Archive for the ‘Labor’ Category

Childbirth Education Myths 3

Tuesday, February 18th, 2014

books-150x150To read the whole series, begin with Childbirth Education Myths 1.

MYTH #3: “The hospital class will be good enough.”
One of the best ways to be prepared for birth is to learn about birth. What happens in the normal, physiologic process? How do interventions (medical or non-medical) affect that process? What is the difference between the medical model and the midwifery model? Under what circumstances will each model benefit you? These are topics a hospital class will likely not tackle.

1) Limited information.
Hospitals often teach what is available at their facility. This makes sense, because hospitals are in the business of selling medicine. Their maternity department offers the medical model of care, and hospital childbirth classes reflect that. Their instructors are employed by the hospital, and the hospital has direct control over their curriculum.

The class offered at a hospital is more likely to focus on when to get to the hospital, what to do if your water breaks, protocols for epidural placement, and what to expect in a cesarean. They may cover logistics like where you go to get admitted, what happens there, and where you get moved around to. They will make sure that you are familiar with the routine protocols and procedures, which can be beneficial if you are planning to birth there.

They may or may not offer much information on non-medical pain management, the physiology of birth, doulas, or birth plans, as these are not things normally offered in hospitals.

2) Alternatives to the medical model are not offered.
Generally speaking, hospitals do not employ care providers like chiropractors, naturopaths, independent midwives, or other more holistic-minded care providers. If they do, they may not think to refer you for care from any of these areas, as they are not part of the medical model of care for birth. To learn about non-medical options, a local independent childbirth educator is going to be a wealth of resources and information for you.

3) Informed Choice vs. Informed Consent
Many hospital classes cater to the majority, who are anticipating the status quo American birth: Start labor, get epidural, have baby. While there is nothing wrong with a woman choosing that model, many hospitals operate under the assumption that this is the only model that interests women. Thus, they spend more time preparing moms for what to expect at the hospital than they do preparing them to cope with labor in whatever way seems right to her. If a mother wants something outside that model, a hospital class may not be the best fit for her, and she may feel as though she is sitting in a “How To Be Good Patient Class,” rather than a comprehensive, evidence-based, balanced childbirth class.

4) Availability of Instructor
Independent childbirth educators are often available by phone and email between classes, to help with homework, provide resources and referrals, and to answer questions. Hospital instructors may not have such ready availability. Their class sizes are usually much larger, so their ability to give one-on-one attention or instruction may be severely limited.

Questions to Ask Childbirth Educators:

  • What curriculum do you use, and what is it based on?
  • How much experience do you personally have in this hospital attending births? Do you have any experience working with the independent midwives in town to offer a balance in models of care?
  • Is this class going to teach in-depth about the physiological birth process?
  • How much time is devoted to labor coping techniques?
  • Are you a certified instructor? With whom?
  • Are you available for questions or concerns outside class? Can you refer to outside providers, and if so, whom?

In short, it’s not a bad idea to take the hospital class — just don’t let it be an exclusive source of information. There are a wealth of independent organizations that do an excellent job at preparing you for birth. There are methods like Bradley and Hypnobirthing, as well as comprehensive courses by Lamaze and CAPPA. (We’ll address method classes in this series as well, so stay tuned!)

For more on this topic, we found another excellent perspective here: 5 Reasons Not To Take Hospital Chilbirth Classes

Where did you take your childbirth classes? How did they help or hinder your understanding of birth? Did you have a good experience with the hospital?

Team Preparing For Birth


Thursday, August 30th, 2012

I have been thinking on the F.E.A.R. (False Evidence Appearing Real) acronym.  What else can it mean? Fear itself can be a positive or a negative. Fear can be a stumbling block or a motivator.

I enjoy coming up with affirmations and words that alter the view especially as it relates to pregnancy, childbirth and postpartum. I have been and know so many who have fear thrust upon them by friends, provider, family, strangers or have deep fear from previous experiences or from the unknown lurking ahead.

Take my words, come up with others and make your own acronyms to work with the FEAR surrounding you, inside you and take away its power.


F                      E                     A                     R

Feeling, Freedom, Fix, Fire, Fierce, Forge, Find, Fortitude, Frame, Fight, Force, Free, Forever, Forgive, Feel, Fearless

Everything, Exist, Eradicate, Excite, Envelop, Empowered, Encourage, Enhance, Expectation, Effort, Exquisite, Endearing, Encourage, Enhance, Effort, Expectation, Exquisite, Equal, Excel, Expert, Ease, Engage

Admit, And, Am, Advocate, Amplify, Armed, Above, Answer, Awareness, Act, Assist, Attitude, Ally, Appear, Admire, Ask, Alter, Apprehension, Action, Alive

Rest, Respect, Rise, Release, Rage, Rights, Ready, Resonate, Relief, Repair, Rely, Resist, Rejoice, Roar, Risk, Release, Re-frame, Rephrase, Remain


Please share additional words you come up with!

EMAB and Doulaparty Team Up

Friday, June 22nd, 2012



Join the #doulaparty on Twitter or follow along at, June 22nd 6pm PT/9pm ET to kick off summer birth work with something extra special!


I am very excited that Earth Mama Angel Baby is sponsoring this weeks live chat. EMAB has amazing products for all types of birth professionals and families.


A note from the EMAB Team:


Are you a midwife, doula, nurse or obstetrician looking for pure, safe products to comfort postpartum mamas and brand new babies? You’ve come to the right place! Earth Mama Angel Baby offers safe alternatives for your clients who are concerned with detergents, parabens, 1,4-Dioxane, artificial fragrance, dyes, preservatives, emulsifiers and other toxins. Earth Mama products are used in hospitals, even on the most fragile NICU babies, and they all rate a zero on the Skin Deep toxin database, the best rating a product can receive. Earth Mama only uses the highest-quality, certified-organic or organically grown herbs and oils for our teas, bath herbs, gentle handmade soaps, salves, lotions and massage oils.

Earth Mama now offers a Birth Pro Cart for wholesale pricing available for birth support professionals! Join Earth Mama Angel Baby on the #doulaparty chat Friday June 22 to talk about their new shopping cart plus answer any questions you may have. Earth Mama will be giving away Postpartum Bath Herbs and Monthly Comfort Tea, Mama Bottom Balm, Mama Bottom Spray, and a grand prize of their new Travel Birth & Baby Kit!

Could this be labor?

Wednesday, September 21st, 2011

For first time mamas, previously induced mamas or those who have loads of prodromal labor, getting a handle on the nuances of when labor is going to start or if it is lasting labor can be really confusing. There is no way to know exactly when labor is going to start, but there are many things to look out for that can give clues and signs that onset of  labor is sooner rather than later.

Here are my favorite categories to look at and simple ways to decipher what is going on with your body at the end of pregnancy.

Remember to take a look at the whole puzzle picture not just one piece.

  • Vaginal Discharge:
    • Loss of mucous plug (after 38 weeks);
    • Steady mucousy output;
    • Thin and watery mucous;
    • Blood tinged – similar to the beginning or very end of a menstrual period. This means there is effacement and ripening of the cervix going on and even a bit of dilation happening.
  • Contraction Characteristics:
    • Longer and more intense contractions that most often find a pattern;
    • They do not stop or even increase with activity change;
    • Sudden increase or onset of regular Braxton-Hicks;
    • Low period crampiness, pelvic heaviness, off and on backache, thigh achiness.
  • Other symptoms
    • Increased nesting;
    • Insomnia or excessive tiredness;
    •  Flu-like symptoms;
    • Intuition/Instinct;
    • Loose bowels;
    • Weight Loss in the last week.
  • Testing out contractions for possible labor:
    • Change activity level – if resting get up and move, if moving sit down and rest;
    • Drink a large glass of water;
    •  Eat a snack, preferably higher protein;
    • Take a bath or shower.

After doing these things if contractions continue and increase in intensity over another hour or so likely labor is becoming established. Congratulation! As always, contact your care provider at the agreed upon time.