I gave birth seven years ago in a Boston-area hospital where I generally consider the care to be excellent. I arrived near the end of my labor, my cervix almost fully dilated. After an hour of moving freely around my hospital room, my midwife and labor nurse said, “It’s time for you to get into bed now.” And then they said, “Let’s have you get onto your back.”
Even though I had read the medical research that found that lying supine carries risks to a fetus — which is why pregnant women are advised not to sleep on their backs — I behaved like any woman in the suggestible state of labor: I did what I was told, though it went against my instincts and my preference.
(click link at top to read the blog post on wbur.org)
The American College of Obstetricians and Gynecologists has released new guidelines encouraging OB-GYNs and other birth practitioners to re-examine the necessity of various interventions that may not necessarily benefit low-risk moms.
The new committee opinion does not signal a dramatic shift in best practices for managing uncomplicated labors, but it is a clear acknowledgement from ACOG that technological interventions can often times interfere with a natural process rather than help it along.
“This committee opinion is the first one, to my knowledge, that specifically addresses low-risk patients,” author Dr. Jeffrey L. Ecker, chief of the Obstetrics and Gynecology department at Massachusetts General Hospital told The Huffington Post. “It says, very clearly, that there are some times when watchful waiting is appropriate. Just because we have the technology, doesn’t mean it has to be used in every patient.”
Many doctors and hospitals already embrace measures to limit intervention when appropriate, he said. But for others, this will likely shift the standard care.
(click link at top to continue reading on huffingtonpost.com)
(click link to read the entire interview on birthzang.co.uk)
I got asked today whether I support women who already have a birth partner, usually their life partner, and yes I do. I think being a doula supporting almost 100 births, I must have done maybe five where there wasn’t also a birth partner present.
These were special because my birth doula role merged somewhat with the birth partner role and it was just me and the birthing woman, journeying towards welcoming her baby and just us in the birth room (with a midwife also).
But most of the time, my role as a doula is ‘space-holder’. I hold space for the couple.
That means I create space for people to explore their thoughts, feelings, options around birth and then when we get to the birth I hold that space allowing them to do their thing – the birthing woman in her birthing power birthing her baby or babies, and the birth partner doing their vital partnering thing of being totally present in each moment with her, usually in absolute awe of her strength and perseverance. I support ‘them’ to have a positive birth experience.”
Click link above to read this great interview with doula Lisa Ramsey on what a doula “does”…
For those who are even aware of doulas at all, the term might bring up images of health-conscious moms-to-be, drinking cold-pressed green juices and flitting between yoga class and Lamaze. Further adding to their bourgeois appeal, the New York Times describes doulas—certified professionals there to assist and educate mothers through the various emotional and physical aspects of birth—to be “like personal trainers” and part of a “growing demand for personal service,” akin to “the doorman, the yoga teacher, [or] Amazon Prime.” Even the Wikipedia page for “doula” sites the service’s class-specific tendency.
A new study, however, states that doulas should be for all—especially low-income mothers who are at higher risk for pre-term births and other complications. Researchers at the University of Minnesota analyzed Medicaid records across 12 states and found that “women with doula care had a 22 percent lower rate of preterm births compared to women who didn’t have doula support,” according to MPR News.
(click link to read the article on broadly.vice.com)
So, your partner is expecting a baby. That’s amazing. You’re surely getting unsolicited advice from all angles. Well, here’s another piece for the pile: Hire a damn doula. When my pregnant wife first proposed hiring a doula, I issued my standard response when asked about paying someone to perform a service: Nope, I can do that shit on my own.
Oh, how ignorant I was. The more I researched what doulas do, and the more my attorney wife presented me with rock-solid arguments in their favor, the more I came around. Looking back now, I have no idea how I would’ve made it without our doula.
The dominant American cultural approach to pregnancy, labor, and post-partum care is off-kilter in plenty of ways. We’re the only industrialized nation without mandated maternity leave; and paternity leave is seen as a joke, something for lazy-ass sissies. Also, we don’t take doulas as seriously as we should. If you, as a birth partner, have heard of doulas at all, you may think they’re granola-crunching life-coaches. I’ve noticed some O.B.s seem to have a chip on their shoulder when it comes to doulas, as if not being able to perform a C-section means you have an unimportant place in the birthing process.
But doulas are awesome. They are highly trained, they are highly experienced, and, perhaps most importantly, they have your back.
I spent all of my 30 hours of early labor at home, and most of my six hours of active labor there as well. I continued to delay calling my doula, not knowing how much longer I would be laboring, and certain that I needed that “tool” in my tool belt to realize my goal of an unmedicated, birth center birth. My doula met us at the birth center, and two and a half hours later my daughter was born in the water and placed on my chest.
Now, I won’t break it down for you (though my husband might) what it cost us per hour to have doula support for my final 2.5 hours, but what I will tell you: