postpartum doulas

Health for Life Grand Rapids

Preparing Your Body For Pregnancy: Podcast Episode #84

Dr. Nave now works with queens through her virtual practice Hormonal Balance.
We talk this time about how a woman can prepare her body for pregnancy.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hello!  Welcome to another episode of Ask the Doulas Podcast.  You have Kristin and Alyssa here today, and we are excited to be back with Dr. Nave, the naturopathic doctor at Health for Life GR.

Dr. Nave:  Thanks for having me again!

Alyssa:  Thanks for coming again!  Last time, we had an amazing conversation about a woman’s cycle, and today, we want to talk about actually preparing your body for pregnancy.  What do you want to say?

Dr. Nave:  Well, that ideally, we would start a year ahead.

Alyssa:  One year ahead?

Dr. Nave:  One year ahead.

Kristin:  Does that mean they should be off birth control one year ahead, or would you advice getting off of an IUD or birth control pills in advance of that year?  That’s my question because that’s something that is commonly asked.

Dr. Nave:  That’s a great question.  Even though ideally I say a year, if a woman wanted to, say, get pregnant in less than a year, then I would suggest, if she’s coming off of an IUD that has hormones in it or an oral contraceptive, to stop taking it at least three months before starting to try to conceive.  That’s because the oral contraceptive and the IUD with hormones is basically producing the hormones that your body should be responsible for making, and what women often find is that once they stop using those — because, basically, it’s suppressing the body’s own production of hormones.  She’ll find that she doesn’t have a period for an extended period of time, and I would also want her to detox her body and make sure that she’s pooping regularly, that her hormones are being made at an optimal level, and basically establishing what the normal and optimal cycle should look like.

Alyssa:  So if you’re preparing your body for a year, then that means you can stop at three months?  So the three months is just a part of the year?  Twelve months ahead of time of when you would ideally like to be pregnant, you’re going to talk about what to do; but then three months before, minimum, is when you should get off a hormonal birth control pill or IUD?

Dr. Nave: Yes, because it gives your body time to normalize your cycle and it prepares your body to actually hold a baby so that it can grow.

Alyssa:  So then what do we start doing at twelve months out

Dr. Nave:  It’s basically a multifactorial approach.  It’s stopping the things that interfere with your hormones, like oral contraceptives or getting the IUD removed.  Also cleaning up her environment, so skin care products, household items, household cleaning supplies, being more environmentally aware of the things that she’s using, the foods that she’s placing into her body.

Kristin:  If she’s coloring her hair and things like that?

Dr. Nave:  Right, if she’s coloring her hair, nail polish, things like that.  And then we would also want to address nutrition.  A lot of the foods that are really accessible, like going to fast food or going to a restaurant, are foods that promote inflammation.  They tend to be higher in trans fats and refined sugars, which are all shown to increase inflammatory products in the body.  We want to reduce that by making sure that the woman is eating more whole foods.  When I say whole foods, I mean from the earth; no one processed it.  If you’re getting it frozen, that’s fine too, as long as someone didn’t already make it into a meal, so that you have more control and autonomy over what is being placed into your body.

Alyssa:  What does inflammation do to affect fertility?

Dr. Nave:  With inflammation, we have more cortisol.  We have dysregulation of blood sugar.  We have greater likelihood of mental and emotional disorders.  It wreaks havoc on us.

Alyssa:  It’s a lot of what we talked about last time with the cycles; if you’re not having a regular period, your cortisol levels could be too high, and that disrupts everything else?

Dr. Nave:  Right.

Alyssa: And inflammation kind of does the same thing to your body?

Dr. Nave:  Right, and things that can influence inflammation is not just the food that you eat, but being in a constant high stress environment and not managing that effectively or not having tools to really take care of yourself and having self-care.  Self-care is not selfish the way that people typically think of it as being, but more so, it’s nurturing.  Nurturing of yourself.  Think of the year leading up to pregnancy as rediscovering yourself, as reconnecting to who you are, and getting in the mode of, “I am ready to carry a baby to full term.  I am ready to add a new life to my life.”  It’s getting connected to that.  Also processing your past traumas.  Mental and emotional health is absolutely important with regards to getting ready to conceive.  Ideally, I wouldn’t want someone to be seeing conception as a solution to a relational issue because it probably won’t be, and it will probably exacerbate a lot of those things.  So during that year leading up, it’s dealing with your past traumas, whether they be related to a miscarriage previously; processing what happened and how it affected you, not just trucking along to get pregnant again, but really fully processing it.  Not necessarily living in it, but not pushing your emotions aside because they are valid.  Whatever you haven’t dealt with — and this is not guilt any woman by any means — but whatever we haven’t dealt with, that influences the baby.  That influences the baby’s risk for depression and anxiety.  It influences the genes and their susceptibility to different types of conditions.  In that year, by you taking care of yourself, you’re taking care of that baby in advance, as well.

Alyssa:  The baby you haven’t even had yet?

Dr. Nave:  The baby you haven’t even had yet; you haven’t even conceived yet.

Kristin:  So what if a woman is a constant dieter?  How do you handle women who are, say, on a fad diet, if they are wanting to conceive?

Dr. Nave:  I really like the book Intuitive Eating.  It’s written by two dieticians, and before mindfulness eating was a thing, these two dieticians came together, and they were like, diets don’t work.  Diets are a lie, and I completely agree with that.  If you think that, oh, I don’t have enough will power — you’re not the one failing.  The diet is failing you, because they weren’t built to work.  They’re not sustainable, at least the diets that people often purport.  Now, I would like to reclaim the term diet, because diet just means eating.

Alyssa:  What you’re eating, right?

Dr. Nave:  Right, right.  And so if you view your diet, if you view your food, as nourishing yourself, as honoring yourself, you fully immerse yourself in the experience of eating, like smelling the food.  You eat with your eyes first, so viewing it; it’s appetizing.  You smell it; you taste it.  You savor the textures that are in your mouth and the flavors that are bursting on your tongue and really immerse yourself in that and sit in that and be mindful.  Then you have a greater connection to yourself.  You are then more apt to tell when something isn’t going well.  If a woman is a fad dieter or is using food as a coping mechanism, we would then assess what is food giving you that you are not at this time receiving.  And so talking about that, having her read the Intuitive Eating book, because it goes through what type of eater are you, and reconnecting yourself to that intuitive eater, because as children — have you ever watched children eat?  They do not sit.  They get up, they eat what they want, and then they go back around and play.  At some point, we lose that ability to tell when we’re hungry or when we’re craving something and really honoring that, and intuitive eating is all about getting back to that.  SO I would definitely work with her and address, when did this first start?  What is it giving you?  What is it not giving you?  What is your motivation for doing things in this way?   Because what is encouraged by the media as what a healthy weight looks like is very cookie cutter, and I’m all about individualized care.  If you look at someone’s bone frame and they’re really thin and they have big bones and they look sick or they don’t feel well, that’s not good.

Kristin:  And then fitness is obviously a big question many of my birth doulas clients have.  What should they do in preparation?  If I was with them for the first delivery and then they want to conceive again, what would be an acceptable form of fitness as you’re trying to conceive?  What should you do to get your body ready for birth and postpartum time?

Dr. Nave:  If you’re already exercising, just maintain it.  Don’t go overboard.  Don’t become sedentary.  Moving your body at least ten minutes per day — ideally, thirty minutes, but that thirty minutes doesn’t have to be in one chunk.  Being consistent is more important than doing things really hard and really intense in a short period of time, so if she’s already exercising, just keep doing it.  You’re doing great, Mom.  Now, if she’s excessively exercising, that could be another thing that’s causing amenorrhea.

Alyssa:  Yeah, I’ve had friends who have been extreme athletes who just don’t get their period.

Dr. Nave:  Right, because all the hormones are being turned into something else as opposed to getting turned into progesterone and having adequate levels of estrogen so that you can bleed.  And I know some women are, like, oh, I didn’t bleed for a really long time and I’m so happy, but…

Alyssa:  Our bodies do this for a reason, right?  It needs to happen.

Dr. Nave:  Right, it needs to happen.  When you shed the old — think of it as shedding the old.  It’s a new month; I’m shedding the old from last month.

Alyssa:  It’s like a natural cleaning, almost.  It’s like a detoxifying — yeah, just — it seems like anything else that stores up in your body that needs to be shed can create toxic levels of something.

Dr. Nave:  Right, absolutely.  It can create adverse symptoms.  Having too much estrogen is not the best thing in the world.  Last time, we talked about estrogen dominance and how that can influence having more PMS symptoms like bloating, for instance, and being more weepy on your period.  If you’re not having your period, then you’re basically reabsorbing the estrogen and that could by your PMS looks that way.  But I digress.

Alyssa:  I have one question before we move on to whatever you want to talk about next.  Even with, like, what we’re putting on our body and our environment — so there are things that are called hormone disruptors, things that will disrupt your hormones, right, like in the products that we’re putting in and on our body?

Dr. Nave:  Yes.

Alyssa:  What do you know about that?

Dr. Nave:  Those are parabens or phthalates.  They’re actually made from crude oil, which is refined and you can get parabens and phthalates.  You get mineral oil from it; you get the gas that you put in your car from it.  All of these things come from this product.  Why parabens and phthalates are an issue is that, basically, they act like estrogens.  Then that can be part of the estrogen dominance.  It can also affect increased risk for breast cancer.  It can affect mental and emotional health because remember I said that estrogen can increase weepiness or having a lower mood on your period.  Ovarian cancer; you have an increased risk for that because it’s an exogenous estrogen.  It acts like estrogen; technically it’s not estrogen, but our bodies respond to it in that way, which can also lead to extra weight.  On the topic of weight, if you want to lose weight before getting pregnant, you would want to do that in a year before trying to conceive because with exposures to things like parabens or phthalates, which — technically, they’re solvents, so you would usually pee them out; however, if you have higher levels of them or if you’re being continuously exposed to it, our bodies store it as fat.  Then, when you’re trying to lose the weight, you’re releasing it back into your bloodstream, which can create symptoms like headaches or feeling really lethargic when trying to work out.  It’s not necessarily because you’re working too hard, but it could because your body is working on detoxifying or biotransforming these things so that they’re no longer toxic to you so you can pee it out and poop it out.

Alyssa:  So if you need to lose weight, that needs to happen before this twelve-month timeframe of detoxing before you get pregnant?

Dr. Nave:  It can happen in that twelve months.  You can start it before that because then you don’t have as much to do during the twelve months.

Alyssa:  But it should be one of the things that you’re thinking about a year ahead of time?

Dr. Nave:  Yes, because there are so many things that we use on a daily basis that, if we really thought about them, I think most of us would be scared to leave our homes, but we have to live, you know.  We need things in order to live efficiently and not work as slow, I guess.

Alyssa:  Well, if you think about the chairs we’re sitting on.  These are as eco-friendly as we could find, but the majority of them — there’s sprays on everything.  I looked at the new pajamas I got my daughter, and it said the flame retardant — it said that I can’t wash it in soap because the flame retardant will come off.  I was like, no.  I’m washing it.  I’m washing all the flame retardant off, actually.  But you don’t think about that.  My daughter needs a new nightgown.  You buy her a nightgown, and it’s covered in a chemical so that it doesn’t go into flames.

Dr. Nave:  Yeah.  Another of the things that the woman can do to help get herself ready before even consulting with a physician is that, with regards to environment medicine, opting to eat the dirty dozen — you can look at www.ewg.com, so that’s the Environmental Working Group.  The release the dirty dozen each year, and these are the fruits and vegetables that are the most heavily sprayed.  Opting to eat those things in season and organic, as opposed to nonorganic, and what that will do for you is — pesticides have solvents, which parabens and phthalates are a type of solvent, so they have some of those components to them.  By opting for organic fruits and vegetables that are on that dirty dozen, you don’t have to do all your fruits and vegetables organic.  Preferably, if they’re thin-skinned, like if you eat the skin of it, like tomatoes and strawberries and berries, you would want to opt for organic, but if not, at least the dirty dozen.  Make sure those fruits and vegetables are organic because those pesticides have the endocrine disruptors.  They’re things that affect your estrogen and your progesterone, and it’s not just those things it affects but your overall well-being.

Alyssa:  So because it’s disrupting hormones, it can affect your ability to get pregnant, but let’s say even while doing all this, you get pregnant.  It’s essentially affecting, again, your growing baby?

Dr. Nave:  Yes.

Alyssa:  Because you’re disrupting the hormones that the baby is using to grow?

Dr. Nave:  Yes.  So if you’re already pregnant, don’t freak out.  Don’t try to lose weight.  That’s one, because you’re pregnant, so your body is trying to use all the energy to make baby, as well as the fact that we don’t want to release any of the stored toxins in your fat to the baby.  What you can do is, if you’re going to eat fish, make sure it’s not one that’s high in mercury.  Avoiding things like swordfish, and if you’re going to eat tuna, make sure that — I think it’s albacore tuna, but don’t quote me on that — you can look at the Environmental Working Group, and there are other resources as well that list out the fish that are lowest in mercury.  Looking at your skin care products and, as much as you can and as much as is possible, avoiding shampoos and skin care products that have parabens or phthalates or sulfates in them.  It’s also because sulfates rub down your skin and it’s not as moisturizing.  We want you to look glowing and magnificent!  You can avoid those things in your skin care products and your household items and the food that you eat.

Kristin:  So cleaning products, obviously, as well?

Dr. Nave:  Yes, cleaning products.  And if anything has any fumes and you have to spray it, make sure that you have all the windows and doors open so it can air out.  If you get your clothes dry-cleaned and you have a garage, leaving them in the garage to off-gas before taking them into your house.  If you don’t have a garage, if you have them in a room where you can remove the plastic and open the door and let them air out so that you’re not exposing yourself to those fumes.  Just do that.  And then after the fact, then we can address those things then.

Kristin:  And then they would meet with you for a consultation preconception to try to get their body as healthy as possible?

Dr. Nave:  Yeah, and even if she is already pregnant, what can we do to maintain the pregnancy while also minimizing her exposure to these environmental toxins.  And her addressing her mental health during that time, if she hasn’t already started that process.  Is she eating adequate amount of calories?  Since we’re on the topic of nutrition, prenatal vitamins — you would start that at a year out.  A year ahead of time.

Kristin:  And, obviously, food-based versus the generic that you get at the normal doctor’s office?

Alyssa:  Yeah, you know, you get free prenatals at the pharmacy but they’re basically junk.

Dr. Nave:  We have very good-quality ones as naturopathic doctors, and I think DOs also have really high-quality ones, as well.

Alyssa:  So for somebody who can’t afford it, what are those over-the-counter free prenatals doing?  Are they doing any good?

Dr. Nave:  Yes, because they have folate and they have an adequate number of B vitamins.  It’s like a multi that’s specifically geared towards not only the mother’s health but also making sure that the baby can develop well.  Folate is the one that I’m most thinking about at this present time because folate is important for neural development, like the spinal cord.  What happens if there is insufficient or no folate is that the neural tube doesn’t close, and then that can cause spina bifida, which is a preventable condition if the mom is getting adequate vitamins.  Folate is B9.

Alyssa:  Oh, folate is a B vitamin?

Dr. Nave:  Yeah, it’s a B vitamin, so it’s a water-soluble vitamin that’s very important for the neural tube development.

Alyssa:  So my best friend found out she has this, and what’s the name — your body can’t absorb folate.

Dr. Nave:  Oh, right.  I know what you’re talking about.

Alyssa:  So she actually had a really hard time getting pregnant because she was taking too much folic acid.  But if you don’t know you have this, then…

Dr. Nave:  If you don’t know you have it, if possible, choosing a supplement that has methylated B vitamins, so methyl folate as opposed to hydroxylated folate is better.  What Alyssa was talking about is call MTHFR.  It’s methylenetetrahydrofolate reductase, so that’s an enzyme that basically, when you take in folate, for most people, they can then attach a methyl group to it, which makes it bioactive. There’s this cycle that you need methylation to occur in order to make the B vitamins active, which is important for making your red bloods cells, which is important for energy production, which is important for getting energy from your food.  B vitamins — I think of them as, like, the power house side kick.  Almost every enzyme in the body requires B vitamins.  I have this lovely chart right here that shows the citric acid pathway, basically the utilizing our food to make energy pathway, and almost every single step in here requires two or three different types of B vitamins.  There are even B vitamins that are enzymes themselves and carry things along.

Alyssa:  You love B vitamins!

Kristin:  So the free prenatals are helpful, just not…

Alyssa:  It’s better than nothing?

Dr. Nave:  Yes, it’s better than nothing, but if possible, there are different brands that we use as naturopathic doctors that you can probably try to get on Amazon, like Ortho Molecular or Integrative Therapeutic Initiative, I think is the name of it, ITI.  SO I know those are pharmaceutical-grade, and when I say that, I mean that they have enough of the vitamin.  It’s beyond the recommended dose, like what the government says this is minimally what you need, and it’s of good therapeutic value, so we know that it will do what it says it’s going to do.  They tend to have more of the methylated form, so whether the mother has a different time methylating her B vitamins, or if she doesn’t, it takes out more work for the body to do so then it can go right to where it needs to go.

Alyssa:  That’s fascinating!  Is there anything we didn’t touch on?

Dr. Nave:  I don’t think so.  We talked about environment medicine and reducing your exposure.  We talked about nutrition and making sure you’re getting enough calories.  Oh — fish oil, vitamin D3, specifically, vitamin D3, because that’s the active form, and prenatal vitamins with regard to eating whole foods.

Kristin:  We don’t get enough vitamin D in Michigan anyway, and I know that — and, again, I don’t have a medical background, but I know a lot of research on preeclampsia shows a lack of vitamin D3.

Dr. Nave:  Yes.  Another thing about preeclampsia is calcium and magnesium.  If a woman starts to experience preeclampsia, making sure that — sometimes, it’s due to an electrolyte imbalance and not getting enough protein, so we would want to look at how much protein is she getting.  The ratio that we usually look for is at least 0.8 to 1 gram of protein per kilogram of weight, so however many pounds you weight, divide your weight by 2.2, and that tells you how many kilograms, and then it’s 0.8 to 1 gram per that number that she should be getting.  If she’s getting adequate protein and has enough calcium and magnesium, then she shouldn’t get preeclampsia.  If she has a history of hypertension, making sure we’re managing that, whether naturally or if she’s taking medication, as long as it’s not one that would interfere with conception, would help to prevent it from happening.  But even if a woman experiences preeclampsia, it doesn’t automatically mean that she will get eclampsia because we can still, at that point in time, address what’s going on.

Alyssa:  Right.  Well, thank you so much.  I just feel like we could keep going and going.  You probably have 80 other topics we could talk about.  We’ll just have you back once a week!

Dr. Nave:  Oh, I’d be down for that!

Alyssa:  We’ll set up a couple more!  Well, tell our listeners where to find you if they want to reach out.

Dr. Nave:  You can find me at our website, and you can find me on Instagram, @drgaynelnavend, and I’m also on Facebook at the same handle.

Alyssa:  Great!  Thanks again!

 

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Sleep Deprivation

How Sleep Deprivation Impacts New Parents

Becoming a parent is one of the most exciting and scary milestones of a person’s life. It’s likely your emotions will run the gamut from excited anticipation and joy, to fear of the unknown and uncertainty about what’s ahead and how you’re coping with parenthood. Managing night time feeds, tending to your baby throughout the day, and trying to keep up with your other responsibilities as you acclimatize to parenthood can make sleep difficult. While this is somewhat expected, sleep deprivation can have a serious impact on the health of new mothers and their babies, so it is important to get as much rest as possible.

The importance of sleep for new parents
The diminished quality and quantity of sleep that new parents often experience can result in physical and mental fatigue and an increased risk of postpartum depression. Prolonged lack of sleep or poor sleep quality can also increase the risk of diabetes, weaken your immune system, reduce attention and focus, and impair hormone production, causing weight gain, loss of libido, and moodiness.

Because our bodies require sleep to function correctly – and a specific amount of sleep that allows us to cycle through the various sleep stages several times throughout the night – a dip in the standard or quantity of hours we accumulate asleep in bed can have a far-reaching impact on our health and quality of life. One recent study found an association between poor sleep quality and postpartum depression.

There are two main phases of sleep – NREM (non-rapid eye movement) and REM (rapid eye movement, when dreams occur). Throughout these stages, specific changes and functions are carried out in our bodies and brains. NREM phases are when most of the physically restorative processes of sleep are performed. Our muscles and cells are repaired, our immune system is boosted, and the deep sleep of stage three NREM is what’s needed to wake feeling refreshed in the morning.

REM sleep occurs around 90 minutes after we first fall asleep and NREM phases are complete. This is the dreaming phase and the time that our brains process the salient and emotional experiences from waking life. When our body doesn’t get the required amount of sleep, it is unable to consolidate all the emotional and experiential data we have collected while awake, neither is it able to complete the physically restorative processes we need to feel refreshed and energized. That’s why we feel fatigued, forget things easily, and may find it difficult to manage our emotions.

Tips for getting the right amount of sleep
While some disruption to your sleep is to be expected as you adjust to the new normal; the good news is that there are a range of tactics and strategies you can employ to still get the amount of sleep your body needs.

Create the right environment for sleep:
When you do head to bed, it is important that you are able to drift off to sleep as quickly as possible so you can maximize your sleep time. To create the right environment for good sleep, keep your bedroom cool and dark. Light affects our melatonin production and signals to our brain that it’s time to get up. Turn the baby monitor down too so their snuffles and murmurs don’t disturb you, but you’ll still wake if they cry out for comfort. If you do have trouble falling asleep, try a wind-down relaxation or mindfulness meditation that will help calm your mind and body.

Share the responsibility:
Taking care of a baby is a 24/7 job that requires constant activity and emotional resilience. No one should expect that they can do this on their own.

Negotiate a schedule with your partner that lets you share nighttime feeds, diaper changes, and those evenings when baby just doesn’t want to go to bed. It’s necessary to ensure you have the right support so the sleep and health of you, your partner, and baby don’t suffer.

Accept help:
Have you ever heard the African proverb “It takes a village to raise a child”? This isn’t just about the direct interactions; it’s all the support functions that are needed to raise a happy healthy child too. Don’t be afraid to ask for help with the cooking, cleaning, endless laundry, groceries, or just holding your baby for a while so you can have a shower and dress! The everyday, mundane tasks that were so simple pre-baby can take monumental effort to complete once there’s a baby in the house. Most people know this and will be happy to lend a hand.

Embrace the nap:
Babies rarely sleep for more than four hours at a time. While this is a major contributing factor to those interrupted nights, the multiple two to three-hour naps your baby takes through the day provides ample opportunity for you to rest too – if you let yourself. Resist the urge to catch up on chores and instead take a half hour nap that will help manage your fatigue. Avoid sleeping longer than 45 minutes though as this will adversely impact your night’s sleep.

Christine Huegel is on the Editorial Team of Mattress Advisor, covering a variety of topics pertaining to sleep health in order to help people get their best night’s sleep.

Image via www.pexels.com.

 

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Postpartum Depression

Supporting a Postpartum Mother: Podcast Episode #79

Elsa Lockman, LMSW of Mindful Counseling talks to us today about how partners, family members, and other caregivers can support a mother during those critical postpartum weeks to ensure she seeks help if needed.  How do you approach a new mother and what are her best options for care?  You can listen to this complete podcast episode on iTunes or SoundCloud.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin, and I’m here today with Elsa Lockman.  She’s with Mindful Counseling, and we are talking about how partners and other caregivers and family members can support a woman who has potential signs of postpartum depression or mood disorders.

Elsa:  Yes.  So postpartum is going to be an emotional time, so tears, some anger, sadness, are all part of the experience.  After about two to three weeks out, if spouse or a friend or a mother is noticing maybe a mom is crying more than usual, isn’t really looking forward to things, has these unusual fears that they can’t seem to let go of.  Another sign would be not seeming to eat very much or either sleeping a lot or not being able to sleep when the baby is sleeping.  If they’re noticing those signs, it would maybe be a sign that they could go talk to somebody as far as a therapist or go see their doctor.  Approaching Mom would be in a way to not criticize mom as if she’s doing anything wrong.  She’s not doing anything wrong, so start off with validating, actually.  She’s doing a great job with how hard it is; validate how hard she’s working, and try to tell her that it doesn’t have to be this way.  She doesn’t have to do it alone.

Kristin:  How does the caregiver know if it is baby blues or if it’s something that she needs help for?  Because, of course, there can be that hormonal fluctuation.  They may be teary.

Elsa:  Baby blues usually stops after three weeks postpartum.  So after that would be maybe a sign that there’s more going on.  But I would say, is it getting it the way of functioning?  Is it getting in the way of relationships?  Is it getting in the way of their working in the home or outside of the home, getting those things done?  To a degree, that is expected postpartum; not everything running smoothly, but are relationships being affected?  Those would be signs that it’s more than just baby blues.

Kristin:  How can a spouse, partner, or caregiver be supportive in order to empower her to get help?  Is it best for them to directly reach out for help for her if they’re seeing signs, or what do you recommend?

Elsa:  I recommend the mom reaching out, so that would be encouraging Mom to reach out herself.  And maybe she needs to talk to a friend and have more time with friends or more time to herself; maybe that would help.  See how that works.  If that seems to help and is enough to alleviate whatever stress is going on, then that works, but maybe if it’s not working, then take it to another level, which would be contacting a therapist or your doctor.

Kristin:  And since, obviously, women have multiple doctors — they’re seeing their OB or midwife and family doctor and their pediatrician — does it matter who they’re speaking with about getting help?

Elsa:  No, it wouldn’t matter who you see.  Usually the OB would be the person that they’ve seen most recently, but they can even bring it up to the pediatrician, since moms see the pediatrician very often.

Kristin:  And as far as getting help for our local listeners and clients, they can reach out to you directly?  How do they access you at Mindful Counseling, Elsa?

Elsa:  They can go to the website, and they can contact me through there.  Another resource would be Pine Rest, and through your OB’s office, there also is a list of therapists who specialize in perinatal mood disorders, which includes postpartum depression and anxiety.

Kristin:  That’s so helpful.  And in past conversations, you had mentioned that women can bring their babies to therapy; that you allow that with clients you’re working with, and I know Pine Rest encourages that with their mother-baby program?

Elsa:  Yes, for sure.  Bring your baby to the session; you can feed the baby, breastfeed, anything.  Coming with your baby is welcomed and encouraged, for sure.

Kristin:  Do you have any final thoughts or tips to share?

Elsa:  Just that it doesn’t have to be going through this alone.  It’s very normalized for women to feel that anxiety is just part of the postpartum experience or feeling depressed and stressed is part of it, and while it might be a new phase and there’s a lot going on, it doesn’t have to be that women are just suffering through it.

Kristin:  Great point.  Thanks so much, Elsa, for being on!

 

Supporting a Postpartum Mother: Podcast Episode #79 Read More »

Jen Serba Doula

Meet our new doula, Jen!

 

Meet Jen Serba, our newest postpartum doula. She filled out our standard Q&A so let’s get to know her a little better!

1) What did you do before you became a doula?

I began my medical career 17 years ago when I became a Medical Assistant (MA) fresh out of high school. I was an MA in many settings including Internal Medicine, Family Practice, Radiology, Obstetrics, and Dermatology. I obtained my Associate’s degree in Nursing in 2016. During the nursing leadership rotation, I worked independently in Labor and Delivery at Spectrum Health and found that to be the most rewarding work and best fitting department. Since obtaining my nursing degree, I have been working in Interventional Radiology at both Metro and Spectrum Health Hospitals.

2) What inspired you to become a doula?

I was inspired to become a doula because I always enjoyed working in women’s health. I thought working one-on-one with woman outside and inside the hospital setting would further my appreciation and empowerment of woman’s healthcare. I especially enjoy talking with other mothers and sharing the emotional stories and the unique birthing experiences they had with their loved ones.

3) Tell us about your family.

I have an amazing and supportive husband along with four beautiful children ages 5, 7, 9, and 17. They are all funny, wild, rambunctious, young women, and the most beautiful thing that has ever happened to me. I have been blessed with an amazing support system. Without the support of my family, I would not be where I am today! My husband and I have known each other since high school. We’ve been married for 7 years and we have been together for 13. We have a little King Charles Cavalier named Chevy who spends alot of time sitting around and taking it easy. As a family we love spending time outdoors, going to the beach, going on picnics, exploring fun new parts of the city as well as the state, baking, singing, doing yoga, and kayaking.

4) What is your favorite vacation spot and why?

My latest vacation experience was Pictured Rocks in the Upper Peninsula. I was amazed by the natural treasure we have here just a few hours away. You do not have to go too far to have a fun vacation in Michigan!

5) Name your top five bands/musicians and tell us what you love about them.

I love most genres of music but these are a solid five.

Fleetwood Mac is my top favorite since I have always listened to them. High school friends, love, freedom, car rides in the country, anything goes well with Fleetwood.

Elton John. I pretty much love Elton John for the same reasons as Fleetwood! My husband proposed to me with Elton on in the background along with a fun scenario I may tell you about if we get to know each other better.

Justin Timberlake. No explanation needed.

Led Zepplin. Their music and lyrics have a sound unlike any other band. Jimmy Page and Robert Plant are the pillars of rock and roll, and anytime I am hanging out and doing whatever and Zepplin comes on, it takes me back to some fun times.

Lauren Hill. Her voice is so smooth and her music makes me really relaxed!! Enough said.

6) What is the best advice you have given to new families?

Accept help when it is offered and try not to hesitate to ask for help when you need it. In the beginning when you first have your child, hold them, love them, carry them. Find someone else to help out for you in the beginning and enjoy the time with your kids. You will be surprised by how much people love to help. Sometimes the people you least expect will be the most help.

7) What do you consider your doula superpower to be?

I consider my superpower to be my ability to provide calmness, comfort, and confidence in any situation.

8) What is your favorite food?

Grilled salmon, redskin potatoes, and asparagus!

9) What is your favorite place in West Michigan’s Gold Coast?

I really enjoy visiting Traverse city, MI.

10) What are you reading now? 

Brene Brown’s Rising Strong

11) Who are your role models?

I have many role models and can’t boil it down to just one. I’m inspired by women who are empowered by their beliefs and true to themselves. I am also inspired by anyone who stands up for what they believe in and also those who stand up for others.

 

Meet our new doula, Jen! Read More »

Jamie Platt

Jamie’s Breastfeeding Experience: Podcast Episode #76

Jamie Platt, Birth and Postpartum Doula with Gold Coast Doulas, tells us about three completely different breastfeeding experiences with her three children.  This podcast was recorded over a year ago, and Jamie is now a certified lactation counselor.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hi, welcome to another episode of Ask the Doulas.  I am Alyssa, your host for today, and today we have a special guest, Jamie.  Hello!

Jamie:  Hi!

Alyssa:  Thanks for coming!  So we were talking the other day, and you’ve had three really, really different experiences with breastfeeding with your three children.  Tell us a little bit about your three kids and how breastfeeding went differently for each of them.

Jamie:  Sure!  So I have three children.  My oldest son, Noah, is 14.  And then my two younger children are five and three.  So I was a young parent and gave birth to my oldest, Noah, when I was 21.  My breastfeeding journey with him was very short and limited.  I knew I wanted to breastfeed, and I received a manual pump, I remember, at my baby shower.

Alyssa:  Did you even know what it was?

Jamie:  No!  No one ever showed me how to use it.  I knew what it was for, and that’s it.  And I remember in the hospital, no one ever gave me any tips about breastfeeding.  It was expected that I was going to breastfeed.  My mom breastfed all three of us for over a year.  It was challening not knowing what to do with breastfeeding.  The funniest story I remember from that journey was, since I was young, I went back to work right away.  I was coaching volleyball at the time, and I went to a tournament and coached all day.  I didn’t bring a pump; I didn’t know that I was supposed to be pumping this whole time.

Alyssa:  That’s what this whole manual pump was for!

Jamie!  Yes!  And I looked down during a break at a game, and my shirt was all wet!  I had leaked through my shirt, so I had to put a sweatshirt over me, and of course, it was so hot in the gym all day.  And shortly after that, I stopped nursing.  I don’t recall how old my son was, but it had to be within a month or two.  And so I wish, looking back, that someone had sat down with me, shown me what I needed to do to nurse and to pump, but that didn’t happen.

Alyssa:  Do you think that it lasted such a short period of time because — I mean, did your milk supply just dry up because you were back at work and not pumping?  Or did you just say, I’m so over this; I’m just going to stop?

Jamie:  It’s hard to remember the details.  I just remember stopping.  I was in school at the time and working, and just one day, I stopped.

Alyssa:  So a lot of things all mixed together, I’m sure.

Jamie:  Yeah.  So when my second child was born — he’s five now — I knew I wanted to do things differently.  I was older and wiser; knew a little bit more about breastfeeding, but still not enough to know what to do in certain situations.  I nursed him until he was about 18 or 19 months old.

Alyssa:  Wow!  So you learned a lot more, then.  I mean, in nine years time, to go from one month to 19 months.

Jamie:  True.  There were just a few different barriers along the way.  I was a single parent, so I went back to work when he was around three months old.  However, he wouldn’t take a bottle at the time, so with that situation, my sister came to my home and was watching him for me, but she would bring him to my work, or I would quick drive home on my break just to feed him, and that lasted a good one or two months.  And I knew what to do at the time, as far as I was trying different bottles, but I did feel quite alone trying to figure this out.  And then while working, I pumped for over a year.  Another obstacle I had to overcome was with coworkers.  A friend of mine told me that a coworker complained to my manager that I was still pumping, and my child had reached a year old, so I shouldn’t have these pumping breaks anymore.  And the manager never said anything to me, but I had heard this through the work grapevine.  I also had an experience around the time he was a year old with his pediatrician at the time.  We went in for his one year well child check, and they ask you if you have any questions.  And I asked about nighttime feedings.  I think that’s a popular topic.  He was still feeding through the night, and it didn’t bother me, but at the time, I thought it was something to bring up.  The pediatrician told me that I had to stop nighttime nursing immediately, that she had done it with her kids; he’ll be fine, that he was going to get cavities — which we know from research that that is not true.

Alyssa:  Cavities from breastmilk?

Jamie:  Yes, during the night.  That’s still kind of a popular myth that’s out there.  And the big thing she told me was that he wouldn’t be potty trained by the time he was eight, and that sticks into my mind because she chose the year eight.

Alyssa:  Okay, that’s really confusing.  If you breastfeed your one-year-old at night, they won’t be potty trained when they’re eight?

Jamie:  Yes.  So this wasn’t our usual pediatrician; she had stepped in.  And immediately after she told me these things, I wanted to leave.  I stayed, but she could tell that there was a problem because I was silent.  She asked me if there was anything wrong, and I said yes, I don’t agree with anything that you’re saying!  The visit ended shortly after that.  I was kind of angry that she was telling me these things because I knew better.  So I called my dentist’s office, and I asked them about the cavities with breastfeeding.  I reached out to other individuals that I knew were very knowledgeable about breastfeeding and asked them different questions, and I ended up looking up scholarly articles, anything that had to do with research, that I could bring back to her and tell her that she was wrong.  I ended up calling the office a few days later.  I had all my stuff in front of me when I called.  I spoke to the manager, and I ended up speaking to the pediatrician.  I remember telling her that I felt sorry for her patients that believed everything she told them.  I said, “I am an educated person, but some people might not know as much about breastfeeding or they don’t know to do the research about it before making a decision, and they would go along with what you said.”  And she apologized.  She said she had no research to back up the potty training claim.

Alyssa:  Oh, wow.

Jamie: And she did end up sending me something in the mail, as well.  Ever since that encounter is when I became passionate about breastfeeding and being up to date on the research about it, sharing with others about it.

Alyssa:  And you joined several lactation support groups, correct?  You belong to a couple now?

Jamie:  I am on a couple of local Facebook groups about breastfeeding, and I talk to a lot of my friends about breastfeeding.  I just really want to educate people more about it, after that encounter.  So that’s just when I really started to delve into researching more about breastfeeding and the benefits that it has for both mother and baby.

Alyssa:  So what happened after the pediatrician visit and you realized that information was wrong?  Did you continue nighttime feeds?

Jamie:  I continued nighttime feeds.

Alyssa:  No cavities, and he potty trained?

Jamie:  No cavities, and I left that office and found a new pediatrician.  He’s a healthy, happy little boy.  He did end up weaning on his own because I was pregnant with my youngest at the time, and I could tell that had something to do with that.  But I was the working, pumping mom.  I brought my pump to work every day.  And it is a lot of work to pump at work, making the time to take those breaks.  I worked in a busy medical office, and it is hard to say, “I need to do this for my child,” when you know that other people are picking up your slack for a little bit.  But I think if, as a culture, we all realize that breastfeeding is good for mom; it’s good for babies; it’s good for our society.

Alyssa:  And aren’t there studies that say that women who breastfeed actually overall have a better sense of self-esteem, better sense of self, almost?  Like, they are actually more productive, even though we like to look at them and say, oh, well, I have to pick up your slack while you’re pumping?  Well, you know what, because you’re pumping, you actually are more productive when you are working.  Does that make sense?  I swear I’ve read things about that.

Jamie:  I’m not sure about that, but I do know that research shows that mothers miss less work because their babies are sick less and they’re not taking their kids to the doctor.  So it’s better for the economy overall.  We actually save millions of dollars; the United States saves millions of dollars every year through moms breastfeeding, so it’s important that you support your coworkers if they’re nursing.  It’s for a relatively short time in the grand scheme of things, and it’s great to also find those breastfeeding buddies at work.  I had other moms that nursed.  I had my nice, double electric pump, and it hurt when I pumped, but I never could figure out why, and finally I complained about it to a coworker who was also pumping.  She was a little more experienced mother, and she helped me realize that part of my pump was too small.

Alyssa:  Were the nipple shields too small?

Jamie: The flanges were too small, yeah, so I had to buy new ones, and that made a world of difference.  So it’s really helpful to find a more seasoned breastfeeding friend who can help you along your journey, because there’s lots of little things that you may not know about.

Alyssa:  Or a lactation consultant, right, if you get into those serious binds?

Jamie:  Yes.  Thankfully, I’ve never had mastitis or a clogged duct, but if I did, I definitely would have called a lactation consultant for help.

Alyssa:  So tell us about your third child.  I think your youngest has been a little bit longer, so tell us how that journey went.

Jamie:  Yeah, so my daughter turned three on Halloween, and I am still nursing her.  So this is definitely another new experience for me.  I would never have imagined I would be nursing a child for this long.  I have realized that I did have some preconceived notions about extended nursing; maybe some judgmental thoughts about it, as well.  And I honestly still struggle a little bit with those internally myself as I’m still nursing, thinking, man, you know, you should really stop; you should be done.  And while I would love to be done, I do want my daughter to wean on her own.  I tell myself I am decreasing my risk of ovarian cancer every time I nurse!  Even when you nurse your baby longer than the one or two years, it’s still healthy for Mom and it’s still healthy for Baby, and it’s been a very different experience doing this.

Alyssa:  So tell people what it looks like.  Having a three year old; it’s not going to be nursing every three hours.  Is it a nighttime feed kind of thing, or when she’s sick or tired?  Is it more like a comfort thing almost at this point?

Jamie:  It is more of a comfort thing.  She nurses at night.  However, I’ve been on three or four extended trips, and by extended, I mean I’ve been gone for four to six days at a time at conferences, and thinking every time I leave, this will be our last nursing session, and I come back and I don’t bring it up, but she still wants to nurse.  So it is usually just at night; if she’s feeling sick, then she’ll nurse a little bit more.

Alyssa:  And you don’t lose your milk supply after six days of being gone with no nursing?

Jamie:  I did not.  The first time I went away, she had just turned two, and it was the first time I had ever been away overnight from her, actually, when she was two.  So I did bring a pump with me, but I didn’t produce a lot when I pumped, so I knew that for my next trip, I wasn’t going to bring a pump with me.  But I still have a supply, and I was lucky enough with her, as well, to stay home with her for almost the first full year and nurse, and that was just a blessing.  I hadn’t been able to do that before with a child, and it was so nice not to have to pump for that time!  And then right around a year is when I started nursing school, and so I would pump when I was away from her.  And I finally decided to stop pumping.  Pumping is so hard!  If you’ve done it, you know!  And we’ve just been nursing ever since.

Alyssa:  Well, it sounds like a lovely plan.  You know, you say you had maybe judgments about nursing for that long.  What still bothers you that you think shouldn’t, or what have you had to tell yourself to get those thoughts out of your mind?

Jamie:  It’s still hard to get over the way our culture thinks about breastfeeding.  That you shouldn’t breastfeed in public; Mom should cover up; anything over a certain age is gross or weird, or why are you doing that?  Once they have teeth you should stop; once they start talking and can ask for it, you should stop.  All these different things our culture tells us about breastfeeding is a little backwards.  We know, if we went to a different country or a different culture, that things are definitely different than they are in the United States, but it’s just the media that always sexualizes breastfeeding as well, and you grow up with that.  So you’re growing up in this culture that sexualizes breasts, when we know that you use them also to breastfeed your child!  And so for me, it’s just getting past those thoughts that I’ve had growing up about breastfeeding and just telling myself this is normal and it’s okay to do.  It’s not hurting anyone.  It’s my decision as a mother.  It’s been a really neat and wonderful journey that I never though I’d be on.

Alyssa:  Well, and I imagine nursing a three-month-old and a three-year-old, you’re probably not going to attempt to breastfeed your three-year-old in public.  Or have you?

Jamie:  I don’t, but she doesn’t ask to, either.

Alyssa:  So it’s almost like you guys have this unspoken thing; that it’s something in private that you two do together, and I’m sure it’s still this amazing, beautiful bonding experience, just like it is with a newborn.

Jamie:  Definitely a strong bond, and again, I as a mother and a parent and working, I did reach a time where I wanted to be done.  I’m like, okay, we can be done with this now!  But I’m just letting her take the lead with it, and I can tell you that I do hope she’s done relatively soon!  I have another week-long trip coming up in three weeks.

Alyssa:  Maybe that will be it?

Jamie:  Yeah, we’ll see if that’s the end of our journey.

Alyssa:  You know, I wonder culturally, too, if it was a son who was three, would it be different, because of the sexualization of breasts?  Would it be different if it were a boy?  I don’t know; can they remember that at three when they get older?  I don’t know.  Just a thought that I wonder if that would make a difference.

Jamie:  I’m not sure.  I’m sure that for some people, a boy versus a girl breastfeeding is different.  I’ve had people very close to me tell me I should stop breastfeeding.  This was with my middle son when he was around six months.  I was still nursing, and I got asked, when are you going to stop?  He’s six months old!  And I tried to throw all the evidence-based research at them to show them that this was still okay; the AAP and WHO, all these big organizations say you should breastfeed until one.  And so then I got to one, despite people telling me to stop.  I just pretty much ignored them because I can be stubborn like that, and when he turned one, I got the same comments again.  When are you going to stop?  And it’s funny that once I just plowed through all the negativity and judgmental comments, I haven’t had those same comments with my last child, because I think those people know — well, obviously, she’s three now, but when she was younger, they knew I was going to continue breastfeeding her for as long as I wanted to.  So people may not talk about it a lot, but I have had the challenges at work with comments from people; I’ve had people very close to me have very negative comments about breastfeeding, and you see all the big media stories that just happen to pop up because social media is so prevalent now.  It is everywhere, but there’s all those things that women that you know may be experiencing but they don’t talk about it.  It doesn’t reach the news.  And so we really need to support everyone in their own breastfeeding journey because you don’t know what someone may be going through.

Alyssa:  Right, and I think as postpartum doulas, we have a unique experience and a unique opportunity to deal with this with new moms right when they come home with their babies, to really help support them.  Maybe we are that one person who’s cheering them on, in the face of everyone else who’s saying, why in the world would you do that?  Or isn’t that weird?  I remember having friends saying things that were trying to make it sexual when it’s not at all!  It’s something you can’t even describe to someone who doesn’t understand, this crazy bond.  And I get that.  Like, you so want to quit; some days, you’re just like, God, when is this going to be done?  But then when it finally is, you don’t get that back!  And then you actually kind of miss it.  It’s like you don’t know what you’ve got until it’s gone.  And I do; I think back on it.  My daughter just turned five, so it’s been a long time since she breastfed, but I think back to those days, and there’s nothing like it.

Jamie:  One of the things that I really love about being a postpartum doula is the fact that I get to help mothers with breastfeeding.  That’s something I really enjoy, especially — they may have gotten some help from the lactation consultant at the hospital, but when they get home, that’s another ballgame.  Problems can start to arise.  They don’t feel confident anymore.  They think their milk’s not coming in.  So it’s really a blessing to support them.

Alyssa:  That’s one of the biggest fears for moms, I feel like, who are breastfeeding, is how do I know that the baby’s getting enough milk?  How do I know that the latch is right?  How is this supposed to feel?  There’s just so many questions about this thing that’s supposed to be so natural.  Like, we have boobs to breastfeed and it should be so natural, but it’s sometimes one of the most frustrating and difficult parts of having a baby, I feel like.

Jamie:  Definitely.  I would strongly recommend, if you are having problems with breastfeeding, there’s a lot of community support right in our own area.  There’s breastfeeding support groups from the hospitals; Le Leche League; we have wonderful lactation consultants in our area that will go to your home.  So it’s really important to utilize the resources that you have and reach out for help.

Alyssa:  Shira is our in-house lactation consultant, and having that consult in your home: it’s quiet; it’s one-on-one.  There’s nobody in the hospital coming to check your blood pressure and poke and prod you.  She spends two hours with them at that first visit, and she really gets to know you and what’s going on and figure out a solution.  So I feel like, yeah, that’s — I wish; if only I had known Shira four and a half years ago!

Jamie:  She’s very knowledgeable!  I do have lots of friends who ask me questions about breastfeeding, but I have sent her a quick text to say, hey, this is out of my scope of knowledge; can you help me with this problem?  And she helps me out.

Alyssa:  I think it’s great to have the support of postpartum doulas, and you have even more extensive knowledge than I do because of all the groups you’ve been in and the research you’ve done.  I’ve breastfed one child; you’ve done three.  I feel like we can do only so much for clients, though.  It’s good to know that they have a resource beyond our scope, to really help with the hard things.

Jamie:  Definitely!

Alyssa:  Well, thanks for sharing your stories!  If anyone has questions about breastfeeding or more questions for Jamie, in particular, you can always reach us at info@goldcoastdoulas.com.  Remember, these moments are golden!

 

Jamie’s Breastfeeding Experience: Podcast Episode #76 Read More »

Working Mom

HOW TO TAKE A SOCIAL MEDIA BREAK ON MATERNITY LEAVE

We are so very excited to share this guest blog with you because not only is the author an amazing mother and entrepreneur, but she is also a past client. With over 10 years experience in social media strategy and digital marketing, Chris found her purpose after having her daughter. Pre-baby, she was a self-proclaimed “hustle-a-holic” with no intention of slowing down. Because of her failure to plan a proper maternity leave, she entered motherhood with all the grace of a knock-kneed baby giraffe. Biz Babysitters is the outcome of this struggle. Chris made it her mission to prevent as many women as possible from going through what she went through by supporting them postpartum.

The average person spends 142 minutes on social media every day. Seem low? Remember, this count includes your Grandpa who doesn’t know what a DVR is. For the average business owner, it’s not surprising that this number is higher by, um, a lot. And here’s the catch – for most of us, the amount of time we spend actually in our social apps pales in comparison to the amount of time we spend thinking about what to post. With such a huge importance and energy suck in our day-to-day lives pre-baby, it’s imperative for pregnant (or planning to be pregnant) business owners to consider what the heck they’re going to do with their social media in their postpartum before it arrives.

Just like every other step of the entrepreneurial journey, there’s no one perfect one-size-fits-all solution. Rather, it’s a customized series of decisions, based completely on your own preferences. You’ve got the power and you know yourself and your business best.

Today, I’m going to walk you through three options for logging off of social media in your postpartum time, as well as the potential pros & cons, and some recommended resources for taking action.

By now, we’re all becoming more and more aware of the negative effects of social media on our mental health. We’re also becoming more aware of perinatal mood disorders. With the two of these worlds overlapping postpartum, there’s a strong case for taking your business’ social media off your plate in your maternity leave.

Ready to get started? Here are your three options for logging off…

1. HIT PAUSE.
This is the most straightforward – it’s literally just stopping.

It’s a beautiful option for those whose businesses don’t rely on social media for lead generation or marketing. If you decide to go this route, I recommend giving your audience a heads up ahead of time and letting them when to expect you back. No one likes to be ghosted. A potential downside here is that an inactive account cannot build business and can start to gather dust (i.e. lower visibility) from your absence.

*Recommended resource: You

2. OUTSOURCE IT.
Hand off the reigns.

Outsourcing works well for those who want to keep a thriving social presence and continue garnering leads, but are unsure what their own capabilities will be in their immediate postpartum. When outsourcing, I recommend investing in an expert with a vetted system for onboarding to minimize the stress and time investment on your end.

*Recommended resource: Biz Babysitters

3. AUTOMATE IT.
Schedule it and step away.

This involves some legwork ahead of time, but keeps an active presence while freeing up some mental hard drive. For scheduling, I love the Later app, which can handle both Instagram and Facebook. It gets bonus points because you can use it from both Desktop and your iPhone. Automation is great for business owners who want to DIY it. The potential downside of automation is overwhelm and an increased temptation to “check in” (which is a slippery, slippery slope).

*Recommended resource: Later

The cool thing is that there is no wrong answer – just an array of selections that can all be customized to fit your exact, unique desires. The important part is to take your business’s social media, which can be an ever present monkey on your back, off your plate so you can focus on what’s important – your own healing during this important transitional time.

No matter which route you choose, you’re not alone. If you want support in your decision making, I’d love to chat. Reach out to me via DM on Instagram as @bizbabysitters.

In the comments, tell me… which of these three options calls to you most?

 

HOW TO TAKE A SOCIAL MEDIA BREAK ON MATERNITY LEAVE Read More »

postpartum doula

Benefits of A Postpartum Doula and Why Should You Hire One?

Author Bio: Roselin Raj is a journalist and a writer. She has been writing extensively on health and wellness related topics for over a decade. Besides her professional interests, she loves a game of basketball or a good hike in her free time to fuel her spirits. “Health is wealth” is one motto of life which she lives by as well as advocates to every reader who comes across her blogs.

In the months leading up to my first delivery, I had many emotions ranging from excitement to fear. The idea of delivering a baby was daunting and had occupied my headspace completely. Though I had a consulting doctor and limitless information on the internet, getting the personal assistance and care from a doula did the trick. 

According to What To Expect, “Doulas, who offer non-medical emotional support, are growing in popularity in the delivery room (or birthing center), but many also do postpartum work, helping new moms navigate the stressful, bleary-eyed early days of parenthood. Here’s why you may want to consider hiring a postpartum doula to help you through the fourth trimester.” With the rising popularity of doulas, let us understand what a postpartum doula is and how they help expectant mothers through and post pregnancy. 

What is a Postpartum Doula?

As mentioned earlier, a doula is a trained professional who guides mothers with information, emotional and physical assistance before, during, and a short while post birth. The guidance and assistance are given to expectant mothers to make the process a healthy and less stressful experience. However, a postpartum doula extends their assistance until the baby has adjusted with the family. 

A postpartum doula is skilled to assist with a variety of needs and requirements according to each family. For instance, once the baby is born, all the attention is directed towards the new bundle of joy. But the physical and mental health recovery of a mother is very important. A postpartum doula can help the mother ease into motherhood, provide necessary information on caring for the baby or help with breastfeeding issues, and much more. But a postpartum doula is not a nanny and helps the mother emotionally to recover after the birth of the baby, bond, offer newborn care, sibling care, and lighten the load of household tasks.

Benefits of a Postpartum Doula

The work of a postpartum doula extends post birth, unlike a birth doula. The postpartum doula’s main purpose is to make the mother comfortable with the baby and support her in doing so. The tasks may vary from mother to mother, and she is equipped to do the best in any situation. Here are a few of the tasks a postpartum doula can provide:

Postpartum Care for the Mother

Once the baby has been delivered, the mother requires a lot of caring and help. The basics involve eating healthy food, drinking water at regular intervals, and most importantly, rest. A postpartum doula will help in cooking, running errands, etc. to allow the new mother to recover. In the case of c-section delivery, she can assist the mother with the newborn, household tasks, offer support and resources, rest and healing, and aid in hassle-free recovery. 

Women are usually emotionally weak post-birth with chances of depression and anxiety. Postpartum doulas can help create a stress-free environment, take care of the baby, and be emotionally available for the new mothers. 

Breastfeeding and Newborn Support

Postpartum doulas are equipped with complete knowledge of handling newborn babies, and they help mothers to ease the process of parenting. The next big challenge after giving birth to a child is often breastfeeding. And as you are probably aware, it can be a challenging experience for both the mother and the baby. 

In such cases, the doula helps with information on newborn behavior, soothes the process of breastfeeding or transitioning to bottle feeding. If further breastfeeding support is needed, she can offer local resources to an IBCLC (Board Certified Lactation Consultant).

Finding the Perfect Doula for You

Doulas can be found through word-of-mouth or going through service providers to find certified doulas as per your needs. The idea is to get a suitable doula who is certified, experienced, and well-synced to you and your family requirements. Before hiring a doula, talk to the agency regarding their qualifications, certifications, insurance, etc. to get a clear idea of who you are hiring. 

Doulas or the agencies usually charge for services by the hour, location, services required, and the experience of the doula. There may be provisions to use your Health Savings Account (HSA) to hire a doula. Clarify with your insurance provider or the doula agency before going ahead with the plan.

Photo credit: The People Picture Company

 

Benefits of A Postpartum Doula and Why Should You Hire One? Read More »

Biz Babysitters

Postpartum Support for Business Owners: Podcast Episode #74

On this week’s episode of Ask the Doulas, we chat with Chris Emmer, owner of Biz Babysitters, about postpartum life and owning your own business.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  This is Alyssa.  I am recording with Chris Emmer again.  Welcome to the Ask the Doulas Podcast.  How are you, Chris?

Chris:  Good, how are you?

Alyssa:  So we talked to you about sleep before, and today we’re going to talk a little bit about being a mom in business and how that affected us.  We were talking about this book you just read and the rage, the fire, that it lights under you about just how – I don’t know, would you say a mother in general, or would you say a whole family, is treated during pregnancy and how we’re just kind of disregarded during this postpartum time?  And how we wish more was part of the whole process.  You get pregnant, and you just get X, Y, and Z, instead of having to seek it out yourself and pay for it all yourself.

Chris:  Right, that’s the biggest thing is that there is this huge lack of support postpartum.  I guess I can only speak from my experience, but I felt like when you’re pregnant, you see the doctor every two weeks, and people open doors for you, and they smile at you, and you just hold your belly and you’re so cute.  And then you have the baby, and it’s like wait, what?  It’s just a complete shock, and it’s like, now is the time I need people to be nice to me!  This is the hard part!

Alyssa:  Yeah, you’re completely forgotten, and it’s all about the baby.  Nobody’s holding a door open.  I mean, how many moms do I see trying to struggle with a toddler in one arm and trying to push a stroller through a door, and I’m watching people walk by?  I’m running up to her, like, let me get the door for you!  Why are people just completely ignoring you?

Chris:  Blowing past you like you’re not there, yes.  Absolutely.  So, I mean, I don’t know what your birth experience was, but there was a six-week checkup or an eight-week checkup, maybe, and at that appointment, my OB said, and I quote, “You are a normal person now.  Go back to life as it was.”

Alyssa:  Huh.

Chris:  And I was like, but…

Alyssa:  I’m not!  And define “normal,” please!

Chris:  How do you know I was even normal before?  But yeah, and then that was it, and then she scheduled me an appointment for one year out or whatever, just a normal physical exam like you would have just as a person before kids.  And that just felt so shocking and kind of, to be honest, just cruel and unjust.  Like, you’re in this huge transition, the most incredible and important transition of your life, and the bottom drops out, and you’re completely alone there.  And we know that mental health is a huge issue postpartum, and there was really no education on that besides circling which happy face you feel like today.

Alyssa:  Yeah, we’ve been talking to pediatrician offices a lot because they oftentimes are the ones who see this mom and baby before the six-week checkup, so they’re the ones who are seeing this mom struggling with breastfeeding.  She’s crying all the time.  We can tell she’s not sleeping.  Let’s talk about her mental health.  Even though you’re here for me to see this baby, I’ll weigh the baby and do all the things I need to do with the baby, but let’s also ask Mom.  So thinking about tests, you know, different tests and not just picking the smiley face; let’s really ask you some real questions.  Because, yeah, six weeks is too long.  It’s way too long to wait to see a mom, and then to tell her that she’s normal and to go home and go on with life.  I mean, maybe somebody feels kind of back of normal again at six weeks, but sex is not the same at six weeks.  You might not even be completely healed, especially from a Cesarean.  Maybe breastfeeding is still not going well.  How do I deal with these leaky boobs?  What’s going on?  Nothing is normal!

Chris:  There is zero, zero normal, and I think in that circumstance, being told, “You’re normal now,” when on the inside you’re like, “This is anything but!  I feel like an alien in my own body and in my own brain and in my life!  Who am I?”  You look in the mirror and honestly have no idea who you’re looking at, and to be told you’re normal, then it adds, I think, a layer of shame, because you’re like, oh, I’m supposed to be back…

Alyssa:  They think I’m all right, so what am I doing wrong?

Chris:  Yes, and then I think of the way that I handled that appointment.  I probably just smiled and giggled and said, oh, thanks!  Yay, I can chaturanga again!  See you at yoga; bye!  You know, and then just acted happy and normal, and then got in my car and cried or whatever happened next.  But yeah, getting back to what we were originally on – now, I’m almost a year out, and I’m coming to a point where I can look back, and I’m processing all the different stages and reflecting on what everything meant, and I’m getting really obsessed with this transition and I’m soaking up all this literature on how we do it in other countries.  My question for you is this: how do you come to terms with that?  It feels so – I don’t know.

Alyssa:  Just unjust?

Chris:  Yes.

Alyssa:  I think knowing that what we’re doing at Gold Coast is just a small, small piece of this pie, right?  We’re one tiny piece of this bigger puzzle.  I could look at the whole big picture and get really, really angry, but what can I do right here, right now, for my community?  But then, even then, I’m like, okay, so, even in my community, there is just a small portion of people who can afford this because it’s not covered by insurance.  So what about the rest of the community that I can’t help?  So we just do the best we can.  And every family that we support, we support them the best we can, and we know that we’re making a difference for those families.  And then they’re going to, in turn, hopefully, kind of pay it forward, right?  Like, either tell someone there’s this support available, or they’ll say, “I struggled too.  I want to help you.”  You know, my sister, my neighbor, my friend: be that support!  Because maybe your neighbor can’t afford to hire a postpartum doula, but you have a group of friends who could stop over.  You know, I’m going to stop over for two hours today.  She’s going to stop over for two hours tomorrow.

Chris:  That’s a really cool way to think about it, the ripple-out effect.  Because you do need a lactation consultant; you need a sleep trainer.  All these things; where the lack is in other areas, you end up having to find that somewhere else.  So what about people who can’t afford these things?  But I love what you said, that you could teach this one family this thing, and then you know that that mom is on a group text with, like, 15 other people.  Like, I’m in probably five different group texts with different groups, like my cousins that are also moms, my friends from growing up that are also moms, and we’ll text each other pictures of things like a rash.  The trickle-down image is cool to think about, that if you equip one family with the tools to do something, that they can then kind of pay it forward.

Alyssa:  Yeah, and I think, too, about sleep.  So I try to make my plans very affordable, but there’s always going to be people who can’t even afford the most affordable package, so I’m like, what can I do?  Maybe a class.  So I’m actually working on a class right now where I can give new parents some of this basic knowledge about healthy sleep habits.  But again, like we talked with your sleep podcast, there’s not just one solution that works.  So I don’t want people to think that by taking this class, they’re going to walk away and say, “I can now get my kid to sleep through the night.”  I will give you the tools that I can that are generalized to children in certain age groups, but then from there, they kind of just have to take it on their own, if they can’t afford to have me walk with them and hold their hand through the whole process.  But I guess it’s one step of, like, what else can I do to reach those people who maybe can’t afford everything?  I think we’re just slowly working on it.  We’re finding ways to infiltrate the community in so many different ways, whether it’s volunteering.  We used to teach free classes at Babies R Us until they closed.  That was another way that we could just get information into the community and let people know, you have options.  You have a ton of resources in this community, and here they are.

Chris:  That’s so cool.

Alyssa:  Otherwise, yeah, you can get really, really mad about it.

Chris:  Yeah, you can get really mad!

Alyssa:  And I think that is the fires that burns.  That’s what makes us passionate about what we do, because it is not fair that moms feel so isolated and alone once they have a baby.  It’s not fair.

Chris: And then take that passion and turn it into something that can help people.

Alyssa:  Yeah.  So this kind of is a good lead-in to your new business because you, reflecting now back over the past year and owning your own business, and thinking, “Oh, I got this; I can do it all during my maternity leave” – even though you work for yourself and you don’t really give yourself a leave.  Life still goes on; you still have emails to deal with and all your social media stuff, and looking back and saying, how can I help other moms when they’re going through this transition?  So explain what you went through and what made you start this new business.

Chris:  Yeah.  So a little bit of background info: I have a social media business, so I do social media for a handful of clients, and when I was prepping for my ‘maternity leave’ last spring, I thought I was getting ahead of the game.  I was, like, “Chris, you’re amazing!  Look at you pulling it together!”  I hired some people to my team.  I started training them.  I started onboarding them.  I thought I had all my systems put together, and I thought everything was awesome.  In my head, I was going to take at least one full month off, not even checking email, just completely logged off.  In my head, I was, like, wearing a maxi dress in a field, holding a baby, effortlessly breastfeeding, with sunshine.  It was going to be awesome.  And then I thought that I would just slowly ease my way back in and maybe come back in September.  In reality, what happened was I had a C-section.  My water broke one week early and I ended up having a C-section, and in the hospital still, just hours after my surgery, I was doing clients’ posts on social media and doing their engagement because I hadn’t tested my team.  I actually had a few people who I had hired who ended up just not working out.  And so it all fell back on me because, as a business owner, it does.  And so that was just in the hospital, and then getting home and starting to learn how to do, like, sleep training and breastfeeding and even just dealing with my own healing – that was more than a full-time job already, so I was trying to balance that with continuing to work.  So there was zero maternity leave there, and that made my transition, which was already really pretty tough, a lot harder than it needed to be, and I can see that looking back.  I’m like, whoa, girl.  That was nuts.  But at the time, it felt like the only thing that I could do.  And so, like we said, looking back and seeing that, I’m like – it fires me up, and I don’t want anybody to have to do that.  And I will do anything again to prevent that for other people.  So when I see women who are pregnant and own their own business, I just want to shake them and tell them, “You don’t know what’s coming!  You need to prepare!”  Because I wish that somebody would have done that to me.  But all I can do is offer to them what I wish I would have had.  So I started a business now called Biz Babysitters, and what we do is we take over clients’ social media completely.  So we can handle posting; we can handle stories; we can handle DMs, engagement, comments – literally everything.  We can handle your inbox, as well, so that you can log off totally in your maternity leave.  Because there is such a temptation to just bust out your phone, and there are so many things that you think, while you’re breastfeeding or raising a newborn, that you can quickly, easily do.  You just can’t!

Alyssa:  On that note – so I too was a breastfeeding mom, scrolling through my iPhone.  I recently learned that there’s an increased risk of SIDS by trying to multitask while breastfeeding because you can get your kid in an unsafe position.  Like, especially a teeny-tiny baby who needs to be held in the right position.  They can suffocate on the breast.  So that’s another reason for mom to just put your phone down.

Chris:  Put your phone down!

Alyssa:  Yeah, stop multitasking.

Chris:  Two other things with that.  One is the blue light that comes off your phone.  If you’re shining that in your baby’s face in the middle of the night and then wondering why they don’t sleep or why you don’t go back to sleep?  I would get up and breastfeed my baby and be scrolling through Instagram, and then I would lay down in bed exhausted but completely unable to fall back asleep, and I think it was because I was staring into a glowing blue light.  And the other thing is just the mental health aspect of social media.  There’s so many more studies coming out on this now, but Instagram is not good for our mental health.  You’ve got to really clean up your feed and be intentional about it if you want Instagram or whatever app to not send you down a shame or comparison spiral.  And I remember feeling, while spending hours and hours on Instagram and breastfeeding, that this whole world was out there happening around me, and I was watching all the fun things everyone was doing, and I remember just feeling like I was stuck in this one place.  So I could feel the negative effects of being on social media in my immediate postpartum, very strongly.  So I think that just acknowledging, like, maybe this might not be a great thing for you in a time when you are so tender and vulnerable.

Alyssa:  So we had talked about this, and you had said, “I wish somebody would have told me all these things I needed postpartum,” and then you were looking back through old emails and you found one from me, saying, “Hey, you should take my newborn class.”  And you were, like, “Yeah, yeah, yeah, I’m too tired.”  And now you’re like, well, shoot, I wish I would have done that!  So how do you tell moms who are pregnant and saying, just like you did, “I got this.  I’m lining everything up; all the Ts are crossed; the Is are dotted; when I go on maternity leave, everything is done.  I’m good.”  And you’re saying, no, you actually need to prepare.  How do we really reach people?  You don’t know what you don’t know, so unfortunately, this mom isn’t going to know she needs you or me until she’s already in the thick of it and losing her mind and crying and saying she can’t handle this anymore.  So maybe it’s just education?  They need to hear it over and over and over again that this harder than you expect, and you have to prepare ahead of time.

Chris:  Right.  I don’t know!  This is the hardest part, because you’re exactly right, you don’t know until you know, and I looked back this morning on that email that I had sent you, where I was like, eh, I think we’re good.  We were so not good!  Oh, my God!  That’s the hardest thing, I guess.  All you can do is share your story, and maybe it will connect with some people.  But I think that a lot of it is, in that state of shock afterwards, to be there to help out, too, as sort of like a 911.

Alyssa:  And we have that.  You know, a lot of people call us.  “We need postpartum help,” or, “I need sleep help.” And it is like, how soon can you start?  But with your business, if I was a new mom and I was in the middle of this social media campaign, but you don’t know anything – like, how would a mom do that 911 with you?

Chris:  Right.

Alyssa:  Would that even work?

Chris:  It would, because we’ve got systems set up, like our intake forms and everything.  I mean, it wouldn’t be as effortless.  You know, you would have to go through a lot of onboarding because we need to figure out your voice, your tone.  A lot of it we can do just from stalking your account and everything that you already have out there on the internet, but yeah, there is a little bit of work that needs to go into handing off the reins to somebody.  But I really like to tell people – this is the cheesiest – it’s a skill to chill.  But it’s for real, especially for people who own a business.  We are a weird breed of people where you don’t know how to relax because you’re so passionate about your business that a second that you have to breathe, you are probably dropping into your business.  I don’t know.  I was that way.

Alyssa:  No, it’s true.  I’m always on, and I think occasionally, let’s say an appointment cancels or I end up having an hour of free time.  I find myself wandering, and I don’t even know what to do.  What do I do right now?  I just finished all my work because I was supposed to be doing this other thing right now, but I can’t get out of that mode to just sit and read or go for a walk.  I’m trying to get a lot better at that.  It’s beautiful out; I should go for a walk.  But it is hard to get out of that mode and into chill mode.

Chris:  Yes, so it takes practice because it’s shocking.  And so I love to recommend to people to get started working together around 30 weeks.  Go through all the intake forms; get everything put together, so that you can start your log-off at, like, 36 or 37 weeks.  And in those last couple weeks, you can start to practice relaxing and see what it feels like to not check your email, and see what it feels like to not being in your Instagram DMs every 15 minutes.  Fill in your vice of choice, but you can start to slowly – just like how you want to phase slowly back into working, you can slowly phase out of it.  And you don’t know what’s going to happen towards the end of your pregnancy.  You could go into early labor.  You could want to nest so bad that you just wander around Home Goods for eight hours.  So I love to tell people to start early; start around 30 weeks, then slowly phase it out.  We can work out any kinks, and then you can practice for maybe a week, maybe two weeks, seeing what it’s like to be completely stepped back and completely relaxed.  And I think that’s a great way to mentally and physically prepare for your immediate postpartum as well so that you aren’t tempted to jump back in.  That little reaction you get with your thumb when you turn your screen on where it just goes to Instagram and you don’t think about it – you can start deprogramming that now.

Alyssa:  That’s really smart.  So for any moms who are listening to this and going, “Oh, my God.  I need that.  I’m a business owner and I’m pregnant.”  Whether it’s your first or fourth, you can use this.  How do they find you?

Chris:  You can find me on Instagram, of course.

Alyssa:  Of course.  You have a beautiful Instagram feed.  I love it.

Chris:  I’m such a nerd for Instagram.  I love it so much.  So on Instagram, I’m @bizbabysitters.  And you can find every other piece of information from that point.  Instagram is the hub.  And then bizbabysitters.com is the website.  I also have a free maternity leave planning workbook for anybody who is coming up on your maternity leave and you’re not sure you want to work with somebody.  This is totally free and a good way to just get started wrapping your head around a game plan.

Alyssa:  And they can download that on your website, too?

Chris:  Mm-hmm, bizbabysitters.com/freebie.

Alyssa:  Lovely!  Well, thanks for joining me today!  Is there anything else that you want to say about either your business or this crazy mess of being a mompreneur?

Chris:  I think it’s such an interesting, cool breed of women.  And there’s so many more of us now!  A big shift is happening, I think, and it’s really cool to be part of it.

Alyssa:  I have a daughter, and so do you, so I think it’s really cool that as Sam gets older, she’s going to see you as your own boss.  I think that’s really cool.  My daughter knows that I own my own business and I am my boss, and I work when I want to work – and I’m going to get better at working less – but I just think it’s really cool and empowering.  That, in and of itself, is really empowering.

Chris:  It is!  Julie, the postpartum doula at Gold Coast, left me a stickie note.  She always leaves little stickie notes, and I save all of them.  She left a stickie note that said, “You are setting a good example for your daughter.”  And I was, like, tears!

Alyssa:  Tears!  Oh, Julie.

Chris:  She’s the best!

Alyssa:  Yes, we love her too!

Chris:  So I guess also just a reminder that you’re not alone, even if you feel that way.  We’re all feeling it.

Alyssa:  So help a sister out.  Stop this mom shaming stuff.  You are no better than another mom, and don’t even try to make yourself look better than another mom.  We’re all struggling in our own way, no matter what stage; six weeks or six years.  We all have different struggles.

Chris:  Yeah, and different areas of thriving, as well.  We’re all in it together.

Alyssa:  Thanks, girl!

Chris:  Thank you!

 

Postpartum Support for Business Owners: Podcast Episode #74 Read More »

car seat safety

Car Seat Safety: Podcast Episode #72

Today we talk to one of Gold Coast Doulas’ Birth and Postpartum Doulas, Jamie Platt.  She is a Certified Car Seat Technician and gives parents some helpful tips about what’s safe and what isn’t.  You can listen to this complete podcast episode on iTunes or SoundCloud

Alyssa:  Hi, and welcome to another episode of Ask the Doulas.  I am your host, Alyssa Veneklase.  I am co-owner and postpartum doula at Gold Coast, and we are talking to Jamie today.  She is a postpartum doula with us, as well.  Hi, Jamie.

Jamie:  Hi.

Alyssa:  And you’re also a certified passenger safety technician, and you’ve started offering car seat checks in clients’ homes?

Jamie:  Correct!

Alyssa:  Tell me; what is a car seat tech?

Jamie:  So with these services, I would come to the comfort of your home and do a car seat check with you at your house, and this would involve making sure that the car seat is in the safest place in the car that you have.  There’s a lot of details about that in your car manufacturer book that you may not know about.

Alyssa:  Many of us don’t read that kind of stuff.

Jamie:  Correct.

Alyssa:  We just say, oh, it doesn’t fit in the middle; let’s throw it in the side.  But you actually know that you have to look at the manual for each car?

Jamie:  Yeah, there’s the car manual that you need to look at as well as the car seat manual.  We have a large book called the latch book, if you know about the latch system.  You can use lower anchors to put your car seat in versus a seatbelt, and there’s a lot of different rules and regulations that come with that, depending on what car you have as well.  So there’s quite the thought process that goes into that.  We can talk about choosing the right car seat for your child.  If you are thinking about moving from just your rear-facing infant seat to a convertible seat, we can talk about the differences between rear-facing and forward-facing and when is a good time to switch.  Recalls and expiration dates for your car seat; you may not know that a certain part of your car seat was recalled.  You may hear about in the news where a car seat is recalled, but oftentimes, there’s just a little part on the car seat that may have been recalled that you don’t hear about, and so it’s just a matter of quickly getting ahold of the manufacturer, and they can send you that replacement part.  So we can also talk about the latch system versus using the seatbelt.  A common myth is that you can use both; you can use the latch part and the seatbelt part and that’s the safest, but that’s not true.  So I’ll go over all that information.  Making sure your car seat is tight enough in your car that it’s not wiggling around too much; making sure it’s level and the angle is correct; that’s very important if you have an infant.  And most importantly, after I teach you all these things, you get to install the car seat, and I help you every step of the way.  It’s very important that you know how to put your car seats in correctly, especially if you have more than one vehicle and you need to switch them, like if grandparents help out.  And I can install the car seat for you, no problem, but I really want you to know how to do it, so there’s the education piece so that you will feel confident that your child is safe in their car seat if you do have to move it to a different car.  And then we’ll also talk about accessories that you can use with the car seat; what’s appropriate; what’s appropriate clothing to wear.  For example, you’re not supposed to wear winter coats when it’s cold out, so I can educate you about the reasons why you’re not supposed to wear bulky clothing in a car seat.  How to clean your car seat; there are specific ways that you should be cleaning your car seat, as well.  And then how to properly dispose of them because you never want to just throw your car seat in the trash.  So there’s protocols and proper ways of disposing of it as well.  So I will go over all of this information with you in detail at your home whenever the best date and time works out for your family.

Alyssa:  That’s really awesome.  I know that when we were transferring car seats around with my daughter, it’s one of the scariest things, because my husband always put the car seat in for us, and the first time I had to do it myself, I was so fearful to drive with her because I’m like, I don’t know if this is in right.  Is it tight enough?  Is it straight?  Is it crooked?  Is it supposed to be over here?  And I just did the best I could and drove home and then had him fix it when I got home.  But it’s really scary.  Had I had a professional show me how to do it, I could have just done it with confidence, right?

Jamie:  Correct, and depending on what research you look at — there’s various statistics — but it’s somewhere in between 70 to 95% of car seats are not installed correctly.  That could just be one minor little thing; it could be a multitude of things, but it’s very common, and so I want people to know that it’s okay to reach out.  Before I became a technician, I did a lot of things wrong, and I didn’t know I did these things wrong until I became certified and took the class.  And so this is totally judgment-free.  I’ve worked at car seat events through Helen Devos Children’s Hospital, and we have had people come in where their child is not even strapped in the car seat, and the car seat’s not buckled down, either.  So this is a free-range child in the car.  So I’ve seen a lot of different things, and my goal is always to make sure that your child is safer when they leave than when you first came and saw me.  So anything that I can do to help, I would love to make your child safer.  Just know that even if you are making a few mistakes, it’s okay, and I will be happy to show you how to do things correctly.

Alyssa:  I think a big part, too, is graduating to the next seat.  That’s always a fear for parents.  I know that we probably moved our daughter a little too soon, but I just actually had a client ask today, you know, I think I’m supposed to keep my son rear-facing until two, but he’s 35 pounds and tall enough; can I switch him?  He definitely looks big enough, so what would you say if someone is one and a half and meets all the other requirements, but the guidelines say you should probably have them rear-facing until they’re two?

Jamie:  So guidelines are just that; they’re guidelines.  And there’s guidelines to everything in life.  So the important thing to remember is what is going to keep my child safest.  So in Michigan you may have heard, well, I can switch my child from rear-facing to forward-facing when they’re two, and yes, you can do that, but is it the safest?  Is it what’s best for your child?  Maybe not.  Your child is five times safer rear-facing than they are forward-facing, and there’s a lot of different reasons why that is, but you should know that rear-facing is definitely best.  It’s your decision what you want to do as a parent, but if you look at your car seat, there’s stickers on the side, and it lists the maximum height and maximum weight.  Once your child reaches one of those, then you can flip it the other way, and you should change it to forward-facing because your child has maxed out of what is safe.  The guidelines for your car seat are what have been tested in a crash, so if your child is over that weight limit, he is technically no longer safe and should switch over.

Alyssa:  Okay, so even if they’re before two, if they’re either reached the height maximum or the weight maximum, it’s time to switch?

Jamie:  Some kids are just too tall for car seats.

Alyssa:  And if they’re tall, but what if it’s a super tall, little, skinny thing?  Even though the height is maxed out, they still need to switch even though they may be really low on the weight?

Jamie:  Correct, because you can be too tall for a car seat, and that’s not safe either.  There should be an inch between the top of your car seat and your child’s head, and that’s what safest.  So if your child is above that inch and is creeping up towards the top of your car seat; well, his head is no longer protected in the proper way that it should be.

Alyssa:  Well, that’s an easy guideline, I think.

Jamie: Correct.  So as long as you’re making sure that you’re following those guidelines that are on the car seat, your child will be safe.  But my daughter is almost three and a half, and she is still rear-facing, and that is because she hasn’t reached the weight or the height limit yet, and I know it’s safer for her to be that way.  Parents think that, oh, their legs are too long, and they’re hitting the back of the car seat, and they’re so uncomfortable.  What happens in an accident?  They’re going to break their leg; that type of thing.  Those are very good concerns that a parent brings up.  However, research has shown that it’s very unlikely that your child will actually break a leg rear-facing in a crash, and it’s more important, as well, that their head and their spine are protected, more so than a leg.  You can recover from a leg injury.  Head injuries and neck injuries are much more serious.  So that’s another thing to consider is your child can crisscross their legs; they can actually hang them off to the side.  They are okay with their legs looking funny or cramped up sometimes.  They will adjust.

Alyssa:  So let’s say the child has turned two, but they haven’t reached those maximums.  That’s where you’re at?  She’s well beyond the two years, but she hasn’t reached the height and the weight maximums, so she can stay rear-facing until she reaches those?

Jamie:  Correct.  Once she reaches the height or the weight, I will turn her around.  One thing that’s really important, and one of the reasons why you should have your car seat checked, is there are changes that you can make to your car seat once you switch from rear-facing to forward-facing.  Sometimes, you car seat may have a bar that helps angle it.  That needs to be switched.  The car seat straps are also placed differently from rear-facing to forward-facing; where they fit on the child is different.  So there are many reasons why you should get your car seat checked by a technician when you do make that switch from rear-facing to forward-facing.  There’s several different things that you change when you make that transition.  Sometimes, your car seat may have a bar at the bottom that you need to switch and put up so that angle no longer exists.  The straps that harness your child in have to be placed differently when you make that transition.  And the other big change is where your seatbelt strap goes in the back of the seat.  There’s a different spot for it when your forward-face, and there’s a different spot for it when you rear-face, and a lot of parents don’t realize it.  There’s these small little changes that do make a huge difference if you were in a crash.  I’ve personally seen a car seat that had the seat belt placed in the wrong hole when they went to install the car seat, and it ended up breaking the car seat when it was involved in an accident, and the child was injured.  And so something that seems very insignificant can make a big difference when you do get into a crash, so it’s very important that you just have someone that’s knowledgeable, that’s been trained and certified, to look at your car seat and just make sure that everything looks great.

Alyssa:  I’m already thinking that right now, I need to get my parents over here to have you check the car seat in their car, and then probably mine, too.  Yeah, I think this is critical information for new parents.  And then, obviously, you could help new parents with newborn car seats before they even go to the hospital so that everything is installed and safe and ready to go, and there’s no fear there when they’re bringing baby home for the first time.

Jamie:  Definitely.  Even if your child has not been born yet, I’ll be happy to make sure that your car seat that you may have purchased already is a good fit for your car, that it’s placed in a proper position.

Alyssa:  And have grandparents come over, too, and watch and have them help install it in their car, too.

Jamie:  Definitely.  Everyone who wants to learn is more than welcome to come.

Alyssa:  Well, that’s amazing, and I’m so excited that we are offering this service.  If you have any questions for Jamie, email us at info@goldcoastdoulas.com.  You can also find us on Facebook and Instagram.  Remember, these moments are golden.

Photo courtesy of Walmart.

 

Car Seat Safety: Podcast Episode #72 Read More »

Gold Coast Doulas Owners

Podcast Episode #71: Bedrest Support

What the heck is an antepartum doula?  Well, it basically means bed rest support for mothers who are high risk.  But a bed rest doula can also help families that aren’t necessarily on bed rest.  Maybe a mom needs help running errands, finding community resources, preparing for baby showers, putting away gifts, nesting!  Listen and learn more about what an antepartum doula does!  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hi and welcome to Ask the Doulas with Gold Coast Doulas.  I am Alyssa.

Kristin:  And I am Kristin.

Alyssa:  Today’s question is what is an antepartum doula, and I think it’s a really good question.  We actually just kind of changed this on our website recently because antepartum is such a strange word.  It actually refers more to our bedrest doulas, so it’s before birth, whereas postpartum support is after you have your baby.  Antepartum support would be while you’re still pregnant.

Kristin:  Exactly.

Alyssa:  Do you want to talk about the role of a bedrest doula?

Kristin:  Bedrest doulas can support at home or in the hospital for clients who are on bedrest for a variety of reasons.  They could be carrying multiples, or they could have placenta previa or preeclampsia like I did during my first pregnancy, and they just need to limit movement.  So we’re there to help, whether it’s in the hospital or at home.  We can help even with birth plans or if they want to take a childbirth class; we can help with childbirth preparation if they are in bed for a part or all of their pregnancy.  On the postpartum end, some of our bedrest doulas have similar responsibilities to our postpartum doulas.

Alyssa:  Yeah, I’m even thinking on the bedrest end — let’s say, especially with clients with multiples, you could be put on bedrest at 22 weeks.  Think about having baby showers planned.  How do you do baby showers?  If you’ve already had your baby showers, how do you unpack all these gifts?  How do you put these gifts away?  How do you get a nursery ready?  Day-to-day things; how do you get groceries?  You can get Shipt from Meijer or whatever, but every little day-to-day thing.  If you have older children, who’s getting them to school?  Who’s helping around the house?  There’s just so many things that you can’t do when you’re on bedrest.  It’s a little bit different with postpartum because you can still do many of those things.

Kristin:  But yeah, how do you prepare meals when you’re supposed to be in bed the entire time?  How are you feeding and nourishing yourself?  If there are prescriptions that need to be picked up, who’s going to do that if your partner is at work?

Alyssa:  Yes.  We can help you run errands.  We can help you prep meals.  We can bring you to doctor’s appointments.  We can…

Kristin:  Take your dog out!

Alyssa:  Yeah, and help with older siblings.  Put away gifts and organize the baby’s room and fix the closet situation that’s overflowing and falling over when you open the doors.  All the things that we get around the 35 week mark when you feel like you’re nesting and you want to get everything done, and you can’t because you’re in a bed.  So I think that’s probably some of the major things for bedrest support.

Kristin:  Yeah, and certainly community resources if they need to reach out to anyone or prepare for resources; if Baby could potentially be premature, so different support groups and resources outside of their medical provider that they can rely on after the baby’s born.  And then also the emotional end of it is huge.  I know I was only on bedrest a short time, but it was a big, scary time in my life, and to have someone to just process that with and know that they’re supported and not alone in this journey, that they have someone.

Alyssa:  It’s so isolating to be stuck in bed for weeks; sometimes months.

Kristin:  I mean, to have someone to talk to!

Alyssa:  And then, too, we can bring classes.  Gold Coast offers so many amazing classes, and we can bring them to parents in their home for women who are on bedrest.  So with all of our classes, for a minimal additional fee, we’ll bring the class to you and we can offer you a class in bed, literally.

Kristin:  Yes, so for our multiples clients, we have Preparing for Multiples, so if you’re expecting twins or triplets and you’re on bedrest, we’ll bring the class to you so you’ll know what to expect.  Same with the newborn class that Alyssa teaches; amazing to have that option.  And breastfeeding.

Alyssa:  Breastfeeding support; yeah, a breastfeeding class while you’re still pregnant, and then in-home support once you have the baby or babies.  I think just bedrest support in general is so important, but people don’t know what it is, and the term antepartum still probably throws some people off.

Kristin:  And in the hospital, it can get lonely as well.  I had a friend who was on bedrest in the hospital for 20 weeks of her pregnancy, and it was her second child.

Alyssa:  That sounds expensive!

Kristin:  Yeah, she had a good insurance, luckily, but I kept sending her care packages because I lived in a different city than her and knew that she had to just be bored out of her mind.  So bedrest doulas are here to support you whether you’re in the home or in the hospital through the remainder of your pregnancy, and from that point on, you can choose to have birth doula support if you want or plan for postpartum support, but sometimes clients just hire us for bedrest support alone.

Alyssa:  If you’re interested in finding us, you can see our entire list of services on our website.  We are also on Facebook and Instagram.  Thanks for tuning in.  These moments are golden!

Thanks to Pediatric Dental Specialists of West Michigan for sponsoring this podcast episode!

 

Podcast Episode #71: Bedrest Support Read More »

Postpartum Fitness

Podcast Episode #69: Postpartum Fitness

Today we talk with Dr. Theresa, Chiropractor and BIRTHFIT Instructor in Grand Rapids, Michigan.  We ask her about what’s safe for a pregnant and postpartum mom to be doing and why having a supportive tribe around is so important.  You can listen to this complete podcast episode on iTunes or SoundCloud. Be sure to listen in or keep reading to get a special discount code for your BIRTHFIT registration!

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas!  I’m Kristin.

Alyssa:  And I’m Alyssa.

Kristin:  And we’re here with Dr. Theresa today from BIRTHFIT.  She is also a chiropractor and does many things, which she’ll explain later.  So, Dr. Theresa, tell us about BIRTHFIT and why you decided to bring this to Grand Rapids.

Dr. Theresa:  Yeah, so I have been in practice for about seven years, focused on the perinatal population, and I found this big disconnect in the postpartum time where women are preparing for birth, and it’s kind of like this mindset of, okay, I just need to get through birth.  And we’re kind of forgetting about that postpartum time where the real work begins, because now you’re not only taking care of a new family member, but you need to heal and take care of yourself, too.  So I really wanted to help with that time specifically and give women more information on what they can do.

Kristin:  So when does a woman typically take your class after they’ve had their baby?

Dr. Theresa:  We recommend the first two weeks postpartum as the coregulation period, so that would be way too early to take my class.  That’s when you are bonding with Baby, hopefully not really leaving the house at all, and usually after that time, women are like, okay, I’m ready.  So probably the earliest somebody has taken my class was after two weeks postpartum, and that was almost an exception to my rule because of her fitness level during her pregnancy and before.  But for the most part, I recommend four to six weeks as a perfect time.  But also with that being said, postpartum is forever, and I’ve had moms that are a year or two years postpartum take the class.

Kristin:  That’s what I’ve seen on your social media posts, and tell us about how babies are involved.

Dr. Theresa:  Yeah!  I kind of time my classes so that, even though women are on their maternity leave, they may have other kiddos at home that they want their husband to come home and take care of.  But Baby needs to come with Mom, and we totally encourage that because they need to nurse or they need to be tended to during our class.  So we encourage moms to bring their babies; bring your favorite carrier, and we can implement them during the workout in a safe way.

Kristin:  That is amazing.  Do you find, since you also have a prenatal series, that women take that during pregnancy, and then you’re able to extend the relationship into the postpartum time?

Dr. Theresa:  Yes, that is the goal, and my last session for the prenatal series is all about postpartum.  So I talk to them about things they can during pregnancy to stay active and hopefully lead to better birth outcomes, but then what can you start doing postpartum at what time.  So for those first two weeks, right away, women can start working on their belly breath, whether they’ve had a C-section or a vaginal birth.  They can start doing that to mobilize their pelvic floor in a really gentle way, and then also reteach their abdominal wall how to come back together.

Kristin:  You mentioned Cesarean.  If she had a Cesarean, does the provider need to give approval at some point for her to start taking your series, or how does that work?

Dr. Theresa:  Good question.  So, typically they’re released for exercise, depending on the person, between 8 to 12 weeks or whenever the scab falls off is usually another really good time to start doing some exercise.  And with those women, we teach the slow-is-fast mindset anyway, for everybody, but especially for those women, because now there’s a different pull happening when they move.  So that can be a little bit scary, so we talk through those things; we talk through signs that, okay, we need to slow down a little bit.  So it’s totally customizable to the woman and the birth that she had, which is also why I keep the class sizes small.  They’re limited to about ten people per class, so I make sure everybody’s being tended to.

Kristin:  Now, of course, you mentioned some of your students are very fit and they exercise throughout pregnancy.  So say they’re a CrossFitter or they took prenatal yoga.  What about women who were not in shape before they got pregnant and who are trying this and worried about their fitness level?

Dr. Theresa:  Yes!  Those are my favorite clients that I have in these classes because most of the women have never picked up a barbell before; women like that who have really never exercised.  And when I first did this, you think BIRTHFIT; CrossFit — is it the same thing?  And it is not the same thing at all, so I don’t want that to intimidate people.  When I say barbell, that could be an empty 15-pound barbell that’s just there to give you a little bit of load, and it can even help you with your form on some of the movements.  So we go really slow, and we really focus on form and breathing through each and every movement.  And I love to see how confident these women get when they have a barbell in their hand.  Or when we’re coaching pull-ups and we use a band to help assist them with the pull-up, and they have so much fun!  They’re like, I never thought I could do a pull-up before!  And it’s just the coolest thing to see.

Kristin:  So what, of all the focuses you could have, why are you so passionate about the postpartum phase in women’s life?  You’re focused, obviously, on prenatal, as well.

Dr. Theresa:  So I think we’re really luck in Grand Rapids.  There are so many resources for prenatal.  There are some awesome childbirth education classes, and I see a lot of people preparing and taking multiple childbirth education classes and taking, like, car safety and CPR and all the things to get ready for a baby, and then postpartum kind of looks like this, where they go to their six-week checkup, and they’re released for exercise and maybe they’re given a sheet with exercises to do on it, like strengthen your abs and do Kegels.  And it’s such a blanket recommendation that is not doing service to women the way that we need them to be feeling really connected back to their body through the four pillars of BIRTHFIT, which are fitness, nutrition, mindset, and connection.  So I think those four things are so important in the postpartum time that women aren’t having the opportunity to do or they’re not understanding how they can do it postpartum.  So I want to take each person and individualize to them: what can you do postpartum to really help fill your cup so you can take care of everybody else?

Kristin:  And it sounds like a wonderful community.  Women are often isolated after giving birth and they struggle with childcare or even wanting to leave their child.  So they can bring Baby with them and find a circle that women are going through the same thing around the same time; some may have toddlers and be the “wise ones” to give the newer moms some advice.  So I think that part of it sounds great because everyone needs a tribe.  I know that word is overused, but it’s true.

Dr. Theresa:  Yeah, and that is so fun, to see them exchanging phone numbers.  This summer is the first year — because I just finished up my first year of BIRTHFIT.  I started in 2018, so now I’m on my second cycle of it, and we’re going to do a meet-up this summer where, whether it’s going out for coffee or meeting in a park or whatever, because women are asking for that.  They want to see the people that they took class with; they want to talk to other people.  So I really loved that.  We also have a private Facebook group, so they’re able to still keep in touch that way, too.

Kristin:  And then you’re able to give them resources in the community if they need to see a pelvic floor therapist.  I know you said you work on the pelvic floor, but they need recommendations, and as an expert, you’re able to give them.

Dr. Theresa:  Absolutely.

Kristin:  And postpartum doula recommendations and sleep and lactation and whatever they might be looking for?

Dr. Theresa:  Yes, exactly, and I really keep that door open.  We always have, during each class — so we meet twice a week for four weeks during the series.  At each class, there’s a workout, but then there’s always an education component, whether I’m having my good friend Emily VanHOeven from Spectrum Health, who’s a pelvic floor PT; she comes in and gives a really awesome presentation and answers questions for these women.  I have a nutritionist come in, Jenna Hibler, who you guys had interviewed.  She comes in and talks about nutrition.  So I have these different resources and topics, depending on — and sometimes it changes, depending on the needs of the group.  I kind of ask them in the beginning what they’re looking for and what they need, so that way I make sure, at some point, they’re getting that.

Kristin:  That’s great!

Dr. Theresa:  Yeah, it’s really fun!

Kristin:  Alyssa, is anything coming to mind for you?

Alyssa:  Where were you six years ago?!  Because, yeah, it was really hard to find things to bring my daughter to with me postpartum.  And I know some moms are like, no, I don’t want to bring my kid with me; I’m coming alone.  This is my time.  But when that’s not an option, it’s good to have a place that you can bring your baby, even if it’s just in a car seat right next to you.  I mean, I’ve done that before, too.

Dr. Theresa:  Absolutely, yeah.  And the postpartum series takes place at the CrossFit gym I go to, CrossFit 616, and they have a childcare room there, which you never see.  Especially in a CrossFit gym, it’s unheard of.  And we’ve had a baby boom in the last couple of years within our gym, so it is not uncommon to see women breastfeeding just at the gym, out in the open, and it’s not uncommon to see somebody else holding somebody else’s baby and just kind of helping out.  So it’s a great community.

Kristin:  Yeah, I would not picture a childcare room in CrossFit at all!

Dr. Theresa:  There’s a TV; they have PBS Kids.  It’s pretty nice.

Kristin:  I’ve supported some birth doula clients who were CrossFit, and they were incredibly strong and determined.  So, yeah, I’m inspired that they’re so healthy that they could exercise in that way through the entire pregnancy.

Dr. Theresa:  Exactly, and those are sometimes the hardest ones to teach that slow-is-fast mindset, and there have been several high-level CrossFitter women coming out now, like athletes coming out and saying, I really wish that after my first baby, I had done this differently because I did some serious damage just starting too soon.  And then after they have their second baby, they’re like, I’m doing this differently and slowing down.

Alyssa:  I like that you talk about breathing, even just having that breath, like that yoga breath, of when you breathe in, your stomach should expand, and that actually helps your pelvic floor.  You don’t know that — I didn’t know that until I saw a pelvic floor therapist.  I’m, like, breathing helps make my pelvic floor stronger?  And it does!  And how slow and gentle that is for somebody who just gave birth, no matter whether you had a Cesarean or a vaginal birth; that slow movement makes you stronger.  Your breath makes you stronger.

Dr. Theresa:  Absolutely.  Those are our top pelvic floor tips: belly breathing and LuLuLemon high-waisted pants because they give just enough compression without too much downward pressure.

Kristin:  And the focus on nutrition is key.  Woman are so depleted, especially if they’re breastfeeding, so making sure that that’s part of the class and having someone who specializes in nutrition speaking — I love that you bring in experts.

Alyssa:  If you want to ever talk about sleep, I would love to come in and talk about sleep.

Dr. Theresa:  Yes!  I am always looking for people who want to come in and talk to these women because it takes some of the pressure off of me, too, and they don’t have to listen to me talk the whole time.  It’s nice to hear from an expert!  That would be great!  And a postpartum doula — I think a lot of women don’t know that’s a thing.  That’s big.

Kristin:  And I think of it as more of the tasks that we do as postpartum doulas, like someone to clean up or do meal preparation, and caring for the baby, but we are caring the whole baby and setting up strong systems and supporting sleep.  So it could be anything from three hours in a week to 24/7, and so we’d love to come in and talk about our role and how we can support a family.

Alyssa:  That would almost be better for a prenatal series, to get them thinking about it before.  I think the biggest thing is that we plan for this birth, and then it’s like, what now?  What do I do?  I’m home alone with this baby.  So talking to them about the resources that they have postpartum before the baby actually comes.  Not that it’s too late; if you have a six-week old or a six-month old, you can still hire a doula, but it’s certainly more critical in those first few weeks.

Dr. Theresa:  Right.  And I find in my classes, it’s the women who are third- or fourth-time moms, even fifth-time moms, that are like, I understand why I need all of this stuff now to help support me.  Even though you would look at them and think, oh, they must know it all; they’ve been through this — but those are the women who are seeking more information, I find, and they’re the ones hiring doulas and really trying to prepare because they know what they’re in for.

Alyssa:  Exactly!  They know how hard it is.  These first-time moms are in this state of bliss, which you should be, thinking about all the wonderful things that will happen, but no matter what kind of birth you have, you’re going to be waking up every two to three hours while you’re healing.  So you’re not getting the rest you need to heal.  You can’t really exercise yet.  You’re sleep deprived, and you are in pain.  It’s hard!

Dr. Theresa:  It is!  It’s really hard!  It’s so good to have support, from having somebody coming into your home to having that tribe, again, using that word, but having that tribe to talk about those things together.  One of my favorite topics that we talk about during the postpartum series — and it’s totally one of those things I was nervous to even bring up because I don’t want to offend anybody, but talking about having sex for the first time.  We’re talking about all of these things that other women are like, oh, my gosh — you, too?  So having those resources to be able to talk — I think that’s a perfect thing, that you could have a conversation about that one-on-one with your doula, because I don’t know how many OBs are talking about that.

Alyssa:  It’s a lot of what our doulas do postpartum is just tell them, this is normal; this is okay.  Let’s normalize this.  You know, as a first-time mom, breastfeeding is really hard and I’m failing.  No, no, no.  This is normal.  Let’s talk to a lactation consultant, or let’s just change your latch a little.  Some very simple things a doula can help with, but this mom might not even know she has a problem with latch.  She might not know that it’s a problem that her nipples are cracked and bleeding.  The doula can say, no, this isn’t normal; you do need to seek out additional help.

Dr. Theresa:  Totally.  Something that I’ve seen crop up a couple times lately are vasospasms, that they just have no idea what that is, so they don’t do anything about it, and it’s like, oh, this is a perfect opportunity to work with a doula or work with somebody who can be, like, oh, yeah, I’ve seen this before; this is what you do.

Alyssa:  What’s a vasospasm?

Dr. Theresa:  From nursing; it’s like Raynaud’s in your fingers where you lose blood supply, so the nipples turn white and it’s super painful.  It’s like frostbite on your fingers, you know, that searing pain.

Alyssa:  I get that on my fingers all the time.  I can’t imagine that on my nipples!

Dr. Theresa:  I know, yeah!  And it’s things like warm compresses, checking latch; you can use some magnesium to help dilate the blood vessels.  So some things like that can really save that mom some excruciating pain.  Yeah, just talking about those things that people think are normal, and you’re like, no; that’s not normal.  We can do stuff about that.

Alyssa:  Well, and that’s the beauty of a doula, too.  It’s different than a babysitter.  It’s different than a nanny.  Doulas have this vast knowledge and experience and resource base to share, and sometimes, it’s crying and talking together.  Sometimes it’s just like, okay, go take a nap and I’ll clean up your house, and that mom feels like a million bucks after a two-hour nap and a clean living room when she makes up.  It’s much, much more than that.

Kristin:  And a doula, just like you, as an instructor, would have resources to say, hey, you should really check out this BIRTHFIT postpartum series, or you need to go see a chiropractor, or there are some things that you can do in the community.  You can do to La Leche League meetings and bring your baby with you.

Alyssa:  And I think that’s what you’re doing, too.  It’s so much more than just going to work out.  You mentioned those four pillars; they’re getting that, and that’s why they want to keep coming back and why it feels so good.

Dr. Theresa:  Absolutely!  And changing that mindset, because women want to come for the workout.  They’re, like, yes, I want to get back in shape, and that’s kind of their focus is that physical piece.  But we sneak in all this other educational stuff that they didn’t know that they needed, and they are able to leave with so much more than they thought they were going to get.  I love that.  I love seeing that.

Kristin:  So, Dr. Theresa, tell us when your next series is, how people can find you and register, and any other info that is relevant.

Dr. Theresa:  Yes!  So this year, with the postpartum series, I also developed a workshop to do before the actual series starts.  So the postpartum workshop is a two-hour event where we just focus on body weight exercises, more like floor exercises, which are great for that early postpartum time for Mom to get reconnected to her body.  And it’s great, too, if Mom can’t commit to four weeks, but my goal is that women are taking the workshop and then they take the series, which builds on the workshop.  So the next workshop starts April 23rd, and that’s from 6:00 to 8:00 PM at Renew Mama Studio, and then the series starts a week or two later; I believe it’s May 4th, something like that.  It starts in May, and that will go for four weeks twice a week.  And you can find more information on our website on how to register.

Kristin:  And you said you had a special coupon code for Gold Coast clients and our podcast listeners?

Dr. Theresa:  Yes, absolutely.  So I’m offering $20 off registration using code BFLOVESGCD.   That promo code can just be applied at checkout.

Kristin:  Fantastic!  Well, thanks for joining us today.  It’s so good to see you, Dr. Theresa!

Dr. Theresa:  Thank you!  It’s so good to be here!  Thank you for inviting me!

 

Podcast Episode #69: Postpartum Fitness Read More »

Trusted birth team

Your Trusted Birth Team

We all know that becoming a parent is difficult, but most first time parents don’t really have a full understanding of how hard it will be until they’re in the midst of it. They may encounter fertility struggles or miscarriages; they realize that planning during pregnancy takes a lot of work; they have to find an OB or midwife they trust; they may hire a doula; and it takes time for new parents to put a postpartum support network in place.

Add on to that the stressors of guilt, living up to “social media standards”, unwanted advice from friends and family, fear of failure, and lack of confidence. It’s overwhelming and can leave parents feeling defeated before they even begin.

With information at our fingertips, how do we discern what’s evidence-based and what’s junk? What’s worth worrying about and what’s not? How does a parent today make an informed decision?

Luckily, our West Michigan families have so many great health care professionals to choose from and tons of options for support. We’re going to tell you how to begin this journey on the right path so you don’t go through this alone. If you are supported by a trusted team throughout, you are more likely to have a positive birth experience.

Let’s talk about some myths. It’s important to talk about the misconceptions the public has on every area of the support team. Let’s debunk those!

Doula Myth #1: Doulas only support home births.
At Gold Coast Doulas, over 80 percent of our births happen in a hospital. Our clients are seeking professional, experienced doula support in the hospital setting.

Doula Myth #2: Doulas only support parents who want an all-natural delivery.
Gold Coast Doulas supports any birth and respects all birth preferences.

Doula Myth #3: Doulas catch babies.
Definitely not! We are not a replacement for any medical staff, we are an added member of your birth team, there to offer informational, emotional, and physical support throughout pregnancy, labor, and delivery.

Doula Myth #4: Doulas only offer birth support.
We have antepartum doulas that offer support for mothers on bed rest, are high-risk, or for any reason need additional help while pregnant. We also have postpartum doulas that support families once a baby, or babies arrive. They offer in-home care, day and overnight. They are like a night nanny and infant care specialist rolled into one!

Hospital Birth Myth #1: You can’t have an unmedicated birth in a hospital.
This couldn’t be further from the truth. Many of our birth clients prefer an unmedicated birth in the safety of a hospital setting. Our West Michigan hospitals have many different options for a laboring person.

Hospital Birth Myth #2: An induction leads to a cesarean.
This is not always the case. In many cases, labor induction leads to a successful vaginal birth.

Hospital Birth Myth #3: You can’t move around during labor. 
As long as you don’t have an epidural, movement is encouraged. Even with an epidural, there are many possible position changes in bed that your birth doula can help you with. You won’t be lying on your back the entire time. Most hospitals have walking monitors for those who wish to move around during labor.

Midwife Myth #1: Midwives only support home births.
We have many local midwives that do support home births, one midwife that delivers in a birth house, and there are plenty of Certified Nurse Midwives that practice in hospitals! There are midwives in West Michigan for any kind of birth preference you have.

Midwife Myth #2: Midwives only support women during pregnancy and birth. 
Many midwives also offer well-woman care (annual exams).

OB Myth #1: They aren’t supportive of vaginal births after cesareans (VBAC) and it’s best to attempt one at home. 
This is often based on the hospital’s policy rather than preference of the doctor. Many hospitals are supportive of VBACs.

OB Myth #2: They do not work with doulas.
This is not the case. Many of our clients see an Obstetrician and most are very comfortable with professional doulas. Our team is always willing to accompany clients to a prenatal appointment if the provider is not comfortable with working with a doula.

OB Myth #3: They don’t like birth plans.
While this may be partially true just because many “birth plans” are eight pages long. Many things patients put on their birth plan are already protocol at most hospitals (skin to skin, delayed newborn procedures, etc). Knowing that providers have to see many patients in one day, it’s important to keep in mind that they cannot read through an eight page plan. Give them the information that is specific to you. “I want dimmed lights and music.” “I don’t want to be touched when I’m laboring.”

Millennials are over 80 percent of the pregnant population right now and they want answers! They want a relationship, and they want a team they can trust. Our parents and grandparents had one doctor who did everything. They trusted anything the doctor said and definitely didn’t go searching for answers on their own.

Medical care is different today, and families expect a different approach to their healthcare. Oftentimes they don’t even realize they need something more until they are expecting a child. It’s probably one of the biggest unknowns to ever happen in someone’s life. Having a trusted team by your side through the entire process can relieve the stress, pressure, and oftentimes unnecessary anxiety that comes with planning and preparing for pregnancy, labor, and postpartum.

If you are pregnant or even just thinking about starting or growing your family soon, reach out to us. We can offer local resources and our doulas are here to be your guides when you are ready.

In the meantime, here are some trusted online sources we recommend. Try your hardest not to get information from individuals online (mom groups, Facebook, etc)!

The American College of Obstetricians and Gynecologists (ACOG)

The American Academy of Pediatrics (AAP)

March of Dimes

Evidence Based Birth

 

Your Trusted Birth Team Read More »

Ask the doulas podcast

Podcast Episode #68: Overnight Doula Support

Many of our clients and listeners don’t fully understand what overnight doula support looks like.  Kristin and Alyssa, both Certified Postpartum Doulas, discuss the kinds of support their clients look for and how their team of doulas support families in their homes.  You can listen to this complete podcast on iTunes or SoundCloud. You can also learn more here about overnight postpartum doula support.

Kristin:  Welcome to Ask the Doulas with Gold Coast Doulas.  I’m Kristin.

Alyssa:  And I’m Alyssa.

Kristin:  And we’re here to chat about what an overnight postpartum doula does, as that is a question that we get asked often by our clients and our podcast listeners.  So, Alyssa, my first question to you is, as a postpartum doula and sleep specialist, what do you see as the key benefits to a family in hiring overnight postpartum doula support?

Alyssa:  Whether they hire for sleep or not, it helps the parents get sleep.  So let’s say they’re not even hiring me for a sleep consult.  Parents don’t understand what sleep deprivation means until their in the midst of it, probably at least three weeks in.  Like, our bodies are designed to survive a couple weeks of this, sometimes even three or four, but after that, our systems start to shut down.  So if you think about overnight support being this trusted person who sleeps in your home to take over all those overnight responsibilities so that you can get a good night’s rest.  Even a six-hour stretch or sometimes even a four-hour stretch makes you feel like a whole new person the next day when you’re used to only sleeping maybe one- or two-hour chunks.  A four-hour stretch seems amazing in that moment, whereas right now if you told me I could only have four hours of sleep tonight, I would cry.  I would be miserable the next day.  And you, Kristin, as a birth doula, you know that feeling.  If you’ve had one night of no sleep, you’re just wrecked.  So you’re running on adrenaline.  You’re sleep deprived.  So having a doula come in and take over all that responsibility at night — obviously, she can’t breastfeed your baby, but you have a couple different choices if you’re a breastfeeding mom.  If you’re a bottle-feeding with formula mom, you can literally go to sleep at 10:00 PM and wake up whenever you want because the doula can just feed that baby every three hours.

Kristin:  Exactly, and clean the bottles and change the diapers and burp the baby, all of it.

Alyssa:  Yeah.  So if your partner is feeding in the middle of the night, you’re certainly not going to wake up to clean bottles and parts in the morning.  The doula does do that.  But for a breastfeeding mom, you can choose to pump instead of breastfeeding because it’s usually a lot quicker.  So you pump and you set those bottles out for the doula.  The doula wakes up when the baby wakes up; feeds the baby; burps the baby; changes the baby; gets the baby back to sleep — and Mom’s sleeping this whole time.  Or, if Mom chooses to breastfeed, the doula can bring Baby to Mom so Mom doesn’t even have to get out of bed.  I was just talking to Kelly Emory, our lactation consultant friend, and she was saying that when she was nursing, she would just side lie and her husband would bring the baby to her.  She would lie on her side, so she didn’t have to get up.  She didn’t even have to open her eyes if she didn’t want to.  She was still kind of in this half-sleep state, and then when Baby was done on that side, her husband would take the baby and she’d roll over and she would feed on the other side, and then the husband would take the baby away, change the baby, burp the baby, and do all that stuff.  So she said it was amazing.  She took over one shift of the night, and he took over the next, so she would get a six-hour chunk of sleep and would feel amazing in the morning.  So you’re able to tackle all those everyday tasks during the day because you didn’t have to also worry about those at night.

Kristin:  Yes!  And I’ve also had overnight clients who prefer to come into the nursery and sit in a rocker and feed their baby rather than have me come in and disrupt their husband’s sleep.

Alyssa:  Sometimes they’re sleeping in separate rooms, too, because they’ve become used to that.  So oftentimes, my goal as an overnight doula is to have both parents sleeping in bed together again, or wherever you were before this baby arrived.

Kristin:  Right, no more partner on the couch or in the guest bedroom.

Alyssa:  Right.

Kristin:  So as far as other tasks of an overnight postpartum doula, sleep is one.  So we can get Baby back to sleep and if they’re working with a certified sleep consultant, like you, then they can implement that.

Alyssa:  Yeah, I guess I didn’t answer that initial question.  So if they do work with me as a sleep consultant, you can hire an overnight doula in conjunction with.  So I offer this customized sleep plan for your family, and then our doula knows that plan, understands that plan, and implements that plan overnight.

Kristin:  That’s amazing.

Alyssa:  So you wake up again refreshed because you’ve slept, and then you have the energy to implement the sleep plan during the day.  And then the doula comes in at night and implements that plan overnight.  So it’s consistency because that’s always the key with any sort of sleep consult is that you have to be consistent.  You can’t just do it during the day and then give up at night because you’re tired.  Your plan will fail.

Kristin:  And so who hires a postpartum overnight doula, and how often do they use the doula support?

Alyssa:  Who hires them?  Tired families hire them!  You get to the point of exhaustion.  I don’t think when you’re pregnant you’re thinking about an overnight doula because you truly don’t understand what you’re in for.  But newborn babies sleep all the time, so they could sleep up to 22 out of 24 hours a day, so you’re thinking, well, of course, like, newborn babies sleep all the time.  I’m going to sleep when the baby sleeps.  They’re going to be feeding every two to three hours!

Kristin:  They get up a lot!

Alyssa:  Which means all day and all night, you will be up feeding every two to three hours, at least.  So your sleep becomes these little tiny chunks.  Because if you think if you have a newborn baby that’s eating every two hours, and it takes you an hour to breastfeed, and then after the breastfeeding session, you have to burp; you have to change the diaper; you have to get the baby back to sleep.  You’ve maybe got 30 to 45 minutes, if you’re lucky, to sleep before the baby needs to feed again.

Kristin:  And some clients hire us for one overnight to get a good night of sleep and catch up; other clients hire us every night, and we bring in a team, in and out, or have one doula consistently.  And some of our clientele have a partner who travels a lot, or I’ve even supported a family where the mother was going back to work from maternity leave and was traveling for her job, so as an overnight doula, I supported the husband as he cared for the toddler that was waking; I was caring for the baby.  And so there are a lot of unique situations, but a lot of our moms who have partners who travel a lot want that extra support, whether they have a new baby or other kids in the household that need support, as well.

Alyssa:  I think it depends on resources.   So if someone is sleep deprived and they’re like, I just need one night of reprieve, and that’s all we can afford and that’s what we’re going to do, then that’s what they do.

Kristin:  Exactly.

Alyssa:  Even if they don’t have the resources, oftentimes during pregnancy, if parents have the foresight to ask for postpartum support as a baby shower gift, they can have several overnights gifted to them by friends and family.

Kristin:  Which is better than all the toys and clothes they’ll outgrow.

Alyssa:  I always tell them, you’re going to get mounds of plastic junk that you’ll literally look at and say that’s hundreds of dollars’ worth of stuff I’m never going to use, and you could have had an overnight doula in your home so you could sleep.

Kristin:  Easily!

Alyssa:  So I think it’s just based on resources because, like you said, we’ve had people hire us for, you know, two overnights and we’ve had two months straight.  So I think it just depends.  I mean, I don’t know that it’s a type of client.  I think that’s just kind of based on resources available.

Kristin:  And we certainly support families who are struggling with postpartum mood disorders and anxiety, but that is not all that we serve as far as clientele.  But for moms who are being treated in therapy, then we certainly are able to give them much-needed support and rest as we care for their baby, and we do have a package where we are able to lower our hourly rate for clients who are in the Pine Rest mother-baby program or are seeking therapy.

Alyssa:  Yeah, sleep deprivation is considered to be the number one cause of perinatal mood disorders, so all these moms with anxiety, depression, up to postpartum psychosis — when you’re sleep deprived, you’re literally torturing your brain and your body, and it’s really hard to function.  So sleep is such an imperative thing, and for your baby, too.  If you’re not sleeping and your baby’s not sleeping, physiologically, that baby needs sleep in order to grow, for their brain to develop, for their immune system to function properly.  It’s so critical for both parents and children.

Kristin:  Agreed.  So, really, anyone can benefit from it.  Our shortest shift would be coming in at 10:00 PM and leaving at 6:00 AM, but a lot of clients extend that time.

Alyssa:  I’ve found that a lot of people like you to come a little bit earlier, especially if they have older children.  So if there’s older siblings, let’s say 6:00 comes around and you’re trying to get dinner on the table.  You have a two-year-old, a five-year-old, and a newborn.

Kristin:  That’s a lot!

Alyssa:  That overnight shift tends to, when parents say, yeah, yeah, come at 8:00 or 9:00 when I’m going to go to bed — that very quickly changes to 5:00 or 6:00.  So either that shift moves up, or it just lengthens.  So the doula can come from, a lot of times, 6:00 PM to 6:00 AM, and they do a lot of 12-hour shifts because they’re there for the hustle and bustle of getting dinner, wrangling toddlers, helping with the newborn, and then helping with bedtime routines for two or three children and then taking that infant newborn and helping them get to sleep.  Usually, it’s in that order.  Like, the doula will take the baby and put them to sleep, and then the parents get to spend some quality time with this toddler who is usually lashing out because they are used to being the only child, if there’s only one, and are really, really seeking that one-on-one attention that they’re not getting anymore.

Kristin:  Yeah, that’s the perfect time to bond, and they can read them a bedtime story and sing songs; whatever their nighttime routines were before Baby arrived.

Alyssa:  Yeah, and that’s one thing I stress, too, with my sleep consults is just having a really good bedtime routine, and even if I’m doing a consult for one child and there’s others in the household, I usually ask about them, too, because if you’ve got three kids who all have a different bedtime, and each bedtime routine is taking an hour, certainly whoever’s last on that list is going to bed at 9:00 or something, which is way too late for these little kids.  So trying to consolidate and have a system in place and just get a schedule that works for the family, for everyone in the family, is a really big goal.

Kristin:  Awesome advice.

Alyssa:  So you mentioned earlier that a doula sleeps when the baby sleeps, and sometimes parents wonder, well, what do you mean?  What does that look like?  Depending on the house, we’ve had doulas sleeping on sofas in the living room.

Kristin:  Yes, that’s what I’ve done.

Alyssa:  We’ve had doulas sleeping in a spare room.  We’ve had doulas sleeping in a spare room on the same floor, in a spare room on a different floor, and you can make anything work.

Kristin:  With monitors and technology now, you know the second a baby stirs.

Alyssa:  So parents are always like, oh, shoot, I don’t know how this is going to work.  How am I going to do that?  We’ve had blow-up mattresses in the nursery.  Ideally, you want the doula to be as close to the nursey as possible, so they’re the one, when they hear that baby, they’re up; they’re there.

Kristin:  No one else gets woken up in the household.

Alyssa:  Yeah, you want the parents to be as far away.  So sometimes I even tell them if you have a spare bedroom in the basement, go sleep there, because even with one of my most recent sleep clients, the first night we did the sleep consult, the doula was there overnight, and I contacted them the next day: how did you sleep?  And they were like, oh, I wanted to so bad, but I kept hearing this phantom crying.  Even when the babies weren’t crying, they hear it, anyway.  So it does take, as parents, who are used to not sleeping for week after week after week — it takes time for your body and brain to adjust back to, oh, I’m able to sleep again.  So it’s not instant.  It usually takes at least a couple nights to get your brain to say, I can sleep.  It’s okay to sleep through the night.  I don’t have any responsibilities tonight.  This doula is taking care of it.  And it’s just a matter of them getting sleep in two-hour chunks instead of the parents getting sleep in two-hour chunks.  So a doula can usually do two or three in a row before they’re too exhausted.

Kristin:  Just like a birth doula.  We can do a couple nights with a client in the hospital without sleep, and then we’re done.

Alyssa:  Yeah.  So for those clients of ours who we’ve had for two weeks straight or two months straight, it’s several doulas taking turns.  Otherwise, they’re just too exhausted.

Kristin:  Right, and that’s where we sometimes will bring in a team if it is continuous care.

Alyssa:  But I think ideally, with sleep training, I would love to see every parent have a sleep plan and then a doula for five nights.  That would just be — I don’t know; I think the mental well-being of these parents would increase drastically if they were able to do both.

Kristin:  I would have loved an overnight doula with my kids being 21 months apart; having a toddler and a newborn.  It would have been amazing.

Alyssa:  Well, and some people, too, think it’s weird to have somebody sleeping in your home.  I mean, always, when they meet the doula, they’re totally fine with it, but it is a weird thought to have this stranger come into your home who’s going to care for your babies.  That’s why I think we’re so adamant about talking about our training and our certification process, and we’ve done background checks for people who want us to.

Kristin:  Yeah, and we’ve shown immunization records and CPR certifications and so on and liability insurance.  We have all of that.

Alyssa:  Yeah, because especially with a mom with anxiety who needs to sleep and knows she needs this help, but now she has anxiety because a stranger is going to be sleeping in her home — we need to do whatever you have to, to make that mom feel comfortable to be able to sleep.

Kristin:  Yes, and we’re there to do just that.  So feel free to reach out to us if you have any questions about overnight doulas.  We’d love to work with your family! Remember, these moments are golden.

 

Podcast Episode #68: Overnight Doula Support Read More »

Technology and mindfulness

Technology and Mindfulness for New Parents

Technology is an amazing tool that we use daily for our work and personal lives, but it can also be the thing that drags us down. We need it, we love it, but we hate it.

It’s time we take a good look at our data usage and figure out what’s draining us. Why not find some parts of technology that are being used for good instead? They do exist. I’m going to give you several options for positive ways to use technology that can actually help you improve your mental health, whether you’re pregnant or not.

Mind the Bump

This is a free app that helps individuals and couples support their mental and emotional wellbeing while preparing for having a baby or becoming a new parent. It teaches brain education (the importance of mindfulness and meditation), the difference between mindfulness and mindlessness, and gives an overview of a child’s brain development.

Expectful

This is a guided meditation app for your fertility, pregnancy, and motherhood journey. Their team of licensed hypnotherapists, meditation experts, a psychologist, and a sound engineer have created 10-20 minute meditations customized just for you. This app offers a free trial then requires a paid monthly subscription.

Insight Timer

This free app claims to have the largest library of guided meditations in the world. Although it’s not specifically made for pregnancy, it seems to be a great app for meditations and sleep, and it is offered in 30 different languages.

Babies Help Mommies

This free app was created by a cardiologist. After having three children she couldn’t find an app for new moms that focused on health and wellness. This app is meant to improve overall health by focusing on fitness, activities that decrease heart disease, ways to be active with your baby and how to create new memories. It provides motivational feedback and highlights positive choices you can make throughout the day.

Enjo – Wellness for Parents

This app was created to offer new parents a positive way to interact with technology. The goal is to take a few minutes out of your day to reflect on something positive or that you are grateful for. The app leads parents through a positive and affirming conversation, but it will also notice when they are down and offer some reflections to support during struggles. Comments are not monitored by an actual person, so if someone is struggling with severe depression or anxiety this app is not meant to be a replacement for therapy or treatment for mental illness. It’s unclear if this app is free or paid.

Shine

This is a free self-care app that they call “a daily pep talk in your pocket”. You will set a self-care goal and get personalized audio challenges and self-improvement audio tracks to help you grow. You will receive texts with researched- backed affirmations to feel more confident.

Head Space

This app has hundreds of themed meditations on everything from stress and sleep to focus and anxiety. They are “bite-sized” to easily fit into your busy schedule. They also offer what they call “SOS Exercises” for sudden meltdowns. This app offers a free trial and then requires a paid subscription.

Using apps like these can be a great start to boosting your mood, lowering anxiety, or helping you sleep. Please do not substitute professional support for a phone app. If you are struggling with a mental health disorder, please seek the help of a professional therapist. We are able to give some trusted recommendations if needed. If you are struggling as a new parent and need in-home support, contact us about postpartum doula support. If you aren’t sleeping, contact us about our sleep consultations. We offer a discounted rate for postpartum support to anyone seeking treatment for a perinatal mood disorder.

Alyssa is Co-Owner of Gold Coast Doulas. As a Certified Postpartum Doula, Newborn Care Specialist, and Certified Infant & Child Sleep Consultant, she is passionate about the mental health of families during the fragile postpartum period. She is a member of the Healthy Kent Perinatal Mood & Anxiety Disorders Coalition and was recently honored as Health Care Professional of the year by MomsBloom.

 

Technology and Mindfulness for New Parents Read More »

Budgeting for a doula

How To Pay For Your Doula

We had a client recently tell us that our costs are too low for what all we offer for pregnancy and birth support. We certainly agree with him as we are on call for clients 24-7 from the moment they sign a contract with us. Some births are two hours and others are multiple days. We miss holidays, birthdays, and plan our vacations around client due dates. We love this work, but it does take a toll on us emotionally and physically. Doulas often add the “unless I am at a birth” clause to every social invite. This work is rewarding, but very unpredictable.

Our Gold Coast Doulas team is worth much more than our current rates, but we want a teacher to be able to hire us without a huge financial strain.  We go above and beyond to make all of our clients feel like VIPs because they are. Even with our exceptional service, clients often ask us how we can help make doula support work with their budgets.

We are thrilled that most HSA and FSA plans now consider birth doulas as a qualified medical expense. Many Gold Coast clients choose to allocate their HSA or FSA funds to pay for doula support.  Unfortunately, standard insurance doesn’t cover doula support in Michigan at this time. Hopefully that changes in the near future.

We are finding more and more grandparents or friends wanting to gift postpartum doula support or classes to our clients. We can make custom baby shower inserts and can create gift cards for any of our services. We are also on the online and in-store baby registry at Ecobuns Baby & Co in Holland. Why not reduce the baby shower clutter and ask for a postpartum or birth doula instead? We aim to make your life easier during a time of many transitions.

Gold Coast offers payment plans for most of our services once the standard deposit is made. We also accept credit cards, cash, money orders, and checks. We are a professional business and as a result do not barter for chickens or canned goods, although we do believe in supporting our local farmers with our own money.

We offer packages if you purchase one or more classes or services as we want you to feel supported and prepared as you start or grow your family. This makes adding on services more affordable and gives you the VIP support you are looking for. We are happy to customize any options just for you. Please reach out and email us info@goldcoastdoulas.com with any questions or fill out our contact form. We are here to help.

 

How To Pay For Your Doula Read More »

Postpartum Wellness

Podcast Episode #61: Postpartum Wellness

Dr. Erica of Root Functional Medicine gives moms some tips about staying healthy through pregnancy and into the postpartum period.  We also talk about her upcoming Postpartum Wellness class on March 7.  You can listen to this complete podcast episode on iTunes or SoundCloud.

This podcast episode is sponsored by LifeFuel, providing healthy meal delivery in West Michigan. We love partnering with LifeFuel! 

Alyssa:  Hello!  Welcome to another episode of Ask the Doulas.  I am Alyssa Veneklase, co-owner of Gold Coast Doulas, and today I’m talking to Dr. Erica Armstrong of Root Functional Medicine.  Hello, Dr. Erica!  Welcome.

Dr. Erica:  Hello, thank you for having me!

Alyssa:  My business partner, Kristin, has been talking to you, but I want to know a little bit about Root Functional Medicine, and then we will talk about an event that we’re going to have together here in our space.  So tell me a little bit about what you do.

Dr. Erica:  So I am a functional medicine doctor.  My background was in family medicine for several years before I went through functional medicine training, and Kelsey, our dietician, and I created a specialty practice in functional medicine, the first of its kind in West Michigan, and we partner up to help patients really get to the root cause of why they’re not feeling well.  That’s kind of the basis of functional medicine; we look at people in a holistic sense and try to solve problems at the root, and a lot of the time, we do need to make nutritional changes, and so it just made perfect sense to partner up with a dietician to do that.

Alyssa:  So explain to me what a functional medicine doctor does versus a regular medical doctor.  How would you, in very simple terms, explain what functional medicine is?

Dr. Erica:  Sure, I would say there’s not a simple explanation other than it’s a different model of healthcare entirely.  Functional medicine isn’t the symptom, one diagnosis, one treatment, the typical path that gets rushed through.  It really is stepping back, looking at the entire picture since birth and even before birth of a patient because they’re not just a snapshot in time.  We look at their genetics.  We look at their microbiome.  We look at their nutrition and lifestyle and really plot everything on something called a functional medicine matrix, and we try to balance the imbalances.  And then we look at lab testing that’s simply not available in traditional labs to see how the body is actually functioning, and with that information, we can be much more preventative and not only help people stay away from disease but actually help them feel well.

Alyssa:  Yeah, I think of it as — you know how you go to a doctor within one medical system, and then you go to another one, and you’re answering the same questions all the time, but nobody seems to be talking together.  And functional medicine is like having all those specialties together talking to one another, so the heart specialist isn’t just looking at your heart.  The heart specialist should also be asking about nutrition and diet.  You know, it’s not just all these segmented pieces.

Dr. Erica:  Yeah, that’s absolutely right.  In traditional healthcare, we tend to silo things, but yes, if you have a heart issue, it doesn’t stop there.  There are other things that we need to look at, so it’s really putting the big picture together.

Alyssa:  So you and Kelsey — she does the dietician part of it?  We should have her on sometime, too, because I love talking about diet and sleep since I do sleep consults and food, especially for little ones.  Do you see children, as well?

Dr. Erica:  We do, yeah.  We can see all ages, and I do a lot of nutrition, too.  Just in functional medicine training, a vast majority of that is nutrition, but Kelsey does help a lot with specific diets and troubleshooting, and she has a lot of nutrition knowledge that she shares with patients, too.

Alyssa:  Let’s talk about this event and tell people what it is that you do to help pregnant women and what they can look forward to if they come to this event.

Dr. Erica:  Yeah, so even before pregnancy, really optimizing wellness and things like just trying to make sure they’re eating balanced, healthy meals is important, and then things to look out for in the postpartum period where we’re often sleep deprived and have higher cortisol levels and how to navigate and troubleshoot those areas, how to plan ahead for that.

Alyssa:  So this event we’re having is on March 7th from 6:30 to 8:00 PM and it’s going to be here in our office in the Kingsley Building.  Seating is limited because our office can only hold so many people.  It’s $35.00 per person, and we’re going to create a link and post it on Facebook and put it on our website.  Are we calling it How to Set Yourself Up for Success in the Postpartum Period?

Dr. Erica:  Yes!

Alyssa:  So we’re going to talk about good foods during pregnancy, what to watch out for, sleep deprivation and cortisol, like you just mentioned, tips for dealing with that, and then how to evaluate adrenals and thyroid, which I know is a common question for a lot of women, pregnant or not.

Dr. Erica:  Yes, we end up seeing a lot of thyroid disease coming after pregnancy, for a variety of reasons.  So how to test for that and assess it from a functional standpoint.

Alyssa:  And then we have — and you might need to help me with this; talk about some adaptogens in food?  What is that?

Dr. Erica:  So adaptogens just means that it helps your body adapt to situations, so certain things like mushrooms or ashwagandha, those are called adaptogens.  So if people are having a lot of high cortisol levels, actually eating that food helps because food can talk to your genes and tell your genes to turn on or off and produce more or less cortisol.  That’s a very scientific answer, sorry!

Alyssa:  No, I get it!  And then the last thing I have on here, “some supportive things to do such as basic ideas that can be forgotten during the postpartum period.”  What do you mean by that?

Dr. Erica:  So even just remembering to continue your prenatal vitamins.  Things can get so out of routine with a newborn baby that you forget to do simple things that can help you feel well.  We end up seeing a lot of nutritional deficiencies just after giving birth, especially vitamin D.  There’s a lot of vitamin D deficiency in general in West Michigan, but if you’re breastfeeding, you’re at more risk for that.  And then magnesium deficiency, which many of us are deficient in.  So just those two simple vitamins, we can test those levels, and people end up feeling a lot better when we replace those.

Alyssa:  So who would you say should come to this event?  Women who are pregnant, trying to conceive, postpartum, all of the above?

Dr. Erica:  I think all of the above, for sure, because we’re going to talk about a lot of general health tips, as well, as focusing on the postpartum period.

Alyssa:  Okay!  So again the event is called How to Set Yourself Up for Success in the Postpartum Period, but even if you’re pregnant, I always tell people to plan ahead.  So it’s good to learn this stuff so that you’re not in the  midst of all this chaos with a newborn at home, and going, oh, shoot.  If you know this stuff, you can plan ahead.  And again, that’s going to be on March 7th from 6:30 to 8:00 PM, so if you’re interested, you can go to our contact form and let us know you’re interested in the event.  I would still like to know a little bit more about your practice.  Where are you located?

Dr. Erica:  We’re located in downtown Grand Rapids, and we mainly see people in person, but we can also see people virtually throughout the state of Michigan via telemedicine, and some people will drive in for the first visit and then follow up virtually, as well.  We have different packages on our website.  You can either work with Kelsey in nutrition package or with me in functional medicine or with both of us in what we call the Get to the Root package in where we work together for at least three months and really help get to the root cause of feeling better.

Alyssa:  I love that you can do it virtually, especially for postpartum moms!

Dr. Erica:  Yes, it makes a lot of sense not to have to lug the baby in!

Alyssa:  Yeah, it’s the last thing you want to do!  You’re in your yoga pants; you don’t want to have to drive downtown and probably run in to somebody that you know with no makeup on and all that stuff.  It’s just a lot easier, especially if you have a newborn and toddlers at home to not have to leave.

Dr. Erica:  Yeah, and we can attach all the food plans and wellness plans right to the patient portal.

Alyssa:  That’s really convenient!  Well, if anyone is interested in getting ahold of you, what’s the easiest way?

Dr. Erica:  There’s a contact form right on our website.  And we’d be happy to answer your questions.  We’re also on Instagram and Facebook as Root Functional Medicine, and we post most of our updates there.

Alyssa:  And we’ll share the Facebook event, as well.  Again, it’s How to Set Yourself Up for Success in the Postpartum Period and it will be on March 7th from 6:30 to 8:00 PM here at the Gold Coast Doulas office.  Well, thank you, Dr. Erica!  Thanks for joining us!

Dr. Erica:  Thank you!

Alyssa:  And tell Kelsey we’ll have her on sometime, too.

Dr. Erica:  Sounds good!

 

Podcast Episode #61: Postpartum Wellness Read More »

Pregnancy and Depression

Podcast Episode #60: A Naturopath’s Perspective on Pregnancy and Depression

Doctor Janna Hibler, ND talks to Alyssa and Kristin about how a naturopathic doctor treats pregnant and postpartum women, body and mind.  You can listen to this complete podcast episode on iTunes and SoundCloud.

Alyssa:  Hello, welcome to Ask the Doulas podcast.  I am Alyssa Veneklase, co-owner of Gold Coast Doulas, and I am here with Kristin, my business partner today, and Janna Hibler.  She’s a naturopathic doctor and clinical nutritionist.  Hello, Janna!

Janna:  Hi, how’s it going, guys?

Alyssa:  So Kristin and I met you at a little gathering of the minds at Grand Rapids Natural Health Recently.  We kind of hit it off, and then you and I got coffee, and we hit it off even further.  We got to chatting forever, so we were like, let’s just pause this and record our conversation!  And today, first, I want to know a little bit more about what you do, but when the two of us were talking, we spoke quite a bit about postpartum depression, and I want to talk about what happens leading up to that, even before you get pregnant, but then during pregnancy, too.  What does that look like?  What do depression and anxiety look like?  How do we nip that in the bud?

Janna:  Yeah, definitely!  So it’s really important for all of us mamas and future mamas to know that how we are before we get pregnant and give birth is a good indicator of how our health might look like after we give birth.  Things you mentioned such as anxiety or depression tend to get more severe after we give birth just because of the extreme stress and sleep deprivation that we are under, having a newborn.  I like to emphasize to my patients that this is nothing to feel bad about.  It’s just when you don’t sleep, you don’t release the same neurotransmitters and have the same brain chemistry with certain levels of uppers and feel-good hormones.  So it’s kind of…

Alyssa:  I’m obviously a big proponent of sleep for babies and parents.  So what would you tell a parent who says I’m not even pregnant yet; I’m thinking about getting pregnant.  How does a person even know if they have depression or anxiety?  And what do you do about it?  Let’s say that I’m kind of a depressed person or I get anxious about things at work or with my friends or my family.  What do you recommend?  And then let’s say I came to see you as a naturopathic doctor.

Janna:  So again, I like to really emphasize that you are normal and this is a normal part of being a female.  If we’re talking evolutionarily speaking, we were made to be out in nature, and so when we’re put in the city, even if we’re out half an hour from Grand Rapids downtown, there’s a lot of lights.  There’s a lot of noises.  There’s a lot of things going on that cause an overresponse, and that can lead to anxiety and depression.  So some symptoms might be feeling nervous in certain situations or some OCD tendencies, or a lower mood display and laughing less or getting less excited about certain things in life.  These can be very mild, but if you look at them over the course of the day, if you have a lot of little things, they do add up.  So when you walk into a naturopathic doctor’s office, something I really love and take to heart is that we have our medical concentration, but we also have a lot of education with psychology and knowing how the brain works.  So I would ask you a bunch of questions; the normal medical questions you get, but in addition, we’re going to ask about your sleep cycles, your exercise, your diet regimen.  All these play a part in our mental health, and my end goal is for everybody to feel their best all the time.  In order to find out how people are feeling, I like to run a series of either urinary or blood tests.  This can give us an indication of brain chemistry, hormone levels, cortisol, in addition to the normal things like checking sugar and red blood cells.  I really like to hone in on these specialty tests because by checking our brain chemistry, I can find exactly what neurotransmitters might be high or low, and we can treat appropriately.

Alyssa:  So when you talk about neurotransmitters, what does that mean?  What are you looking at and what does that mean to you?

Janna:  So our neurotransmitters; there’s the common ones we’ve all heard of like dopamine, serotonin, norepinephrine, epinephrine, even histamine.  There is a whole slew of uppers and downers, and basically, we take the brain chemistry analysis tests so we can see if some of them are off.  Some people that have allergies have high histamine levels.  That’s an upper, so when we have allergies, those people actually tend to have anxiety, as well.  And so we can actually nip the anxiety in the bud by treating the allergies and reducing histamine levels.  So it’s really a cool science.

Alyssa:  And the cortisol and serotonin and melatonin, all those things you can actually check with blood and urine?

Janna:  Exactly, yeah.

Kristin:  And a lot of women have issues with their thyroid; is that part of the testing, that you can check thyroid levels?

Janna:  Absolutely.  I like to refer to it as our hormone triangle where we have our thyroid as the king, our sex hormones like estrogen, progesterone, and then we have our cortisol.  All three of those categories play a huge role in our hormone development and picture that we have, so we do a lot of intensive testing to find out where those levels are at.

Alyssa:  And what would you do if I came in and my cortisol levels were sky-high and you noticed something with my thyroid?  What would you tell me to do?

Janna:  So depending on your lab results, the thyroid could be treated in two ways.  One, sometimes we do give conventional medications, and then another way to treat, depending on your levels, is with herbs.  We can give a series of botanical herbs to actually bring your levels back to normal, as well as certain nutrients.  There’s a number of co-factors that actually feed our thyroid hormone to turn from its inactive to active form, and without them, we will not function.  So that’s things like vitamin D and iron and vitamin C; very common nutrients that we take for granted, but they play a vital role in our thyroid health.

Alyssa:  So how long do you test that out before you put them on a drug?

Janna:  Typically, I like to give a patient three to six months to see if we can fix it with nutrients and herbs.  Again, it comes back to what the patient wants.  If a patient wants results this month, then we might take a more aggressive treatment plan.  But if they’re willing to do it completely naturally, then three to six months.

Alyssa:  So let’s say I get it under control; I’m pregnant, and I still notice now that I still have some anxiety or depression.  What do you do during pregnancy?

Janna:  I really like to encourage diet and exercise and sleep.  Those are our biggest best friends to really help out.  Different lifestyle factors can have a huge effect on our mood and behavior.  So let’s start with maybe some foods.  We could eat a diet rich in dopamine, so we could do things like chocolate.  I mean, who doesn’t love chocolate?  We all love it, but do we know it’s high in magnesium and it’s high in zinc?  Those are vital co-factors to run our brain chemistry.  We can also have blueberries or nuts and seeds, which are high in vitamin B6 and 9 and all these B vitamins to help also with our mood.  We could do some grass-fed or fermented foods, which help with our gastrointestinal health, which again, I’m sure you guys have all heard of the gut being the second brain.  And then sulfur; sulfur-rich foods like onions and garlic that actually help with detox, so if we are having some things get backed up, we can help get them out.  So we really try to approach it from a multifactorial view hitting all points.  How’s our diet?  How’s our exercise?  How’s our sleep?  How’s our stress?  And a lot of what I get into with patients, too, is how is your relationship at home?  Do you feel supported?  Do you feel loved?  Do you feel heard by your partner?  By your business partners, your coworkers?  These are all part of our needs that play a role in our mental health when we’re pregnant and when we’re not pregnant.

Alyssa:  I was going to say those are things that should be carried over throughout, right?

Janna:  Yeah, yeah!

Alyssa:  Meanwhile, exercising and getting enough sleep.

Janna:  Totally, and pregnancy just kind of is that opportunity where we find our weaknesses in our body, and it’s actually a great opportunity to increase our health for the rest of our life and find out things we wouldn’t know about it unless we were pregnant.

Alyssa:  Oftentimes, I feel like that is the point in a woman’s brain and body where we finally start to understand and care about what’s happening to our body, and because we’re growing another human, then we’re like, oh, I better start taking care of myself so that I can take care of this baby.

Janna: Yeah, and I think that has a lot to do with what happens after we give birth and why a lot of moms struggle.  I mean, I want to say that loud on this podcast right now that mom life is hard.  It is a struggle, and I know we all try to put on a face that we’re doing well and everything’s perfect at home, but mom life is hard, and that’s maybe another podcast sometime, but that’s a conversation I’d love to get started because it is hard, and to that extent, why we have a hard time after birth is a lot of the time – and I’m sure you guys see this all the time, being in the house with moms – that the moms forget about themselves.  They put all of their energy, all of their love, into their baby, and I was guilty of it, too.  I mean, I have a two-year-old, and I definitely did it.  I’m still guilty of it some days because we love that human so, so much.  But I think it’s really important for our mental health and as mothers to put the energy back into ourselves and remember that we really can’t pour from an empty cup, and we have to be healthy and strong ourselves in order to make strong and healthy babies.

Alyssa:  So what do you recommend to a mom who’s suffering from depression?  You know, maybe they had a beautiful pregnancy, easy labor and delivery, and then they’re like, oh, my God; this is way harder than I thought, and then sink into a depression that they’ve never experienced before.  How do you get them out that?

Janna:  And so many moms do!  There are so, so many out there that come in, and they’re like, not even my husband knows how sad I am; not even my best friend knows how sad I am, and that’s where I really encourage everyone to just start reaching out.  I don’t want you to be ashamed; I don’t want you to feel guilty, because it doesn’t mean you’re a bad mom.  You’re an excellent mom because you care so, so much, and asking for that help and taking that first step, making people aware that this is something I do need help with, and receiving that love.  From a medical standpoint, too, we’ll go in and I’ll help adjust hormones and your brain chemistry with either herbs or conventional treatments or nutrient levels to help your body, but I think so much of it also comes from a mental and emotional spot of feeling supported and loved by your people around you.

Alyssa:  So is naturopathic medicine, in general, more of a functional approach versus the medical approach or kind of a combination?

Janna:  Exactly, yeah, and functional medicine is so great.  That is the bridge between conventional medicine and natural medicine because we all agree on it, you know.  We see a lab level, and it’s important to attend to it when it’s on its lower level.  Traditionally-minded thinking, we only would treat something like vitamin D if it was set low because that’s the level that can cause rickets and true mobility issues, but what about everybody that has low-normal, that they’re in that functional, funky range?  That’s at a stage that can cause depression, that you can get autoimmune diseases.  So as a naturopathic doctor, I really work on treating it then and now so we can prevent getting those diseases because they may not pop up in five or even ten years, but they will happen if they’re not treated.

Kristin:  Even in pregnancy, there’s evidence that preeclampsia with the lack of vitamin D, that can be a factor in developing preeclampsia.

Janna:  Exactly, and that’s how it can be that simple sometimes where moms come in and, hey, they just want to run a nutrient panel just to find out what are their baseline nutrients, and then that way when breastfeeding comes into play, especially for extended breastfeeding – I’ve been breastfeeding for two and a half years, so that’s something I’ve been keeping a constant eye on, what are my nutrient levels, because we don’t want to cause other problems from just being depleted.  So yeah, that’s a great point.

Alyssa:  Depleted is a good word to describe mothers postpartum, I think.  Most of us at some point just feel depleted, whether it’s mentally, physically, whether it’s just breastfeeding.  That alone can make you feel depleted; this baby is literally sucking the life out of me!

Janna:  Because you’re giving everything!

Kristin:  I tandem nursed, so I really felt depleted when I was nursing two!

Alyssa:  It’s like this weird tug of war between “I love doing this” and “I hate doing this so much.”  I remember getting so over it when I was done, and then a month later I missed it.  I was like, oh, my God; I’m not breastfeeding anymore!  But I was so ready to throw those pump accessories in the trash and celebrate, but it’s just a weird…

Janna:  It is!  And every mom is different, so we like to celebrate moms at each level, whether they want to breastfeed for three months or six months or a year.  We all have our breaking point, and we want to prevent us from getting to that point.  Mama matters, too!

Kristin:  For sure!

Alyssa:  Well, thank you so much for joining us, and if people want to find you to come visit you or just ask you questions or follow you on Instagram, where do they find you?

Janna:  Absolutely!  So I’m currently accepting patients at Grand Rapids Natural Health, and I’m also on social media as holisticmommyandmedoc, and you can reach out there anytime.  My name is Janna Hibler on Facebook, and feel free to message me anytime.  I like to get to know my mamas.  Since I just moved from Vermont, I’m looking to build up my network of mamas because we are a tribe and we all need to stick with each other, so whether it’s personally or professionally, I do want to link up with you!

Alyssa:  Thank you so much!

Kristin:  Thanks, Janna!  We appreciate it!

 

Podcast Episode #60: A Naturopath’s Perspective on Pregnancy and Depression Read More »

Adoption

Doula Support for Adoptive Families

Most parents probably don’t think about hiring a doula if they aren’t pregnant. They think of a birth doula only supporting a laboring mother, but that couldn’t be farther from reality. Birth doulas can support any parent. Postpartum doulas can support adoptive families by helping them to prepare for baby’s arrival and in-home after baby arrives. There are so many ways doulas can support families that are adopting!

At Gold Coast we are focused on educating parents. We offer several prenatal and postnatal classes to help new parents navigate this new territory. We offer a Newborn Survival class that goes over essentials of surviving those first few weeks and months home with your baby. Real life scenarios and raw topics are discussed to help parents feel confident in their roles.

We also offer a Prenatal Stress class. This is designed for any parent, pregnant or adopting, to understand the affects that stress has on a developing child’s brain, not just throughout pregnancy but through their growing years as well.

Infant Massage is a great way for adoptive parents to bond with a new baby. Our instructor offers classes as well as private in-home instruction. Another great way to bond is babywearing. We have a certified babywearing expert that does in-home instruction and can show you how to safely use your carrier(s).

For parents that might be bringing multiples home (twins or even triplets) we offer a Preparing for Multiples class, and we have a postpartum doula that is a mother of twins herself. Her in-home support, expertise, tips, and tricks are invaluable!

If grandparents will be primary care givers, we offer a class called The Modern Grandparent that updates them on the latest safety information as well as informs them about today’s parent and how parenting styles differ from generations past.

Our lactation consultant can help adoptive mothers induce lactation and can also offer advice about chest feeding.

At Gold Coast, our postpartum doulas are available day and night. Daytime support includes help with baby bonding, newborn care, help with older siblings, meal prep, and evidence based resources. Your postpartum doula is your trusted guide for anything baby related. Overnight support allows parents to get a full nights rest while the doula takes care of the baby through the night. The doula will feed the baby, burp, change diapers, etc allowing the parent(s) to get as much rest as possible knowing there is an experienced professional caring for their child. 

A postpartum doula is an amazing gift idea for baby showers! We can create a custom insert for your shower invitations and you can also register online for any of our services at EcoBuns Baby + Co online.

We also offer Gentle Sleep Consultations. Sleep is critical for adults and babies. Babies needs proper sleep for brain development and physiological growth. Parents need sleep to help manage the day to day obstacles of parenthood as well as for basic health and wellness.

We also have doulas specially trained in grief that can help you through loss.

Some of the trusted resources we suggest to families are:

Kelly Mom https://kellymom.com/category/parenting/ Athough there is alot of information about breastfeeding on this site, there are some relevant parenting and adoptive parenting tips as well.

This link features several apps our clients like. http://redtri.com/apps-every-new-parent-needs/slide/3

The Baby Connect Tracker App is also popular with our clients. https://www.baby-connect.com

At Gold Coast Doulas, we pride ourselves on being the premier doula agency in West Michigan. We offer judgment-free support to all families regardless of their parenting styles. We are here for your family, wherever you are in your journey.

 

Doula Support for Adoptive Families Read More »

Traveling postpartum doula

Podcast Episode #56: Traveling Postpartum Doulas

 

Will a postpartum doula travel?  Yes, at Gold Coast they do!  Today we talk to Kelsey Dean, a Certified Birth and Postpartum Doula, about her experience in California and in Michigan traveling with families as a postpartum doula and what that looks like.  You can listen to this complete podcast episode on iTunes or SoundCloud.   

Alyssa:  Hello, welcome to Ask the Doulas with Gold Coast Doulas.  Today we’re talking to Kelsey Dean, one of our newest postpartum doulas, and then you’ve also come on as a birth doula as well.  Welcome!

Kelsey:  Thank you!

Alyssa:  I wanted to talk specifically about your postpartum experience.  Can you tell us where you came from and the type of experience you’ve had in California and even in the Detroit area, right?

Kelsey:  Yes.

Alyssa:  And then specifically I want to ask about this traveling aspect of the postpartum doula role.

Kelsey:  I started my doula training in 2016 to be a labor doula and postpartum doula.  It was just a full-spectrum course, so from there, I had intended to start midwifery school right after, and I thought I really want to get more experience, and so I started picking up postpartum clients because it’s work that’s easy enough to schedule, and it’s also such a rich transition time that it kind of just called to me more.  So I began more so nannying for really small children; that was kind of how I got into the doula community and practicing, and then by referral I started to get young families or families that were planning on having children so we could plan a little further in advance.  And then I became a full postpartum doula in 2017, so it was about a year transition between doing nanny work and just getting what I could find.  In Sonoma County, I served families as a postpartum doula.  A lot of overnight shifts were something that were really popular there because sleep is critical.  So I moved to Michigan this past summer, in July of 2018, and I got really, really fortunate to link up with Jill Reiter from the After Baby Lady doula services in southeast Michigan, and she was great and connected me with so many families in that area.  The experience ranged from single parents to families with really extended family that’s visiting on and off; a lot of range in socioeconomic status, and that’s been really helpful to see, too, to just have that wide range of what can we do; what are your best resources?  And now I’m getting a little bit more into the traveling doula idea, and sometimes that’s day work; sometimes it’s overnight.  It totally depends on what the family wants, but I’m happy to talk about that more.

Alyssa:  Yeah, what does that look like for a family?  How far do you travel and how long?

Kelsey:  Totally depends on the doula.  For me, because I am pretty easily up and mobile, I am willing to go — I can’t think of anywhere I wouldn’t go.  I mean, really, if you’re traveling, the idea is that you’re essentially bringing another person with you that you would account for like a family member, so the family that’s hiring is making sure that person has room and board, is able to access everything that they would be accessing like food and tickets and that sort of thing.  So in that sense, in some ways, it’s very easy if you’re a single person to just go because you’re just jumping in to the plan that’s already existing.  If it’s someplace that’s a little closer by, sometimes – like when I was with a family up in northern Michigan, it was nice that they made accommodations for me, but they already had a home, and so in that case, it’s more a conversation of what does this look like?  If I’d had family up there or something, I really wouldn’t have needed that, but if it were, like, we’re going to Mexico and we need a doula, that’s definitely, you know…

Alyssa:  You’d have your own room?

Kelsey:  Yes.

Alyssa:  And in northern Michigan you stayed in a hotel nearby?

Kelsey:  I did, yes, and those are usually flexible things, too.  Airbnbs are really affordable, and if they have an extra, you just would get one with one extra room in it or something like that.  That’s actually worked out for a couple of doulas that I have been in a collective with in the past, that they just did that house share kind of thing, and then in that time off, usually if they’re working overnight shifts or if doulas are working overnight shifts, then it’s easy enough that they wake up and go to bed around 8:00 AM and then the family gets that nice morning time, and then around nap time, the family gets to all go take a nap and the doula comes back in.  So it’s a rotating shift kind of thing.  It’s like having another family member.  I mean, traveling is already kind of a stressful event, and a lot of the things that you would worry about as a new parent when you’re in your home, like, okay, if I need to go see my doctor, where are they; how long is this going to take; or where can I go find this very specific thing that I need for my own health, like elderberry syrup is really popular now because it’s the middle of winter, but things like that: doulas tend to think about those things, and we want to know that before we go somewhere and it’s just one less thing for the parents or the family to think about over and over and over again.  So it’s just like having that extra set of hands that you would need anywhere else.

Alyssa:  And what if somebody says, oh, wouldn’t it be cheaper to bring a nanny with me?  Like, what would be the difference between hiring a nanny and a postpartum doula to come with you?

Kelsey:  I like this topic all the time, traveling or not.  Nannies are excellent, and they’re meant to be with you for a long period of time and be with you while your child grows, and that’s wonderful, but they’re not necessarily certified in any education or expertise about your baby.  So yes, they might come in like another person that feels very warm and loving, and they feel like another family member and this extension that’s really great, but there might be some really serious cues that they would miss about your newborn because they’re not supposed to know.  Whether or not they’ve had kids, they might not have had that experience.

Alyssa:  And even cues with the mother, right?  Like noticing signs and symptoms, like breastfeeding issues or mental health issues that a postpartum doula is trained in.

Kelsey:  Yes, absolutely.  And nannies, I think, generally — I mean, I’m thinking about childcare, but in general, nannies really aren’t there for a family in the same way that a doula is.  A doula is looking at everyone as a spectrum, as a family, whereas a nanny is really there for the childcare.

Alyssa:  I think that’s a common question in general.  That’s why I like to ask it, so I like that you like to answer it.

Kelsey:   I do!  And because I totally get it.  I’ve had several of my friends tell me about their nanny experiences with, like, twins that are four weeks old and stuff like that, and they just felt super overwhelmed and totally unprepared, and it’s like, well, yeah, you were.

Alyssa:  You haven’t been trained!

Kelsey:  Yeah, and a lot of times, the stories are from when my friends, being the nannies or babysitters, they were only, like, 16 or 17, totally unprepared for that kind of circumstance.

Alyssa:  That’s kind of like a mother’s helper role at that point.  You know, it’s not even — I would have a hard time considered a 16-year-old a nanny.  It would be more of a babysitter or a mother’s helper.

Kelsey:  Right, yes!  If you think of it in village terms, a woman that just had a baby — yes, there are those young women that come in to do some cleaning and make sure that you have fresh clothes and you get time to take a bath, but there’s also the matriarch women, like the women that know what’s right and wrong and how this process goes.  You need both.  I think doulas, as doulas, we try to cover as much of that spectrum as we can by going through some training and education and experience.  And yes, it’s great that you also have the opportunity to have a nanny come in and help in that soft way and maybe make meals and things like that, but it’s just not the whole package.

Alyssa:  Yeah, I agree.  And a doula — we know that we get into this for a temporary amount of time.  Like you said, it’s a whole spectrum.  We’ll supporting the whole family, and once the parent or parents feel — you can almost sense that confidence in them when you’re like, okay, it’s time for me to go.  And they’re like, well, I don’t want you to go!  But it’s like, you’re ready.  They’re just not ready for you to leave, and sometimes it has to be gradual.  Like, okay, we’ll go from three days a week to two to one, and it’s like this gradual process instead of abruptly ending that relationship.  But then it’s a great time for a nanny to step in.

Kelsey:  It is.  I like the concept that doulas are coming in during a transition time, and we try to be these invisible people that just have everything going on, but then the reality is that we’re not invisible, and it’s a subjective experience, and we’re like, oh, now you have to transition out of us too, like double transition time.  But that’s such a good time to connect with mommy groups in the area, or like you said, a nanny.  We can make those resources and referrals happen, too.

Alyssa:  Well, and that’s the other thing too; we’re connected.  Doulas are connected in the community, and like you said, we like to know where, if you’re having an issue about this or that — hey, we know who you should talk to; we know who you should go see.  Let me have you call so and so.  We know how to make those referrals and connections.

Kelsey:  Yeah, we really can ease that transition.  And just on the note of nannies, sometimes I know we’ve all found people that were unexpected connections.  Like you meet someone that’s a nanny that’s a really good fit for you and your family, and that’s great, and maybe you meet — the first interview that you go on with a doula just doesn’t seem like the right fit, but in the same way, you choose a doctor or a chiropractor or someone like that, and if it’s not the right fit, you still wouldn’t go to a doctor and say, well, I didn’t like that doctor, so I’m just going to see an acupuncturist or a chiropractor or a nurse.  If you need a doctor, then that’s who you need, and I think with doulas, it’s very much about finding the right fit.  This person is going to be in your house, in your vulnerable space.  They’re seeing you at a vulnerable time.  It’s so important to get the right fit, and the same thing goes for a nanny, but they’re just not necessarily interchangeable.  They don’t replace one another.

Alyssa:  Yeah, and I think that’s what’s great about having the team we do is because they’re all wonderful, but they all have different personalities.  And I agree; I’m a definite type of personality that wouldn’t want certain traits in a postpartum doula that another mother would be like, no, I need those.  So I think you’re right, and meet two or three of them if you have to.  If you connect with the first one right away, awesome.  Which most of them do because all of our doulas are lovely, but yeah, it’s not like a personal stab to the heart or anything if you don’t get hired.  Just maybe it’s a personality thing; personalities just don’t fit.

Kelsey:  And at Meet the Doula events where there’s a lot of us, we can feel that, too.  As a group of doulas, when a family walks in, you can say, oh, that’s totally a doula family for Kristin; she’s got that one for sure.  And it doesn’t mean we don’t like them.  I can still totally love a family and want the best for them, but just say that I can totally tell that they’re a match for someone else.

Alyssa:  I agree.  We do that even with a phone conversation.  We can tell.  Five minutes of talking to a mom on the phone, and I can be like, I know who you need to talk to.  Gina, Julie, Kelsey.  You can totally get that vibe right away, and usually it’s spot-on.

Kelsey:  Oh, yeah.  Women’s intuition.

Alyssa:  So when you’re traveling with a family, a nanny just has a salary?

Kelsey:  Right.

Alyssa:  Is that how it works?  So everything is the same?  But a postpartum doula is an hourly rate, so explain what that looks like for families if they wanted to go on vacation for two weeks and they had a nine-week old baby and wanted to bring a postpartum doula along.  What do the hours look like?  How do you figure out pay?

Kelsey:  It varies per family, again; however, I think the idea that you’re taking someone on vacation so you should be able to get a discounted rate — at first glance, that does make sense.  However, when you look at the flip side of that, you’re asking someone to uproot their lives, make sure everything is taken care of on a last-minute basis, and any plans that they may have had in those next two weeks, they have to reschedule.  So we are really putting our life on pause for this family, and I think for that reason, there are things that are just assumed that they’re going to be paid for, like the accommodations and the ticket, and no, travel doulas aren’t for everyone because they can be more expensive than a regular postpartum doula.  I mean, you’re traveling, so in that sense, it can be — it’s more expensive in general, but usually the rate is about the same.  We’re all flexible, and we want to help, so we’re willing to make it work with families.  But that being said, it’s usually around the same rate in my experience, and what I’ve heard from other doulas that are also doing this.  And as for hourly schedules, we are there.

Alyssa:  You can either be there for 10 hours a day or 24, depending on what the family wants, right?

Kelsey:  Right, and it’s kind of up to the family and the doula, because just like in any other doula work, if I’m doing an overnight shift here in Grand Rapids, I might be asleep for three of those hours and still being paid to be present in case something were to happen, so that’s something that the doula and the family need to work out.  If they want overnight support, is that sleeping overnight support, or would they rather have maybe something until 3:00 AM and then switch so that the doula can get some sleep?  There’s always a way to work it, and if cost is a limiting factor, then maybe 24-hour support isn’t the best choice, but there’s just so many different ways to work that, just like natural doula work in any other location.  And I think most people usually would prefer to have a 12-hour shift or something like that and then have a little time where it’s just them and just their new family and have that bonding time where there’s not another person kind of butting in and out because after a while we, if you can tell that everything is going really smoothly, it’s like I don’t need to ask you again if you need anything; I can tell you don’t.  But if we’re traveling with you, we’re wherever you are.  It’s not that we’re out partying in Mexico for three hours and coming back to you.  We’re probably just right down the street or at the beach or getting lunch, just in case you call or something like that.  So it’s so flexible, and maybe a little bit — I think maybe doulas are a little bit more available in that kind of circumstance.  Like, if you wanted more care, we’re already right there.

Alyssa:  Right, whereas a nanny service could be a little bit more rigid?  Like, you have her from this time to this time, and if you call after that, she’s not going to answer.

Kelsey:  Yes.  And another thing about those excursions, like going-out-into-the-world excursions kind of things, when I was living in Sonoma, there were families that would want to go wine-tasting or something like that during the day, which is great; live it up.  I don’t know if that really counts so much as traveling; it’s more like a day-long event where you just need an extra pair of hands and somebody to juggle all these things.

Alyssa:  Well, and wine-tasting, specifically, you want a pair of sober hands, right, to be caring for your baby while you go wine-tasting.  That’s probably a really good choice!

Kelsey:  And I guess that’s not something that — I don’t know if we would run into that here very often, although the beer thing — like people might go on a beer tour or something like that, but it’s just like, that’s great, get out and do your thing, and a pair of sober hands to make sure there’s a quiet place for napping — and you’d be amazed.  Some of those places, if you’re going to on a wine-tasting day or bop around a city, it’s totally beautiful and it’s totally feasible.  It’s not this wild, crazy, drunken event.  It’s okay to bring your baby with you.  It’s just that there need to be safety precautions in place, so another pair of hands, yes, is critical.

Alyssa:  Well, and especially let’s say if you have a three-year-old as well.  I think that makes it even trickier.  You just say, okay, I’m not even going to do these outings anymore.  But if you know you have this trusted professional that can come with you, why not?  Why not bring the kids along and let them experience this and everyone can enjoy it?

Kelsey:  Yes, and just in terms of mental health and overall wellbeing, that kind of feeling when you know you can go out and do something that you really want to do, in 15 hours, you’re going to feel like a better person than when you were stuck at the house, like I can’t leave; I’m stuck here.  Just having that mentality switch of having this liberation, this choice to make, that if I want to go do this thing, I can.  It’s so relieving.  A lot of moms just feel stuck, like I have to take care of my two kids right now, and they’re both driving me crazy at the same time, but I can’t leave.

Alyssa:  Right.  And obviously, money is a factor for some families, and in that sense, a neighborhood little girl or mother’s helper might be the right fit for them if that’s all that they have the resources for.  And then in-home doula support is another level, and then traveling would be another level beyond that.

Kelsey:  Yes, traveling is definitely the most fortunate option, but even if — I mean, the great thing about postpartum doulas is that you can have us in your house, and you don’t need to go anywhere.  If you want to go take a nap or take a shower, that’s normal.  That’s so much a part of our job.

Alyssa:  That’s the majority, yeah.  I mean, sometimes a client will need to get out, and we tell them, you know what, go run for a coffee and come back in an hour.  But that almost gets into that babysitter role, like I’m just going to watch your kids while you leave.  I think as a postpartum doula, to be there with the family is critical because you can see them in action; you can help the mother bond with her baby if you see her struggling or help her with breastfeeding support or tell her, you know what, go take a shower or take a nap; I got this.  And when she wakes up and you’ve done the dishes, the baby’s napping, and you’re picking up the house, she’s like — you’re an angel!  This all happened in two hours?  How did you do this?  So I think really being there for the family when the family is there is critical, but there are those times of need where you’re like, this mom needs to get out, and whether you go with her or tell her to go alone, I think sometimes that’s just as important.

Kelsey:  Absolutely.  It is nice to have a whole family perspective, to see everyone together, and I know that’s hard, especially if one parent is working or if it’s a couple and one person is working already by the time they get a postpartum doula in the house.  That can be really challenging, but I’ve definitely had families who, even when there’s only one person, you can feel something is just in the air.  Like, we’re not talking about the partner that’s not home, and there’s, of course, different ways to handle that.  We do hear a fair amount, and there’s that fine line that’s, like, oh, playing around, and maybe that’s how the relationship is with those people, that they’ve always kind of joked with each other like that, but sometimes it’s not.  Your hormones are all over the place, and as doulas, we have a limited role in that, I think.  As a postpartum doula, there’s definitely been times where I just thought, you know what?  This is maybe rooted deeper than the postpartum period, and I know that therapy sounds like a four-letter word for some people, but there’s so many different ways to access really great conflict resolution and therapeutic helpers in the world that can sometimes just be a phone call from home that’s really private.  And if that’s something that is very built up already in someone’s mind, maybe we can find the resources.  But most of all, I think we’re the eyes in those kinds of circumstances to just be able to sense out just how strong the conflict is, to be able to make a plan of attack.  A lot of times, we get to ask the questions that are the uncomfortable questions that the cousin or the aunt or the mother-in-law would notice, but wouldn’t want to say anything because you want to preserve that relationship for a lifetime, and it’s a little more delicate.

Alyssa:  Or if they did ask, mom wouldn’t answer honestly or would be offended or would get angry.  But coming from her doula who is in her home and she loves and now trusts, it feels like a friend asking, and you’re available to be open and vulnerable with this person.  It’s amazing how quickly that bond forms between a doula and a parent.  They just become so vulnerable with you, and I think that’s the beauty of the relationship that becomes between these two or three — usually it’s mom, baby, and doula, where they have this relationship, and that’s why it’s so hard to leave because mom has formed this bond.  And baby, too, you know?  Oftentimes, it’s really hard to leave that baby that you’ve been with.  We have birth doulas who have been with a mom throughout pregnancy.  They were there for labor and delivery, and then there for months afterwards.  So that’s a really strong bond.  It’s really har d to sever.

Kelsey:  Absolutely it is, especially because you want to see the next step.  You know, there’s always that one next thing that’s almost there and you just want to be there for it.  Yeah, that is a hard bond to sever.  And they don’t have to severed.  I mean, we’re always there.  We just love.  Doulas are such big lovers that it doesn’t have to be this severed bond of never speaking to each other again.  We just aren’t going to be in your house four days a week anymore.

Alyssa:  Right, and you end up becoming Facebook friends and following photos there.  They’ll send random photos via text, so yeah, I think that relationship continues; it’s just a little less frequent.  Well, thank you for joining us.  If anyone is interested in learning more about Kelsey or hiring her for in-home or traveling doula, she is available, and you can contact us to chat about that.

Kelsey:  Thank you!

 

Podcast Episode #56: Traveling Postpartum Doulas Read More »

sleep coach

Sleeping Through the Holidays

Right when you get your child on a good schedule something inevitably comes up that makes it difficult to stay on track. We just went through the dreaded daylight savings (the worst for adults too!). Right now we are in the midst of the holidays. Here are some sleep tips for keeping your children’s sleep schedules on track.

If you’re traveling and driving, try to time the car rides over nap times. For instance, if you have a three hour drive and you know little Johnny takes his afternoon nap from 12:30 – 2:30, hit the road at noon and do some singing or stimulate him for a while until he gets drowsy and falls asleep. Then when you are almost there, he should wake up!

If you are flying, naps can be tricky. If you have a baby, holding the baby to sleep usually works. But if you have an 18 month old, you might have to prepare yourself for a no nap situation that day. In this instance, be sure to get them down to bed a bit early that night.

What if you’re traveling somewhere with a time change? Ugh..every parent dreads this no matter the age of your child. If you’re only going for a couple days, keep the child on their normal schedule. That means if they go to bed at 7pm and there’s a 2 hour difference, you put them to bed at 5pm. I know this messes up party plans but you’ll have to think ahead. Bring a pack and play for your baby or a blow up mattress for your older child and put them to bed in a dark room with a sound machine at their normal bed time.

If you’re traveling and staying for an extended period of time, slowly move their bedtime back in 30 minute increments until they’re at a more reasonable bedtime. Then before you leave to go back home, move that bedtime back to the normal time slowly. If you wait to move the bedtime back until you’re home, just know that you’ll have 2-3 days of adjusting to deal with.

If you’re hosting a party in the afternoon during a normal nap time, let everyone know that your child will be sleeping. Don’t let them stay up just because Grandma wants to cuddle. They will have to wait until your child wakes up. During a party, that sound machine may need to be turned up a bit louder than normal.

Remember that sleep is a priority and stand firm when a friend or relative says, “Oh, just let him stay up.” Easy for them to say!

Happy Holidays and Happy Napping!

For a customized sleep plan for your family’s travel plans, contact me today!

Alyssa is a Certified Postpartum Doula, Newborn Care Specialist, and Gentle Sleep Consultant.

 

Sleeping Through the Holidays Read More »

birth story

Podcast Episode #51: Carrie’s Birth and Postpartum Story

 

One of our clients describes her pregnancy, labor, and delivery and how having birth and postpartum doula support saved her sanity.  You can listen to this complete podcast on iTunes or SoundCloud.

Alyssa:  Hello!  Welcome to another episode of Ask the Doulas.  I am Alyssa, and I’m super excited to be talking to one of our clients, Carrie, today.  I feel like I known you.  We’ve been emailing back and forth forever, and I finally get to see you and hug you today.

Carrie:  I know, it’s nice to meet you!

Alyssa:  Welcome!  So you have used a few of our services, and I kind of want to hear your story from start to finish with as much or as little as you want to tell us.  So you find out you’re pregnant, and then what?

Carrie:  Well, and just a quick background about me, too: I was a late bloomer.  I got married at 38, and Mark and I talked about having kids, but it wasn’t a priority.  We loved to travel, and I was focused on my career; he was focused on his career.  If it happened, great; if not, we were okay with that.  And a couple years later, I was almost 40 and it happened.

Alyssa:  So you weren’t necessarily planning it, but not preventing it, either?

Carrie:  No, exactly, but we kind of figured with my age, I was a higher risk, and I kind of figured it just wasn’t going to happen for us.  But then it did, and now, of course, we can’t imagine our life without our daughter in it, now that she’s actually here.  But at the time, you know, we had other priorities.  So now we’re pregnant.  We’re like, oh, my gosh, what the hell do we do?  We had all these array of emotions come over us, like our life is going to change forever.  And we bought all the books that we were supposed to buy, and we started reading.  And that’s where I came across the term doula.  I had never heard of a doula before.  So I do what anybody does nowadays, and I go to Google.  I’m, like, what is this doula that they keep talking about?

Alyssa:  Do we have any in Grand Rapids?!

Carrie:  I know, it’s kind of a small town, but there were actually a couple companies that led me to you guys, and Gold Coast had rave reviews I started reading.  Mark and I don’t have much support.  Our parents are older, as we’re older, and our siblings live far away, so we didn’t have many friends or family that could or would want to be there to support us through this process.  That’s what led us to make the decision, and we kind of did it late in the game, too.  I forget how many weeks along I was, but I was due in early August, and I think we reached out to Gold Coast right around early July, so very late in the process.

Alyssa:  You make me want to look it up right now and see, but yeah, I think you were 35 weeks or so; pretty far along.

Carrie:  Yeah, it was kind of late.  So apparently, I didn’t read these books soon enough, but it was the best decision I made, especially with just not having that support from family.  The doulas were amazing.  They didn’t judge, and they gave their honest opinions on their experiences and what they saw, but they weren’t biased.  So at that early stage in the pregnancy, we were able to build that relationship, and we had made the decision to do the birth doula and postpartum doula.  I love Mark, but he’s not female and he’s not given birth.  He said, “I think I could handle this all by myself,” and I’m like, no.  No, he couldn’t have.  So I was really glad we went through the birth with the birth doula and the postpartum doula.  Before the labor portion, we had a text chain going on, so I was able to text Julie and Tricia and just ask any question.  It could be as dumb as it sounded or just very simple questions.

Alyssa:  First-time moms have a ton of questions, and you can’t call your OB five times a day.

Carrie:  Right, so I was able to text them, and they got right back to me.  But that just started the relationship-building, and I think that was the biggest thing, just having a relationship, because they’re embarking on this incredible journey of yours, and it’s a very private journey, but we’re asking them to join us.  And that initial correspondence between them just helped build that bridge of feeling secure with the person that you’re with.  Then to jump forward to the labor portion — you have to be open, you know?  You have the doula there, and she’s just helping you as much as she can, but she also offered the privacy that we wanted, too.  We had to make some decisions, and Tricia was our birth doula, and she gave us the privacy that we needed to make those difficult decisions, if we were going to have a C-section or are going to continue to try to do it naturally.  But she was there when we needed her, too, so it was such a good experience.  If I were to do it again — and I think we might be one and done — but I can’t imagine not having a doula with us for that part of it.

Alyssa:  What was Mark’s experience, since he was thinking, going into it, “I can do this; I got you, honey.  You only need me.”  After actually experiencing this and having a doula, what does he think?

Carrie:  He sat on the couch, so…

Alyssa:  Watching the game on his phone.

Carrie:  Yeah, he was watching the game.  Both games!  But no, he did great.  He supported me how he could, but he realized that he couldn’t support me the way that a doula could, and there’s just certain things that Tricia knew, like different things to try that might help the process, that Mark wouldn’t have had a clue.  And it’s nothing against a male, but they can’t carry a baby.  So if we did have another child, I think he would be all for it.

Alyssa:  He’d be on board right away this time?

Carrie:  Yeah, yeah.  And then that leads us into the postpartum, and for me, that service was invaluable.  I don’t know what I would do without having some help.  The first month was more like they helped me survive.  I’m not working right now, and I wanted to make sure my husband was able to sleep because somebody’s got to bring home the bacon.   And so I wanted to make sure that he wasn’t up all night like I was, but I would look at my Fitbit, and I thought, oh, my gosh.  I am not getting any sleep at all!

Alyssa:  Getting a lot of steps, but no sleep!

Carrie:  I know!  Like, okay, moms are not joking!  This is reality, what you go through the first month of having a newborn.  Some nights, if I got more than 30 minutes of sleep a night, that was good.  Or just at one time, in one chunk.  My average was maybe three hours or so.  But your body just adjusts to it, so you do what you need to do, but without having the doulas, it would have been rough.  And I think they started out maybe around ten hours or maybe a little bit more right at first.  Now my daughter is three months, and we still have the doulas.  We made a decision, and for my sanity, we still have the doulas coming about ten hours a week.  So it went from survival to now giving me part of my life back, but it’s giving me a break now.

Alyssa:  You went from survival mode to thriving; surviving to thriving.

Carrie:  Yeah, and our daughter loves the doulas.  She’s so happy.  It’s almost been such a process of they get to grow with her.  The babies grow.  I didn’t know; they grow a lot between newborns and three months, and she’s so big now, and she’s giggling.  So the doulas get to see that and be a part of her life.

Alyssa:  They will be so sad when you’re done.  They will be so sad.  That’s the hardest part of being a postpartum doulas is being with a family for that long, especially with you, because they were with you through pregnancy, labor, delivery, and now months postpartum.  Usually, those relationships don’t just abruptly end.  We’ll still have contact somehow.

Carrie:  Well, and another thing I wanted to comment, too, that compared to just a babysitter or getting some external help, the doulas are so reliable.  I know Julie, if she’s supposed to be there at 2:00, it’s 2:00.  She is rolling in at 1:59.

Alyssa:  You know something’s wrong if she’s not there at 2:00.

Carrie:  Yeah, she’s very punctual.  So a few weeks ago — I think our daughter was ten weeks at this point, and I was having some issues going on, and I thought it was just food poisoning, and like a typical female, I just put it off, like, oh, it’s going to be fine, you know, hide the pain.  And after day three, I’m like, okay, something’s not right.  I can barely stand up.  So I went to urgent care, and I had appendicitis.  The doctor at urgent care said I had to go straight to the ER, and I asked if they were going to do surgery right now, and he’s like, yep!  So I call Mark, and we don’t know what we’re going to do because we don’t have the help and it’s Sunday.  We try not to bother the doulas on the weekend, but Mark called the doulas, and within an hour, they were at the house.  With them working as a team, usually either Julie or Tricia can always make it, and they were a lifesaver.   So my biggest advice for anybody that is deciding if a doula is worth it — if you have the financial means to do both the birth, and the postpartum, do it if you can.  It’s a game changer, and if they don’t have the financial means to do both, the postpartum for me probably was the biggest help.  I mean, if I had to choose.  I wouldn’t want to choose, but if I had to choose, I would choose just having postpartum help.

Alyssa:  I agree, because even if you wouldn’t have had the support through pregnancy and birth, and let’s say you had this traumatic experience, having a postpartum doula to then talk to you about that and go through the emotions of that and talk about the traumatic story — you’d still get all that emotional help afterwards.

Carrie:  Yeah, the baby’s here, no matter what.

Alyssa:  Right, and as we see depression rates and anxiety rates climbing, especially with new mothers, postpartum support is critical.  That’s where my heart is, so I agree with you.

Carrie:  It was interested because I’ve been given the depression surveys every time I go in, even to take my daughter to the doctor.  I always get a survey.  Luckily, I’ve been fine, but the only time I ever got a little depressed was after this second surgery because I was starting to finally bounce back and get back into my groove.  I wasn’t working out like I used to be working out before, but I was getting my life back, and then I had this, another setback.  And then that’s kind of when I got sad, but luckily, I bounced back really quickly, and it wasn’t bad for me.  But I can see how easy it is to get into spaces that are darker than you want to be in.

Alyssa:  Without even realizing it’s happening, sometimes.

Carrie:  Yeah, absolutely.

Alyssa:  You just wake up and there you are, and how do I get myself out if I have no support?

Carrie:  Yes.  And the doulas are always so positive.

Alyssa:  You have an amazing team.  Julie and Tricia are so wonderful.

Carrie:  They are, they are.  We share so many pictures back and forth, and I even — sadly, I shared — it had been 12 days since our daughter had had a bowel movement, and…

Alyssa:  Did you send a poop picture?

Carrie:  I did!  She did it while we were at our friend’s house in the middle of dinner, and they had cooked this nice dinner for us.

Alyssa:  Of course!

Carrie:  And she was kind of fussy and she wasn’t crying, and Mark grabbed her, and he said, “Oh, she’s kind of sweaty.”  And then he’s like, “That’s not sweat!”

Alyssa:  Everywhere, right?

Carrie:  Twelve days of backed-up!

Alyssa:  That’s what I tell clients.  You know, if they go a few days, it’s not good, but I mean, it can happen, but I just warn you — watch out.  It’s all coming out.

Carrie:  I was holding off on all the Miralax until after we didn’t have any plans, but no, she let it go.

Alyssa:  She got it out!

Carrie:  Yeah, she did!

Alyssa:  So what’s been the biggest joy of being a new mom?

Carrie:  Now that she’s kind of getting past the big blog phase, now she’s starting to laugh and make squealing noises now, so it’s very interesting watching them.  Every time they learn to do something new, they keep doing it.  So that’s the biggest joy, I feel like, just watching her learn.  We’re just showing her the world right now, and it’s pretty cool.  Just seeing her learn and making all sorts of new noises and her eyes and having her look at you and just smile.

Alyssa:  She knows that you’re Mommy.

Carrie:  Yeah, yeah!  It just makes you tear up.  And then also seeing my husband.  You never know how a guy is going to handle that new baby, and he doesn’t know, but seeing how Mark was transformed, and he’s just this doting dad now, and he is so in love.  And he was probably more in love because he was taking care of her because I had a C-section, so he had to take care of the dirty diapers right at first and do a lot of it.  Seeing him just mold to being Dad right away was breathtaking, and it was such an awesome experience.

Alyssa:  It is fun to see dads turn to mush when they meet their babies.  So if you had to choose — we’ve talked a lot about postpartum support, but if you had to choose one thing that you wanted to tell a mother — let’s say they could only afford a birth doula.  What’s the main thing?  Would it be for you or for your husband?  Who was it most life-changing for?

Carrie:  It was more life-changing, I feel like, for me, because I was the one going through the labor.  Once the nurses knew I had a doula — and the nurses were great, but they have so many other patients that they’re also visiting at that time, too, so they were able to kind of back off me and let Tricia help, and she was able to just understand what my body was going through, because I didn’t know what I was going through at the time.  She was able to see the contractions that I was having on the monitor and say, okay, you’re starting a contraction right now.  And my husband wouldn’t have been able to go through that with me.  He was so green and didn’t know.  But she was also able to put me in different positions, and then also let me know what my options were.  I was at five centimeters for, like, twelve hours.  And I just wasn’t moving, so it was nice getting Tricia’s point of view of, okay, what would be the best avenue to go down?  Through the whole process, she just really helped me, as a doctor or a nurse would, even though she’s not medically trained.  But I was a hundred percent comfortable with her.

Alyssa:  So she would offer you some suggestions, and then let you and Mark talk that through and see what would be the best option?

Carrie:  Yeah, she had been through so many different births, and every birth is different, but she was able to just give me advice on what she had seen and what she had also gone through, and she had twins.  So she’s been through a lot, and she also has an older son, too, so she’s been through labor two times, but technically three times because she has three kids.  So she has a lot of advice, and I always learn from people that have been through the situation before.  So it was nice having her feedback.

Alyssa:  And it was never, like you said, a judgment.  You didn’t ever feel like she was telling you this is what you need to do or this is what you have to do?

Carrie:  Absolutely not.  And when it was time for Mark and I to make the decision or just talk about it, we just asked Tricia to go get coffee, and we talked about it.  But it was nice having her feedback or her suggestions on different avenues we could take.  Not that we didn’t trust the doctors and the nurses, but we had a relationship with Tricia.

Alyssa:  So if you had to tell someone in a nutshell, what does a birth doula do?  Like, if you had to give an elevator speech for someone, even after listening to this, if someone’s still like, well, hmm?  So they just sit there and give you advice?  What do they do?  What would you tell somebody?  You just find out you’re pregnant; you don’t know what a doula is.  What does a birth doula do?

Carrie:  So the birth doula made the experience a positive one, and whether that was by giving a massage or just helping with breathing and different positions to help make it more comfortable to give birth.  I did have an epidural at one point, so I didn’t do it naturally, and ultimately, I had a C-section, but Tricia was able to put me in different positions to make that pain easier, before the epidural.  It’s kind of all mush now, the memories of the actual birth, but I do know that Tricia was there for every step of it.  She was such an integral part of it.  It was almost like we were one.  She just helped with the pain, even though she wasn’t giving me drugs, but she helped make things a lot easier.  For a birth doula, it just meant, for me, an easier pregnancy, to deal with the unknown that I didn’t know what I was getting myself into.

Alyssa:  And then what about finding out you have a C-section?

Carrie:  I just wanted that thing out!

Alyssa:  Right!  People often wonder, well, what is a birth doula going to do if you have a C-section, and they don’t think about that immediately afterwards time period.  Who’s there?

Carrie:  Yeah, good question, because she was actually also a lifesaver for the cord blood donation.  We decided to do that because our doctor had mentioned that they are just making a lot of advancements on what they can use the cord blood for down the road, even helping with autism and different things.  So we decided that we wanted to store the cord blood.  But there’s a procedure that not all the nurses knew what to do, and our birth doula, Tricia, was able to take that in her hands.  She wanted to make sure that everything was handled properly and got where it needed to go.  So when we actually got out of recovery from the C-section — the C-section happened really quickly, and it wasn’t an emergency, but our doctor gave us an option.  She said we can do this, and Mark and I talked about it for probably less than five minutes.  We were like, it’s been twelve hours.  Let’s do this.  So we went in, and before you know it…

Alyssa:  There’s a crying baby!

Carrie:  There’s our daughter!  But then the cord blood — that went back to recovery, and as far as I know, Tricia helped to orchestrate that whole process, making that happen.  She was a lifesaver on that end because then we would have just wasted our money.  She was able to come back in recovery, and it was so nice having her meet our daughter.  And then I told her to get home because she had been awake for I don’t know how many hours.  It was 1:00 in the morning, and I think she joined us at 11:00 AM.  So it was a very long day.

Alyssa:  Like, 14 hours or something?

Carrie:  Yeah, it was a long day for her.  So I told her to go home, and then I went back to the room.

Alyssa:  Thank you for sharing.  I know that they just adore your family and they’re going to be so sad when this time ends, but our jobs as doulas are temporary.  We know that going in.

Carrie:  It’s hard.  I don’t know how you guys do it.  It’s kind of like fostering an animal.

Alyssa:  Right?

Carrie:  I don’t know how people just let them go.

Alyssa:  I know, you make these connections.  But Grand Rapids is small, and I’m sure that relationship won’t doesn’t end, like I said before.  They’ll be in touch for a long time.  And then if you do get pregnant again, who knows, right?

Carrie:  I know who to call!

Alyssa:  Well, thanks for coming on!  We’re going to have you on again another time to talk about a whole different issue, but thanks for joining us today!

 

Podcast Episode #51: Carrie’s Birth and Postpartum Story Read More »

postpartum depression

Podcast Episode #48: Bri’s Postpartum Story

In this episode our dear friend, Bri Luginbill of BetterBodyImageConference.com tells us about her struggle with depression and anxiety before, during, and after pregnancy.  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Welcome to another episode of Ask the Doulas.  I’m Alyssa, and today I’m so excited to be talking with my friend Bri.  Hey, Bri.

Bri:  Hi, everybody.

Alyssa:  She is with the Better Body Image Conference, and we did an event together – how many months ago was that?

Bri:  It was this March.

Alyssa:  Was it this year?

Bri:  It was this year.  Doesn’t it feel like it was last year?

Alyssa:  Forever ago, uh-huh.

Bri:  It was this year, March.  I believe the 11th.  Crazy.  It feels like eons ago.

Alyssa:  Yeah.  Well, maybe since I mentioned it, tell everyone a little bit about what that conference was, and then at the end, we can ask you for more information.

Bri:  So that conference was a way to connect people in the community with different organizations that are very passionate about body image and just the mental and physical health, as well as social change, that can happen in our communities around that certain issue.  And so Gold Coast Doulas actually did a workshop on body image with pregnancy and postpartum bodies and had a lot of intimate conversations with different moms or even moms-to-be.

Alyssa:  Yeah, we loved that conversation.  It was – when our time was up, I remember someone came in and said, “Time’s up,” and everyone was like, “No, no, we just got started!”  So it would be fun to continue that conversation at another point.

Bri:  Definitely.

Alyssa:  Or even to have a podcast about it.  That could be a good one, too.

Bri:  Do a mini-event.  We’re trying to do mini-events now, too.  But we’ll talk later about that.

Alyssa:  So Bri and I see each other all around, and the last event we went to was just, again, the postpartum time with moms comes up a lot.  It’s just a topic that we always talk about, and you even spoke to the group about the struggles that you had, so I think – I just want to kind of continue that conversation, the two of us together, and let’s just have a real conversation about what it was like for you having a baby and was it even – did you struggle during pregnancy, too?

Bri:  During pregnancy I struggled more physically.  I had a lot of the sciatic nerve pain that a lot of people had, so I did go see – in my third trimester, it was weekly appointments with my DO just to get adjusted.  But the mental health was still okay there.  I think as soon as I had my baby, it was a very – I even had a lot of blood loss.  I almost hemorrhaged, too, during it, so I think when I had my kid, I was just exhausted, and I remember them putting him on me, and just being like, hey, there’s a baby there, but not really feeling that, like, instant love because I was just so exhausted and tired.  And so from that first point, I’m like, whoa, I was told I was supposed to feel instant love, instant excitement, and I was just worn out.

Alyssa:  You weren’t the photo of the mom in the hospital looking lovingly down at her baby; you were like, just let me sleep.  What’s on my chest?

Bri:  Yeah.  And then I even had to get walked to – when I went to the bathroom, another blood clot passed.  I almost actually passed out.  I remember telling the nurse, “I can’t hear anything, but I know you’re there.  I’m starting to not be able to see.  I’m just letting you know.”  So that was my experience, which some people even have it crazier than that, but I think I was just trying to make sure I was awake enough to be there, like not passing out, to be there for him more than, oh, my gosh, I didn’t have that moment to really be like understanding what was happening because of my health at that point in time.  And then after that, I do have a history in my family, and I have anxiety and depression, which I feel like is not a fair combination to have.  You get anxious, and then your thoughts race, and then you feel bad about yourself, and then it’s just like a cycle.  So I’ve learned over time coping strategies and things like that.

Alyssa:  And this something you struggled with before having a baby?

Bri:  Even before having a baby.

Alyssa:  So you knew that your risk after was so much higher?

Bri:  Yeah, definitely.  And I remember coming home, and we entered the door, and I just was bursting into tears, and I knew.  I also have a hard time with transitions.  I take them a lot harder than most people, and so I knew even with that it was going to be a little bit harder.

Alyssa:  Probably the biggest transition of your life thus far.

Bri:  Very true.  So I was super honest.  That’s the thing my mom taught me growing up.  She said, our family has these things; I’m going to tell you, and you just – if you feel anything, make sure you tell people.  So her training me in middle school with that still helped, and so I was able to just let people know, like, I know that I’m feeling these things, and logically and practically, I shouldn’t be sad; I shouldn’t be like this.  I just – it’s just so hard to fight that.  And then I was anxious at night because I was worried for him and just wanted to make sure he was okay, my baby, and then I was kind of depressed during the day just because that anxiety wore me out.  And I would go and sleep in the sun in our hammock because it was summer time, just to get some sunlight.  I actually did talk to my doctor and I did start taking medicine as soon as I could after getting out of the hospital, just because I had taken those before.  Zoloft is what I took, even before him, so I was doing all the things to try to deal with it, but I wasn’t being very compassionate to myself to just let myself be, and so I think my word of advice and encouragement to people is if you are feeling those feelings, as long as you’re voicing them and getting help and asking for support, just don’t beat yourself up too much.  You’re already doing so much, and it’s hard not to beat yourself up, but you’ve got this whole new world that’s going on, and you deserve to also be understanding to yourself, and you’re trying to understand what’s happening.

Alyssa:  Did actually getting on medicine seem to help?  Or not enough?

Bri:  It seemed like it helped a little bit, but it was still learning a new system, learning a new normal, learning what this means, and it really does take a village.  My mom helped a lot.  I had different friends that were helping.  I needed a lot of support from my husband.  There were times where we would wake up together at night with the baby because it was just nice, even if he was just sitting next to me, just having that person there.  And so, yeah, it was hard.  My anxiety, I knew was there because I remember just being so worried, is he eating enough?  Is he getting enough food?  And I would line up these bottles and then I would just obsess with counting and all that, to a point that was detrimental, and I remember I was over-pumping and all I was doing was pumping and taking care of my kid and eating, and that’s all I was focusing on for a few weeks, and I remember my husband pulling out all of the milk from the freezer, and he was like, there are 30 bags of 4-ounce milks here.  He is getting fed enough, and you’ve got enough.  I just think I was worried about my stock because I have to go back to weddings and I have to go back to work.  I was a wedding photographer, and just trying to make sure my stock was there.

Alyssa:  Anxiety turned a little bit OCD, it sounds like.

Bri:  Yes.  Yeah, so I just like to be open about it because I feel like a lot of people have their own experience of what goes on, whether they have anxiety or depression or not, but we’re usually always looking to someone to tell us – which is what I did.  I would ask all these different people of, what did you do?  What did you do?  Or what was your experience?  And none of their experiences were like mine, so I felt like I was doing something wrong, when in reality, everyone has their own unique experience, so don’t compare yourself to someone else’s postpartum story.  Just let yours be yours, and know that the one constant is that everyone’s journey is going to be different, and that’s okay and that’s good.  But I think sometimes, too, we just want to do it right because that’s what we’re taught in our society.  “Do it the right way.”  And there’s really no right way.  The only right way is making sure your baby is fed, has shelter, and that they’re loved.  And how the system happens for that is up to you and up to what your body and your family is able to do.  I did end up doing – I stopped breastfeeding at nine months just because he started not being interested anymore.  It’d be two minutes, and then, hey, what’s over here, looking around, and then he was always kind of a chomper, and I never discouraged that because I didn’t understand at the time, and my lactation consultant was like, uh-oh.  And so I was about done once he had teeth, too.  So for me, that ended at nine months, and then we did formula.  And sometimes people have to supplement or do both or do all formula, and that’s – it doesn’t really matter.  It’s whatever works for anybody.

Alyssa:  By the time you got to the nine-month mark and weaned him, did that help your mental health in and of itself, or had you gotten pretty much to a better place by that point?

Bri:  It did actually help my mental health even more just because then it was one less thing to think about, and I do think – I don’t know; I’m not a doctor, but I think your hormones after you’re done breastfeeding – do they normalize more?

Alyssa:  I feel like they’re always fluctuating after you have your baby.  Five and a half years later, I still think mine are all wacky.

Bri:  Yeah, you know, I would agree with that, too.  I think I felt a little bit less – maybe it wasn’t chemically after stopping breastfeeding, but at least one less thing to have to do.

Alyssa:  Well, there are hormones involved because, you know, there’s the hormones that actually produce, that allow you to produce the milk, so they are changing, but I think for someone with anxiety, who’s worried about breastfeeding and pumping and how much milk – now you can give them solid foods and a bottle that’s very quantifiable.

Bri:  And I don’t have to worry about producing that.

Alyssa:  And again, like you said, everyone’s story is different.  For some moms, weaning becomes a source of depression because now it’s the end of this time with your baby that you’ll never get back.

Bri:  That’s true.

Alyssa:  So you really just can’t compare.

Bri:  Yeah, no comparing whatsoever.  I thought of wanting to make some sort of book, and it wouldn’t be photo; it would be more of just stories, and it would be everyone’s experience postpartum, like just different people’s stories of postpartum, and then you can gift it to people who are pregnant but tell them not to read this until you feel like you want to read other people’s stories, like after you’ve had your kid and maybe you’re tearing your hair out, like what is going on, in the thick of it, and then you can see, look, everyone’s had a different experience, and that’s okay.  Because it’s something that you don’t want to take away from their pregnancy experience with all this; we don’t want to scare people; we don’t want to also say well, this is what I went through so you should go through this same thing, but having a collection of those stories, when it just seems like so much and you don’t know if what you’re doing is right, look at all these people, and they did it right.  Their kid is healthy.  Your kid will be healthy, and there’s all different experiences.

Alyssa:  They did what’s right for their family.

Bri:  Yeah.

Alyssa:  In that moment.

Bri:  Yeah.  But that’s one idea I had recently.  I have too many.

Alyssa:  That’s funny that you say that really, all that Baby needs is food, shelter, and love.  That’s how I end my newborn survival classes.  I’m like, all this information that I gave you, if you get nothing else out of this, is keep it simple because there’s just way too much information out there, and Dr. Google is telling you one thing, and your neighbor is telling you another thing, and your mom and your mother-in-law are conflicting things.  Keep it simple, and give this baby food and love and shelter.  That’s all this baby needs.  The rest is just icing on the cake.  They’re going to be fine, and you’re going to be great parents.  Just keep it simple.

Bri:  I love that!

Alyssa:  Anything else about your postpartum journey?  How old is your son now?

Bri:  He is a year and a half.

Alyssa:  And how has it gone from the nine-month weaning period to twelve months walking?  How has your journey been?

Bri:  So he had actually had some – we actually went to food therapy for him, too.  So we weaned him at nine months off of breastmilk, and then we did formula.  We noticed he was having trouble eating solids.  He would try to eat and try to swallow, but then he would gag and sometimes to the point of vomiting.  So at first, I thought, you know, maybe it’s just something he’s doing and he’s learning, but it would happen a lot, and so I actually got a request to go to Mary Free Bed, and they were wonderful there.  They actually said, yes, he has silent reflux, and so that is why this is happening, and then they were showing how his tongue wasn’t working in the correct ways to swallow and get all the food out of his mouth that he was eating.  So we went there for a few sessions and then I just did stuff at home.  Also, that of course didn’t help my anxiety, but that’s okay.  It really taught me to be patient and to be understanding and being a part of Better Body Image, I don’t want his relationship with food and his body to be stressed from the beginning.  He needs to have me be calm so that he doesn’t get a bad relationship with that food from the start, and he needed more of me to be the patient and calm one, and he now is doing great.  He has weaned off of bottles now.  He does do a bottle of water for comfort sometimes, but he’s drinking his sippy cups.  He’s eating lots of food.  Our magical food we found that he just could do really well with was cottage cheese, and he loves it and he’ll eat tons of it, and now he’s doing better.  He actually ate noodles last night, and he usually never eats noodles, and he ate some chicken, and I was like, whoa!  And it was just really exciting.  So that’s how his food journey has been more unique, but it’s been really good for me because I’m able to understand the signs better, and he’s a healthy, happy boy.  He likes to play.  He’s very extroverted, so he likes to go up to people and talk to them.  And right now, it’s half-gibberish, half sentences, and the other day I was washing dishes while he was eating some snack, and he goes, “What are you doing?”  And I’m like, whoa, you just…

Alyssa:  A full sentence!

Bri:  Yeah, out of nowhere!  But I always ask him that all the time, like, “What are you doing?”  And so I thought that was funny, and I just told him, “Well, I’m washing dishes.  That’s what I’m doing right now.”  And then the other day, my husband said, “Hey, did you go to the doctor today?” And he answered, “I didn’t do it.”  And then just went and played.  So it’s been a really fun journey.  And I’ll say that I know I wouldn’t be the same without having him as my son.  There’s something about having a child that does change you in different ways, and it challenges you to be a better version of yourself, more patient, just perseverance to a different degree, and being able to function on less sleep.  You still want to get enough sleep, but you realize how much you can actually do in a day vs. when you didn’t have a kid.  I’m so much more efficient in certain ways.

Alyssa:  I’m definitely more productive.  My time is so important, and I get so much done.  It’s very valuable; I’ll say that.

Bri:  Yeah, very valuable and efficient.

Alyssa:  So do you feel like, even though your whole life you’re going to struggle with anxiety and depression, that you’re just learning different ways to cope with these new developmental milestones, and instead of internalizing everything – and it sounds like your husband may be like mine, where he’s very rational?

Bri:  He’s very calm.

Alyssa:  And says, hey, let’s look at all these bottles you’ve got laid out and you’re counting and all the supplies – my husband did the same thing for me when I was struggling with breastfeeding.  He was my voice of reason, so finding somebody like that, that you can talk to and say, okay, how can you calm me down?  Tell me something that’s rational.  Validate me and understand my feelings, but let’s look at this outcome or this fact.

Bri:  Yeah, I definitely think so.  I think I’ve learned with him to let go of control more.  I’ll still always really – I’m a planner, and I like to do stuff like that, but I’m trying to let go of control more.  And then I think also having self-compassion more, which is my new thing I like to teach people about, but just being compassionate towards myself makes things a little bit less extreme or less anxious.  So, oops, I lost my temper or something with my son because I was up here and there were so many different things going on that day.  Well, I make sure to apologize and hug him, and then that’s that.  I forgive myself, and I don’t dwell on it.  In the past, I would have, the whole rest of the day, been just dwelling on that, or any event that happens; dwelling on every single thing.  And there’s too many things that happen in a day that can bring you down, and if you just take each of them so much and internalize it, you’re going to drive yourself crazy, and it’s just not fair to yourself.  So I think also embracing that life is always going to throw you different things, and that’s just another constant that you can know and expect, and just don’t put too many expectations.

Alyssa:  My journey is very similar to yours.  I think I didn’t realize that I ever had anxiety until I had a kid because I went through a lot of the same struggles you did.

Bri:  Yeah, there’s a lot of different exercises I use daily, too.  If my mind starts to spiral, I stop that thought, and I go, okay, is this thought – this feeling can be valid, but is this thought truth or a lie?  Is this really something that I should think about to that extent?  No, it’s probably not, so let’s stop that.

Alyssa:  All the would-have, could-have, should-have, right?  Like all these things that could happen – well, it didn’t happen.  It probably won’t happen.  So why am I dwelling on this?

Bri:  Exactly.

Alyssa:  This intrusive thought of something I’ll never have to deal with.  I totally get it.  Well, you have your own podcast?  Tell us the name of that and where people can find it.

Bri:  That podcast is called Compassionately You, and you can find it on iTunes and Google Podcasts.  It’s also on my website, and I just host conversations where I have people on and they talk about either a personal journey or a body image journey and we talk in vulnerability in hopes of inspiring other people or if someone went through a similar situation, they can relate and feel that they’re not alone.  And we also usually feature people’s businesses in there, as well, during that podcast.

Alyssa:  Cool.  So the Better Body Image Conference – is it once a year?  Are you going to do it every year?

Bri:  Yeah, once a year.  We are set for next year, same place, Wealthy Street Theater, on March 2nd, 2019, so we’re set for that date.  And, actually, our speaker is going to be Diane Bondi, who’s in the yoga world.  But we are looking into and we have done a few mini-events where we just partner with an organization or a few and we host – who knows what I can be, but we host different types of mini-events.  One was a reshowing of the movie that we showed at our conference this year.  I think we are going to possibly be partnering with an organization this December to do another event, and then there might be some in the works for January, as well.

Alyssa:  Where do you promote those?

Bri:  We usually promote them on our Facebook and on our website, which also just got a redesign.  One of our board members is a designer, and the lovely Brittany redesigned it, and it has pictures from last year.  I think, actually, our main header image is a picture during the Gold Coast Doulas workshop.

Alyssa:  I’ll have to look.  I didn’t know you redesigned.  I’ll have to look.

Bri:  We just did it this week.  She’s been working hard on that.  And so that’s a lot of fun there.

Alyssa:  Awesome.  Well, thanks again for doing this.  It’s always great to see you and talk to you.  Thank you for being vulnerable and sharing your story.

Bri:  Definitely.  Thanks for having me, and if people wanted to follow my Instagram page, I’m pretty vulnerable with just life.   So it’s just @briluginbill.  I just try to be super vulnerable in my days and let people know, like, hey, if you’re having this type of time, I might be, too.

Alyssa:  Well, you can always find us at our website, Instagram, and Facebook, as well.  Hopefully we’ll talk to Bri again sometime soon.  Hopefully, everyone has a great day!

 

 

 

Podcast Episode #48: Bri’s Postpartum Story Read More »

Kelsey Dean

Meet Kelsey, our newest Certified Postpartum Doula!

1) What did you do before you became a doula?

I have always secretly been a doula, just in other facets. Before becoming a doula, I ran a mental wellness day center in northern California, and I also worked at an emergency youth shelter looking to reduce rates of domestic violence, child abuse, and human trafficking.

2) What inspired you to become a doula?

I have an educational background in both holistic healthcare and Western medicine, and when I learned about doulas, I considered the role a bridge between the two worlds. I was taken with the concept, and the doula community was supportive as well as informational about how to get involved.

3) Tell us about your family.

We are spread far and wide throughout the country! I’m fortunate to have nearby friends and a community with whom I am very close, including living with two elementary school teachers who I’ve known since college. I’m an only child, raised by my father after my mother died at an early age.

4) What is your favorite vacation spot and why?

Toss up: I recently rediscovered my affection for the desert (think Horsheshoe Bend, Antelope Canyon, Zion), but I think my ultimate retreat is intruding upon the silence of the redwood forests.

5) Name your top five bands/musicians and tell us what you love about them.

  1. Nahko & Medicine for the People: While I enjoy also his style of music, he’s my number 1 because his message is deeply aligned with many of my personal visions and values.
  2. Maps & Atlases: They’re one of those bands that has stuck around with me through the years; I enjoy their unique sound and style. While I don’t listen to them much anymore, they’re like coming home to distant family.
  3. St Paul and the Broken Bones: One of my favorite memories is dancing to them live at a music festival in Napa Valley. They are such a fun and lively bunch of humans, and they are willing to go into those deep feelings with levity at heart.
  4. Tank and the Bangas: I guarantee if you watch their NPR Tiny Desk concert (it’s on YouTube), you will understand.
  5. Miguel: He might not actually be one of my all-time favorites, but his music just gives me all of those lovey-juicy-gooey feels and I’ve been really enjoying dancing to it lately while unloading the dishwasher.
  6. Bonus: To be transparent, I believe I have to admit here that my guilty pleasure shower singing go-to is Ariana Grande.

6) What is the best advice you have given to new families?

Pace yourself. I definitely didn’t come up with this pearl of wisdom myself, but I think it’s a very important reminder to new parents. There are voices coming from so many different directions, asking how soon things can happen, and it can be distracting (and sometimes disheartening). When that ungrounded feeling begins, it’s important to notice it, sit with it, and take a step back so as not to lose ourselves in the rush of transition.

7) What do you consider your doula superpower to be?

Being a communications jedi! It can make all the difference in a conversation when another person is present to listen and reflect back; I think doulas bare the gift of being able to pull out deeper truths in many conversations because they are reading how you say things as well as what you’re saying.


8) What is your favorite food?

Favorite?! I could never! I like Indian, Thai, Lebanese, Spanish, Eritrean; whatever I can find. After living in a co-housing community for a few years, I also came to appreciate cooking like an American farmland hippy.

9) What is your favorite place in West Michigan’s Gold Coast?

Grand Rapids, though I’m still exploring! I lived in Allendale when I went to Grand Valley, but moved away quickly after graduating. Upon my return to the Gold Coast this fall, I’ve noticed an abundance of growth and development throughout the city; I love exploring all of the neighborhoods’ new-to-me treasures.

10) What are you reading now?

“Natural Health after Birth” by Dr. Aviva Romm. I have much admiration for Dr. Romm’s newsletters and podcasts, and her postpartum information does not disappoint! I find her information is based in both holistic healthcare and Western medicine.

11) Who are your role models?

Clarissa Pinkola Estés, Alan Watts, Paul Hawken, Elizabeth Davis, Amy Gordon, Elizabeth Gilbert, Alex Atala & my Sonoma County doula sisters.

 

Meet Kelsey, our newest Certified Postpartum Doula! Read More »

Beach Front Baby Ring Sling

Podcast Episode #45: Babywearing

What are the best baby carriers and wraps?  Can you wear twins?  Today we talk to babywearing expert Marissa Berghorst, owner of EcoBuns Baby + Co in Holland, Michigan.  You can catch this complete podcast episode on iTunes and SoundCloud.

Alyssa:  Hello again!  Welcome back to Ask the Doulas.  I am Alyssa Veneklase, co-owner and postpartum doulas at Gold Coast.  Today we’re talking to Marissa from EcoBuns Baby + Co today.

Marissa:  Hello!

Alyssa:  I want to talk today about babywearing.

Marissa:  Another one of my favorite topics!

Alyssa:  Good!  So we have Ashley Forton, one of our birth doulas, who does babywearing consults.

Marissa:  Oh, and I love her!

Alyssa:  Yeah, she’s pretty amazing.

Marissa:  She’s wonderful.

Alyssa:  She was here yesterday for our team meeting with her new little baby strapped to her, and it was so amazing.  She’s so adorable.

Marissa:  I can’t wait until she brings the baby out to see us!

Alyssa:  She’s lovely.  We all got a little baby fix.  But she doesn’t do multiples.  She’s great at single babies, but if we have multiples families, we send them to you.  So can you tell us, how do you babywear twins, let alone triplets?

Marissa:  Oh, for sure.  So a little bit about me and why you guys like to send babies out to me is I’m certified through the Center for Babywearing Studies.  I’ve done a lot of training on things, which makes me able to do the consults on multiples.  And multiples are fun!  They’re fun because there’s two babies or three, and I usually get to hold at least one of them during the consult.  They’re very fun.  So we do carrier consults, you can come in even before baby is born.  We have weighted dolls so that parents can test out and see how the different carriers feel.  Multiples kind of get into this whole other world, though, and a lot of times with twins what we find is one baby likes to be held and one baby is a little more independent.  We do always say one carrier for one baby.  A lot of times, parents will come in and they’re buying two of everything, and baby carriers usually aren’t any different.  If you want to be able to do two babies at one time, we definitely suggest one baby carrier for one baby.  Ring slings end up being a really popular option for multiples.  Ring slings are a long piece of fabric attached with rings almost like a men’s belt loop, how they kind of weave through; kind of that same concept with a ring sling.

Alyssa:  So you would just criss-cross them like an X, then?

Marissa:  Yep, and so you’d have one baby just to your right and one baby just to your left, but not fully onto your hip, though.  We don’t want to put new babies onto hips, but they can just be a little off-centered, and then the rings end up situated right across your chest.  It’s a super comfortable way to carry two babies at one time.  When babies get a little bit older, generally around a six-month mark, then we start teaching parents how to put one baby onto their back, and then they do two carriers, still, with one baby on the back and one baby on the front.  There are baby carrier options out on the market that are marketed for twins, but we don’t sell them at our store because even our multiple parents will still find that one baby likes to be worn and one baby likes to be more independent, so usually they’re still only carrying one baby at a time.

Alyssa:  That’s interesting.  And then, too, if you’re carrying two but if your friend or someone else wants to carry the baby, now you have two carriers and you can each carry one.

Marissa:  Yeah.  Our average customer has between two and five baby carriers, and that’s even our single-baby customers.

Alyssa:  And that’s based on what we’re doing, right?  Are we hiking; are we going shopping; are we going on a quick run to the grocery store?

Marissa:  Right, and even age of baby makes a difference.  A lot of customers come in looking for a ring sling or a wrap for that newborn stage, that fourth trimester where babies are still getting used to being on the outside.  I always compare it to car seats.  You can totally get the convertible car seat that goes from birth to booster, but you start to make some compromises along the way, right?  You have to add that infant adapter.  You have to add the infant base.  It’s the same thing with carriers, whereas if you start with a carrier designed for the newborn stage, you don’t have to add all those adaptions to it.  The buckle carriers that everyone usually thinks of like the Ergos and Lillebabies and Tulas of the world, those are really designed originally to be worn on your back for babies over six months old.  They weren’t originally designed to be a front pack with a newborn.  But now it’s evolved to where you can absolutely do that, and we teach parents how to do that all the time.  But sometimes it’s nice to get those little carriers for those early days that really hug and snuggle babies.  Our postpartum depression moms also love ring slings because they can move babies just off center to where they’re not right in their field of vision.  They’re just off to the peripheral just enough so that they’re not feeling so overwhelmed with caring for this new baby.  It’s really great.  We get a lot of postpartum depression moms into the store who come in to talk about different options with things, and one of the biggest things that we can offer them is a ring sling so that they can still care for baby but not feel so overwhelmed.

Alyssa:  Now, how would a mom hold triplets?  Is it possible?  Is it safe?  Maybe not until they’re older when you can have one on the back and two in front?

Marissa:  Yeah, I would say we don’t often see very many moms doing three baby carriers.

Alyssa:  By the time you get three on, what’s the point?

Marissa:  Then one wants off.

Alyssa:  Right!

Marissa:  And like I said, moms are awesome because they’re resilient and they adapt to the situation at hand, and triplets, twins, even single babies can be super overwhelming, but you absolutely have in you what it takes to handle the situation that you’ve been given.  I think that’s one of the biggest things with babywearing is it’s just a tool to help moms already be the awesome moms that they already are and that they already know how to be, and we just walk alongside them and support them in that.  With the triplets we often see, again, that there’s usually always one in the mix that loves to be snuggled on, loves to be held, and the other ones will either kind of take turns with being held and snuggled on or they’ll just need their space, sometimes.  I know a lot of times, especially if a baby has spent a lot of time in the NICU, when they come home from the NICU, depending how long their stay was, they’re used to being not held 100% of the time, so they’re a little bit more independent.

Alyssa:  So tell me; you had mentioned earlier about these mesh carriers that you have that are great for summer because they don’t get so hot and you can wear them in the water?

Marissa:  You can wear them in the water!  So we have a brand called Beach Front Baby which is fabulous.  They make a version of a ring sling that can be worn in the water.  Most fabric carriers are made out of cotton, but you don’t want to take cotton into the water; it will weigh down and be super heavy.  This one is made of a mesh material that’s still super supportive.  You can still wear it from 8 to 30 pounds, so you can still use it for a full-term baby up until when your shoulders can no longer handle carrying the kiddo.  You can wear it in the shower, which is one of our customers’ biggest things because parents are like, oh, my baby won’t let me set them down, but I smell!  I need to wash my hair!  But babies are slippery and you don’t want to just hold them in the shower, so you can put them into the ring sling and safely take them into the shower.  It’s a safe way to shower with babies.  And it’s summer in West Michigan and we have so many splash pads; we have so many water parks; we have so many lakes, and so it’s nice to be able to put baby into a carrier for that.  We don’t recommend actually swimming in the water, but to be able to go in, splash around.  I always love taking mine to the splash pad because then I could duck under the water, we’d both get the refreshment, and it’s amazing.  The company also makes wraps, as well, that are just long pieces of fabric that you actually wrap, and just like we talked about earlier, any carrier purchase from EcoBuns comes with a free half-hour lesson on how to use it.  So if wraps and ring slings sound a little intimidating, it’s our job to make sure that when you walk out of the store, you know how to use them.  If you don’t like their ring sling, if you don’t like the wrap idea, we do have soft structured carriers.  Those would be the ones with buckles that have a mesh front panel.  The company that we carry, Onya, has a mesh front panel, but then it also has a protective layer that can zip down over top of it, so if you’re using it in the winter and you don’t want that mesh panel, it closes it up and keeps everyone nice and cozy.

Alyssa:  And if you want to baby wear in summer, it’s like, oh, I’m going to be sweaty; the baby’s going to be sweaty, so the mesh helps with that.

Marissa:  The mesh is really great.  Now, it doesn’t cool you down per se…

Alyssa:  Babies are still hot.

Marissa:  Babies are still hot, yeah.

Alyssa:  Right, but it’s not going to be as hot because at least they’re going to get air circulation, right?

Marissa:  Right.  It’s a lot of common sense with baby wearing.  You know, if you yourself don’t want to be out in 80-degree weather for two hours, your baby probably doesn’t want to be, either.  Make sure both of you are staying hydrated.  The other cool thing with babywearing is that we can teach you how to breastfeed and bottlefeed in a carrier.

Alyssa:  I was just going to say that.  When you said that about keeping hydrated, you’re right there by the boob; how much more convenient can you get?  And it’s actually a lot less distracting then putting on these covers and trying to whip up your shirt.  They’re already wrapped in, and you just do it.

Marissa:  Yeah, and with the ring slings, they have that nice long tail that a lot of women will use as a cover if they want a little more privacy.

Alyssa:  That’s awesome.  So how do people find your wraps?

Marissa:  We have them online on our website, and if you search for baby carriers and then water wraps, they’ll be listed there.  Or if you want to come out and see the colors in person, you can drive out to Holland.  We’re at 12330 James Street on the corner of James and US 31, right between Carter’s and Gap Outlet.  You can come into the store; we’re open seven days a week.  Come in and pick out the color in person!

Alyssa:  Excellent.  Go check them out!  Thanks for coming in again and talking to us!

Marissa:  Absolutely!  You’re always so much fun to hang out with.

Alyssa:  Let’s try to find a few more things to talk about and have you back soon!

Marissa:  Yes!

Alyssa:  Thanks for joining us!  You can find Gold Coast Doulas on Facebook, Instagram, SoundCloud, and iTunes.

 

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Podcast Episode #45: Babywearing Read More »