etc. You may leave some of your vacation more open so you can relax or decide what to do once you are there. Heck, some of you may take a spontaneous trip and book a flight two hours before it takes off! However, for many of us, flying by the seat of our pants may sound more stressful than exciting.
Thinking through all the small details you attend to when planning a vacation can help you understand why taking a full-day or 6-week childbirth education course before baby comes is so beneficial for you and your partner. You both will benefit immensely by taking the time to learn more about the journey you will be going on to meet your sweet babe. Also, because most of us didn't grow up around birth, it may make us uncomfortable or fearful of the unknown.
It wasn't always that way. Many years ago (and still in some cultures today), giving birth was very much a community effort. Women helping women, men supporting the community collectively and so on. Our society has gotten away from birth as a community and family effort. As a result, we don't talk much about labor and birth, and we have so many unknowns when it comes to childbirth.
A version of this blog previously appeared over on the Stacey Schmitt Birth & Photography blog.
10/1/2018 0 Comments
One of the best parts of bringing our member businesses together in Doulas of Iowa City is the chance to gather for continuing education from experts in our community as well as experienced member doulas. This month we had the opportunity to learn about massage before, during, and after birth from Kristin Bergman of Conscious Caring.
Here are just a few takeaways that illustrate what makes Kristin's "conscious caring" significant:
When we moved to her massage space, Kristin graciously allowed us the opportunity to hop on her table so we could feel her information as well as watch and learn. Here are a few specific suggestions she shared for massage before, during, and after birth:
Some key details to note about the fabulous services Kristin offers:
Want to learn more about Kristin and the fabulous services she offers? Head on over to Conscious Birth Iowa!
Thanks so much to Kristin from all of us at Doulas of Iowa City for this continuing education presentation and letting us share a bit on the blog, too!
Confession time...I didn’t want to hire a doula.
And I didn’t - not for my first two births at least.
I couldn’t understand why I would want a stranger in my hospital room seeing me in pain. It seemed too vulnerable to me, and frankly, I could not see the benefit.
Fast forward a few years, and we were expecting our third child. At the time I had been working as a doula for a year, and I was much more informed about childbirth as well as the role and the benefits of having a doula.
But to be honest, I still didn’t want one.
Luckily, the organization that I used for my doula certification trained me extensively in using a reflective process to look at situations. I was able to dig deep into my resistant feelings of hiring a doula, and I finally realized that it was my pride that made me reluctant. I didn’t want to give up the idea that I could do everything on my own and that asking for help would make me seem weak.
Thankfully, I was able to look back at my first two births and realize that during those births, I could have really benefited from some help. I swallowed my pride, and I hired a doula.
I am so glad that I did!
Every birth is different and hiring a doula does not guarantee any certain birth outcome. However, I have had the experience of birthing with and without a doula, and I can identify at least 3 differences in my birth experience with a doula attending.
I am glad that I hired a doula for the birth of my third daughter. And a few years later when we were expecting our fourth daughter, I made sure to call my doula early on in my pregnancy. I finally, personally, knew the benefits to having a doula on my birth team.
Looking to add a doula to your support team? Join us at our next Meet the Doulas of Iowa City event or reach out to any of our member doulas for a consultation.
What is a birth doula?
A birth doula is a trained professional for who offers informational, emotional and physical support throughout your pregnancy, labor, and birth. Doulas are not medically trained and do not perform any clinical tasks. As such, doulas are also not a replacement for a care provider such as a midwife or obstetrician. Doulas provide knowledge and resources as you explore your options for labor and birth and will assist you in creating a birth plan. Doulas can teach and provide you with comfort measures for pregnancy and labor, such as positioning, relaxation, visualization, and other pain coping techniques. Doulas provide a calm, caring presence and a familiar face during the uncertainties of birth, especially in cases where you do not know who will be on call when you give birth.
What services does a birth doula provide?
Everyone's birth package looks slightly different, so it's important to talk through the details with the doulas you interview and carefully read through their package description and contract. Typically once hired, birth doulas meet with the birthing person or couple several times throughout pregnancy to get to know them and their wishes for labor and birth. Your doula is available via phone, text and/or email when questions arise and is a great source of emotional and informational support throughout the many changes that take place during pregnancy.
Doulas are also a great referral source for local resources and typically have networked to create relationships with many providers in your area. Once your labor is established at home or the hospital, your doula will join you when you feel like you need additional support. The doula remains with the birthing person/couple throughout labor and birth, and typically until 1-2 hours after baby is born to help the family adjust to the immediate postpartum and assist with breastfeeding if that's one of the family's goals. Usually a birth doula will also have one postpartum follow-up visit in the client's home about 7-10 days after the birth to check in, make sure things are going well, assist with feeding if needed, and refer to any outside resources.
What are the benefits of a doula?
Doulas serve many purposes, but for me personally, the primary doula purpose is to have that constant support during labor and birth which can be full of unknowns. You typically won't know which nurse, resident, midwife, doctor, etc. will be on call when you give birth, and over the course of a longer labor and birth, these providers will change shifts so you may have multiple different nurses and midwives/doctors. I know, for me, I feel much safer and more secure knowing there will be at least one person beside me who knows me, my partner, and my wishes for birth.
Experienced doulas can also be very helpful since they are usually familiar with your birthing location's staff, procedures, and protocols and can help educate you in advance and also during birth when you have questions. Doulas work together with birth partners as a team to support the birthing person, and can tag in and out to offer continuous support while also taking care of personal needs such as eating, sleeping, and using the bathroom.
Doulas provide a key role of holding space for the birthing person, especially during a long and/or difficult labor and birth. They provide compassion, empathy, and unbiased support when difficult decisions have to be made and when things don't go according to plan. Doulas help remind you of your goals and priorities, but are completely nonjudgmental when things change.
You may see research or statistics that indicates the presence of a doula will lower your chance of having an epidural, cesarean, and/or other interventions, but I personally don't like to make that claim because sometimes those interventions are wanted and/or needed, and that's totally okay. It doesn't mean you have failed or your doula has failed - doulas are there to support you however your birth unfolds.
Your satisfaction with your birthing experience is usually more related to your involvement in the process and decision making than the outcome. To loosely quote January Harshe of Birth Without Fear, the goal of a doula is to make sure you know your options, that you feel supported, and are respected.
Looking for a birth doula? Join us for our next Meet the Doulas event or reach out to one of our member businesses directly to set up a consultation.
When I became pregnant, I thought I had a leg up when it came to birth. I had been studying midwifery for 4 years and knew quite a bit about the physiology of birth and what to expect. A good chunk of my time then was devoted to scouring evidence-based research, plus I was a nanny, so I figured I had the know-how and experience to deal with whatever came my way the next few years. I knew what I wanted out of my birth and how to achieve it (hooray for being informed!) I was so ready.
I tell you what, that woman made my labor glorious. While my partner rested, she was there to give deep-tissue massage on my legs (with aromatherapy lotion!) She handled all the physical work of comforting me so my mom could focus on doing calming, sweet things like brushing my hair and telling me stories. My doula knew just where to push on my back to take the pressure off, and when I told her to squeeze my hand she knew that I meant “as hard as you possibly can, please.”
It’s hard to say how things would have gone if we hadn’t had a doula there. It would have been fine, of course. We would have made it through. But instead of just making it through, we thrived. We had a beautiful, calm, empowered birth, thanks in part to our doula. My partner got to start his new life as “Daddy” fairly rested instead of exhausted. He didn’t have to feel guilty for leaving me to take care of himself, because I had someone else to provide excellent support while he was resting. And even now, she loves talking about that day with me and re-living the beautiful and hard moments. And that’s pretty wonderful.
This blog was original published on February 3, 2016 on the Kind Roots Blog.
Looking for the perfect book as you prepare for baby or navigate the first year postpartum? Read on as Doulas of Iowa city members share their favorite reads.
Looking for more support during pregnancy, birth, and postpartum? Come Meet the Doulas of Iowa City at our next free event!
When we think of mothers and mental health, we most often think of Postpartum Depression. But, PPD is just one among many diagnoses that fall under the category of PMADs - Perinatal Mood and Anxiety Disorders.
This is significant because many women may be struggling but assume that since their experiences don't match up with what they typically think of as depression that there isn't support or understanding for what they may be experiencing.
We no longer live in tribes, extended families, or tight-knit communities, meaning that the challenges parents face as they negotiate childbirth, sleepless nights, and changing identities occur behind closed doors without the vital support networks they need. According to Shannon, doulas can provide a critical level of support and intervention for moms and families during this pivotal time of transition.
Many thanks to Shannon for sharing offering Doulas of Iowa City members continuing education on this important subject! If you are looking a mental health professional to support you in pregnancy, postpartum, and beyond, you can find information about Shannon and Murray, Wilson, and Rose Counseling here.
Looking for doula support? Join the Doulas of Iowa City for our next Meet the Doulas event.
One of my favorite things about summertime in the corridor is all of the colorful, delicious goodness I get to enjoy from our farm share with Local Harvest CSA out of Solon. CSA, or Community Supported Agriculture, is a way to buy local, seasonal, high quality food while supporting sustainability in our community. At the beginning of the season we invest in our share and then once a week, we pick up a generous haul of farm fresh produce and eggs at the North Liberty food pantry. We get a weekly email with updates from the farm and details and recipes to go with the share. After a fun conversation with the farmers each week at pickup, we normally come home with at least a dozen different types of produce. This week we are enjoying Napa cabbage, kohlrabi, zucchini and summer squash, green onions, and all sorts of delicious leafy greens. I love community supported agriculture and we are so lucky to have so many different farms that offer shares throughout the year!
We all know nutrition is so important in all seasons of life and especially during pregnancy and postpartum. During pregnancy, I loved learning to prepare nourishing, satisfying, delicious meals. I loved sitting down to eat and thinking that my baby was enjoying my meal with me. During my pregnancy, I learned to truly love and respect my body and have never turned back. Body love and respect can be so simple- this week I practiced body respect by fixing up this delicious Chef Salad with a lot of the goodies from this week’s share. This salad is perfect during pregnancy- jam packed with veggies, proteins, and dressed with healthy fats. Also perfect for postpartum because, of course, those nutrients remain so important, but it is also such a breeze to throw together! And the balance of macronutrients provides good, sustainable energy.
I pulled out all of the lettuce from one of four bags of leafy greens and washed and chopped it up. We have been enjoying our CSA for three years now and I am still astounded by the amounts of produce we get each week!
For some more protein, I added some turkey and ham and chopped up some bacon. We like our animal proteins in our house but chickpeas or avocado would be delicious alternatives. I also added some Monterey jack and cheddar cheese and some seasoned croutons. (I wanted to make some homemade croutons but I was just loving the quickness and easiness of this recipe too much!)
When I make salads I love to line up all the toppings before mixing just to appreciate the colorful beauty. I made up a quick dressing too using ½ cup of plain Greek yogurt, a tablespoon of apple cider vinegar, a tablespoon of sugar, and generous shakes of paprika and black pepper. Perfectly creamy and zesty.
So summery and satisfying.
The Doulas of Iowa City blog contains guest posts by Doulas of Iowa City member businesses. We are excited to share with you about pregnancy, birth, and postpartum in Iowa City, Cedar Rapids, and surrounding communities and to help you connect to fabulous local resources.