Category: Community & Lifestyle

Insights on balance, gratitude, connection, and building supportive communities within birth work. Personal reflections, lifestyle shifts, and stories of resilience from the doula journey.

  • Combating Shame in Postpartum Substance Use with Compassion

    Combating Shame in Postpartum Substance Use with Compassion

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1756823905864{margin-bottom: 0px !important;}”]

    Combating Shame in Postpartum Substance Use with Compassion

    Many parents feel pressure to present a perfect image after birth, yet postpartum substance use remains hidden in silence. This silence creates deep isolation and pushes struggling parents further away from needed care. Shame acts like a heavy barrier, cutting off connection and worsening feelings of failure. Compassion opens the door to trust and understanding. Doulas stand in a unique position to notice the unspoken struggles and respond with empathy. As a matter of fact, compassionate conversations break the cycle of judgment and help parents feel seen. Not to mention, they create safe spaces where healing can begin. With this in mind, doulas can guide families toward hope and healthier paths without fear.

    doula school training. Combating Shame in Postpartum Substance Use with Compassion

    Why Shame Deepens the Struggle

    New parents who face postpartum substance use often carry heavy shame, which creates
    powerful obstacles to recovery. Shame tells them they are unworthy of care, while guilt says they made a mistake. Guilt can guide someone to make better choices, whereas shame convinces them they are broken. In truth, this belief drives many parents deeper into secrecy and pain. Not to mention, shame silences their voice and prevents them from asking for help.

    On the other hand, guilt can push toward growth when met with support. The emotional cost of shame feels unbearable for new parents already coping with sleepless nights and shifting identities. With this in mind, doulas who recognize the weight of shame can offer compassion that restores connection, reduces isolation, and supports the path toward healing.

    Compassion as a Healing Tool in Postpartum Substance Use

    Compassion softens the weight of shame for parents who suffer. It reminds them they deserve care, not judgment. In contrast, shame isolates while compassion builds bridges back to support. Another key point is that compassion fosters trust between doulas and clients. Clients begin to feel safe enough to share struggles openly. Then again, compassion does not excuse harmful behavior, but it offers a path toward healing without fear. With this in mind, doulas can model empathy through presence, attentive listening, and gentle reassurance. Similarly, research shows compassion lowers stress and supports recovery. Above all, compassion affirms the humanity of each parent while guiding them toward healthier choices. Doulas who practice consistent compassion especially during postpartum substance use encourage parents to believe change is possible and achievable.

    Understanding the Root Causes of Postpartum Substance Use

    The postpartum substance use often begins with overwhelming stress and untreated trauma. Hormonal shifts, birth-related pain, and emotional exhaustion amplify vulnerability. In like manner, social pressure to appear strong forces many parents to hide their struggles. Shame deepens when outside voices label substance use as weakness instead of survival. To move forward, doulas must understand that addiction does not arise from one single cause.

    On the contrary, support without judgment helps parents feel less alone in their experiences. Another key point is that untreated depression and anxiety often drive unhealthy coping methods. With this in mind, doulas should recognize how medical, emotional, and social factors all intersect. Above all, awareness of root causes empowers doulas to approach families with understanding rather than blame.

    Connecting Clients With Resources Without Pressure

    Shame often keeps new mothers from reaching out for help with substance use. Many fear judgment or worry that seeking treatment will reflect poorly on their ability to parent. That makes it important for doulas to present treatment resources as supportive options rather than demands. Safe, judgment-free environments allow mothers to accept care without feeling blamed or stigmatized, which is often the first step toward healing. For some, addressing physical dependence in a medically supervised setting provides the foundation to move forward. In truth, there are situations—such as having a co-occurring mental health disorder, a comorbid medical condition, or a history of using multiple substances—where medical detox is necessary to protect both health and long-term recovery.

    When doulas explain these options with compassion, new mothers are more likely to view treatment as empowerment instead of punishment. By avoiding forced referrals and instead focusing on respect, doulas help reduce feelings of shame. Ongoing support combined with access to appropriate levels of care builds trust and strengthens the recovery journey. Ultimately, doulas who center their work on empathy and understanding create stronger bridges that guide parents toward lasting healing.

    The Doula’s Role in Supporting Healing

    Doulas stand close to families during their most vulnerable days. For this reason, they often notice hidden struggles others may overlook. Of course, their supportive presence gives parents the courage to speak honestly. Similarly, doulas can normalize difficult conversations about substance use by showing respect and compassion. Then again, clients may hesitate at first, so patience becomes important. In short, a doula’s role is not to diagnose or treat, but to provide safety and empathy. Another key point is offering nonjudgmental listening without rushing to solutions. With this in mind, doulas can validate parents’ feelings and guide them toward helpful resources. Above all, their role is to stand beside families with understanding, ensuring no parent feels abandoned during recovery.

    Infant Massage for Doulas

    Language Matters: Words That Heal vs. Words That Harm

    Language shapes recovery outcomes more than many realize. For this reason, doulas should avoid harsh terms like “addict” or “failure.” Instead, use person-first language such as “parent experiencing substance use.” That reduces stigma and protects dignity. In truth, words that shame can close the door to trust instantly.

    In contrast, supportive language keeps dialogue open and healing possible. Another key point, tone matters as much as the words chosen. Not to mention, gentle phrasing can lower fear and invite honest sharing. As a study published by Science Direct shows, doula support decreases the odds of postpartum depression by 57.5%. With this in mind, doulas must practice conscious communication daily. Above all, their language should affirm that every parent deserves compassion and care. In like manner, doulas who speak with respect help parents believe recovery is possible.

    Practical Strategies for Doulas to Offer Support

    Parents need practical guidance, not just comforting words. For this reason, doulas can start by creating stigma-free environments where parents feel safe. Listening without interruption helps parents open up. Not to mention, offering grounding techniques supports emotional stability during stressful moments. Also, doulas can encourage daily practices like mindful breathing or gentle stretching.

    However, they should respect individual readiness and never pressure immediate change. With this in mind, doulas can communicate with clients and suggest professional help when they seem open. In like manner, referrals should always empower choice, not enforce action. Above all, strategies must reinforce trust so parents believe they are worthy of support. Consistency in care strengthens resilience and creates steady progress toward recovery.

    Compassion Breaks the Cycle of Shame

    Compassion transforms recovery for families facing postpartum substance use. Shame isolates parents, but empathy creates connection and hope. Doulas who support with respect and nonjudgmental care strengthen healing. In short, every compassionate act helps break the silence, reduce stigma, and guide parents toward safe, supportive paths of recovery.[/vc_column_text][/vc_column][/vc_row]

  • From the Heart: 5 Things I Love Most About Being a Doula

    From the Heart: 5 Things I Love Most About Being a Doula

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1756826709879{margin-bottom: 0px !important;}”]

    As a birth doula and prenatal yoga teacher, I’ve had the privilege of witnessing the miracle of birth and providing unwavering support to expectant families. In this blog, I want to share the five things I love  most about being a doula.

    1. Empowering Expectant Parents

    One of the most gratifying aspects of being a doula is the opportunity to empower expectant parents. I love educating them about their birthing options, helping them make informed decisions, and providing emotional support to boost their confidence. Seeing parents gain a sense of control and empowerment during the birthing process is incredibly fulfilling.

    2. Witnessing the Miracle of Birth

    Every birth is a unique and awe-inspiring event. The privilege of being present to witness the miracle of birth never ceases to amaze me. From the first contractions to the first cries of the baby, being part of such a transformative experience is truly magical.

    3. Supporting Families as They Grow

    As a doula, I’m not just there for the birth; I’m there for the entire journey. I love building relationships with families and supporting them as they grow. From pregnancy and childbirth to postpartum and beyond, I get to be a constant source of encouragement and guidance.

    4. Creating a Supportive Birth Environment

    I’m passionate about creating a supportive and positive birth environment for my clients. Whether it’s setting up a calm and soothing atmosphere or advocating for their birthing preferences in a hospital setting, I find immense satisfaction in helping families have the birth experience they desire.

    5. The Bond with My Clients

    The bond that forms between doulas and clients is filled with incredible moments and profound connections. I cherish the time I’ve spent with expectant parents and the trust they place in me over the past 20 years of my practice. Knowing that I’ve made a positive impact on their birthing experience is the greatest reward of all.

    Being a doula is a calling that fills my heart with joy and purpose. I love empowering expectant parents, witnessing the miracle of birth, supporting families through their journey, creating a supportive birth environment, and the deep bond that forms with my clients. These are the things that make being a doula an incredibly fulfilling and rewarding path, and I’m grateful for the opportunity to be part of this transformative journey with so many families and with my students.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1756827298242{margin-bottom: 0px !important;}”]Julia

    About: Julia Forest
    International Yoga Teacher & Birth Doula

    Julia is a visionary leader in conscious birthing and women’s wellness. As co-creator of the Sacred Birth methodology, co-director of Doula School and founding director of Awakened Spirit Yoga, she brings years of experience supporting women through transformative birth journeys for the past 20 years. Her expertise in therapeutic yoga, environmental wellness, and empowered birth creates a foundation for deep healing and professional growth.

    [/vc_column_text][/vc_column][/vc_row]

  • A Night in the Life: Overnight Doula Support for Twins (When One Baby Just Won’t Be Put Down)

    A Night in the Life: Overnight Doula Support for Twins (When One Baby Just Won’t Be Put Down)

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1750697683642{margin-bottom: 0px !important;}”]

    A Night in the Life: Supporting Twins as an Overnight Doula (When One Baby Just Won’t Be Put Down)

    Overnight doula support for twins: As an overnight postpartum doula, no two nights are ever the same—especially when there are twins involved. Last night, I had the joy (and challenge) of supporting a lovely family with their two newborns. While one baby slept peacefully in their bassinet, the other had no intention of being put down. Not even for a moment.

    This is the kind of situation that reminds me why overnight support can be such a gift for exhausted new parents—and how important flexibility, compassion, and a few handy tricks are for doulas navigating complex nighttime care.

    The Art of Balancing Twins: When One Baby Needs Constant Contact

    It’s not uncommon for one baby in a twin pair to be more sensitive or needier than the other. In this case, Baby A was content and easy to settle, while Baby B needed a lot of snuggles, motion, and contact to feel secure.

    When you’re working solo with two infants, this can get tricky. But here’s where your toolbox as a doula becomes invaluable.

    My Go-To Tools: Babywearing & Compassion

    1. Baby Carrier = Game Changer

    Wearing Baby B in a soft wrap allowed me to stay hands-free while still giving them the closeness they craved. Not only was the baby calm and cozy against my chest, but I was also able to:

    • Bottle feed Baby A
    • Fold laundry
    • Wash dishes
    • Prep meals (carefully, with baby positioned safely and away from heat or sharp objects)

    The key here is choosing a carrier that’s supportive for long stretches and comfortable enough to wear for multiple hours. I personally love soft wraps for overnight use—they’re gentle on newborns and distribute weight well for the caregiver.

    2. Compassion Over Routine

    While sleep schedules and routines are important, sometimes babies just need to be held. As doulas, we approach these moments not with frustration, but with empathy. For this little one, the world still feels big and unfamiliar. Offering contact and comfort isn’t “spoiling”—it’s meeting a need.

    I kept my movements slow and calming, whispered reassurances, and rocked gently while moving around the house. The goal? To make Baby B feel secure while allowing space for the rest of my duties.

    Beyond Baby Care: Nourishing the Whole Household

    With both babies relatively settled (thanks to the carrier!), I was able to go the extra mile to support the household. While the parents rested soundly from 10 p.m. to 6 a.m., I:

    • Made a batch of protein balls for easy, nourishing snacks
    • Prepared a baked oatmeal dish for breakfast (warm, hearty, and ready to go)
    • Ran four loads of laundry—yes, four!
    • Cleaned bottles and dishes to reset the kitchen for the morning

    These may seem like small things, but to tired new parents, they’re everything. My goal is always to leave the home more peaceful than I found it, with both babies and parents nurtured and cared for.

    Tips for Other Doulas Supporting Twins Overnight

    1. Master Babywearing Early – Practice different carries and get comfortable before you’re juggling real-time situations. You’ll rely on it more than you think.
    2. Prep Soothing Stations – Have burp cloths, pacifiers, swaddles, and bottles within reach in multiple rooms.
    3. Stay Calm and Grounded – Babies feed off energy. If one is unsettled, your calm presence can be the anchor they need.
    4. Triage Needs – When both babies need something at once, prioritize safety, then comfort. It’s okay to soothe one while the other waits a minute.
    5. Communicate with Parents – Share insights from the night, like which baby needed more contact or how feeding went. These small details help parents feel connected and supported.

    Final Thoughts on Overnight Doula Support for Twins: A Night Well Spent

    Overnight doula support for twins is intense, rewarding, and deeply intimate work. Some nights are smooth sailing, others are a dance of soothing, feeding, and adapting in the moment. But with patience, a wrap, and a warm heart, you can offer the kind of support that truly makes a difference.

    And let’s be honest—there’s something really satisfying about leaving a fridge stocked, laundry folded, and knowing two little ones (and their parents) got the rest they so desperately needed.

    Until next time,
    Shandelle
    Certified Postpartum Doula & Twin Whisperer 😉[/vc_column_text][vc_column_text css=”.vc_custom_1750883886324{margin-bottom: 0px !important;}”]Shandelle ferguson

    About the Author: Shandelle Ferguson

    Shandelle is originally from Newfoundland but now calls Nova Scotia her home. With a passion for changing birth culture in Atlantic Canada, you can find her chatting with other doulas, reaching out to birth professionals and helping new parents in their journey into parenthood. Shandelle is a certified Labor and Birth and Postpartum Doula with Blossom and Birth Doula Services. A mother to three, you can find her drinking coffee, or wine, and spending time with her family.

    [/vc_column_text][/vc_column][/vc_row]

  • Canada Day: Centering Indigenous Sovereignty in Birthwork

    Canada Day: Centering Indigenous Sovereignty in Birthwork

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1750883276028{margin-bottom: 0px !important;}”]

    Canada Day: Centering Indigenous Sovereignty in Birthwork

    Canada Day is often celebrated with fireworks and barbecues, but for many, it’s also a day of grief. A reminder of land theft, cultural erasure, and the deep wounds of colonization. This Canada Day, let’s take the time to reflect on the foundations of our work: whose traditions we draw from, whose knowledge we uplift, and whose sovereignty we respect or overlook. 

    The truth is, much of what birth workers do today – holding space, honouring ceremony, and recognizing the sacredness of birth – are practices rooted in Indigenous knowledge systems. Systems that have existed on these lands since time immemorial and continue to thrive in communities that protect and reclaim them from policies of forced removal, assimilation, and systemic erasure.

    When we offer continuous labour support, affirm the role of extended kin, or talk about birth as a spiritual experience, we are participating in something that has always existed here. It is not new. It is not neutral. And it did not come from textbooks.

    This Canada Day, we invite birthworkers to do more than reflect. We invite you to act.

    Ask yourself:

    • How has colonialism shaped the way I learned to support birth?
    • Have I named and honoured the Indigenous roots of the practices I use?
    • Am I unintentionally upholding systems that exclude Indigenous knowledge?
    • Do I know the difference between cultural appreciation and appropriation?

    Take concrete action(s):

     

    Canada Day doesn’t have to mean ignoring the past. We can’t rewrite history, but we can decide how we show up in the present.

    Indigenous birth practices are not lost. They’re here. They’re vibrant. And they’re leading.

    The question is — are we listening?[/vc_column_text][vc_column_text css=”.vc_custom_1750883699682{margin-bottom: 0px !important;}”]Aunjrya Fleming

    About the Author: Aunjrya Fleming

    Aunjrya is the EDI lead for Doula School. She is a Registered Nurse and International Board Certified Lactation Consultant (IBCLC) with a deep commitment to reproductive justice. She brings years of experience working with racialized, refugee, and 2SLGBTQIA+ families as a maternal health navigator, educator, and advocate. Aunjrya is passionate about building equity-informed spaces that center safety, dignity, and agency for all birthing people.[/vc_column_text][/vc_column][/vc_row]

  • Doula Support for Queer and Refugee Families

    Doula Support for Queer and Refugee Families

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1750698160459{margin-bottom: 0px !important;}”]

    Not the U.S. — But Not Off the Hook: Showing Up for Queer and Refugee Families in Canada

    Doula Support for Queer and Refugee Families: As we watch what’s unfolding in the United States — Anti-Queer policies gaining momentum, Pride events under threat, and migrant families facing raids and deportation — it can be tempting for Canadians to breathe a sigh of relief.

    But let’s not get comfortable.

    The truth is, Queer and Refugee communities here in Canada are still navigating systems that weren’t built for them. And while our headlines may be quieter, the harm can still run deep — especially when it’s met with silence.

    This Pride Month, we want to gently but clearly remind birthworkers across Canada: our work is political, too.

    Being a Doula in Canada Means Facing Our Realities

    Queer and trans families here still struggle to access gender-affirming care. Many refugee families — including queer refugees — face unsafe shelter conditions, long wait times for services, and a lack of culturally or linguistically appropriate care.

    Hate might not be in the policy — but it’s still in the room.

    Your clients may not be facing deportation, but they might still be facing systemic discrimination, generational trauma, or invisible stressors tied to what’s happening globally. The collective weight of fear, anger, and grief doesn’t stop at the border.

    So how do we show up here, now?

    1. Don’t Compare — Commit

    Instead of using the U.S. as a measuring stick, use it as a mirror. What does our silence mirror? What would we do differently if our systems were next? The truth is, many of the same skills, resources, and sensitivities being called for elsewhere are just as needed here — even if our government isn’t making headlines.

    2. Make Your Care Explicitly Safe

    Don’t assume people feel safe with you — show them. Ask about safety and identity like it’s as normal as asking about birth plans. Make space for chosen family. Update your forms. Know your own biases. Be proactive, not performative.

    3. Recognize Intersectional Risks

    A birthing person who identifies as a queer refugee can face layered vulnerabilities — racism, homophobia, housing insecurity, the arduous task of navigating a complex and novel healthcare system. Know who your local mutual aid groups are. Understand how refugee sheltering systems work. Connect with organizations supporting queer newcomers and undocumented folks. The more context you hold, the more safety you can create.

    4. Offer Local and Cross-Border Solidarity

    This moment isn’t just about who’s on your client list. It’s about standing with queer and undocumented communities everywhere. That might mean checking in on doulas, friends, or clients across the border. It might mean amplifying fundraisers or calling your MP. Oppression is global — and so is our responsibility.

    A Canadian Flag Doesn’t Equal Safety — But Your Practice Can

    This Pride, let’s hold two truths: we are not the U.S., and we are not absolved. Queer and refugee families in Canada still need more than signs promising a positive space. They need doulas who show up, speak up, and do the ongoing work of creating safety from intake to postpartum and beyond.

    Let’s commit to being those doulas.[/vc_column_text][vc_column_text css=”.vc_custom_1750689390681{margin-bottom: 0px !important;}”]Aunjrya Fleming

    About the Author: Aunjrya Fleming

    Aunjrya is the EDI lead for Doula School. She is a Registered Nurse and International Board Certified Lactation Consultant (IBCLC) with a deep commitment to reproductive justice. She brings years of experience working with racialized, refugee, and 2SLGBTQIA+ families as a maternal health navigator, educator, and advocate. Aunjrya is passionate about building equity-informed spaces that center safety, dignity, and agency for all birthing people.[/vc_column_text][/vc_column][/vc_row]

  • The Art of Reassurance: Addressing Birth-Related Fears for Mental Health Stability

    The Art of Reassurance: Addressing Birth-Related Fears for Mental Health Stability

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1740764642185{margin-bottom: 0px !important;}”]

    The Art of Reassurance: Addressing Birth-Related Fears for Mental Health Stability

    There’s no question about it — parenting is one of the most exciting milestones you can hit as an adult. However, that doesn’t mean becoming a parent is stress-free — especially as a person giving birth. Pregnancy can be a difficult time filled with mixed emotions, and these ramp up as the due date approaches. Having birth-related fears is perfectly normal, of course — especially with the abundance of information all of us have about childbirth today. Knowing every little thing that can go wrong is bound to generate stress. Luckily, addressing birth-related fears is easier with the right doula — and you’ll be by their side to help. With proper planning and support from you and their loved ones, clients will easily find light in the darkness and get the right mindset for the moment they go into labor. 

    So, let’s examine some of the ways you can reassure your clients to achieve mental stability before labor. 

    Support Is Essential

    To get your clients ready for childbirth, help them realize that they can’t prepare perfectly. Even with the most thoughtful approach and a caring doula, they can’t plan for every eventual situation that might arise. With that in mind, it is essential to learn to let go of at least some of the control they want to have over the birth of their little bundle of joy. 

    However, this also means learning to lean on you as their doula, their partner, and other loved ones. Together, you will provide the practical support they need as they get ready for the big day. Knowing they’ve got the right people beside them will make the whole experience less stressful. 

    For instance, you and the client’s partner can write a birth plan for the moment the baby arrives. In the process, you can explain anything they’re uncertain about and discuss your advice for each decision they need to make. 

    Still, addressing birth-related fears requires more than practical support. Now, more than ever, your client needs a partner who cares about their emotional well-being during pregnancy. However, the birth-related fears don’t end when the baby is born. Therefore, it is necessary to focus on postpartum mental health, as the emotional changes after birth can be just as challenging as the physical ones. A well-planned postpartum care plan is as important as a pre-natal one.  

    Address All Stressors

    Expecting a baby is bound to be stressful for your client. After all, they’re bringing new life into this world — feeling completely relaxed about the fact would actually be strange. However, that doesn’t mean they should completely let their stressors take over and cause anxiety each day. And that’s something you should make clear as a doula. 

    Without addressing birth-related fears and lowering stress, your client actually runs the risk of negatively impacting their baby’s development. That’s why stress management is absolutely necessary while pregnant. 

    How do you help the client achieve this? Well, this depends on their specific stressors. There are some things common for all pregnancies, but some sources of discomfort will depend on the client’s particular experience. Guide them through this process and help them recognize their sources of stress.

    For instance — are they getting enough sleep? With a chronic lack of sleep, the client’s daily stress can build to a point where it affects the baby. Also, you probably know that eating healthily is crucial for the baby — but it’s also important for the client’s daily mood. 

    Eating fast food and lots of sugar will result in constant energy crashes and mood swings. And it will make dealing with birth-related fears more difficult. Your clients should eat as healthily as possible instead. 

    Identify Specific Triggers

    Sure, a lack of sleep and malnutrition will make anyone’s emotional and mental stability more difficult to balance. However, all of us have some specific stress triggers as well. To help your client maintain mental health in the months and weeks leading up to childbirth, you need to identify their particular stressors. 

    Encourage them to discuss this with their partner/family and see if there’s anything they can do to make daily life less anxious. Getting enough birth and postpartum support from partners/familial support is essential, even with the best doula in the world. 

    Also, it helps them think of things that they find relaxing and see if there are any hobbies they can take up to alleviate stress. Some folks find pottery and baking relaxing — for others, it’s simply spending time outside or watching a movie. 

    Ultimately, your clients may need medical help as well to manage stress. Encourage the client to speak to their doctor to see if there’s anything they could help with — or provide useful advice. 

    Get Enough Exercise

    Most pregnant people have posture problems during pregnancy. This is no surprise, considering the sudden increase in weight they carry around every single day. And this becomes an increasing problem as they near their term. Slowly, this becomes a psychological problem as well — pregnant people need to deal with the fact that they’re not as mobile as usual. 

    Exercise can help with this — and it can also help them when it comes to addressing birth-related fears. During labor, your client will be using muscles you may not have worked out before — and you should make them aware of this. To ensure labor is as smooth as possible, guide them to strengthen these muscles and potentially reduce pain and aching after the baby arrives.

    Of course, safety is essential here — both for your client and the baby. Consult a medical professional before recommending any workout plans for your pregnant client, and ask them to get advice from their doctors, too. In most cases, light yoga can help. You can find plenty of specific plans for pregnancy online. 

    Pregnancy-specific squats may also help by working out pelvic muscles, and you can find other exercises to help with lower back pain. As the client’s pregnancy progresses, their lower back will become increasingly stiff — so this is important as well. 

    Wrapping Up

    Addressing birth-related fears is a vital part of preparing for labor. It’s perfectly normal to feel anxious or afraid — a client knows they’ll have to prepare their body for some degree of pain. However, even without drugs (about which they should always consult their doctor), there are ways to prepare them for the process. And this is a big part of your job as a doula.

    At the end of the day, the best way to prepare is to arm them with knowledge. The more they know about every detail of childbirth, the more they’ll be able to avoid mistakes and unnecessary unpleasantness. Plus, they’ll be ready to deal with any potential issues that might arise. 

    Naturally, healthy living during pregnancy will go a long way toward alleviating stress. When your client knows they’ve done everything in their power to achieve a healthy pregnancy — they and you have a lot less to fear. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1760583857451{margin-bottom: 0px !important;}”]

    Andrea PaulAbout the Author: Andrea Paul, Doula Trainer and Mentor

    Andrea Paul (she/her) is a devoted caregiver and mother of two who brings warmth, compassion, and enthusiasm to supporting doulas and families. With over a decade of experience as a birth worker, postpartum doula, lactation educator, and infant sleep coach, she’s passionate about helping families feel confident and cared for. As a doula trainer and mentor, Andrea finds joy in empowering new doulas to thrive and make a lasting impact in their communities.[/vc_column_text][/vc_column][/vc_row]

  • When Black Lives Are Under Attack: What Birth Workers Can Do to Stand Up and Fight Back

    When Black Lives Are Under Attack: What Birth Workers Can Do to Stand Up and Fight Back

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1739977217866{margin-bottom: 0px !important;}”]Birth Workers Anti-Racism: Supporting Black Lives: Black History Month, or Black Futures Month as I prefer, hits differently this year. It’s a scary time for Black people in North America. A president that most Black American voters did not choose has taken control of the White House. Trump’s second term is a manifestation of a sociopolitical climate wherein some will openly say that all Black people in professional jobs are unqualified DEI hires who should be relegated to “Black jobs.” These people are gleefully expecting some “Black jobs” to open up as all the migrant fruit pickers get deported. 

    At the same time, the president won’t stop talking about annexing Canada. The party leading in the polls for our federal election this year embraces similar ideologies as the MAGA movement, creating fear and anxiety for Black Canadians who don’t want to see the same sociopolitical climate ushered in here.

    Since 2019, significant progress has been made in the US to secure public funding for doula care, with programs often targeting Black and other racialized groups. This is in response to numerous studies demonstrating that there is a Black maternal health crisis in the US. Black women are 3 times more likely to die in childbirth than white women. We are also more likely to die from postpartum complications, more likely to have preterm labour, and a variety of other adverse outcomes. Similarly, Black neonates are more likely to die, experience birth injury, and have low birth weight. Researchers have agreed that social determinants of health such as medical racism, and racial trauma and stress are to blame

    Research also demonstrates that birth and postpartum doula care is an effective and cost-effective intervention that improves outcomes for Black birthers and babies. Black Congresswomen Alma Adams and Lauren Underwood, who co-founded the Black Maternal Health Caucus in 2019, have been significant contributors to systemic progress. This bipartisan caucus works to address the disparities in maternal health outcomes for Black women in the United States through legislation and advocacy. 

    Now these gains are at risk. The first month of the Trump administration sets a very different tone regarding what we can expect in terms of support for public health and health equity. In the first week, he withdrew the United States from the World Health Organization (WHO), the body responsible for coordinating international responses to global public health crises such as the pandemic. He also signed an executive order directing federally run insurance programs to exclude coverage for gender-affirming care for trans people (ie Medicaid, Tricare, etc) and public funding for abortions

    This administration is also making decisive moves against teaching Black history. For example, content regarding the Tuskeegee airmen has been removed from Air Force training. Seeing which way the wind is blowing, Google rushed to comply with this new direction by canceling its DEI programs and removing Black History Month, Indigenous People’s Month, and Pride Month from its calendar. Other companies have made similar moves. In a climate like this, support for Black maternal and neonatal health initiatives is in jeopardy, while the Black perinatal health crisis persists. 

    Given the power of the United States, and Trump’s threats against the sovereignty and independence of various nations, including Canada, Gaza, Mexico, Panama, and Denmark, global anxiety is high. Many people in the US and around the world don’t like the direction in which things are headed and recognize that resistance is needed. As doulas and birth workers, we are already engaged in a path of resistance to medicalized and systemic violence against gendered, racialized, queer, disabled, and equity-deserving bodies. 

    The intention of the “shock and awe” executive orders of last month is to demoralize the average person and make us feel like there’s nothing we can do. This is far from true. Fascist regimes are always met with sustained resistance, and they always crumble sooner or later. Our mission is to ensure that this happens sooner rather than later and mitigate the suffering caused in the meantime. Here are some practical strategies and tips on surviving and thriving in the resistance movement in the coming years.

     

    Self-Care

    All of these dramatic and alarming changes happening overnight and the uncertainty about what will happen next takes a toll on our mental health and well-being. That’s the point. Mentally ill people just trying to survive each day cannot resist effectively. Taking care of ourselves is one of the most important steps we can take to weather the coming storms. Brainstorm activities that make you feel better and try to do at least one thing on that list each day. Monitor yourself for symptoms of clinical mental illness and seek treatment as soon as you think you might be unwell. Support Black scholars and writers by checking out Tricia Hersey’s Nap Ministry movement and her books Rest as Resistance: A Manifesto, and We Will Rest. The Nap Ministry advocates for liberating ourselves from the expectation to be constantly working, and building communities of collective rest and healing through art and grassroots organizing. 

     

    Understand Intersectionality

    It’s telling that the Trump regime is attacking Black, Indigenous, and racialized communities, women’s rights, LGBTQ+ communities, people with disabilities, and low-income people. It’s consistent with the theory of intersectionality first advanced by Black feminist legal scholar Kimberlé Crenshaw. Oppression is not siloed. Racism, sexism, homophobia, transphobia, classism, ableism, and other discriminatory mindsets work together as a well-oiled machine. Marginalized groups and allies must also work together. You are probably familiar with the post-WWII poem, “First They Came” by Rev. Martin Niemöller. Do not wait for them to come for you personally. There is a very good chance they will come for you eventually. Stand in solidarity with people who are under attack right now. Inform yourself about how marginalized groups have already been negatively impacted by Trump’s executive orders and speak up. If you are Doula School alum and want to learn more about the Black perinatal health crisis in Canada and discuss its similarities to the treatment of Black birthers in other jurisdictions, check out the watch party to screen “The Standard of Care” on Mar 11, 2025

     

    Globalize Your Social Network

    Globally, those who are against the current direction far outnumber those who support it. We need to find each other and grow an international solidarity movement. One important lesson of these troubling times is that no country is an Island. Many people worldwide are impacted by the actions of a government that is not theirs. Find out what like-minded people in other countries are doing and figure out how you can work together. For Doula School alumni, our private Facebook group is a great place to start. As our program grows, the group is increasingly international. It’s a good way to talk to other birth workers about how it’s going where they live, their hopes and fears for the future, and what we have in common. The goal of a regime like this is to lock us in an “us vs them” mentality that fuels hate and fear and makes us easier to manipulate. Finding common ground and building solidarity with diverse communities is an essential act of resistance.

     

    Consumer Harm-Reduction

    Pay attention to how you vote with your money. As we all know by now, the opening volley of the US regime’s efforts to control the world is to initiate a trade war with numerous countries, including Canada, Mexico, and China. Check the labels on the products you buy and support your local economy whenever possible. The stronger each nation’s economy is, the less power the trade war and tariff threats hold. The people in power are highly motivated by money. This is the language they understand. If you live in the US, do some research and support companies that are defiantly maintaining their EDI initiatives and divest from brands that are complicit in these regressive policies.

     

    Votes Matter

    Are there elections coming up soon where you live? Pay attention to elections at each level of government, inform yourself about the different policy platforms and how they will affect you and your community, and VOTE on election day. Over a third of eligible US voters didn’t show up on November 6, 2024. We’ll never know what would have happened if they had. A key takeaway from the current chaos is that election outcomes have a significant impact on the daily lives of average people. We must exercise our democratic rights along with these other crucial actions. For those in Ontario, Canada, this means being ready to vote for a Premier on Feb 27, 2025. Ensure that you are registered, or have the documentation you need to register on election day handy. To register on election day, you need proof of address to confirm you are voting in the right riding (e.g. a utility bill) and a provincially recognized ID (e.g. a Canadian passport).

     

    Join Grassroots Movements

    Make an effort to learn about organized resistance that is already happening in your community and join their efforts. Share information with your friends and social networks about reputable organizations doing good work. Follow resistance organizations on social media and support their actions wherever possible. This can include going to demonstrations, calling and writing your elected representatives, volunteering, signing official petitions, and more. Don’t underestimate the power of grassroots movements. Regular people working together have been instrumental in bringing down every corrupt and oppressive regime throughout history. The people united will never be defeated. 

     

    About the Author – Keira Grant  

    Keira GrantKeira 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]

  • National Day for Truth & Reconciliation: Action is Our Collective Responsibility

    National Day for Truth & Reconciliation: Action is Our Collective Responsibility

    [vc_row][vc_column][vc_column_text title=”National Day for Truth & Reconciliation: Action is Our Collective Responsibility” css=”.vc_custom_1727115223782{margin-bottom: 0px !important;}”]In 2015, the Truth and Reconciliation Commission of Canada announced that its investigation into the inter-generational trauma caused by the “Indian Residential School” system that the Federal Government of Canada operated in partnership with Christian Institutions between about 1880 and 1996 was complete. The commission published a final report that made 94 Calls to Action. Many Indigenous experts believe that completing these Calls to Action is an imperative aspect of rectifying the harm that settler colonialism has done to Indigenous people.

    It’s been nine years since the commission published its report. The concept of Truth and Reconciliation is that repairing the damage can only be achieved with honesty. The truth is that the federal government has not done much to change outcomes for Indigenous peoples since the report’s publication.

    On the 8th anniversary of the final report’s publication, the federal government issued a statement claiming that 85% of the calls to action were either complete or well underway. Indigenous Watchdog paints an entirely different picture. According to their analysis, only 66% of the Calls are completed or in progress. Twenty percent of the calls are stalled, and 20% have not yet started.

    At the time of this writing, Indigenous communities across Canada are mourning and speaking out about injustice. Over 2 weeks this month, 6 Indigenous people were killed by police, with the RCMP responsible for 4 of the deaths. This overt violence at the hands of the police is a stark barometer for the level of violence Indigenous people are subject to in other institutions, including health care.

    When it comes to the federal government’s action on the 7 health care calls, it is slim to non-existent. None of these urgently needed calls have been completed. This lack of action shows in the numbers. A 2023 study found that 18.6% more non-Indigenous women had a regular healthcare provider during pregnancy than Indigenous women. This was connected to statistically lower access to primary and specialized care. This applied to rural and urban settings, and disparities remained when socioeconomic status was controlled for. Similarly, the infant mortality rate is twice as high for Indigenous babies as for non-Indigenous babies. The studies’ authors conclude that racism and the resulting deep mistrust of the system are to blame.

    Given the ongoing violence that Indigenous people face at the hands of institutions, mistrust is entirely justified. If our government were serious about establishing trust, it would be honest about its accomplishments on the Calls to Action and get the work done.

    The Call to Action that has the most direct impact on how we should practice as doulas is number 22, which calls upon us to recognize the value of Indigenous healing practices and incorporate them in healthcare delivery. When engaging with Indigenous clients seeking perinatal support empowering and facilitating their reclamation and implementation of Indigenous teachings if desired is essential. For non-Indigenous birth workers, this looks like making referrals to an appropriate Indigenous doula where possible and doing the work of managing our colonial unlearning proactively and independently when not. We should also listen deeply and with humility to the teachings the client would like to impart.

    As a training Institution, we are committed to enacting the 24th call: ensuring that all students who will be working alongside the healthcare system take Indigenous culture and awareness training. The goal of our Truth & Reconciliation module is to ensure that all program graduates are prepared to fulfill the 22nd call in their practice. We recognize that the module is a work in progress and we are paying close attention to feedback from our Indigenous students on how the module can be made more relevant and impactful. As our program grows to include students from more and more countries, we are exploring ways to connect the oppression of Indigenous people on Turtle Island to experiences of colonization, displacement, and resistance around the world.

    We know our work is far from complete and that our spheres of influence are small. However, each small organization’s actions to fulfill the Calls to Action is an example and a challenge to our Federal government and other powers to step up and honour their commitments. We trust our actions will ripple out, and we look forward to continuing this essential work in our community.

     

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

    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]

  • Gender-open parenting starts on day one

    Gender-open parenting starts on day one

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1722343166871{margin-bottom: 0px !important;}”]It’s non-binary awareness week which lends a great opportunity to open a dialogue about gender-open parenting. It’s a practice-based approach to acknowledging that a person’s gender identity can be fluid and does not always align with the sex assigned based on a visual assessment of external genitalia at birth. Parents taking a gender-open approach take actions like choosing a gender-neutral name, building a wardrobe that includes “boys”, “girls” and neutral clothes, using they/them pronouns by default until the child chooses gender-specific ones, and offering the full range of toys and activities to choose from regardless of customary gender associations. This leaves the child free to explore and express their gender in their own time and way, including embracing non-binary, gender-fluid, and agender identities.

    It sounds simple, but it’s not. The gender segregation of humans starts at birth or before. When my son was born he was swaddled in a reversible hospital blanket that could have pink facing out for babies with innies, and blue facing out for babies with outies. Often, if the baby’s sex is known or suspected before birth people will begin using gendered pronouns and language.

    It also sounds relatively uncontroversial. After all, gender-specific clothing for infants wasn’t really a thing until part way through the 20th century. All little boys wore dresses until they were about school-aged. Haircuts were also not gender specific and names have flipped-flopped between and across genders based on region and fashion. Yet, less than 15 years ago when a Toronto family announced that they were raising their child gender-open, and to that end not disclosing the child’s biological sex to anyone outside of immediate family and healthcare providers, it created a community uproar that made headlines.

    People who had nothing to do with this family were outraged, with some going so far as to call not sharing the nature of their child’s external genitalia with society at large “child abuse”. The move was ingenious in that it required people interacting with the child to use they/them pronouns or the child’s first name, which was exactly the source of outrage.

    Most parents who raise their child gender open find this plan goes down the tubes if anyone learns the child’s sex assignment. Once this information becomes known they find themselves dealing with such a flood of gendered language, behaviour, and expectations that stopping it is like putting the proverbial finger in the dam. Some studies show that adults caring for newborn girls are more likely to refer to them as “pretty”, and “sweet” and newborn boys as “strong” and “smart”. The continuous conditioning to conform to gendered expectations continues from there.

    Sadly, with confidentiality comes censure, especially since this is often kept from extended family members as well. A common valid concern is that the child will feel pressured to keep the secret as they grow older causing shame about their body and other psychological harm. In reality, gender identity typically asserts itself in early childhood, unlike sexual orientation which asserts itself at the onset of puberty. By the time they are old enough to speak well and be in social situations where they are changing around other kids, they will likely have chosen suitable pronouns and other gender markers that work for them. The child is never expected to keep a secret, rather it is the adults caring for them who are expected to maintain their privacy.

    So, if you’re a birth worker supporting a family choosing to raise their child gender open or considering it, what can you do to affirm their choices?

    Queer Culture

    Often families making this choice are culturally queer, meaning that regardless of their own sexual and gender identity they are heavily immersed in and accepted by the queer and trans community. Affirming their right to parent gender-open is part of affirming their right to live open queer/trans lives, and raise their kids in the community.

    A growing number of people who are not culturally queer are starting to move toward gender-open parenting. In certain ways, those parents face additional challenges, in that they are not as likely to be connected to a community, including healthcare and childcare providers, who are familiar with and supportive of this choice. In this instance, an affirming, queer/trans-competent doula has the power to make a huge difference in their ability to implement this choice by respecting and normalizing their preferences, connecting them with community support, and helping them brainstorm practical ways to avoid gendering their child.

    Self Reflection

    In some ways, people in Baby’s sphere who don’t know what’s inside their diaper have it easier. If you were there when they were born, or if postpartum support includes diaper changes, you don’t have the advantage of sincerely not knowing their sex assignment.

    Don’t take that running stream of babble you’re maintaining with your young charge for granted. Be open to noticing the gendered implications of the way you’re engaging. In addition to language, there’s evidence that caregivers play with and speak with baby girls more gently than boys. Do you notice these behaviours in yourself? Can you consciously move the needle toward more gender-neutral interactions?

    Also, remember that while the baby’s sex assignment might not be confidential information for every family, it may be highly so for this family. Have a clear conversation with the parents about their preferences and try not to let that information slip.

    It’s Tough Out There

    The intro to this article made it sound like you just had to do a handful of things, and voila – you’re parenting gender open. In reality, most parents who are quite gender aware, including trans and non-binary parents find it far more challenging than they thought it was going to be. Not knowing a person’s gender makes most people uneasy. It’s one of the most ingrained ways of sorting humans into categories. With uneasiness comes resistance. Moreover, much of how gender expectations are conditioned is subtle and can’t be avoided by using a certain pronoun or making sure all the clothes are yellow, green, and natural tones.

    Parents need significant emotional support from people who understand why this choice is important to them. Just holding space for how challenging it is and encouraging them to preserve their values is an invaluable way that a birth worker can have a positive impact.

    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]

  • Emancipation is a collective State of Mind: Birthworkers need to talk about slavery

    Emancipation is a collective State of Mind: Birthworkers need to talk about slavery

    [vc_row][vc_column][vc_column_text css=”.vc_custom_1717529438169{margin-bottom: 0px !important;}”]As a child, I loved the “Heritage Minutes” on CBC. These memorable 60-second spots about Canadian history stand out more in my mind today than most of what I learned in Canadian history classes. One of the most notable stories was the Heritage Minute about the Underground Railroad which chronicled the moment when an escaped, enslaved African American family realizes they have successfully made it to freedom in Canada. “We’s free! We’s in Canada” exclaimed the family as they embraced each other tearfully.

    Like many Canadians, I was unaware of Juneteenth until a few years ago when President Biden proclaimed it a national holiday. June 19th is a significant date in US history because it is when the last group of enslaved people were emancipated approaching the end of the Civil War. As a nation with a strong tendency to congratulate itself for being the nation that American slaves escaped to, it can be difficult to see what this emancipatory celebration has to do with Canadian history or society.

    In fact, slavery was a normalized way of life in the colonized territories that eventually became known as Canada for over 2 centuries. In the early days of the colonial process, Indigenous peoples were enslaved, along with Black people brought to the Americas by the trans-Atlantic slave trade. It ended in Canada in 1807 when slavery was abolished throughout the British Empire. In contrast, Juneteenth commemorates June 19, 1865, fifty-eight years later.

    So why is it important to talk about slavery today, and why is it relevant to birthworkers? To enslave people, you must first dehumanize them. The transatlantic slave trade codified beliefs about Black people that can’t be eradicated as easily as laws. These beliefs are alive and well, and responsible for much of the suffering experienced by Black people globally today. For example, on May 25, we commemorated the 4th anniversary of the brutal murder of George Floyd at the hands of a police officer. This is despite the many years the Black Lives Matter movement has raised awareness of similar incidents.

    This is relevant to birth workers because this dehumanization is enacted in the health care system as well. We shared an article about “The Mothers of Gynecology” in February. The dehumanization that these enslaved women experienced as they were experimented on without anesthesia is the direct ancestor of the horror stories described by prominent Black figures such as Beyonce, Serena Williams, and Tatyana Ali. Their stories represent the stories of countless others who don’t have the same kind of platform, including many Canadian Black women and birthers.

    As health researchers and policy-makers in the US struggle to combat the Black maternal and neonatal mortality crisis, growing evidence emerges that culturally competent doulas have a significant positive impact on Black maternal health outcomes. This evidence has led to an ever-increasing number of US jurisdictions providing public funding for doula care to ensure that this support makes it to families that need it most.

    These strides forward are connected to a broader trend in US culture of acknowledging its racist past and that racism is still a part of the fabric of its nationhood.

    Frankly, my observation as a Black woman who has lived in Canada for over 40 years is that as a nation, we are still stuck in denialist whitewashing. For example, while I had long since debunked the mythology of the underground railroad heritage minute, I had no idea that Indigenous people had been enslaved in Canada until I started researching this article.

    We know that reconciliation cannot exist without truth. The path to collecting the same level of data that has made publicly funded doula care possible in the US begins with acknowledging that racism is as baked into our history and as prevalent in today’s social fabric as it is in the US.

    Canadians observing Juneteenth can use today to learn about the history of Black and Indigenous enslavement in Canada and reflect on how it impacts the modern day. I highly recommend looking at the work of Black Canadian scholar and historian Dr. Afua Cooper. In particular, her book “The Hanging of Angelique: The Untold Story of Canadian Slavery and the Burning of Old Montreal” is a great read.  It chronicles the tragic tale of an enslaved Black woman in Lower Canada (now Quebec) who was scapegoated and tortured into confessing to the great fire of 1734 in Montreal. Cooper’s prodigious research captures the nightmare of Canadian slavery and the early colonial period. Drawn largely from copious trial records, Angelique’s words are considered the earliest known first-person account of slavery in the New World.

     

    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]