Category: birth

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Doula Canada’s Event Calendar November 2022 – January 2023

[vc_row][vc_column][vc_column_text css=”.vc_custom_1666959463057{margin-bottom: 0px !important;}”]Looking for the upcoming events at Doula Canada all in one place? Look no further! This is a quick look at the upcoming Booster Workshops, Course Start Dates and Webinars for November to January. Check out our website for any updates or additions.[/vc_column_text][vc_images_carousel images=”467896,467897,467898″ img_size=”full”][/vc_column][/vc_row][vc_row][vc_column][mk_button url=”https://stefanie-techops.wisdmlabs.net/wp-content/uploads/2022/10/nov-jan-dtc-event-calendar.pdf” align=”center”]DTC Event Calendar PDF[/mk_button][/vc_column][/vc_row][vc_row][vc_column][/vc_column][/vc_row]

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balance birth Business Childbirth Educator collaboration community connection Labour Doula Postpartum Doula Uncategorised Webinar

Standing out from the Crowd in your Birth Work Business

[vc_row][vc_column][vc_column_text css=”.vc_custom_1655208046361{margin-bottom: 0px !important;}”]One of my favourite aspects of getting to know more doulas is hearing everyone’s “Why I became a birth worker story”. While there are common themes, every doula’s story is unique and visceral. Our motivations are often connected to our own experiences of birth trauma or the traumatic experience of a loved one. Others want to disrupt the systemic injustices of the medicalized birth model that have impacted them and their community directly. Others are “birth nerds” who are just fascinated by all things birth and baby. Others remember their own experience of wishing they had had more support and more information and want to provide that for others.

Our specific reasons are as unique as we all are. Yet, many of us struggle to communicate this innate individuality to prospective clients. It can be hard to know how to make what you offer clients sound different from the standard list of doula services: “continuous labour support, informational support, assistance with establishing a good latch, emotional needs during labour, non-medical comfort” etc. All of those services are invaluable, but we also know that parents looking for a doula are not just looking for another clinical person with certain skills. Creating marketing materials that clearly convey how you will deliver those services in a way that is different from any other doula can be very elusive.

This is where brand identity comes into play. To be honest, when I hear the word “brand” the first thing that pops into my head is that shoe company’s swoosh. But branding is actually much more complex than an eye-catching, memorable logo. When we see that iconic swoosh, we have specific feelings and perceptions about who wears those shoes and who we would be in them, as compared to any other athletic footwear.

Similarly, our brand as birth workers needs to make it intuitively clear to prospective clients who we are in the birth room and who our support will affirm them to be. When we connect with our audience using a strong brand identity, our business name, logos, shapes, and colours all fit together seamlessly to tell the story of who we are and how the way we do what we do is different from any other doula in our community.

Another thing I have observed about doulas is that the birth worker community is collaborative rather than competitive. Stemming from our deeply personal reasons for taking up this labour of love, we want our clients to find the best fit for their needs. We want a consistent stream of clients without having to haggle with each other for our share of the market.

On Tuesday, June 14 at 7 PM ET, Business Consultant Gaileen Flaman will be supporting us to ensure that our public presence stands out from the crowd. Using a mix of self-reflection, visualization, and storytelling exercises we will emerge with the ability to market with precision and cohesion. This is an invaluable opportunity for anyone building their business who wants to know how to tap into the clients that are looking for you. You can register for the Building your Brand Webinar here!

 

The webinar will be close-captioned. Ticket holders who are unable to attend the webinar live will receive a recording of the session within two business days.[/vc_column_text][/vc_column][/vc_row]

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Anti-racism work birth Business Canada Childbirth Educator collaboration community connection Equity fear intersectionality Postpartum Doula pregnancy reducing stigma research shame Trauma understanding bias vulnerabiliity

Recognizing Asian Heritage Month and Jewish Heritage Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1653215730289{margin-bottom: 0px !important;}”]May is Asian Heritage Month and Jewish Heritage Month. It’s a great opportunity to reflect on what we mean by “heritage” regarding the history of these two communities in “multicultural” Canada, and what this means for creating cultural safety in birth work.

I’ve lived in the GTA my whole life. Here, a “heritage festival” typically amounts to a street party with food, live music and dance, and other culture-specific entertainment. I am actually a great lover of a good street fair. The food and performances are usually lit. I have also learned a lot about Jewish and Asian history and culture at events like the Ashkenaz Music Festival and Taste of Asia. I also understand that many communities are not fortunate enough to have this level of exposure to culture and diversity. But these cultural displays are not only far from telling the whole story of the “heritage” of Asian and Jewish people in Canada, but they also contribute to “false peace” – the illusion that multiculturalism is working out, that we are all getting along, and that we are all equal.

In truth, there is anti-Asian racism and anti-Semitism at the core of Canada’s heritage. Those of us who remember “Heritage Minutes” from the 1980s and 90s may know about the lethal exploitation of Chinese migrant workers that occurred in the 19th century to support the construction of the trans-Canada railroad. There are many other examples, including the head tax, and internment camps during WWII. 

Anti-Semitism is equally a part of the fabric of Canada’s history. Wide-spread belief in a Jewish conspiracy to achieve global economic domination that originated in Europe and spread to North America made Jewish Canadians an easy scapegoat during the great depression. Additionally, to limit the economic advancement of Jewish immigrants in the early 20th century, Canadian universities implemented quotas that restricted the number of Jewish applicants who could be admitted to the school.

It’s easy to hear these stories and think “this has nothing to do with me”, “this is ancient history”, “I didn’t do these things”, and “let’s focus on the positive and how far we’ve come”. While these sentiments are understandable, the reality is that the present arises from the past. These uglier parts of our heritage are directly related to more recent attacks on synagogues and the hate crimes experienced by Asian Canadians during the pandemic. 

Moreover, this heritage underpins the modern assumptions that manifest more subtly as microaggressions that affect the day-to-day navigation of society and impact the long-term mental and physical health of equity-seeking people. Some of these stereotypes may seem harmless or even positive. But in reality, they fuel the construction of whiteness as the social norm, put people in boxes, and create false impressions regarding people’s realities.

As birth workers, we can create cultural safety regarding the beautiful and the traumatic aspects of each client’s heritage. We can create space for them to share whether they have any cultural or religious traditions that they would like to honour. And we can also be mindful of things like how common stereotypes about Asian women may influence provider perceptions of client autonomy. Or how the intergenerational trauma of Holocaust survivors may impact pain management. There are a number of ways that our identities can impact our pregnancy and parenting journey. Shining a light on the good, the bad, and the ugly of our heritage sets us up to ask the right questions and facilitate the needed conversations with all of our clients.[/vc_column_text][/vc_column][/vc_row]

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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]

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balance birth Business collaboration community connection Health Care Labour Doula

What Doulas need to know about the Pelvic Floor

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“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]

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birth Business Childbirth Educator collaboration community connection Labour Doula Postpartum Doula

Why YOU matter in business.

[vc_row][vc_column][vc_column_text css=”.vc_custom_1647449189768{margin-bottom: 0px !important;}”]Birthwork is personal. Everyone comes to this work with some level of personal investment. Clients may be drawn to your logo, website, or social media but who they hire is you. 

Imagine you are following a company on Instagram and Facebook. The images are warm and cozy feeling. The person in the images is wearing relaxed clothing and a big smile. So you set up a meeting. You are excited to connect with the person you see every day online. 

When you arrive to meet with this person you walk into an office with modern décor and are greeted by a person in a business suit. How do you feel? Do you stay? Do you continue to want to work with this person?

This person’s marketing was not representative of who they are. For whatever reason, they were trying to be someone else in the marketing of their business. 

Finding your voice in this business can be hard. You want to stand out, you want your ideal client to find you. The best and most effective way of finding your market is by showing up. Be vulnerable and honest about who you are. 

Does this mean baring your soul on social media? Not necessarily. Authenticity is more important than transparency. Clients are not looking for every detail of your life. They are however wanting to meet you, not who you think you should be. 

So what is authenticity? It means staying true to who YOU are, what YOU do, who YOU serve and, most importantly, why YOU do what you do. To quote Simon Sinek of Start with Why, “It means that the things we say and the things we do are things we actually believe.”

Authenticity is the basis of the trust clients develops in your business. A client wants to have some sense that the beliefs and values you express in your business, align with theirs. People are drawn to others who are similar to them in certain ways.  What it means is finding your voice. Finding your people and letting them get to know who you are. 

 

Where do you start? 

Confidence (even if you have to fake it till you make it)

This means believing in the power of you. Trusting that what you offer is so much more than the number of births you have attended, clients you have supported, or classes you have taught. That who you are is unique, and your clients are excited to meet you.

Connection

Getting yourself out there matters, but what matters most is relationships. Relationships with clients, caregivers, and other professionals are what business is built on. Through relationships all things are possible. Who you are matters in these relationships. Your business depends on your integrity of self. 

Find a way to position yourself as the expert in your field. Find where your ideal clients hang out, what groups they are in, where they go to the shop, and build those relationships. Talk to the business owners, organize speaking events, be visible.  

Clients are seeking connection. They want interaction, transparency, and relevance. They want to feel special. If a client likes your Facebook page or gives you their email they are saying “hey I like you!”. How can you say that back? How can you connect with them? Maybe that is as simple as shout-out on your social media platform or maybe that is a gift with purchase.

Consistency

This is more than just regularly posting on social media. This means that who you are and what images and ideas you are sharing align. All the time.  That your brand is consistent. Being authentic doesn’t mean you have to post every day and rack up 1000 likes. It just requires you to deliver a consistent, compelling identity that gets clients talking.

It also means that if you are changing your marketing materials you need to be transparent as to what is to come. People have a hard time with change. Something as simple as a new haircut that makes you appear different from the headshot shown on your website can affect a client’s trust in your business. 

Collaboration

Going back to speaking to other business owners. We have a saying here at Doula Canada. There is no such thing as competition. WHAT?! Shocking I know. Here is the thing. Competition breeds contempt. Collaboration builds business. Your market, your clients are unique to you. Visibility matters. The more birth professionals out there (in a small town or big city) the more clients there are out there looking for service. 

Find like-minded individuals and collaborate. Put on a talk, share space, and find ways to build a market through and with each other.  When you collaborate, you build connections. Connections bring clients. [/vc_column_text][/vc_column][/vc_row]

Categories
Anti-racism work birth Business Childbirth Educator Equity Health Care Labour Doula LGBTQ2S+ research understanding bias Virtual Webinar

Why Is Evidence-Based Research a Vital Skill for Birthworkers?

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Why Is Evidence-Based Research a Vital Skill for Birthworkers?

[/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645285895328{margin-bottom: 0px !important;}”]The term “evidence-based” gets used a lot more than it gets explained. “Evidence-Based medicine” is a movement within health care practice that started about 30 years ago. It is a shift in approach to relying on the best available research data to support clinical decision making regarding testing, diagnosis and treatment. It differs from the previous practice in medicine and other health professions where teaching was largely apprenticeship-based, and physicians relied on their personal clinical experience to determine patient care plans (Masic et. al., 2008).[/vc_column_text][vc_column_text css=”.vc_custom_1645285507272{margin-bottom: 0px !important;}”]Relying upon scientific evidence to make decisions has the potential to improve patient outcomes because decisions are made based on clinical data that clearly show what happened most of the time when certain choices were made or methods used. It all sounds logical and straightforward, but evidence-based care is actually more challenging to implement than it sounds and it is not without controversy. In reality, evidence-based care happens very inconsistently (Lehane et. al., 2019).[/vc_column_text][vc_column_text css=”.vc_custom_1645286010844{margin-bottom: 0px !important;}”]This is where doulas have the potential to help. There is no organized system whereby new research makes it into the hands of healthcare professionals. There can be quite a lag between new, credible research being published and health care professionals updating their practice to align with it (Lehane et. al. 2019, Soliday and Smith, 2017). It takes physicians an average of 17 years to change their practice in accordance with new research. [/vc_column_text][vc_column_text css=”.vc_custom_1645285541602{margin-bottom: 0px !important;}”]Additionally, while unintentional, an evidence-based approach can be in contradiction with a patient-centred, individualized approach to care. The standard 15 minute medical appointment does not make it feasible to conduct research for each individual. This means that even providers who are staying apprised of new research developments may provide “one-size fits all” care due to resource constraints.[/vc_column_text][vc_column_text css=”.vc_custom_1645285557316{margin-bottom: 0px !important;}”]Institutional policies and legislations are often even slower to change with new evidence. For example, while evidence has been available for quite some time that routine antibiotic eye ointment for newborns is unnecessary, this is still a hospital requirement in many jurisdictions. If providers feel pressured by institutional policy, these interventions are often framed as requirements. From the provider’s perspective that is true, however the patient always has the right to refuse treatment. Often, legislation and institutional policies only change when concerned patients and healthcare providers call for change (Soliday and Smith, 2017).[/vc_column_text][vc_column_text css=”.vc_custom_1645285573376{margin-bottom: 0px !important;}”]Doulas who are skilled at evidence-based research can support clients to gather and interpret credible scientific information that is specific to their unique needs and circumstances. Clients equipped with this information are well-positioned to self-advocate by speaking a language the provider understands (Soliday and Smith, 2017). I know from lived experience as a Queer, Black woman that being an informed and educated healthcare consumer makes for much more empowering healthcare experiences.[/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645286312153{margin-bottom: 0px !important;}”]On February 24 at 6 PM EST, I am hosting a webinar on conducting evidence-based research in birthwork. The webinar will focus on preparing a strong literature review for perinatal informational support. A literature review refers to the process of compiling and synthesizing all of the current and relevant scientific information that is available on a topic. Analysis involves assessing the quality of each source and summarizing the complete body of literature. [/vc_column_text][vc_column_text css=”.vc_custom_1645285639985{margin-bottom: 0px !important;}”]During this session, we will discuss what exactly is “evidence”. We’ll go over the different types of health research evidence that exists, as well as how to determine which sources are credible, and how different sources can vary in quality. Participants will also learn about the different types of bias that can crop up in how we search for and analyze information, as well as how to spot and reduce bias in their own research.[/vc_column_text][vc_column_text css=”.vc_custom_1645285655944{margin-bottom: 0px !important;}”]Using real scenarios provided by DTC members and webinar attendees, we’ll walk through how to turn a client concern into an unbiased research question and find a solid answer that supports your client to make informed decisions and have confident discussions with their healthcare team. [/vc_column_text][vc_column_text css=”.vc_custom_1645285674079{margin-bottom: 0px !important;}”]My approach to research draws from a mix of my graduate education in health services research, professional experiences in policy and healthcare research and my lived experiences as a Queer, racialized healthcare user. I am very excited to share knowledge and grow with those who can attend![/vc_column_text][vc_btn title=”Register here for our RESEARCH SKILLS FOR BIRTH WORKERS Webinar” color=”mulled-wine” align=”center” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Ftraining%2Fresearch-skills-for-birth-workers-webinar%2F|||”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645285701619{margin-bottom: 0px !important;}”]Citations

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2019). Evidence-based practice education for healthcare professions: An expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019

Masic, I., Miokovic, M., & Muhamedagic, B. (2008). Evidence Based Medicine – New Approaches and Challenges. Acta Informatica Medica, 16(4), 219–225. https://doi.org/10.5455/aim.2008.16.219-225

Soliday, E., & Smith, S. R. (2017). Teaching University Students About Evidence-Based Perinatal Care: Effects on Learning and Future Care Preferences. The Journal of Perinatal Education, 26(3), 144–153. https://doi.org/10.1891/1058-1243.26.3.144[/vc_column_text][/vc_column][/vc_row]

Categories
birth Canada Equity fertility pregnancy shame vulnerabiliity

Fat.

[vc_row][vc_column][vc_column_text css=”.vc_custom_1644624893514{margin-bottom: 0px !important;}”]

Fat.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1644624846918{margin-bottom: 0px !important;}”]Read the word.  Read it once, twice, and then again.

How does reading the word make you feel?  How about saying it aloud? 

Most of us have learned to treat fat as a bad word and, beyond that, a bad thing to be.  We hear this from our friends and our peers, our families, our communities, the media we consume, and the healthcare systems we turn to when we’re unwell.  Fat is the punch line of countless jokes, the subject of over 40% of New Year’s resolutions[i], and the fuel of a weight loss industry worth $332.8 million in Canada alone[ii].

Fat people are scrutinized everywhere—in clothing stores that stop at size 14, on airplanes with too small seats, in conversations with relatives that always begin and end with comments on our size.  More than anywhere else, you can find this scrutiny in healthcare.  “Obesity” is listed as a risk factor for almost everything.  Any fat person who has been to a doctor’s office can tell you this. Depressed? Lose weight. Ear infection? Lose weight. Infertility? Lose weight.

When somebody is pregnant, trying to get pregnant, or even just a person between 20-40 with a uterus, their body is monitored in a whole new way.  They might be told that their weight will stop them from getting pregnant, that it will cause them to miscarry, that gestational diabetes will be inevitable, that they will need to be induced early, that their baby will be big, and on, and on, and on.

While any of these things might happen to a fat person, they won’t happen because the person is fat. Intentional weight loss is not a magical cure.  In fact, dieting could even lead to further issues with conception or pregnancy, where a nutrient-rich diet is important and weight gain is linked to the healthy development of the placenta, fetus, and pregnant person.

Over the past several years, there has been a shift in popular culture towards body positivity. Championed by celebrities and social media influencers, body positivity tells us to embrace and love our bodies (and other people’s bodies) as they are.  If this seems like a stretch goal, then we can be body neutral, accepting our body (and other people’s bodies) as they are, as the tools we use to engage with and experience the world.  These approaches can feel revolutionary when we’re used to hating our bodies and can absolutely improve our relationships with ourselves, but they aren’t enough.

Sofie Hagan, author of Happy Fat, explains, “I am not a body positivity campaigner, I am a fat liberationist. I do not care if you love your body or not, I care about abolishing the systemic discrimination and abuse that fat people endure on a daily basis.  Body positivity is fine, but it doesn’t at all fix the problem.” (Twitter, October 25, 2021).

The problems that Hagan is talking about are systemic fatphobia and sizeism. 

Fatphobia tells us that fat bodies are undesirable, unhealthy, and repulsive.  It includes fat jokes in the schoolyard and your grandmother telling you how much weight you’ve gained, but also means that fat people are less likely to be hired, less likely to be seen as attractive, less likely to be taken seriously by their medical providers.  It doesn’t just make people feel bad, it can be a matter of life or death: when Ellen Maud Bennett died of terminal cancer in 2018, her obituary named fatphobia as the cause, explaining, “Over the past few years of feeling unwell she sought out medical intervention and no one offered any support or suggestions beyond weight loss.”[iii]

Sizeism privileges smaller bodies over larger ones.  Not just through beauty ideals but through the systems and structures that we interact with every day.  This can include everything from insurance policies that have a body mass index (BMI) cutoff to hospital gowns and beds that don’t fit larger bodies.

To confront fatphobia and sizeism we don’t just need increased confidence in our own bodies, we need a different approach to size and weight.

The health at every size (HAES) movement is pushing medical providers to recognize that people can be healthy at every size, that fat shouldn’t be treated as an illness, that weight loss shouldn’t be treated as a cure, and that there needs to be (literal and metaphorical) room for fat people in our healthcare system.  It’s an important movement, but still prioritizes health. Fat people can be healthy or unhealthy, thin people can be too. All of us, regardless of size, will experience variations in our health throughout our lives.  We don’t owe anybody good health, and we don’t need to be healthy to deserve respect.

We need fat positivity: a mental and systemic shift that includes and embraces fat bodies, regardless of health. [/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1644624383626{margin-bottom: 0px !important;}”]So, as a doula, how can you provide fat positive support?[/vc_column_text][vc_column_text css=”.vc_custom_1644624485528{margin-bottom: 0px !important;}”]1. Don’t ask about or comment on your client’s weight.[/vc_column_text][vc_column_text css=”.vc_custom_1645143545782{margin-bottom: 0px !important;}”]2. If your client asks about how being fat will impact them during conception, pregnancy, or birth, share evidence-based information and resources that are size inclusive.[/vc_column_text][vc_column_text css=”.vc_custom_1644624540161{margin-bottom: 0px !important;}”]3.Support your client through their healthcare experiences.  If your client is worried about weight checks, let them know that they have a right to refuse or to ask why they are being weighed.  If they are worried about whether a hospital or birth centre will accommodate them (from weight limits on hospital beds to BMI limits on epidurals), contact the birth location to find out.[/vc_column_text][vc_column_text css=”.vc_custom_1644624580474{margin-bottom: 0px !important;}”]4. Provide emotional support, recognizing the trauma that many fat people have experienced in healthcare.  Your client might feel anxious, avoidant, or upset when having to interact with healthcare providers or entering doctors’ offices or hospitals.  Validate these feelings.[/vc_column_text][vc_column_text css=”.vc_custom_1644624610152{margin-bottom: 0px !important;}”]5. Recognize that everything from common birth support positions to equipment like birth balls or birthing pools haven’t been made with fat people in mind.  Consider in advance how to adapt your support to include fat bodies.  If your client is comfortable, this can include practicing support positions to see how they feel for you and your client, as well as any other support people involved.[/vc_column_text][vc_column_text css=”.vc_custom_1644624639055{margin-bottom: 0px !important;}”]6. Examine your own biases.  We grow up in a fatphobic and sizeist world, and internalize these beliefs from a very young age. Ask yourself what you think and feel about fat bodies, then ask yourself why.  This is hard, ongoing, and crucial work.[/vc_column_text][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645287465765{margin-bottom: 0px !important;}”]Fat people deserve to have our pregnancies and births treated with respect and care. We deserve health systems that see us as whole people and not as problems. We deserve to have our strength and capacity recognized.  We deserve partners, healthcare providers, and doulas who support, affirm, and hold us as we are.

Interested in learning more?  Sign up for Doula Canada’s webinar on Addressing Sizeism and Fatphobia in Birth Work, happening on February 27th from 12:30pm-1:30pm EST.[/vc_column_text][vc_separator color=”white”][vc_btn title=”Click here to register for our FAT: ADDRESSING SIZEISM AND FATPHOBIA IN BIRTHWORK webinar” color=”mulled-wine” align=”center” link=”url:https%3A%2F%2Fstefanie-techops.wisdmlabs.net%2Ftraining%2Ffat-addressing-sizeism-and-fatphobia-in-birthwork%2F|||”][vc_separator color=”white”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1645287477111{margin-bottom: 0px !important;}”][i] https://today.yougov.com/topics/lifestyle/articles-reports/2020/01/03/canada-new-year-resolutions

[ii] https://www.ibisworld.com/canada/market-research-reports/weight-loss-services-industry

[iii] https://www.legacy.com/ca/obituaries/timescolonist/name/ellen-bennett-obituary[/vc_column_text][/vc_column][/vc_row]

Categories
balance birth collaboration connection Labour Doula Postpartum Doula pregnancy

The Ultimate Dream Team: Doulas and Partners

[vc_row][vc_column][vc_column_text css=”.vc_custom_1642695988103{margin-bottom: 0px !important;}”]If you’ve ever thought, “I don’t need a doula! I have a partner(s),” this post is for you! 

Your partner is (or partners are) pretty amazing and doulas are so happy to have them on board, however, doulas bring different qualities and backgrounds to birth and postpartum preparation and space than partners do. 

Let’s talk about how your partner(s) and doula complement one another and each fill a vital role.

The role of a doula and the role of your partner(s) during labor are vastly different but equally important.

Let me explain….


The Partner’s Role:

The role of your partner(s) (who is/are emotionally attached to you) in labor is a tremendous asset to you in many ways. Your partner(s) provide(s) comfort to you in a way that your doula (aka a new connection) is simply not capable of.

They know you intimately; your fears, your passions, your deep concerns, and your history. They can anticipate your reactions before you have even had them. They are the person/people you look to in life for support and they are likely the person/people you feel most comfortable being your real self with.

Your partner(s) can get your oxytocin flowing (it plays an important role in labour and chestfeeding). Your partner(s) can cuddle, kiss, or massage you in intimate ways that only you and your partner(s) can share.

This relationship in the birthing room and during postpartum is incredibly valuable, HOWEVER, it is not the doulas role.


The Doula’s Role:

The doula’s primary focus during your pregnancy and the postpartum period is education, followed by the support of the decisions you make. The doula is able to answer your questions and lead you to the resources you seek. Through learning about normal physiological birth and birth options, chestfeeding and postpartum concerns partners can feel confident in supporting their partners. But they also have the reassurance of knowing a perinatal professional will be there to guide them.

The doula can actually bring you closer to your partner. By making sure that your partner’s needs are met (food, drink, and reassurance), the birther and partner(s) can work more closely together. The doula allows for the partner(s) to participate at their own comfort level. The doula can fill in and allow the partner(s) to participate as they wish, without leaving the birther or postpartum person’s needs unmet.

The doula is trained to know what is “normal” and what is beyond the scope of normal. The doula’s experience (professional and sometimes personal) enables them to support you confidently. The doula creates a space where the birther and partner(s) are given the opportunity to ask questions and make informed choices.

When a doula attends a birth or supports you in the postpartum period, they bring with them the strength and wisdom of those they have served before you. Being the sole emotional and physical support for a labouring or postpartum person can be overwhelming for some partners. If we look at the birth and postpartum periods throughout history, we often see birthers surrounded by other experienced humans offering continuous support. Our shift in birth norms over the last century has made it uncommon to have multiple continuous support people. Partners provide an intimate and essential role that cannot be replaced, but a doula can come alongside to help and enhance the experience. 

The doula is great at talking about the huge transition that is new parenthood. Especially for first-time parents, it can be so important to have someone to talk to about the big life and identity changes that happen when you bring a new baby into your family. 

The Doula has a network and knows when offering resources and referrals are needed (from pelvic floor physical therapy, counselling support, or chestfeeding resources, to house cleaning services, or information on newborn jaundice, and so much more). 

 

Your birth or postpartum team is not an either/or situation, and no doula would (or could!) ever take the place of your partner. Doulas and partners complement one another and come together to provide loving, compassionate, and judgment-free support along the journey to parenthood. It’s important to assemble your team carefully and think about the mix of personalities and support styles you want involved in your experience, making sure everyone is prepared to walk alongside you with their unique gifts and skills.[/vc_column_text][/vc_column][/vc_row]

Categories
balance birth Business Equity intersectionality Labour Doula LGBTQ2S+ Postpartum Doula pride

Bringing Your Whole Self into the (Birth) Room

[vc_row][vc_column][vc_column_text css=”.vc_custom_1623409186714{margin-bottom: 0px !important;}”]It’s June, which means it’s Pride month here in Ontario as well as many other places across Canada and the world. For many of us who are lesbian, gay, bisexual, trans, queer, and/or Two Spirit, (LGBTQ2S) that means an opportunity to celebrate our identities, our relationships, our families, and our whole fabulous selves. But even as we take to the (virtual) streets, we might wonder about bringing our identities into our work with clients.

You might be wondering, “Why do you have to bring your identity into your work? Why can’t you just keep the two things separate?” Bringing your identity into your work doesn’t necessarily mean beginning every introduction with, “Hi, I’m a doula and I’m gay!” (Though it can!) It means being able to use your pronouns, talk about your family, and share stories without having to edit yourself. It means not just seeing your clients, but also being seen by them.

While everybody has different ideas of professionalism, our work as doulas is deeply personal and relational. Sharing between doulas and clients is rarely one sided, and doesn’t have to be. Straight and cisgender doulas share their identities all the time, whether talking about their husbands or posting a family photo on social media, it’s just not seen as coming out because those identities have already been assumed.   

You might also be wondering how moving through the world as an LGBTQ2S doula might impact your business. It’s a real fear: homophobia and transphobia exist everywhere, and there are families who might choose not to hire you because of how you identify or present yourself. There are also families who will hire you exactly because of these things.  

This doesn’t mean that you have to come out: it’s a deeply personal decision. LGBTQ2S doulas navigate their identities in many different ways. You can incorporate your identity into your business mandate and name, and choose to work primarily with LGBTQ2S communities. You can market to a broader audience but share how you identify in your bio or on social media. You can plaster your website with rainbows. You can ask and expect your clients to use your name and pronouns. You can come out in your meet and greet, or as your relationship with a client builds, or when they ask you about your family. You can come out to some clients and not to others. It’s up to you.

Whatever you choose to do, we’re proud of you.

 

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