Tag: birthwork

IN-PERSON | BIRTH DOULA | LETHBRIDGE, AB | APRIL 12-14, 2024

Birth Doula Certification
Birth doula training

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Join our experienced Doula Canada instructors for your IN-PERSON training!

Are you ready to fulfill your dream of becoming a doula? Prefer to learn in person?

Join us for our client-centred and trauma-informed hybrid doula course as we guide you through interactive teaching and hands-on demonstrations! The in-person workshop creates the opportunity for students to learn, hold space, and boost their confidence alongside peers and our experienced team of instructors.

The workshop will be held from 9:00 a.m. to 5:00 p.m. local time every day. Please note you must be in attendance all days in order to qualify for the in-person course requirements.

As part of your doula certification, you will be expected to complete online learning modules and related assignments alongside in-person training attendance. 

*If you’d like to register for the Birth Doula AND Postpartum Doula please select that ticket.

Your presence at the event in its totality, agreement to participate in a professional manner throughout the training.  No partial credit can be awarded.

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Training Information & Eligibility:

You have read through the Resources and policies at www.doulatraining.ca, including but not limited to our Cancellation Policy, Equity & Inclusion Policy, Harassment and Discrimination Policy, and Complaint Policies & Procedures prior to registering.  You acknowledge that all materials are taught in an in-person format and that the training is a part of the full course, including modules, quizzes, practicum, and exams.

There are no age or educational prerequisites for taking this program and DTC works with providers across many countries, with only limited exceptions.  If you are a provider outside of Canada or the United States we recommend that you contact any local doula associations to ensure that our programs can be used for any required authorization.

Professionalism:
You will show up on time and be fully present for all days that you are expected to attend, and always in the spirit of professionalism  You will reach out to our faculty or any staff if any unexpected issues arise.  You agree to take full responsibility for addressing your needs in the area of accessible learning, self-care, and compassionate treatment of peers and DTC staff.  The faculty and staff reserve the right to remove trainees at any time if the trainee creates an unsafe or unprofessional environment for you or other trainees, or for any reason that does not represent the policies of DTC.

Accommodation: 
Doula Training Canada follows the Accessible Canada Act (ACA).  We ask that if you are in need of any special accommodations that will allow you to take your training with us, please email us with special requests at least fourteen (14) days before the scheduled training.  If, during the training, a need for an accommodation arises, you are expected to communicate with your instructor and/or DTC staff immediately and we will work with you to discuss the best possible solution.

Confidentiality:
You are asked to respect the confidentiality of other trainees and our staff during your time with DTC.  Confidentiality with clients will be discussed by your trainer/s.  Trainees who observe a problem with another trainee are asked to bring the problem to the lead trainer for the specific session or DTC administration, as per the set policies and guidelines.   Similarly, if a staff member acts unprofessionally we ask that you email DTC administration as soon as possible.

Preparedness for doing your own work:
Throughout your training, you will be expected to participate in working through the training activities as a representative in the role of doula support or perinatal support.  You are responsible for scheduling, discipline, and following through on projects and module expectations outside of this training session.  In registering you recognize the set amount of time that you have access to the program and agree to work towards completion in the timeframe set forth by DTC and its vocational expectations.  Mentoring can be accessed by emailing our staff at info@doulatraining.ca and we are always prepared to assist you if you communicate your questions or needs.  Each program at DTC may have a slightly different timeframe and we encourage you to review these details prior to registering.

Please note that registration ends 2 days prior to the event[/vc_column_text][/vc_column][/vc_row]

Categories
birth community Equity Trauma

National Day of Remembrance & Action on Violence Against Women

[vc_row][vc_column][vc_column_text css=”.vc_custom_1701888370897{margin-bottom: 0px !important;}”]National Day of Remembrance and Action on Violence Against Women (December 6) hits a bit different for me this year. On December 6, 1989, 14 young women were murdered at Polytechnique Montreal. The women were pursuing degrees in engineering. Their murderer felt that by entering into a male profession these women were usurping a place in society that rightfully belonged to him. He ordered their male peers from the room at gunpoint to make sure we knew this was about hating women.

Earlier this year, doulas were targeted for gender-based violence because of their career choices. In this instance for choosing a feminized profession, the intimate and sexualized nature of which could be exploited by a fraudulent predator. As a result of the persistent efforts of the fraudster’s victims, she was arrested in March of this year and the situation did not escalate to worse violence. Still, I’m left with many questions about the climate of fear, suspicion, and infighting that existed within the doula community for months while police and other organizations that are supposed to protect the public did nothing to stop this person’s malicious, harmful behaviour. This despite so many incidents where woman-hating behaviour has escalated to femicide.

In Sault Ste. Marie in October, a known perpetrator of intimate partner violence murdered 5 people, including 3 children, adding momentum to a national call for gender-based violence to be declared an epidemic. We at Doula Canada wholeheartedly support this call, and add our voices to it. As birth workers, we know that pregnancy and postpartum are vulnerable times. Existing IPV often worsens, and in many instances, this is when it starts.  

Our own safety also matters in doing this work. We are often behind closed doors, in people’s homes, providing intimate care one-on-one. It’s not constructive to approach care work from a place of fear. Statistically, our clients are more likely to be victims of violence rather than perpetrators. However, one of the most disturbing things I learned from events earlier this year is that there is a casual normalization of sexual harassment in this field. Several people posted about having their time wasted by solicitation from fetishists posing as birth clients, as though this was simply par for the course. Privately, I’ve heard stories of doulas being sexually harassed by a client’s partner in the client’s home, and not knowing of any options for recourse. Earlier this year, when birth workers were being targeted, many birth workers focused on the perpetrator’s well-being rather than the well-being of a growing number of victims.

The reason for this attitude is the same as the reason why some jurisdictions (such as the province of Ontario) have refused to declare GBV an epidemic. And it’s the same reason why opportunities to stop the perpetrator in the Sue before he killed were missed. GBV occurs in the context of normalized systemic misogyny. Even in a profession aimed at reducing reproductive violence for our clients, we’ve forgotten to expect more for ourselves.

Alongside growing our conversation about GBV in relationships, we need to shine a light on occupational GBV. In other fields where home visits are carried out by a largely feminized workforce (e.g. nurses, social workers), trainees are given guidance on spotting red flags, mitigating risk, and acting to effect accountability. We’re going to start doing that here at Doula Canada. On Jan. 23 we will open this much-needed conversation by hosting a webinar on GBV in birthwork and how we can take charge of our community’s safety. We owe this to ourselves and each other. 

Webinar Details Here: https://stefanie-techops.wisdmlabs.net/training/webinar-gender-based-violence-in-support-work/

It is fitting that Women’s Remembrance Day falls within UN Women’s 16 Days of Activism Against Gender-Based Violence campaign. For ideas for actions you can take against GBV check on this resource on Canadian Women Foundation’s #ActTogether Campaign. https://canadianwomen.org/acttogether-campaign/

*If you are unfamiliar with the events of earlier this year that I reference in this article, you can learn more about that here: https://www.cosmopolitan.com/lifestyle/a44866427/kaitlyn-braun-doula-pregnancy-accused-fraud-harassment/

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1701888381111{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

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

Categories
Anti-Oppression community Trauma

16 Days of Activism Against Gender-Based Violence

[vc_row][vc_column][vc_column_text css=”.vc_custom_1701109787897{margin-bottom: 0px !important;}”]For our observance of UN Women’s 16 Days of Activism Against Gender-Based Violence, we reflect on how doulas are involved in ending obstetric violence at the individual and systemic level. Reflecting on this year’s theme, we call on governments and insurance providers to Unite and Invest to Prevent Violence Against Women and Girls by funding better access to doula care.

Where we need to go

As doulas, companions, and birth keepers, we know in our bones that our presence alleviates the challenges of birth and new parenthood and supports people to have joyful, transformative experiences during this major life event. 

A growing body of research supports our intuitive knowledge. Doula care is an effective perinatal intervention that reduces the need for medical interventions, including c-sections, decreases low birth weight and preterm births, and improves satisfaction with childbirth and postpartum well-being, among many other benefits. These benefits have the biggest impact on families adversely affected by the social determinants of health, including low-income, and racialized people (Cidro et al., 2023; Greiner et al., 2019; Kozhimannil et al., 2016; Marshall et al., 2022; Ramey-Collier et al., 2023; Robles, 2019; Thomas et al., 2023; Wodtke et al., 2022; Young, 2022).

Yet, despite this, only 6% of birthing families receive support from a doula. Doulas are usually paid by families out of pocket, and care is not usually available to the populations for whom having a doula might have the greatest impact.

Some exciting changes are happening in the United States. Starting from around 2020, several studies found that racialized birthers and newborns experienced much poorer outcomes than their white counterparts, including an increased likelihood of death. This disparity was most significant for black people. These studies opened a floodgate of conversation about a Black maternal health crisis in the US. State healthcare systems are under significant political pressure to find solutions. Doula care is seen as a critical intervention that improves outcomes for racialized birthers and babies, and many Medicaid-funded doula programs are emerging (Rochester, Delaware, Michigan).

Sadly, Canada is lagging in finding innovative ways to make doula care accessible. One reason for this is that it is harder for researchers and advocates to demonstrate similar racial disparities because Canada does not collect race-based data. There is ample anecdotal evidence that Black and Indigenous people experience the same medical racism that has been identified in the US, but individual accounts can’t provide the level of “proof” that makes a strong case for funding.

That being said, a recent study by obstetrician researchers at McMaster University learned that birthers in Canada experience a high rate of operative vaginal deliveries (forceps or vacuum) and has higher rates of 3rd and 4th-degree tears than any other high-income country (CTV, 2023). Continuous support from a doula during childbirth reduces the need for interventions like operative deliveries.

Call to Action for International Day for the Elimination of Violence Against Women (November 25)

Whether you are a birthworker, a birther, or a concerned citizen, you can add your voice to the call for better access to doula care by doing two things:

  1. Write or call your Member of Provincial Parliament (MPP) and let them know you want coordinated public funding for doula care in your province’s healthcare plan. 
  2. If you have extended health coverage, call your insurance carrier and let them know you would like doula care to be an insured healthcare expense. More insurance companies covering doula care would make this support accessible to many more families.

Birthworker Affirmations for 16 Days

We use affirmations to buoy our clients, but what about using them to protect ourselves from burnout as we extend compassion to clients and act for systemic change? As part of our observance of 16 Days of Action Against Gender-Based Violence, we offer these 16 affirmations to support you on your birth work journey.

  1. My work humanizing birth humanizes communities. The merits of this work are limitless.
  2. My practice of self-compassion is integral to my ability to extend compassion to my clients.
  3. Changing one life changes everyone’s life. By supporting each person I honour our interconnectedness.
  4. My actions can make a difference.
  5. I will manifest the village I need to support me to continue manifesting change for birthers and families.
  6. By facilitating a non-judgemental space, I play an invaluable role in creating a safe space.
  7. By creating a sacred space for birth, I bring great joy to families, which increases my own joy.
  8. When I remember to take a deep breath, my client is reminded to breathe deeply.
  9. With collaboration and determination, we can realize humanized, empowering birth for all families. 
  10. My acts of service provide a blanket and a shield to families at their most vulnerable.
  11. My compassionate presence and loving words are a powerful antidote to suffering that can exist within birth, making space for more joy.
  12. By inspiring birthers and families to believe that physiological birth is possible, I play a tangible role in making physiological birth attainable.
  13. I will preserve my energy for the real struggle. 
  14. It is a blessing to walk alongside families during this intimate and transformative time, for which I am deeply grateful.
  15. With deeply rooted compassion, I can be a willow or an oak in service to my clients’ needs.
  16. With the birthwork community’s diligence, one day all births will be humanized births. I am honoured to be a part of this movement.

 

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.

 

We invite you to practice with the ones that resonate with you. Please share any of your own affirmations that would support the birthwork community.[/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression community LGBTQ2S+ Trauma understanding bias

Trans Day of Remembrance

[vc_row][vc_column][vc_column_text css=”.vc_custom_1700318432768{margin-bottom: 0px !important;}”]Trans people’s existence is not an ideology. Transness is a natural and inevitable aspect of the wondrous biological and social diversity of human beings. As humans engage in a debate about whether or not some humans get to use bathrooms, attend school safely, and read stories to children, much of the panic regarding “gender ideology” is fueled by myths and misinformation that appear to have taken off like the wildfires that plagued us this Spring and Summer. 

Like wildfire, these myths are dangerous because they kill. Trans youth are at 7.9 times the risk of attempting suicide and 4 times more likely to be the victims of violent crime than their cis counterparts. Those who lose their lives to violence continue to be overwhelmingly trans, Black women. That’s why November 20 is Trans Day of Remembrance.

Here are some of the most toxic myths fanning the flames of fear and hate, followed by the facts that can douse those flames.

Myth 1: People come in two kinds, male and female. 

Fact: There is ample scientific evidence that human biology is far more complex than inny equals girl, outie equals boy. 

MRI-based studies show that the putamen (the region of the brain that controls cognitive functioning and other tasks) in trans people differs from structural norms that are consistent with their assigned gender and more closely resembles their felt gender. (Flint et. al. 2020; Clemens et. al. 2021)

Epigenetics is the emerging science regarding how different genes in our biological makeup get switched on and manifest. This epigenetic study found that since all human embryos start with the potential to be male or female, hormonal variation during sex differentiation can cause genetic changes that cause a person’s gender to be different from their sex.   

I’m a science junkie and I could go on with articles about hormone receptor mutations and genetic perspectives. But I think you get the idea that the biology of transness is a lot more complicated than the primer we got in grade school.

Myth 2: People who think their gender is different from their biological sex are mentally ill.

Fact: Well, technically being trans is a mental illness. The 5th edition of the Diagnostics and Statistics Manual (DSM-V), a compendium that provides diagnostic criteria for all mental illnesses, refers to transness as “gender dysphoria”. There is consensus among the mental health professionals that write the DSM that the appropriate treatment is supporting the person to live as their felt gender. Receiving a diagnosis and treatment for gender dysphoria is an involved process. It takes years to be approved for interventions like surgery. People under the age of 16 cannot receive permanent interventions like surgery. As the emerging biological science suggests, the classification of “gender dsyphoria” as a mental illness is controversial in trans communities. For now, people have to meet the diagnostic criteria in the DSM-V to receiving gender-affirming healthcare.

Myth 3: Trans people are emerging because of the new “gender ideology”.

Fact: While some of the terminology being used is relatively new, people whose gender experience differs from biological “norms” have always existed. Research shows that over 150 Indigenous nations on Turtle Island recognized a third gender before colonization. Indigenous communities were by no means unique. For example, hijras in South Asia have been recognized as a gender group dating back to the 1200s. Similarly, in pre-colonial Uganda, there was the mudoko dako.

Myth 4: Talking about trans people in schools “sexualizes children” and “grooms them” into becoming trans.

Fact: As the facts above demonstrate, trans people have always been here. People are born trans as a result of complex biological factors. The kind of experience they have is determined by society’s attitude toward them. In the pre-colonial societies I mentioned above, trans people were honored and respected members of their communities leading secure and productive lives. Talking about trans people will not make more of them magically appear. Explaining sexual and gender diversity to kids is no more inherently sexual than explaining heterosexual marriage. Failing to talk about LGBTQ+ people won’t make them go away. However, silence will make people more unsafe.

It’s fitting that November 20 is also National Child Day. The goal of the day is to open dialogue about the vulnerability of children and what we can do collectively to keep them safe and honour their rights. Telling kids the truth is how we can keep them safe. Treating all people with dignity and respect is how we create environments where kids feel safe to be themselves. Arming kids with the language to talk about their bodies and experiences is how we keep them safe from actual groomers. Building up their confidence and self-respect is how we keep trans kids alive and well.

 

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

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

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Categories
Anti-Oppression birth Canada community Equity Trauma

International Day for the Eradication of Poverty

[vc_row][vc_column][vc_column_text css=”.vc_custom_1698093869318{margin-bottom: 0px !important;}”]The rising cost of food and collective grocery store anxiety rest on a bed of other precarious conditions. The price of everything has gone up. We are still seeing empty shelves in stores “post” pandemic as we head to the mall in shorts on a 33-degree October day. There are numerous causes for feeling uncertainty.

When society gets taken for a ride, children come right along with us. As someone who works with babies and families, on International Day for the Eradication of Poverty I’m reflecting on the fact that 50% of the world’s children are affected by poverty. 

Most of these children are not where I am sitting, in a high-cost-of-living, high-standard-of-living urban centre in Canada. However, people where I am are still afraid of not having enough, and it’s making many people afraid to start a family.

These fears are justified. Raising children is expensive, and we are facing a food crisis, a housing crisis, a climate crisis, and a healthcare crisis. People and families live in a lot of isolation which makes feeling secure challenging. Poverty has a significantly adverse impact on outcomes during pregnancy and childbirth, and on how all aspects of your life go from there.

Support from a doula reduces the risk of many of the adverse outcomes that poverty increases the risk of. Sadly, individuals who can benefit the most from improved outcomes are those who are least able to pay the cost of hiring a doula. 

Doulas and birth workers are a compassionate bunch. No one in this profession is here to get rich, and we want to provide our services to people who can benefit from them the most. However, we also have ourselves and our families to care for, and doing this work well takes time. Far too many kind-hearted people who have trained long and hard and love this work leave after a few years, turning to less rewarding work that pays the bills. When this happens, the doula’s skills go to waste and their community loses out on the transformative care they could have received.

Advocates within the doula sphere are exploring options to improve community access to doula support while making a long-term career in this field more sustainable. At Doula Canada, we are doing our part by developing a briefing note that will elucidate opportunities and challenges in the current perinatal care landscape, the potential for doulas and childbirth educators to leverage these opportunities and solve these challenges, and models whereby doula care could be cost-effectively funded by a mix of social partners including different levels of government, insurance companies, and foundations. This initiative is directed by the Advocacy Working Group, comprised of Doula Canada members and staff. The Advocacy Working Group is part of our commitment to manifest a culture of equity, diversity, and inclusion (EDI) action within our school. Stay tuned for more on the Doula Access Initiative in the coming months.

To connect with the Advocacy Working Group at Doula Canada, email Keira Grant, EDI Co-Lead at keira@doulatraining.ca.

 

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

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

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Categories
Anti-Oppression birth Equity

Women’s History Month

4 females in colourful clothing sitting together smiling for a photo

[vc_row][vc_column][vc_column_text css=”.vc_custom_1696691842834{margin-bottom: 0px !important;}”]For much of human history and in a myriad of cultures, the ability to create life was revered and seen as a source of power. When Rachel from friends, overdue with Emma famously says “No uterus, no opinion” – she’s describing an attitude that used to be a given. Things started to change in the mid-19th century as the then-exclusively male profession of medicine and the burgeoning specialty of gynecology gained legitimacy and brought reproductive health under its control.

When you control the uterus, you quite literally control the social order. You assume control of the means of producing the next generation, who gets to have a “legitimate” family, and who does not. 

For as long as patriarchy has sought to control women and people with uteri by controlling reproduction, we have resisted and fought relentlessly to bring reproduction back under our control and keep it there. 

October is Women’s History Month and this year’s theme is “Through Her Lens: Celebrating the Diversity of Women”. 

The diverse, heroic people who have fought for reproductive justice, access to choice, and humanized birth are countless, spanning time, place, age, race, gender, sexuality, ability, class, religion, and the full array of human experiences. By sharing a few of their stories, we begin to tell the story of our ongoing struggle for reproductive freedom through their lens. 

The work of these pioneers and modern-day heroes is part of the fabric of all we do as doulas, childbirth educators, and birth keepers to ensure that pregnancy, birth, mothering, and parenthood are empowered, affirming choices and experiences.

The featured figures in women’s history offer a lens through which can explore the movements that have shaped the context of birth work in the 21st century.

Dr. Elizabeth Bagshaw & Nurse Dorothea Palmer

Elizabeth Bagshaw started her medical studies at the University of Toronto in 1901 at the age of 19 and began practicing medicine in Hamilton, Ontario in 1905. The medical profession was overwhelmingly dominated by men at the time. The limited number of women in the profession were excluded from specialties such as surgery and steered toward obstetrics or pediatrics. As a result, maternal health quickly became the primary focus of Dr. Bagshaw’s practice. In 1932 she was asked to become the medical director of Canada first birth control clinic, which was illegal at the time. Despite the legal risks, Dr. Bagshaw accepted the role because she “understood that neglecting health care that only women need contributes to their subordination.” Bradshaw’s practice at the clinic consisted largely of fitting women for diaphragms and conducting follow-ups. The clinic served 400 women in its first year of operation.

At the time that she assumed the role, the Great Depression was ravaging society. Men were out of work, children were hungry, and maternal mortality was high. Women were dying from botched abortions. Family planning options were urgently needed. Despite these conditions, sharing birth control information was illegal and considered immoral by many. Bagshaw and her collaborators were called “devils” and “heretics”. 

The controversy came to a head in 1936 with the trial of Ottawa-based reproductive health nurse Dorothea Palmer. Palmer was charged with advertising birth control during home visits to discuss family planning. Palmer’s defence successfully argued that she had acted in the public good and she was acquitted. This defense was successful again on appeal, making things easier for Bagshaw’s clinic and other early family planning pioneers, although the law making advertising birth control illegal was not reppealed until 1969..

June Callwood 

June Callwood was a Canadian activist, journalist and writer who co-founded the Canadian Abortion Rights Action League in 1973, along with Kay Macpherson, Lorna Grant, Eleanor Wright Pelrine, Esther Greenglass, and Henry Morgentaler. Over the course of the 1970s and 1980s the organization played a pivotal role in the journey to full decriminalization of inducing an abortion in 1988.  After this milestone, CARAL continued its work to ensure equitable and safe access to medical termination of pregnancy.

June Callwood was also known for her journalism in support of social justice and women’s rights. Over the course of her journalistic career she wrote for the Globe & Mail, Chatelaine, McLeans, and other major Canadian publications.

As an activist, she was involved in co-founding over 50 social service organizations, including Casey House a hospice for people with AIDS and Jessies: The June Callwood Centre for Young Women, which provides a range of social services to young women and trans people experiencing pregnancy.

Dr. Galba Araujo

The Humanizing Childbirth movement began in Fortaleza, Brazil in 1975 when Obstetrician Galba Araujo pioneered a program to train traditional midwives and partner them with hospitals. His project gained international recognition, and acted as a catalyst for the World Health Organization to host a conference on technology and childbirth in Brazil in 1985. 

In 2000, the first annual conference on humanizing childbirth was held in Fortaleza Brazil, revitalizing interest in the Humanized Birth movement for the 21st century. This movement aims to de-medicalize birth and create a process wherein relationships and communication are centred and where personal and spiritual transformation are possible. 

While Dr. Araujo’s contribution was undoubtedly central to this movement garnering international recognition in mainstream medicine, the principles of this movement are drawn from woman-led traditional Indigenous midwifery in Brazil and other part of the Americas. 

Reverend Alma Faith Crawford

Reverend Alma Faith Crawford is one of 12 Black women who coined the term “reproductive justice” in 1994 and founded an anti-racist feminist movement aimed at equipping women of all races, classes, and sexual and gender identities with the option to choose to have family, whether through accessing adequate support to childrear, or by accessing options to prevent or terminate pregnancy. The organizing framework they developed for Women of African Descent for Reproductive Justice recognizes that the rage of choices available to a person are impacted by a person’s social experience, with people experiencing injustice and marginalization having diminished access to choice. Maintaining each individuals human right to reproductive justice involves dismantling all forms of social injustice at the deepest level of the system. In addition to equitable abortion access, reproductive justice advocates call for access to social services that would make is possible for more people to raise families with well-being.

Reverend Crawford also organizes with interfaith pro-choice advocacy organization Religious Coalition for Reproductive Choice. She continues her intersectional social justice work as a senior coach for Pastors Without Borders. As clergy in the United Church, she and her partner Karen Hutt create welcoming and loving spaces for members of the Black, LGBTQ+ community. 

Nurse Courtney Penell

Courtney Penell is an Indigenous labour and delivery nurse in Nova Scotia who performed the first smudge ceremony in a Halifax hospital in June 2023. Her ability to perform the ceremony in the hospital came at the end of 10 years of advocacy, that included collaboration with the hospital and the fire department to resolve safety concerns. The long-fought-for policy was implemented just days before her nephew’s birth, allowing her sister to become the first person to receive the ceremony in the hospital. Smudging is an important Indigenous ceremonial and medicinal practice that involves burning sacred herbs such as sage, cedar, sweetgrass, and tobacco. The specifics of the ceremony vary from Nation to Nation. Penell performed the ceremony according to her family’s Mi’kmaw traditions. 

Courtney Penell’s advocacy is part of a Canada-wide Indigenous movement to decolonize birth by reclaiming traditional practices and ceremonies, bringing birth back onto ancestral lands, introducing traditional first foods, and other liberatory actions. 

 

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1696691935455{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_single_image image=”520907″][/vc_column][/vc_row]

Categories
community connection Equity LGBTQ2S+

Bisexual Visibility Day

[vc_row][vc_column][vc_column_text css=”.vc_custom_1695560834217{margin-bottom: 0px !important;}”]According to national data, bisexuals make up the lion’s share of the LGB population. Yet, we are also the most invisible. This is because sexual orientation is usually interpreted based on relationship status and household composition, rather than on how an individual experiences their sexuality.

My wife and I have been together for 16 years, and co-parenting together for 11 years. We are both bisexual. Rarely is our family interpreted accurately by the outside world. I am Black, she is white, our kid is mixed race and presents as Black. We are also both femmes. As a result of these factors, we have been in countless interactions where my wife has been interpreted, and treated as “my friend who helps me out with my kid”. She has actually been a part of every moment of his life since he was an ultrasound image.

If she takes him to medical appointments she is asked to substantiate who she is in relation to him, or now that he is older, he has been asked to confirm her identity. This doesn’t happen when I take him to medical appointments. It is a good practice to confirm the relationship between adults and children at medical appointments. However, this seems to be happening based on race, sexual orientation, and gender-based assumptions about families, rather than as a universal safety precaution.

We’ve come a long way in terms of normalizing same-sex households, but as recently as this past school year, our kid came home with a form that had spots for “mother” and “father”. It is so easy to create a form that has two spaces for “parent/guardian”. Outdated forms such as this one exclude a lot of families that aren’t “same-sex households”. 

In general, we’re not very surprised by these microaggressions as we navigate a heterosexist world. What often lands more painfully are the microaggressions from within the LGBTQ community in relation to our bisexuality.

Recently, we were at a comedy night that was heavily attended by queer and trans people. Despite the largely queer crowd, one of the comedians made a biphobic joke. We groaned and gave each other knowing eye-rolls. This reaction sparked a conversation with a lesbian couple that was seated at the same table. We got to chatting with them and when we revealed that we have been together for the better part of 2 decades and are raising a child together, they made a remark that we have heard in lesbian spaces before: “Oh, well it’s like you’re lesbians then”. 

Like many microaggressions, the intention was clearly complimentary, but that’s definitely not how it landed. We are proud bisexual women. Our relationship with each other doesn’t change that. In these conversations, we find ourselves resisting the temptation to disclose being polyamorous and our relationships with men as a counterargument. No one should have to justify being Bi. That is just what some people are. We all understand that a person who’s been celibate for an extended amount of time isn’t necessarily asexual. It’s the same thing really. My sexual orientation is the one I was born with. Relationships are choices I make over time.

Not all same-sex couples are gay and lesbian. Not all different-sex couples are straight. Many of us raise children using a variety of family and community structures. Being told we are not real or that our identity is a phase hurts. 

A great way to make the world less painful for bisexuals and their families is to normalize and represent different family structures. Right now, there is a culture war over when it’s okay to start talking to kids about LGBTQ+ people. 

Who among us can remember receiving an explanation about marriage and families? We take for granted that there is no need to explain these concepts. We learn about these and other institutions by observing the world around us. LGBTQ+ people are part of the world. Representing queer and trans folk in a child’s world from day one is how we present an accurate portrait of reality.

There is content that affirms family diversity for all ages. Independent children’s publisher Flamingo Rampant offers an excellent selection of children’s books that show race, sexual, bodily, ability, and gender diversity with people and families doing all sorts of fun and magical things. Super Power Baby Shower by Toby Hill-Meyer and Fay Onyx tells the story of a queer, polyamorous family of superheroes preparing to have a baby! 

 Keira Grant (she/her) brings a wealth of experience to her EDI Co-Lead 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. As a mom and partner, she uses her lived experience to provide support and reflection for her clients and her work. Keira is the owner of Awakened Changes Perinatal Doula Services.

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Categories
Health Care Labour Doula pregnancy Trauma

Empowering NICU Parents as a Doula: Strategies for Support

[vc_row][vc_column][vc_column_text css=”.vc_custom_1696077782676{margin-bottom: 0px !important;}”]September is NICU (Neonatal Intensive Care Unit)  Awareness Month. ​This special month is dedicated to acknowledging the challenges families face and providing them with the support and resources they need.

As a doula you will encounter times where families are navigating a baby in the NICU for various reasons. This is an overwhelming and difficult time for all of those involved. It is a traumatic separation of parents and baby. A time where navigating expectations of what parenting was supposed to be and what it is, is up against the fear of will my baby be ok. 

Often times as doulas we feel scared and unprepared in supporting families as they navigate their way through this journey. Here are a few ways you can show up for families in the NICU. 

Listen

Just as you might support someone going through any kind of trauma by listening as they speak, simply lending an open, non-judgmental ear can be of huge help to NICU parents. Focusing on listening ensures that you honor the experience they’re having, instead of clouding it with your insights, birth story, or advice.

Consider starting with, “Do you feel like talking?” before asking any questions about their status or that of the baby. They may really want to share with you how much weight the baby gained that day or how they’re doing on certain good days, or they may really want to vent on some terrible days. But they also may not want to talk.  Asking if they’re open to talking before diving into a conversation is a way to respect their boundaries.

Support them in establishing communication with their baby’s care team: 

NICU parents often feel insecure about how to provide care for their baby who is in such a fragile condition.  It is important for them to know they are just as needed in the NICU as the medical team. 

  • Remind them they are their baby’s best advocate
  • Help them formulate the questions they want to ask
  • Remind them they can provide care to their newborn, changing diapers, taking temperatures, etc. The nurses will support them. 
  • Encourage them to keep a daily journal of their babies progress. keeping track of  baby’s individual body systems, like breathing, digestion, heart, brain, eyes, and any special conditions the baby has.  Keep track of milestones and ask the nurse what the baby’s current goals are.  Sometimes the goals will change daily, and sometimes they will stay the same for weeks.

Offer Practical Support 

As a doula this is our wheelhouse. Just as we would in the home, offering clear and concise suggestions about the type of support you can offer will help overwhelmed parents get what they need. 

  • Work with their support system to arrange food delivery for in hospital support and those at home. Gift cards for restaurants in and around the hospital, premade easy to heat up meals and snacks or even e-transfers will be greatly appreciated. 
  • Offer to do a load of laundry and bring it to the hospital ( or arrange for a family member to do so) 
  • Offer to be a communication liaison between the family and their extended family and friends, or help them find their person
  • Remember that the birther is also dealing with recovery, help them with practical recovery strategies like pain management, pumping, etc. 

Remember that the fear does not end when baby comes home 

 There is a lot of excitement when baby comes home however this doesn’t mean that the fear and concerns have ended. Often parents have not fully processed the trauma of being in the NICU and coming home creates a space for all of that to surface. 

Find the parents counselling and peer support resources. Expect some hypervigilance when it comes to caring for baby. Patience and listening will continue to be important. 

What strategies and tools do you use to support families in the NICU? 

 

Sondra Marcon (she/her). Education and Administration Coordinator
Sondra’s background in family therapy and mental health work drives her to create environment for her clients and students that is both supportive and challenging of bias and assumptions. Teaching and development of curriculum drives her to continue to grow. Sondra’s drive to become a doula came when she saw the impact of early childhood experiences and parenting has on the wellness of both the infant and their parents.[/vc_column_text][/vc_column][/vc_row]

Categories
Business certification Childbirth Educator

Where Can My Doula Career Take Me?

[vc_row][vc_column][vc_column_text css=”.vc_custom_1694438520551{margin-bottom: 0px !important;}”]As unregulated health care professionals, a doula’s role involves advocacy, education, counselling, collaboration and negotiation to provide physical, emotional and informational support to individuals and families across the full spectrum of their reproductive choices. This role relies on a comprehensive set of skills and knowledge. With the foundation of your doula experience and education you can choose to grow your career path in many different directions. 

So let’s talk about some career options that complement each other. 

Lactation Consultant or IBCLC 

These are two different avenues of support. 

A Lactation Consultant/ Educator works with families from preconception through the stage of weaning offering education, encouragement, counseling, an experienced point of view, and fostering confidence, and a commitment to body feeding. Lactation Educators can be found working in a variety of settings to offer their services to families. Families can find them working as public health educators, WIC peer counselors, hospital/community educators, pediatric support professionals, and in private practice as educators. You can find certifications online for these programs. 

An International board-certified lactation consultants (IBCLC) is an allied healthcare professional who specializes in caring for bodyfeeding parents. They’re qualified to treat common nursing problems along with more serious conditions such as mastitis and clogged milk ducts. Lactation consultants most often support parents in how to increase milk supply, find the best nursing position, and manage breastfeeding pain. IBCLCs are held to strict standards. To be accredited, they must complete 90 hours of training, 300 to 1,000 hours of clinical experience, and extensive health sciences coursework. An accredited lactation consultant must also recertify every five years and continue their education.

Prenatal Fitness Instructor

As a Prenatal & Postnatal Fitness Instructor, you can help educate and train clients in all stages of pregnancy – before, during, and after – about what is safe for them and, conversely, what should be avoided to help protect the health of both the gestational parent and baby. Furthermore, fitness training is a fun way to meet new clients and get to know them in a positive environment. Prenatal fitness certifications are available both online and in-person. Take a look in your area to see what works best.

Perinatal Counsellor

Perinatal counselling provides emotional support and treatment for individuals (and couples) who are having a difficult time adjusting to pregnancy and parenthood, who are experiencing a perinatal mood or anxiety problem, or who are experiencing both. Some of this work can naturally overlap with a client’s pregnancy and birth journey. If you really enjoy the counseling and support side of birth work you may want to become a psychotherapist or mental health professional. You can find certification courses through college or university or through private vocational training schools. 

Birth Photographer

If you have a creative eye, you can capture the moments of birth for clients on camera. A few of our alumni have combined their creativity with a love of birth. You can either work solely as a Birth Photographer, documenting the pregnancy journey and birth. Or you can have photography as an additional service available through your doula work. It depends what you’re comfortable with and how you’d like to structure your business. Each client is different and you’ll want to work with them to understand what their goals are and what kind of pictures they’re looking for. The great thing about this career path is a relatively low barrier to entry. If you already have a love of photography and a camera you can get started. Alternatively, there are a variety of photography courses available both online and in person.

Midwife

A healthcare professional that assists with the labour and delivery of a new baby. Midwifes are experts in low risk pregnancy and birth, providing care to patients and delivering the baby. In the case where there are concerns or complications, a midwife can transfer care to a physician if needed. A midwife is different from a doula, in that they are a trained medical professional who can deliver a baby. A doula is trained to provide physical, emotional, and informational support to clients. However, a doula is not a medical professional. A question we see a lot at Doula School is does a client benefit from having a midwife AND a doula – the answer is yes! They both provide very important services to clients, and many people find it helpful to have both. Training to be a midwife typically takes between 3 and 4 years, depending on the program and its requirements.

Labour & Delivery Nurse

They work as main points of support for OBGYNs, monitoring of patient vitals, administering medication, and establishing communication with expectant parents. Once a baby is born, the L&D Nurse acts as an informational resource to parents, to monitor neonatal vitals, to ensure the birthing person isn’t experiencing postpartum complications. Nursing degrees can vary depending on where you are located, however they typically take 3-4 years.

Whatever path you decide to take, know you have a foundation of knowledge that will help carry you through. [/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression Canada Equity indigenous doula understanding bias

National Day for Truth and Reconciliation

[vc_row][vc_column][vc_column_text css=”.vc_custom_1694354019009{margin-bottom: 0px !important;}”]September 30th marks National Day for Truth and Reconciliation in Canada, also known as Orange Shirt Day. The day is a national day of remembrance and reflection on the historic and current violence and oppression toward Indigenous Peoples. As a vocational school, we encourage our non-Indigenous students to participate in workshops, lectures, sharing circles, vigils, and more on September 30th.

The “every child matters” slogan dawned on orange shirts resonates deeply with us as doulas and care workers. As doulas we work intimately with families, infants, and children. The tragedies of the residential school systems and 60’s scoop, as well as the current oppression and violence toward Indigenous families in the forms of child apprehension, incarceration, birth alerts, and more are horrific and unacceptable, and impacts the families and communities we belong to and work with.

As doulas and allies, it is crucial to educate ourselves about the actions, policies, and systems that disproportionately impact Indigenous families, especially those that directly impact the work we do in terms of advocacy, intergenerational care, and reproductive justice. It is our duty to critically reflect on our identities, experiences, and our relationship to wider systems.

We understand that National Day for Truth and Reconciliation can bring up difficult emotions and be potentially triggering for our Indigenous students. We will be hosting a Indigenous-only peer support sweetgrass circle on October 1 from 1-3 EST on Zoom to debrief together. Contact kayt@doulatraining.ca to register. You can also check in 0n our progress here at Doula Canada by reviewing our NTRD Progress Report, which includes our goals between now and 2028.

Don’t know where to get started? Here are some ideas:

  • Follow Indigenous creators on Tiktok, Instagram, and other platforms
  • Take the University of Alberta’s free Indigenous Canada Course
  • https://www.ualberta.ca/admissions-programs/online-courses/indigenous-canada/index.html
  • Search up Kairos Blanket Exercises near you
  • Read up on the 94 Calls to Action by the Truth and Reconciliation Commission of Canada
  • Register for Doula Canada’s Doulas for Reconcili-ACTION Orange Shirt Day workshop
  • “Who Am I: Locating Oneself in Settler-Colonialism, A Conversation on Oppression Privilege, and Allyship” on September 30th from 1-3 PM EST on Zoom. $30, with all proceeds going to Aunties on the Road
  • Apply for our Truth and Reconciliation Action Plan Committee to contribute to our TRAP Five Year Plan
  • Assist in knowledge mobilization. Tag @doulacanada with the hashtag #doulasforreconciliaction on social media to share what you learned on September 30th that you think would benefit your fellow allies.

We understand that not everyone will have the same time, resources, finances, etc. to participate in some of the activities for the day. If you’re reflecting internally, please consider the following prompts (designed for non-Indigenous students).

  • What preconceived biases have been instilled in me about Indigenous Peoples? Where did I learn them from?
  • Whose land do I reside on? What is the story of the land here? (If applicable) How have I benefited from white/settler privilege?
  • Does the word “settler” make me uncomfortable? Why or why not?

Wishing you all a meaningful and educational National Day for Truth and Reconciliation.

Miigwetch,

Kayt Ward, EDI Co-Lead, BSW[/vc_column_text][/vc_column][/vc_row]