"Ask me for strength and I will lend not only my hand, but also my heart."
~ Unknown

Wednesday, July 4, 2012

Being Doula

The following post contains anecdotal information from an actual birth.  This story is posted with full permission from the family involved and no identifying details have been included.

I apologize for such a large stretch (no pun intended) without a posting.  The truth is, I have been under transformation, as we all have been at From Womb to Cradle Doula Services.  What I'd like to share today has been my most recent transformation... learning to be.


I was recently blessed to attend a birth where I needed to be present, but not necessarily used.  It got me thinking about my training and all that I had learned.  I loved my initial training with it's hands-on aspects.  I learned great tools such as the "double hip squeeze," "counter-pressure," soft touch massage, how to use a birth ball, etc.  In my continued training I learned more communication skills to assist me in working not only with my clients, but also other professionals.  All of these tools were great to have in my "kit" when needed, but what if they weren't?

In one of my favorite seminars, midwife Barbara Harper told those of us present that we needed to learn not to be a "DO-ula," but rather a "BE-la."  I pondered what she said, thought I had it figured out, "Be present," I thought, "That's all I have to do."  Was I prepared to BE so?

I was preparing to attend my first home water birth a few weeks ago.  Those of us who would be in attendance had a conference call with the primary midwife.  There was to be quite a large group including potentially three doulas.  I had previously been quite concerned about the amount of individuals that would be present as I have read extensively about the importance of privacy during labour and the mammilian reflex to stop labouring when feeling in danger.  During the call, I asked what she would want me to do.  What did she say?
In the end...it is her (the mother's) birth.
Ah hah!  Yes, of course!  I knew that.  Every birth I've attended, other than those of my children, belonged to the mother.   I didn't have to touch a mother to help her.  I had often told my clients that they were the queen and I, their humble servant.  So, it would make sense then that if a mother didn't need or want me to do anything, then I didn't need to.  I simply needed to be there for her.  (Sometimes we need to be reminded of these things that are in the crevices of our minds.)

The day arrived and I made my way to the birthing family's home.  The midwife and another doula as well as several others were already there.  I watched, I waited, I looked in awe at this beautiful mother birthing in her own time, her own home, her own way.  I was transfixed!  (Did I mention this was my first home birth!?)

I literally did nothing other than take a few photos for the family for 95% of the time.  It wasn't until the mother was pushing her child out into the water that the midwife turned to me and asked me to do...the double hip squeeze (Aha!) for the mama that I moved from my silent post.  There I stood, a silent witness to the miracle of an uninhibited undisturbed birth...then I got it.  Just be...


My most important job that day was to be a witness.  To see that birth could be perfectly safe, perfectly natural, perfectly... perfect...without interference. I was there to learn that we often try to do too much.  Ah, yes, the importance of privacy during labor...the mammilian reflex to shut down when in fear... all from too much doing.


Do less.  Be more.  Just watch. Wait. Witness.


How else can we be?

Friday, April 27, 2012

WIN a Maternity Photo Session!

Father's Day is coming up on June 17, 2012.  What a better way to show the new daddy/partner in your life how much they mean to you than with a maternity photo session showcasing you and your precious baby-to-be!  The amazing Jenn Galloway of A Day in the Life Photography has generously donated a gift certificate for a free session.  (You can see some of her work on our Facebook page.)


How did you tell your partner or other family members you were expecting?  Did you show them the test?  Did you put a bun in the kitchen oven?  Did make a video message or simply shout it out?!  Let us know in the first entry box, then follow the additional steps below to enter.  You can earn extra entries by following us on Twitter, tweeting about the contest and liking our blog.  If you follow us on Twitter, please be sure to comment below with your username so we can verify you've followed us and we'll follow you back! 

*Please note, this contest is available to residents of Medicine Hat, Alberta and surrounding areas only.  Hurry, contest closes May 11, 2012!

Good luck!

Tuesday, April 10, 2012

"My Vision" - Working Together in the Birth Community

My Vision
Amy Swagman (The Mandala Journey)
Look at the artwork to the left.  What do you see?  A mother who has just given birth, of course.  What else do you see?


I see harmony.  I see a small group of women caring for a new mother.  Notice where their faces are turned.  They are not looking toward one another; rather, they are completely focused on the woman in their care.

This is the ideal birthing community.

We are doulas, nurses, midwives, doctors, childbirth educators, lactation consultants, planners, etc.  Regardless of our philosophy, education, or particular walk of life, we all serve the same group.  We serve mothers and their families.

The Social System

Think back to your days in high school.  Who did you spend time with socially?  Were you a jock, a prep, a stoner, a bully, or a nerd?  How did you react or interact with individuals from other social groups?  Did you mock them?  Did you spread rumors?  Did you try to sway others to your way of thinking by putting others down?  Were you a member of an elite clique or did you spend time with "outcasts?" If we are honest, I think many of us can answer "Yes."  While we know that such behavior was not right, it was also characteristic for that age group.  Do we carry this behavior on into adulthood and our professional lives, however? 

As we grow and mature into adulthood, we believe that we outgrow most of the behaviors of our teenage years; yet, more often than not some of our old ways still hang on.  With the surge in social networking over the past decade or so, we now have new outlets to interact with those who believe as we do.  There are millions of groups or clubs or pages for us to join and "like."  Professionally, we've never had access to more resources than we do now and it is very exciting!  It also opens us up to more ways to be critical of one another.

Business

Back in our "real lives," we are developing doula or midwifery practices and childbirth education businesses. We have the opportunity to network with one another through professional associations and our training and certifying bodies.  Do we?  How do we behave when we are introduced to someone who, while our colleague and one who shares our beliefs, is also our business competition.  It is true, birth is a business.  No matter how much we talk about its spiritual nature and the sacredness of the experience, we are, as birth professionals, providing a marketable service.  It is a touchy subject.  Many of us volunteer our services as much as possible.  Truth be told though, we still do have families to support. We require food to give us the energy to work and gas for our vehicles to get us from birth to birth.  So, we have to acquire paying clients.  To acquire clients, we have to market our businesses.  Our relationships with our colleagues in the birth field can and do become strained. 

Getting Caught Up in Competition

I'll let you in on a little secret.  I am so incredibly guilty of this.  I am young (I'd like to think, anyhow) and everyday as a birth professional is a learning process.  Heck, everyday as a human being is a learning process!  Early on, I burnt some bridges.  It does "take two to tango" and there were and are other issues present from all parties involved, but it is there, it is a problem and it is not going away on its own.  To give you a little background, I am almost to fault a rule follower.  I like order.  I like boundaries.  I like direction. I do not, however, like to be told what to do by one person.  I do not like to be treated as a child and, therefore, I have a bit of a problem with authority.  This was one of the reasons I decided to venture out on my own when I received my doula training and begin my own practice.  

It. Was. Rough.

First of all, I had never run a business before.  Not even a little bit.  In my past life I was an administrative assistant for a variety of professional firms, most recently accounting firms.  I definitely had a grasp on professional communication and organization, but economics not so much.  Add to that a dash or two (or three) of self-doubt and lack of confidence and you have a really fun combination.  I was terrified that I would not succeed in business.  I was unable to trust many of my colleagues locally because I thought they did not want me to succeed either.  Some of my fears came from real experiences, but probably the majority of them just came out of my own noggin.

What happened?  I lost sight of my goals.  I forgot why I had become a doula in the first place.  While, yes, I had to try to earn a living from my calling, I had forgotten that it wasn't my colleagues or competition that mattered, it was and is the families in my community.  Whether they chose me to be their doula or not, isn't the important thing that they would know they have a choice to begin with?  

Philosophy and "Real Life"

Here is the bottom line.  We all have different beliefs and values.  Period.  No one person in this world thinks or feels exactly the same as someone else no matter how closely they may be aligned.  That is just the nature of humanity.  We also don't know where any particular individual is in their life.  Sally CBE may feel that epidurals are horrible one day, but the next day she sees that one has been beneficial in a long labor for her client and suddenly sees it isn't as black and white as she once thought.  Jane Doe-oula may have received her training, but then her studies were interrupted because of circumstances in her family life.  Mary Midwife might have small children and not be able to attend a university, so she studies from home to gain knowledge.  

Because we are all different, we can't all fit into a box.  We don't all have cookie cutter lives.  Again, taking my personal choices into account.  I originally trained as a doula with a very well-known organization. It has paved the way for doulas in our part of the world and I respect and admire all of the work done by the group.  I chose, however, to certify with a different body.  First, due to family commitments, and having small children, I was unable to complete all of my requirements within the allotted time frame. Second, I felt I needed a broader education (that encompassed aspects of business, communication and physiology) than what I had received in my earlier studies.  I continued working as a doula to help supplement the costs of my education and, honestly, because I love the work.  On the outside, perhaps this was perceived differently from my colleagues.  They may not have known or understood what was going on in my life, but I know why I made these decisions and they worked for my family.  

Whether you teach Lamaze, BrioHypnobabies, or independent classes or are certified through DONA, CAPPA, Childbirth International, or Birth Arts, something that appeals to your personal belief system has drawn you to the organization's philosophy and that makes it the right one for you.  Whether you are certified or still in training, you are still a professional.  Learning takes time and, if you are committed to providing the best care for your clients, it truly never ends. You are definitely worthy of sharing your knowledge with others. Your opinions are valid because they are yours.

Bullying

Does anyone ever want to be called a bully?  We are all guilty of it at some point in our lives.  Whether we're the two-year-old who bites our sister because we don't want to share a toy or we pick apart one of the moms on the playground, we've done it, we do it and we have to stop.  It can be as simple as denouncing someone's credentials or ganging up on them on a Facebook group because they chose to circumcise their son.  It's hurtful and it doesn't do anything to help us accomplish our goals.  

I'm not going to white wash anything here.  We, as birth professionals, are a nasty bunch sometimes.  We have turf wars, we make up our own "truths" about our colleagues and share them widely, we attack those who do not believe as we do, and we engage in fruitless arguments with professionals on the perceived "opposing" side.  We call each other names such as rogue or radical, etc.  We undermine each other.

I have confided in others on occasion without knowing all of the facts.  That can definitely be construed as gossip.  Yup, I am a gossip.  I have hurt others.  I have also felt bullied.  I have been hurt.  I have thought on more than one occasion about throwing in the towel.  I almost have.  Then, I remember, again, why I was called to be a doula.  I was called to serve

Serving

A servant is humble.  She puts the needs of others ahead of her own.  She does not have her own agenda.  She brings nothing into a relationship with her but her heart and her hands.  She has the drive to give, not to achieve.  That is the foundation for our work.

Now What?

We don't have to keep fighting with one another.  We have the same goal.  We all want mothers and babies to have a healthy start physically, emotionally and spiritually.  That's it.  That's our focus.  It is really that simple.  Building upon this, where do we go from here?
  1. Let's keep our focus on the families we work with.  
    • Remind yourself everyday why you were called to be a birth professional.  Take 15 minutes and review the birth stories of your past clients or look through thank you cards.  Whatever it takes to rekindle your passion and realign your priorities.
  2. If there is a new professional in your community, reach out to her.
    • If she is still training, support her.  If she needs help making connections, provide her with resources.  Do not be afraid of her. There are plenty of babies being born every year and, unless 1984 becomes reality, there will continue to be.
  3. Talk to each other, not about each other.
    • If you hear something about a colleague, go to the source.  Clear it up. Don't spread gossip. Communication is key.
  4. Think before you speak.
    • See the graphic to the right.
  5. Finally, be humble.  Say you're sorry.  Make amends.  
    • If a colleague has hurt you, forgive them.  Learn from the experience, but don't hold a grudge.  It doesn't serve you or your clients.
    • If you have hurt a colleague, ask for forgiveness.  You don't have to be best friends, but you can support one another.
My Vision

When you have finished reading this post, scroll back up to the beginning and look at the artwork again.  What do you see?  I see our future if we remember our goals and we work together.  The families of the world need us and we need each other. 

 Author's Note:  I've thought long and hard about writing this post.  I know that there may be some of my colleagues reading this.  Actually, I hope there are, because, I want them to know that I am sorry if I have ever caused them any pain.  It isn't all sunshine and roses, but I realize that together we can accomplish more than we can apart.  Let's try again.

Wednesday, April 4, 2012

Tuesday, March 20, 2012

Healthy Birth Preparation - Sowing the Seeds

Did you know that teaching your children about healthy birth starts at a young age?  How do your children perceive birth?  Is it a scary emergency event to them?  It is possible to explain the birthing process to young children in a way that is both positive and appropriate for their age level.  They do not need to know "how babies are made" to understand how babies are born.  Think of it as an investment in the health of your future grandchildren as well as your daughters or daughters-in-law.

If your son or daughter learns that birth is a normal part of life and something to look forward to, he or she will not be fearful of the process. This also helps to promote a healthy body image for your daughter.  She will learn to love her body for the amazing work it can do.

Remember, what you teach your children lasts for a lifetime.  Your son or daughter may be in the birthing room or laboring at home and remember something you said many years before about birth, his/her body,  or his/her capabilities.  Birth is a miracle.  Share the joy, starting now!

Monday, March 5, 2012

Certification Announcement - Michelle Maisonville

Michelle Maisonville, CD(CBI)

From Womb to Cradle Doula Services, Inc. is pleased to announce that Michelle Maisonville has successfully completed the course of instruction and met all requirements for birth doula certification through Childbirth International and is entitled to use the letters CD(CBI).

Tuesday, February 7, 2012

On Ethics - Part 2 ~ Our Business Practices & Values

Today we would like to discuss some of our business practices and why we've chosen to conduct things the way we do.  It is important to us that we remain open with you, our clients and community members, and that you feel you can trust us.
  1. All of our doulas are trained.  Michelle is certified. Sherel and Kaitlin are actively pursuing certification.  This means they are not yet certified, but are working toward that goal through continuous study and practical experience.
    • Each of us has attended training workshops and/or received education through a recognized certifying body.  
      • Michelle received her initial training through DONA International in 2008 at a workshop held by a certified doula and doula trainer.  Michelle continued her education through Childbirth International and has certified as a birth doula through the organization. (2012)
        • Michelle has also attended a variety of professional workshops and participated in conferences for birth professionals.  Documentation is available for reference.
      • Sherel has completed her first year of midwifery education through Midwives College of Utah.  This qualifies her to serve as a midwife's assistant.  She is also a birth doula student through Birth Arts International and will also be certified this year. 
        • Sherel has also attended professional workshops in addition to academics.  Documentation is available.
      • Kaitlin attended a DONA International training workshop in Spring 2011 and is actively pursuing certification through DONA and Birth Arts International.  
  2. Certification takes time.
    • We are all mothers.  Our families must come first.  Caring for our children takes up much of our time and we are proud of that fact.  We also maintain households and need to nurture family relationships.  
    • No one training program is exactly the same.
      • Training may consist of: a 3-day workshop, followed by required reading, a minimum number of births to attend, compilation of a resource list, audit of childbirth classes, and essay writing. (See DONA or CAPPA)
      • Training may consist of: intensive academic coursework consisting of psychology, communication skills, anatomy and physiology, business practices, ethics, etc. as well as all of the above.   This may or may not include a 3-day workshop. (See Childbirth International  or Birth Arts International.)
  3. We charge for our services.
    • During our training as doulas, we were taught to charge for our services even before we were certified for a variety of reasons.
      • We incur expenses such as childcare, transportation, food, supplies, etc.
      • We spend a lot of time with our clients, meeting once a month during pregnancy and at least 2-4 times during the postpartum period.  
      • We are providing a valuable service.
      • We provide service as volunteers, but we also are a registered business.
  4. We are a registered business in the Province of Alberta, as well as in Medicine Hat and surrounding area.  We maintain a business license for Medicine Hat as well as one for businesses with offices or practice areas outside of Medicine Hat.  This documentation is available for reference.
  5. We refer to other doulas in our area and related professionals and maintain a listing of qualified professionals without prejudice.
  6. We believe every family has the right to choose a support person who is right for their family and we respect their decisions.  Education, qualifications, personality, comfort level, and values are all very important aspects of that decision.  We strive to be forthright in all of our interactions with potential clients.
  7. Education is important to us.  We surround ourselves with the resources necessary to stay up-to-date on evidence-based practices in birth care. 
  8. We are not medical professionals and do not portray ourselves as such nor shall we ever act in that capacity as birth doulas.
  9. Our practice believes every family deserves the support of a doula that they are comfortable with and are able to cultivate a relationship of trust with.  If we are not a good fit, we gladly refer to our fellow doulas in the community.  
  10. We strive to maintain open, professional relationships with our colleagues.  It is our wish and our hope that families in our community feel well supported, informed and cared for by all members of the birthing team.