yourdoulabag — Childbirth Education

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Labor as a watched pot 1

You can't rush labor

Everyone knows the expression "A watched pot won't boil" and I imagine most doulas have felt the similarity with labor.  I have had several clients over the years have out of town family come into town prior to the birth so that they can be there when the baby is born.  The days go by without a baby and the family has to either extend their stay or leave before the baby arrives.  Many times I have seen labor start the moment that the family has to return.   This has happened so many times that I actually warn clients about the watched pot phenomenon.

Have you seen this happen?

In Labor? Doulas say "Think outside the bed" 0

[caption id="attachment_1092" align="aligncenter" width="575"]Doulas say "think outside the bed" Doulas say "think outside the bed"[/caption]

There are so many positions for labor outside of just lying in the bed.

Standing

Kneeling

Sitting in a chair

Sitting on the toilet

Sitting on a ball

Bathtub

Shower

Walking

Squatting

Hands and Knees

Lunging

Slow Dancing

Leaning

Leaning on a ball

Rocking

There are so many options!

Labor as an Important Job 0

 

[caption id="attachment_951" align="aligncenter" width="538"] Childbirth Class isn't a waste of time![/caption]

I love this quote from "The Official Lamaze Guide Giving Birth With Confidence" by Judith Lothian and Charlotte DeVries.  Labor IS very much a job.  Let's prepare for it in the same way that we would a job.  When I take on a new job I often spend time reading company handbooks, learning about company policies.  New jobs often require employees  to take extra training courses or job orientations.  Attending a childbirth education course is one way to preparing for the "job" ahead.  By choosing to spend time at a childbirth education class you are preparing for the job of labor.  In childbirth class you learn about the challenges of labor and discover strategies on how to deal with these challenges.  Embrace this challenge!  Go into labor with your mind set on the job at hand, having a baby.  Be knowledgeable about your options.  Don't just trust that your doctor/midwife will tell you what to do.  Don't try to get it over with as quickly and easily as possible.  You are the only one able do the job of birthing your baby.  It's an awesome responsibility and a privilege as well.

My Doula Dreams are Coming True! 0

 

I've pinched myself a few times over the past 24 hours and I can verify that this isn't a dream.  The American College of Obstetricians and Gynecologists have recently released a statement titled "Choosing Wisely: Five Things Physicians and Patients Should Question" where inductions were mentioned in 2 of the 5 items!

From the statement:

1. Don’t schedule elective, non-medically indicated inductions of labor or Cesarean deliveries before 39 weeks 0 days gestational age.

2. Don’t schedule elective, non-medically indicated inductions of labor between 39 weeks 0 days and 41 weeks 0 days unless the cervix is deemed favorable.

Number 1 isn't too shocking.  The March of Dimes and their awesome campaign has really seemed to limit scheduled inductions and Csections prior to 39 weeks.  Its number 2 that is the one to really pay attention to.  ACOG is saying that inductions shouldn't be done if the cervix isn't favorable!  YAHOO!!  They even go on to say "Ideally, labor should start on its own initiative whenever possible."  Can you see me dancing?  ACOG is finally making a statement saying that it isn't just waiting until after 39 weeks, but that it should be done if mom's body isn't ready.  Of course I would really be dancing if it would have said something like "let labor begin on its own whenever possible", but I'll take "unless the cervix is deemed favorable".

Could this mean that we see a decline in inductions for convenience?  Could this mean that I won't have another client being sent for an induction when her cervix isn't favorable? 

I am so hopeful that this statement will make some changes to induction policy and maybe we can eventually see the csection rate decrease.     

What will you do with this information?  I encourage you to get the word out...blog, tweet and do a Facebook post about it.  Tell your clients and students about it.  It's big news.  Let's make the most of it.

Where's the Eject button? 1

 

 

Hospital beds are so fancy.  They have buttons for everything. You can call the nurse, turn on a light and sometimes control the TV. They go up they go down, they can even turn into a chair.

I'd like to add an "Eject" button!

Nurses tend to ask mom to get in the bed as soon as she changes into her gown.  They seem to prefer mom in bed during monitoring periods and I have even heard of moms being restricted to the bed in cases of induction.  Is the bed really the best place for labor? NO!  And that is why I want an "eject" button to be added to hospital beds.

Let's get moms up and moving around.  Lamaze International feels so strongly about movement in labor that it is one of their 6 healthy birth practices.  There have been numerous studies that say movement in labor can make labor itself shorter and more efficient.  We don't need research to know that contraction pain is usually greater when women are lying on their backs.  All we need to do is observe women in labor.  Doulas, how many times have you seen a woman get out of the bed an immediately start coping better?

If being active and moving around in labor is so beneficial, they why isn't it prescribed to women in labor?  Movement is GOOD.  Encourage women to move.  It is that easy.

Now...off to call Hill Rom and ask about that 'Eject' button...

A National Healthcare Crisis - Our Current CSection Rate 0

 

When will our csection rate be too high?  Most doulas and childbirth educators already think it is too high, but when will everyone agree that it's too high?  Could it reach 50%, 60%...what about 100%?  I think it's already a national health crisis.  What do you think?