Monthly Archives: June 2012

Home Sweet Homebirth ~ It’s time!

 

So you’re going to have a homebirth.  The last weeks are so exciting; there’s so much left to do! One of the most important things is to have all the supplies needed for the birth, ready and in place. This list looks long but mostly these are items we have around the house.

You’ll want to check with your own midwife but this is a general list of what most midwives will ask that you have ready and stored away in a closet by week 36 of your pregnancy.  A laundry basket holds all the items conveniently together and then doubles back to hold the soiled laundry after baby arrives. So, get a new or clean laundry basket and begin gathering –

  • Two sets of sheets. Fitted, top and pillow cases– make one set your oldest least treasured just in case there happens to be some staining. Wash and dry both sets in very hot temperature. Fold each set and store separately into one of the pillow cases so that you have instant access to each clean set. Place both sets together,  into a taped shut paper bag marked, “SHEETS” and into the laundry basket. Now don’t use until the labor begins.
  • Tall draw-string plastic garbage bags equal to the number of pillows on your bed. These are for using under your pillowcase to protect your pillows during the birth *or* use plastic pillow covers if you happen to have those.
  • Six towels and six washcloths. Old towels are just fine, they’re usually softest.  Again, wash and dry in very hot temperatures. Fold and place into a taped shut paper bag marked “TOWELS and CLOTHS”. Place bag into the laundry basket.
  • Four receiving blankets. Baby booties/socks and newborn cap. Wash/Dry on hot temperatures and fold. Place into a paper bag taped shut and marked, “BABY” and store in the laundry basket.
  • One plastic mattress protector.  This can be an inexpensive brand but be sure it fits your mattress. Moving and box supply companies sell these as well as Walmart and K-Mart Stores. I’ve even seen them in Dollar discount stores.
  • Two rice socks. If you don’t already have these, you can easily and inexpensively make them  Use a clean tube sock, pour in a bag of uncooked rice, tie a knot in the end. (These are used for warm or cold during labor.)
  • One bright flashlight with new batteries. This is in the unlikely event of a power outage and can also be used to help with extra lighting if the midwife needs.
  • Two good sized mixing bowls. These can be inexpensive “Dollar Store” models. One is for your placenta to be examined and the other is for use in case of nausea during labor.
  • A brand new roll of paper towels equal to the number of sinks in your home. The birth team will want to use them to dry their hands after washing throughout the labor rather than use the family towels. Store these under or nearby each sink.
  • A new bar or pump bottle of unscented soap for each sink. Store these nearby or under each sink.
  • Two plastic trash bags and two boxes or waste baskets or hampers for tossing used pads and other items during the labor and birth. The bags go into the box or wastebasket Make sure the bags fit the boxes or whatever you use.
  • One large bottle hydrogen peroxide. Any brand. Put it into the laundry basket. This is for stain removal and postpartum laundry.
  • One new oral thermometer. Digital thermometers are fine. Be sure it is in working order.
  • One 4 ounce unopened bottle of olive oil. Put it into the laundry basket. This is for perineal massage and for baby’s bottom. If you put a bit of oil on baby’s bottom right away, the first bowel movements (meconium) easily wipe away. Otherwise, that meconium is so thick and sticky it’s hard to get off.
  • Two 1 gallon size ziplock storage bags.
  • One set of newborn size diapers. Cloth or disposable, your choice.
  • One new container of unscented baby wipes
  • Plenty of fluids such as drinking water, orange juice, white grape juice, herbal pregnancy tea or red raspberry leaf tea, and/or your favorite sports drink.
  • Power foods for the mother. Honey, yogurt, frozen juice cubes, soups, bananas. Whatever you desire.
  • A bag of chipped ice. This is used for hydration of mom but also for ice compress if needed.
  • Food prepared ahead for the birth team. Fruit, nuts, cheeses, sandwiches, hummus, veggies, caffeine and unflavored bottled water. Whatever whole food your family has on hand is typically fine. Ask your midwife about any diet restrictions.
  • Two Large boxes of “heavy flow” sanitary pads. Store these wherever you typically keep your pads.
  • Two of something comfortable.  This can be a night gown or other bed clothes choice to wear after the baby arrives. Button down for nursing ease is best. Also light in fabric because postpartum mothers tend to feel very warm and perspire a good amount the first 48 hours or so.
  • A car seat *in place* in the family car.
  • A “hospital transfer bag” packed with overnight items for mother. Keep this out of sight in the closet (just in case).

Optional items and ideas to help celebrate your Birthing Day: Camera, your favorite music choices, flowers, candles, aromatherapy, birth pool, birth ball, herbal sitz bath/tub tea, postpartum comfort foods or Birthday Cake.

In addition to the above items you will need a Birth Kit. Every midwife has her own style, your midwife will tell you where she prefers to buy.  This kit will be full of items for the actual birth that your midwife will use. Underpads, sterile gloves, lubricating gel, gauze, peri rinse bottle, bulb syringe, cord clamp and more.

 

 

 

Top Ten List to be a Successful Doula

If you’re a new Doula just out of training, here’s a list of tips to get you started.

10.  COMFORT ~ Quality shoes dedicated to attending births. Check out what other care professionals wear for comfort.  Comfortable stretchable stain resistant clothing dedicated to wearing while attending births. Not scrubs but something nice that’s cleaned, pressed and ready for action when the call comes in to support a family. Dress in layers. Depending on where you’re supporting a family, the environment can be very, very warm or even chilly.

9.  SUPPORT ~ A trusted support system of birth professionals. You’ll burn out quickly without the shoulders and ears of another birth professional. There will be times you will desperately need advice and many times when you’ll need a sounding board. Attending births, you’ll witness wonderful miracles but you’ll also sometimes see unkind acts toward yourself or the families you support. You want this person(s) to understand why you won’t share names and keep the families you serve, confidential. Be that support person for them, in trade.

8.  SUPPLIES ~ A “Birth Bag”.  Not the things you’ll use to comfort mother, but one containing the things you’ll want for your own comfort. Basic personal hygiene kit toothbrush/deodorant/hair brush and hair ties/bands. On the go food items, something for muscle/head aches, cell phone charger and an extra set of clothing in case you need them. You aren’t a *real* Doula until you’ve been soaked good an proper in a surprise breaking of the water. (It’s not a matter of if, but when!)  As a Doula, you may be away from home for 24+ hours and having comfort items of your own can make a big difference!

7. CHILDCARE ~ If you have children of your own, a childcare provider *on call*.  Babies don’t come on our schedule so we need a personal childcare provider we can trust and we need to keep that provider happy! Pay her/him well and add bonuses when you get them.

6. HOMEFRONT SUPPORT ~ If you are involved in a relationship, an understanding, flexible partner makes your life so much easier.  Someone at home with broad shoulders who has “got your back”.  Your partner needs to be alright with the fact that you may need to beg out of personal plans at the last minute.  A sense of humor and maturity is a must! You’ll miss family barbecues, your children’s recitals, sports and plays, Holidays, birthdays and you will even get calls in the middle of the night during those “intimate moments”.  A supportive partner can make or break you.

5. TRANSPORTATION ~ If you don’t live in a big city with great bus service, you’re going to want your own car. Not a shared family car. It doesn’t have to be new or even great looking. It does need to be reliable! Your clients should never hear that you’ll be able to come to them when you “can” but that you’ll be there as soon as they need you.

4. PROFESSIONAL APPEARANCE ~ Even if you’re attending a home birth and you know the family is like-minded to your personal style, remember there’s always the outside chance you may have to transfer to hospital. Consider what others may see. Suggestive or political “sayings” across the t-shirt, low cut pants that show off your backside as you bend and stoop, multiple facial piercings, chipped polish,  excessive (even natural) scents; can be a bit much for the typical hospital staff to take. You want those first 8 seconds when snap judgements are made, to be positive ones. Put your best foot forward and the next time they see you at that particular hospital, they’ll already know you to be a professional.

3. INTEGRITY ~  If you interview and are hired by a family who based on *you*,  want *you* to be their Doula, keep your word. Don’t request on social media for a “back up” to take your place because you want to go camping or hiking or some other “out of area” activity. You agree to put this family on your schedule and only use a back up for true emergencies. Schedule fun and stick to it just like you do your Doula dates. There’s no reason you can’t have vacations or special days if you schedule them ahead of time and don’t schedule labor support clients in that same time period.

2. NON-BIASED ACCEPTANCE ~ Adopt a personal creed of non-judgmental support. Use and re-use the tried and true mantra of Doulas all over the world, “It’s not my birth”  Repeat this in your head as you support the family in whatever decisions they make during the labor and birth.  You may have interviewed and been hired by a woman who told you she wanted,  “A non-medicated birth using water and position changing as her comfort measure.”  Be prepared to understand when she drastically veers off her birth plan and requests a surgical birth because she wants to choose the birth day of her baby or the mother who decides upon an epidural for her vaginal birth because her best friend shared,  “It’s the safest way for baby.”  Repeat, repeat in your head…”It’s not my birth”. Smile, go over benefits and risks but in the end, support her in her decisions regarding her birth.

And the number 1 Top tool to be a successful DOULA…………..

“EXPERIENCE!”  A Doula training with an organization like, CAPPA or DONA can never be underestimated. You’ll learn and *practice* the different ways women choose to birth and the methods to support those women.
Get out and experience all types of birth. Attend them for free just to get your foot in the door. Offer to “shadow” a more experienced birth professional as she attends births and get feedback so you learn from the experience.
Attend homebirths, birth center births, unmedicated hospital births, epidural supported hospital births and even surgical births. All these families need support and in the beginning, you need them just as much.  Time and experience will shape you into a sought after Doula in your community.