What Does a Doula Do?: Birth Coaching for an Easy, Joyful, Loving Birth: Birth Coaching for an Easy, Joyful, Loving Birth: Birth Coaching for an Easy, Joyful, Loving Birth
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About this ebook
This informative and positive handbook combines practical tips with person birth stories to help both parents to stay calm, enjoy the pregnancy and achieve a more natural birth. Drawing on her extensive experience as a professional Doula and mother of five, Kim empowers women to give birth to baby without
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What Does a Doula Do? - Kim Turton Palmatary
What Does a
Doula Do?
Birth Coaching for an
Easy, Joyful, Loving Birth
KIM TURTON PALMATARY
1
Published by MyDoula Publishing 2011
Vancouver, BC Canada 604-230-6341
www.mydoulabirth@gmail.com www.whatdoesadoulado.com Originally published by Influence Publishing 2011
ISBN: 978-1-958324-12-7
Editor: Jessica Kirby
Photo of Author: Teresa Corsie,
www.teresacorsiephotography.ca
Printed in Canada
2
© Copyright Kim Turton Palmatary
All rights reserved. No part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording or otherwise) without the prior written permission of the publisher.
This book is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, resold, hired out, or otherwise circulated without the publisher’s prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser.
3
Contents
Disclaimer................................................................................................. 8
Praise .........................................................................................................9
What Kim’s Clients Say........................................................................... 11
For My Mum ...................................................................... 14
Birth ......................................................................................................... 15
Acknowledgments ............................................................. 17
Clients ...................................................................................................... 17
Family and Friends ................................................................................. 18
Labour ...................................................................................................... 19
Doula ........................................................................................................ 19
Foreword .......................................................................... 20
Introduction ...................................................................... 23
Doula Statistics ...................................................................................... 24
Continuous Support for Women During Childbirth.............................25
1. Birth: My Story ............................................................... 27
The Due Date ........................................................................................... 27
Eight Years Later.................................................................................... 30
Three Years Later .................................................................................... 31
Two Years After That .............................................................................. 31
A Very Interesting Concept ................................................................... 32
My Definition of Doula .......................................................................... 33
Why I Became a Doula........................................................................... 34
My Training .............................................................................................35
How This Has Empowered Me .............................................................. 37
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Danielle and Reggie’s Birth Story ..........................................................38
2. The South Community Birth Program ........................... 46
When Back-up is Needed ....................................................................... 51
Doctors, Midwives and Doulas .............................................................. 55
The Midwife and a Changed Birth Plan ................................................ 58
How the SCBP Makes a Difference in Community .............................. 59
Shannon & Brian’s Birth Story ............................................................. 60
Two Years and Three Months Later ...................................................... 65
3. Doula Information ......................................................... 70
What a Doula Can and Can’t Do ............................................................ 71
Seeing a Change ...................................................................................... 72
Doula Certification ................................................................................. 73
Hiring a Doula......................................................................................... 76
Dads and the Doula ................................................................................ 79
The Doula Fee .........................................................................................82
Services a Doula May Offer ....................................................................84
Tools of the Trade .................................................................................. 86
Techniques .............................................................................................. 87
Postpartum Doulas ................................................................................ 90
The Sitting Month ................................................................................... 92
Postpartum Practices..............................................................................94
Birth Story – Anonymous ...................................................................... 95
4. Birth Plan or Preferences............................................. 103
Birth Plan Sample ................................................................................. 104
Going Into Labour ................................................................................ 109
5
Breast-feeding ....................................................................................... 110
Benefits of Breast-feeding .................................................................... 114
Breast-feed Comfortably ...................................................................... 115
Pumping and Storing Breast Milk ....................................................... 117
Pacifiers ................................................................................................. 118
The Indian Approach ............................................................................ 119
Visualization or Hypnosis Birthing .....................................................130
Christie & Chava’s Birth Story..............................................................130
5. Educating Dad .............................................................. 139
What Dads Might Need at the Hospital .............................................. 141
Baby Blues versus Postpartum Depression ......................................... 143
Scheduling Help .................................................................................... 143
Darlene and Chris’s Birth ..................................................................... 144
What to Take to the Hospital ...............................................................148
Items for After the Birth ....................................................................... 149
Labour Aid Recipe................................................................................. 150
Home Birth – Water Birth ................................................................... 151
Danielle and Dave’s Birth Story ........................................................... 152
6. Common Questions ...................................................... 159
Before Labour ........................................................................................ 159
Labour .................................................................................................... 166
After Baby is Born ................................................................................. 169
At Home ................................................................................................. 171
Induction and Augmentation Methods ............................................... 175
Self-Induction Methods ........................................................................ 178
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Placentas ............................................................................................... 178
Tidbits .................................................................................................... 182
A Single Mum’s Birth Story – Anonymous ......................................... 185
Afterword .............................................................................................. 192
About the Author .................................................................................. 193
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Disclaimer
This book was written for informational purposes only, to encourage and educate pregnant mums and dads on the birth choices for their babies. I use the reference to dads and partners loosely, as I choose not to put labels on the mother’s partner, whether it is her boyfriend, husband or same sex partner. At the same time, I also interchange the words boy and girl when referring to the baby, while not specifically meaning either sex.
Please note I am not a professional medical authority. The information in this book is intended to be used for general information only, and should not replace consultation with health care professionals. Always seek medical advice from your own health care provider.
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Praise
I get shivers of joy imagining other moms having this support in their birthing experiences, to have a doula journey with them - an experienced guide to travel the unknown terrain ... an amazing support for moms and their partners, offering them strength, wisdom and clarity of potential choices to support the child into the world all delivered in the caring and loving energy of the author.
Canela Michelle Meyers, author of Right Here, Right Now
Meditations, www.canelamichelle.com
A wonderfully thorough and comprehensive journey through everything that doulas provide for the pregnancy, birth and postpartum period. This book will help families prepare for their birth and make informed choices, including which doula would best suit their needs.
Amanda Reid, RM & RN
This book demonstrates to us how we can choose to make our child’s entrance into the world a celebration of the miraculous process that it is, instead of the clinical experience modern medicine has sometimes made it into. The birth stories that Kim has interspersed throughout the book really demonstrate how a birth coach empowers parents by providing them with education, tools and loving care during pregnancy, labour and delivery.
Denise Cunningham, Bestselling author of Whispers of Hope: Transcending Abuse, Cancer and Divorce to Embrace Peace, www.journeyhome.ca
9
Give this book as a shower gift. It contains an experienced doula’s thoughts about how doulas can help women create an easier and happier birth experience. It covers a compendium of topics including: birth stories, ideas, birth notes by a doula, birth plans, breast-feeding, quotes, dads and doulas, doula techniques, postpartum services and common pregnancy, labor, birth and postpartum questions. Open this book and a wealth of information will spill out!
Paulina (Polly) Perez, RN, BSN, FACCE, LCCE, CD author of
Special Women, Doula Programs and The Nurturing Touch at
Birth
10
What Kim’s Clients Say
Kim was with us for the birth of both of our children, and we were so thankful both times to have her there. With our first son Fraser, we didn’t know what to expect – from labour, from a doula, from the nurses, from anything. Kim was our kind, experienced guide. She guided my husband with ideas of how to help me (both births were non-C-section). He wouldn’t have really known what to do without her, and I was in no position to coach him with how to coach me. Kim also called on nurses and took charge in a few instances when we might not have had the gumption to get them in line.
Kim has a great energy. She is totally there for you, but not in your face in any way. She is calming but not sappy. She is knowledgeable and reassuring.
So the second time around we figured we knew what we were doing – who needs a doula? But we thought just to be safe
we would engage Kim again.
And we were so glad we did. Our daughter Holland came quite fast, as many seconds do, but without Kim telling me to relax and just let Holly do the work, the experience would not have been as enjoyable
as it truly was.
And that is saying something! Kim made labour enjoyable the second time around.
Andrea
I can’t imagine going through the awesome birth experience we had without Kim. There are so many things to know having your first child, or rather so many things you feel you should know, and don’t. Kim answered all our questions and kept me focused and calm through the pregnancy and birth process.
The birth of our child had some serious complications for both mother and child (we are all doing wonderful today) and my husband is very grateful that Kim was also there for him!
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Kim was always available to chat with and was also very respectful and never took over
and she ensured my husband was my #1 supporter. (But boy, he needed her support!) I had a long labour and although the nurses were great at the hospital, they just don’t have the time to stay with you and guide you through the management
of labour.
Thank goodness Kim was there to suggest so many techniques such as breathing and positions to help me through it. When you’re in that moment, it is hard to think clearly and remember everything you’re supposed to do.
As I mentioned we did not have a typical
labour and delivery, so my experience was very different than most. And these are things you can’t anticipate. We are so happy that we had Kim there with us. Don’t know how we would have done it without her.
Erin
I had an amazing experience with Kim. After having my first two children in the UK, the first being a fairly traumatic birth experience and the second being a C-section as suggested by the medical team, I was certain I would just have another C-section with my third. I had many discussions with my doctor about the impending birth and was encouraged to try for a VBAC at BC Women’s Hospital and Health Centre in Vancouver. I had used a doula once before and loved the idea of having someone with me throughout the labour and the birth who could not only provide me with the support I needed, but would also provide the same for my husband.
Kim provided exactly that from the moment I phoned to tell her I was being admitted, to the moment I was taken into theatre (following a gruelling 12-hour labour). Kim encouraged my husband with advice on how to support me and was a calm and reassuring presence throughout the labour. As a wonderful gesture a week or so following my daughter’s birth, she visited us at home with her beautifully written account of the labour and birth, something I will treasure forever.
12
Natasha
Thank you so much for all your support – you helped me support my wife so well and kept me from panicking many times. We couldn’t have imagined our experience without you! (Dad)
We want to say a huge THANK you for your support as we experienced welcoming our new baby girl into the world. Words aren’t enough to describe how grateful we are that you were there. Your presence, energy, support and experience were so valuable in reaching our ultimate goal of the birth of our daughter. We honestly do not think we could have done it as well without you and we are thrilled to have had you as our doula to share the experience. (Mum)
Anonymous Couple
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For My Mum
You show me what it means to be a strong woman.
Thank you for encouraging me with your unconditional love. You are truly my best friend.
I love you.
14
I thought my first birth would be a natural vaginal birth with my husband at my side. We had no knowledge of doulas. I use this book to introduce you to the benefits of doulas in the hopes that your birth experience is more joyous.
Birth
I WAS FINALLY WHEELED into the operating room. My husband was changing into surgical scrubs as I was lying on the stretcher in a cold, sterile room, and nurses were rushing around my head. Eventually, my husband was ushered in to sit beside me. We sat behind a large, green sheet hanging three inches in front of us. My arms were strapped down to prevent me from shaking too hard, while under the influence of the drugs used to numb me from the neck down. We could see nothing but each other and the green sheet. Within minutes, after the sensation of tugging at my belly, the doctor had pulled my 9 lb 15 oz son, with a large head, out of my body. The nurse placed him on my chest. I was vibrating so badly from the drugs, that I thought I would jiggle him off of me and onto the floor.
The next thing I remember was waking up two hours later in a dark recovery room, no husband and, most definitely, no baby! There was no skin-to-skin contact, no breast-feeding at birth. I had barely seen my baby before I fell into a total blackout sleep.
Later, when I woke up and after this insult, I was told I had to stay three more days in the hospital. My thoughts turned to my poor mum who was back at home waiting to look after me and my baby…
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We’ve all been waiting for you.
For you.
Your arrival has been marked, has been recorded on earth, in the universe, in the galaxies, in all of space, in all of time.
You come with a birthright, written in love and sung through all Creation in words which promise that no matter where you’re at, you’re home that no matter who you’re with, you’re welcome that no matter who you are, you’re loved.
Welcome.
Rita Ramsey
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Acknowledgments
Speak tenderly to them. Let there be kindness in your face, in your eyes, in your smile, in the warmth of your greeting. Always have a cheerful smile. Don’t only give your care, but give your heart as well.
Mother Teresa
Clients
I CAME UP WITH THE IDEA of this book after hearing so many mums tell me that they needed encouragement, not the negative and disturbing birth stories that are so prevalent. So I thank all of those people for asking. I have written this book for you and for all the other pregnant couples seeking to have a fabulous birth.
I am so grateful to my clients for allowing me to use their birth stories and baby pictures in this publication. This gift is beyond generous.
The stories are all true. The women that I have written about, just like every other woman I help through the birthing process, prove to me that women are strong and determined. We contort our bodies and breathe through the most unbelievable marathon each time we birth our babies. Our inspiration and prize is the baby we birth, and the outcome is so incredibly worth our efforts.
Over the last ten years I have been so blessed to have amazing, warm and generous clients that have invited me to be their doula. I am honoured to have been able to help you