cesarean interview #5

Today we'll hear from my younger (and only) sister, Kristi. When she gave birth to her first, she lived in Michigan, Since then, she's added two more kids to her bunch, but now she's in the Central Ohio area and we're all a lot happier having her and her family much closerl

  1. How many children do you have and how many were born via cesarean? I have had one child via emergency cesarean.

  2. Were you happy with your experience? If you’ve had more than one cesarean, were you happy with one and not with another? Explain? I don't know that I'd say I was 'happy' with the experience since it was an emergency and completely unexpected, but I was relieved that the hospital staff was experienced and everything turned out okay. I was induced 4 days prior to my delivery date due to concerns the doctor had about the baby not having grown much in the previous week.  I was given an oral medication to induce labor and everything was fine in the beginning. After about 4 1/2 hours my blood pressure was sky rocketing and the baby's heartrate was dropping, so the decision was made to perform an emergency cesarean. 

  3. Have you ever experienced any shaming or questioning that made you feel uncomfortable after your cesarean? I ask this because many women have shared that they’ve almost felt bullied by other women who had vaginal births and have been told that cesarean was “the easy way out” or “not real childbirth”. I hate to even bring this up, but its a real thing in our culture and I’d love to hear your take on this if it is something you have experienced. I have not personally experienced shaming due to having a cesarean.  In my case when people heard about my situation they were more concerned.

  4. Were you able to do skin-to-skin with your baby immediately after the birth, even before leaving the operating room? I was able to do skin to skin with my son in the recovery room but not immediately after the procedure in the operating room.  If I remember correctly it was only a few minutes before the nurses brought him to me.

  5. Was there a clear, see through drape between you and Baby at the time of the operation?There was a drape up during the procedure but it was not a clear see through drape.

  6. What was your recovery like: Better or worse than expected? More emotionally or physically draining than you were prepared for? The recovery experience was about what I expected. The nurses as well as my OBGYN  spoke with me quite a bit about some of the difficulties I would have, ( pain while sneezing or coughing, needing to sit with a pillow against my abdomen to help ease discomfort, constipation, being unable to drive right away or lift anything heavier than the baby,  etc) so I wasn't totally in the dark. It was tough being at home with an infant, my first child, and not being able to do as much as I wanted with him.  It was painful for me to get up with him several times during the night, I couldn't bend easily to place him in the bassinet or change him.  It made me feel a little helpless.  Luckily my husband was able to take quite a bit of time off of work and he filled in where I was lacking. 



cesarean interview #4

Today we'll hear from sweet Maggie who gave birth to her first child, a daughter, a little over a year ago. I met Maggie sort of by happenstance through mutual friends just a few days before her daughter was born. Soon after the birth I got to visit with her in the hospital and she later became one of my clients... and a friend! 

  1. How many children do you have and how many were born via cesarean? One child born via cesarean.

  2. Was there a reason your baby was born by cesarean? I was diagnosed with chloestasis when I was 37 weeks pregnant. I was 0cm dilated and 0% effaced when my doctor informed me I needed to be induced immediately. After being in labor for 40-hours, pushing for four long excruciating hours and trying to suction the baby out three times with no success I told my doctor I had no energy left to give. We both agreed it was time for an emergency c-section.

  3. Were you happy with your experience? If you’ve had more than one cesarean, were you happy with one and not with another? Explain? I was so happy to be almost done with the birthing process; I was tired, hungry and utterly exhausted, so a cesarean sounded heavenly at that point! The recovery was far more involved than what I had anticipated. Being 14-months post-pregnancy, I am so pleased with how my body and scar have healed. I still experience numbness, but knew that going the c-section route was what was best for myself and the baby.

  4. Have you ever experienced any shaming or questioning that made you feel uncomfortable after your cesarean? Thankfully, I have never experienced any shaming or insensitive questioning from others.

  5. Were you able to do skin-to-skin with your baby immediately after the birth, even before leaving the operating room? Unfortunately, I was unable to do skin-to-skin due to the head trauma my baby experienced from the suctioning. It is something I still struggle with, but I was able to the following day in the NICU.

  6. Was there a clear, see through drape between you and Baby at the time of the operation? No, a blue tarp was provided. My husband and I both wish that was an option!

  7. If you chose to breastfeed your baby, were you able to try nursing your baby within the first hour after birth? Again, because my baby's condition was unclear after she was first born I had to start pumping right away. Thankfully, I was able to attempt breastfeeding the following morning in the NICU.

  8. What was your recovery like: Better or worse than expected? More emotionally or physically draining than you were prepared for? I definitely wasn't prepared for the amount of recovery that was ahead of me. The not driving for 8-weeks was particularly frustrating. Because our birthing story was so traumatic, I was very emotional (and still am!) and not being able to do the physical things that I used to after coming home from the hospital was difficult.

  9. What are three things you’d like the world to know about cesarean birth? (If its too hard to narrow it down to three, list more!) 1.) Embrace it - wear your scar with pride! 2.) Women with c-sections work just as hard as women who have vaginal births 3.) Keep up with your medicine - just because you aren't in pain or discomfort at that moment doesn't mean you won't be in an hour.



cesarean interview #3

These questions were answered by my neighbor, Molly. She has two boys the same ages as my two kids and they all go to school together. In the last year I've gotten to know her more, mostly through chats on the playground after school or play dates for our boys. I love how just by ten simple questions I'm getting to know the women I've interviewed better and I'm really thankful for everyone's participation.

  1. How many children do you have and how many were born via cesarean? 

    2 children. Both born by cesarean.

  2. If you’ve had more than one cesarean, were the others planned? If so, what was the reason? If not, what happened in the birth that ended up resulting with a repeat cesarean? 

    If not, what happened in the birth that ended up resulting with a repeat cesarean?

    Both were planned. First son was breech. With my second, I felt more comfortable knowing how everything would go based on prior experience. I got an extra day at the hospital, which I especially appreciated after my first as a transition to post-baby life. Doctor would have allowed VBAC but I wasn’t really interested.

  3. Were you happy with your experience? If you’ve had more than one cesarean, were you happy with one and not with another? Explain? I was happy with both experiences.

  4. Have you ever experienced any shaming or questioning that made you feel uncomfortable after your cesarean? I ask this because many women have shared that they’ve almost felt bullied by other women who had vaginal births and have been told that cesarean was “the easy way out” or “not real childbirth”. I hate to even bring this up, but its a real thing in our culture and I’d love to hear your take on this if it is something you have experienced.    I am familiar with this. I don’t feel as though I’ve experienced it from anyone else. I probably do more self-shaming on this by assuming people think these things. I know that they lived in me for over 9 months and they came from me.

  5. Were you able to do skin-to-skin with your baby immediately after the birth, even before leaving the operating room? No.

  6. Was there a clear, see through drape between you and Baby at the time of the operation? No. There was a drape but it was not see through.

  7. If you chose to breastfeed your baby, were you able to try nursing your baby within the first hour after birth? I did breastfeed but definitely wasn’t able to do this within the first hour for either child.

  8. What was your recovery like: Better or worse than expected? More emotionally or physically draining than you were prepared for? I imagine whether you deliver naturally or by c-section one is drained both physically and emotionally. My recovery went well, probably better than expected as I didn’t have any complications. For my second, I knew what to expect and recovery went just as well.

  9. If your cesarean was planned, did you feel well-prepared for the procedure itself, what to expect regarding recovery and was your healthcare provider willing to work with you to get the birth experience you desired? 

    Both were planned. In general, I had no idea what to expect. I think that’s what I wanted. I really trusted my doctor and I felt comfortable with her guiding me. When I found out my first was breech I just felt like I had no control over it. My husband read up on methods to “turn” the baby and I wasn’t really interested in pursuing those. I felt more in control by setting a date and time and just working toward that date. I would have had a much harder time just waiting for labor.

  10. What are three things you’d like the world to know about cesarean birth? (If its too hard to narrow it down to three, list more!) 

    It is major abdominal surgery.

    Your core takes a long time to fully strengthen. Almost 5 years after my 2nd surgery, my core finally feels strong again.

    It took a very long time for the nerve endings to repair themselves. The area around the incision felt “numb” for a VERY LONG TIME.

    I hate to hear of women who labored for many hours then having surgery. I think the recovery in those situations would be harder.

    Motherhood comes in many forms and fashions whether delivery is natural, through surgery, adoption, etc.





black mamas are dying

Yesterday concluded Black Maternal Health Awareness Week and to say that my eyes have been opened and my heart has felt heavy in the last eight days is a serious understatement. The statistics are out there, the evidence is real, the stories are aplenty and the heartache is felt across the nation. Black women are dying - as they welcome a child into their lives - and frankly, its ridiculous.

Black women are 243% more likely to die from pregnancy or childbirth-related causes than their while counterparts. 


Why, you might ask?

Black women are less likely to have insurance and if they are eligible for something like Medicaid, they'll often lose coverage once the baby is born. 

Black women are more likely to have chronic health issues such as diabetes, hypertension, obesity, etc. which can mean that giving birth is far more dangerous than a woman who doesn't have these problems. 

Facilities often aren't in as good of condition or aren't of high quality as those where white women deliver which can lead to higher rates of life-threatening conditions.

Black women often feel disrespected, talked down to, an overall lack of support, devalued, discredited... Need I go on? NO ONE wants to be treated this way or feel this way and NO ONE should be handled in this manner!

Specifically in Ohio...

(The following information was taken directly from Cleveland Regional Perinatal Network.)   

"In 2009, the pregnancy-related mortality rate was 17.8 deaths per 100,000 live births, compared to an all-time low of 7.2 per 100,000 live births in 1987. Ohio’s preliminary pregnancy-related mortality rates are at least comparable to the national rates and are likely higher. Causes of this increase in mortality are not completely understood. Factors which play a role include an increase in underlying chronic diseases along with maternal age in the obstetric population.

Ohio re-established a Pregnancy Associated Mortality Review (PAMR) system in 2010 to ensure that all maternal deaths are identified and preventive actions developed. A review had not been done in Ohio since the 1980’s. The Ohio PAMR was developed with funding from the Agency for Healthcare Research and Quality and is now supported with funding from the Title V Maternal and Child Health block grant. It has completed four years of review. The fifth is underway."

Making sure you really caught what you just read:

In 2009: 17.8 deaths per 100,000 live births

compared to 

1987: 7.2 per 100,000 live births - what had been an all-time low.

Come on! We have to wake up! We have to take a stand! I hate to say it, but I think that our stats, almost ten years after the 2009 information are worse.

How can you help? Stay tuned for another post about local organizations that are working towards towards an end to this ghastly epidemic.



cesarean interview #2

The next mama that we'll hear from is my friend Sarah from college. We've traveled the world together, laughed so hard we cried and our sides hurt and we've wept with each other in some of the lowest moments of life. I'm thankful for her honest participation.

  1. How many children do you have and how many were born via cesarean? I have one child and he was born via C section.
  2. Were you happy with your experience? If you’ve had more than one cesarean, were you happy with one and not with another? Explain? I was very nervous at first to have this type of birth but I didn’t have a choice due to the heart rate dropping every time I had a contraction so of course I knew this was best for my son. 

  3. Have you ever experienced any shaming or questioning that made you feel uncomfortable after your cesarean? I ask this because many women have shared that they’ve almost felt bullied by other women who had vaginal births and have been told that cesarean was “the easy way out” or “not real childbirth”. I hate to even bring this up, but its a real thing in our culture and I’d love to hear your take on this if it is something you have experienced. No, I didn’t have anyone make me feel less bc of C section. 

  4. Were you able to do skin-to-skin with your baby immediately after the birth, even before leaving the operating room? No, unfortunately I was not able to do skin to skin right away but later after I left the OR I did.

  5. Was there a clear, see through drape between you and Baby at the time of the operation? Yes

  6. If you chose to breastfeed your baby, were you able to try nursing your baby within the first hour after birth? Not within the hour, it took several hours for me to get to nurse. 

  7. What was your recovery like: Better or worse than expected? More emotionally or physically draining than you were prepared for? Recovery was harder than I thought. The next morning getting out of bed was very emotional. I knew then, I would have to take it easy so I could recover and be available for my baby. 

  8. If your cesarean was planned, did you feel well-prepared for the procedure itself, what to expect regarding recovery and was your healthcare provider willing to work with you to get the birth experience you desired? The C section was not planned but we knew after a couple hours of contractions that we were going to the OR. The anesthesiologist came in to talk with me and the doc talked me through what to expect. 

  9. What are three things you’d like the world to know about cesarean birth? (If its too hard to narrow it down to three, list more!) It’s okay to have a c section. You are no less. Recovering is hard so take it easy. Let other people help you. 



cesarean interview #1

Earlier this month I reached out to women in my circle and asked  if they'd be interested in answering a few questions regarding their experience with birth. Thankfully, several of them agreed to help me with this little project and I'm happy to bring you their thoughts here over the next few days! 

Each mama received the same ten questions and they were encouraged to answer as many or as few as they wanted, giving as little or as much detail as they felt comfortable with. Vaginal birth is often what we see depicted on TV or in movies, it's what the celebrities write about or what many women around us experience, but there's another side. I wanted to shine a light on cesareans this month and normalize it a bit.

Renee was the first to reply to my message and vulnerably shared details about when she welcomed her two sons into the world. Read on to hear from her directly. (Many people refer to cesareans as cesarean sections and abbreviate it to C/S which you'll see below.)

  1. How many children do you have and how many were born via cesarean? Two children. Both were C/S.

  2. If you’ve had more than one cesarean, were the others planned? If so, what was the reason? If not, what happened in the birth that ended up resulting with a repeat cesarean? The first C/S was not planned but the second was. I did not want to attempt a V-back since my first baby was 9 lb 15 oz and my OB said my second baby would be the same size; and he was at 9 lb 14 oz. After my first son was born my OB informed me that his head may have fit through the birth canal but that she likely would have needed to break his clavicle to get his shoulders out if we had done a vaginal birth. The reason we had the first C/S was due to an induction the night before my due date and laboring for 30 hours with only progress of 2 cm. So eventually we decided to just go get him.

  3. Were you happy with your experience? If you’ve had more than one cesarean, were you happy with one and not with another? Explain? I was happy with my second C/S, but not the first so much. The first time since it was unplanned, I had been awake for so long and on anesthesia that I don’t remember much and felt delirious. I also remember feeling immense pain during my first C/S, not just the standard pushes and pulls. I think my anesthesia was not working properly. The pain came after he was born during the closing up procedure. My second C/S was much better. It was planned and was in the afternoon so there was time for rest and preparation. The anesthesia also worked well that time.

  4. Have you ever experienced any shaming or questioning that made you feel uncomfortable after your cesarean? I ask this because many women have shared that they’ve almost felt bullied by other women who had vaginal births and have been told that cesarean was “the easy way out” or “not real childbirth”. I hate to even bring this up, but its a real thing in our culture and I’d love to hear your take on this if it is something you have experienced.    I have not personally felt shame from other people, only internally. I’m a woman who lives by “shoulds” on a daily basis, so of course I went through the thought process: “I should have had a traditional birth”. I remember crying after deciding to have the surgery the first time after the 30 hour labor with no progress bc it wasn’t my plan. I eventually got over it when I saw how big my son was and realizing that my small body and my sweet baby would have likely gone through hell if we had done a traditional birth. I hold on to that today whenever I feel jealous of women who had a natural birth.

  5. Were you able to do skin-to-skin with your baby immediately after the birth, even before leaving the operating room? I honestly don’t remember having it with my first born, I’m sad to say. I know for a fact we had skin to skin in post op for two hours. With my second, I know for sure we did have skin to skin during the closing up portion of surgery.

  6. Was there a clear, see through drape between you and Baby at the time of the operation? The first C/S was a blue drape with no window. The second surgery had a blue drape and a window flap that they opened whenever he was delivered so I could see him.

  7. If you chose to breastfeed your baby, were you able to try nursing your baby within the first hour after birth? Yes.

  8. What was your recovery like: Better or worse than expected? More emotionally or physically draining than you were prepared for? My first recovery was a long road but that was because I had fallen on my wet front porch steps a couple weeks after surgery and took a hit to some nerves in my back that I have never fully recovered from. I am currently still in recovery from my second C/S and it has been better than the first time, although more challenging since I am chasing an almost three year old around all day.

  9. If your cesarean was planned, did you feel well-prepared for the procedure itself, what to expect regarding recovery and was your healthcare provider willing to work with you to get the birth experience you desired? The first time felt more like a blur, so yes and no. The second time I would say yes and it felt more collaborative.

  10. What are three things you’d like the world to know about cesarean birth? (If its too hard to narrow it down to three, list more!) First, It’s okay to ask for help, say “no” to things, and know your limitations. Even though you have an infant, your recovery is just as important. Second, A mother is a mother is a mother, no matter how that baby came into this world. Third, Belly-bands were my best friend. Fourth, It takes a few days to learn how to pee and shit again, be patient ;)



World Doula Week!

World Doula Week kicks off today and more specifically, today is World Doula Day!

The purpose of World Doula Week (WDW) is to empower doulas all over the world to improve the physiological, social, emotional, and psychological health of women, newborns and families in birth and in the postpartum period. March 22nd was chosen because it is close to the spring equinox which represents the return of fertility in many cultures.

There's a LOT of information in this article from Midwifery Journal, but I found it to be super interesting. If you need some new reading material, check it out!

Labor Doulas, Postpartum Doulas, we're all in this for the same reasons: We care deeply about mamas and their babies and we want to see the best possible outcomes for each family. And the statistics are out there. In 2013 The Seacoast Doula Group sought to answer the question: “Is there evidence-based research backing the advantages of having a postpartum doula?” The following is taken directly from their site:

"Research by experts tells us what many have long suspected: that those new parents who have support and feel secure and cared for during this time are more successful in adapting than those who don’t. Studies have shown that cultures in which women are cared for by others for a defined period of days or weeks and are expected only to nurture themselves and their babies during that time have superior outcomes in postpartum adjustment (1-2). We know that women who experience support from their family members, care providers, counselors and peer groups have greater breastfeeding success (3-10), greater self-confidence (11-15), less postpartum depression (16-21) and a lower incidence of abuse than those who do not (22-24).

There is also evidence indicating that timely referrals to competent, appropriate professionals and support groups can have a significant positive outcome for the family (11, 18, 20, 21, 25). Parents benefit from education on what to expect from a newborn, baby-soothing skills, feeding, bonding and attachment and coping skills (3, 13, 26-30). Rather than being told to “help out”, partners and other family members benefit from concrete instruction and role modeling on how to support a woman during the weeks after birth. Research tells us that support for and from the partner can have a significant impact on their partner’s own experience as well as the emotional adjustment of the mother (3, 8, 17-21, 31-36). (References)"

It is my great privilege to get to serve families as a doula, its some of the best kind of work on the planet. 



Pregnancy after loss

I'm taking a break from my series on the pelvic floor to touch on a topic that's near and dear to my heart: Pregnancy after loss. 

Having experienced our own loss, my husband and I know what it's like to then find out that you're pregnant again... and the wide range of thoughts and feelings that come with that. In 2008 we very suddenly and tragically lost our first child who was born still on Thanksgiving Day. Not that a loss of this magnitude is EVER fair, but to me, it being our first excited, anticipation-filled pregnancy felt like a really. low. blow.

I had the loving support of my husband, a few dear friends and some family, but there always seemed to be a key piece of my support bubble that was missing. No one I talked to really "got it" and when I did attend a loss support group, it was not the right fit for me in that particular stage of grieving. I wish I had known about PALS: Pregnancy After Loss Support.

March is Pregnancy After Loss Month and the folks over at PALS offer helpful resources and a community for women (and their partners and families) as they navigate the often confusing emotional roller coaster of journeying through pregnancy after a loss. 

Taken from the PALS site: "In the world of pregnancy after loss there is a story of hope about a precious new life, and it’s the story of the rainbow baby. It is based on the understanding that the beauty of the rainbow does not negate the ravages of any storm. The clouds may still hover but the rainbow provides hope and promise of new life ahead.

As we trudge out of the dark storms of winter and into spring with the hope of new life blooming, Pregnancy After Loss Support (PALS) is proclaiming the month of March as PAL Awareness Month, to acknowledge the difficult journey of balancing joy and grief during a subsequent pregnancy after loss."

My husband and I had our own Rainbow Baby just over a year after we lost our son. Our daughter was born healthy and continues to thrive as a strong, beautiful, intelligent brave young lady who makes us proud all the time. I'm so grateful for the chance I was given to be her mother, to actually get to know the life that grew inside me for so many months. One of the biggest things I kept coming back to after our son was delivered as that I spent so much time while pregnant dreaming about him and wondering what he'd look like, how he'd act, etc. that I felt cheated and robbed when his life was cut so short.

This post might make my experience seem like it has a perfect ending and it's all tidied up with a pretty bow on it now. And I suppose that those things are true. But that's not the whole story. I'm so glad there are groups like PALS throughout the country that center on the love and support that people need after experiencing great loss and get them the help they need to be able to tap into the great joy that can come after sorrow. 

If you or someone you know is pregnant after the loss of a pregnancy or infant and you want somewhere to turn, there's help out there. Here are just a few local and national organizations that you could try:

  • Groups through PALS, state by state
  • POEM (Perinatal Outreach and Support for Moms) - A fabulous Central Ohio group
  • Various Pregnancy and Infant Loss groups throughout Central Ohio
  • Carrying Tender Angels lists a retreat center where you can getaway to process a bit as well as other non-profits in Columbus to help in your journey
  • The excellent work and support of Dr. Jessica Zucker and her #IHadAMiscarriage movement




pre-pregnancy pelvic floor health

What's that, you say? You never considered pre-pregnancy pelvic floor health before you read the title of this post? Oh, what was that? You didn't even know this was even a thing? Well, lady-friend, join the club. I know I was pretty clueless pre-pregnancy as were many of the women in my circle. So! Here I am breaking it down to let you know some simple things you could do pre-pregnancy to try making your downstairs as healthy and ready for pregnancy and birth as possible.

Ensure that your body is ready to carry a baby by addressing any pain or problems associated with posture or weakness before pregnancy. Many women, myself included, don't even realize that they have an issue because maybe "it's just always been that way" or they assumed it was like that for everyone. Listen, I don't want this post to make you become paranoid, wondering if you have problems. I hope that more than anything, this post is educational and points out the types of issues that many women face on a regular basis that simply don't have to be the every day norm.

1. Strengthen your pelvic muscles. To strengthen your muscles, use pelvic floor contractions (aka: Kegels). I recently learned that I had been doing these exercises all wrong. For years! To do them correctly, one gently squeezes the sphincter muscles (rather than the buttocks and thighs like I had been doing). These exercises help prevent urine leakage when a woman sneezes, coughs, jumps on a trampoline, etc, and can help reduce pelvic pain during pregnancy. Please note that for some, doing Kegels incorrectly can worsen conditions such as incontinence, pelvic pain, and even lower back pain. This is why it is important to consult a women’s health physical therapist before beginning an exercise program. And lucky for those of you readers in the Central Ohio area, one of the posts in this series will be a list of professionals around town who can help with this very thing! If you can't wait til the post is released, leave a comment here or contact me through the Contact tab on my website and I'll hook you up.

2. Focus on your core. Core exercises can help prevent a common problem called diastasis recti, where the abdominal muscles separate, leaving a dome-like presence in the abdomen and/or a palpable gap between the muscle. Sound awful? It is! As your belly grows throughout pregnancy, the abdominal muscles along either side of the belly button can be forced apart. If they separate too much, it might create low back pain, pelvic pain, or other issues as your body tries to compensate for weaker core muscles. 

A note for those who might really love doing workouts focused on the core (and for those who don't): Sometimes, exercises like sit ups can actually increase the likelihood of developing diastasis recti, incontinence, and back pain during and after pregnancy. If you're curious about if you could be that person, be sure to mention it to your physical therapist so that she/he can get you on the right exercise plan to a healthy and strong core.

 3. Just breathe! A physical therapist can help prepare your body and mind for a healthy pregnancy by simply guiding you through and teaching you some relaxation breathing. If done well, your core and pelvic floor muscles will contract automatically as you exhale fully, and this can aid in core stability and health.

4. Exercise regularly. Exercise helps reduce stress hormones in your body and boosts your muscle strength and endurance — just a couple things that'll come in handy when it comes time to carry any extra baby weight. Once you're pregnant, regularly participating in low-impact activities like walking, swimming, biking, or using low-impact exercise equipment. When the muscles and ligaments that support a woman's pelvic organs become weak, the repetitive motion of running can cause those organs to descend and cause serious problems. This is known as pelvic organ prolapse. Physical therapists strongly recommend that women wear undergarments or compression shorts that support the pelvic floor, both during and after pregnancy. 

5. Sit up straight! Poor posture can have a major effect on every part of your body. A physical therapist can evaluate your posture and suggest muscle-strengthening exercises and lifestyle modifications to help with this. Healthy posture habits before pregnancy will better prepare your body for the extra weight of pregnancy and reduce your chances of lower back pain and pelvic discomfort.

Stay tuned for part three in this series where we'll go over some tips for an optimal pelvic floor while with child!



pelvic floor 101

This is the first in a series about the female pelvic floor (PF). This is something I'm still learning about myself, but I find the information absolutely fascinating and wish I had known these things years ago. Its all too good not to share!

The female pelvic organs include the vagina, uterus, bladder, urethra, and rectum. These organs are held in place by muscles of the pelvic floor and there are many layers of connective tissue that also give support. 

There are some excellent images to illustrate all of this on this site. (Warning for the squeamish: In addition to black and white drawings, there are a couple of color photos of real female anatomy.) That link probably gives you way more information than you need, but I'm a visual learner and I find images like this really helpful.

The PF is important in not only providing support for the organs listed above, but also in maintenance of continence -aka- being able to control when you pee and poop. It expedites birth by resisting the descent of the presenting part of the PF, causing Baby to rotate forwards and navigate through the pelvis. Without a healthy PF, many women encounter a multitude of issues such as incontinence, sexual dysfunction and/or discomfort, complications in pregnancy and birth, even pelvic organ prolapse where the pelvic organs protrude in or outside of the vagina.

Again, this is incredible information I wish I had known years ago before even considering to conceive the first time around. Sure, thousands of women go throughout their pregnancies and probably most of their lives without knowing even a fraction of what I've touched upon here today and they turn out just fine. But. What if there's more? What if there were a few simple habits we could try to set in motion that could help us get a PF that bounces back from childbirth, sickness, sex and injury a little faster, a little stronger and a lot more functional? 

"Well, just what does a healthy pelvic floor even mean?" you might ask?

Stay tuned for part two in this series where I'll help you find answers to that question!




....You can watch her short video here.



healthy snacks

Not only is it important to get adequate sleep each night, but the foods and drinks that you put into your body count too! The sleep thing is quite tricky once Baby arrives and unfortunately, mostly out of your control in those early weeks and months. So, what you eat becomes that much more crucial. Here are some suggestions for easy, healthy snacks to have on hand when your little love has been born. Enlist helpers to make sure these types of foods are easily accessible to you all hours of the day and night (nibbling on something small while Baby is up for feedings at night is totally approved!). Better yet, hire a Postpartum and Infant Care Doula to not only prep the snacks for you, but help you plan them out, shop for them and put them away in the kitchen! This is one of my favorite tasks as a doula and I'd love to help you in this way too!

The first several weeks after birth is not the time to focus on getting back to pre-pregnancy weight or worrying about your figure. Keep in mind that for nearly ten months your body changed drastically to conceive, incubate and birth a brand new human being so cut yourself some slack! Don't compare yourself to other mamas whose baby weight "just comes right off" after giving birth. Their body is different from yours, their experiences, their highs and lows, the ways their body metabolizes things, its all different than your body and it is only your body that you need to think about as you recover from birth.


  • Blah, blah, blah. We all know "Water first to quench your thirst." but sometimes plain ol water is too boring for me! I like to keep a stash of organic lemons, limes and oranges on hand and squeeze a bit of their juice into my water from time to time. Our family also loves many of the sparkling waters from Trader Joe's that don't have any calories or added sweeteners. The carbonation is fun to switch things up sometimes. 
  • Smoothies can be a fun treat and can be an extra way to get protein, good fats and fruits and veggies into your system. 
  • Herbal teas like what Earth Mama Organics offers or teas such as red raspberry leaf, rooibos, stinging nettle, ginger or chamomile are great to have on hand.
  • You could also have soda, juice, coffee drinks or dairy products, but I'd advise drinking these in moderation. The caffeine in soda and coffee isn't always so easy on your system (or your baby's) right after birth and it might be better to introduce those slowly. Juice can have lots of sugar which will taste good in the moment, but makes your body work harder to stabilize your blood sugar levels and it'll often lead to some sort of body crash later on. In the first weeks with Babe at home, you don't need any added things that make your body crash - you'll do that all on your own! As far as dairy goes, this is also something that can be especially hard on your baby's gut and might cause you some bloating or bowel issues in ways it might not have prenatally. With anything, experimenting slowly is wise, keeping track of how things make you feel after you drink them.


  • Fresh veggies, cut up and easy to eat on the go. You could have some hummus, guacamole, salsa or baba ganoush on hand as a dip if you're into that sort of thing. 
  • Fresh fruit, cut up and easy to eat on the go. You could dip your fruit in a nut butter or Greek yogurt dip.
  • Nuts
  • Homemade granola
  • Cubes or slices of cheese with crackers
  • Granola, Luna or Lara Bars
  • Dried fruit like banana or plantain chips, dried apples or mangoes, etc. 
  • Hard-boiled eggs
  • Salad bar items. For some this would be a meal, for others, its a good snack option. Have pre-washed salad greens on hand with toppings you like stored in separate containers. Having everything washed, chopped and ready to mix together takes the "work" out of making a salad in the moment and gets lots of good foods in ya!

The list of healthy snack options could go on and on, but for now, I'll leave you with these. It really is important what you put into your body after you've given birth. If you ran a marathon, you'd be conscious of the foods and drinks you consumed right after the race, wouldn't you? Giving birth is the same type of physical feat for most women and your body needs to be handled with respect, wisdom, patience and care.

You're strong and powerful, Mama! Put foods into your body that can be described in the same way!




5 healthy recipes for the postpartum period

A couple of years ago my family and I followed the Whole30 Program, pretty drastically changing our diet for the month. While we don't eat that strictly on a daily basis now, I do still stick to many of the ideals presented in the program and I often cook Whole30-compliant meals for us.

Recently, I've decided that when I make meals for new mamas and their families, I'm going to cook this way for them as well. Maybe they tolerate sugars, grains, dairy, etc. just fine, but by avoiding many of those ingredients, I ensure that they're getting meals that are nutrition-packed without the fillers so many of us often rely on in our cooking such as pasta, rice, or bread, to name a few. If you're one who leans on pasta, rice, etc. in your meals on a regular basis, more power to ya! And don't get me wrong, I ADORE some simple carbs way more than I care to admit! I just take the stance of trying to feed new mamas whole foods meals when I can.

Here's five of my favorite go-to recipes for my family and new mamas. For your convenience (and to save time typing everything out), I've included links for each recipe. They're all the same as what you'd find in this book, which would be a great thing to add to your cookbook stash!

  • Chicken Chowder - Note: This does not work well in a slow cooker. I learned that the hard way!
  • Chili - I add 1 cup of uncooked, diced butternut squash to this as well as a 14.5 ounce can of tomato sauce. I cook it on low in the slow cooker for 6-8 hours and serve with slices of ripe avocado and occasionally, organic tortilla chips. I don't even miss the beans and pre-made chill seasoning packet that my mother used to make chili throughout my childhood!
  • Shepherd's Pie
  • Harvest Grilled or Baked Chicken Salad - In the colder months I cover a baking dish with foil and bake the chicken at 375˚F for 20-30 minutes or however long it takes to reach an internal temp of 160˚F.
  • Chicken Hash




eat to feed your need

I highly recommend the book The First Forty Days - The Essential Art of Nourishing the New Mother by Heng Ou. Not only is the layout and presentation beautiful and calming, but its chock full of great information, nutritious and out-of-the-box recipes, ancient traditions that have been passed on and helpful tips. I wish I had this book when I was pregnant so that I'd have had this information and new perspective on things as a new mother. 

I really like and this passage from the book:

"The matriarchs of China knew that the kitchen is where you heal the people you love. Using food as medicine was in their bones, and the ingredients they tossed in the pot weren't added just for their taste: They brought priceless benefits of greater vitality, beauty and longevity...
Furthermore, consuming speciality dishes for certain seasons of your life such as puberty, pregnancy or old age was pure common sense - as obvious as wearing certain clothes in January and others in July. In this Tao, or balanced way, of eating, your diet was chosen to address the body's shifting needs, balance out any extreme states, or replenish any lacks - not just to feed the sudden urge for, say, spaghetti and meatballs.
For the new mother, this meant meals rich in iron to rebuild blood, protein to repair tissues and support hormones, fatty acids to enrich the breast milk, vitamins and antioxidants to speed tissue healing, and therapeutic herbs and spices to counter inflammation or boost milk flow, if needed. She couldn't take a few pre- or postnatal vitamins and consider the job done - her daily meals and drinks had to truly do the job of nourishing and building her up...
The way you eat after giving birth can fuel, build, and heal you, and it is often the humblest food that does it best.

Start with good proteins to fuel you and help with milk production if you're breastfeeding. Eat light in the first two to five days after birth, gradually adding in more protein, good fats and slow-releasing carbohydrates. If you're not sure what slow-releasing carbohydrates are, see the link and excuse the obnoxious ads that are on the site, the info is good though! Ask others to help keep you fed and assist with meal/snack preparation because believe it or not, feeding yourself might not always be at the top of your priority list (but needs to be)! Or better yet, hire a Postpartum and Infant Care Doula to come in and help ease your load. The meal prep and having easy-access foods on hand is one of my favorite tasks as a doula!

Its also helpful to include a little bit of grain and beans into your diet after the first week or so after birth. If you live a grain-free life, then you'd skip that, of course, but if not, a little bit is okay to start with. Some mothers worry that beans and legumes might cause gas in the newborn and that is a legit concern. A newborn's gut is brand new and it is harder for them to break down and digest certain foods, but it doesn't mean that you as the mother have to avoid them completely. Introduce things into your diet slowly and consciously, making note of how it makes you feel and if your baby seems to tolerate it well. Give yourself two or three days with each new thing you add back into your diet. If you're paying attention, you'll be able to see right away if its a good thing to eat for you and/or your baby.

As much as possible, eating locally-sourced, organic foods is what's healthiest, but I realize that's not always possible due to your budget, access to local farmers, etc. Here's a list of what's known as The Dirty Dozen, the top foods that are the most contaminated that one should try to buy organic. The site also references The Clean Fifteen, foods that are safer to buy if they're not organic. Again, all of this in moderation and when/how you can afford it. Organic or not, if you're conscious of the good proteins, fats, etc. that you're consuming, you're far better off than many people who merely consume food just to consume it. 

In closing, another quote from Ou's book:

"... birth and mothering is not a one-size-fits-all experience - every woman has her own way of doing it and her own needs to satisfy... listen to yourself and select dishes and drinks based on what you feel your body or mind needs to be comfortable, vital and calm."

Stay tuned for a future post with suggestions for what foods and drinks you could enjoy in the days immediately following the birth of your little one. This is a lot of information, I know, but I feel it is so vital to women in our culture and something that is often overlooked. Like I said before, I wish I had known these things when I was pregnant. I sure didn't approach nutrition this way after giving birth. If I can influence even one mama to just think about doing things a little differently and with great intention after birth, I'd be happy.




fed is best

Yes, I'm a Lactation Counselor, but I support the feeding journey and choices of all mothers, whether they're feeding from the breast or not.

A few years ago there was a big campaign that simply stated "Breast is best." The long and short of that is that it's true: breastmilk is typically what's best for a newborn baby and on into the first several months of life. The benefits of choosing to breastfeed or to pump breastmilk carry over for the mother as well as her child and its a win-win situation for everyone. A no brainer, right? 

Well, not always. 

For some women, breastfeeding comes with a lot of baggage whether its due to Baby not getting an efficient latch from the start which leads to nipple damage, plugged ducts or worse or if a women's milk supply doesn't come in enough to meet the demands of her growing baby. There's women who have flat or inverted nipples who might have difficulty with nursing or there are women who have been sexually assaulted in their past who have serious issue with their breasts being touched in any way. The list goes on an on for why breastfeeding simply doesn't work for some women or why they choose not to ever breastfeed in the first place. Its not my job to come in and pass judgement on a woman because of how she chooses to feed her child. It is my job however, to support her, educate her and get her connected with local resources that help her meet the needs of her baby, her family and herself in whatever way makes sense for her.

So ya know what I've started saying (and its not a saying that I originated)? Fed. Fed is what's best! Feed your baby a bottle of store brand formula every feeding of their infant life? Fine. Feed your baby a mixture of formula and exclusively pumped breastmilk? Okay. Feed your baby directly from your breast until they self-wean at the age of four. Sure. It doesn't matter to me, mamas. You feed your babe in the way that feels best for you and if you need support, I'll do my best to come alongside you and cheer you on. 

Oh! And the "fed is best" idea isn't just for how babies get their nourishment. The mamas need to be fed too! Its so important to get caught up in the day to day demands of life with a newborn amidst other daily tasks, that mothers often forget to feed themselves. Some women unintentionally make a habit of jumping right into their day without taking time to eat and before they know it, its 2:00 in the afternoon, they're hangry and they gorge themselves on whatever quick, usually not-so-healthy foods they can get their hands on. Mamas, you can do better! Take the mornings a little slower and make yourself a simple, but nutritious and energy-boosting breakfast. Set aside a little time the night before to prepare healthy snacks for the next day so you don't get to the point where you're hangry and you know you've got some tasty, easy options on hand. What you put inside your body as far as food and drinks are concerned is just as important as what you're feeding your little one. So be good to yourself too, it really does matter. 

Stay tuned for future blog posts with healthy snack ideas, recipes and more ways a Postpartum and Infant Care Doula would help make SURE you're fed!



all about oxy

No, not that kind of oxy, silly! Oxytocin, aka "the love hormone"! (Because its slightly shorter to type out, I'm going to affectionately refer to it as "oxy" in this post though.)

I'm increasingly fascinated by this magnificent hormone that all men and women are both with. We all process it differently and experience it differently, but at the end of the day, we're all hardwired to love and be loved and it is this hormone that's responsible for it. Here's just a few of the fascinating things that I've learned about oxy.

A woman's lifetime peak of oxytocin is right after she gives birth just before the placenta is delivered. Its primarily for this reason, that immediate skin-to-skin contact of the mother and baby after birth is so strongly emphasized. Both the baby and the mother greatly benefit from the bonding hormone being so heightened and it is best to leave the duo uninterrupted for the first moments after birth, especially if the placenta is still in tact. 

Oxy stimulates and enhances labor contractions. As the baby moves down into the birth canal, pressure receptors in the cervix (the muscular outlet of the uterus) send messages to the brain to produce more oxy. The oxy travels through the bloodstream to the uterus which stimulates the muscles of the uterine wall to contract. Contractions intensity over time to the point that the baby is outside the birth canal (crowning) and when the stimulation to the pressure receptors fades, oxy stops and labor contractions end.

There's a massive swell of oxy that's released to the baby and the mother as the baby is being born. This is just one of the reasons why immediate skin-to-skin contact for mama and babe right after birth is so powerful!

Oxytocin is released into the bloodstream in small pulses and the more pulses there are, the more effects the body receives. When a mama is breastfeeding, oxy is flowing freely between her and her babe. The suckling baby triggers pulses of oxy to be released which aids in the milk releasing from the breast and into the baby's mouth. 

Studies show that oxytocin has a calming effect and can improve mood. It can lower your blood pressure and helps to block stress hormones. It can even help relieve inflammation and stimulate necessary metabolic functions like digestion and growth that might otherwise be slowed for one reason or another. Oxy is present in both females and males, in fact its active in all social interactions, especially positive ones where a person feels safe. It brings about feelings of relaxation, selflessness, bonding and love. 

I could go on and on about this amazing human hormone, but for now, I'll end the post here. Don't be surprised to see this topic pop up again - its just all so very fascinating and something that most of us take for granted!



why you want a postpartum & infant care doula

In a recent conversation with a first-time expectant mama, the topic of what I do came up and she was very curious about postpartum doula work. She asked questions like:

  • Why would I want a postpartum doula?
  • Isn't it weird to have a stranger in your home helping with chores and running errands for you?
  • Do mothers have to entertain the doula while she's there the whole time?
  • And she closed with "Well, that's all good and well for other women, but to me, it sounds like a bit of a cop out so that you don't have to get back to regular life after your baby is born."

Touche, First-time Expectant Mama, touche. However, I don't think that having a postpartum doula is a cop out at all. In fact, there's ample research that shows that mothers who have some sort of consistent help at home once their baby arrives, are generally healthier, happier and in a better mental state than mothers who don't receive such care. The postpartum period is roughly the first three or four months after a baby is born and my goodness, so much happens in such a short time frame that mamas could use all the help that they can get just to keep their heads above water! And listen, I think this kind of care is invaluable in the entire first year of a baby's life so there's no shame in reaching out when your baby is four months, six months, even eleven and a half months old! 

I like lists (as you can probably tell from other posts) and so here's ten reasons, in no particular order, of why I think every mama might want a Postpartum and Infant Care Doula.

  1. Before we get too deep into the list, the bottom line is that you, Mama, DESERVE the care, support and advice of a Postpartum and Infant Care Doula. You've just incubated a person for the better part of a year and then you gave birth to him or her. That's a huuuuuge deal! Its not too much to ask for you to now receive some love and attention as you adjust to where you just were and what lies ahead of you now as a mother!
  2. Not only do mamas need care after birth, but so do their families. Partners, relatives who live in the home with them and older children all have a lot of adjusting to do when Baby arrives and a PPICD can help ease that transition a bit and provide nurturing support to everyone. 
  3. No matter how you choose to feed your newborn, it takes up a lot of your time and sometimes, it can be hard to remember to feed yourself! In comes the PPICD who will lovingly remind you to stay hydrated and eat meals and snacks throughout the day. She'll probably prepare said meals and snacks for you and help in feeding the babe. 
  4. Your doula is an expert in options. Whether you're trying to decide on the best baby gear to purchase or the parenting style that feels best for your family, your doula is there with answers and a host of ideas for you to choose from. 
  5. Having a new baby and trying to acclimate to how someone so tiny can change your world in such a huge way can feel isolating and lonely for some women. Your doula will be connected in the community and will help you get plugged in with other moms, play groups, even healthcare practitioners. She can help you find a chiropractor, massage therapist, counselor, or naturopath to help you create the postpartum care team that's just right for you.
  6. There are some physical no-no's after you give birth, whether vaginally or by cesarean, and few women allow their bodies adequate time to rest, recover and heal. Your doula will run up and down the stairs to get items for the baby or she'll carry the heavy laundry basket downstairs for you. She will run your errands and bring in all the groceries, she'll move the bulky totes of baby gear hand-me-downs to be sorted and she will do light housework so that you don't have to fuss with all the normal household chores. 
  7. While PPICDs typically aren't licensed to officially diagnose postpartum mood disorders, they are trained quite a bit in how to spot red flags. They will nonjudgmentally and tactfully help you and your loved ones get connected with professionals who can help you navigate through.
  8. Let's face it: Sleep changes once Baby arrives. You don't get enough of it, it is often interrupted by one thing (or person) or another, you might become a very light sleeper because you're concerned about every little peep that Baby makes. Your doula is a trusted extra set of hands that can care for baby while you nap and if you need it, she can provide overnight support so that you can get a decent night of rest. She can bring the baby in to you whenever it's time to eat if you want/need to be part of that and once that's done, she can work to get Baby back to sleep. Imagine it: There could be someone in your home who is there  - if for no other reason - than to give you the freedom to sleep whenever you want. Yes, please!
  9. You're probably familiar with giving young children time outs, but adults can benefit from them too. Maybe your "time out" is excusing yourself to another part of the house while Baby cries, knowing that your doula is more than up to the challenge and will keep your baby safe while caring for him/her. Or maybe you just really miss sitting in a coffee shop with a good book. You've got someone to watch your babe while you escape for an afternoon! Sometimes the time out looks like the most basic of self-care such as taking a nice, long shower or getting to do your hair make up for the first time since birth. You decide what it is that will fill you up and work with your doula to carve out space and time to make that happen. 
  10. Your doula is the perfect listening ear or shoulder to cry on as she offers unbiased support. There's a lot required to take of a newborn baby, but the mother needs to be cared for too.

For soon-to-be or first-time mothers out there, I don't mean for this post to make motherhood sound daunting or for this list to be a cause of stress for you. I believe in being honest about stuff though and had someone given me the head's up about even half of the things on this list, I think my debut as the mother of my children might have gone a little smoother.

Have questions about hiring me as your Postpartum and Infant Care Doula? Ask away, I'd be more than happy to help you get the assistance that you most need and desire!



birth preferences

You might've heard people talk about writing their birth plans, but I approach this a little differently. For some women, getting caught up in all the do's and don'ts of their birth plan can become an added stress and if their birth doesn't go according to said plan, they struggle with feelings of failure, loss, inadequacy or a whole host of negative feelings. Instead, I work with clients to create a Birth Preferences List. There's no guarantee that the list of preferences that you lay out will be exactly how the birthing experience will go, but it can be helpful to think through what you do and do not want ahead of time. I encourage women to work on this with their partners and make anyone who might be present at the birth aware of the wishes. Having as many people on board as possible makes sure everyone is on the same page and will work towards a common goal.

I've narrowed it down to six steps to create an easy-to-read, clear and effective list.

  1. Keep it to one page. Remember K.I.S.S. - Keep It Super Simple! Use a basic font that's size 12 or larger, bullet points, and easy-to-follow instructions. The doctors, nurses, midwives and/or doulas who are present at the birth will have a lot of things on their mind when the day comes so making the list clear and to the point is in everyone's best interest.
  2. Put items in bold that are of most importance to you and narrow that down to five things. Sure, you're making this list because everything you put on it feels important to you. However, narrowing it down to the top five things that you really don't want to budge on is helpful. 
  3. Do some research on your birthing facility and know what their standard protocols are that have to be the same for each birthing woman. Don't go against that and don't include that on your sheet. If, for example, every laboring woman is required to have an IV in place and its clear that there can't be any exceptions to the rule, don't include anything on your list about how you'd rather not have an IV. You've done the research ahead of time, it is what it is, this one particular thing isn't something to fight over. 
  4. Be courteous and kind. Don't make the list sound like orders or demands and don't belittle the professionals who are caring for you. They know their stuff, they have lots more experience at this than you and they truly do want they same healthy, happy outcome that you want.
  5. Print a couple copies and have access to the document electronically, just in case.
  6. Be flexible. You might read that and cringe a little thinking "NO! I will not be flexible! I'm taking the time to research and really think through my desires and listing them out on this list is what I want, its what I should get!" All of that is true, however, you must keep in mind that this is a list of your strong preferences. Ultimately, you want a healthy outcome for you and your baby so if it becomes necessary to deviate from the list, you make it clear to do so on all accounts. 

Making this list shouldn't be overwhelming or stressful and should give you a sense of preparedness, calm and confidence as you head into the day that you'll meet your baby.

Working with clients on these lists is one of my favorite things to do so if you have questions and want help in laying out your desires, let me know!




care providers: doctors or midwives

When a woman is pregnant and seeking prenatal care (and beyond), she has two choices for her type of care provider: A doctor or a midwife. 

So what's the difference?

Obstetrician Gynecologists (OB-GYNs) are medical doctors or doctors of osteopathy. They've gone through four years of medical school, plus more as well as years in residency before certification from the American Board of Obstetricians and Gynecologists. Some work in private practice, others work in hospitals or clinics. In addition to assisting women throughout pregnancy and birth, they can typically also be your general healthcare provider. Many OB-GYNs are deep into the more medical side of how to do things and rely on lots of monitoring, testing, and at times, interventions and medications to insure that their patient and her baby get the best level of care. 

Midwives do things a little differently in most cases. They're trained to focus on wellness, rather than sickness or conditions (Some people really do think of pregnancy as a "condition". Isn't that absurd?!) Typically, they're big supporters of unmedicated birth with as few interventions as possible and they seek to provide care that empowers mamas to make the best decisions for what works for them and their babies. 

Did you know there's three main types of midwives to choose from?

  • Certified Nurse-Midwife (CNM)

CNMs are trained in both nursing and midwifery. They are licensed registered nurses (RNs) who have gone on to a graduate-level nurse-midwifery program and they've received certification from the American College of Midwifery Certification Board. CNMs are licensed to practice in all fifty states and may work in private practice,  a freestanding birth center or hospital-affiliated birth center or in a hospital or clinic with nurses and physicians. (Some CNMs will assist in home births.) Like OB-GYNs, CNMs might serve as primary care providers for women and they can  prescribe some medications (specifics vary state to state).

  • Certified Midwife (CM)

Certified midwives don't have nursing degrees, but they attend the same graduate-level nurse-midwifery programs and take the same certifying exam as CNMs. They're legally permitted to practice in five states (New York, New Jersey, Rhode Island, Delaware and Missouri. It is only in New York that they may write prescriptions.

  • Certified Professional Midwife (CPM)

CPMs are certified through the North American Registry of Midwives (NARM). It is not necessary for them to have graduated high school or college degrees and their training varies. Mostly, CPMs graduate from accredited midwifery programs or complete apprenticeship programs. All CPMs must pass written exams as well as skills tests. CPMs are the only midwives whose training requires them to have knowledge of and experience with home births and other births outside of a hospital setting.

As with anything concerning your body, you have choices. You don't have to go to an OB-GYN because that's the kind of provider everyone in your life has gone to. You don't have to go to a midwife because that's the norm you grew up with. Your body, your pregnancy, your baby, YOUR CHOICE!




Earlier this week I had the opportunity to attend my first Moms2B meeting in the Hilltop, just a few blocks from where I live. It was fantastic. I didn't want to leave. I wanted to learn so much more!

If you're not familiar with Moms2B, go check out their site to learn all of the wonderful ways they're at work in our community. To summarize their mission though, they're helping mothers in the eight "hot spots" of Columbus, as they're called, to tackle the horrific issue we're facing with infant mortality and death of a child before their first birthday. Hot spots are the parts of town where infant mortality has been the highest in our city. Moms2B works with mothers giving them tools and education to make healthy choices for themselves and their babies and the group is truly making a big impact in our city as fewer babies are dying from those neighborhoods! 

Each week members of the Moms2B team teach the same lesson at each of the eight areas around town where the meetings are offered. This week, the topic was safe sleep and safe food handling. Even thought I know about safe sleep practices, I actually learned a couple new things and to work through the lesson with a group offered new perspectives I hadn't otherwise considered. Heart-healthy snacks and a lunch are provided each week and for those who arrive to the group on time, a $5 Kroger gift card is given as incentive to be prompt, consistent and as a reward for the lessons they learn each week. Free condoms are always available and most weeks, someone from the staff will speak with each pregnant woman about safe sex, birth control, spacing out future pregnancies, etc. Sometimes there's been a donation of maternity or baby clothes that mothers are welcome to choose from and completion of the program is rewarded with a Pack-n-Play. Meetings are free of charge, childcare for other children is provided and assistance with rides to/from the meetings can be arranged. Any barriers that could stand in the way of a woman making it to these sessions has been considered to try and make it as accessible and rewarding as possible. 

The only requirement for participation in the group is that you have to be pregnant. The youngest mother that Moms2B has helped was 12 and the oldest was close to 50. Women come from a range of backgrounds and might struggle with keeping a stable job, addiction, homelessness, mental health issues, past incarceration and/or prostitution to name just a few of the hurdles they face.

If you're curious about how you could help support this fantastic outreach in Columbus, some of their most consistent needs are sleep sacks and Pack-n-Play-sized sheets, as mothers often don't have access to a washer and dryer on a regular basis. These items are very inexpensive and can be found in most stores like Target, Walmart, Babies R Us, Buy Buy Baby and of course, Amazon. Sheets come in a two pack on Amazon for less than $12 and two sleep sacks are available for less than $17. I don't know about you, but I can totally find a few extra dollars to put towards the purchase of these simple items, especially if it helps contribute to the greater good of safe sleep practices and healthier outcomes for Central Ohio babies. 

Please, check out the Moms2B site to learn more about all the ways they're engaged in the community and all the great work they're doing to help mothers and their babies!



my style of childbirth education

When I was pregnant with our first child, I was planning for a home birth and opted to go with the basic childbirth education that my midwife duo offered. I wasn't all that impressed with their style of teaching, but I already had a lot of knowledge on my own to supplement so I felt okay about things. I took it upon myself to research, read and ask around about the things I wasn't so sure about. I continued in this fashion the next time I was pregnant I and shared the things that I learned with my husband. 

Fast forward several years as I continued to leaf through books, read countless websites and learn more within the birth world. I spoke with other women about their childbirth education experience (if they chose to take a class) and I listened to their high points about the class/instructor... and lots of complaints. I started to think that there ought to be a different way of teaching expectant parents about birth. The thought of a mama-to-be and her partner being squished into a sterile hospital classroom with faulty fluorescent lighting, uncomfortable chairs, stale Folgers coffee and one course outline being taught to all students sounded sad and so impersonal to me. 

Enter: ProDoula and their approach to childbirth education. Their vision clicked with mine, there was finally a new option to choose from.

ProDoula provides the general curriculum that I use for my childbirth education classes, but I tailor the classes to meet the needs of each particular client. First time parent who wants to know as much as possible? No problem, we'll cover the entire curriculum on a schedule that fits into your life. Maybe its not your first child, but you want to do things differently this time around and you only want to cover certain topics? Of course! I'll give you a menu to choose from and we'll cover only the topics that you're interested in. Maybe this isn't your first pregnancy, but its the first time your partner has experienced pregnancy and you want to adapt a class to his/her particular questions? You've got it! 

Get the theme here? Your wish is my command and the options are many for what we can cover and when. Where do I teach? Oh, I'll come to your house, we could reserve a meeting room somewhere, or we could meet for lunch over a few weeks and go through the curriculum. The setting is up to you, the course is up to you. This pregnancy is YOURS and the information you receive before the birthing day should feel like yours too. 

If you have questions, I'd love to answer them for you. What do you want from your childbirth education experience?