Month: March 2023

Categories
birth Postpartum Doula

The Magic of Postpartum Support

[vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1679838820005{margin-bottom: 0px !important;}”]You’ve given birth and become a parent but it can feel like there is no time for recovery. The focus shifts almost entirely to your baby and your own needs can get sidelined. It’s exciting but also overwhelming and exhausting, both physically and emotionally. And just when new parents are at their most vulnerable, their babies take centre stage.

There are a lot of things about the postpartum period that you can’t control: how feeding will go, how your baby sleeps, your hormone fluctuations, etc. But you CAN prepare a great support system and a postpartum doula is an important part of that. Having access to a postpartum doula relieves a lot of stress so you can focus on the important business of bonding with your baby. If you haven’t worked with a doula before, it can be pretty hard to grasp what it is exactly that doulas do. And while birth doulas have been gaining in popularity, postpartum doulas are still a mystery to most expecting parents.

So what magic does a postpartum doula offer?

A postpartum doula helps you build community. The saying, “It takes a village” is true, a postpartum doula will help you rally family, friends and neighbours to feed you and your family nutritious food, supply solicited (and unsolicited) advice, and take care of older siblings. If support is in short supply they will work with you to find the places in the community that you can lean into to build your new postpartum community.

A postpartum doula helps build your confidence. Whether it be in feeding, or newborn care, when you have someone there to affirm that your choices are actually right on track, you start to believe in and trust yourself and your observations about your baby.

A postpartum doula supports your whole family. Partners who have doulas learn skills earlier and are more able to take on care of their infant alone earlier. Grandparents who have doulas around learn to care for new parents in a gentle and supportive way, able to use their instincts and experience in a way that supports their choice. Siblings gain another supportive adult to tend to their needs and help them bond with the baby and have time with their parents one on one.

A postpartum doula is well-versed in normal newborn behaviour and appearance, and normal postpartum healing. They can’t diagnose medical issues or mental health issues, but they can point out things that don’t seem normal to them so that parents can get an opinion from the appropriate professional.

A postpartum doula can help parents interpret those newborn cries—and the reflexes, body language, and other sounds that accompany newborn life! This is hugely empowering to parents who desperately want to know what is going on in that new little person.

A postpartum doula knows the importance of postpartum planning and will help you sort through what you need, the support you have and will need to have and how to navigate those early weeks and months with the new baby. ( check out our postpartum planning guide below)

A postpartum doula can work with you during the day or overnight. Some postpartum doulas offer one or the other and others offer a mix of both.

A postpartum doula is trained to recognize the difference between the typical “baby blues” and something more serious, like postpartum depression or anxiety. They can observe the new parent’s behaviour and determine if there may be a cause for concern, and as an impartial, objective third party they can provide a sounding board for her when they are ready to share their feelings.

A postpartum doula understands the need for the family’s care to be well-rounded; it is important that both their physical AND emotional needs are met. This vigilance truly is the first line of defence against postpartum mental health issues.

The postpartum period is a time of great transition, a time when people become parents, where they get to know themselves and their baby in this beautiful and challenging time. A primary goal of a doula is to meet a pregnant or postpartum person where they’re at. To find what is most important and most needed for you and your family.

Want your postpartum period to be calmer, do you want to feel more confident, bond more deeply with your baby? Hire a postpartum doula today![/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1679838899311{margin-bottom: 0px !important;}”]Our postpartum wellness plan is all about creating the space for you and your family to discuss and plan for the transition that is parenthood. To gather your commulity and bond with your baby.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Download the Postpartum Wellness Plan here ” color=”turquoise” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Fwp-content%2Fuploads%2F2023%2F03%2Fpostpartum-care-plan.pdf|target:_blank”][/vc_column][/vc_row]

Categories
Anti-racism work Equity

How do we DOula Advocacy?

[vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1679688049452{margin-bottom: 0px !important;}”]

What is Advocacy?

“Advocacy” can describe any efforts or actions to change a policy, system, or institution that is in some way harmful to individuals or communities. It can also describe efforts to affect outcomes that are aligned with the needs or interests of particular individuals, groups, or society.

Current examples of advocacy include the efforts of Indigenous communities to expose the atrocities at residential schools and seek truth and reconciliation from the Canadian government.

In the context of perinatal healthcare, advocacy is usually focused on updating practices and policies that are not evidence-based, changing the scope, compensation, or other labour conditions of a health profession or occupation, or health equity and patient rights issues.

In the context of doula practice, advocacy can operate on three levels: self-advocacy, systemic advocacy, and individual advocacy (Gray & Jackson, 2002, Centre for Excellence in Disabilities).

Advocacy is not without controversy. The line between advocacy and activism is unclear and for many, this has a negative association with confrontation, aggression, and violence (Gray & Jackson, 2002).

For doulas, this controversy has some unique dimensions. One such dimension is that the field is growing, changing, and still seeking legitimization and security within the healthcare system. Another is that the philosophy of doula practice is largely focused on patient empowerment, making the role of systemic and individual advocacy unclear and subjective among doulas.

A 2020 paper by S.S. Yam based on interviews with doulas identified three types of tactics that doulas use to advocate for their clients during labour and delivery. She calls these “soft-advocacy” techniques because they differ from what we usually think of as advocacy. Staff and instructors at Doula Canada agreed they used these strategies and had lots of guidance to offer on exactly how to use them. Their guidance was used to develop the advocacy framework.

The three tactics identified by Yam are 1) creating deliberative space, 2) cultural and knowledge brokering, and 3) physical touch and spatial maneuvers.

Creating deliberative space refers to strategies that give the client more time to ask questions and make decisions. One example of how doulas do this is by noticing that care that deviates from their preferences is about to happen and bringing it to the client’s attention, prompting them to ask about the intervention that is about to happen.

Cultural and knowledge brokering refers to the tactics doulas use to make sure the client understands medical jargon or cultural norms. This could involve paying close attention to the information provided by the medical team, observing how well this is understood by the client, and repeating the information in language that the client uses and understands.

Physical touch and spatial maneuvering refer to the ways we use our bodies and physical contact with the client to advocate for their needs. Examples include using our bodies to conceal the client from view, modelling consent by asking permission each time we touch the client and using our presence to back up the client during interactions.

All of this is to say that doulas are indispensable in helping pregnant persons navigate the daunting, confusing, and sometimes violating process of giving birth. They are especially valuable for birthers who are already predisposed to face disadvantages in our medical system due to racism and sexism.  Although doulas are poised to mend critical disparities in maternal health, they alone cannot fix inequities in the health system. Standing up for the rights of pregnant persons must go beyond the delivery room and extend into other spheres of advocacy related to disproportionate access to housing, lack of nutritious food, deficient public transportation systems, and inadequate sexual education.  Advocacy needs to happen with all levels of policy makers, hospital administration and the general public.

Doula Canada has taken our Advocacy Framework and turned it into an accessible tool for birth workers to practice the skills of advocacy for themselves and their clients. It’s downloadable below.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Find the Advocacy Toolkit here ” color=”turquoise” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Fwp-content%2Fuploads%2F2023%2F03%2Fdtc-advocacy-toolkit-2023-1.pdf|target:_blank”][/vc_column][/vc_row]

Categories
birth Comfort Techniques fear gratitude Labour Doula pregnancy

Doula’s Toolbox: Why Birth Affirmations Matter!

[vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1679509016754{margin-bottom: 0px !important;}”]So let’s talk affirmations. The concept of self-affirmation isn’t by any means complex or far-fetched. Positive affirmations are statements or phrases that, when repeated daily, can help challenge negative thoughts and boost self-confidence.

First, a little science. 

To understand how positive affirmations work and how you can make the most of them, we have to familiarize you with neuroplasticity, which is the ability to rewire the brain. Despite being one of the most sophisticated and complex structures in the known universe, the human brain can get a little mixed up on the difference between reality and imagination. This very loophole serves as the basis of self-affirmation. To elaborate, when you repeat affirming statements daily, you’re helping your brain create a mental image of the goal you’re trying to achieve or the version of yourself you are aspiring to become.

Affirmations require regular practice if you want to make lasting, long-term changes to the ways that you think and feel, even for birth. There is MRI evidence suggesting that certain neural pathways are increased when people practice self-affirmation tasks (Cascio et al., 2016). If you want to be super specific, the ventromedial prefrontal cortex—involved in positive valuation and self-related information processing—becomes more active when we consider our personal values (Falk et al., 2015; Cascio et al., 2016). There is also some reasearch asserting that affirmations can reduce the rate of medical interventions during childbirth.Empirical studies suggest positive affirmations can:

  • Decrease health-deteriorating stress (Sherman et al., 2009; Critcher & Dunning, 2015);
  • Help change the way we view “threatening” messages with less resistance and perception (Logel & Cohen, 2012);
  • Self-affirmation has been demonstrated to lower stress and rumination (Koole et al., 1999; Weisenfeld et al., 2001).

Think of it this way. When you repeat the same thoughts in your head, positive or negative, you start to believe them and your brain forms a pathway of neurons. There is a popular saying: Your words become your world.

Anyway most importantly the purpose of affirmations in labour is actually quite simple: Birth affirmations are sayings or statements designed to change your mindset and help you maintain a positive outlook or mood regarding the birth process.

Preparing your mind for labour and birth is really important, and it is no different from eating well or working on specific exercises to prepare your body for labour.

In order for birth affirmations to work, you need to keep a few things in mind:

You  have to believe what you’re saying

When you have a negative thought or fear, recognize it and deal with it first. This study found that participants with low self-esteem who repeated the phrase “I am lovable” actually had more negative emotions and still didn’t feel lovable because they didn’t really believe what they were saying.

Try to get to the root of your fears or negativity around birth.  Talk to a counsellor, listen to or read positive birth stories and surround yourself with other positive influences.

Keep in mind that sometimes we have to keep saying affirmations over and over again until we do believe it, which brings me to my next point.

Repeat, repeat, repeat!

Create a plan to practice your birth affirmations daily or a few times a week leading up to your birth. Find an affirmation meditation you enjoy, write them in a journal, and practice with your partner, doula or support person, you can even record your own voice memo practicing your affirmations to listen back. Practicing during your pregnancy will make using these affirmations during labour more effective.

They are not just for vaginal birthing.

There’s a common misconception that affirmations or hypnobirthing tracks are only helpful for people planning for an unmedicated birth experience. Plus affirmations are a great tool to complement other forms of pain management in your plan (think about that long drive to the hospital before you get an epidural).

Make them visible: Once your contractions pick up, channelling your focus on affirmations will be more challenging. Print out a copy of your affirmations, save them to your phone, or pack affirmation cards (see the downloadable pdf)  in your bag will give you a visual point of reference to help keep your focus on your affirmations as you ride the waves of labour.

Now that you’ve got a sense of how affirmations work, where can you find the right positive messages for you?  We have a downloadable PDF with a few ( ALSO for doulas this deck is customizable you can add your logo) you can google, or you can ask friends and family to help you out.

What matters is that they are meaningful and believable for you![/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Customizable CANVA affirmation deck ” color=”turquoise” link=”url:https%3A%2F%2Fwww.canva.com%2Fdesign%2FDAFd8HHbv8Y%2F_hEn_HPs8cN6DuVZfUaADw%2Fview%3Futm_content%3DDAFd8HHbv8Y%26utm_campaign%3Ddesignshare%26utm_medium%3Dlink%26utm_source%3Dpublishsharelink%26mode%3Dpreview|target:_blank”][/vc_column][/vc_row]

Categories
Business Canada connection fertility Labour Doula pregnancy reducing stigma Uncategorised

7 things you Should know about Menstruation and Why a Fertility Doula can Help!

[vc_row][vc_column][vc_single_image image=”491531″ img_size=”full” alignment=”center”][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1679506139819{margin-bottom: 0px !important;}”]A menstrual period is the monthly shedding of the uterine lining. Menstruation is also known by the terms menses, menstrual period, menstrual cycle or period. Menstruation is a normal and healthy part of life for most people with a uterus and no matter what you think you know about it age, hormones or even the weather can change how a person menstruates and how it feels ( A reason for why connecting with a Fertility Doula is a good idea!). Period facts are often obscured by myths about menstruation.  Most people with a uterus get their first period between the ages of 10 and 15 and continue to have their period until their late 40s or early 50s.

So let’s talk about some period facts:

  1. You loose less blood than you think you do: First off, you need to know that only approx. 50% of menstrual fluid is blood. ‘Menstrual fluid’ is not the same as ‘blood’, menstrual fluid also contains cervical mucous and vaginal secretions. On average a person loses anywhere between 1-6 tablespoons of menstrual fluid during each period. It can be thin or clumpy and varies in colour from dark red to brown or pink.
  2. It can take up to 3 years from the beginning of menstruation for your period to become regular: It’s common for cycles to be somewhat unpredictable for about two years after the first period. This means periods may not always come at the same time every cycle. Your periods may also look and feel somewhat different cycle-to-cycle. The first period may be quite short, with only a little bit of bleeding and the second period may be longer with more bleeding. After a couple of years, your cycles should become more regular, but may still continue to vary. Most cycles settle into a predictable rhythm about six years after menarche (the onset of your period).
  3. The average menstrual cycle is about 25- 30 days but not always: The average length of a menstrual cycle is 28 days. The days between periods is your menstrual cycle length. However, a cycle can range in length from 21 days to about 35 days and still be normal. Most people have their period (bleed) for between three and seven days. Once you reach your 20s, your cycles become more consistent and regular. Once your body begins transitioning to menopause, your periods will change again and become more irregular. From the time of your first cycle to menopause, the average menstruating person will have around 450 periods in their lifetime.  Added up, this equates to around 10 years — or about 3,500 days — of the average menstruating person ’s life that will be spent menstruating.
  4. Steps of your Cycle: The rise and fall of your hormones trigger the steps in your menstrual cycle. Your hormones cause the organs of your reproductive tract to respond in certain ways. The specific events that occur during your menstrual cycle are:
    1. The menses phase: This phase, which typically lasts from day one to day five, is the time when the lining of your uterus sheds through your vagina if pregnancy hasn’t occurred. Most people bleed for three to five days, but a period lasting only three days to as many as seven days is usually not a cause for worry.
    2. The follicular phase: This phase typically takes place from days six to 14. During this time, the level of the hormone estrogen rises, which causes the lining of your uterus (the endometrium) to grow and thicken. In addition, another hormone — follicle-stimulating hormone (FSH) — causes follicles in your ovaries to grow. During days 10 to 14, one of the developing follicles will form a fully mature egg (ovum).
    3. Ovulation: This phase occurs roughly at about day 14 in a 28-day menstrual cycle. A sudden increase in another hormone — luteinizing hormone (LH) — causes your ovary to release its egg. This event is ovulation. However, some people do not ovulate or they ovulate at different times, more about this later.
    4. The luteal phase: This phase lasts from about day 15 to day 28. Your egg leaves your ovary and begins to travel through your fallopian tubes to your uterus. The level of the hormone progesterone rises to help prepare your uterine lining for pregnancy. If the egg becomes fertilized by sperm and attaches itself to your uterine wall (implantation), you become pregnant. If pregnancy doesn’t occur, estrogen and progesterone levels drop and the thick lining of your uterus sheds during your period.
  5.  Let’s talk about ovulation: Ovulation usually happens once each month, about two weeks before your next period. Ovulation can last from 16 to 32 hours. It is possible to get pregnant in the five days before ovulation and on the day of ovulation, but it’s more likely in the three days leading up to and including ovulation. Once the egg is released, it will survive up to 24 hours. If sperm reaches the egg during this time, you may get pregnant. Some people with a uterus do not ovulate regularly. This is common in the first two to three years after your periods start and during the lead-up to menopause. Some conditions, such as polycystic ovary syndrome (PCOS) and amenorrhoea (when periods stop due to excessive exercise or eating disorders) may cause irregular ovulation. Individuals with certain hormone conditions do not ovulate at all. It is possible to ovulate and not have a period after. It is possible to get pregnant without having periods in several months, but the chance of pregnancy of much lower when you are not having periods, compared to when you have regular periods. It is also possible to experience monthly periods without going through ovulation first- this is considered abnormal and is the result of something called an “anovulatory cycle”.
  6. Your periods get worse when it is cold: This is definitely an amazing period fact: cold weather can impact your period, making it heavier and longer than normal. During the winter months, a menstruating person’s flow, period duration, and even pain level are longer than in the summer. This pattern also extends to women who live in colder climates rather than warmer temperatures. The seasons can also affect your PMT too — the darker, shorter days can adversely impact your mood when combined with female productive hormones. This is thought to be because of a lack of sunshine, which helps our bodies to produce vitamin D and dopamine — which both boost our moods, happiness, concentration and all-around health levels.
  7. Periods after Pregnancy: After birth, your periods will return at your body’s own pace. It’s possible for your periods to return as soon as 4 to 6 weeks after childbirth. If you bottle feed or partially bodyfeed your baby, you’ll tend to start having periods sooner than if you exclusively bodyfeed. If you choose to bodyfeed exclusively, your first period may not return for several months. For those who keep bodyfeeding, it might not return for 1 to 2 years. The range of “normal”, is enormous. Experiencing a menstrual period does not mean that your menstrual cycle has returned permanently and without an accurate clinical test, you won’t know whether or not you ovulated (released an egg and could potentially become pregnant). You are more likely to ovulate and resume regular periods if your baby is going for more than a few hours without breastfeeding (for instance, at night) and your baby is more than 6 months old. Many bodyfeeding parents experience a time of delayed fertility during breastfeeding. This is very common and is referred to in many places as the Lactation Amenorrhea Method (LAM) of contraception. However it is important to remember that you can get pregnant while nursing, even without a period.

These 7 facts are just the tip of the iceburg when it comes to understanding your body and menstruation. If you have questions, whether you are trying to get pregnant or not a Fertility Doula can help with that![/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”491536″ img_size=”medium”][/vc_column][/vc_row][vc_row][vc_column][vc_btn title=”Download the infographic here” color=”turquoise” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Fwp-content%2Fuploads%2F2023%2F03%2F7-things-to-know-about-your-cycle-1.pdf|target:_blank”][/vc_column][/vc_row]

Categories
birth Business Uncategorised

Interested in becoming a doula? What is holding you back?

[vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1678112925784{margin-bottom: 0px !important;}”]There are a lot of myths and misconceptions out there about doula work. You have to be “crunchy”, have your own children, your too young or too old. I am here to tell you not a single one of those things is relevant to doula work.

I began my doula journey well before I had kids when I was working a full-time job and was looking for something to reignite my passion. I didn’t know exactly what I wanted to do but I wanted to do something with babies.

So I signed up for a training course, drove 3 hours to take it, stayed in a sketchy motel and left feeling equal parts inspired and overwhelmed. Taking on something new is scary. Fear is one of life’s biggest paralyzers. All of us are afraid of failing, afraid of change, and transitions to something new often feel impossible.

My journey to birth work was not speedy. I took my time. Took in the learning, and made small changes, it took me almost 5 years to dive into birthwork full-time. Deciding to take a course you are passionate about is the beginning, it’s a step forward, not a deep dive.

Often a barrier to taking that step is the fear of not knowing how to do it. Worrying about not knowing how to do it is a waste of time. Instead, learn how to. Set up an informational interview with other doulas in your area. Ask how they got started and if they have any tips for going forward. If you align with their values and style ask if they are willing to be your mentor.

Also, get to know your training organization. Set up a consultation with the training program you are interested in. Ask all the questions. In fact, check a few out and go with the one that you feel most inspired by.

When I signed up for the doula course at first I was not sure I could afford it but in reality, with a little planning, I made it work. If you are questioning whether you can afford it. Ask yourself: When will you have enough money? Even if you win the lottery, will that be enough money for you to follow your dreams? What changes can you make to your income to set a little aside to take the course? Is there a grant you can access or funding? Do you have a family member or friend who will support your dream with a loan or gift? Nothing is impossible with a little ingenuity.

Lastly, time. It’s on everyone’s minds. How will you make the time? We all have incredibly busy lives and are exhausted and overwhelmed. However, making time for something you love means making the time, even if it starts with 15 minutes a day it’s the first step. Remind yourself that if you’re busy now, you’ll probably continue to be busy later, so set aside time for your dreams today.

So my potential doula. What is holding you back?[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_padding_divider][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1678113462893{margin-bottom: 0px !important;}”]About the author.

Sondra is the Program Coordinator for DTC and a mother of 2, a full-time doula and a counsellor. She has a passion for teaching new doulas how to build a life and business that works best for them. [/vc_column_text][/vc_column][/vc_row]