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Episode 137 Doula Musings
In this episode, we discuss recent events that have come to our attention and give our thoughts and feedback. A recent case that has gained national traction involves the passing of a mother and baby. What can we do as doulas if we are in a situation where we don’t see a provider meeting the standards of care? Speaking up can be difficult, yet helping clients advocate for themselves is an essential part of our role. Some doulas have recently learned that their malpractice insurance will no longer cover homebirth. Coverage that was previously available has now been walked back. Doulas are understandably asking why and where to find coverage.…
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Episode 136: Navigating the Unexpected
As a doula, navigating unexpected situations will become a part of our work. Perhaps a client who has a premature baby. Or those whose labors begin and progress too quickly to get to their chosen birth location. Thinking on our feet and embracing the unexpected will inevitably become a part of our work. When navigating these unexpected situations, judgment calls need to be made. However, it is important always to consider safety. Yet, these situations don’t often give the time to think through the situation completely. The location and the situation will play a big role in the resources available. Join us as we discuss some unexpected situations and…
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Episode 135: Transitions in Birth Work
For many birth workers, where they enter this work is not the same place where they wind up. For example, some may enter this work providing labor support. Yet they may find once they have their own children, that postpartum work is a better fit. Others may enter into the field via postpartum support. Then, life leads them into childbirth or newborn care education. Unlike many other professions, birth work allows the individual to step deeper into the work by providing other related services. Or, it can allow one to step back from birthwork entirely and re-enter at a later date. All with minimal barriers to the work. Join us…
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Episode 134: Fear of Birth
As doulas, it’s not uncommon to encounter individuals with a fear of birth. This fear can be rooted in many sources. First, the way in which TV represents birth. Second, the stories our friends and family share; and third, an individual’s lived experiences. The media often portrays birth as a dramatic process. The water breaks and the camera cuts to immediate transition-style contractions. Birth in the media is often presented in an unrealistic and dramatic light. We rarely see a birth that has little to no drama and is a straightforward process. Well-meaning family and friends often share the traumatic aspects of their own personal experiences. Or they share the…
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Episode 133: Doula Mistakes
Doula mistakes come in all shapes and sizes. We’re human, so its understandable that mistakes will happen. Some mistakes will be unavoidable and only discovered through trial and error. Others can be avoided. Common mistakes include a lack of effective communication, such as being slow or failing to follow up on inquiries or client communications. For labor doulas, there can be a sharp learning curve in incorporating the on call life into daily life. This includes making sure that we are available to our clients via our preferred communication methods. From a phone that dies to forgetting that we put our phone on silent, these doula mistakes can cause a…
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Episode 132: Doula Beginnings
One of the most common questions we hear is, “How do we navigate the question of how many clients we have supported when we first start out?” The question “How many births have you attended?” Or “How many families have you supported postpartum?” is not uncommon. Certain personality types are more inclined to ask these types of questions. For them, the answer will be part of their decision-making process. Yet, for some, the actual number will matter far less than the actual answer provided. Honesty is always the best policy, so being truthful with the number is essential. However, the additional information you can provide regarding how many hours of…
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Episode 131: Supporting Single Parents
Supporting single parents through pregnancy, labor, and the postpartum period looks different than supporting those who are partnered. How we approach labor or postpartum support with an unpartnered parent will look different. Many factors will be different when planning for labor. For example, will they get to their birth location? Or who will make medical decisions about the laboring person’s care if no other family support is available and the pregnant person is not able to make a decision? For most, creating a medical directive isn’t on the list of preparations for labor. Support during the postpartum period is equally important. Will the client have friends or family to help…
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Episode 130: Finding the Evidence
As birth professionals, providing evidence-based information to our clients is essential. However, it’s not uncommon to wonder where to find quality research. Knowing how to read and interpret the evidence is also a skill that takes time and discernment. The first step is understanding the types of studies that exist. From randomized controlled trials to cohort studies to cross-sectional studies, knowing what type of study to look for is essential. The next step is to look at the entire study, not just the abstract. It’s important to read and understand the full text. It is also important to look for any disclosures surrounding conflicts of interest. A conflict of interest…
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Episode 129: Vulvar Cancer
According to the American Cancer Society, vulvar cancer accounts for 6% of all cancers of the female reproductive organs. Over 1600 individuals will die from vulvar cancer per year. Cancers of the uterus, cervix, and ovaries are far more well-known, identified, and diagnosed. Yet, cancer of the vulva is a diagnosis that is often hard to obtain. Often, the symptoms can be mistakenly attributed to other skin conditions or yeast and bacterial growth. As a result, many individuals may experience a delay in diagnosis and treatment. This can often result in a delay of treatment for literally years. As with any cancer early detection and treatment leads to improved outcomes.…
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Episode 128: Advanced Maternal Age
Advanced maternal age is defined as a pregnant individual who is 35 years of age or older at the estimated due date or date of delivery. Pregnancy at or beyond this age is considered a risk factor for adverse outcomes in the birthing person and baby. When one is considered “advanced” in age, it is common for closer monitoring to be recommended during pregnancy. Induction of labor or elective cesarean birth are both considered appropriate options for managing labor and birth. For the pregnant person, being labeled and frequently reminded of their “advanced” age can lead to many challenging emotions. Some individuals may desire to assert boundaries surrounding discussions about…
