Categories
Anti-Oppression Anti-racism work Canada collaboration community decolonization Equity indigenous doula intersectionality national indigenous peoples day

Land Back, Bodies Back

[vc_row][vc_column][vc_column_text title=”Land Back, Bodies Back” css=”.vc_custom_1717529147132{margin-bottom: 0px !important;}”]Many settlers (i.e. all non-Indigenous residents on Indigenous land) are resistant to the Land Back Movement. Misinterpreting “Land Back” as a call for all settlers to “go back where they came from”, they often get scared, then angry.

I am a Black settler on Turtle Island and I support the Land Back Movement. I certainly have no intention of “going back where I came from”. Aside from the fact that this would split up my interracial family, my ancestors hail from a Caribbean island wherein there are more of us in the diaspora than there are living on the island. If all of us who are now settlers elsewhere suddenly “returned” this would lead to social chaos and economic collapse.

Land Back isn’t symbolic either. It is about restoring the stewardship of this land and its resources back to Indigenous people, ensuring they have self-determination. It’s about changing the narrative such that Indigenous ways of knowing and doing become the status quo.

I am ride or die for a Turtle Island stewarded by Indigenous leaders. Climate change is heating up quite literally, with “wildfire season” starting earlier with bigger outbreaks each year. There is growing talk of returning to Indigenous “controlled burning” practices to mitigate the devastation. Indigenous communities were forced to abandon the practice because their colonizers thought controlled burns were “barbaric”. It’s one of countless examples of traditional resource stewardship practices that were abolished to the detriment of all.

The Canadian state has a long history of interpreting its treaties with Indigenous nations in bad faith. Settler-colonists spuriously interpreted the land as meaning nothing more than the ground we are standing on. Where treaties have designated the land to specific nations, the state and its agents have still felt entitled to help themselves to the resources on that land, including plants, water, minerals, and animals.

Indigenous nations have a more holistic understanding of the land. Everything the land produces is part of the land and the Indigenous elders representing their people signed the treaties with that pragmatic worldview. Seen in this way, our bodies and families are also part of the land. As such, reproductive and perinatal health and services are significant arenas for the Land Back movement.

Indigenous midwives and doulas are at the forefront of actions to decolonize and reclaim birth. Here are a few examples of their initiatives that are bringing Indigenous birth back to the land:

 

  • Konwati’shatstenhsherawi’s means “Women are Giving Each Other Power” in the Mohawk language (Kanien’kéha). This collective trains Indigenous birth helpers to support birthing people using ancestral worldviews and practices. Since the grassroots program’s inception in 2017 demand has been high and the 4-person training team is busy teaching new cohorts all the time.

 

  • Call Auntie is an Indigenous-led sexual and reproductive healthcare clinic operating weekly at Toronto Birth Centre, and as a pop-up at other locations around the city. They offer a holistic suite of services rooted in traditional Indigenous knowledge, including mental health, primary care, and social support programs. Their service model emphasizes problem-solving, removing barriers, and community-led care.

 

  • Pauktuutit Inuit Women of Canada is making important strides forward in expanding access to traditional midwifery in remote northern communities. Their position is that this access is a health and cultural right for Inuit people. They recently published a report finding that governments do not provide adequate financial support to culturally safe sexual and reproductive health care. They advocate for an end to forced birth evacuation and a return to traditional birthing practices on the land.

 

  • Mālama Nā Pua o Haumea is a collective of Hawaiian traditional midwives who are working to reduce maternal mortality rates which are higher in Hawaii than in the continental US. Recently, legislation governing midwifery care has changed and they are now required to become certified nurse midwives (CNM) or certified professional midwives (CPM). Pale keiki (traditional Indigenous Hawaiian birth attendants) experience multiple institutional barriers to completing this certification, including cost and relocating to an urban centre. In contrast to these 4-year certification programs, pale keiki train with a mentor versed in intergenerational knowledge for over a decade. Some pale keiki are continuing to provide culturally safe care in Pidgin, despite these legislative changes. (US)

 

  • Kehewin Cree Nation has launched a program to train traditional midwives and has received federal funding to open a birth center on its territory. The nation aims to see more Cree babies born on their land and to honour sacred traditions such as placental ceremonies. Trainees in the program learn the knowledge of their midwife ancestors alongside Western medical knowledge. Four women are in the inaugural cohort and the program will take up to 4 years to complete. Kehewin Cree Nation anticipates these 4 trainees will be the first of many.

 

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
balance vulnerabiliity

The Self-Care Side of Doula Life: Avoiding Burnout with a Smile

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The Self-Care Side of Doula Life: Avoiding Burnout with a Smile

Being a doula is as rewarding as it is challenging. After all, who else can claim their workplace involves bringing new life into the world on a daily basis? But let’s be real, between the 3 AM calls and emotional support marathons, even the most seasoned doulas can feel the wear and tear. That’s why mastering the art of self-care isn’t just nice—it’s essential for survival in the doula biz! Here’s how you can keep your own batteries charged, dodge compassion fatigue, and manage stress with a grin.

1. Start with the Basics: Naptime Isn’t Just for Babies

Remember how parents are always advised to sleep when the baby sleeps? Well, doulas should nap when… anytime possible! Sleep might seem like a luxury when your phone is buzzing with birthing emergencies, but grabbing those Z’s is crucial. Lack of sleep can make anyone grumpy—even those with saint-like patience. So, curtain off some snooze time; your body (and your clients) will thank you.

2. Laugh It Off: The Secret Doula Superpower

Laughter might not be documented in your training manual, but it should be. It’s a stress-buster, a bond builder, and a great way to lighten the mood in tense situations. Try cracking a joke after a long birthing session (timing and audience awareness are key, of course!). A good giggle can refresh the soul just as much as an hour of meditation—plus, it’s more fun.

3. Hydrate Like You’re Prepping for a Marathon (Because You Kind of Are)

Hydration is the unsung hero of doula work. Staying hydrated helps maintain your energy levels, keeps your mind clear, and prevents those pesky headaches that can sneak up after hours in a warm birthing room. Think of your water bottle as an essential tool of the trade—right up there with your comforting presence and soothing words.

4. Find Your Tribe: A Vent Session Does Wonders

Connecting with fellow doulas can be incredibly therapeutic. After all, who better understands the highs and lows of doula life than another doula? Whether it’s a formal support group or an informal coffee meet-up, sharing stories, tips, and maybe some frustrations can help you feel understood and rejuvenated. Plus, it’s a chance to exchange those epic birth stories that only

doulas can truly appreciate it.

5. Set Boundaries Like a Pro

Boundaries are not just for playpens! As doulas, we invest emotionally in our clients’ experiences, which is why it’s vital to know when to step back and recharge. It’s okay to turn off your phone during personal time or to say no when your schedule is packed. Remember, you can’t pour from an empty cup, and setting boundaries helps ensure your cup stays at least half-full (or however you prefer your coffee).

6. Engage in Non-Doula Delights

Sometimes, the best way to handle the stresses of doula work is to do something utterly unrelated. Take up a hobby that makes you lose track of time—be it painting, hiking, or even salsa dancing. Engaging in activities that bring you joy and relaxation can provide a much-needed break from your professional life and help keep burnout at bay.

7. Practice Saying ‘I Need Help’

It might come as a surprise, but doulas need support too. If you’re feeling overwhelmed, seek help, whether it’s professional counseling or simply talking to a friend. Admitting you need assistance isn’t a weakness; it’s a profound strength and an integral part of self-care.

8. Celebrate Your Wins, Big and Small

Every birth you assist with, every new mom you comfort, and every dad you reassure is a victory. Celebrate these moments. Keep a joy journal or a smile box where you save notes, photos, or little keepsakes from your clients. During tougher days, these mementos can serve as powerful reminders of why you do what you do.

Wrapping It Up With a Smile

So, dear doulas, while you’re out there changing diapers and lives, remember to take a moment for yourselves. Self-care isn’t just about spa days and bubble baths—it’s about keeping your internal well-being in check so you can continue doing the incredible work you do. And if all else fails, remember, there’s nothing that a good doula dance party can’t fix!

Here’s to you, the unsung heroes in the delivery rooms. Keep thriving, keep smiling, and remember, you’re not just helping to bring new lives into the world—you’re also creating a space of love and care that starts with you.

 

Desiree Wills – Certified Postpartum Doula, DTC Alumni

As a Postpartum Doula, Desiree aims to empower families to approach parenting with self-compassion, a willingness to learn from mistakes, and the understanding that perfection isn’t the goal. She provides essential support, helping families feel more at ease and better prepared for life with a baby, filling the gap that may be left by family and community.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_gallery interval=”3″ images=”520909″ img_size=”200×100″][/vc_column][/vc_row][vc_row][vc_column][vc_text_separator][/vc_column][/vc_row]

Categories
Maternal Mental Health Mental Health Uncategorised

Embracing the Postpartum Mind

[vc_row][vc_column][vc_column_text title=”Embracing the Postpartum Mind” css=”.vc_custom_1715196675524{margin-bottom: 0px !important;}”]One of my biggest frustrations as a doula is the inattention paid to women and birther’s postpartum health and recovery. It’s a stark, ongoing manifestation of medical misogyny. Historically, women were seen as vessels for babies. Our health during pregnancy was paramount because a healthy baby was the priority. Once the baby is born, the focus shifts to the baby’s health. Moms and birthers get put in the corner. This is reflected in the growing body of research on the benefits of doula care, most of which focuses on birth support, with little attention paid to the benefits of having a postpartum doula.

Among other concerns, this sweeping aside of birther’s postpartum health contributes to postpartum mental illness, both its development and escalation as it goes unrecognized and untreated.

In every postpartum interaction, I ask the birthing client how they are doing. This often elicits a response about the baby. I hold space for this, answer any questions, and then bring the focus back to how they are doing. There’s often a sense that focusing on themselves after having a baby is somehow “bad parenting”. I use the routine guidance we’re given on planes as a metaphor: You have to get your own oxygen mask on before you can help anyone else. When new mothers and their health concerns get left behind, it’s like we are asking them to sustain someone else’s life with no oxygen mask of their own.

Prenatally, I review what routine postpartum care should include so clients know if anything is falling through the cracks. I also review things that aren’t routine but should be. This includes how to tell if you should be assessed by a pelvic floor physiotherapist, as well as how to tell if you are experiencing postpartum mental illness that should not be dismissed as “baby blues”. In our birth intention setting practice, I ask clients to reflect on the mental health interventions they are open to if the need arises. I ensure that I have referrals at the ready to culturally appropriate therapy, support groups, and self-help resources, along with information on pharmacological and naturopathic options.

Whether they remember any specific information or not doesn’t matter to me. The goal is to ensure that they know that I am a trusted person they can disclose if they are not feeling mentally well after they have their baby. They know ahead of time that I view mental illness as normal, non-shameful, and usually impermanent if the right steps are taken.

A 2022 US-based study that explored birth and postpartum support found that having a postpartum doula lowered the odds of having postpartum depression and anxiety by 57.5%. This data was drawn retrospectively from Medicaid claims in three states that fund doula care. It’s a great example of why our services need to be accessible.

The non-birthing parent can also experience postpartum mental illness which is often overlooked. As part of supporting the whole family, we should be vigilant about this risk and empower non-birthing clients to recognize early warning signs and see help early. Early intervention is critical for ensuring positive outcomes for any mental illness.

Spreading the news about the mental health benefits of having a postpartum doula is a great way to observe Maternal Mental Month and World Maternal Mental Health Day on May 4. It’s especially important to raise awareness among our elected provincial representatives, and health policymakers. These are the people who can ensure needs-based access to doula care.

 

#MATERNALMHMATTERS, #WMMHD #WMMHD2024

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.

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Categories
Maternal Mental Health Mental Health Uncategorised

Shining a Light on the Prevalence of Mental Illness

[vc_row][vc_column][vc_column_text title=”Shining a Light on the Prevalence of Mental Illness” css=”.vc_custom_1715195210027{margin-bottom: 0px !important;}”]At a recent public gathering, I noticed that a speaker referred to a community member exhibiting symptoms of a mental illness as “a person with mental health”. I found the turn of phrase jarring, but couldn’t quite put my finger on why. May is Maternal Mental Health Month and it’s a good opportunity to do the important work of finger placing, that is learning from what that feeling of discomfort is trying to teach.

Referring to mental illness as “mental health” is a confusing effort to euphemize states of mental ill-being. We use euphemisms for one reason: when the subject of conversation makes us profoundly uncomfortable. Clearly, being mentally ill is still taboo.

By age 40, 50% of Canadians will have or will have had a mental illness. It’s important to acknowledge that it is an unwell state that can significantly alter a person’s life. We can be strengths-focused while being honest. People with a range of mental illnesses can be resilient, resourceful, and creative. Some of the disability experienced by people living with mental illness is socially constructed, such as rigid social, cultural, and economic expectations regarding the hours and structure of paid work.

Truthfully, the acute phase of any mental illness does not feel good, and functioning to the best of what you know your ability to be, and meeting your priorities, becomes impossible. Most people would do just about anything to return to a mentally well state. Sometimes, desperation to return to a healthy state can be fatal, if people can’t see any path other than death to return to wellbeing.

Being unable to say you feel awful without shame is part of the problem. Being able to say “I feel like crap right now and I can’t function at my best, or at all” is the first step on the path to wellness.

As doulas, childbirth educators, and birth workers, we have a vital role to play in opening time and space for clients to say they feel ill. We can normalize not always feeling happy right after you have a baby. We can normalize feeling anxious rather than excited during pregnancy. We can normalize still being down months after you lost a pregnancy when everyone is saying “You can just try again.”

Recognizing that your state of ill-being is normal makes it easier to face without fear. With fear removed, it becomes easier to see that this state is temporary and become motivated to explore avenues to becoming mentally healthy.

This month we will spend time unmasking the mental illness behind Maternal Mental Health Month. It has a face, and it has a name. When we name mental illness, it’s like shining a light on the monster under the bed. We see that there’s not as much to fear as we thought and that we have more tools for safety at our disposal than we realized.

 

For more information about Maternal Mental Health visit the World Maternal Health Day websitwmmhday.postpartum.net

#MATERNALMHMATTERS

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][mk_header][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”540566″ img_size=”full”][/vc_column][/vc_row]

Categories
Anti-Oppression birth Canada community Equity fear intersectionality LGBTQ2S+ pride reducing stigma sexual health shame

The Importance of Being Seen: Trans Day of Visibility & Pink Shirt Day

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When I was a kid, we were taught that not seeing differences, or being “colour-blind” was the right way to be “tolerant” and “accepting” of diversity. We hear echoes of this sentiment when we hear “They can do whatever they want behind closed doors, but why do they have to flaunt it in our faces?”

March 31 was Trans Day of Visibility and April 10 was International Day of Pink. Both observances attest to the importance of being seen as an integral dimension of human rights and inclusion. People who can only be their authentic selves behind closed doors can’t hold their same-sex partner’s hand during the anatomy ultrasound, or tell their care team that they want to be called “Papa” after they give birth. People who are forced to hide their identity behind closed doors are at risk of getting beaten up in bathrooms and dying by suicide behind closed doors. Trans people need to be seen so that kids like Nex Bennedict can go to school safely. Behind closed doors is exactly where abuse and violence hide.

Having safety to be seen means being able to fully participate in society. It boils down to countless everyday things that people take for granted when their identities are not contested. Being able to use public washrooms without risking confrontation or violence. Accessing information on reproductive health that normalizes your body and healthcare experiences. Not being asked to explain where your partner is at prenatal appointments when they are in the exam room with you. Being able to find pregnancy attire that aligns with your usual style.

Trans and queer people need to call for visibility and wear pink to get noticed so that we can lead normal lives.

As birth workers, here are some things we can do to help queer and trans folks feel seen in the reproductive and perinatal wellness sphere:

  • State explicitly in your promotional materials that you welcome and affirm queer and trans people
  • Use gender-neutral language in your promotional materials and handouts
  • Have open conversations with clients about their preferred pronouns and terms for their parenting roles and body parts.
  • Become familiar with resources in your community that support queer and trans families so you can make great referrals.
  • Educate yourself on health inequities faced by queer and trans birthers
  • Challenge queer and transphobia in yourself and others

You can find out more about Trans VisibilityVisibilty Day here

You can find out more about International Day of Pink here

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
balance community connection

Embracing Mothering, Releasing Motherhood: Women’s History Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1711640523303{margin-bottom: 0px !important;}”]I loved one-sided “conversations” with my son when he was an infant and it’s one of my favorite things about postpartum visits now. I refer to all my clients by their first names, however, when I’m providing postpartum support to clients I know identify with terms like “woman”, “mother”, and “mom”, I often find myself talking to Baby about how wonderful their mama is and what a great job she’s doing, especially when they get to the stage where their eyes follow her around the room lovingly. 

This often sparks a conversation with the client, especially if no one else is there. That’s part of my goal. In a patriarchal world, “mother” is a loaded construct. Adjusting to the idea that you are now someone’s “mama” is one of the most emotionally and psychologically intense aspects of the postpartum experience for first and only-timers because of everything that is expected of motherhood. 

Canadian feminist scholar Dr. Andrea O’Reilly has devoted her academic career to understanding what it means to be a mother. A mother of three herself, she understands “motherhood” as something separate from “mothering”. Motherhood is a patriarchal institution that sets rigid, specific, and unattainable expectations on the care work of raising children as a means of exerting control over women’s bodies and lives. To meet patriarchal expectations of motherhood women must be selfless, long-suffering, patient and kind, and compliant with expectations of good, wholesome women. Patriarchy’s archetypal mother does not sexualize herself, but she also doesn’t “let herself go”. She keeps an immaculate home and serves balanced, from scratch meals. She has well-groomed, well-behaved children. She always knows exactly what to say and do to comfort her family and keep peace and order in the home. By the 1980s, contributing to the household income was added to the list of expectations. As an avid fan of The Cosby Show, it did not strike me as unusual that high-powered lawyer and mom of 5 Clare Huxtable would make fresh squeezed OJ and pancakes from scratch for her brood on Saturday mornings, served in the comfort of their stunning, self-cleaning Park Avenue home.

As a working mom of one in 2024, it strikes me as absurdly implausible, and that’s intentional. The point is not for anyone to be as perfect as an 80s sitcom mom. The point is for all of us to feel like we’re failing by comparison.

Conversely, O’Reilly defines “mothering” as autonomous, empowered, and priceless social labour that we construct and define according to our deep knowledge of family, community, and personal needs. As a verb rather than a noun, “mothering” is action-oriented and the role is created by those who enact it. Mothering does not require the relinquishment of self but affirms each mother’s right to undertake the role in a manner that is faithful to her authentic self. 

When supporting new mothers I hold space for their joy and discomfort with being called “mama”. I normalize using alternative monikers if that’s preferable. My wife was not comfortable with “mother” as a label, so we went with a variation of her nickname instead. I encourage them to insist on making space for the things that made them “them” before they had their beloved baby. We unpack unrealistic and sexist expectations of moms as they arise. I affirm the need to putting yourself first sometimes, for the overall good of the family. We lay the groundwork for them to define the role according to what works for them and their family. Liberating new mothers from the constraints of motherhood and facilitating their intuitive enactment of mothering is one of my favourite aspects of being a doula. 

 

We hope our woman-identified audience is having an affirming Women’s History Month this March. For those of you who mother, we affirm your right to do this living giving, nurturing work on your terms. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][vc_column_text css=”.vc_custom_1711640593876{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
About Us Anti-Oppression Anti-racism work birth Canada

EDI Year in Review 2023

[vc_row][vc_column][vc_column_text css=”.vc_custom_1709738042033{margin-bottom: 0px !important;}”]A river may be so still that you can see your reflection, but its current is always in motion. This year has been a time of great change for Doula Canada as we have welcomed renewal in the form of new leadership. We have taken advantage of this transition to reflect on revitalizing our commitment to equity, diversity, and inclusion at DC and in the birth sphere. Our goal is to ensure that Doula Canada alumni have the necessary tools and frameworks to meet the diverse spectrum of birthing people, families, and communities with compassion, affirmation, and allyship. In the coming year, we will continue to apply the lessons learned from all of your insights to realize policy, curricula, and continuing education that sets doulas, reproductive health educators, and birthworkers up for long-term success in an ever-changing world. 

Here are some of the highlights of our actions in 2023 and our plans to advance our journey towards achieving social justice in our learning community and perinatal social systems in 2024.

 

Content & Communications

One of our goals is to ensure that DC alumni have access to a wealth of information that offers insight into the experiences of equity-seeking birthers and families, and tools to empower effective support. This year, we accomplished this by creating and publishing original articles, position statements, downloadable resources, and live-streamed discussions.  

Articles and Position Statements 

Our blog provides ongoing equity, diversity, and inclusion content that situates reproductive justice in the context of social issues, and that supports our learners to cultivate a deeper understanding of the social determinants of reproductive health. In 2023, our blog offered articles on trans inclusion, domestic and gender-based violence, truth and reconciliation, poverty, black maternal health, and many other essential perinatal health equity topics. 

We also endeavoured to be responsive to the impact of current events on community well-being by providing a statement on the Israel-Hamas conflict that offered comfort to our members and practical strategies for preserving emotional stability and community connectedness.

Downloadable Resources 

In 2023, we created three downloadable resources to provide practical guidance for birth workers. The first was our Advocacy Toolkit. The toolkit continues the work done in 2022 to develop an advocacy framework for Doula Canada. The Toolkit works through examples of the ingenious strategies that birthworkers use to promote client self-advocacy and advocate on behalf of clients in a manner that affirms their autonomy and right to informed consent.

Additionally, we created two resources to support human milk feeding. One is an infographic on human milk sharing that provides information on the risks and benefits of milk sharing, as well as safety guidelines that support families to make informed choices about their feeding options. The second is a curated Lactation Recipe Box with meal and snack ideas that are packed with ingredients that gently encourage milk production. 

Live Streams

We continued our tradition of hosting great conversations with experts and thought leaders from within Doula Canada and the broader birth world. Our guests offer insight into how they’ve applied their training and lived experience to facilitate clients’ access to equitable care. In 2023, topics included empowering teen birthers, debunking fatphobic reproductive health myths, barriers to fertility care, what we need to know about birthers who use testosterone, and the experiences of black families with more than “2.5 kids”. Content ideas were generated from discussions with our members at live events and online and from suggestions made using our anonymous feedback form. Our audience can access this content at any time from our Facebook page or our YouTube Channel.

In 2024, live streaming content will shift to a virtual, guest speaker Q&A series, opening with Support Men’s Lactation Like a Boss on February 29. 

Programming 

Doulas for Reconcili-ACTION

Committing to our Truth and Reconciliation Action Plan, we launched the Doulas for Reconcili-ACTION program. The Doulas for Reconcili-ACTION program aims to include non-Indigenous doulas in important conversations about the impacts of settler-colonialism, and build cultural humility skills in an applied workshop format. Our first workshop was held for National Day for Truth and Reconciliation, and focused on the historical traumas imposed on Indigenous communities, and the role of doulas in mitigating risk factors for Indigenous families.

In 2024, the Doulas for Reconcili-ACTION program will be running on a monthly basis. 

Webinars

Recognizing a need for community healing and dialogues in the aftermath of the disturbing events culminating in the arrest of Kaitlyn Braun in March of 2023, we hosted a session aimed at providing a safe container for community members to unpack the feelings arising from this distressing incident. The session was facilitated by Elizabeth Evans, RSW, and Psychotherapist and generated a presentation for community members on collective healing after traumatic events.

In order to provide practical support to our members regarding the implementation of ethical practice as defined by the law, we also hosted a webinar on understanding the legalities of your doula biz facilitated by Ane Posno, LLB, an expert in health and contract law at Lenczner Slaght. The first webinar of its kind at DTC, the live session provided vital information on documentation, confidentiality, and reporting obligations for doulas. 

Organizational Development 

Census

For the first time in its over 20-year history, DTC undertook a demographic census of its student and alumni population to learn more about how we can ensure that our content is responsive to our existing population and target our recruitment efforts to attract equity-seeking communities that may be underrepresented at DTC or in the birth work field. 

154 members completed the survey and the findings were illuminating. DTC’s population is highly diverse, with DTC members being more likely to be equity-seeking than the general population across several categories including Queer people, and some racial groups (e.g. Black, Indigenous). Other equity-seeking populations, such as disabled people have representation that is similar to the Canadian population.

One challenge with analyzing this data is that 6.5% of our sample are international but Canadian data has been used for comparison. Other limitations of this data set include categories not always being exactly aligned with the categories used by Statistics Canada, and questions that should be further segmented to create clarity, most notably education. 

On the whole, it appears that organizational efforts to ensure that equity-seeking members feel included and represented have been effective at attracting diverse students to our programs. In 2024 we should conduct an evaluation of the EDI climate to learn more about the quality of the learning experience for equity-seeking students, focusing on learning more about the experiences of underrepresented groups. In the case of underrepresented groups, DTC could also consider key informant interviews with individuals external to DTC to learn more about their needs in a birth worker training program and successful recruitment and retention strategies for their community.

Roll out of advocacy framework 

In addition to sharing the toolkit mentioned above, we are in the process of ensuring that the lessons learned from the advocacy initiative are incorporated into the anti-oppression module in our courses. The revised curriculum was piloted during the live session on anti-oppression for the fall 2023 cohort of the holistic doula program. The new content includes introducing learners to the 3 soft-advocacy techniques used by doulas as codified by S.S. Yam, namely 1) creating deliberative space, 2) culture and knowledge brokering, and 3) Spatial maneuvering. Live session attendees have the opportunity to discuss examples of how doulas use these advocacy techniques to benefit clients.

TRAP module

In 2023 we launched our truth and reconciliation module, which focuses on educating students about colonial violence toward Indigenous communities. This module was inspired by various universities that have mandated Indigenous Credit Requirements (ICR) to show respect to Indigenous communities, and foster reconciliation between settler and Indigenous groups. In 2024, applications will be open to students and alumni wanting to participate in a review of the Truth and Reconciliation Action Plan, including the module. This committee will also focus on creating a template for a wider five year TRAP outline.

 

What’s Next

In 2024, we will continue to grow equity, diversity, and inclusion within DTC by undertaking a review of our policies and curricula, developing original video content and offering a mix of new and remounted webinars that build reproductive justice facilitation capacity within our birth work community. 

 

We’re grateful to our alumni community for always inspiring us to continue this important work. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1709738266702{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression Anti-racism work community

The Mothers of Gynecology

[vc_row][vc_column][vc_column_text css=”.vc_custom_1707747263915{margin-bottom: 0px !important;}”]Anarcha, Betsy, and Lucy’s gynecological advancements have undoubtedly saved and improved countless lives. Yet they are not celebrated in most textbooks on gynecology or its history. Lucy, Betsy, and Anarcha were not medical researchers. Their ingenuity was a matter of survival. They were among the enslaved Black women that physician Marion Simms tortured and butchered by experimenting on them without anesthesia in the name of medical research.

Marion Simms is regarded as the “Father of Gynecology”. Not only is he remembered in the textbooks, but there is also a statue in his honour in his hometown of Alabama, in front of the clinic where he tortured Black women. He invented the speculum and the position of lying on one’s back with feet in the stirrups, that most birthers are expected to adopt in medicalized deliveries is named after him.

Simms believed that as a result of being less human than white women, Black women did not feel pain. He had no ethical qualms about conducting his “experiments” without anesthesia, despite the need to restrain the screaming women. When his medical assistants did and quit, he trained Lucy, Betsy, and Anarcha to perform this role. The three women perfected many of the procedures he was developing to save each other’s lives. Simms took the credit of course.

In 2022, a sculpture by Afrian-American artist and activist Michelle Browder finally began giving these women the recognition they are due while raising awareness of the suffering that was inflicted on them without their consent or free will. “Mothers of Gynecology” tells the stories of these heroes visually. 

All three women had suffered painful pelvic floor injuries during childbirth that affected their bowel and bladder control, making them unfit for hard labour on plantations. Now useless to their owners, they were leased to Dr. Simms in the hopes of him finding a cure that would restore them to productivity. His first experimental surgeries were failures. Undaunted, he continued his experiments, training the women to function as his assistants after his white assistants quit. They each became skilled medical providers in their own right. Simms experimented on a total of 12 enslaved women, but only Anarcha, Betsey, and Lucy’s names are preserved in his reports. To make his research more palatable, his reports state that the experiments were conducted on white women with assistance from white nurses. 

Browder’s arresting sculpture manages to convey the details of this horrific story in a way that transcends words and restores power and dignity to these exploited women. The sculptures are intricately fashioned from found metal. The three women are towering in this commanding piece, with Anarcha standing at 15 feet, Betsy standing at 12 feet, and Lucy at 9 feet. While the viewer’s emotional reaction to the piece is immediate and visceral, the symbolism possesses such a wealth of detail that you’d need to stand in front of it for at least an hour to pick up on everything. This Smithsonian article describes the symbolism like this:

“The statues incorporate meaningful—and painful—symbolism. Anarcha’s abdomen is empty, except for a single red rose where her uterus would be. Her womb sits nearby, full of cut glass, needles, medical instruments, scissors, and sharp objects intended to help viewers feel the women’s pain and suffering.

Medical scissors are attached to one woman. Another wears a tiara created out of a speculum—a device Sims invented for vaginal exams. The names of Black women [civil rights heroes] are welded to the statues.”

The figures have no arms or lower legs to represent the women’s lack of bodily autonomy.

Michelle Browder uses art as one aspect of her reproductive justice work. In 2022, she bought the land on which Simms conducted his experiments and is working on opening a clinic and museum for Black women’s health on the site. 

Simms’ racist belief that Black women had a higher pain tolerance than white women is still prevalent among healthcare providers. In perinatal health, this means Black birthers’ pain goes under or unmanaged, and pain that should sound the alarm regarding complications goes ignored. Black birthers know this and the main reason we seek birth doula support is to ensure we have an observer and advocate making sure our pain is being taken seriously and treated appropriately. 

Learning more about the mothers of gynecology is one activity that you can do to observe Black Future Month. You can find out more here:

 

Artist Works to Correct Narrative of Gynecology’s Beginnings

https://www.anarchalucybetsey.org/ 

 

 

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1707747309073{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
birth Business Newsletters rebranding

10 Ways to Improve Your Emails to Doula Clients

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Doula School alumni will often ask “what’s the best way to get new clients?” and our answer is almost always the same – email. It’s the most effective way to connect with people and become a regular part of their lives. On a social media platforms like Instagram or Tik Tok, you’re competing with hundreds if not thousands of accounts – all vying for someone’s limited attention. Conversely, once you get into an email inbox, you go right to the top each time .

There are several ways to build your email list. It can include past clients, freebies (like guides or offers), advertising on Google or Facebook, opt-in forms on your website, and so much more. Today we aren’t talking about BUILDING your list, we’re looking at how to get the most out of the list you do have. Whether you have 20 people or 2000, having an email list that is working for you can make all the difference in your doula career. Below are 10 ways to optimize your emails and improve your sales.

Use an Email Platform

There are SO many different platforms out there for managing your email list. Some of our favourites are ConvertKitMail Chimp, and Constant Contact. Even if you have a small list, it’s important to be using a professional email platform. This allows you to set up automations, send emails in bulk, manage unsubscribes, and so much more. The good news is that most of these services offer a free version you can start with. Perfect for doulas starting out with a small marketing budget.

Add Personalization

Most email providers will offer the ability to “personalize” messages. So when you get someone’s email address, you can make sure to get their first name as well. That way when sending out an email it will start with “Hi Marie” instead of more robotic or impersonal openings. Research has shown that adding personalization can help improve results from emails and make readers feel more connected.

Ask for Reviews

As birth workers we sometimes feel uncomfortable asking for support or feedback from clients. But we’re here to tell you it’s ok! Clients will be excited to share their testimonials, especially if they had a great experience working with you. Reviews on your website, social channels, google, and in emails can make a huge difference to sales. Future clients are always looking for “social proof” that you’re a trustworthy person and a doula they want to work with.

Use Images of Yourself

You know when you’re on a website or Instagram page, you can always tell when someone is using a lot of stock images. There is nothing wrong with using images you bought online now and then, but you’ll find that your emails and social content does better when it feels personal and real. Don’t be afraid to use photos of yourself in action. Maybe have a friend take some nice pictures of you at the park, or snap a couple of you working with a client (with their consent of course). Over time you can create a catalogue of images to use in a bunch of places.

Improve Your Subject Lines

The average email is only going to have an open rate of 30 or 40%. That means most people on your list may never even read the content! That’s why the subject line is so important. It’s your one chance to make an impression and get the reader interested. The best lines tend to be short and punchy, creating a sense of urgency for the reader. For example, something like “5 Baby Proofing TIPs from a Doula.” Most email platforms will let you test multiple subject lines per message, so you can start to understand what works best for your followers.

Only use ONE Call-to-Action

Have you ever gotten one of those BUSY emails with like 7 different places to click? They can be overwhelming and hard to understand. The key to a good email is keeping it simple. Don’t be afraid of white space and making it easy for a reader to follow. You do this by having only ONE call to action. If the email is about your overnight doula services, then make sure that’s the only thing you’re asking people to click on.

Don’t always SELL

Having someone’s email address is a big deal. They’re letting you send them information that goes directly to the top of their inbox. That’s a privilege. And it’s a privilege you can lose quickly if you abuse it. Every email you send can’t be a sale or a product or a doula service. Make sure you’re adding VALUE to your readers. This could be through tips and tricks, personal anecdotes, birth stories, interesting videos, or anything. By providing value, your readers will be more open to receiving the odd sale or product offering.

Have a Plan

We talk to some birth workers who feel overwhelmed by creating content and email newsletters. I don’t know when to send it? How many should I do a month? What kind of content? It can be a lot to manage, especially when your focus is working with clients. One way to simplify this is to have a plan. If you’re going to send a newsletter every 3 weeks, then set that schedule and stick to it. It will also help your readers start to expect your content on a regular basis.

Consistency

Designing things is fun. It’s especially fun if you have a bit of design know-how in photoshop, or adobe, or just got your new CANVA account. You might feel the urge to constantly be creating NEW and innovative designs to use in emails (and on social media, the website…etc). However, new designs can be confusing for readers and clients. They want to know what to expect. And seeing a consistent color, font type, and design will allow them to start recognizing your doula or birth brand. Where possible, try to pick a standard look and feel that you can maintain.

Automate Where Possible

You might be reading all this and thinking “I barely have time to reply to clients, when am I going to write additional emails?” That’s ok, it’s a lot! The good news is that you can automate a lot of things through email platforms. For example, maybe when someone provides their email address, they are automatically sent 2-3 emails that explain your doula services, what they cost, your availability, and more! It will take a bit of time in the early going to set up automatic email funnels, but these can save you a TON of time in the long run.

Make sure to check back with the blog next month, as we’ll be sharing more doula marketing and sales tips.

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Categories
Canada community Health Care

Learning from US Healthcare on Doula Access

[vc_row][vc_column][vc_column_text css=”.vc_custom_1706711380769{margin-bottom: 0px !important;}”]I vividly remember “The Greatest Canadian”, a 13-part  competitive series produced by CBC in 2004. Each week, a biographical documentary on individuals who have made a great contribution to Canada aired, including Terry Fox, David Suzuki, and Tommy Douglas. Viewers got to vote on who the greatest Canadian of all time was. Tommy Douglas, recognized as the father of publicly funded health care in Canada, emerged victorious

Douglas’ win says a lot about the value we attach to our healthcare system and the national pride we take in making sure that every Canadian has access to the care they need. We often look to our American neighbours with pity when we hear about $700+ a month insurance plans ($2000+ for a family plan) or families going into debt or going bankrupt to pay for life-saving treatment. But if the Canadian healthcare system is so superior to that of the US, why is publicly-funded doula access expanding by leaps and bounds in the US, while progress on the same front has been stagnant in Canada?

Over the last few years, an increasing number of jurisdictions in the US have made doula care payable via Medicaid. Medicaid is public health insurance for people who are unable to access private coverage. 11 States that have introduced Medicaid-funded doula care programs include New York, California, and Michigan. California cites familiar research as the rationale for its decision: “doula care was associated with positive delivery outcomes including a reduction in cesarean sections, epidural use, length of labor, low-birthweight and premature deliveries. Additionally, the emotional support provided by doulas lowered stress and anxiety during the labor period”. 

One reason why advocates for publicly funded doula care have gained more traction in the US is that the US collects race-based healthcare data, along with information on many other social determinants of health. This data has demonstrated significant disparities in perinatal outcomes based on race, income, and other factors. The Black maternal and neonatal mortality crisis has emerged as a system disaster that requires urgent solutions. Combined with a growing body of health research demonstrating that doulas are an effective intervention that improves outcomes for Black birthers and babies, this has made a strong case for access to doula care for Black and other at-risk communities.

In Canada, we have the same research to show that doulas solve a problem, but we don’t have the same amount of data to show that there’s a problem to solve. That being said, while our race-based data collection needs to improve, we do collect data on other topics. In 2023 OBGYN researchers at McMaster University published findings on operative deliveries and 3rd and 4th-degree tears in Canada. They found that “among high-income countries, Canada has the highest rate of maternal trauma after births in which tools like forceps and vacuums are used”. Sadly, their research only compares operative deliveries (forceps/vacuum) to surgical deliveries (cesarean sections). They do not take into account the ample evidence that California and other US jurisdictions considered showing that support from a birth doula reduces the likelihood of any of these interventions. 

Not only do we need to collect data that demonstrates the impact of the social determinants of health, we need to put the research we do have into action. This action needs to encompass the role that all care providers play in improving conditions and outcomes for birthing people. This includes ensuring that all birthers can access the reduction in medical interventions and related increases in good birth outcomes and satisfaction that skilled doula support can achieve. [/vc_column_text][vc_single_image image=”534490″][vc_column_text css=”.vc_custom_1706711516822{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]