With the theme “African Americans and the Arts”, Black History Month 2024 gives us the opportunity to meet black artists and their art that brings attention to the black maternal health crisis we are currently experiencing . Cheyenne Varner is a certified birth and postpartum doula and founder of The Educated Birth, and Everyday Birth […]
Black History Month – Birth Artist Cheyenne Varner Continue reading »
Labor induction is such a common maternal care practice that it is almost considered to be a normal way of giving birth in the United States. And of course, there are benefits to moms and babies when reasons for induction are medically indicated, such as low amniotic fluid, IUGR and concerning pre-eclampsia symptoms. But with
Labor Induction: Could it have any psychological effects on the baby? Continue reading »
Many clients hire doulas because they want to avoid unnecessary intervention, and we all know the best way to do this is to arrive at the hospital at the “right” time. A doula’s job is to balance the ever-evolving needs of the birthing family, their care provider, and our scope of practice. This includes taking
Timing Arrival to the Hospital During Labor Continue reading »
When I was a new doula, I remember being excited to apply all that I learned in training to support my clients in various birth settings. What I wasn’t prepared for was dealing with differences in birth location policies and working with different providers, who all seemed to have different policies as well. Why was
Navigating Differing Hospital Cultures as a Labor Doula Continue reading »
I began my Labor Doula career when my sister-in-law found out she was expecting twins. She was getting frustrated with her doctors sharing various opinions about how she should birth these babies. Some doctors said the safest option was to schedule a Cesarean at 36 weeks. Other doctors in the same practice said she could
Supporting Labor Doula Clients Expecting Twins Continue reading »
1942, an age where birth had been overtaken by obstetrics and medicalization, Dr. Grant Dick- Read’s book, Natural Childbirth introduced birth in a gentle manner. Exploring the baby’s own experience and the theory that fear and tension induced more pain. At this time these concepts were seen as radical. The Bradley method was developed in
The Evolution of Breathing in Labour Continue reading »
If there is one thing we have learned since early 2020, it’s that things are ever changing with this pandemic. One thing that has remained the same: people are still going to have babies. At the beginning of 2020, there were so many unknowns with the virus, how it affects a pregnant person and newborn,
5 Reasons to Still Hire a Labor Doula – Especially During the Pandemic Continue reading »
As labor doulas and childbirth educators, we prepare our clients with information about routine interventions. We go over the benefits, risks and alternatives to these interventions, equipping parents to make the best decisions for themselves and their babies. But no one has to place a needle in an arm to alter the course of a
The Subtle Impact of Interference Continue reading »
Early in my doula career, I remember working with a family who knew they wanted a doula to support them through their pregnancy and birth. This particular mother had a previous birth that she felt didn’t go well and felt like she was pressured into unnecessary interventions. She was nervous about going back to the
When a person gets pregnant, they unconsciously develop an internal vision about how they expect their birth will unfold. Their personal history and beliefs, their birth team, their coworkers, friends and family, and the media all influence this expectation—which causes the birthing person to make assumptions about what is true. This is especially so with
Reframing Cesarean Birth ( Submitted by CAPPA Member Colleen Goidel ) Continue reading »
Update 3/29/21: Check out some interviews with working Labor Doulas to gather more tips about working in the pandemic! Liza White Video Interview Debbie Hull Video Interview Presentation Developed by Katie Nyberg, Senior Program Advisor – Labor Doula Program. Download these slides as a PDF!
Virtual Labor Doula Support Tips Continue reading »
Mindfulness meditation is one of the fastest-growing health trends in the United States, according to the CDC. But what is mindfulness, and why might it be helpful for your work as a professional doula? Mindfulness is “The awareness that arises from paying attention, on purpose, in the present moment and non-judgmentally” (Kabat-Zinn, in Purser, 2015).
Applying the Foundational Attitudes of Mindfulness to Your Doula Practice Continue reading »
Your CAPPA Labor Doula Faculty team would like to share some ideas for supporting your clients if hospitals are not allowing doulas to provide support during labor. Please remember that it is your professional responsibility to follow CDC recommendations including staying home if you have any type of illness symptoms, following proper hand washing protocols,
Supporting Labor Clients During COVID-19 Pandemic Continue reading »
How many births have you attended? Your badge of honor. The one piece of information that proves to your clients that you know what you are doing as a birth doula. I have been reflecting on this maxim, do the number of births a doula has attended equal her value as a professional? And how
Your Badge of Honor Continue reading »
As labor doulas, we often say that our favorite and essential things we bring to births are our heads, our hearts, and our hands. We bring our heads which are full of wisdom, information, and knowledge pertaining to birth to help in each unique birth setting. We bring our hearts as caring advocates for our
Our Heads, Our Hearts, and Our Hands Need Support Too Continue reading »
I have had the wonderful opportunity to work with hundreds of nurses during my career as a labor doula. Whenever we have a blend of professions like Labor & Delivery Nurses and Labor Doulas, it can be a tricky situation to navigate. I truly believe everyone has the client’s best interests in mind, however sometimes
25 Tips for Labor Doulas from Hospital Nurses Continue reading »
The number of people who run is continuing to climb, so more and more we find our clients are asking if it is ok to continue to run during pregnancy. The answer to that is twofold. As a pregnancy fitness educator, personal trainer, running coach and birth professional the basic answer is yes; however… In
Running in Pregnancy Continue reading »
Did you know that when your baby is born, 30% of his or her blood will still be in the placenta? Waiting to clamp and cut the cord will allow your baby to receive this vital blood. Babies who get delayed cord clamping, or as it is now being called, appropriately timed cord clamping, have
Cord Clamping: Patience Pays Off Continue reading »
I have spent the last two decades as a birth worker, doula trainer, and labor & delivery and maternal child health nurse. I have been able to support families from prenatal education and yoga, labor and delivery, to watching children and families grow in so many directions. I have been hearing the same question tossed
What We Know About Cannabis Use in Pregnancy and Breastfeeding Continue reading »
I am betting THAT got your attention! As labor doulas, as childbirth educators, we spend much of our time helping clients who have asked us to help them avoid routine medical intervention. Not every couple who attends childbirth classes or hires a doula wants an unmedicated birth, but it has been my experience that most
Helping Clients Embrace Medical Intervention Continue reading »
I came into doula work shortly after the birth of my first son who was a #borderbaby. I was one of the few Alabama woman who choose to birth across the state line to Tennessee to receive care from a Certified Professional Midwife (CPM) and have an out-of-hospital (OOH) birth. This choice was easy for
5 Tips for Supporting a Home Birth Labor Doula Client Continue reading »
What is childbirth, really? Is it just about getting a baby out? Of course not! It’s also about becoming a family and working hard to discover what our bodies are brilliantly capable of. As doulas, it’s our job to see our clients through the process, to witness their transformation before our eyes, as they dig
Transforming Pain as Doulas Continue reading »
In my work, I hear the secret fears women have about childbirth. Today’s mothers are keenly aware of how their mindset affects the way they live their lives and wisely, they assume the same must be true of childbirth. They are ready and willing to seek out ways to become more mindful, more aware, and
The Practice of Birth Inventory Continue reading »
Working as a Postpartum Doula is one of the greatest passions of my life! I have been so fortunate to support many moms around the country with education on how to care for their precious, new bundle of joy! Even as a seasoned doula, I am constantly still learning from my families. Creating a safe
Did you know there are four types of responses to stressful events? Most of us are familiar with the Fight or Flight response, but there are two others that many people experience as well. Those are Freeze and Fawn. Helping our clients (and their support partner) understand how they might react can be very beneficial—not
Helping Our Clients: Fight, Flight, Freeze, Fawn Stress Responses Continue reading »
I’ve seen many internet posts recently on doula support platforms, discussing how doulas should deal with clients who make choices contrary to individual beliefs or strong biases. Topics such as circumcision, religious rituals, marijuana, and alcohol use are often the source of conflict in these posts. As I read through the MANY responses I was
Working with Your Beliefs and Biases Continue reading »
“What do I do when my client gets an epidural?” When this question is asked of other doulas the answer invariably is something along the lines of, “You hold the space.” But if you say that to a potential client who wants a doula and an epidural, you may get quizzical looks and they may
Epidurals and Holding the Space Continue reading »
Doulas are unique, talented and knowledgeable; holding space for families and walking with them as they meet their babies. What an incredible honor! Doulas also have the opportunity to be the perfect guide as providers begin to adjust to the new recommendations from ACOG. But just how do we get there? The American College of
Active Labor’s Move from 4 to 6: Benefits & Signposts Continue reading »
It is now standard protocol at many hospitals to wait 8-24 hours to give a baby his or her first bath, or up to 48 hours if delivered by cesarean section. Delayed newborn bathing is consistent with World Health Organization recommendations and is based on medical research. Seven reasons why doctors recommend waiting up to
Delayed Infant Bathing and Why It’s Good! Continue reading »
Anesthesia was first used for birth in 1847, 171 years, or roughly seven generations ago. In response to this, Grantly Dick-Read coined the term natural childbirth in the 1940’s. Before that it was just called birth, like organic food was just called food before Lord Northbourne coined the term organic around the same time. Natural
The Why and What of Natural Childbirth Continue reading »
They say that experience is the best teacher. However, another person’s experience can be an even better teacher. That is the idea behind the collection of doula experiences by CAPPA Faculty Member Julie Brill, CCCE, CLD in her book, Round the Circle: Doulas Share Their Experiences. The title gives a great glimpse into what the
A Book Review – Round the Circle: Doulas Share Their Experiences Continue reading »
Is it possible to plan a birth? Does creating a birth plan lead to disappointment and feelings of failure if the birth doesn’t follow the intended path? What happens if everything changes during labor? We all know that unexpected things happen in labor, right? And most people agree that “healthy mom, healthy baby” is the
Birth Plans – Tool or Terror? Continue reading »
At the CAPPA Destin conference in 2016 I was honored to speak about my work with pregnancy and addiction as a nurse in a speech entitled, “You are not alone-Perinatal Addiction and Neonatal Abstinence”. The first story I originally planned to share at the conference was a story about my client Kelly B, a story
A Heartwarming Update Too Good Not to Share Continue reading »
As critical consumers of information, it is necessary to evaluate the credibility and legitimacy of resources, especially on the Internet. In a world of free information, which is without guidelines, monitoring, and representation, truth and lies can be as difficult to determine as the supermarket tabloids in the checkout stands. Anyone can post anything in
Evaluating Credibility in Everyday Sources of Information Continue reading »
2017 was quite a year in my community. We survived the costliest natural disaster in US history, Hurricane Harvey. Many birth professionals in our community lost everything in either their homes or from their practices or both. My storm experience involved watching the waters rise up our driveway to a level never seen since the
Harvey and the Help Averse Continue reading »
You’ve done it! You’ve completed doula training, found your first clients, and life on call is about to begin. Have you thought about what you need to be ready to boogie out the door at any moment? The excitement of getting the “come now” call from a birthing person is even better when you know
On Call and Ready to Roll! Continue reading »
As a former biology instructor I always encouraged students to observe their environments, as they are ripe with individualized roles that are filled by a species with a unique skill. The world of childbirth education is similar. While the variety of options that exists could be endless, with the right research and evidence at your
Finding Your Niche Continue reading »
“Self-actualization” is a term that comes from Abraham Maslow, a leading figure in the Positive Psychology movement. Self-actualization refers to the “realization or desire for self-fulfillment.” In other words, it’s the motivation to realize one’s full-potential. As doulas, we place a lot of emphasis on self-actualization, whether we know that term or not. We do
5 Simple Tools for the Self-Actualized Doula Continue reading »
“My husband is going to act as my doula. What book should he read to prepare for that?” “The doctor diagnosed this, but I’m not sure he’s right. What do you think? Would you guys take this medicine?” [asked in a Facebook group] “I don’t need to have a degree to know how to read
The Loss of the Expert Continue reading »
As a doula trainer for many years now, one of the most challenging concepts to instill in newer doulas is the idea of healthy boundaries with clients. Not the kind discussed in the scope of practice because those are pretty clear-cut, but instead, establishing when we will be available for routine questions and support. It
Establishing Healthy Boundaries Continue reading »
As a childbirth educator and labor doula trainer, one of my favorite topics is that of birthing hormones. Oxytocin, melatonin, endorphins, adrenaline and prolactin all work in synchronicity to help the birth process move forward. More specifically, melatonin acts as a catalyst to enhance the amount of natural oxytocin released. This in turn, causes the
Melatonin – Not Just Beneficial For “Jet Lag” Continue reading »
For the past two years, I’ve had the opportunity to serve on the planning committee for a community event: The Birth and Family Wellness Fair. This fair promotes holistic family health and birthing options. I have seen the positive effects this event has in our community and urge others to sponsor or support events like these in their areas. I worked with
Make the Connections Continue reading »
An increasing number of hospitals in the United States are offering nitrous oxide to women in labor since the FDA approved new equipment for use in labor in 2011. Among other things, a hospital is a business competing with neighboring hospitals for customers. If they get you to come there to birth, you could become
Nitrous Oxide in Labor and the Precautionary Principle Continue reading »
Your Cervix is Not a Crystal Ball While a cervical exam can offer a great snapshot of what’s happening right now, it’s not necessarily the best indicator of what may come. Neither is it really a great indicator of progress that’s already been made. It’s really just one small piece of a much bigger picture! Trust
Stuff Your Doula Says Continue reading »
When I first started working as a doula, I worried about what to do in my prenatal visits with families. Your prenatal visits are a place for you and your clients to get to know each other, build trust and begin to see you as a resource for their experience. You will also be demonstrating
The Value of Prenatal Visits Continue reading »
Birth can be a little unpredictable to say the least! If you work in this field long enough, you are sure to accumulate a few strange, crazy, and even hilarious stories along the way. At times, a birth experience may seem like an episode from “Who’s Line is it Anyway?”, an improv comedy game show
Who’s Birth is it Anyway? Continue reading »
Over the years, I have graciously and humbly watched my practice and experience grow and change. A decade ago I was flourishing as a private practice Labor doula and childbirth educator for clients fortunate enough to pay for such birth services. Today, I work with young women who have multiple struggles every day, from poverty
Connect More Continue reading »
Recently, I was felled for 48 hours by a flu-like virus. Body aches, fever, cough. The works. One morning, my ten-year-old daughter asked me, “Mom, what’s it called when someone is sick, and you wish you were sick instead of them?” “That’s called empathy, sweetie,” I replied in a fog as I reached for my
A Bad Case of Empathy Continue reading »
I will never forget the off-hand comment that changed the course of my life forever. I was sitting in the living room of our first home, holding my fresh, newborn daughter, Willow Grace, just 5 days old. Our labor doula had come to our home for a postpartum visit. We happily discussed how breastfeeding was
It’s Not Everyone’s Dream Birth: Understanding the Emotions of a Fast Labor Continue reading »
As a doula, childbirth educator, and doula trainer, as well as a mother who started in this business when my children were very young, I know all too well the need to make sure that I take care of myself. So what does that mean exactly? How do we, in one of the most
Doula-ing the Doula Continue reading »