The Doula Solution

Here's an article from the Winter 2001 issue of
Western Living Magazine about my doula service:

When the contractions begin and even Dad starts screaming for drugs, a little backup is a good thing.

Six hours into labour, Dad's feeling like a third wheel at the bedside. He wants to help, but he's not sure how.

"What does it feel like?" he asks his wife.

"Sour!" she hisses.

Sour? He has no idea what that means.

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Effects of the full moon, waning sun, or NHL strike?

It’s been a wild month at hospitals in Canada. At BC Women’s Hospital alone, there were 1000 expected births, with 500 being the norm. You could attribute the increase to the effects of the moon or the sun, or you could put it down to the NHL strike. Who knows! But on Wednesday of this week, all hospitals west of Saskatoon were on diversion - that means NO BEDS ANYWHERE!

There I was, early Wednesday evening, at a client’s house. She was getting deep into her labour, so I had called her doctor just to give her a “heads-up.” She told me something I didn't want to hear.

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“Wow! If you had forceps last time, the next one will just FALL OUT!” (or, crazy predictions and expectations about second births)

I’ve attended so many second births recently, and I have 8 previous clients pregnant at the moment. So, I wanted to convey some of the joy and excitement of working with these second-time clients. I also wanted to talk about predictions and expectations surrounding second births.

So, today, for inspiration, I called a very special client whose little one is now about 18 months old. She picked up the phone and we both started grinning from ear to ear. “I’ve been thinking about you all this week!” she laughed. That’s the joy borne out of spending such an intense and sacred time together during her labour in 2004.

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On the necessity of overseas travel

You'll notice, if you've read enough of my blog, that we generally take off to Europe each year. Since I mainly work solo, I am on call 24/7 for most of the year.  Even when I'm not attending births, I'm doing prenatal and postpartum visits, tea visits, and fielding calls/text/emails from clients old and new.  Even if I have a week without births, I am still on call (I promise to be in town for each client's 38-42 week window), so I can't take off on an impromptu getaway. 

So, what's my solution? I book off a 6 week block, most summers, turn my iPhone to Airplane Mode, and hide overseas with my husband (and maybe some family). It's the perfect way to recharge my batteries. Most clients hold on to their questions until I return. Some clients do send me a few non-urgent emails, but they are content to wait a few days for a response. It's all about finding balance. I try to go totally off the grid, but as a solo doula, my work can't really stop 100%.  

So, where do we go?  Scotland, England, France, Italy, Spain are the main go-to's. Most of my family still lives in the north of England (Cheshire, Derbyshire, Manchester).  My husband's family come from the north of Scotland (Berneray and the Isle of Lewis in the Outer Hebrides, as well as Laggan in the Highlands.)  We love hiking, cycling, genealogy, history, windswept moors, searching for hidden castles and standing stones. We don't go to many different places on each trip - we take it slow.

This year, it was Scotland.  Within 48 hours of arriving home, two new babies had already arrived. They were waiting for me to come home!

One bonnie boy made a dramatic entrance. I had a phone call - "Something came out of me!"  She had just gone to the bathroom, her water had broken on the toilet, and one of her baby's legs had slipped out! So, after a fast ambulance ride (I arrived at her home in Ladner at the same time as the paramedics), her baby was safely born at BC Women's hospital. It was a spontaneous vaginal footling breech - with less than 2 hours of labour from start to finish.  She hadn't even known that her baby was breech. What a night!

Then another boy arrived less than 12 hours later - almost 9 pounds of him. Another speedy delivery. I think I can now change from Greenwich Mean Time to Pacific Time.

The August 2005 trip to Scotland was the best yet! My son's band won the Juvenile World Pipe Band Championship title, Best Drum Corps, and Best Bass. Our Alex, as lead drummer, went up before 40,000 people to accept the trophy for best drum corps. What an amazing day!

And the views of Stirling from the iron age fort on top of the Dumyat in the Ochil Hills, the sheep, the castles, the ferns and heather...they will be missed.  Until next time.

Spring 2009 - "Mommy, What did you do in the industrial revolution?"

Mommy, what did you do in the industrial revolution? Meditations on the rising cesarean rate.

Plante, L.A. Mommy, What Did You Do in the Industrial Revolution? Meditations on the Rising Cesarean Rate. The International Journal of Feminist Approaches to Bioethics. Spring 2009;2(1):140-147.

Lauren A. Plante, MD, MPH, FACOG
Department of Obstetrics & Gynecology
Thomas Jefferson University
Philadelphia PA
Email: Lauren@LaurenPlante.net

The cesarean rate in the US has been rising for decades, and in 2006 hit an all-time high of 31% (Hamilton, 2007.) This record is likely to stand for only a brief time, that is, until figures are released for 2007. Can it really be that one-third of women are unable to birth without high-level technological support? And is there an endpoint in sight? “In the next decade or so the industrial revolution in obstetrics could make Cesarean delivery consistently safer than the birth process that evolution gave us.” (Gawande, 2006, 8) Against such an argument, who could hope to stand?

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Bountiful Beautiful Blissful

 

While you're pregnant, I hope you take some time to browse the shelves at Banyen Books. My favorite book of 2005 is "Bountiful, Beautiful, Blissful", by Gurmukh. Don't be scared off by thinking it may be too flakey - it's not, and incorporates many of the words and concepts that I use when working with pregnant and labouring women (I even sang "Row, row, row your boat" to myself during my second labour in 1987). When I read Gurmukh's book I feel as if she and I know each other intimately, and have been using each other's phrases for years. So, have a good read!

We are the Doorways of Life

“‘Breathing for a hollow organ’ works well in labour. Breathe in...breathe out. Allow there to be space after the out breath, a time for nothingness, for the hollow organ to be still. Then wait for the body to take in the next breath. Listen to the sound of the breath as it goes in and out...circular, whole.”

This is the centre of labour. The breath is a reminder that there is continuity in all things. There is safety and surety in the breath which goes on and on throughout the wild storm of labour. Even when the labour reaches the point at which it can be called “white lightning”, the breath is constant as ever. And in the quiet times, between contractions, the breath is soft and open.

“Breathe in strength, breathe away the fear. Listen to the sound of the breath...in and out. Each breath takes you closer to the end of a contraction. Then comes a deep breath, down to the ground, and a long slow sigh...which brings quiet and rest.”

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