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birth community Equity Postpartum Doula understanding bias Webinar

Supporting Disabled Parents

[vc_row][vc_column][vc_column_text css=”.vc_custom_1650627316399{margin-bottom: 0px !important;}”]Welcoming a new person into your home and the world is always an emotional and life-changing experience with so much joy, but also many challenges and adjustments. Imagine navigating all of the usual challenges, when additionally you can’t hear your baby’s cries, see if they are too hot or too cold, or don’t have the mobility to do diaper changes or easily lift your baby.

This is a reality for many new parents, and it’s a reality we don’t see reflected in popular culture or in services and support for new parents. Disabled people are rarely depicted in parenting roles, despite the fact that 1 in 8 birthing people identifies as having a disability. One of the features of ableism is that disabled people are infantilized and not seen as sexual beings. As a result of these stereotypical and inaccurate beliefs, disabled people are assumed to not be parents. 

Additionally, until well into the 20th century, disabled people existed in a climate of eugenics, where many disabled people were unnecessarily advised not to reproduce and in some instances, sterilized against their will.

Even today, many disabled people report that they are discouraged from childbearing, and given inaccurate or misleading information about the impact of their disability on their fertility or ability to child bear. 

There is a growing body of research that shows that perinatal care providers are woefully uninformed or misinformed about the needs of disabled pregnant people. Just finding a clinic with an accessible exam room and other disability accommodations can be challenging and severely limit provider choice. Physicians and midwives are not trained on the needs of disabled patients and they themselves report that they feel insecure providing care to disabled patients. 

For parents who need assistance with newborn care, funded options are limited. In Ontario, there is a program called the Nurturing Assistance program. This program provides access to a support worker who can provide neonatal care under the parent’s direction, while the parent is present and involved in care. Support like this empowers parents to bond with their newborn while receiving assistance on their terms with the tasks that their disability limits them from performing. 

While Nurturing Assistance is an excellent resource, there are many challenges with the current program. Firstly, only individuals who meet the criteria for the self-directed funding program are eligible for nurturing assistance. This means people who do not need a support person for their own activities of daily living, but who do need assistance with newborn care are not eligible for funding. As a result, only a small proportion of disabled parents in Ontario can receive support from this program. 

Further, the support is usually provided by Personal Support Workers, often through agencies where the disabled parent is already receiving support. Personal Support Workers do not receive training on neonatal care and are often unwilling to accept such assignments or struggle to provide adequate support.

Disabled parents who do not qualify for the Nurturing Assistance program must pay for a support person out of pocket if this accommodation is needed. 

Whether the support person is paid out of pocket or through public funding for the rare families who qualify, support from a postpartum doula is an excellent way for disabled parents to receive nurturing assistance. More disabled parents need to be aware that trained support from postpartum doulas is available, and that funding from the Nurturing Assistance program can be used to hire doulas. Doulas need to be competent and comfortable providing support to disabled parents. They are key members of the parenting community who can truly benefit from the skills we bring to the table.

 

 

 

On Thursday, April 28 at 5 PM EST, we are hosting a webinar on supporting disabled parents. The 90-minute webinar will provide doulas with insight into how ableism manifests in perinatal care and parenting spaces, and the challenges and support needs of parents with physical disabilities during the postpartum period. Doulas should walk away feeling competent and confident about welcoming disabled parents into their practice.

The session will feature presentations from Rebecca Wood, Coordinator of Parenting with a Disability Network, a program of Centre for Independent Living Toronto. Rebecca will provide an overview of resources available to disabled parents and more information on the Nurturing Assistance program.

Gillian Cullen, a full-spectrum doula with Birthmark will provide practical guidance on postpartum care based on her experience supporting physically disabled clients through the nurturing assistance program.

Most importantly, two disabled parents, Gabriela Carafa and Terri-Lynn Langdon will speak from their lived experiences regarding the challenges they faced, the accommodations they needed to parent, and the supports that did and did not work well.

This webinar, presented with closed captioning and Q&A available in the chat, is a vital opportunity for doulas to build capacity in the provision of anti-ableist, disability-affirming support.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_button corner_style=”full_rounded” size=”large” url=”https://stefanie-techops.wisdmlabs.net/training/birthworkers-as-nurturing-assistants-support-for-disabled-parents/” target=”_blank” align=”center”]Register HERE for the Birthworkers as Nurturing Assistants Webinar[/mk_button][/vc_column][/vc_row]

Categories
balance birth Business collaboration community connection Health Care Labour Doula

What Doulas need to know about the Pelvic Floor

[vc_row][vc_column][vc_column_text css=”.vc_custom_1650026862256{margin-bottom: 0px !important;}”]

The pelvic floor is one of the most important elements to birthing beautifully, but many birth workers and health care providers do not appreciate just how integral it is to the birthing experience” says Pelvic Floor Physiotherapist Ibbie Afolabi

Pelvic Floor Therapy is somewhat of a new element in supporting birthing people and those in the postpartum period.  However, the knowledge of its importance is gaining traction in the birth world.  

So, what is the pelvic floor and why does it need therapy? Think of the pelvic floor like a hammock in your pelvis. It is a group of muscles that stretch from the front of the pelvis to the tailbone, or coccyx. It holds up the bladder, bowel and uterus. In most female and some intersex bodies there are 3 passages, or holes. Those are for the urethra, vagina and anus. They are held firmly by the pelvic floor muscles.  If the pelvic floor muscles are too tight or too loose, this can cause damage or trauma to the area during delivery, this can cause more extensive tearing or prolapse after a vaginal delivery. A pelvic floor therapist will work with you during pregnancy on exercises and muscle focus to help bladder leakage, relieve pelvic pain and discomfort, and help prepare you with breathing and positions for labour. This usually involves an internal exam.

The postpartum person also benefits from pelvic floor physiotherapy. If there was a cesarean, a PFT can aid in internal scar healing. Ibbie says on a website biography “We treat incontinence, pelvic organ prolapse, constipation, pelvic pain, sexual pain and dysfunction, abdominal/gut issues, diastasis rectus abdominis, pregnancy related conditions, and much more.”

With all this information, if you are pregnant or just had a baby, it may be worth looking into pelvic floor therapy.  It is covered under most Health Care insurance plans.  If you are a doula, I highly recommend you network for pelvic floor therapists in your area, go meet them, learn about what they do and add them to your resource list for clients.  Who knows, maybe they will start referring clients to you as well!

 

Ibbie Afolabi can be found teaching courses and supporting people throughout Ontario, including with Doula Canada.  You can find here on these websites:

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_button corner_style=”full_rounded” size=”large” url=”https://themamasphysio.com/” align=”center”]The Mama’s Physio[/mk_button][mk_button corner_style=”full_rounded” size=”large” url=”https://pelvicrehab.com/practitioner/ibukun-afolabi-mscpt-pelvic-health-physiotherapist/” align=”center”]Pelvic Rehab[/mk_button][mk_button corner_style=”full_rounded” size=”large” url=”https://stefanie-techops.wisdmlabs.net/courses/pelvic-floor-essentials-for-doulas-birth-practitioners/” align=”center”]Pelvic Floor Essentials for Doulas and Birth Practitioners[/mk_button][/vc_column][/vc_row]