“The aim of education is the knowledge, not of facts, but of values.”
William S. Burroughs
I encourage my clients to take childbirth education classes as they prepare for the birth of their baby. The more you know about the physiology of birth, and what you can expect at each stage of labor, the less fear there is surrounding it.
Where you have your baby can also affect what what you experience— the procedures, care routines, people you will interact with, and what decisions you may have to make, can vary depending on whether you give birth at home, at a birth center, or even at different hospitals.
The amount of information you learn can be overwhelming. In the prenatal meetings with my clients, we sift through this information to find out what pertains to them specifically, based on their goals and how they want to feel during labor and birth. I help them identify what limitations may be present, and how to best work around them. I get to know my clients and their values, and what techniques, both physical and emotional, that will work best for them.
This is where childbirth preparation goes beyond childbirth education.
Preparation for your birth is unique to you. Sometimes, it’s unconventional and maybe even a little strange. I’ll use my own experience as an example: When preparing for the birth of my daughter, I watched every episode I could find of a show on A&E called “I Survived.” The show profiled people from all walks of life who had endured horrible events, like attempted murder, natural disasters, near-death experiences, and trauma, and how they survived those experiences. Their outlook on life was usually gratitude, and a newfound strength. My mindset was that if these people could survive those horrific events, and still have a positive attitude, then I could make it through labor!
That might not be the best form of prep for everyone, and that’s kind of the point. What preparation for birth looks like for me, will likely look totally different for you!
Here are ways others have prepared for their births:
What have you used to get through a physically or emotionally challenging time? Laughter? Visualization? Music? The deep breathing you learn in yoga or meditation? Do you value knowing the hard facts?
You can tap into your own experiences, your own strengths, in labor. Use what has worked for you, or what speaks to you, to prepare in a way that is as unique as you are.
I am a certified labor (birth) doula and postpartum doula serving Boise, Eagle, Meridian, Nampa, and the greater Treasure Valley.
How can I help you have a more positive birth experience, that is focused on you and your unique needs?
Most people give birth vaginally, and the majority of birth plans focus on wishes and goals for a vaginal birth. Some desire very strongly to avoid a Cesarean birth, choosing to exhaust all other options before deciding that surgical birth is their best option.
But roughly 1/3 of the time nationally (and 18.1% of the time in Idaho according to cesareanrates.org), whether due to a medical emergency, complication, or other circumstance, people find themselves giving birth in the operating room.
The circumstances of your pregnancy and labor, how prepared you are for the procedure, who is there to support you during the surgery, and how your wishes are respected during your Cesarean birth, are all things that can affect your birth experience. Even when the unplanned happens, you can still have a positive birth!
So even if a Cesarean birth is your "worst case" option, it can be helpful to plan for it anyway. Here are some things to consider, and ways a doula can help you plan for the unplanned:
1. If you are familiar with the steps of the procedure, you won’t be caught off guard. Policies and procedures can vary by hospital and care provider. Will you be alone at any point? How many support people can accompany you? Is it commonplace to have your arms strapped down? What medications will you receive? What will it feel like, sound like, smell like? Will you be able to see and touch your baby right away, or even initiate breastfeeding in the OR? What can you expect after the surgery?
Your doula can help prepare you for what to expect, and help you formulate questions for your care provider. Some policies and procedures are negotiable, and having a discussion with your care provider ahead of time can make for a more positive experience. She can also help you create a Cesarean birth plan to accompany your standard birth plan.
2. You may have more options than you think. Some of what happens during a Cesarean birth is dependent on the reason for it. If it’s a true medical emergency, you may not have as many options as if you had an “urgent” or even planned Cesarean.
In a true emergency, you are likely to be put under general anesthesia and the baby born within minutes. This is a small percentage of Cesareans. Usually there is a lot more time, and more variability in the experience. You may have a choice in:
3. Your postpartum needs may be different. Do you have a support system at home that can also accommodate your needs after a Cesarean birth? Will you need extra help moving around, breastfeeding, someone to make you meals, someone to help out with the baby? Your doula can be a great resource to plan for what additional support you may need, as well as provide referrals to specialists. You can opt to hire the support of a trained professional in your home, like a postpartum doula.
4. Your emotional needs may be different. This is where a doula can really help to listen, provide a supportive presence, validate your experience, and if needed, help you find additional resources so that your emotional recovery is treated as importantly as your physical recovery.
Planning for a Cesarean birth when you desire a vaginal birth isn’t thinking negatively, or setting yourself up for one. It’s preparation for one outcome, out of many. It’s the first aid kit in your backpack as you hike up the mountain. It’s a mental exercise.
And it’s something you can do with a supportive, knowledgable, compassionate person on your side, looking out for you no matter what happens or how you give birth— your doula.
I am a certified labor (birth) doula and professional postpartum doula serving Boise, Eagle, Meridian, Nampa, and the greater Treasure Valley.
Feel confident and prepared no matter how you give birth. Let's talk about how I can help!
It’s one of the top sources of anxiety in pregnancy . . . . . . POOP.
Whether it’s the constipation that arrives well before you have any sort of baby bump, or the fear some have about pooping in labor, there’s a lot of attention paid to poop when you are pregnant.
So let’s talk about it! Here's what you need to know about poop in pregnancy and childbirth.
1. Constipation is common. The hormones released throughout pregnancy, especially progesterone, make food move more slowly through your intestinal tract. You are able to absorb more nutrients for your growing baby, which is a good thing. The downside of this slower digestion is constipation. It can start in the first trimester, when you’re not even showing, and last throughout your entire pregnancy.
Constipation can be frustrating and uncomfortable. Straining to poop can in turn cause hemorrhoids, which can be downright painful.
Some things that can relieve constipation include:
2. Diarrhea toward the end of pregnancy can be exciting! That’s because it is one of the signs of early labor. Up to several days before you feel your first crampy contraction, your body may clear itself out in preparation for birth. Be sure to stay hydrated if you experience diarrhea, and keep yourself nourished by continuing to eat. You will need your strength for labor.
Note: If you have a fever or suspect that your diarrhea could be caused by food poisoning, then be sure to consult your care provider.
3. You will probably poop while you push. This is a big concern for some people. They get really anxious about the thought about pooping while they are pushing, and having their partner and birth attendants see it happen.
First of all, yes, it happens. It happens all the time. Your friends and relatives, that put-together mom at school drop-off, your great grandma-- they probably pooped while they pushed out their babies, too.
And trust me, nobody in the room cares. The birth workers have seen it many, many, many, many, many times before. It is a total non-issue. They will just discreetly wipe away any poop, replace the Chux pad if necessary, and continue on.
In my experience, your partner doesn’t care, either. At this point, you are actively pushing out your baby, and your partner will be laser-focused on the baby, and on supporting you. They will be concerned, and excited, and hopeful, and probably won’t notice there is any poop at all, especially amidst what is infinitely more attention-worthy at that time-- like your baby being born. And when that baby is laid upon your chest and you hear those first cries, the last thing on anybody's mind will be whether or not you pooped a little.
Second, pooping during pushing is a sign that you are pushing effectively. You often hear birth attendants tell their patients to “push like you’re taking a huge poop.” Those are the muscles you need to engage to push out your baby. It’s a positive thing when you poop!
Third, if you are still really, really, stressed about pooping in labor, talk to your care provider about administering an enema in early labor. For some people, this gives them peace of mind about not having to think about poop at all.
4. Postpartum Poop. The first poop after birth can also be anxiety-producing for many. Your vagina has gone through a lot, and your perineum can feel sore as well. You may still have hemorrhoids, you may have minor tearing, or perhaps stitches.
If you had a Cesarean birth, pooping for the first time can also be uncomfortable. After a Cesarean, your first poop might take longer to arrive than with a vaginal birth. The muscles in your abdomen will be sore after surgery, which can make that first poop a not-so-fun experience.
Some care providers will prescribe a stool softener after delivery to make those first few bowel movements easier. Some will require you to have a bowel movement before you can go home, especially if you’ve had a Cesarean (true with any major surgery).
Staying hydrated after birth can help keep your stools loose. Waiting until you really have to go, and avoiding straining ,can be helpful as well.
5. Your poop situation will improve! The more you are able to rest and heal postpartum, the better you will be able to recover from birth. Eventually your poop won’t be such a source of tension in your life.
Your focus will shift to your baby’s poop, which will provide months (and years) of interest, antics, and discussion. If you don't talk much about poop now, just wait until you have a toddler. It's one of their favorite subjects.
I am a certified labor (birth) doula and professional postpartum doula serving Boise, Eagle, Meridian, Nampa and the greater Treasure Valley.
Do you have anxiety about anything in pregnancy or labor? Having a doula might help!
I’m a big planner. When my husband and I went to Europe years ago, before we had kids, I researched for weeks to find the perfect hotels and activities within our budget, the trains that would take us from town to town, and how much money we would need for food per city, per meal, all laid out in a tidy spreadsheet that automatically adjusted based on that day’s exchange rate.
Fast forward a few years later when we were expecting our first child: I knew that the baby could come as early as 37 weeks, and still be considered “at term,” and so I was prepared for his arrival at 37 weeks. All the baby gear was purchased, the newborn clothes were washed, the diaper changing station was stocked. Months before, we had taken all the classes— childbirth education, breastfeeding education, new parent preparation, and we had our doula booked. I was ready to have this baby.
Over a month later, I was still pregnant. What I was NOT ready for, was the waiting.
After a positive pregnancy test, one of the first things we learn is our estimated due date. One of the things we tend to ignore is the estimated part.
Due dates are not an exact science. The website Evidenced Based Birth gives a whole explanation of how due dates came to be, but in a nutshell, determining your estimated due date based on the first day of your last menstrual period was a technique created in the 1744 in the Netherlands, refined in 1812 in Germany, and then revised again in America in the 1900’s. This method doesn’t take into account the fact that not every woman has a 28-day menstrual cycle, that ovulation can occur earlier or later in a cycle, or that implantation time can vary.
Even if you’re aware that going past your estimated due date is normal, it can still be frustrating to be “overdue.” You might be feeling uncomfortable, as your baby is nearly his or her full size and pressing on both your ribs and your bladder at the same time. You might not be getting much sleep, as you wake up several times a night to pee, or you just can’t find a comfortable position to lay in.
It can be especially frustrating when your family and friends view your estimated due date as an expiration date, and bombard you with texts and phone calls. When’s the baby coming? You haven’t given birth yet?! When are you getting induced? You look ready to explode!!!
These comments and inquiries are NOT helpful.
So if you find yourself pregnant at 40+ weeks, here is what to do when you are "overdue:"
1. Assume that you will go to 42 weeks. The mind is a powerful tool. Neuroscientist Robb Rutledge studies human happiness and developed a complex equation to predict happiness in a given situation. According to this New York Times article on his work, “How happy you are depends in large part on your expectations.” So if you expect your pregnancy to go past your estimated due date, you are less likely to be upset or frustrated when the bun in your oven needs a little more time to bake. And if your labor begins near or before your estimated due date, you may be pleasantly surprised.
2. Tell your family and friends that your due date is actually two weeks later. Granted, this is an extreme measure. And if you’ve already announced your estimated due date to your family, to your co-workers, and on social media, it may be ineffective. Just know that there are other ways to share your good news in early pregnancy. You can announce that you are expecting a baby “in October,” or “late fall,” as previous generations once did. If this isn’t your first rodeo, and you experienced the barrage of inquiries with your first baby, then fudging that due date might not sound like a crazy idea after all.
3. Indulge. See all the movies you won’t be able to go see when your baby is here. Take all the naps. Go out to a fancy restaurant, or any restaurant that doesn’t have a kids menu. Get your nails done. Get a massage. Catch up on that show on Netflix you’ve been meaning to watch. Do whatever you want to do, while you have the time and energy to do it. It may be a while before you are in charge of your schedule again, so take charge of it while you can.
4. Take time to savor these last few days with your older kid(s). Taking care of other kids can be exhausting when you are pregnant. You just want to lie down for a few minutes, but they are suddenly resisting naps. They may seem more clingy or needy, and you wonder how on earth you will take care of both a toddler and a newborn??
Flip the script. Your little kid will be a big brother or sister in just a few days or weeks. You won’t have as much time to color together, or get on the floor and play with blocks, or take a walk to the park. Hold their little hands, which will seem huge after your new baby is born. Listen to their stories and field their incredible questions. Allow yourself to enjoy your older kid(s) in this moment, because everyone’s life is going to get a little shaken up when the new baby arrives.
5. Devote some time to postpartum planning. We focus so much on pregnancy, the baby shower, decorating the nursery, and the birth, and tend to neglect preparing for the postpartum period. We often think, “It will all work out” and “We’ll manage” without realizing that a little bit of planning can make a world of difference in how we feel after baby is here.
While binge watching A Baby Story, you can:
6. Check in with your doula. Your doula can be a great source of informational and emotional support when you find yourself past your due date. If your care provider is bringing up induction as a possibility, your doula can help prepare you for the process, or let you know about possible options or alternatives that you can discuss with your care provider. She will let you know that you are supported, and that she is there if you have questions or need reassurance.
7. Practice mindfulness. Mindfulness is a skill that can be honed with practice. To be present in the moment, able to acknowledge and accept your feelings—good and bad— without judgment, you free yourself from allowing your emotions to control you. Being mindful can positively affect the way you live your life in general, but in the world of birth and parenthood, its effects are significant.
In labor, you can use mindfulness to accept the pain and discomfort you are feeling, and then let it go. This can help immensely with labor progress, with how you react to unexpected challenges, and how you end up feeling about your birth experience.
As a parent, you can practice mindfulness while you figure out breastfeeding, when you have to wake up in the middle of the night to attend to your baby, or when your toddler throws a tantrum in the grocery store.
So during pregnancy, as you wait for labor to commence, be mindful of what you are feeling. If you are tired, achy, sick of the constant text messages, fearful, or just ready to have this baby, acknowledge what you feel. Accept it, and let it go. Consider it preparation for your new life as a parent.
8. Find the good. What’s good about being “overdue?” Maybe you realize you do get some extra time with your partner as “just the two of us.” Maybe you get to attend that one last social event you weren’t sure you could make. Maybe your best friend from out-of-state will get to be there for the birth, after all. Maybe you know that when labor does start, you will be so thrilled you will welcome contractions instead of fearing them! Find the good in your situation and embrace the wait.
I am a certified labor doula and professional postpartum doula serving clients in Boise, Eagle, Meridian, Nampa, and the greater Treasure Valley.
Line up your doula now, so that if you go "overdue," you have the support you need!
I am an avid podcast listener. One of my favorites is a podcast called “Death, Sex & Money.” In one episode, host Anna Sale interviews actress Ellen Burstyn. Ellen shares that now that she is in her eighties, living alone, she has finally allowed herself “Shouldless Days,” days where she does only what she wants to do and nothing she should do. She turns away from the inner critic who faults her for not doing what she should, and instead listens to what she truly wants and needs.
I often think about Ellen Burtstyn’s "Shouldless Days" and think to myself, "Is it easier to do this when you’re in your eighties, without the responsibility of little mouths to feed and hands to hold? Is it easier to do this as a financially successful famous actress, living alone in a lofty New York apartment?"
And my answer is, "Of course!"
But that doesn’t mean that we need let the “should’s” dictate everything in life. By choosing to not act from a “should” mentality in every instance, you allow room for self-compassion, a turn to joy, and you prioritize self care.
Just stopping to question the “should” helps you to decide what to keep and what to let go. Sometimes you agree with the “should.” It aligns with your core values. You begin to edit out the unnecessary, the harmful, the confusion, and the waste that does not serve you and your family.
There are many opportunities to practice this in pregnancy and postpartum. You are faced with so many “should’s.” With a new tiny human to prepare for and care for, the stakes seem even higher on figuring out what you should do.
Should I birth in the hospital?
Should I find out my baby’s sex?
Should I get genetic testing?
Should I get an epidural?
Should my mother-in-law get to be in the room when I give birth?
Should we circumcise our son?
Should we host visitors after the baby is born?
Should I be able to keep the house clean?
Should we co-sleep?
Should I introduce a bottle?
Should I go back to work?
Should my baby be sleeping through the night by now?
Should I be back to my pre-baby weight?
To be truthful, the “should’s” never end. Whether you are expecting a baby, have a newborn, a toddler, or a teenager, there will always be someone (maybe yourself), telling you what you should do in any given situation.
Before you automatically oblige, pause. Are you also listening to the voice of self-compassion? Are you taking care of your own needs, as well those of your baby and family? Are you making room for joy? Do you need help? Do you need more information? Is there another way? What does your intuition tell you?
Amidst leaking breasts, a non-stop nursing baby, a clingy toddler, and a pile of laundry, if you can’t swing a Shouldless Day, try a shouldless pause. A breath. A chance to let go of what doesn’t serve you. A turn to what brings you joy, even a trace.
Maybe it's advocating for yourself in labor. Maybe it's saying "no" to a visitor. Maybe it's ordering pizza that night so you can sleep a little bit longer with your baby. Maybe it's asking someone else to bring the meal.
Question the "should's." Listen to what answers follow.
I am a certified labor doula and professional postpartum doula serving clients in Boise, Eagle, Meridian, Nampa, and the greater Treasure Valley.
What "should's" are you facing in pregnancy? How can I help?
Today we're going to back to the basics!
Doula 101 - The What and the Why
Preparing for a new baby can be an overwhelming task— there are numerous baby gear items to acquire, frequent care provider visits, increasing demands on your body as your baby grows and your body changes, classes to take, postpartum work arrangements to be made . . . . it’s no wonder that many people postpone thinking about how they will approach labor and birth until later into their pregnancy.
Sometimes it’s during a childbirth education class, or when you feel your baby’s rigorous kicks, or you can no longer see your toes underneath your growing belly, that you start to think, “This baby’s really going to come out soon!” You might panic, as you think about all the books you wanted to read, or that birth plan you need to write. And how in the world will your partner know what to do when you are in labor?!
Step in your doula. But what’s a doula? A doula is your continuous support during labor and birth, a knowledgeable birth guide who works for you, giving you the information, encouragement, and hands-on help you need to give birth in a way that feels right to you. She works with you and your partner in pregnancy, educating you about your options, and answering whatever questions you may have along the way. She knows all about birth. She helps your partner effectively help you by making suggestions on how to support you in labor. Your doula helps you both feel confident and prepared for birth, instead of fearful or anxious.
But isn’t that what your doctor or midwife is for? Or your nurses? Actually, no. Your doctor and midwife, and the hospital nursing staff, are primarily focused on the physical health and safety of you and your baby during labor. They are monitoring your blood pressure, checking fetal heart rates, administering medications, and watching for signs outside of a normal birth pattern. In a hospital setting, you may not even see your doctor or midwife until you have already starting pushing.
The nursing staff you may see more often, as they are the front line of patient care, but they usually have several other patients to care for besides you. They don’t have the time or the resources to continuously stay by your side, helping you breathe, or massaging you, or suggesting position changes. If you are in labor during a shift change, the nurse whose care you have been under will leave, and a new person will take their place.
That leaves just your partner and maybe another family member or friend to offer the continuous support that can make or break a birth experience. And although members of your support team may have given birth before, they aren’t necessarily familiar with birth in general, or the specific needs of your birth. They may not know what to suggest if certain challenges arise during labor. They may not have the information you need to make a decision about the course of your care.
Doulas bring a calming presence, knowledge about the birth process, and personalized care to your birth space. They attend all types of birth, from unmedicated home births, to Cesarean births, to inductions, and everything in between. Doulas get to know their clients during pregnancy, and support them in whatever decisions they make for themselves. They follow up postpartum, checking in on their clients’ well being, helping with breastfeeding, and referring them to additional resources they may need.
There are Postpartum Doulas, who work with families in their home, helping them adjust to life with a new baby. They help with newborn care, household organization, light housekeeping and cooking, and they help take care of baby so the new parents can get what every new parent needs— more sleep!
The Treasure Valley is a great place to have a baby, and one of the reasons is that there is a doula for everyone, in all price ranges, offering a different mix of services that work for your situation. When you have the right support, your birth and postpartum experiences are more likely to be positive, benefiting you, your partner, and your baby.
I am a certified labor doula and professional postpartum doula serving clients in Boise, Eagle, Meridian, Nampa and the greater Treasure Valley. Do you have questions about how a doula can help you have a more positive birth experience?
Maybe it was a friend or family member, maybe it was you— that snapshot taken right after baby was born, mom’s long hair flowing over her breast, cheeks pink, eyes bright, lashes tinted with mascara. A gorgeous photo of a mother with her new baby.
Sometimes the look is staged a bit, sometimes a mother’s natural beauty is shining through. Whether makeup is on your list of what to pack to the hospital, or you just can’t take a bad picture, I don’t fault anyone for taking a gorgeous photo on one of the most momentous days of their lives.
I just know that that person isn’t me. And it might not be you, either.
Labor is hard work. It’s often compared to a marathon, but it’s way more intense than a marathon. Marathons take place during the day; the previous night you’ve eaten a solid meal, and you go to bed early to rest up for the strenuous activity ahead. You don’t always get that luxury in labor. It can creep up on you after a long day on your feet, in the middle of the night and last well into the next day— or for several days. You can’t just take a break and walk for a while in labor. You can’t quit, walk on over to the nearest pub, and try again next race. You are in it, fully committed, until you reach the ultimate finish line— the birth of your baby.
So it’s not a surprise that not everyone can pull off the perfectly coifed after-birth look. Nor does everyone want to.
I’m not particularly adept at beauty routines. I didn’t start wearing makeup until late into my twenties. Most days my hair air-dries into frizzy waves, n’er a blow dryer in sight, unless it’s below freezing outside. So, after my 18-hour and 12-hour labors, after nights without sleep, face puffy and dotted with wonderful pregnancy-induced melasma, my after-birth pics aren’t very pretty.
But when I look at them, I see power. I see joy. I see a woman who, despite feeling afraid and vulnerable and more exhausted than I had ever been before, persevered and freakin’ birthed a baby. I am proud of myself when I look at those pictures. I am glad I have them— ALL of them, even the ones that few will ever see— because they show what I did, what I endured, what I rocked.
They aren’t necessarily pretty, but they are pretty powerful.
I am a certified labor doula and profesional postpartum doula serving clients in Boise, Meridian, Eagle, Nampa, and the greater Treasure Valley.
How can I help you feel powerful during your birth?
"Give me all the drugs!"
This is a humorous way some people inform others that they don’t want an unmedicated birth. You or someone you know may have used those exact same words during your pregnancy. As a doula, I’ve heard it from clients, too.
There is a misconception that people hire doulas only for unmedicated births. While I definitely have had clients who value “natural” labor, and give birth without pain medication or other medical interventions, I also serve clients who know ahead of time that they will get an epidural, or will utilize some other form of pain medication.
Why would you want a doula if you know you will opt for drugs in birth?
1. You want to wait as long as possible before opting for drugs. Some clients want to see how far they can get without pain medication, for a variety of reasons. Some are concerned about the side effects of certain medications, or the interventions required with their use, like continuous fetal monitoring, I.V. fluids, catheterization, etc. Some have concerns about slowing down labor, or taking medication too soon and being left with fewer options for pain relief later on. Others want pain medication as an option, but are okay with using it only if needed.
Until the client decides to utilize medication, they may need help with natural pain management, coping with contractions, and emotional support. As a doula, I can offer suggestions and provide whatever support is needed to get my clients to the point at which they feel they are ready to accept pain medication.
2. You want more information about the pain medication available to you. During pregnancy, we discuss your goals and intentions regarding pain management, and your options at your particular place of birth. You may know that nitrous oxide is offered at St. Alphonsus and St. Lukes hospitals, but you may not know how administration of the nitrous actually works. You may consider a narcotic for pain relief, but want to know the potential side effects before deciding. You may want an epidural, but be unaware of what positions you are likely to push in after getting one.
There are risks and benefits to every intervention, and knowing these before you are in labor can help you determine which medications you want to prioritize, and which you want to avoid. You can learn some of this information during a childbirth education class, or by doing your own reading, but having an in-depth discussion about your options with your doula brings the conversation to a more personal level. We discuss what support you may need for various pain relief options, and what you can expect to follow. The information is tailored to your individual needs, your personality, and your specific goals and values.
3. Sometimes medications don’t work as you expect. You may have heard stories of an epidural “not working,” or working only on one side. You may experience an unpleasant side effect from a certain medication, like nausea and vomiting, loss of sensation, or severe itchiness. A doula’s calm, comforting support and encouragement can help to get you through unexpected pain or discomfort. I have utilized coached breathing, visualization, light massage, and other techniques to get clients through a difficult episode. When things take an unexpected turn, being able to turn to your doula for reassurance is sometimes all a laboring client needs.
4. Some births involve medication from the start. You may need or opt for an induction or Cesarean birth, or you have a high-risk pregnancy that requires medicalized care. Just these circumstances alone can bring up fear and anxiety that a doula can help you work through. Even when a birth doesn’t go as planned, there are often options that may be available to you that you hadn’t considered or known about. For instance, there are different ways to induce labor-- pharmacological, mechanical, or low-tech options like trying an in-office membrane sweep. Your doula can inform you of these options, so you can discuss them with your doctor or midwife and see if they can be incorporated into your birth.
5. Continuous care is continuous care. No matter how you choose to birth, or how your birth unfolds, having continuous support can make all the difference in how you feel about your birth.
It’s not always feasible to rely solely on your partner to provide this support; they may not feel knowledgable enough to support you, they may be nervous and require their own support, or they may need periodic breaks to best serve you in labor. It isn’t common or the norm for your doctor or midwife, or even your nurses, to be able to be with you at all times during labor. And often the on-call staff can be strangers, whom you’ve just met.
As your doula, I am a familiar face. During our prenatal visits, we've gotten to know each other. I am at your side, as long as you need, to help you get through whatever your labor brings. After the baby is here, I can help with breastfeeding, check on you at home postpartum, and serve as a resource for questions and referrals. As a postpartum doula, I can provide in-home care to make the transition to life with your new baby easier. The continuity that doula care provides is reassuring, convenient, and maximizes the chances of a positive birth experience.
I am a certified labor doula and professional postpartum doula serving clients in Boise, Eagle, Meridian, Nampa, and the greater Treasure Valley.
Are you planning on utilizing pain medications in your labor? Do you want to know more about what options are available at your birth place? Let's talk!
My clients receive 50% off a maternity or newborn session with Natalie ($200 value). For a short time, she is offering my clients a fantastic discounted package for maternity, birth, and newborn photography. Contact me for details!
Check out Natalie's work at http://nkoziukphotography.com. And check out the details on our collaborative Mother's Day Giveaway at the end of this post!
Boise Newborn Photographer - 5 Tips Before Your Newborn Lifestyle Session
I get a lot of questions about newborn lifestyle photography and what to expect. Let's do a quick refresher on what lifestyle photography is and why I'm completely obsessed with it.
Let's set the scene. You just brought home your new baby and instantly that little human starts growing (oh, so much faster than we'd like to admit)! What will you want to remember when that little human is all grown? Perhaps those tiny fingers wrapped around yours or how easy their head fit into dad's palms? Possibly the way you and dad looked at him completely in love and thankful that he's finally here? Here's the thing, life as you know it is complete now. The moments and details are what I capture and what you'll love years and years from now.
Props, beanbags, and wraps oh my!
No need for posing and waiting hours for me to wrap, swaddle, and pose baby on a beanbag. I'll capture your family doing what it does best, being real, raw, and you. Lifestyle photography captures those authentic moments that can’t be planned or staged.
Let's talk wardrobe
Mom, start with what you feel comfortable in first. Either a dress, or something light, comfortable and casual. Light neutrals photograph beautifully, but I don't discourage darker colors mixed in. You’ll want to avoid bright colors like apple red or orange so they don't reflect onto that sweet newborn's face.
Pairing simple basics with textured overlays, such as a robe or a slouchy open sweater are always encouraged. From there you can coordinate the rest of the family.
A sleepy baby
I can't tell you how often I arrive and baby is up and ready to party. Feeding baby right before your session gives us a good chance we’ll have a sleepy newborn right from the start. If not, no need to stress. More often than not, I'll catch those eyes closed at some point. Bottom line...Whether your baby is awake or asleep during your session, remember that those moments caught on camera happen organically.
Keep an eye out in your house where and what time your rooms have the most light. I typically photograph in three areas-- the living room, your master, and the nursery. I ask that you send me photos of your rooms before the session if I don't come to visit you beforehand. Depending on your home, usually around 10am-2pm we get the best light.
If you only have one room that works, that's great! I’m happily surprised with the sessions I’ve had with only one window to work with.
Usually we'll start with the whole family if big brother or sister is happy and ready to go. If they're not excited yet, I’ll start with baby and we’ll add them in later. Photographers have quite a few tricks to keep things moving right along. Many times, they're so excited about their new role that they'll want to hold and kiss all over their new best friend. If they really don’t want to be involved, I still try my best to get them in the frame. Nine out of 10 times they'll change their mind. ;)
Timing is everything
I always advise parents to contact me in their second trimester to guarantee their session. I leave a healthy gap in my calendar open from before you're due to two weeks after you're due so we don’t miss the sweet spot. I’m in and out within an hour (sometimes 90 minutes) so you can get back to your newborn life as soon as possible.
Are you excited yet?! If it’s time to schedule your newborn session let's chat soon. Email me at email@example.com or call 208.794.7916 to ask questions or to check availability.
Don't Miss Out!!!
Natalie and I have teamed up to offer a Mother's Day Giveaway! One lucky winner will receive a photo session with Natalie, and a birth planning session and postpartum doula support with me. Visit Elevated Birth on Facebook or Elevated Birth on Instagram for details on how to enter. We will pick a winner on May 10, 2018 so enter now!
This is a two-part series. Look for the first part in my previous post:
What this Doula Wants You to Know About Birth
What this Doula Wants You to Know About Postpartum
1. The postpartum period is underestimated. Many people focus on the birth of their baby, choosing a care provider, a birth place, and making a birth plan. These are important endeavors, and require adequate research and planning. Yet often little consideration is given to the specifics of how life will function after the baby is here. Researching options for baby gear, registering for diapers and essentials, and choosing a pediatrician is only part of what you need to decide. Just as you need to determine who will take care of your house, older children, pets, work commitments, etc. before and during your birth, these needs will continue and perhaps be more difficult to meet when your baby is earthside. Factor in the need for physical healing, dramatic hormonal changes, and caring for your baby-- all with limited sleep-- you may realize that you need much more help than you planned for. Making a postpartum plan during pregnancy can help prepare you, your partner, and extended support system to meet the needs of the entire household after the birth.
2. Your body may take longer to heal than six weeks. There is a popular meme circulating on social media that pictures a paper dinner plate. That dinner plate represents the size of the wound in your uterus where your placenta was attached. I admit, as the mother of two kids and a trained doula, I had never considered the size of the wound inside my body after birth. It's a powerful visual. If that wound was on the outside of your body, no one-- including yourself-- would expect you to do much for several weeks after birth.
If your birth was physically difficult, you had tearing that required stitches, complications, a high-intervention birth, or a Cesarean birth, your body may take even longer to heal. In the immediate postpartum you may experience vaginal soreness, pain while urinating, difficulty pooping, heavy bleeding, contractions as your uterus shrinks back down to its pre-pregnancy size, sore breasts from learning to breastfeed, irritation or pain from your Cesearan incision site, swelling, profuse sweating, and a host of other physical discomforts.
Your care provider may "clear you" at six or eight weeks, but your body may need more time. You may not be ready for intercourse, work, chores, or outings. You may need more periods of rest, even if you feel physically better. You may need additional treatment, like physical therapy. Accept that your body went through a LOT, and allow yourself the time and grace to heal.
3. Be proactive with lactation support. If you choose to breastfeed, know that it can be difficult to get started. Taking a breastfeeding class in pregnancy is a good idea, but it may still confusing to implement what you learned when baby is actually at your breast. Add in hormonal changes, a baby that needs to eat, and conflicting advice from those trying to help you, and you have a recipe for anxiety and unnecessary stress. Seek out the support of a postpartum doula or lactation specialist early in the postpartum period to get you off to a good start. Any issues outside of normal may be more easily identified and addressed. If needed, referral to an IBCLC (International Board Certified Lactation Consultant) can be made.
Two IBCLC's in the Treasure Valley I refer clients to are Melanie Henstrom at Baby Bonds and Lynnelle King at Family Seasons, LLC.
4. Pelvic floor therapy is a no-brainer. Pregnancy and childbirth do a number on our pelvic floor muscles. Complications include urinary and fecal incontinence, uterine prolapse, pubic symphysis pain, diastasic recti, and more. In France, postpartum pelvic floor therapy is standard care. In the United States, it is not, and unresolved injury can be left untreated, causing years of pain, discomfort, and embarrassment. Check out my blog post all about the pelvic floor.
Seeing a pelvic floor specialist in pregnancy can set you up for easier care after your baby is born, or even prevent issues postpartum. In the Treasure Valley, pelvic floor therapy is now even easier to obtain, with the launch of Treasure Valley Pelvic Health, a mobile pelvic therapy provider who will come to you. Your first visit is 20% off in the month of May.
5. Your emotional and mental health needs as just as much attention as your physical health. Postpartum mood and anxiety disorders (PMAD) affect 15-20% of women. These include postpartum depression, postpartum anxiety, postpartum panic disorder, postpartum obsessive-compulsive disorder (OCD), and rarely, postpartum psychosis. Educating yourself, your partner, and close family and friends in pregnancy about the signs of these disorders can help to identify them and get treatment as soon as possible.
Even just noticing that you feel "off," and "not yourself," can be enough proof to seek out an evaluation from your care provider. Don't discount (or let others discount) the effects of a traumatic or disappointing birth experience on your emotional health, either.
Resources to begin to seek out help include Postpartum Support International (PSI) at www.postpartum.net, your care provider, or local mental health professionals with experience in treating PMAD's. You can find a recommended list of providers on my Parent Resources page.
Even if you don't suffer from a PMAD, you may feel overly tired, stressed out, emotional, sad, disappointed, discouraged, or down at times. A healthy and committed support system that allows you to rest, heal, eat well, and focus on little more than you and your new baby can maximize your chances for a positive postpartum transition. Postpartum doulas can play an important role for those without a strong support system, or those who want or need extra support as they transition to life with a newborn.
By planning for the postpartum period, building a robust support system, and taking advantage of local resources, you can start off on your new parenting journey from a place of confidence and strength. Everyone benefits from a healthy mother or birthing parent-- your baby, your partner, and you especially.
I am a certified labor doula and professional postpartum doula serving clients in Boise, Meridian, Eagle, Nampa, and the greater Treasure Valley. How can I help you plan for your postpartum?
I've worked in the forest, in the lab, and in an office cubicle. My favorite and most passionate work has been alongside clients as they reach inside to find their innermost strength, and give birth to their babies. Each birth is an honor to witness.