Celebrating Nurse's Week!

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Celebrating Nurse's Week!

Doulas of Capitol Hill loves working alongside nurses! Not only are they there to make sure you and your baby are safe, they are an integral part of your birth team for both physical and mental support. In celebration of Nurse's Week, today we feature Kristin Winston, Labor and Delivery RN at Sibley Memorial Hospital. 

What led you to this career?

 I’ve always had a lot of compassion towards people and love taking care of them so what better than to do it for a living! And ever since I became a nurse I’ve always loved labor and delivery and taking care of mom’s and babies! 

What do you enjoy most about work?

I love being apart of one of the greatest moments in my patient’s lives, which is giving birth! It’s such a special moment when they finally meet their baby!! 

If you are a parent, how was your birth and postpartum?

 It was wonderful! I remember every detail! Going through labor isn't easy, it’s tough and painful, but the moment I delivered my baby it all went away! When they put my baby on my chest it was so surreal, it was greatest moment of my life! The postpartum period was hard initially but snuggling your baby and seeing their sweet face makes up for all the sleepless nights! 

Kristin Labor and Delivery Nurse Sibley Hospital

What resources would you want parents to have?

Childbirth education for the pregnant moms and Emotional support and lactation support during the postpartum period. 

What is one unique thing about your business that your customers/clients love?

I try to make my patients feel as comfortable as possible during the labor process and I will try the best of my ability to carry out their requests for labor and delivery! 

What's one thing you think the world needs to do to improve the lives of new parents (or people living in our service area)?

Stop being judgmental! There are lots of different ways to parent and you do what’s best for your family and you do the best you can (that’s all you can do!!!!!!) 

What do you think is the hardest part of expecting baby or becoming a parent?

Fear of the unknown and fear of making mistakes as a new parent. 

What products or services do you personally love?

I love lanolin cream and gel soothies for that first week of breastfeeding. They are lifesavers! 

How do you start each day?

Waking up my kids! They are my joy and I love to start my day off seeing their smiley, sleepy faces!! 

What's your favorite thing to do in DC?

I love to try new restaurants! 

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DCH Celebrates Nurse's Week!

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DCH Celebrates Nurse's Week!

Doulas of Capitol Hill loves working alongside nurses! Not only are they there to make sure you and your baby are safe, they are an integral part of your birth team for both physical and mental support. In celebration of Nurse's Week, today we feature Lisa-Marie Cook BSN, RNC-OB, C-EFM, ICCE, CD, CEO. Lisa-Marie  is the CEO of Birthing Basics, LLC providing evidence-based childbirth education to women desiring natural childbirth and those experiencing a high-risk pregnancy. She is a Labor and Delivery Nurse with more than 30-years of experience working at various hospitals and Birthing Centers in the Washington DC area. Her work at INOVA Fairfax, INOVA Alexandria, and the George Washington University Hospital have provided many opportunities working with both midwife-attended natural births and physician-attended high-risk births.

What led you to this career?

I initially majored in biomedical chemistry with plans to become a physician. That dream ended when I realized that I was pregnant my junior year in college. I switched my major to nursing with hopes to continue my education after my child grew up. Once I had my second child and began my nursing career in the hospital, I found my calling and never looked back.

What do you enjoy most about work?

Perinatal nursing has become so specialized. I love my field of care and my biggest thrill is sharing my knowledge as both nurse and doula with the new graduate nurses on our unit. The best part about work is celebrating the birth of the newest human into the world and watching the faces of women as they embrace the child they’ve been waiting for. I am a total birth junkie and I have no qualms sharing that fact with the world. Being able to advocate for women and making them feel heard is empowering for them as my patient, but for me too, as their caregiver.

If you are a parent, how was your birth and postpartum?

I loved my birth experience. I took Lamaze classes in 1986 and was able to have an unmedicated birth for both my daughter, Angela, in 1986 and my daughter, Karissa, in 1988. There are no words to describe the moment each of my beautiful daughters were placed into my arms. As a nurse, “that moment” is one I so desperately attempt to capture and hold. We discuss “that moment” in my childbirth classes, I try to help women recognize the enormity of the miracle that they birth. It’s what I live for…

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As far as my postpartum experience went, no one told me how difficult it could be. Being a young mother still in college, I had to use every resource I could. I was a WIC mom. I was a Community Healthcare Clinic mom. I was that young mother who wanted to keep her babies. It wasn’t easy, but it colored my life and helped me recognize how vital maternity care and childbirth education is for women and their partners.

What resources would you want parents to have?

In my perfect world, every parent would have access to healthcare, Childbirth classes, Newborn care classes, Doulas, Midwives, Obstetricians, Pediatricians, Maternal-Fetal Medicine Specialists, Lactation Consultants, Breastfeeding support groups, Parenting classes,Counselors, and community support groups during the prenatal period as well as during the postpartum period. All the resources that they need for the best birth outcome and the resources they need to give that baby a great start to their future.

What is one unique thing about your business that your customers/clients love?

I provide a balanced philosophy of childbirth and I can provide statistics to back my evidence. They don’t have to “Dr. Google” anything. I get a lot of positive feedback after their birth experience, that learning about the anatomy and physiology of birth helped them understand when interventions became necessary. The “I WANT A NATURAL CHILDBIRTH” women thrill me when I feel like I gave them tools necessary for achieving that goal. I so love those “Ah-HA!” looks of wonder when comprehension dawns in their eyes.

What's one thing you think the world needs to do to improve the lives of new parents (or people living in our service area)?

Our women here in the DC area have some of the highest rates for maternal morbidity and mortality in the United States due to many factors. Women are coming into the hospitals with chronic diseases and co-morbidities that put them at higher risk. Many have limited support systems during pregnancy. We have women with families that are homeless, more women are going without prenatal care. We have a fragmented health care system where women receive inadequate prenatal care and show up at any hospital. It can take longer to get necessary records or we find that they have none. People are falling through the cracks. Recently, the closure of Providence Hospital and United Medical Center’s Labor and Delivery Units has significantly altered the care that all hospitals in-city have been able to provide. I’m not sure how our government can allow for hospitals to close maternity wards without recognizing the impact that it has on an entire community. Better health care. Period.

What do you think is the hardest part of expecting baby or becoming a parent?

I recently found out that I will be a grandmother in October! It’s giving me an entirely different perspective on pregnancy because of this little grandchild. I’m excited, but concerned. Our pregnant women are more anxious than I’ve ever seen in the past. I never understood why, until now.I’m beginning to realize what my daughter is faced with as she deals with issues like affordable childcare, risks for autism, and finding caregivers who are willing to be non-interventional. Big questions like, “What are my risks for cesarean?” become a reality. I don’t remember having to worry about anything other than “will I have to get an epidural?” Women want to be well-informed about every aspect of birth, sometimes it’s the very thing that causes them the most anxiety.

What products or services do you personally love?

Michele Peterson turned me on to “Earth Mama Organics’ Perineal Balm for Pregnancy and Postpartum” to “Take Care Down There.” Ursula Subinik’s Essential Oils are a treat every time I walk into a room she’s in. The girl exudes lavender and clary sage like it’s part of her being and her arnica oil has been nice to discover. Elizabeth Oldham and her entire birth support entourage have demonstrated the knowledge found through communication within a birth workers’ community. The doulas in our area are far wiser and supported than they ever have been because of these women. Can’t leave out Gail Tully’s “Spinning Babies”, she’s my “She-ro” on a daily basis.

How do you start each day?

With prayer. I ask God to help me through my day to give me the wisdom I need to care for each life I touch. I believe that my work is my ministry.

What's your favorite thing to do in DC?

I love walking from Arlington Cemetery across Memorial Bridge to the Tidal Basin. It inspires me to know that I’m in the heart of my Nation’s capital. Penny Simkin told me, “Lisa-Marie, you are in our Nation’s Capitol. You don’t have to take a flight to make your voice heard. You are there. Make a difference.” I hope I can make my world a better place one birth at a time. Hear my voice, “Let’s Birth Better!”

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DCH Celebrates Nurse's Week!

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DCH Celebrates Nurse's Week!

Doulas of Capitol Hill loves working alongside nurses! Not only are they there to make sure you and your baby are safe, they are an integral part of your birth team both for physical and mental support. In celebration of Nurse's Week, today we feature Karene Hansen, BSN, RN, labor and delivery nurse at Inova Fairfax Hospital.

1. What led you to this career?

It was a long and winding path, but in a nutshell, about 5 years ago I found myself in a bit of a life rut (and by that I mean quite a heavy depression) and had to really dig deep to figure out what I cared about enough to really live passionately for. In a very rare moment of epiphany it occurred to me that I might enjoy being a midwife...at a time when I knew very little about what that actually entailed. I started researching, reading books, and the more I learned, the more I realized this is my thing! I considered both the CPM and CNM pathways to midwifery, and decided that CNM was best suited to my skills and ambitions. The next thing I knew I was signing up for a doula training course, and putting together a plan to apply for nursing school. Midwifery is still on the horizon, but for now I am really enjoying the stepping stone that is L&D nursing, and also enjoy doula-ing on the side.

2. What do you enjoy most about work?

That's a tough one. It would have to be a tie between the relationships I develop with my clients/patients, and the constant and continuing opportunities to learn. The work of understanding and optimizing the experience of pregnancy and childbirth feels like a deep, fascinating well of information, skill, and wisdom that you can never hope to entirely master. To me that is actually quite a wonderful thing...it captivates my curiosity and is endlessly intriguing.

3. If you are a parent, how was your birth and postpartum?

I am a parent of four, and my births have all been relatively quick and uncomplicated. Especially my fourth, which thankfully was a planned home birth because my labor lasted about 30 minutes and my husband caught my son 10 minutes before the midwives arrived! Postpartum was a completely different story, however. I had low-to-medium grade postpartum anxiety/depression after my first two babies which went undiagnosed, but then with my third it hit hard and fast and I was very fortunate that my obstetrician was quick to see what was happening and guide me to needed help. I also had a lot of struggles breastfeeding with those first three babies, had borderline low milk supply, and in general really struggled with the newborn phase. My process of deciding to become a nurse-to-midwife began between my third and fourth babies, during which time I also started birth work as a doula, and I learned so much which really turned around the whole situation with my fourth child. I had no postpartum depression, breastfeeding was so much easier, no milk supply issues...I attribute so much of it to an education gap and I plan to make education a major focus of my career.

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4. What resources would you want parents to have?

Regarding childbirth, I would love to see pregnancy and childbirth education become a staple of our formal education system. High quality information on how to prepare for pregnancy and childbirth should be something we encounter long before the pregnancy and related decision making begins. So many of the difficulties I see parents encounter are issues that they didn't even see coming until they were hit with them in moments of duress. I would also love to see parents have more access to community during pregnancy and postpartum. Isolation and loneliness are a huge factor in postpartum mood disorders, and I think it would be amazing if we could figure out new and better ways to connect with each other in meaningful, supportive ways during that time. 

5. What's one thing you think the world needs to do to improve the lives of new parents?

As a bare minimum, I'd love to see longer mandated maternity leave for employed parents. In that same vein, I think we need to adjust our expectations for what the postpartum period should look like. New parents feel a lot of pressure to bounce back and continue with life as usual as soon as possible, and that's just not realistic. Once a person becomes a parent, life never really is the same again, and we as a society could do a much better job of supporting each other both physically and mentally/emotionally with that transition. I'd love to see much more transparency/honesty about the whole process, which really would allow us to be more prepared and more supportive of families as they evolve.

6. What do you think is the hardest part of expecting a baby or becoming a parent?

In so many cases, difficulty arises around unmet expectations. It is absolutely true that pregnancy can be glorious and there is nothing so incredible as bringing new life into the world. But we are also quite reluctant as a society/culture to be honest about the difficulties, and if your experience isn't all sunshine and flowers, the discrepancy itself can be really difficult. For example, I talk to so many women who were blindsided when morning sickness lasts all day long, or have never heard of antepartum depression so suffered in silence and sometimes from shame. We hear about babies not sleeping through the night, but so often don't hear it framed as physiologically normal, so we resist it and suffer for it instead of adapting to it as best we can. I believe if we had better education and more realistic, well grounded expectations we could really improve the overall experience of pregnancy and parenting.

7. What products or services do you particularly love?

I discovered baby wearing with my third baby and it rocked my world in the best possible way. I love all the baby wraps, slings, and carriers out there. As far as services, I think every family on the planet should have access to birth and postpartum doula support. Absolutely life changing.

8. How do you start each day?

With coffee! And a mad dash to get my kids off to school. ;)

9. What's your favorite thing to do in DC?

Without a doubt, the cherry blossoms! My life is not complete if I don't get to the Tidal Basin during peak bloom every Spring.

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What Do Doctors, Nurses, and Doulas Choose For Their Own Birth?

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What Do Doctors, Nurses, and Doulas Choose For Their Own Birth?

Written by Emily Smith

When people hear I’m a doula they may imagine it has something to do with home birth.  However, the majority of my doula clients are like the majority of the US population who deliver in the hospital with either a midwife or an OBGYN.  They may plan for an unmedicated birth or they may choose an epidural or some other pain medicine. Others may have a planned or an unplanned cesarean birth.  I think it’s important to say a doula who cares about non-judgmental support can and will support all their clients’ choices. Period.

But today’s story is not about my doula clients.  It’s about my personal experiences with birth. Because before I was a doula, I became a mother.

I have three children, a daughter and two sons, in that order.  I like to share that all three were born in different states. We aren’t military, but we’ve moved a lot.  

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During my first pregnancy I started looking for a doctor early on and called several OBGYNs but was soon frustrated that each of them wanted to start running tests.  After a few calls I contacted the Birth Cottage, an accredited free-standing birth center in Tallahassee. They had an open house so families could come and ask questions. After hearing about their training and expertise in treating healthy, low risk women and their close monitoring for even the slightest shift out of that category, we both felt confident.

During my first pregnancy I considered the possibility of delivering at our house rather than the birth center, knowing the safety and tools for treatment would be the same in both places.  But there was something psychologically reassuring to me, and also ironically foreshadowing, about needing to get in the car and drive to the birth center when I was in labor. It’s important that every person feel safe during labor because the hormones which regulate the contractions work best when people feel happy, safe, and unafraid.

The birth experience was not without challenges.  I did have doubts about my ability to go on without pain medication.  However, I told myself that the 7-minute drive to the hospital for an epidural would be worse than sticking it out.  I also had AMAZING support from my husband and my two best friends. One of them is a doula today.  During that moment of doubt, there was something powerful about locking eyes with another woman.  I take that moment with me into each of my doula clients births, ready to lock eyes if they need that.

Three months after my daughter was born I saw a screening of the film The Business of Being Born, a documentary by Ricki Lake about the maternity care system in America.

Three months after that we were living in Pennsylvania and I took my first doula training through Doulas of North America (DONA) International.

And then we moved again. This time to northern Virginia.  

When my baby was 14 months old I got pregnant with my second baby.  This time we didn’t have insurance, and didn’t qualify for Medicaid, so we knew we’d be paying out-of-pocket.  My calling around list came down to cost.

Today, the average hospital birth in the US costs between $10-30K. Just some perspective, Kate Middleton’s recent luxury birth costs less than a typical hospital birth in America.   In 2009 we were going to pay $3500 for all of our prenatal care, the birth, and 6 weeks of postpartum follow-up care with our Certified Professional Midwife.     

I asked my husband about his feelings of homebirth and he agreed quickly, saying we’d already had a low risk birth once, why not have the advantage of not going anywhere?  Comedian Jim Gaffigan said, “people always assume there is some laziness involved. ‘You didn’t want to go to the hospital?’ It was far. I didn’t feel like putting on pants.”  People are right. Jim, was right.

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We were glad to have chosen a planned home birth for our second baby because he made his appearance in just 2.5 hours, most of which I spent in denial that things were going so quickly.  Our second baby was coming out just as the midwife, Nicole Jolly CPM, walked in the room to catch his head and body. There is a good chance that he’d have been born on the side of the road with no doctor or midwife if I had planned a hospital birth.  Instead, I got to crawl into my own bed and rest immediately after!

Fast forward three and a half years.  We were surprised with our third baby. It was time for a big change. At 20 weeks pregnant we packed everything and drove from Alexandria to Colorado Springs. I interviewed midwives and chose Jessica Nipp CPM, of Holistic Homebirth.

My husband was having some pretty serious talk about a vasectomy after this baby, so this was my last shot to do all the things I’d learned about since becoming a doula.  Hypnosis for comfort? Check. (also, no insomnia!) Birth photographer? Check. Even better that she was family! Midwife who lived 10 minutes away and wouldn’t have to fight DC rush hour?  Check. And, this time there was a birth tub and it was glorious! The same way some women describe the relief of getting an epidural? That was me as my body sank into the water, my aqua-dural.  

So, here I am, 10 years into being a doula.  My own three out-of-hospital birth experiences, but also a ton of humility to know that every birth is unique, not better or worse.

They say you will fear what you don’t understand.  For me, learning about my options helped me to have more of them, and that knowledge led to less fear of the whole process.  

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Even though the majority of Doulas of Capitol Hill clients will give birth in the hospital, I’m proud that we can support and co-sponsor this public screening of Why Not Home with Heartsong Midwifery. The film’s director and producer, Jessicca Moore, describes herself as “not a particularly radical person,” but was moved to choose homebirth “for its simplicity and its power.”  Her intention for this film is to “challenge our cultural assumptions about what birth is and what it can be.”

I wonder if this film will be to someone what The Business of Being Born was to me?  I love my #doulalife.  

Dr Jessica Taylor Goldstein, OBGYN says, “the documentary shows inspiring stories of how medical professionals can collaborate to make birth better, and how women can be empowered in the process. Medical professionals and women need to see this film because it demonstrates what some of us already know, low risk birth should be considered simple and normal.”

Come see this film!  Or if you can’t come see it, consider donating to the fundraiser, as proceeds will go to a college fund for the children of Camilla Yrure CPM, a friend and colleague who passed in 2017.  Tickets and donations can be found on the Eventbrite link.  

-Love, Emily

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How To Swaddle My Baby Like A Pro

Swaddling is well known to help babies feel calm and more secure, as it is mimicking the pressure and snugness of the womb. According to www.HealthyChildren.org "The American Academy of Pediatrics (AAP) says that when done correctly, swaddling can be an effective technique to help calm infants and promote sleep." To learn how to become a Swaddle Master check out our video below! 

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A VBAC Story: Elisa, Tim and Elora

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A VBAC Story: Elisa, Tim and Elora

 Baby Orion, Born Via Cesarean Birth

Baby Orion, Born Via Cesarean Birth

Since my son Orion was born early (36w3d) by emergency c section, I felt that I was pregnant on borrowed time in my last few weeks. I anxiously awaited the arrival of Baby #2 feeling confident I could rock this vbac. My mantra was my body was made for this! I focused on the moment when the baby would be placed on my chest and imagined how amazing that would feel!

The day baby arrived, I was 38w4d along. I think I was already stirring or in a light sleep when I felt a warm trickle and my water broke in bed around 3am. I immediately knew what it was and heart pounding, I pushed my husband Tim awake saying "I think my water just broke." Thankfully it was not a huge gush so I was able to contain it until I got on the toilet. We called our doula Emily Smith and even though I was excited (mostly) I was also a little bit scared. I told myself “It's baby time! You can do this!”

Tim called his mom Sandie to come stay with our son Orion (2y3m old). It was funny to hear the one sided conversation they had as Tim only said "yes" and within two minutes she was at our house!
Grandma was ready!

The time on my phone was 3:20am when I grabbed it to go downstairs. I snuck into Orion's room and have him a kiss goodbye, making sure to whisper "I love you" to my first sweet baby one last time before I became a mother of two!

Once downstairs we called the doctor's office and Dr Bright told us yes we should go to the hospital. We let Emily know we were on the way and to come meet us there. I grabbed a banana and headed to the car, running down the final checklist with Tim - although we had been packed for weeks!

On the way to the hospital I started to have some contractions, but they were not long or intense. It felt more like period cramps that came and went. We arrived at the Inova Birthing Inn and got checked in. I changed into a hospital gown and was hooked up to the fetal monitor. It was weird to have tight bands on my belly, but I was comforted to see the baby's heartbeat and it was cool to see the waves of my contractions printing out on paper.

Contractions began to come more regularly. I was able to breathe through them, in and out my nose, and close my eyes to picture myself sitting peacefully on a beautiful beach.

While we waited for Dr. Bright, the midwife on call came in and we were happy to be in her care. She checked my dilation and I was 3cm and 80% effaced! It wasn't as much as I was expecting, but you have to start somewhere.

At one point, I was breathing through a contraction and the nurse asked me if I was having one. I said yes, but it's not bad. She told me she could see it lasted about 60 seconds, but I was probably feeling the peak, lasting about 20-30 seconds.

Finally around 4am, we were asked to move into the delivery room where we had much more space. I also remembered the room from my brief labor with Orion and I think that made me a little uneasy at first knowing anything can happen here. That feeling faded when my doula arrived! I felt so relieved she made it and we wouldn't be alone.

I had to get antibiotics right away in my iv, so they hooked me up to a pole with the hanging iv bag. The antibiotics burned in my arm so I was very happy when they were done. I took the pole on wheels and got up. I wanted to get up to walk and move through my contractions. Emily turned down the lights, put on clary sage in my diffuser to move things along, and Tim put on music for us. It was time to get this labor started!

The atmosphere was calm as we worked through the light early labor contractions. I kept up with my nose breathing, chatting in between, and going to the beach in my head. I swayed my hips, using gravity to hopefully make some progress. We laughed about the fact that I was "pole dancing my baby out" and we shared our boy/girl names. We didn't know the sex of the baby and I was so excited for the surprise!

At some point I started to get tired of walking. When you are in labor you lose all sense of time, so I don't remember how long I was walking. I went to sit on a rocking chair. It felt good to sway and rock while breathing through my contractions. I kept picturing my beach and beautiful clouds.

The contractions started to come longer and stronger. I had to start breathing out and keeping my voice low. Moaning "oooooh" and picturing a flower opening. I also would say "oooooh open, oooh-pen" I concentrated on handling each contraction as it came and trying to truly release each one. Emily encouraged horse lips - flapping my lips with an out breath - to let it go, so I'm sure I sounded funny but I didn't care!

Tim was encouraging, a strong hand to squeeze through each contraction. He was rubbing my back and arm. Whenever he had to step away, Emily was there to hold my hand instead. I felt very supported and did my best to block out all other noises/distractions from the hospital environment around me.

I started to feel nauseous, so someone  got my trash can for me. It was the same one I was attached to when I was in labor with Orion. The perfect height and strength for leaning over, this time on all fours. Emily grabbed the peppermint oil for me to smell and that held off the nausea at first. Then as you do in labor, your body wants to be empty and you have to go to the bathroom. Tim helped me to the toilet and I stripped off my gown. I remember grabbing the gown just saying "off" and off it went.

I labored on the toilet for awhile. Emily placed a strand of white Xmas lights in the bathroom so we could keep the lights low.  

When the contractions started to get intense, it felt best to be on all fours hovering over my trash can as I felt I was going to get sick. I started to throw up and as much as that sucked it also felt better. Someone wiped my mouth with a warm washcloth and kept offering me sips of coconut water which I only sometimes accepted.

My lower stomach was getting so tight with each contraction and I felt that it could not rest. The cat/cow back stretch and trying to breathe deep helped. Tim and Emily were both by my side keeping my voice low, encouraging my moaning and breathing and helping me to let each contraction go. At some point I started to shiver and shake. We put a towel down under me and I think someone covered my back with a towel or a sheet to warm me up. I think the shaking was from adrenaline though and not from being cold.

At this point my nurse came to tell us baby's heartbeat wasn't doing what they wanted so we needed to try a few things. I had to first switch positions and then we can try fluids and then oxygen to help baby out. I started to get freaked out. I know a baby in distress is a reason for a c section and I kept thinking what if all this labor is for nothing? I tried to stay calm and just focus on my contractions. I also didn't have much of a choice. I must have been in active labor because each contraction demanded my attention and I found myself focusing all my efforts inward to relieve the tightness and get through it!

At some other point, Dr. Bright checked in and recommended that I get an epidural. She said because I was a vbac, it would be a good idea to have it placed even if I did not want the medicine yet. I declined and asked if I could think about it. In my head I wanted to get to 8cm (this is how far I got on my own with Orion before the c section) before I got an epidural and I felt things were progressing quickly. A few more intense contractions though and I started to lose my resolve! There was just no resting, the contractions were coming so fast!

We had to move to the bed for baby's heart rate. I tried to stay in another position knelt up leaning over the back of the bed, but I found myself pushing back to all fours when my contractions came. The contractions were coming closer together - longer & stronger. I started to get this scared panic feeling. I wasn't sure I could keep coping! I wanted the contractions to stop! I started to ask for my epidural. The bottom of my stomach was so sore and tight! I felt like I couldn't get away from the pain, couldn't rest, wasn't really able to let them go!

Dr Bright checked my progress. I flipped on my back and she guesstimated that I was 6cm dilated. This number was deflating. I started to lose hope and drive! I started to feel overwhelmed thinking I wasn't to 8cm yet! I think at this point I was angry with contractions. I kept moaning but louder, as low as I could, and started saying "come on baby" in between my very deep breaths!

We had to wait what felt like forever for the anesthesiologist! Just before he arrived, I started to throw up again. There was nothing left to come out. Emily told us every time you throw up your body can dilate 1/2 to 1 more cm. It did feel good as when you are throwing up for that moment the belly pain was gone.

I was getting a little miserable. But somewhere in there I had a peaceful moment of rest. Leaning back in childs pose I stretched and relaxed my belly. Someone was rubbing my back and I was able to place my head down on the pillow for a moment. That was the best!

The anesthesiologist finally arrived and I had to change positions to get prepped. I remembered getting the spinal for my c section was the scariest part last time. I was in very active labor now with contractions coming so close together I couldn't compose myself. The doctors/nurses said I had to keep very still and they had to work on me even through my contractions, but it would be good to distract me from the pain of placing the epidural. I was terrified and started to panic and scream. Emily and Tim kept me breathing, but also made me focus. "Lock eyes with Tim, Lock eyes with Tim. You can do this" I had Tim's hand and his eyes doing my best to focus on him and breathe!

The position I had to be in for my epidural was hard to maintain. I was really uncomfortable to say the least! They needed me sitting on the edge of the bed, hunched forward with my feet up on a chair in front of me. They started to wipe down my back and place a plastic piece on it when all of a sudden - a large contraction came and I felt an incredible pressure downward! So much pressure I started to scream and I was begging to get down.

I lost sight of Tim in this moment and grabbed on to my new nurse Eric who happened to be standing directly in front of me, probably to help keep me still during the epidural. I had a death grip on his two arms although my focus/gaze was everywhere else. I was screaming these high pitched panic sounds!

Emily roped me back in saying "Breathe out, blow out the birthday candle, blow out the birthday candle as hard as you can, like you never have before" I blew out the biggest breath I could and kept doing that over and over again. She told me "It's OK, you are ok, that's your baby! That's your baby, this is what you wanted!" I remember thinking why did I want this? But I knew she was right. I did want this!

There was no time to place the epidural, our baby was coming! It was time to push!

Things got chaotic at this point. All of a sudden lots more people were in the room and things were happening around me. The midwife was back. I tried to get away - I wanted out of there. I tried to go back to all fours facing the foot of the bed, but then ended up laying on my back with legs up in stirrups. Emily and Tim were on either side of me at the head of the bed.

The contractions kept building and I had to switch gears from breathing out to bearing down and pushing. This switch took a few contractions to get the hang of. There was so much pressure, stretching and pain! I kept screaming, moaning, grunting, pushing and groaning. Emily and Tim encouraged me to hold my breath directing all my energy down to my belly and push! There were lots of cheerleading nurses around too. Someone was counting for me and directing the pushing.

Another nurse held up a mirror for me to see. I was shocked and then frustrated to see when I would push baby's head would crown, but in between contractions and pushing it would go back in! How will I ever get this baby out?!?

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Since I was prepped for the epidural and I thought I had felt a pinch of the needle, I really thought there was pain medicine on the way! I kept thinking it's OK, any minute now the meds will kick in! I only found out afterwards that I never got any meds!

I was instructed to let the contractions build and to push with them. I could only breathe out fast panting breaths in between. At some point there was an oxygen mask on my face in between pushing. I think it was Emily who instructed me to place my hands behind my legs to give myself some leverage to push. I didn't want to let go of my supportive hands to hold, but it was good to have a strong grip on my own legs!

Each push moved baby into a new position further into the birth canal and closer to being born. Emily later told me I only pushed for about 20 minutes!

When baby's head was crowning, I felt incredible pain and burning as I tore. At one point I got frustrated and yelled "pull it out!" I decided contractions be damned, I will push now! But that didn't help. I had to wait just a moment more to let it build. The hardest part was the largest part of the baby's head. I had to wait and breathe but there was so much pressure.

I remember asking “hair?” because this baby's full head of hair was visible in the sonograms! We had previously joked that I would push harder when someone tells me they can see baby's hair! One more big push and pop baby's head was out! There was a gush of fluid helping them along. This was a relief!

I felt twisting and more pressure as I pushed out each shoulder and then gush - the rest of baby slipped right out! I screamed "My baby! My baby!" The midwife placed the warm baby on my belly and it was amazing! I still had lots of pain and burning, but I did it! I had given birth to my baby!!!

It was 7:26am, only 4.5 hours since my water broke! This had been a fast labor! I was surprised baby didn't cry much at all when they came out, but instead was just alert.

At first we had no idea if baby was a boy or a girl. We were just so thrilled baby was here! The nurses were wiping baby off and Emily said “they don't know!” Someone opened baby's legs and we were so surprised to find out we had a baby GIRL! We were both shocked and I think Tim was the one who shouted out “It's a girl!” It was such a happy wonderful moment! She was absolutely worth the wait!

Elora Lynn was 6lbs 6.7oz, 20in long. She had an Apgar score of 9! She was perfect healthy and so beautiful! We did it!

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Let's Tell Your Story- 'The Car Ride Was Epic'

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Let's Tell Your Story- 'The Car Ride Was Epic'

In honor of World Doula Week, Client Sarah L was willing to share her birth story, featuring some of the many ways a doula can be helpful in labor, birth and postpartum. 

When we found out we were pregnant it was a little bit of a shock, we were hoping to get pregnant, not preventing but it happened sooner than we expected.   I had always thought that I would want midwifery care during pregnancy and maybe choose to give birth in a birth center, I had been born in one, but in the whirlwind of this news we initiated care with the OB I had been seeing since I was fresh out of college with the plan to deliver at the hospital where she worked.  Despite this choice I knew that I still wanted to try for as non medicalized a birth as possible in that environment. As a nurse, I knew what a hospital delivery could mean in terms of unwanted and unneeded interventions and I was apprehensive about accomplishing a low intervention birth.

My husband and I had countless conversations about how we would work toward an intervention free birth in the hospital.  I was pushing for doula support. I had attended births as a nursing student with doula support and had several friends who were midwives who really encouraged a doula.  My husband took a lot of convincing. He thought we was all the support I needed, he said that I was, “formidable” and would not only be able to handle the work of labor but also handle the staff at the hospital.  I wasn’t as confident. Although I had studied birth in school, the fear of the unknown of how labor would actually go for me continued to make me apprehensive about a hospital birth without the support of another woman trained to aid others during this time.  After several lengthy discussions my husband agreed to meet with the doulas. My husband had been concerned that if we hired a doula his role as coach and birth partner would be undermined, after meeting with the DCH doulas he was ensured of his role and was impressed by the breadth of knowledge of each of the doulas.  

Our doula, Emily, was a great support during the last weeks of pregnancy.  She helped us to form our birth preferences, gave us lots of resources and was always a call, email or text away when I had questions.  I felt my first early feelings of labor in the middle of the night, thinking they could just be more Braxton Hicks, which I had felt my entire 3rd trimester I went back to sleep.  Something in me, however thought, 3-15-17, that would be a great birthday.  When I woke up that morning and was still feeling the same sensations now and again I texted Emily to let her know what was going on.  I told her we had planned a walk and she encouraged that along with a good breakfast. When I had to stop several times on the walk to get through what I was now realizing were contractions and when that good breakfast didn’t stay in me for long, I gave Emily a call to let her know what was going on.  I had thought that I would need/want her support for much of labor, but when it came to it I was okay with the physical work of labor, but I needed her there to be my sign posts, help me to determine where I was in labor and help to interpret what was happening. She worked with me over several phone calls and texts to time my contractions and help me get into a good breathing pattern.  

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I found a groove in labor sitting backwards on the toilet in the bathroom attached to my daughter’s future nursery.  I wanted to be alone, I was completely inside of myself and didn’t even want my husband there. I had my cell phone on the back of the toilet, checking in with Emily and my mom.  My husband would come in from time to time to bring me water and check on me, but I would promptly send him away. At some point I felt cold and began to shiver, thinking I was just chilly I asked my husband to draw me a bath.  I forgot to share this small detail with Emily (had I she would likely have told me I was in transition and to get to the hospital ASAP!). On the way to the bath my water broke. I called Emily and let her known that and that I was feeling a lot of pressure, she very calmly told me to call my doctor, she wanted the “go to the hospital” call to come from them.  I was so worried about getting to the hospital too early, so having her support put me at ease. She gave me some great breathing techniques to help relieve the pressure and get me through the car ride across DC and said she would meet us at the hospital.

The car ride was epic.  I was feeling so much pressure it was difficult for me to sit down.  As we pulled up to the turn before the hospital I told my husband that I felt like I had to push.  It was something out of a movie. In my head, as crazy as this sounds, I was still worried we could get up to L&D and they would tell me I was like 6 centimeters.  Thankfully, the term “rectal pressure” got the attention of the staff pretty quickly. They brought me right back to a room, checked me and let me know I was ready to push!  My baby was coming fast, the staff asked if I wanted to wait for my doula, but baby girl was not waiting on anyone. Two pushes and she was out, moments later Emily walked through the door.  After the placenta was delivered I was still bleeding. All of the interventions I had avoided in birth started to pile on, there were injections, IVs, manual removal of clots, it was much worse than labor!  While my husband was busy admiring his new daughter, I was so thankful to have Emily there holding my hand and support me through the management of the bleeding, taking a few treasured photos, and helping me to initiate breastfeeding.  

Although she wasn’t physically with me for my labor and birth, the support that Emily provided me throughout my labor and immediately postpartum was invaluable.  As she said when she arrived I, “reached my goal of laboring at home and having my baby in the hospital!”

 

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Referral Spotlight: The Washington Anxiety Center of Capitol Hill

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Referral Spotlight: The Washington Anxiety Center of Capitol Hill

The Washington Anxiety Center of Capitol Hill is a psychology outpatient center that focuses on the treatment of anxiety in children, adolescents, young adults, adults, older adults, and families. They employ cognitive-behavioral treatments to treat these disorders, with a special emphasis on exposure-based therapies. Today's interview is featuring Dr. Johanna Kaplan, the director of the Washington Anxiety Center of Capitol Hill. She is a licensed clinical psychologist in Washington, DC, Maryland, and Virginia. She earned her Ph.D. in Clinical Psychology from The Catholic University of America and her undergraduate degree in Psychology and Communications from American University in Washington, D.C.  She may be reached at drkaplan@washingtonanxietycenter.com

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1. What led you to this career?

I was a television reporter in Washington DC in the early 2000s and felt I was on the “sidelines” of really making a difference in the lives of others. I started to work at the National Institute of Mental Health (worked there for 10 years) and fell in love with anxiety research and began my clinical work with patients. I pursued my Ph.D. in Clinical Psychology from there and specialized in evidence-based treatments for anxiety and depression (in children and adults).

What do you enjoy most about work?

When I have a patient who tells me that their life has changed as a result of the skills they have learned in treatment. Also, seeing my patients believe that whatever comes their way, they can handle.

If you are a parent, how was your birth and postpartum?

I have two children, one who is 3 and the other who is 6. Both children were born vaginally and naturally. My first was a 27-hour labor in which the baby turned upside down. There was severe damage to my pelvic floor (which has now resolved, thanks to wonderful physical therapy out there). The birth of my second was (thank heavens) much easier and around 8 hours. Postpartum was definitely an adjustment socially, sleep-scheduling, and the stressors of breastfeeding. I find my personal experience allows me to truly empathize with my patients struggling with peri and postpartum issues.

What resources would you want parents to have?

Having a good support system (friends and family), 1-2 activities that you enjoyed pre-partum and continue to prioritize postpartum, breastfeeding support, and 6 hours of continuous sleep 2-3 months postpartum (and creative ways/skills that help to achieve this goal).

                                         Washington Anxiety Center Office

                                       Washington Anxiety Center Office

What is one unique thing about your business that your customers/clients love?

Our practice is located in a very comfortable and “homey” space on Capitol Hill. We are very kid and baby-friendly and encourage our patients to bring their babies with them to their therapy sessions. We are a cognitive-behavioral therapy and skills-based practice that encourages and models flexibility with our patients.

What's one thing you think the world needs to do to improve the lives of new parents (or people living in our service area)?

Access to resources is a very large concern for us. Second is educating ourselves as to the most appropriate and best treatment options available. The most scientifically-supported treatment for anxiety and depression, especially in the peri and postpartum period, is cognitive-behavioral therapy with gradual exposure therapy components. However, only 12% of mental health professionals practice this type of therapy and most are unaware of how helpful it can actually be.

What do you think is the hardest part of expecting a baby or becoming a parent?

Getting comfortable with the unexpected and allowing yourself as a parent to be human and make mistakes. As a professional, I know that there is no one way to parent and there is no such thing as a "perfect parent.” Recognize that as long you try your hardest and even prioritize yourself once in a while, you are doing your best.

What products or services do you personally love?

I believe it is very important to invest in the people and experiences that make you feel good about yourself. Spending time with my family doing several activities, whether it’s playing a game from Labyrinth, or going to a yoga class on the Hill, brings a lot of joy to my life.

How do you start each day?

I begin each day with a protein shake and running around chasing after my 3 and 6-year-olds getting them dressed for school.

What's your favorite thing to do in DC?

I love to go shopping with my daughter in Georgetown. We plan our “girls days” for at least one day every month.

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Get To Know Our Staff!

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Get To Know Our Staff!

Today's Interview is with owner and COO of Doulas of Capitol Hill, Emily Smith. To inquire about Emily, please contact us at info@doulasofcapitolhill.com.

emily

1. When did you find your Passion, or when did it find you?

Passion- Some synonyms are enthusiasm, zeal, vigor, fire, energy, spirit, and love.  So, where did I find my passion? I've always had it. This fire has always burned bright in me.  Enthusiasm has never been something which I've had in short supply. However, after my oldest was born, and I walked into motherhood feeling empowered and supported, it was then I felt inspired to support other women through pregnancy, birth, and postpartum.  Later, when I experienced significant challenges in breastfeeding all three of my babies, I became more aware of the honor to support women and families with non-judgement through the highs and lows of parenthood. Now, my favorite part of my job with Doulas of Capitol Hill is helping expecting and new families get matched up with the best doula for this memorable time in their lives!

2. If a kid walked up to you asking for your advice and you only had a few minutes to give ‘em      your best tip, what would it be?

I love quotes!  So I would probably just start sharing all the best quotes that come to mind.  "Do what you love and you'll never work a day in your life." "Do not be afraid." "We can do hard things." "Scatter joy!"  "Rejoice. Pray. Give Thanks!" "Patience is not the ability to wait but how you act while you're waiting." "To be yourself in a world which is doing its best, night and day, to make you like everybody else means to fight the hardest battle which any human being can fight and never stop fighting."  "The things you are passionate about are not random. They are your calling." "Sometimes you're the mess. Sometimes you're the broom. On the hardest days you have to be both." "Be messy and complicated and afraid and show up anyways." "In a world where you can be anything, be kind." "Let's tell your story."  

3. What makes you proud of yourself?

I'm proud of myself when my children make good choices.  I'm humble and gentle on myself and them when they do not.  

4. What do you love about your life?

 I love that I get to work with so many amazing families at such a pivotal time in their lives.  I love that we built a company that values diversity, inclusivity, and respect for every family.  I love my family and the professionals I get to work alongside in the community.

5. What did you want to be when you grew up?

From the age of 5 through 17 I was going to be an actress who won an Emmy, an Oscar, and a Tony.  Now, older and wiser, I'm glad to know life is about the journey, not just the destination.

6.  What are your top three values?

 All are welcome. You are worthy.  Love whole heartedly.

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7. Tell me about your favorite book or movie.

Presently my favorite movie is Black Panther. #WakandaForever!  My favorite audio book is Brene Brown's Rising Strong. Someday, when my kids are grown, I'll have time to read actual paper books again.  

8. How do you like to be told you’re doing a good job?

My "Love Language" is definitely words of affirmation.  You actually have to TELL ME I'm doing a good job. It's one of the reasons sarcasm is a second language for me.  Good thing my husband is the most sarcastic person in the world!

9. Who is your role model and why?

My grandma, Frances Young, started tap dancing when she was in her 60s and continued on into her 80s.  "You're never too old to set another goal or to dream another dream."

10. If you had any superpower, what would it be?

 Intuition is my superpower.  That and making coffee or wine disappear.  

11. How would you describe your (doula) style?

 My doula style is inspiring, warm, comforting, and informative.  

12. Describe yourself in 5 words

Once I was challenged to write my life story in 5 words.  My answer: "Smile, God works it out."

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Women’s History Month -Top 5 Birth Related Reads

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Women’s History Month -Top 5 Birth Related Reads

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According to the National Women’s History Project, “As recently as the 1970’s, women’s history was virtually an unknown topic in the K-12 curriculum or in general public consciousness. To address this situation, the Education Task Force of the Sonoma County (California) Commission on the Status of Women initiated a “Women’s History Week” celebration for 1978… In 1987, Congress declared March as National Women’s History Month in perpetuity.”

In honor of Women’s History Month, we have selected our top 5 picks to learn more about the biological and cultural intricacies around women, birth, and reproductive justice. The Goodread summaries and links to purchase are included for each book below. Tell us- Have you read any of these books? Are there others you would recommend?

1.       Mother Nature: Maternal Instincts and How They Shape              the Human Species
          by Sarah Blaffer Hrdy

Mother Nature: A History of Mothers, Infants, and Natural Selection should be required reading for anyone who happens to be a human being. In it, Hrdy reveals the motivations behind some of our most primal and hotly contested behavioral patterns--those concerning gender roles, mate choice, sex, reproduction, and parenting--and the ideas and institutions that have grown up around them.  It is a truly compelling read, highly recommended. --Katherine Ferguson Maternal instinct--the all-consuming, utterly selfless love that mothers lavish on their children--has long been assumed to be an innate, indeed defining element of a woman's nature.

https://www.goodreads.com/book/show/270100.Mother_Nature
Amazon

2.      Birth: The Surprising History of How We Are Born

         by Tina Cassidy

From evolution to the epidural and beyond, Tina Cassidy presents a lively, enlightening, and impeccably researched cultural history of how and why we are born the way we are. Birth is full of quirky details, startling facts, and tales both humorous and disturbing—from men disguised as women to get into delivery rooms to a news flash about a woman giving herself a C-section.

From Jessica Mitford’s seminal The American Way of Death to Mary Roach’s Stiff, we’ve witnessed how millions of readers are fascinated by what happens at the end of life. Here is the riveting true story of how it begins.

https://www.goodreads.com/book/show/223045.Birth
Amazon

3.      The Woman in the Body: A Cultural Analysis of Reproduction

         by Emily Martin

A bold reappraisal of science and society, The Woman in the Body explores the different ways that women's reproduction is seen in American culture. Contrasting the views of medical science with those of ordinary women from diverse social and economic backgrounds, anthropologist Emily Martin presents unique fieldwork on American culture and uncovers the metaphors of economy and alienation that pervade women's imaging of themselves and their bodies. A new preface examines some of the latest medical ideas about women's reproductive cycles.

https://www.goodreads.com/book/show/502918.The_Woman_in_the_Body
Amazon

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4.     Granny Midwives and Black Women Writers: Double-Dutched Readings

        by Valerie Lee, Routledge

Midwives, women healers and root workers have been central figures in the African American folk traditions. Particularly in Black communities in the rural south, these women served vital social, cultural and political functions. Granny Midwives and Black Women Writers examines the lives of real granny midwives and other healers--through oral narratives, ethnographic research and documentation--and considers them in tandem with their fictional counterparts in the work of Toni Morrison, Gloria Naylor, Alice Walker and others.

https://www.goodreads.com/book/show/38731.Granny_Midwives_and_Black_Women_Writers
Barnes and Noble (Currently Out of Stock)

 

5.    Pregnancy and Power: A Short History of Reproductive Politics in America

       by Rickie Solinger

A sweeping chronicle of women's battles for reproductive freedom throughout American history, Pregnancy and Power explores the many forces--social, racial, economic, and political--that have shaped women's reproductive lives in the United States. Pregnancy and Power shows that a complete understanding of reproductive politics must take into account the many players shaping public policy--lawmakers, educators, employers, clergy, physicians--as well as the consequences for women who obey and resist these policies. Tracing the diverse plotlines of women's reproductive lives throughout American history, Solinger redefines the idea of reproductive freedom, putting race and class at the center of the struggle to control sex and pregnancy in America.

https://www.goodreads.com/book/show/387122.Pregnancy_and_Power
Amazon

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Get To Know Our Staff!

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Get To Know Our Staff!

Today's Interview is with owner and CEO of Doulas of Capitol Hill, Nicole Bruno. To inquiry with Nicole, please contact us at info@doulasofcapitolhill.com.

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1.      When did you find your Passion, or when did it find you?

My first passion I discovered as a young child, which was music. Music was a way to play, to escape and to be engrossed in something. It could always match my mood and make me feel better. After I had my daughter, it awoke my second passion, which was birth. The chance to help and spend time with women and families during such an important time became something I was truly invested in for the long haul. I love helping families feel confident and positive about their experience.

2.      If a kid walked up to you asking for your advice and you only had a few minutes to 'give ‘em your best tip', what would it be?

I would tell them to remember they have value. Our voice and presence and ideas are all needed in this world, and even when you are feeling down, you should be as kind to yourself as you would be to your best friend.

3.      What makes you proud of yourself?

Doulas of Capitol Hill makes me proud. I am proud to be making a difference in lives across the DMV. I am also proud of my daughter, who is 7, and has more confidence and wisdom that I ever had at her age. She’s the apple of my eye.

4.      What are your top three values?

Work hard, laugh a lot, and be kind.

5.      Tell me about your favorite book or movie?

This question is so hard to answer! I love to read but mostly I read a lot of self improvement books. Currently I am reading 'You Are A Badass- How To Stop Doubting Your Greatness and Start Living an Awesome Life' (which is a great read so far!) If I am looking for some ‘mind candy’ I will read Nora Roberts. As for movies, I love watching action movies in the theater, but I have literally no recollection of them as soon as I get home. Maybe I would pick the Hunger Games series. Katniss is such a strong female character.

6.      How do you like to be told you’re doing a good job?

I like reassurance. I am happy when someone notices and says ‘I see you are working hard. You are doing a good job. Be gentle on yourself.’ This is a tool I think about and use a lot with families in labor and postpartum as well. We all hold ourselves to the highest standard, and it is important to remember to not compare ourselves to others or demand we meet our own high expectations all the time.

7.      Who is your role model and why?

Would it be cliché to say Michelle Obama? I find her to be brilliant, poised, and gracious. Before becoming a doula and business owner, I worked in hunger research and studies with the SNAP (Food Stamps) and WIC programs. I think her work helping people gain access and knowledge to healthy food is very important and she is a great role model for working mothers. On top of it all, she seems kind and down to earth!

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8.      If you had any superpower, what would it be?

I’d like the ability to be in two places at once. My daughter would like that too so I can always give her back scratches at bedtime. That is such a DC answer isn't it? More of me to do more work! :) 

9.      Describe yourself in 5 words.
Kind
Lighthearted
Patient
Thoughtful
Resilient 

10.  How would you describe your (doula) style?

I think my doulas style stems from my values. I like to work hard and be present with someone, remind them to breathe, or laugh, or cry when they need to, and be very gentle with someone’s feelings in any particular moment. I am matter of fact in relaying information to not be confusing, but ultimately the more I can help someone relax and feel supported and safe, the better a job I am doing. I believe each birth and postpartum period is it's own unique experience, and I look forward to helping any way I can. I am grateful to have a job that is this rewarding.  

 

 

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What Happens If I Have To Be Induced?

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What Happens If I Have To Be Induced?

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There are many reasons your doctor or midwife might suggest that an induction (the process of artificially stimulating the uterus to start labor) might be necessary to have your baby. According to The Listening To Mother’s III survey, More than four out of ten respondents (41%) indicated that their care provider tried to induce their labor. Various reasons could include high blood pressure, low fluids, maternal age, or being past your due date.

So what happens if you need to be induced? Induction might seem intimidating, but knowing what to expect and understanding the process can help reduce the anxiety. Below is the common routine of an induction. If you have any questions don’t hesitate to talk to your doctor!

1.        If you are being sent from the office to the hospital, there is almost always enough time to stop home and get your hospital bag and eat a meal (always check with your doctor before assuming this is a safe step!) before arriving at the hospital for admittance.  If your induction is being scheduled, you may be advised to call the hospital the day of your induction to make sure there are beds available. 

2.       Most scheduled inductions start in the evening. You arrive at the hospital between 7-8pm and are placed in a labor and delivery room. Your assigned nurse will gather information, place an iv port, draw blood samples, and get you settled. Your doctor will come in and do a cervical check to determine which course of medication to start with. Most patients who do not have any dilation or effacement start with one of two medications:

          Cervidil: A medication placed against the cervix to soften and start the dilation process given every 12 hours. If this                          medication is chosen, most people will sleep through the night (as well as you can sleep in a hospital!) before Pitocin is                  administered. Other people may have light cramping that may keep them awake.  It's best to try to sleep.

          Cytotec: A medication taken orally used to soften the cervix administered every 4 hours. It is more likely to trigger                            contractions. Often two rounds of this medication are administered.

On occasion, a foley catheter may be used alone or in conjunction with medication. A foley catheter is used to mechanically dilate the cervix. With this method a small rubber tubing is placed inside the cervix and a balloon is inflated to stretch the cervix open. Sometimes your doctor or midwife may also want to break your water with a small hook in order to begin or speed up labor.  If your baby or contractions ever need more closely monitored they may need to break the water in order to place the internal monitors. 

3.       Once any medication is administered you and your baby will be continuously monitored. After the given time for the medication to take effect, your doctor will check you to see if the cervix has made any change. Another round of medication may be given, or it may be time to start Pitocin. (Be sure to ask if you can eat and shower before Pitocin is administered!)

4.       Pitocin is given through an IV, administered with saline fluid, and managed by a pump. The dosage of Pitocin goes up by 2 every 30-45 min until your contractions are close together. The goal is for your contractions to be 2-3 min a part. Many hospitals have wireless monitoring so you may move, shower, and walk just like a non-induced labor!

From here an induction looks like a regular labor. This is where you would apply your comfort techniques, you water may break (or may be broken by the doctor or midwife), or you could choose an epidural or other pain relief such as nitrous oxide. There is no right or wrong way to have an induction- it is totally dependent on your body and your baby. Tell us- were you induced? What were the moments that stood out to you? 

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How Do You Become A Doula?

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How Do You Become A Doula?

So you want to be a doula! You probably know that doulas support families during pregnancy, birth, and postpartum. Perhaps you have come to discover the field after becoming a parent, or from another career path such as nursing or childhood development. Which ever way you landed here, we welcome you!

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What Is A Doula?

The widely accepted definition of a doula is a person who give physical, emotional, and education support during pregnancy, birth, and the postpartum period. It is a non-medical support person; they don't do things such as vaginal checks, doppler readings, or assessing newborns. A birth doula works along side your care providers and your birth partner while you are in labor in the home or the hospital. A postpartum doula comes to your home and helps with household tasks, newborn care, basics of breastfeeding and often provides companionship and sleep support.

The most important factor to being a great doula is providing NON-JUDGMENTAL support. This means the doula shares no opinion on various topics such as unmedicated births vs. epidurals, vaginal delivery vs. cesareans, or formula vs. breastfeeding. We are there in an informational and support role only. 

What Is The First Step To Becoming A Doula?

Step one is to take a training. We recommend an in person training to get some hands on experience prior to working with your first client. There are many doula training organizations; we have listed a handful below. Every training body has a slightly different ‘philosophy’ about birth and provides slightly different training curriculum.  An in person training is typically 2-3 days depending on your knowledge of pregnancy, birth and newborns before training begins. Most organizations have required reading material and also require in person client support before certification. You may work in the field before being certified.

CAPPA- http://www.cappa.net/labor-doula
DONA International- https://www.dona.org/become-a-doula/
ProDoula - https://www.prodoula.com/become-a-doula/
Best Doula - https://bestdoulatraining.com/doula-certification/
ICEA- http://icea.org/certification/upcoming-workshops/doula-workshops/

Once you are trained, the second step would be setting up your business with the state (generally as a sole proprietor or LLC). Think carefully about where you would like to be in the future before picking a business name!

3 Things to Consider Before Becoming A Doula:

On Call Time- Babies don’t read calendars. You may be on call and leaving your family at a moment’s notice. Postpartum time is more scheduled, but many times a person wants support within 24 hours of initial contact. Flexibility is key to working consistently in the field.

Running A Business- Doula work is very rewarding but it also requires some back end work such as invoicing, state correspondence and web design and/or marketing.

Obtaining Doula InsuranceCM & F offers specific doula insurance.

Doulas of Capitol Hill is a doula agency in Washington D.C. that hires doulas and newborn care specialists on a rolling bases. If you have taken an in person training and are interested in working with us, please submit a letter of inquiry and resume to info@doulasofcapitolhill.com. We are always looking for well qualified, non judgmental doulas!

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Snowflake Festival and Diaper Drive

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Snowflake Festival and Diaper Drive

Doulas of Capitol Hill is hosting its first annual Snowflake Festival and Diaper Drive benefiting the DC Diaper Bank!

When: Saturday Dec 23rd from 10am-12pm 

Price: Free!

Snowflake Diaper Drive flyer jpg (1).jpg

Where: Capitol Hill SE Neighborhood Library Meeting Room

What to Expect: There will be crafts, snacks, raffle prizes and the  chance to have your photo taken  with Olaf!

Where Do I Drop Off Diapers if I Cannot Make the Event?

District Taco
Seventh Hill Pizza

You may also give directly to the DC Diaper Bank via their Amazon Wishlist! 

Thank you’s go out to Seventh Hill Pizza, District Taco and Groovy Cards and Gifts for sponsoring this event!

We are Accepting the Following Donations:

Diapers & Pullups (open packages happily accepted)
Formula
Baby Food & Toddler Snacks
New and unopened bottles and nipples
New and unopened pacifiers
Food: non-perishable canned goods and dry goods
Pull-Ups
Wipes
Diaper Rash Cream
Tampons/Pads (we take open boxes as long as they are individually wrapped)
Shampoo/Conditioner
Deodorant
Toothbrushes/Toothpaste for adults and children
Lotion for adults and babies
Adult diapers
Cloth diapers
Toilet paper

Hope to see you there!

 

 

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