Showing posts with label doula. Show all posts
Showing posts with label doula. Show all posts

Sunday, February 28, 2010

NOT to Doula

It started with my initial "Doula Dilemma", then I took that advice I got from there and Twitter and wrote again: "To Doula or Not to Doula." Then I wrote my decision on my Real Mom TV Blog. Here's an excerpt:

"I’ve thought a lot about this and it’s hard to admit this publicly amongst so many people who’ve been pushing me to hire a doula as labor support, but as the title of this post suggests, I’ve decided not to hire a doula.

I’ve been back and forth with the doula thing and weighing the pluses and minuses for me. I made a list of the positives and negatives of hiring a doula, and while the list of positives was longer when it came to services a doula can provide… I’ve read the benefits over and over (and doulas themselves will always tell you the MANY benefits). But when I compared it to what mattered MOST to me: Feeling like my husband and I are experiencing it and making decisions together, experiencing this special milestone alone (Ok, so when you’re pushing you’re not alone but there are hours of down time between nurse visits and whatnot) and feeling a since of accomplishment that WE did it… It outweighed many of the reasons I wanted to hire a doula..."

I wrote my doula decision a couple of days ago and that's the first part of my explaining my decision. You can read the rest here on my Real Mom TV Blog. Penny for your thoughts.

Sunday, December 27, 2009

My Doula Dilemma

When I think in my head of how in a perfect world, I'd like my labor to go I imagine no pain, my husband and I in a dim room with my OB and nurses, and us anxiously awaiting the arrival of our little Spawnie. My husband and I will be trained in Lamaze, or Hypnobabies/birthing and working together to get out little one out safe and sound. A beautiful experience shared with the two of us. No family in the room, no friends, just us.

I know I'm only 14 weeks pregnant but I figure I'm in my 2nd trimester, and being the "thinking ahead" person that I tend to think I am I'm already starting to think about labor and delivery (heck I've been thinking about it since before I was pregnant. I have a labor fascination). There's a lot of decisions we're trying to budget and plan for now, and I want this to be one of them.

Initially, I was thinking I'd like to try a "natural" unmediated delivery and do whatever it took to empower me to withstand the epidural. I knew if I went through labor this way I'd really want the support of my husband, but additionally, probably a doula who can help with pressure points, and positioning during hard active labor. Doula: Physical and mental supporter before during and after labor to assist the mother and her partner. (They are NOT responsible for delivering your baby.)

I've really heard nothing but good things about doula's. A friend of mine who's mom is no longer living hired a doula got after birth and said it was like having a mom that she didn't have around. Another one of my friends recently had a natural childbirth at a hospital and had two doulas she loved as well as a supportive husband. Reading about her experience was amazing. I told my husband about the experience... How my friend's doula cooked her and her husband omelets during early labor, how she went on walks with her, and helped her and helped her husband help her every step of the way. My husband, while slightly amused, didn't bite.

He had a few arguments I tried to take into consideration: 1. Doulas are for rich people. 2. I want to help, I want to be your doula (or my "dulla oblongata," as he jokes).

The first argument, while I can see his point isn't necessarily true. To him, if we can make it through labor like many of our family and friends have without one, why spend the money? "Having someone you pay there to help is something rich people do." Well... Many doula's I've found in my area don't have rates on their sites because they work with people to set the right price on an individual basis. Most I've found prices for seem to range from the $200-$1500s but I hear some are in the $2000s, depending on location, experience, services, etc. Most of my friends seem to either have a friend and get one for free, or paid about $300-$600. Everyone has said it's worth every penny.

Now, looking at those numbers my husband says no way. He's rather use that money on things for the baby, or classes, books and material we can take together to be prepared for labor. But I heard you can get doula's who are getting certified and need live births to help you for free! I wrote to my local DONA lady to get the list of women in my area who will be certifying over the next year so I can contact them about helping me out. I told my husband this and he was a little hurt that I was so insistent on this. Which brings me to the next point... Him wanting to help.

I've read great articles and posts here and there about doula's helping husbands know how to help their wives, but he really wants to be the primary support. He really hasn't had a strong opinion about too many things in this pregnancy process unless I pry, so having him out and tell me how he really feels about it made me think again. He told me he wants to take classes with me and learn how to help me through it, but he doesn't want someone with us 24/7 and "taking his place." I can even picture him shying away because there's an extra woman there, and not wanting to help as much... If I had other help. I know nurses and OBs come and go, but from my understanding you're alone most of the time until the end, under normal conditions. Then, I thought more about my labor situation and what I wanted out of it.
As usual, I did some more research, and really thought about why I wanted a natural labor... Then thought more about it realized an unmedicated birth not what I want. I am so inspired when I read the birth stories of friends and women who have done it, and I hear so many encouraging words that I too should do it, but it's just not what I want for me. If I tried it it wouldn't be wholeheartedly and with something like that I HAVE to go into it wholeheartedly... Go big or go home. And for me... I'm ending that game a little early. Of course if our training in Lamaze and/or hypnobirthing helps and the pain is tolerable, I won't get an unnecessary epidural, but I'm NOT afraid to get one either. I've read the risks... And I'm willing to take them (don't judge).

So... Then came the question of a doula again. Most often you seem them helping in the case of natural labors. I'm going into it knowing that's not that I want. Most of the doula's I read about are all there to support the woman and her decisions (they aren't medical doctors or midwives and don't deliver babies) but most of the bios I read are tailored towards homebirth, birth centers, or natural births. After finding a few doulas who make it pass your initial paper screening, you're suppose to set up interview and find the perfect match. Looking at my "free list" is a little daunting, looking at my "will charge me" list is intimidating because I don't want to waste my time if we decide not to do it.

Right now I'm thinking two things but I'm leaning towards the second:
1. Interview one or two doula's with my husband. Pre-screen her before couple interview and prep her about my husband's non-eagerness to have one beforehand, make sure she pumps up her services in front of him, and make sure her prices is low enough so hubby is more likely to agree. Also, make sure she's VERY husband friendly and puts a lot of responsibility on him so he doesn't feel replaced. Find a doula I like who is pro-epidural and preferably someone I/we meet in a childbirth class that maybe we're more acquainted with and it's not a "cold call"... Some arranging may need to be done to complete this task.

2. Find Lamaze ($20 and up) and/or Hypnobabies ($150)/ hypnobirthing ($300) classes, courses and materials around here and study up together... Make the next 6.5 months of our pregnancy about preparing for the next best day of our lives and live up the fact that we're doing it "alone." If we crash and burn... I can always say "I told you so" and we'll hire a doula next time.

So, like I said I'm leaning towards #2 but I can still be persuaded. I'm so excited for the day Spawnie arrives and I'd love to have the epidural work right, a dim-lit room, and us hand in hand as I push the baby out of my vajayjay. That's my dream as of now (it's changed a few times) but I also understand things can change any time. I know passionate people who plan elaborate births and have things change... In fact, plans change for a LOT of people. But as of now, this is a blueprint for some of my plans, and I hope to follow through, and end up with a fun birth experience, and most of importantly to me, a healthy little mini-us!

As far as postpardum doula's go, I think we'll be good in that department with our moms and my lactation consultant I get to hire thanks to my awesome insurance!

Now, tell me! Did you have a doula? Why or why not? Was your husband supportive? Why or why not? I know A LOT of doula advocates but I'd love to hear from both sides! And for a quick visual, vote in my poll below!





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Lucky Parazul bag winner Random.org says *drumroll please* #31!
FadHamburger said... 31

I subscribed to your email thingy :).

Monday, September 14, 2009

Choosing Someone to Catch the Baby from My Vajayjay

Try visiting your girlie doctor... Being told your insurance doesn't cover the procedure, arguing with them, and calling the insurance company yourself to find out in in fact DOES. Putting your insurance company on the phone with them, they finally agree, but say that you need to pay your $150 deductible.. And that needs to be paid up front (as if they assume you'll run away after in your attempt to evade the GYN bill monster). Then, you wait... And you're called into a little room. Then you wait, and wait, and wait... And Tweet about the long wait.. And consider pulling the dang cord out yourself... You start to consider leaving.... Getting up to put your clothes on. And as if on cue... A knock at the door.

Your doctor comes in, puts your legs in the stirrups, pulls the goalie, and asks if you need another method of birth control prescribed. You tell her you're thinking of using natural prevention measures for now, and she sort of says somethings like "cool" and is outta there like a fat kid in dodgeball! It all happens before you could say your ABCs and you wonder "WTF?"

This was my last experience at my GYN, and I'm not gonna lie, I felt a little violated. I felt rushed, unimportant, and a little like a cow... Or cattle, whatever--It didn't feel good!

She is an OBGYN, but needless to say, I don't want HER delivering my future baby! So... Now I'm faced with the quest of finding a new "female doctor."

I might as well just find an OBGYN, so I can go to the same person pre-and during pregnancy. But get this.. I'm SUPER picky. Ok not really normally, but I kind of want to be for this.

Have you seen Knocked Up? Not the best movie, but there's a scene where the pregnant lady goes to like 10 different doctors and has them give her 10 different ultrasounds and based on their personality, skills, and connection she chooses the doctor she likes best. That's a little how I imagine myself... But I'd rather get the interviews done early.

I've watched one too many episodes of A Baby Story where the mom-to-be is given a time limit for dilating, then they take her to the operation room to be cut open, just cause "it's taking too long." No thank you!

Nothing against C-sections or whatever, but I definitely don't want one if I don't absolutely NEED one. I mean, although it's not the prettiest sight, I'd much rather just get the thing to come out of my Hooha... But it's not even that, bottom line... I want whats best for me and baby, but without feeling rushed, or pushed into anything. NOTHING against anyone who has c-sections, I just want to try to get baby out of my lady parts first if possible.

How did you choose your doctor? My last GYN was referred by a friend. Although it didn't go well, my family doctor was also referred by a friend and he is WONDERFUL. He took the time to talk to me and my husband, answer all of our questions, joke with us. I didn't feel rushed at all. He did give me some recommendations of OBs, so I'll look into that.

So my question is, how do I choose a new OBGYN?... And/or perhaps a Midwife or Doula? I don't want to wait until I'm pregnant to choose one. I'd like to have one in mind before so I know who to call when I'm like "Hey, I'm pregnant, when can I come in?"

My friend Kayce is a midwife assistant and doula in training and I'm ALWAYS asking her questions about labor, delivery, pregnancy, etc. She has a great post with questions to ask a potential doctor/midwife/doula.

*Added* Can I "interview" a midwife before I'm pregnant, or would that be weird? Don't most OBs have midwives too? Do doula's deliver babies alone? If I do interview an OB or Midwife do I pay a copay, does it count as a "visit" like that, or can I do it over the phone? Do they actually schedule time for those things?**

Anything else you can think to add? What should I watch out for? Be aware of? How did you choose yours? Are there good doctor review websites you like? Feed me!!

Thanks!

PS: My BFN story here.
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PS: Winner of my JOHNSON'S gift basket giveaway: #39 Mrs. Priss who said: "Glad you're feeling better. I'm a follower" Congrats! email me your address babymakingmachine{at}gmail.com

Birthing from Within - A wonderful approach to labour

My prenatal class did not really prepare me emotionally for my labour or the post natal period. What it did was intellectually prepare me for delivery but we did not discuss what our labour plans looked like and how we would deal with a labour that did not go as planned. This cursory approach would be fine for someone who had a textbook delivery but for me, my worse case scenario happened and I was not prepared emotionally for this.

I believe that if I had done additional research into prenatal classes in Toronto and the different philosophies out there, I would have been in a better frame of mind.

I recently came across The Nesting Place http://www.thenestingplace.ca/ which is run by Amanda Spakowski who is also a doula. I met with her and we discussed her philosophy of Birthing from Within. As it says on her website "Birthing naturally means birthing in the way that comes naturally to you". This was a refreshing thought as Amanda prepares her parents-to-be for their ideal birth but also for the unexpected. The question of "How would you deal with your worst case scenario" is asked and parents have time to answer this question which in turn prepares you to handle the unknowns of labour.

What was also interesting in my conversation was Amanda's deep understanding of the difficulties of the post partum period and I was happy to learn that this is discussed in her classes as well.

Amanda addresses what you need to know about your delivery including:

•The stages of labour and labour support
•Specific techniques for pain coping, including compassionate use of epidurals and other medical support
•How to communicate with your health care provider
•Handling the unexpected during childbirth, physically and emotionally
•Birth art to explore feelings, fears and positive intentions
•Becoming a parent – the partner’s perspective
•Preparing for postpartum
•Caring for your new baby

I wish I had found her classes before I had my girls.

For more information on the Birthing From Within philosophy please visit http://www.birthinfromwithin.com/.