childbirth

Birth Planning

There is a number of things that should be considered when you are creating your birth plan, and I need to be honest with you. This is the part that you will not be super happy about! NO ONE IS GOING TO READ YOUR THESIS ON YOUR BIRTH. There, I said it. This is what I have seen when it comes to those two and three-page birth plans. First things first, you have spent hours researching and planning exactly how you want your birth to be, and you put it into a three-page document that you will bring to your birth. Here is what will happen, and I speak from experience. You will hand this to your birth team, and they will glance over it, put it on their desk, which is right next to where they are charting, and will not look at it again, and will bombard you with questions throughout the entirety of your birth.

I create a visual birth plan for my clients. Here’s why I wanted it to have their preferences in the form of icons or pictures. I wanted a document that can be hung on the whiteboard so that when there is a shift change or a provider change, it is right there accessible, and everyone can see it, the best part is that no one has to ask you the same questions 100.000 times. That way you can focus on laboring, and not on answering the same questions over and over again.

As a doula, we are going to complete this during our first prenatal meeting. This is for a couple of reasons. First, it helps me to understand what you know, and what you don’t. What things you need more information on, it also gives me an idea if a childbirth education class would be helpful. In all honesty, I don’t care if you take mine, but please take one. Even if this is not your first pregnancy. We have seen so many changes over the years, and protocols change. Taking a childbirth education class is one way that you will know what to expect, and how to make the best choices for you and your family.

Here are a few things that you should consider: (not a complete list)

  • Are you keeping your placenta (it’s yours, you can)

  • Plans for eye ointment.

  • Circumcision

  • Epidural

  • Medication or no medication

  • No bath for baby

  • Nitrous

  • Birth Environment

  • Music/no music

  • Type of birth (hyno-birth)

  • VBAC

These are just a sample of some of the topics to consider. Here is another thing that I want you to think about. Please include a postpartum plan. Spend as much time planning for the birth of your baby , planning for post-partum. Have conversations about what type of support will be helpful to your family. Would a post-partum doula be helpful? Do you know an IBCLC(International Board Certified Lactation Consultant) HOw many people will you allow to visit your baby in their first few weeks of life? Have you done any meal prep? Trust me when I say, tensions can run high when you first bring you baby home. There is feeding, diapers, and sometimes not a lot of sleep. Having theses conversations before you have the baby is critical.

I’m here if you need any support, and you are going to do great things!!


XOXO-Holly

Use Your Voice.......

I want to let you know how important your voice is during your pregnancy and postpartum time. I feel like this is a little known tool that holds immense power. I can’t tell you the number of times that I will be talking with a client, and I will hear, “I didn’t know that I could say that.” Here’s the thing. YOU ARE IN CHARGE. That’s right, let me say that again. You are in charge of your body, your birth, and your care. I think that in this culture we are taught from a very young age to not question any type of authority, especially as women. Here is thing, if you don’t advocate for yourself, no one else will.

Picture this. You have been very clear with your provider, your partner, and your birth team that you are requesting an unmedicated birth. You are not high risk. You have taken your childbirth education. You have created your birth plan. It has all been made very clear. Imagine you now arrive at your birthing place. You have again stated your wishes, yet you are being constantly asked about an epidural, or other medications that can be used for pain during birth. You are in labor, you are uncomfortable, and you are using all of things that you have learned to cope. That one question about pain medication will continue to throw you out of your rhythm. It is ok to say no. It is ok to ask them to not ask you about pain medication again. It is even ok to request that you get a new nurse. Yep, all of that is ok. Now, I’m not suggesting that this be done in a disrespectful way, however, asking that you receive a new nurse is perfectly acceptable. It is ok to ask for a new provider all together DURING your birth. This is your right. You do not need permission to feel safe, heard and respected during your birth. And yes, I have seen this done before.

Now picture this. You are 38 weeks, and headed in to one of your last pre natal appointments with your provider. They would like to do a cervical check “to see where you are in relation to dilation. You have an otherwise healthy pregnancy marked with nothing out of the ordinary. Baby sounds good, birthing person’s vitals look good. Do you need to have a cervical check? Well, that depends. Do YOU want one? Again, perfectly ok to say no thank you. Same for a membrane sweep. During Covid, I will say that I am seeing more and more providers suggest a membrane sweep if for no other reason than “to get things going.” In my experience, I have seen this work about 50% of the time, but make no mistake…it is a way to induce labor. Again, you may decline. If something is explained to you that you do not understand, you should and can question it. Ask for clarity and understanding. Don’t feel bad. Think about it this way, if you are at work and someone asks you a question in regards to something they don’t understand. You answer them, and try to have a conversation about it. This should happen with your care team as well.

This also goes for things in regards to your baby after birth. If all is well with baby, testing can wait. You can enjoy and get to know your baby, begin to breast feed if that is your choice, decline eye ointment. All of these things are within your control. You just need to know that it IS in your power to use your voice to let your care team know what your preferences are. You are not at their mercy. Do not be afraid. ASK!

I say all of this not so that you enter your birth in a combative environment, but so that you feel empowered to get answers that you need in order to make the best choices for you and your family. I often hear my clients say that they don’t want to bother their provider with what they are afraid is a silly question. Let me say this loud and clear. THERE ARE NO SILLY QUESTIONS WHEN IT COMES TO YOUR BIRTH AND YOUR BABY. Read that again. It is their job to answer your questions, and to make sure that you feel heard. That is their job. This is what they signed up for. This is their job description. To take the call in the middle of the night. To answer your questions when they are asked. To make sure that you feel heard. If for one second that is not happening, it may be time to switch providers. This can be done up until the very end of your journey. Don’t feel trapped. You have choices.

At the end of the day, we all want a healthy birthing person and baby. Plain and simple. You owe it to yourself, and to your baby. Don’t allow fear, and misinformation be your guiding principles. Listen to your gut. I have learned that 99.9% of the time it is right. YOU know your body and your baby. That is powerful. That makes you the perfect advocate. May you have a healthy and safe pregnancy, which is guided with what you need to make the best choices for your family. You’ve got this. I believe in you!