In our first doula book club we featured Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond. Published in 2012 and written by Nancy Bardacke, CNM this book focuses on using mindful techniques for working through labor, birth and early parenting.
I chose this book after hearing about it from a few of my doula clients. I have had a little practice in mindfulness and thought that using this technique for childbirth could be such a useful technique.
On February 24th I hosted a book club to discuss this book. Below is the recording from that discussion.
The author, Nancy Bardacke, CNM is the founding director of the Mindfulness-Based Childbirth and Parenting (MBCP) program and leads a MBCP class. In the book, she gives a lot of real quotes from her students about using the practice for childbirth.
Here are a few pieces of the book that I really enjoyed:
Chapter 1 - Nancy describes the conversation that she has with all of her students before the class starts. She makes sure they are aware of the concept and style of class. This is an excellent idea. We all want to fill our classes, but isn't it more important that our students get to the class that is right for them.
p 24. The way in which Nancy describes labor is really unique and thought prvoking.
p 69. Horticultural Time vs. Industrial time is an excellent concept!
p 130-131 Nancy describes how NOT to stimulate the thinking mind of a woman in labor and why that is important. This section is a must read for all birth partners and doulas.
I really enjoyed the book and would definitely recommend it to parents interested in mindfulness and looking for more techniques to manage the challenges of pregnancy, labor, birth and parenting. I think couples that practice mindful birthing techniques will have a powerful set of tools for labor, especially those interested in natural childbirth or avoid intervention.
Thank you Nancy for putting a great resource out in the world.
There is a myth out there that doulas only support unmedicated birth. Doulas support all types of birth and moms planning to use an epidural for pain management absolutely can benefit from the services of a doula. I have put together 6 ways that doulas can provide support to moms using an epidural.
These are just 6 of the ways that doulas can support with an epidural, but there are so many more! A doula supports her clients even before labor begins with birth planning. She often meets a client at home in early labor and helps her decide when to leave for the hospital. There are so many ways in which a doula can support a mom planning an epidural. I hope the myth about doula and unmedicated births can finally be dis proven!
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As a doula, the process of fee setting is one of the first challenges that we face. New doulas are given a wide range of advice on this topic. Some trainers recommend doing their first few births for free, others say charge enough to cover expenses and some even suggest charging the same as what seasoned doulas are charging. The question is what is right?
Once a doula has experience the question of 'what to charge' never seems to go away. It is a topic that gets a lot of mentions at doula conferences and doula networking events. Do other professions have this struggle?
I have created a fee setting method that will allow you to set your fee with confidence. Join this free webinar on Sunday February 8th at 8PM ET. While I won't give you a magic number, I will give you the tools to help you determine what is right for you.
Participants will discover:
The webinar will be recorded if you can't attend, but live participants will have the ability to ask questions and get real answers!
To stay current is to keep yourself up to date or informed on a particular topic. Staying current in the field of childbirth is essential for doulas and childbirth professionals. The concept of staying current could also include being informed on current trends for our customers, latest news and options for our local birth community and trends in the childbirth field. Continuing education is also important for professionals that carry a certification as those usually need to be renewed on a regular basis.
For the Doula Business Chat #4 we covered this topic and were thrilled to have Rebecca Dekker from Evidence Based Birth as our special guest. Rebecca shares how the frustration surrounding current research being hidden behind a pay wall lead her to the creation of her site.
Ways to Stay Current
From in person events to childbirth journals, there are a variety of ways to stay current. I have compiled a list (with links) below with my ideas along with those that came up in the chat. If you have ideas to add please leave a comment on the blog.
Reading Medical Research
Rebecca Dekker, shared a few ways to access research articles. Research can be expensive and difficult to access and hard to sift through as well.
If you enjoy research, but find it hard to process you will probably love both of these blogs. They take the research and present it in a way that makes it easy to understand.
I love attending conferences and find them to be an excellent way to keep up to date. While they can be expensive, the experience is so worth it. Attendees are able to learn by attending sessions as well as learn by connecting with other attendees.
There are so many continuing education opportunities I won't even try to list them all. They range from in person events to online classes. I have chosen a few that I have personally attended or were suggested on the chat.
Birth Journals are another excellent resource. Journal articles require a small investment of time but can be packed with good information.
Books have always been a staple of staying current. There are so many wonderful books that I couldn't name them all. Brief Coaching for Lasting Solutions (Norton Professional Books) was recommended by Michelle Beaulieu during our chat. This sounds like a wonderful resource for sharpening our skills of interviewing and working with clients in their decision making process.
Announcing our Book Club
I'm super excited to announce a Doula Business Chat Book Club! The 1st Book Club Title is Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond We will discuss this book at Doula Business Chat #6 scheduled for Tuesday February 24th, 2015 at 10pm ET. I would love to hear suggestions for future book clubs. Please give your input in the comments of this blog.
Networking with your local birth community
Staying current with local birthing practices is another way to keep our practice up to date. In person networking events with your peer in your community is a wonderful way to do this. Connecting with doulas over coffee or a meal and discussing the latest practice at local hospitals, options available to the community and more is really invaluable. I have made it a goal for 2015 to do more networking in my community.
We have put together lots of ideas for way to stay current in our field. What ways do you enjoy? Is there something we should add to our list? Please submit a comment and give your input. Let's learn from each other!
Doulas often will list the challenges of life on call as the primary reason for doula burnout or leaving the profession altogether. It is difficult to live a life on call, but being available for our clients is something that makes the doula role unique. Traditionally doulas did not practice in a group that shares call, but more and more doulas are finding that a shared call relationship is their preference.
How is "on call" defined?
For many doulas, the on call period is between 1-2 weeks before and after a client's due date. During this period the doula makes themselves available 24/7.
Limitations of an on call life include
Strain on friends and family
Being on call can often put a strain on family and friends. How many times can our village hear the words "As long as I'm not at a birth?" before it becomes an overused phrase? This "up in the air" approach to life and not being able to give firm commitments can be difficult to deal with. I know that my village of support gets tired of always making contingency plans.
Ideas on how to make on call life easier
1) Client Communication
I think a great place to start is my really sharing with our clients what being on call means. Let them know that it means you won't be far from home or drinking a second glass of wine. Make sure they know of pockets of time that you won't be available (example: long run, yoga class, child's school performance). I think clients appreciate the honesty and like to know more about our lives and commitments. Also, set the expectations with clients upfront. Let them know realistically how quickly you can get to them.
2) Respite Days/Nights
Talk to your backup doula about taking a day off call. [view our Backup Doula Contract] Schedule it on your calendar and do something for yourself on that day. This might be an important family event, date night or special occasion. Instead of crossing your fingers and hoping you don't have a client in labor on this special day, schedule yourself to have a backup cover you and let your client know. This is a concept that I plan on adding to my practice this year.
3) Sharing Call
Working with another doula (or doulas) to share a call schedule is definitely an answer to making life on call more manageable. This certainly makes things easier to schedule and takes away the uncertainty of work. I see the negative aspect of this arrangement to be a client/doula relationship that more like an OB/midwife practice where the client gets whoever is on call for that day. One could argue that clients can't guarantee her doula will be there, but there is more of a chance when call isn't shared.
Doulas, what are your thoughts on this topic? Am I missing anything? Please post a comment and let's learn from each other!
At the end of 2014 we took advantage of Google Hangouts On Air to connect with other doulas. This was super exciting and I must say a little scary to get started. With any new technology there is a learning curve, but the first two chats went well. We had doulas interacting on live with me on the Google Hangout and others asking questions and chatting in the chat box. The #DoulaBizChats were recorded through YouTube and are both available to watch. Each is featured on a blog with the replay and notes. For 2015 we plan to continue regular chats and have posted a calendar so that you plan to join in the fun.
Also occurring at the 2014, we created and released the Backup Doula Service Agreement which is our first digital product available for purchase and immediate download. This is a contract that a doula can edit and use in their business. The purpose of having a backup doula service agreement is to get the relationship between doula and backup doula defined. Both parties should be clear about their role and how the backup doula will be compensated. We have had many requests for more digital products and are working on more for 2015.
What were your wins of 2014? Please share in the comments!
For most doulas, securing a backup is one of the essential tasks in starting a doula business. While calling in your backup is usually not a common occurrence, all doulas will eventually have a need for a backup. Backups are called in for different reasons such as having two clients are in labor at once, a client with premature labor when the doula is unavailable and when the doula is sick or injured.
Selecting a backupHere are some things to consider when you are choosing a backup doula:
Paying A Backup
Things to consider when determining payment include:
Defining the Relationship
Setting the terms of the backup relationship are critical and often skipped by many doulas. It is important that the doula knows the time period for which they are on call. The doula should confirm that they are available and ready for a call at any time of the day and night. Do you know how soon will they return your call? The payment terms should be clear and upfront as well.
The Backup Doula Contract
For peace of mind and protection for your business I strongly recommend having a backup doula service agreement or contract. The contract should define the relationship and payment details. It will get you and your backup on the same page and make sure that there aren't any areas in question.
We have created a backup doula service agreement available for immediate purchase and download. It has blanks that can be easily filled it to meet your business needs. More information can be found here.
What are your experiences?
Sharing experiences and knowledge helps us all. Please submit a comment with your thoughts, challenges and ideas with doula backups.
December 17, 2014 was our first Doula Business Chat. We spent one hour through Google Hangouts On Air and chatted live with 8 doulas from around the US. Our topic of discussion was business planning and goal setting for 2015.
For my doula business planning, I use and highly recommend this business planner. If not this planner, I do think a planner that guides you through the planning and goal setting process can make this process so much easier.
My four MUSTS for successful planning and goal setting:
Doula planning comes with the following unique challenges
When looking back of the closing year it is important to look over your goals from that year.
Questions to consider include:
Personally, I have had the goal on my list to add Henna art to my services for the last 3 years. I have decided that this year I will throw this goal away. I don’t have the time. Other priorities come first. I would rather spend my time focused on my most important goals.
When looking forward to the new year it is important to consider the following questions:
What are the absolute most important goals for the year? Your top 3 is where you should focus the majority of your time and effort. Please share one or more in the comment section!
One of my all time favorite places for labor is the hospital bathroom. Say what?? Yes, it is the truth! With a little transforming the hospital bathroom can be an awesome laboring location.
How to transform a hospital bathroom starts with the lighting. The hospital lights are so harsh that I recommend never turning them on. NEVER EVER EVER turn those lights on! As a doula, one of the first things that I do is to grab some battery operated candles from my doula bag. I place three of these in the bathroom and they create enough ambient light for safety purposes and are so much better that the florescent overhead lights.
When mom is ready to spend more time laboring in the bathroom we can go ahead and add music. If she is enjoying music for labor it is a great addition to the cave. She might be listening to a playlist or just streaming some ambient spa-like music.
After the lighting and music are set the next super important step is to close (or crack open) the door. This is so important to actually get that cave-like feel. With the door closed or mostly closed she won't feel like she is being watched. It is a comforting feeling for most moms. Sometime moms even want to be left completely alone. In that case we need to make sure that mom knows that her partner and doula are right outside the door. If moms do want company in the cave we can pull in a stool for her partner/doula. Don't forget, Mom also needs a beverage, preferably a cup with a straw.
The bathroom is a great place to labor whether it be in the tub, shower or the toilet!