Home breech birth

During World Doula Week we have the privilege to share a series of interviews with people who have benefited from doula support. Kirsten had a baby who was in the breech position and decided to have a home birth. For more information on why some women prefer to choose vaginal birth rather than ceasarean for a breech baby this website is good place to start reading.

How did you hear about doulas?

When I had my first son in New Zealand I had a pregnancy massage with an English girl and she had been a doula in the UK and told me all about it. I thought it sounded lovely but as I had an independent midwife, I didn’t feel that I needed a doula.

Why did you want a doula?newbornskintoskin

When it came time to have my second son I had moved to the UK. Since NHS midwives are not guaranteed to be at your birth (unlike in NZ), I really wanted someone that knew me and my birth preferences to be with me through the birth (apart from my hubby!).

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My hubby thought it was a great idea.

How did your doula help you prepare for your birth?

My doula gave me lots of positive affirmations which I stuck around my house to help me keep feeling positive and prepared for my baby’s birth. She was happy to answer any questions I had and if she couldn’t, would find out the answers for me. She came to meetings with me. I was planning a home breech birth which was outside of normal hospital protocol so I had some meetings at the hospital about this. My doula supported my decisions and choices throughout the preparation.

What did your doula do on the day when you went into labour?

My doula was available on the phone to discuss options/plans. When I asked her to she came over to my house (I had a home birth) and helped calm the atmosphere. She coached me through the contractions reminding me to slow my breathing and relax my shoulders. She encouraged me. She answered the door when the midwife arrived. After baby arrived he was a little slow to breathe deeply (which is normal for breach babies and he remained well with a strong heartbeat throughout) and the midwife asked my doula to call an ambulance so that she would have any equipment and fast transport if needed. As it happened the ambulance crew weren’t even needed in the room as baby began to breathe deeply of his own accord and the midwife was able to give him a little oxygen and was happy with how well he was doing after a couple of minutes.

What did she do after the baby was born?

Cuddled him! While I was feeling faint and my husband was engaged in necessary practical tasks and my midwife looking after me it was good to have my baby still held in loving arms. My doula then looked after my placenta ready for encapsulation and tincture. She gave me a small piece of placenta for under my tongue to help prevent excess bleeding. She was able to remind my midwife that I did not want the injection to expel the placenta. She made me Vegemite toast and a glass of chocolate Nesquik! Later she brought me an amazing chocolate cake!

What was the best thing about having a doula?

The total unbiased support. Knowing she’d be in my corner.

Would you recommend having a doula to other families?

Without hesitation. Every woman should have a doula in my opinion!

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Caesarean birth

During world doula week we’re privileged to be able to share a series of stories from people who have benefited from doula support.  A common misconception is that doulas only support ‘natural’ births but that couldn’t be further from the truth. Vickie’s baby was born by planned caesarean and she found the support of her doula invaluable.

How did you hear about doulas?

I heard about Doulas from Mumsnet and from a friend who I ended up choosing as my Doula.

Why did you want a doula?

I have complicated pregnancies, and having had a really terrible experience with my second child, I wanted an informed third party to advocate for me, and act in my interests as I didn’t feel my partner was confident enough to fully assert my wishes.

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My family had no clue what a doula was, but when I explained it they all said having someone with both medical and holistic information was a great idea. My partner was equally confused initially, but valued the support particularly when our daughter was taken straight to NICU.

How did your doula help you prepare for your birth?

My Doula gave me information on my birth options, even down to types of caesarian, and empowered me to actually request these things. She came to consultant appointments and translated the medicalised language used, and was another pair of ears.

What did your doula do on the day when you went into labour?

My birth was a planned section at 33 weeks, my doula arrived on the morning of the section with my partner, and massaged my legs, and helped me decompress from the previous horrid evening. She advocated for me as there was some confusion regarding whether the birth was happening that day. My Doula went with my partner to NICU to meet our daughter, which was a comfort to him in such an alien environment.

What did she do after the baby was born?nicudoulasupport

My Doula acted as a buffer between me and the rest of the world, which was needed as I was exhausted, had lost a lot of blood and had a baby in NICU. She provided me with information and encouraged me.

What was the best thing about having a doula?

Having another female to support, inform, and advocate for me. Someone who fully understood and unconditionally supported my decisions. This was especially valuable in a situation where a partner may not fully understand what you are experiencing.

Would you recommend having a doula to other families?

I have, and will continue to! Such a positive experience that every woman should be able to have!

Home birth after c-section

During World Doula Week we are sharing a series of interviews with people who have benefited from doula support. Emily and Stuart’s first baby was born by c-section and their second baby was born at home in the birth pool with the support of both a doula and an independent midwife.

How did you hear about doulas?

I met a doula in a breastfeeding support group who explained what doulas were.

Why did you want a doula?

In my first pregnancy, I felt clueless and unsupported. I felt I had to go along with everything I was told to do without having it explained to me. I felt that with a doula to support me I would be more confident finding all the information I needed to make decisions. I felt I would be more confident asking questions. I also felt I would be more confident making and expressing my decisions. I felt I would have someone to be my back up if I disagreed with what I was told to do.

I also wanted more support for my partner because he felt pushed out during my first pregnancy and birth. I knew that a doula would support us both and help him to feel involved and confident with asking questions and talking to health professionals. I knew it would also help him feel more confident during the birth. DSC_0327

How did your partner (if you have one) and wider family feel about the idea when you first bought it up?

My partner thought it was a good idea, he was keen to have that support just like me. My family were confused about what a doula would do and how one was different to a midwife. Once explained, they were supportive of the idea. My mum had another job looking after my eldest which helped her not feel too disappointed at not being a birth partner.

How did your doula help you prepare for your birth?

My doula supported me in a meeting with the hospital to review the notes from my first pregnancy. This was good as it helped me to get closure on what had happened. We also did birth partner training with our doula which helped my partner know what to expect and how to support me through the stages of birth.

My doula reassured us that no matter what happened on the day she would support us to make birth a positive experience regardless of anything that came up which might cause us to change our plans for the birth.

She suggested alternative therapies and comfort measures for dealing with the aches and pains of pregnancy, labour and after childbirth and to help my body get ready and go into labour naturally.

If I or my partner had any questions I could always ask my doula and she would support me finding answers or reassure me what was normal, keeping me away from the worry that can come with googling!

My doula supported me at hospital appointments when I had an ICP diagnosis (this is a rare liver condition associated with pregnancy there’s more information here http://www.icpsupport.org/ ).  She supported me thinking through and making decisions around plans for if I needed to be induced or potentially to choose a c-section as a result of this condition.

She supported me when pre-labour started and stopped. Including one occasion when things seemed to be happening one evening, she came round to our house and then helped me stay positive when everything stopped.

What did your doula do on the day when you went into labour?

I first called in my doula at 4 am when I was having contractions and my son was awake and needed attention. She provided an extra person to occupy my son, or set up the birth pool or support me.

In the morning, she helped my son get ready for a party he’d been invited to and co-ordinated a friend to pick him up and look after him for the day so I could rest and focus.

She tried to encourage me to eat and drink to keep up my energy through the day. She kept this up gently even when I wasn’t keen to eat as I was struggling with nausea and vomiting. She helped to keep track of how frequent contractions were and also encouraged my husband to eat and drink to keep up his strength too.

My doula helped me deal with sickness with acupressure, massage and essential oils and by avoiding strong food smells and helped me choose small amounts of food that I could manage. She also caught my sick for me (in a bowl) when that became necessary.

She helped my husband fill the pool the first time and empty and refill the pool when it got cold and needed reheating.

She reminded me to get out and go to the toilet and encouraged me to change positions to help keep things moving.

She allowed my husband to be able to focus on supporting me in the way I needed him to and not be distracted by all the practical things that also needed doing.
She took turns with my husband providing physical support when he needed to rest, eat or go to the toilet. She used hand massage during contractions. This helped because I was more able to concentrate on my hand being held which distracted me from the intensity of my contractions.

She also took photos and video during the labour and when our baby was born. Although I didn’t notice this happening at the time I enjoyed looking at them after my baby was bornTheIdiditmoment.JPG.

What did she do after the baby was born?

My doula helped to empty the pool and take it down after the birth. She put fresh sheets on our bed making it all comfortable to get into with our new baby to sleep. Which was a real relief and allowed us to relax and enjoy our baby rather than worry about those practical things.

She made a placenta smoothie right after the birth and prepared the placenta into ice cube trays for freezing for future smoothies.

What was the best thing about having a doula?

Knowing that I had someone with me who would be sure to stay calm and have a level head. Knowing even if something happened that might have made me and my partner feel confused or upset someone would keep us calm. That we had someone who would be on our side whatever situation occurred.

 

Would you recommend having a doula to other families?

Yes, I regularly do. 😊

 

 

 

Three babies two doulas, induced labours

For World Doula Week we’re running a series of interviews with families who have had the support of a doula or in this case two doulas. Emma laboured in hospital calmly and peacefully with her doulas’ support.

How did you hear about doulas?

I heard about Doulas during my second pregnancy. They were recommended to me when I sought advice on anxiety during birth as I had ptsd from giving birth to my first child. (Editor’s note: traumatic birth can often have a huge effect on mothers -and also on fathers -if you are struggling with processing your birth memories of a birth or if they are causing you to struggle with your mental health you are not alone. You can call a doula at any time and many will be able to help you talk through and debrief your experiences. You may also need to talk to your GP who will be able to help you access to mental health support if needed. You may also find it’s helpful to contact the birth trauma association who can provide both trained and peer support options.)

Why did you want a doula?

I wanted a doula to play the role I always imagined a supportive mother would play with more experience, confidence and wisdom. I also wanted a doula to help me overcome fear. My first doula taught me how to view birth as a natural experience instead of a life and death hospital procedure.

How did your partner feel about the idea when you first bought it up?

My partner was very keen to have a doula again in my third pregnancy as he totally understood the benefit of feeling supported in labour and for him – it was his first birth. He too believed that birth was an empowering natural phenomenon. He also understood my anxiety and the need for someone experienced to make sure our wishes were respected.

How did your doula help you prepare for your birth?

My doula was on the end of the phone for a month before the birth as my baby was late. I was very anxious as I did not want to give birth in hospital due to my ptsd. My doula was calming, supportive and informative. I had many false labours too which she supported me well though.

What did your doula do on the day when you went into labour?iolbaby

She attended the hospital with us before the induction having counselled me the night before. She stayed with us the whole time. In the labour, she supported my partner as I actually just went into myself and laboured with my eyes closed and headphones on. I am sure she was very valuable at this time but I was elsewhere! I felt very safe with just her and my partner and laboured up until my first push in blissful peace. She held one hand, my partner held the other and with just a few pushes my baby was here.

What did she do after the baby was born?

My doula nurtured me and my partner from this point. She followed my every wish and when I was ready she took me to clean up. She took care of my every need whilst daddy snuggled up with baby.

What was the best thing about having a doula?

Feeling safe and confident. Empowered.  Without her I couldn’t have retreated into myself.

Would you recommend having a doula to other families?

Definitely. With Doulas my births have been amazing experiences. The second birth was pleasurable despite being induced. The third was harder due to baby refusing to be induced but still a pleasure. I had no fear.

 

Third baby, first time with a doula

For World Doula Week we will be sharing a series of interviews with people who experienced doula support. We’re starting with Sarah one of the Hampshire doulas who was also lucky enough to have a doula for her third birth.

How did you hear about doulas?

I can’t remember when I heard of doulas. I read a lot during my first pregnancy and I think doulas were probably mentioned in at least one of the books or if not for sure on one of the websites. It wasn’t until after my second birth that my interest and understanding grew and I discovered it was what I had always wanted to do but never realised.

Why did you want a doula?

Being a doula myself, when I fell pregnant, one of the things I was excited about was that I would be able to have a doula. I knew all of the statistics and that I would be more likely to have the birth I wanted with a doula to support my husband and me and I knew from the experience of my clients that whatever this baby and this birth had in store for me I would feel more positive through it all with a doula by our sides.

How did your partner and wider family feel about the idea of a doula when you first brought it up?

My husband knew more than most about what doulas are like and how they work and expected me to want one when we found out about our daughter being on the way. He was known to joke that we were getting a doula so he could spend more time playing on the play station with his day off for the birth. But really, he knew it was a good idea because he knew how much practical work there is at a homebirth and was glad to have someone to share the responsibility with.

My extended family were the same well aware of the benefits of doulas and mostly just thought it was our business what we did around our baby’s birth. I find that the most common reaction I get when asked to explain what doulas do is wow I would have loved that for my birth.

How did your doula help you prepare for your birth?

One benefit I discovered that I hadn’t realised a doula provides in the run up to my birth was having someone who was as interested as I was in my pregnancy and upcoming birth. If a thought occurred to me about my birth plan or I was worried about something there was always someone I knew I could talk to and not think they’d probably had enough of me going on about birth or babies!

I had a trial run of labour when I thought my waters had gone and started having regular mild to medium contractions. This was the only time it was difficult being the client rather than the doula because although I knew nothing was happening for quite a while I also knew that I had told my doula (as I should have done -us doulas like to know) what was going on and after that I kept thinking about how she was feeling wondering what was going on. When you’re a doula and a client goes into labour but doesn’t need you yet and then you don’t hear from them for a while you try to relax and know that they will call when they need you but the little niggle is always there at the back of your head, what if everything went fast and sudden and they haven’t had the chance to call me and then you worry about them just a little. So, although I knew nothing interesting was happening I tried to keep my doula up to date! This was also helpful to me because it meant I knew I was not in active labour because I was able to think rationally about whether to call my doula over or not!

I did call my doula over in the end and she made herself very useful working with my husband to find and patch the hole in the birth pool! We pottered around through the night and everyone had a nap. It was after that I realised I wasn’t having contractions. We tried a few things to get my contractions going again. My doula made herself useful keeping the clary sage oil in the burner going. But no success so I sent her home and had a quiet day.

What did your doula do on the day when you went into labour?

The next evening when I started having contractions again I kept it to myself as I didn’t want to get everyone’s hopes up again with nothing to show for it. I went to bed and slept between the contractions which were coming about every 15 minutes. I got up at about 4 am as I couldn’t sleep any longer. By 5 am I was fairly confident this was the real thing as the contractions were much stronger and were regular. I woke my husband up at 6 am and asked him to put my TENS machine on. By 7 am he had the pool inflated and my doula on her way and my kids and mum were up. I bounced on my ball chatted to the boys and breathed through my contractions. My mum took the kids to school and my doula arrived. She was immediately able to give my husband confidence that he should, as he thought, call the midwives even though I hadn’t asked him too!

My doula helped me get myself sorted out with my top and into the pool.waterbirth1 She remained calm as I started to make pushy noises and asked how long the midwives would be and helped my husband to keep calm too. When I needed to have my husband right there to hang on to through the last bit of my labour my doula was able to keep up the practical tasks around us, passing me a drink, sorting out the music and the oil burner. When I felt my baby’s head crowning I asked her to get the camera and she took a brilliant set of photos of the arrival of my daughter which I really treasure.

What did she do after the baby was born?

After my baby arrived my doula helped my mum and my husband to clean up and helped me to snuggle on the sofa skin to skin with baby. She took more lovely photos and helped me upstairs to have a shower when I was ready. I was able to relax and enjoy my baby. My doula provided us with amazing chocolate brownies to eat after our baby was born which my older children would list as the number one benefit of doula support!

What was the best thing about having a doula?

For me, the best thing was the relaxation of knowing there was someone who knew me really well who would be there with me and my husband whatever happened and who would understand and support my point of view unconditionally.

Would you recommend having a doula to other families?

Yes, I do constantly even though it can’t be me at the moment. I believe every family can benefit from doula support. This is the reason I put my time and energy into Hampshire Doulas so we can increase awareness and provide information so that more families can discover this wonderful addition to their birth team.