November 2017

Ashley Forton Doula

Podcast Episode #4: When to Hire a Doula and Why A Team Works

In this episode of Ask the Doulas, Alyssa and Ashley talk about Gold Coast’s team model for doulas and about the right timing for hiring your doula.  You can listen to this complete podcast on iTunes. 

 

Alyssa:            Hi, welcome to Ask the Doulas.  I’m Alyssa, co-owner and postpartum doula at Gold Coast Doulas, and we have Ashley Forton in today talking about the question of when should I hire a doula?  And Ashley is a birth doula, so we’re going to talk about births specifically.  What have you seen lately?  When does the average client hire?

Ashley:           Well, I can tell you that some clients will hire as soon as they find out they’re pregnant, which is awesome, because what happens when you hire us – the minute you hire us, we are at your fingertips 24/7.  So if you have a question, you get out of a prenatal appointment, you text us.  “Hey, this came up.  I’m not sure how I feel about this.”  You need somebody to talk through; that’s what we’re there for.  If you are on your way to a coffee shop and you’re like, “Hey, my girlfriend just mentioned this.  Have you heard of this type of birth before?”  We’re there for all those questions, and it really helps us get to know you throughout that nine-month period of time.  So we certainly have clients that hire that early, but we also have clients that hire us at 36 weeks, 38 weeks.

Alyssa:            They’re like, oh, shoot, I’m nervous.  Maybe I should hire a doula!

Ashley:           Yes, yeah!  And a lot of times, people are like, I’m 36 weeks.  Is it too late to hire a doula?

Alyssa:            And what do you say?

Ashley:           Absolutely not too late!  No.  It gives us a little bit of a time crunch, so it makes things a little bit more time-sensitive, just in case you go early, but one of the things we do is whenever you hire us, we try to get a prenatal visit on the books, so whether it’s one or two, depending on what package you choose, we want to come to your house and talk to you about any and all concerns that you have about your upcoming birth.  Do you have a birth plan or birth preferences?  Do you need help coming up with that?  Do you have any medical concerns that you have brewing in your mind that have caused some anxiety?  Do you have any sort of questions about birth or maybe even right after birth?  What happens when I bring this baby home?  Are there other resources that you need?  We cater that appointment totally to what the client needs in that moment.  So sometimes it’s that we create a birth preferences sheet right there on the spot.  Sometimes it turns into, “Hey, I’ve got questions about what does labor look like?  How am I going to know I’m in labor?”  So we really cater that to what they need to talk about, and that’s time for us to get to know each other.  So even if you hire us at 36 weeks, we’ll get that on the books right away, and we want to get to know you as best we can, so we know what type of comfort measures might be good for you.  How do you relax on a regular basis?  What is relaxing and comforting to you?  We want to know all those things.  Do you not like being touched?  Should we not try and massage you?  Are there certain things that you don’t want?  And all of that kind of goes into building our relationship so that when you do go into labor, it’s not the first time that we’ve met.  Now, granted, that has happened.  I have been to a birth where I had not even met the mom.  She hired us, had not even met me yet, and I went to her birth, and it was an amazing birth.  Part of doulas’ training is attuning to the needs of the client, so if you get into a room with somebody that you’ve never met, paying attention to their body mannerisms; how they’re acting; what they’re emotionally acting like; seeing what do we think that this person might need; relying on the partner.  “Hey, is there something that you think might be helpful?”  So you can still have a beautiful birth in that situation, but hopefully we’ve had plenty of time to get to know each other before we get into that labor room.

Alyssa:            Right.  And our birth doulas at Gold Coast work in teams.  Can you explain your take on the team approach and why that’s so important for a client?

Ashley:           Yeah.  So hiring a team of doulas, you get two doulas for the price of one.  So let’s say you’re about 20 weeks pregnant, and you decide to hire a team of doulas from Gold Coast.  You usually will meet with us, we’ll do a consultation, and you can decide if that’s a good fit personality-wise.  Once you’ve signed that contract and paid the deposit, you have access to both of these doulas.  So you get two brains to pick.  You get two sets of separate experiences.  Sometimes you’ve got one that was trained by DONA, one that was trained by ProDoula, so you’ve got different trainings that they’re pulling from.  They’ve all been to different births.  So you get twice the experience, which is pretty awesome.

Alyssa:            Maybe one of your doulas had home births, and one of your doulas had C-sections.  Or one of your doulas had hospital births with epidurals.  And then yeah, all the clients you’ve supported.  So you’ve probably supported every single type of birth possible.

Ashley:           Absolutely.  So it’s really great to have those varying sources of opinion and experience to draw from, and you’ve got twice the support.  You’ve got two people in your corner without an agenda, without any judgment.  There’s no comparison; there’s no, “Well, I would do it this way.”  We’re not giving you our opinion.  We’re not there to say, “This is how I would do it.”  We’re there to say, “What do you think?  How does that make you feel?  Tell me more about that,” so that you can kind of navigate the waters with someone in your corner, so it takes a little bit of the pressure off.  You’ve got extra information.  We can give you evidence-based resources.  We do that a ton.  “Hey, this came up at my appointment.  The doctor answered some of my questions, but I’d love some more statistics, more information, before I make a decision.” And we can send you some information so when you do make that decision, you feel like you’ve got everything you need.  You don’t feel like you’ve got questions still brewing, but you’ve been stuck in a spot where you have to make a quick decision.

Alyssa:            Yeah.  So you have a team throughout pregnancy, and then what happens when your client goes into labor?

Ashley:           So usually our teams have – everybody does it a little bit differently, but we’ve all got an on-call calendar, so it’s split up between the two doulas, and you call the person that’s on the calendar.  And we figure out who can get to you the fastest.  If one of your doulas is sick, we don’t want to send them to you.  We want you to get the healthy doula, and that’s the benefit, too.  If you hire a solo doula, you may not know their backup.  So you may have spent nine months getting to know this doula, and they have the stomach flu.  And they’ve got a call-in backup, and it may be somebody you’ve never met or never even heard of.  And that benefit of having two doulas that you know equally, and you’ve gotten to know them through prenatal visits and everything; you know them, and you trust them going into that birth experience regardless of which one shows up.  And so it’s really great to have that bond and that security because trust is really important when you’re in labor, and you need to trust every person that’s in that room.  It’s an intimate experience regardless of cesarean, hospital birth, home birth.  It’s an intimate experience, and you want to know that everyone in that room has your back and you know them and trust them.  And so when you call, we figure out who can get to you, and that person comes and supports you.  And sometimes it turns into a longer birth.  Maybe it’s been 16 hours.  And you need a refreshed doula.  We want you to have an energized, ready to go, encouraging doula at your service at all times.

Alyssa:            I think parents don’t think about that when hiring solo doulas.  “I’m going to have this baby and my doula’s going to come, and then we’re done.”  Well, what if it is long?   You don’t think about “Well, yeah, I as the mother am tired, but how is my doula doing?  And if my doula is tired, how well is she going to support me?”  So yeah, saying, “Okay, you know what?  I’m kind of done here.  I’ve hit my max.  I need to go sleep.  I need to rest, for your sake.  I’m going to call in the other team member, and they can come support.”  Relieve the doula, relieve the tired doula, and then you have refreshed doula to support the mother.

Ashley:           Which is especially important when you get to the end of labor.  If you’re laboring and having a vaginal birth, those last few hours is when you really need to rally and have the energy and the encouragement to get through that.  And so that’s when a refreshed doula really comes in handy.  And it’s also important, too, that you partner’s getting rest during this, too, so you always have a support person.  You’re not looking at your husband going, “Oh, I can’t believe that you’re sleeping right now.”  You’ve got a doula supporting you.  And then that husband can be refreshed to support you in the end stages, as well.  So I really think it benefits everybody.  The doulas working in a team; it makes it more sustainable for us so that we can have sick days and not be worried about who’s going to be with my client that I’ve developing this relationship with.  You know and trust that partner.  And so it’s easier for us to take care of our own kids when they’re sick.

Alyssa:            I’ve read a statistic somewhere that the average burnout rate for a solo doula is three or four years or something.

Ashley:           It’s two or three.

Alyssa:            Really?  I can see that.  You’re on call, and you have your own families, and to not share that call schedule with another team member, yeah, that’s definitely hard, and that’s why Gold Coast chose this model.  It’s much more sustainable, and we don’t want our doulas to burn out.  We want to keep you.

Ashley:           Right, right!  And I want to keep doing what I love!  And I’ve really loved it.  I am really glad that I’m part of Gold Coast and this team model, and it’s worked out really well.  We’ve had so many clients tell us how much they’ve loved it.  And the bonus, too, is if you have both of us come to your birth, then both of us are coming to your post-partum visit.  We’re both going to come check in on you and help you process your birth, see if you need any resources, how are you healing?  How are you feeling emotionally?  How’s Baby doing?  Do you have any baby care questions?  And yet again, you’ve got two brains to pick.  And our relationship doesn’t end when you have your baby.  If your baby’s six months old and oh, my gosh, what is happening?  This crazy thing, now he’s not sleeping, and drooling like crazy.  Maybe it’s some teething stuff and we can kind of help you work through that.  But we love to hear from clients down the road.  We don’t want to just “see you later” as soon as we’ve done your postpartum visit.  We want to maintain that relationship as well.

Alyssa:            Yeah.  Awesome.  Well, I think that answers a lot of questions for the listeners.  Thank you for sharing your information and expertise.  If anyone has questions, email us at info@goldcoastdoulas.com and we’ll look forward to talking to Ashley again in the future.

Ashley:           All right, thanks!

Podcast Episode #4: When to Hire a Doula and Why A Team Works Read More »

Postpartum Doula

Podcast Episode #2: Having Kids Later in Life – Kristin’s Birth Journey

In this episode of Ask the Doulas, Kristin shares about her birth experiences and how she started the journey to become a birth doula.  You can listen to this complete podcast on iTunes.

 

Alyssa:            Welcome to another episode of Ask the Doulas with Gold Coast Doulas.  I am Alyssa, co-owner and postpartum doula, and today we’re talking to Kristin, the co-owner and birth doula.

Kristin:           Yeah, birth and postpartum.

Alyssa:            She interviewed me last episode about my journey throughout pregnancy and what made me want to become a doula, and today we’re going to talk about her journey and what made her want to become a birth and postpartum doula.

Kristin:           Yeah, so I had kids later in life, so I got myself into that high-risk category by age.  I was 36 with my first pregnancy and had my daughter at 37.  And I had a really great pregnancy, despite a high-stress job in political fundraising, and my nurse midwife kept saying throughout the pregnancy that I was having the perfect pregnancy and there were no worries.  My health was great.  My diet was great.  And I planned myself the perfect, natural birth.  I took Lamaze classes; my husband and I practiced; I watched all the documentaries; read all the books.  I like to plan my way through life in general, and I thought that everything would just be the way I wanted it to be.  And at 37 weeks, I got diagnosed with preeclampsia.  My blood pressure was rising; that was the first of the signs.  And so I got put on modified bedrest, which was super stressful for someone who felt like I had to do a million things before baby arrived: getting all of the things ready, the car seat installed, and running all the errands and finishing up work and all of that.  And so I had to really take it easy, and every midwife appointment was beyond stressful because you get the blood pressure check.  And so I was nervous about that.

Alyssa:            Which made your blood pressure go up.

Kristin:           It made it worse.  So they kept watching me, and every week, there were more and more signs.  So I got put on full bedrest, which was really frustrating.  I was lucky enough to live above – for those of you that live in Grand Rapids, we had just moved back from Lansing, and I was living above The Electric Cheetah, and we had this place that was very modern, very open, the first tenants.  And all of a sudden, we get married and pregnant, and there wasn’t a whole lot of room for a baby and not the ideal place to be pregnant.  But the staff at The Electric Cheetah became like neighbors since we didn’t really have neighbors on Wealthy Street, and so they would bring up food to me when my husband was at work.  They’d serve it to me on their fine china.  He would call in different meals for me, and they would bring it up to my place.

Alyssa:            So nice!

Kristin:           Yeah, it was amazing.  So that’s how I handled bedrest.  I certainly could have used an antepartum doula for bedrest.  I didn’t know what one was back then.  My daughter’s almost seven, and so that wasn’t something that people really knew of.

Alyssa:            Yeah, most of our postpartum doulas do bedrest, too.

Kristin:           Yes, and our birth doulas do some of that as well with birth planning and some of the different aspects related to getting ready for birth.  So yeah, I didn’t have a bedrest doula or anything like that.

Alyssa:            I’m wondering, for those who don’t know much about preeclampsia, besides high blood pressure, why do you have be on bedrest?  And for someone who may be worried about it or someone who may have it?

Kristin:           Yeah, essentially, they don’t want you to be too active so the blood pressure keeps rising.

Alyssa:            And what causes it?

Kristin:           I’m not going to get into all of the different medical things, and women have it for different reasons, but of course, if they’re worried about a stroke, the providers are watching to make sure that mom doesn’t have a stroke.  They’re worried about baby as well as the mother.  Some women develop headaches.  I did not.  Some women develop swelling in their ankles.  I didn’t really develop that, but by the time I was on full bedrest, I had protein in my urine, which they worry about kidneys and different organs going.  So I was starting to have trouble with my kidneys, and I got an induction.  So I ended my bedrest with an induction in a hospital.  I remember being overwhelmed.  I didn’t have doulas; again, I didn’t really know what a doula was with my first.  So I called my Lamaze instructor; like, how do we do this?  I still don’t want any interventions.  Still working with the midwives.  And it was very scary because I felt like I was alone in my room with my husband, and inductions can be long and boring, and you don’t really feel a whole lot.  I had my membranes swept the day before and went in and had Cervidil, which can be taken out if there are any reactions with the baby.  So mine was inserted, and my daughter didn’t react that well, so I didn’t have it in as long as they’d intended.  And things ended up going quickly, but I had a lot of back labor, and again, I was alone.  I didn’t want my husband to touch me because he couldn’t provide enough pressure.  I felt like I wanted him to just, like, punch my back.  Nothing was firm enough.  And he didn’t know what to do; he was just in over his head, completely overwhelmed, kept referencing manuals.  We had to make all these decisions as far as interventions and what’s the best thing to do, because my daughter had decelerations in her heart beat, and they were worried about her, and there was the threat of a cesarean.  But I was very fortunate in my journey, other than back labor, which is an experience in itself.  I didn’t have any major interventions; I never had Pitocin.  I wasn’t on magnesium for my preeclampsia.  I did not have an epidural.  I was able to move around the room, and a nurse came in, who certainly had some doula qualities about her, and helped me move my baby, and we did hands and knees on a birthing ball on the bed, and all of a sudden, she turned, and I was able to push her out.  I could feel her turn, and all of a sudden, it was like, I feel like I’m pooping.  And Patrick’s like, you’re really not.

Alyssa:            That’s exactly how I knew.

Kristin:           And I said, “Can you just check, because I think I’m pooping!”  And my daughter was born four pushes later, and it was a crazy experience, an overwhelming experience, and I remember – we’ll get into some of my journey with my daughter after she was born in another episode, but I remember going into my midwife at the six-week checkup, and she was talking to me about family planning and what to do, and because I was 37 and had preeclampsia.  There were big decisions that needed to be made if we wanted to expand our family with another baby.  We had my stepdaughter and then my daughter, and we wanted to have a third child.  And so my midwife recommended that we give it some time for me to heal, but that I should probably start trying when she was about a year.  And so I got pregnant pretty easily and quickly, just like the first time.  I was very fortunate in that, but I was worried about getting preeclampsia the second time.  There was a lot of chance that I would have that recurrence, so I was watched throughout the entire pregnancy.  And so I hired doulas before I even told anyone else.  They were the first call I made, and I wanted that support through pregnancy even more so than at the birth.  I felt like if I could go through what I did without any sort of interventions the first time with preeclampsia and back labor, then I could rack out the birth, but the pregnancy scared me.  Preeclampsia, getting that again, scared me.  And so they supported me through the pregnancy; gave me a lot of resources.  I listened to my midwives, did a lot of swimming, kept the stress down.  I wasn’t working in politics like I was before.  I was doing consulting.  And I talked to lactation consultants because I was nursing my daughter through my pregnancy, and so –

Alyssa:            So that’s not a failsafe planning method.

Kristin:           No, it’s not.

Alyssa:            There are a lot of people who think it is.

Kristin:           No, it’s not failsafe.  So yeah, there were a lot of things that I felt like having doula support really helped me with during that pregnancy, and I had an amazing intervention-free birth, and my son was huge, but he had no issues.  He wasn’t in the NICU like my daughter.  I never had any elevated blood pressure; no headaches, no signs of anything.  But I was on that high watch, especially because I was getting closer to 40 by that time.  I had my son at 39, so I was definitely in that advanced maternal age category by then, so it was a journey.  So I started becoming more and more curious about doula support, but I don’t like blood.  And I don’t really like hospitals.  I didn’t; I do now.  I didn’t like hospitals.  I remember any time my dad had a procedure in a hospital, I was always just overwhelmed by it.  I didn’t like to visit friends in the hospital who had babies.  I didn’t want to be a patient myself.  I had never had anything, no surgeries, nothing done in the hospital.  And so for me to be a doula, where most doulas do the majority of their work in the hospital, didn’t really make sense, but I was still fascinated by birth and everything to do with it.  So after having my daughter I got really active in breastfeeding groups and brought a national nonprofit to Grand Rapids.  We had a big rally and speakers, and that was phenomenal.  And that started me getting to know other birth workers, and I kept in touch with my doulas, and I started teaching Sacred Pregnancy classes after my son was born because that book really helped me, again, to avoid preeclampsia with the mental and spiritual aspect of birth and really also to be intentional about my pregnancy, because with your first pregnancy, you can connect with that baby, and there’s so many special moments between you and your husband or partner.  But when you had a toddler running around or other children, it’s hard to connect to your baby.  So Sacred Pregnancy gave me that outlet in journaling and meditation and affirmations.  It did so much for me that I decided to become one of the first instructors in the US and went to a training with my whole family when my son was four months.  So I had signed up for everything during my pregnancy, and I started – I had promoted my classes, because I’m an overachiever like you, before I even went to the training, and so I had a class set up two weeks after I got back, and ran the first class for my training class, and I had this amazing experience in Virginia with Anni Daulter, who’s one of my dear friends and the author and creator of the Sacred Pregnancy book and the Sacred Living movement, and that started my journey.  I started teaching classes, and my students wanted me to be their doula.  I’m like, “No, I can’t be your doula.”  They’re like, “Yeah, you can.  Just be at my birth.  You know, we’ve spent all this time; you’ve been great.”  And so I started teaching my classes under a doula collectives umbrella and decided that I was getting enough inquiries that I might try it out.  Sacred Pregnancy started a doula training program, so again, I took my whole family to Florida this time so I could nurse my babies and go through this training program.  It was four days, very intense, and a lot of journeying for me in some of my fears that I had surrounding being a doula, especially with blood.  Like, it was pretty wild.  We wrote our fears on each other’s body parts, the other doulas, and mine was blood.  Everybody’s joking because they’re like, “There’s no way you can be a doula.  That’s all you see is bodily fluids.  There’s going to be fluid everywhere.”

Alyssa:            So how did you do it?  How did you get past that?

Kristin:           I feel like I just set the intention that I could do it.

Alyssa:            That there’s a purpose behind this.

Kristin:           And it’s not a big deal, and there was so much more to being a birth worker.  So my first birth, I feel like it was a sign, but my client had a lot of blood loss and hemorrhaging and so on, and I didn’t pass out.  So I was like, I can do this!

Alyssa:            Test completed.

Kristin:           This is a big test, and I rocked it.  And I have so many husbands or partners that have that fear, and I’m like, “I’ve been there, and I’m actually a doula.”  I never really liked to be around blood.  I would cut myself and freak out.  But it’s different because, yeah, it’s not a cut.  It’s not an injury.  It’s a natural, normal process.  So I became a birth doula and started doing some postpartum ceremonies through Sacred Pregnancy.  I had gone to another four-day training, this time in Georgia, and it was all about mother roasting and doing closing ceremonies and belly binding and herbal teas and herbalism, which I didn’t get into all that much, but I really loved the ceremonial aspects of the postpartum traditions and studying Malaysian culture.  But I kept focusing more on my love of birth and helping mothers through pregnancy and their transitions, especially specializing in high-risk moms because that was my background, as well as moms who were seeking a natural birth.  It was a year-plus into my birth journey before I supported a client with an epidural, and the first epidural client I had, I was like, this is amazing.  We had fun, music was going, like, wow.  This is totally different than anything else I had experienced because I was supporting very high-risk clients who were maybe even on bedrest their entire pregnancy; had medical conditions; they were getting cesareans that were scheduled and they wanted me to support them through that.  Or clients who were either having a homebirth or seeking an unmedicated birth.  And some had Pitocin and didn’t choose an epidural.  There were all of these factors, but I didn’t have an epidural for a year, and I was taking a couple clients a month, so that was a wild experience.  Now I have everything, but when I started out, it was kind of one or the other.  High-risk, or someone seeking an unmedicated birth, and a lot of my clients were my students in class, which I was able to have this amazing bond with them for eight weeks with women connecting with each other.  So yeah, I just fell in love with it, but I feel like the postpartum end of things is so needed, as well.  It’s not just the pregnancy; it’s after, and women feeling like they don’t have a village and that they’re alone.  And I, certainly, with two-under-two was overwhelmed and needed support, and it was hard to go places with two.  The store was a challenge and going to the pediatrician’s office if my husband couldn’t help in the winter, because I had babies during – well, a Halloween baby, and a mid-January.  So that’s not always that easy.  So I could have had a doula come along with me to the store or the pediatrician or whatever, bundling two young kids.  So I just love supporting everything to do with the journey to be a parent and to expanding the family and I feel like – you know, women in traditional cultures, they have this village to rely on; they have a sisterhood, and here, especially with people being so transient, we don’t necessarily have our families.  People oftentimes isolate you if you once you have a kid, it’s like, okay, I’m going to give you some time to just deal with your baby.  But really, we need help, and doulas do things that are different than what friends do or what parents do or other family members.  We’ll do whatever we can, but we’re not just focused on the baby; we’re focused on the mother and her emotional needs as well as the father and his needs, which can be very different in the processing of becoming a parent for the first time, or the second or third time.  So we focus on the family unit as a whole which is so unique and so needed, in my opinion.

Alyssa:            You can email us at info@goldcoastdoulas.com.  Check us out at our website, goldcoastdoulas.com, and find us on Instagram and Facebook.  We hope to hear from you.

Podcast Episode #2: Having Kids Later in Life – Kristin’s Birth Journey Read More »