Tuesday, December 15, 2009

Support Is...





Photography by: Kate Marie Hellenbeck


Support Is...

Unconditional.
It is Listening…
Not judging and telling your own story.
Support is not offering advice…
It is offering a handkerchief, a touch, a hug…caring.
We are here to help women discover what they are feeling…
Not to make the feelings go away.
We are here to help a woman identify her options…
Not to tell her which options to choose.
We are here to discuss steps with a woman…
Not to take the steps for her.
We are here to help a woman discover her own strength…
Not to rescue her and leave her still vulnerable.
We are here to help a woman discover that she can help herself…
Not to take that responsibility for her.
We are here to help a woman learn to choose…
Not to make it unnecessary for her to make difficult decisions.
- Anonymous

Tuesday, December 8, 2009

December Doula Social

December 5th, 2009 CTDA doulas gathered for conversation and fun.

We began the night with an in-depth discussion about back up doulas. While all doulas agreed it was rare to miss a client's birth, there are times it happens- because of an emergency, illness, or another client's labor. In this case, back up arrangements are in place. Experienced doulas shared what has worked for them.

We also shared (anonymously) our price range and experience level. This can guide doulas in what to charge in the Austin area.

1-10 births
$0-300
10-20 births
$100-600
20-30
$400-700
30-50 births
$700-800
80+
$700-900

After our Doula Circle, we enjoyed visiting in the warmth of a fire (yes, it was actually that cold). We drank hot cocoa, coffee and wine. All the doulas brought delicious food! We exchanged white elephant gifts- things a doula can use for herself, or with clients. There were wonderful things like chocolate, coffee gift certificates, massage lotion, a watch, and more.

It was a wonderful night and I think we all look forward to the next one!

December Doula Social

Friday, November 20, 2009

Breastfeeding 101 at Babies R Us

On Tuesday, November 17th, doulas from CTDA participated in another successful breastfeeding information night for expectant parents at Babies R Us.

Lisa Houser introduced CTDA and the benefits of hiring a doula including assistance with research and finding resources new parents need, and support during all births- natural or medicated.

Allison Coleman elaborated on the role of a postpartum doula. She explained that we meet prior to birth. Pospartum doulas come in when baby comes home. Our role is flexible and multi-faceted. Examples include: holding baby while mom gets a shower, assistance with breastfeeding, sibling care, and minor house work.

She also shared information about breastfeeding. She shared the importance of breastfeeding within the first hour. She demonstrated the cross cradle hold, with a baby delivered to her by Kate Merrifield, and spoke about it allowing mom to support baby's head and direct baby onto breast while supporting breast with the other hand. Shelley Scotka joked that the newborn hasn't read the breastfeeding book yet! Shelley talked about skin-to-skin contact triggering a newborns instincts. Also, brushing a newborns cheek with nipple will make them turn towards breast. Then you wait for the "big baby bird mouth"! One last key point was that, depending on a woman's anatomy, she should see little or none of the aerola.

Shelley Scotka involved all the expectant parents by asking why they were interested in breastfeeding. Reasons included that it was free, healthier for baby and mom, and weight loss. Shelley replied "How else can you can sit on your butt and lose weight?" Another benefit was diapers that didn't stink!

Shelley spoke about colostrum's huge boost to baby's immune system, when the milk comes in, how to tell if your baby is getting enough milk. She encouraged partners to support moms by telling them "you can do it" and "I'll help you". She told them that it is important to remember there are many people who want to help you. La Leche League, doulas, lactation consultants (WIC Mom's place, Special Addition, local hospitals). Breastfeeeding.com was also mentioned.

She explained the concept of supply and demand, and that breastfeeding on demand is important to producing enough milk. The importance of exclusive breastfeeding for 3-5 weeks was mentioned as well, and the potential for nipple confusion- and pain- if baby starts to breastfeed like he/she bottle feeds. After this time, a mom needs to evaluate her breastfeeding lifestyle. Does she want the freedom of her baby having an occasional bottle? Is she returning to work?

A Babies R Us representative showed many different pump models and explained which ones would meet different needs. She explained how to use them. She spoke about pumps being an investment, one you can use with future children. Kate demonstrated a boppy pillow. Shelley mentioned that having this to support baby's weight is wonderful for Mom (as are shoulder massages!). The Babies R Us representative shared the American Academy of Pediatrics recommendations that babies breastfeed for at least one year and the World Health Organization says two years. Her message that any amount is great was reminiscent of the Breastfeeding Day 2009 message "Every ounce counts".

The parents asked many questions at the end of the presentation ranging from storage of breast milk, signs baby is hungry (such as rooting-crying is a late sign of hunger) and how to know when baby is done nursing, diet for a breastfeeding mother (including plenty of fluids because "your body can't make it if you don't take it"!), and sanitizing pump equipment and bottles.

Egypt Houser, Lisa Houser's daughter, offered her services as a doula to older siblings, providing on-call childcare during births.

Afterward, all the doulas were able to mingle with the parents and spend time visiting with each other. CTDA was well represented with eight doulas in attendance: Shelley Scotka, Allison Coleman, Lisa and Egypt Houser, Kate Merrifield, Karina Bolger, Jordan Bucher, Emily Johnson. The monthly Babies R Us sessions are becoming a regular and dependable way for CTDA to build relationships in the community, offer free breastfeeding education, and spread the word about the benefits a doula offers.

Blog written by: Sarah Webb and Emily Johnson

Breastfeeding 101

Tuesday, June 23, 2009

Meet A Doula Night



June 17th, 2009 CTDA met with expectant Moms at Babies "R" Us, Gateway/Arboretum. Before the doulas spoke, there was a presentation about Medela pumps. Many of the doulas contributed information and shared experiences with breastfeeding, pumps, milk storage, etc. Lisa Houser summed it all up by saying "breastfeeding is natural, but it isn't always easy" and that it is important to seek out support.

Melia Gordan introduced CTDA, our brochure and website. She spoke about doulas in general, and the differences between birth and postpartum doulas. She mentioned that there is a doula for everyone- no matter your budget, personality, religion, birth or parenting philosophy.

Allison Coleman shared more information about postpartum doulas. We meet parents prior to the birth of their baby. We listen. We share breastfeeding and baby soothing techniques. We do light housekeeping or errands. We grocery shop and cook, ensuring the new Mom has the nutritious meals she needs. She spoke about other cultures having a circle of knowledgeable helpers, and new Moms, and families, deserve that here too.

Tiffany Bartlett spoke about birth doulas. Having a birth doula has been shown to decrease a laboring woman's need for medication. We create a relaxing environment. We reassure, encourage Mom to listen to her body, suggest positions that may help her progress, massage. However, if a Mom chooses medication we are still a valuable presence: we are caring, accepting, listening and answering questions, and helping pass the time. Our role of advocate is unchanged, and we seek out Mom's preferences, her voice, in the present moment and in her wishes expressed in her birth plan and in our prenatal visits. We are there with our clients through all of it.

Lisa Houser elaborated on our role of advocate. She explained it starts prenatally by being available to answer our clients questions. We loan books, and we share evidence-based information that empowers them to make choices they are comfortable with. We assist them with creating a birth plan, respecting their choices and acknowledging those choices may change during a labor journey. We facilitate communication with their medical team during labor by encouraging our clients to ask questions and express their preferences.

Afterwards, we stayed to chat with a few Moms and answer questions.

Blog and photography by Sarah Webb.