gold coast doulas

Emma Stevens

Meet Emma, our newest birth doula!

Meet Emma Stevens, the newest birth doula on the Gold Coast Team. Let’s learn a bit about her!

What did you do before you became a doula?
I am currently finishing up my Communications degree at Hope College where I was able to study abroad in Kenya and intern in a local maternity ward. I also work in assisted living to further my nursing experience.

What inspired you to become a doula?
Ever since I was little, I wanted to work with new moms and infants. My time in the delivery room in Kenya solidified my passion as I was able to comfort women when family members were not allowed into the room.

Tell us about your family.
I have my mom and my dad and two younger sisters. In addition, we have the two cutest wire-haired griffon puppies.

What is your favorite vacation spot and why?
Elbow Cay, Bahamas is where I hold the best memories with my family and friends. We visit often and I have made some great local friendships as well.

Name your top five bands/musicians and tell us what you love about them.
This is always changing but right now it would be these 5:
1. Allen Stone- great driving music
2. Vampire Weekend- reminds me of highschool days and has remained one of my favorite bands since 3. The Mamma Mia soundtrack for singing and dancing!
4. Sauti Sol- My favorite music from Kenya
5. Fleetwood Mac- an oldie but goodie

What is the best advice you have given to new families?
Don’t be afraid to ask for help, do what’s best for YOU and YOUR baby.

What do you consider your doula superpower to be?
Inclusive and non-judgmental support.

What is your favorite food?
Italian food (Indian food is a close second).

What is your favorite place in West Michigan’s Gold Coast?
My home!

What are you reading now?
The Birth Partner

Who are your role models?
My parents, Rachel Hollis, and travel vloggers Kara and Nate.

 

Meet Emma, our newest birth doula! Read More »

swaddelini

The Swaddelini Swaddle: Podcast Episode #93

Liz Hilton, founder of Swaddelini, tells us about the unique process she uses to create her amazing swaddle and why her swaddle is different.  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.

Alyssa:  And I am Alyssa.

Kristin:  And we’re here today with Liz Hilton, who happens to be a birth and postpartum client of ours.  She has an amazing product to talk about.  Tell us about your swaddles and where you came up with the idea and more about how we can put it into action!

Liz:  Well, first, thank you so much for having me on your talk.  My product in Swaddelini.  It’s inspired by my firstborn son, Thomas, who was a little Houdini.  Veritable little Houdini; got out of all his swaddles and would constantly wake up from the Moro reflex.  I’m really excited about my next baby that I’m going to be having a couple weeks here because now I’m equipped with a swaddle that is easy to use and protects against the Moro reflex and is completely kick-proof and escape-proof.

Kristin:  You’ll have your own baby model!

Liz:  I know!  I’ll have my own little cute baby model!  My Instagram Swaddelini is going to blow up with pictures of my new baby.  But yeah, what’s different about it is that typically swaddles involves a lot of wrapping or cumbersome closure systems like zippers, Velcro, or God forbid, snaps.  So mine just goes on and off like a sock, and I’ve incorporated some light compression therapy into the chest area to give the sensation of a hug all night long.  So I’ve actually trademarked that as Hug Technology.

Kristin:  Love it!

Liz:  And the individual tubes help keep the arms down for the Moro reflex.  It encourages that sleep safe position of being on the back and arms at the sides.  And then when you need to change the diaper, there’s an easy access diaper flap so you can change the diaper without having to take the swaddle on and off.

Kristin:  That’s such a pain to remove the swaddle and wake the baby!

Liz:  Yeah!  And it’s also adaptable, so with any baby product, you want it to adapt because all babies are different.  Every baby is different.  Every mom is different.  So some babies like their arms out.  Now, part of the thinking behind that is so they can self-soothe when they do wake up from the Moro reflex.  The idea with the Swaddelini is that that won’t happen as often because their arms are encouraged to be down.  But if your baby insists on having their arms out, you can just leave their arms out.  You’re still going to get that Hug Technology benefit.  Probably my favorite thing is that this swaddle is easy to put on, but also doesn’t restrict motion.  That’s one thing that doctors have been telling moms is, you know, don’t swaddle your baby.  It will cause hip dysplasia.  And that’s just because some swaddles, there’s no stopping point when you’re wrapping them or pulling the Velcro.  It’s very easy to do it too tight.  Whereas with this, it’s a four-way stretch knit.  It’s soft.  It’s stretchy.  And there’s no risk in that.  And even though the baby feels hugged all over, they have freedom of movement.  So if, for example, you’re breastfeeding, the baby can, while wearing the swaddle, can kneed your breast but can’t scratch.  Same when they’re sleeping; they can touch their face, but not scratch it.  So that’s another benefit.

Kristin:  And you have different sizes, so as they grow bigger, their swaddle size is based on how many pounds the baby is?

Liz:  I’ve done it that way.  I’ve said the small is good for 6-12 pounds and the large is 12-18 pounds.  The reason I did the larger one is just because there’s that transition where your baby’s kind of rolling over their side, and you’re, like oh, my God.  Is it going to happen?  Are they going to roll over?  Am I going to wake up and my baby’s on their front?  You have all these fears.  What I say is with the larger one — or even with the smaller one, if your baby is toying with rolling over sooner before they’re out of the smaller size, just take one arm and leave it out.  And then one they’re rolling over a lot during the day, you can take both arms out.  If your baby likes to sleep with their feet out, leave the feet out.  My niece slept in her large swaddle between month 8 and 11 until she was ready to get out.  She was smaller, though.  She was a smaller baby, so that’s why she went so long.  But she just didn’t want to leave it, but it was a nice transition.

Alyssa:  And they’re made out of different things.  I’m very curious what the process is and how you make them, too.  We talked a little bit about it on the phone, but I thought it was very cool how you make these.

Liz:  Yeah.  I have two very distinct designs.  The first one I did, I made out of just a bunch of synthetic fibers that I’ve used for compression garments that I’ve made for kids with, like, CP or lymphedema.  And so that helps with the light compression at the chest.  So that part is the same.  For the rest of it, it’s a moisture-wicking nylon-polyester blend.  It feels very lightweight, but it’s actually very cozy and very soft.  You can feel that.

Alyssa:  So soft!

Liz:  Yes!  But at the end of the day, it is a synthetic fiber, right?  I learned very quickly that some moms like natural fibers.  So after much research, I found a supplier of bamboo, and they make this bamboo in a mechanical process versus chemical.  You’ve seen a lot of maybe bamboo-rayon products.  This is not that.  This is just a natural bamboo made in a nonchemical process, and I pair it with a really exciting new fiber.  I’m actually the first in the industry to license this.  It’s called 37.5 because what it does is it regulates your body temperature to put it at a perfect 37.5 degrees Celsius.  So that is why the bamboo swaddles are a little cooler to the touch.

Alyssa:  So adult swaddles will be next.

Liz:  Actually, if you go on my website to the About section and watch my videos, I have my husband in an adult swaddle.  Yeah!  I just made one for a marketing thing, and then I told my husband, hey, will you get in this so I can do a video on YouTube?  And he was, like, you’re going to put it on YouTube?  No, I’m not doing this!  And I’m like, um, I had your baby.

Alyssa:  I’m asking this one thing!

Liz:  Yeah.  So there’s now a video of him in an adult swaddle!

Alyssa:  It sounds really cozy, actually.  I think I would wear one.  I love that it’s easy.  Can you explain putting it on and how it goes on?

Liz:  You basically just scrunch it up like a sock, and then you go in feet first and you get the Hug Technology over the butt area, and then you have it over the chest.  And then you go through the easy access diaper flap.  So stick your arm through that opening at the bottom, and then go through one of the arm tubes and then grab the hand.  Put that hand in yours, and just slide it down so that the arm is in the tube.  And so now their arm can move around, but it just encourages the arm to stay down at the side.  And then you just do that on the other side.  So these arm tubes are very, very stretchy, and their hands are absolutely free to move around.  And then the top naturally curls the opposite direction from their face.  But I also had this product tested at world-class third-party laboratories, where they do a suffocation hazard test.  They literally roll my product up in a ball, put it over a fake infant face, and they measure the CO2, and mine has passed every time.

Alyssa:  That was my question.  You know, you walk in, and it’s like this.

Liz:  That is absolutely fine, and if you wanted to do a suffocation hazard test on any product that you buy, what you do is roll it up and put it against your face and breathe.  With the design, though, it does naturally curl away from the face.  So if you put your baby to sleep like this, they wake up like this.

Alyssa:  And then demonstrate poopy diaper time when you don’t want to wake the baby.

Liz:  We’ve got this flap here, and again, it’s very, very stretchy.

Kristin:  As a doula, I love that.  It’s so easy.

Alyssa:  And do you recommend just like this doll has, like a onesie underneath this?  That’s all you need?

Liz:  Definitely.

Alyssa:  The right temperature?

Liz:  Even just a diaper and socks is fine.  I get that question a lot.  It’s really what you’re comfortable with, what your baby’s comfortable with.  If they’re really tiny and maybe they’re sliding, if their arms are so small they’re sliding out, you can put a onesie, like the sleeves on it, and that friction between the fabric will keep it on.  So then you get access to the diaper.  You do the diaper.  And then you can put it right back on, and you don’t have to take it off.  And then taking it off also is very easy because you just pull it down.  It’s actually easier with a real baby.  You can do it all in one motion.  I’ve gotten that a lot where moms say, oh, I didn’t know it was going to be this easy.  That’s always good!

Kristin:  And you have different designs.  You brought some samples with you.  There’s a fun funky orange and pink and…

Liz:  It’s interesting you say that because the design is pretty much the same.  The only difference is the colors and the fibers.  The blue, pink, orange, and gray here are all in the moisture-wicking synthetic fibers, and these more neutral colors, this neural white-pearl and this cloud-gray are the bamboo.  The best-selling ones are the grays, the grays in both the synthetic and the bamboo, and then orange.  Everyone loves neutrals.  The way this is made is a really interesting process.  One of the benefits of the Swaddelini is that it’s seamless, and it’s seamless because it’s actually manufactured in one piece, in one process, using 3D knitting.  Kind of like the Nike Flyknit shoes.  It’s the same technology, and I have a machine that knits all of these in my garage.  I make them all myself.  I don’t have some manufacturer in China that I outsource this too.  So it’s very, very local.  And it’s actually my life’s work.  I’ve been a 3D knit programmer for over ten years now and working primarily in technical knitting, knitting solutions for office furniture and automotive and aerospace and stuff like that.  But when I had my first baby two and a half years ago, I had an idea to use that same process to solve my swaddling problem.  That became Swaddelini.

Alyssa:  That’s amazing!  You said there’s a couple tiny stitches you have to do yourself at the very end?

Liz:  At the very top because it’s all made with this one end of yard.  At the very top, you have to pull it through a loop and then that’s the final thing that I do.  And I sew on these cute little tags with washing information and stuff like that.

Alyssa:  Yeah, what is the washing information?

Liz:  For the synthetic fiber, I recommend cold.  It will shrink up a bit, but honestly, if that happens to you, let me know.  I can work something out with you because I don’t want someone to get it and have it shrink.  I recommend that, and then air drying it is fine.  But for the bamboo ones, I actually prewash them in a natural, unscented detergent, so they’re already preshrunk.  They won’t shrink anymore.  You can wash and dry them in heat, but I still recommend cold just for longevity.

Alyssa:  Things look better.  I wash all my stuff in cold.  They just last so much longer.

Kristin:  Thanks, Liz!  We appreciate you coming in!  How do people order or find you?

Alyssa:  Well, if you’re a Gold Coast client, you can get a discount.  But for everyone else, what’s the best way to order these?

Liz:  On my website, but if you want to learn more about my product before you buy it, I highly recommend going on my Instagram, @swaddelini, because I have a lot moms on there that have shared their videos of how they use it because every mom might use my product differently.

Kristin:  It’s great for the visual learners.

Alyssa:  I’m going to add this to my newborn class repertoire because I think some people get overwhelmed with the old-fashioned swaddle, and like you said, if you have a really strong baby, they’re popping out of this thing.  So this is a great option, and they’re super cute!

Kristin:  We will definitely check in with you after, since you’re a client of ours, and we can see how it’s working with your own baby and also hear your birth story.  We love hearing personal stories!

Liz:  Well, I’m really excited to have doula support this time because I didn’t last time, and I definitely regret it.

Alyssa:  Yeah, we can have you back in to talk about that and how it was with doulas.

Liz:  That would be awesome!

 

The Swaddelini Swaddle: Podcast Episode #93 Read More »

Kaysie Lancaster

Staying Fit and Healthy During Your Pregnancy

My name is Kaysie, and I am currently 20 weeks pregnant. This is my 4th pregnancy and the first one where I have maintained a very healthy and fit lifestyle. I am a mom of three – 16, 13, and 7. After my last child was born I was the heaviest I had ever been and I knew I wanted better for myself. I wanted to set a good example for my children as they grew up. It took a year to lose the weight but almost 6 years to be in the best shape of my life, and I continue to maintain it!!

After I had lost the weight I competed in the NPC bikini competition in 2017 just to say I got up on stage and did it!! Even though the stage was not my favorite, the road it took to get there was what made me who I am today. I surrounded myself with women that empowered me and supported me. After a lot of hard work and dedication, I decided I wanted to be the light for someone else in a tough spot. I wanted to be the woman that supported and empowered other women to be the best versions of themselves. In 2018, I received a certification as a group trainer. Along with that, my knowledge of nutrition has put me in a place to teach others how important their food choices are along with exercise.

I think most of us know how important it is to stay healthy and fit throughout our lifetime. Whether we choose to execute this or not is the hard part. To some it comes easy and natural. To others it may be a very difficult task to complete daily. Now that you’re pregnant, it’s even more important to maintain a healthy lifestyle and some type of daily exercise.

Personally, I am in the gym 4-6 days a week and my workouts last 1.5 hours-2 hours consisting of cardio warmup/HIIT, strength training, and stretching. I eat 1700-2000 calories a day and I carb cycle two days of the week and I drink 90-120 ounces of water daily. I choose to eat organically 98% of the time.

If you’re new to exercise, I don’t recommend starting out as heavily as I do. Even though my body has been used to doing hard exercise for a long time, I keep an eye on my heart rate and don’t go over 150 per my OB’s recommendation.

Here are some tips you can try daily to ensure you continue to have a healthy and fit pregnancy.

Exercise at least 30 minutes daily
(please talk to your doctor/midwife/OB before starting a new exercise routine)

Drink at least half your body weight in ounces of water daily. If you weigh 140 you should be drinking at least 70 ounces if not more.

Eat lots of veggies, some fruit, organic grains, and limit your fat content. Stick to healthy fats like avocados and nuts. (I personally chose to buy all my foods organic.)

Stay away from sugars. Try to only consume sugars from fruits and veggies

Get a good night’s rest.

Stay positive. Surround yourself with people that support you, uplift you, and motivate you to make positive choices for you and your family.

For more health and fitness tips. follow Kaysie on Instagram.

 

Staying Fit and Healthy During Your Pregnancy Read More »

Jessica Kupres, RN

Meet Jessica Kupres, BSN, RN, CLC, CBE – our newest postpartum doula!

1) What did you do before you became a doula? 
I was a labor and delivery nurse for 13 years, a nurse for the maternal infant health program for two years, a phone triage nurse at a pediatric office for almost a year, and am currently working as a childbirth and breastfeeding educator, as well as teach a sibling’s class and infant massage class.

2) What inspired you to become a doula? 
My mother was a doula, though only assisted friends and family. That’s how I saw my first birth at 14 that shaped my future career. I also feel families need a lot of support when a new baby comes home. Unfortunately, most mothers don’t get the help they need.

3) Tell us about your family. 
My Husband and I have been married for 6 years. We have two boys. Kaden is 5 years old and Carson is almost 2. We are a pretty close family, and grandma and grandpa are usually over several times a week. I love to do crafts with my boys.

4) What is your favorite vacation spot and why?  
My favorite vacation spot is Disney World. Every year as a child my family went to Disney World, so there are a lot of very special memories. About every 5 years my family, including my parents and my siblings and their families go down to Disney World together. It is great to spend time with family in the most friendly and magical place in the world!

5) Name your top five bands/musicians and tell us what you love about them. 
1) Justin Timberlake – He has catchy songs that make me want to get up and move.
2) Taylor Swift – I love her songs and she is great to her fans.
3) Imagine Dragons – Just like their music.
4) Ed Sheridan – I like his music and positivity.
5) Colbie Caillat – I like her positivity.

6) What is the best advice you have given to new families? 
Do what works for you and your family. Don’t worry about impressing others or doing what everyone else is doing. Keep life simple at the beginning.

7) What do you consider your doula superpower to be? 
Encouraging others and being calm and nonjudgmental.

8) What is your favorite food? 
Chocolate!

 9) What is your favorite place in West Michigan’s Gold Coast?
I love going to the Fredrick Meijer Gardens with my kids because there is so much to do there.

10) What are you reading now?
Love and logic.

11) Who are your role models? 
My Grandmother – she was a strong woman, always spoke the truth, and was a great artist.

 

Meet Jessica Kupres, BSN, RN, CLC, CBE – our newest postpartum doula! Read More »

postpartum physical therapy

Postpartum Recovery

Have you ever heard of an athlete getting back on the field after a major injury WITHOUT a period of rest followed by intense rehab? Of course not! But somehow the expectation for women after their pregnancy is to mysteriously “bounce back” to normal activity, appearance, and function without any guidance. Most mamas even attempt to do this while caring for one or more very adorable, yet extremely needy human beings.

Wow!!  Just writing that paragraph made me feel anxious!  Thankfully our society is beginning to recognize the fact that child-rearing is hard work and calling in reinforcements is acceptable and often necessary.  Thank you doulas, lactation consultants, counselors, chiropractors and more for all that you do!  I would like to propose that a Women’s Health Physical Therapist should ALSO be part of your postpartum team.

Women’s Health Physical Therapists specialize in the changes that occur within your musculoskeletal system (muscles and bones) during and after pregnancy.  They often have additional training in pelvic health which means they have specialized skills in how to assess the pelvic floor’s function from an external as well as an internal perspective.

Let me tell you a story about how one woman’s body changed after having her first baby; let’s call this woman Susie. In the delivery room, Susie’s baby made its way through the birth canal so quickly that Susie’s perineum had very little time to stretch to make a clear path for her baby to exit.  Susie ended up with significant perineal trauma that required stitches to repair.  After the delivery, it was painful for Susie to walk around her hospital room and sitting proved to be very uncomfortable as well.  She faithfully rested and used her ice packs for pain relief in hopes that with time she would feel better.  As time went on and she saw other new moms grocery shopping, going for walks, and starting to exercise again, Susie started to become worried that she was falling behind in her postpartum recovery!  Not only was she still having pelvic pain that got worse with activity, she was now having rectal pain that filled her with dread each time she felt the urge to have a bowel movement.  Susie was given the go ahead to return to sexual intercourse and begin exercising again at her 6 week follow-up appointment with her OBGYN, but she knew there was no way she could tolerate these activities without experiencing a lot of pain.  Susie had proactively participated in Physical Therapy before delivering her baby, so she bravely asked for another referral.

Although a woman’s body is going to be forever changed after participating in the miracle of creating life, mamas shouldn’t feel like they’re left with a body that is broken.  Physical Therapists want to give you tools and strategies that keep you strong so you can participate in activities that make you healthy and happy inside and out!  We want you to lift and chase after your little ones, return to intimacy in an enjoyable way with your partner, and be able to participate in activities like barre classes, 5ks, and nature hikes. Sometimes it is a common misconception that women “pee when they sneeze” BECAUSE they had a baby, it’s “normal for sex to hurt” BECAUSE they had a baby, or “vaginal heaviness” occurs BECAUSE they had a baby.  While it’s true that these things commonly HAPPEN after we’ve had babies, they aren’t normal or inevitable after having children, and it will likely require more than just lots and lots of kegels to solve these problems.

Let’s check in with Susie again to see how things turned out after going to several Physical Therapy appointments. Susie learned that her pelvic floor and surrounding muscles were very tight (kegels were NOT recommended) and that she needed to learn how to combine breathing, stretching, and relaxing positions to maintain a relaxed and healthy pelvic floor.  Her Physical Therapist performed manual techniques to break up scar tissue from her episiotomy which improved the elasticity of her perineum. They even taught her how to work on these things at home on her own between sessions.  With hard work and guidance from her Physical Therapist, she was able to enjoy sex with her husband again, have bowel movements with less pain, and exercise with confidence because she had learned safe ways to move her body.

Physical Therapy for mamas can be done during your hospitalization, at an outpatient clinic, or even in your own home! And while there are lots of therapists just waiting for mamas to walk through their doors, it isn’t standard for Physical Therapists to be included in postpartum care in the United States.  Good news though, they are accessible and sometimes even covered by insurance when you seek them out. You’ll know you’ve found an exceptional Physical Therapist when they ask about your specific goals, give you tasks to complete at home between sessions, and you notice progress after each session.

Knowledge is power, and I hope that this information empowers you to feel comfortable talking to your providers about Physical Therapy or seeking it out on your own.  Mamas do incredible things and they deserve to have the resources they need to live their best life.

Newly postpartum and ready to get started? Download this FREE handout to start your postpartum recovery journey today (even useful for mamas still in the hospital!)

If you’re ever looking for free information from the perspective of a mama and Physical Therapist, I put out videos weekly on my YouTube channel. I also offer 1 on 1 Physical Therapy Evaluation and Treatment sessions for moms living in West Michigan and offer an Online Postpartum Recovery Course for moms that don’t have the time or resources to get out to appointments.

Investing in your health is one of the best investments you can make. Become a STRONG mama so you can grow a STRONG family!

Dr. Nicole Bringer, DPT
Owner of Mamas & Misses, LLC
Email: nicole@mamasandmisses.com
Phone: (616) 466-4889

 

Postpartum Recovery Read More »

Birth Photography: Podcast Episode #92

Photographers Kris and Autumn of The People Picture Company answer questions about birth photography, what a photographer actually does in the delivery room and how the process works for hiring a photographer and talking about birth plans.  You can listen to this complete podcast on iTunes or SoundCloud.

Alyssa:  Welcome to the Ask the Doulas podcast.  I am Alyssa Veneklase.

Kristin:  And I’m Kristin Revere.

Alyssa:  We are co-owners of Gold Coast, and we are here today with Autumn and Kris from The People Picture Company.  We wanted to bring you in because you do a lot of birth photography and a lot of our clients use you, but I know a lot of people are cautious or maybe don’t understand quite what the role of a photographer is in the delivery room, and I think it might be weird for people to say, you know, there’s going to be this stranger with a camera photographing my private parts.  Like, I don’t know this person!  Can you ease people’s fears and maybe tell us what the whole process looks like?

Kris:  Of course!  It all starts with a prenatal consult.  So this is where we get together and discuss your birth plan and what you want your birthing experience to look like.  This helps give us an idea; like, okay, are you doing a hospital birth or a home birth or a birthing center?  All of these things kind of factor into it.  We exchange phone numbers and all the information there, too, and then pick packages.  But it’s really a time for us to get together and to get to know each other because it is a very personal, private, intimate experience, and we’re going to be there with you, so we want to be able to know you and have you be comfortable with us.

Kristin:  It’s almost like when you do weddings and you have a shot list.  In your prenatal, I’m sure you go over, okay, this is what’s acceptable, and this is what I don’t want.

Kris:  Exactly.  We also go through and we show off some of the other births that we’ve done that the mothers have completely agreed that it is okay for us to show.  We have a couple of photos on our website, if you go into Maternity and Birth.  But when we go into a consult, you get to see a little bit more in depth.  These are ones that are, like, you know, actually during the birth experience.  So sometimes there’s nudity because you might get really hot when you’re giving birth to your child.  Sometimes people want that crowning photo.  I’m not going to put that online, but if you want to see what that looks like or a photo of your placenta where your baby lived for a while, then I can show you those during the consult so you get more of an idea and a feel of what you can expect from your birth photos.

Alyssa:  So it’s kind of like, if I were to say I want birth photos, but I don’t want any shots of boobs; I don’t want any shots of vaginas; I don’t want a butt.  Then you would know that going in, saying, okay, we need to crop this out or I’m not going to…

Kris:  Not going to photograph it.  If you want the photos of your child coming into this world but you don’t want that crowning photo, I don’t have to be right where the doctors are.  We can be right up by your shoulder.  In fact, that’s how it was with my photos.  I don’t have any crowning photos of my son coming out, but I have some great photos from over my shoulder, and you can see him just emerging into the world.  It’s so magical because you can ever see everyone that’s in the room and my husband and my doctors and everyone, and it’s just so magical.  Especially because most of that, I had my eyes shut, and one of my friends was, like, no, open your eyes.  Open your eyes!  You have to see this moment!

Autumn:  I think a part of it, too, is during the consult, you are getting comfortable with each other, and there’s a moment where you kind of think past the nudity, you know?  We’re basically capturing the emotional experience between you, your baby, your family.  That is something that is bigger than the nudity sometimes.

Alyssa:  Right!

Kristin:  And I love that you’ve also supported surgical births and shown the beauty of that as they’re getting prepped to go into the operating room and so on.  Some of those pictures are amazing.

Kris:  Yeah!  With the Cesarean births, we’re not allowed in the operating room for those, but we are allowed in the prepping areas and as you’re walking down the hallway or being wheeled into the operating room, we can do all of that and we can do the couple of hours after the birth, as well.  It’s just that for those we’re not actively allowed in those rooms for the surgical process.

Kristin:  I’ve loved attending births with The People Picture Company because you really do capture the emotions of the couple and the intimate experience that they have, as well as, obviously, meeting their new baby or babies for the first time and really, you have a way.  That’s why we have you photograph our team and a lot of the events we do.  You really capture that moment so perfectly and the beauty of birth, the raw and realness of all of it.

Autumn:  And no birth is the same, no two births.

Kris:  No.  But they’re all emotional.  I cry at every one.

Kristin:  For sure.  They are.  It’s an honor to be in someone’s birth space.  I don’t take that lightly as a doula.

Alyssa:  So you’re essentially on call; that’s why you exchange numbers.  So how does that work from your client’s end?  You exchange phone numbers, and then when the due date approaches, you just kind of — they know that your phone’s going to be on next to the bed all night?

Kris:  Yep.  My phone is on next to my bed all night.  It is turned up as loud as it possibly can be, and in case I’m asleep, my husband is a very light sleeper, so if he hears it, he’s definitely going to be waking me up.

Autumn:  You’re pretty amazing.  You wake up, and you’re there, and it’s magical.

Kris:  It’s so funny because almost all the births that I’ve been on have been in the middle of the night where we’re getting a call.  Hey, we’re starting to have some contractions.  Okay, great.  Keep us informed.  Let us know when your water breaks, and we’ll be there, wherever you’re going to be having your birth.  We’re very flexible, so if you were originally going to be doing a home birth and then something is weird and you need to go to the hospital, then just have someone let us know.  It doesn’t matter who it is.  Just put our number in your birth plan, and we’ll be there.

Alyssa:  That’s what a doula’s good for.  We can call you and let you know.  By the way, we’re headed to the hospital.

Autumn:  And the greatest part is we have a whole team, so during that time when Kris is on call and she needs to be ready whenever, anything that she has going on, we’re there to kind of help take care of that so we free up her time to be available to be at the birth no matter what.

Kris:  Yeah.  I block off your due date for sure.  That entire day is completely reserved.  I won’t schedule anything.  And then for a week or so before and a week or so after, because babies come when they want to come, I have those listed as on-call, which means that if someone else needs to take one of my other sessions that I have prebooked because you’re going into labor at that point, then they have that.  I have a bag packed and with me wherever I am, so I am ready to go and meet you as soon as I get the call.

Kristin:  Sounds just like what I do as a birth doula!  And most of my calls are in the middle of the night unless it’s a planned birth.  Or early morning; I sometimes will get a call.  They’ve been laboring at home in early labor, and then they want my support early in the morning.

Kris:  Babies just love coming at night.

Autumn:  They do!

Kris:  My son came right after midnight, and our birth photographer, Bree — she’s one of our team.  She actually doesn’t shoot anymore, but she picked up a camera for me.  I think I was her last session that she did.  And she came — she was so sweet.  She came at — oh, gosh.  I don’t even know what time.  She came pretty early.  Probably about 7:00, I think, is when my water broke and everything, and she was there until about 1:00 in the morning when I finally kicked her out.  You need to go home; you need to go to sleep.  We got our photos; we’re great.  We got our few things that we wanted afterwards.  Go home and sleep.  But that also leads me to the photos of after the birth, like how long we get to stay for that.  That’s actually a really good segue there that I hadn’t planned.

Kristin:  And I know some clients can hire you just for that first hour or that time of bonding and not the actual labor if their preference is to not be photographed during the birth itself.

Kris:  Definitely.  It’s still all the same thing.  We’re still on call and everything, and the way our packages work, we have two different ones.  They both include up to two hours of post-birthing, and that covers the first moments of your child’s life.  So if you want us in there for the birth, then that can include the cord cutting and such.  If you want us there for the first little bit afterwards, it can include the first time you’re nursing your child if that’s what you end up doing.  If you’re doing skin to skin contact; the weight, height, and head measurements, the footprints, and the first family photo of you all together in that blissful moment.  And then also if you have any family members that are coming to meet the newest addition, so if you have an older child that’s coming to meet the younger sibling for the first time, or you have some grandparents that are being grandparents for the very first time, we can be there for that, too.

Alyssa:  How does it work — let’s say a client gets induced and says, hey, I’m going to the hospital, but then it ends up taking two days.  How do you — or have you had a client like that where you’re there for a really, really long time?

Kris:  We’ve had one where we’ve been there for —

Autumn:  We’ve had to do switch shifts.

Kris:  Yeah.  I’ve done some switch shifts before where we kind of tag out.  Okay, I’ve been here for, like, 12, 13 hours.  I need a momentary break.  I need a little cat nap, but we don’t want you to have to worry about us missing it.  So then we just kind of tag out with one of our other team members, and then we swap for a little bit.

Alyssa:  So there’s no price difference?

Kris:  No.

Alyssa:  It’s just whatever birth you have, whether it’s two hours or two days?

Kris:  Yep.  Your kid comes in the time when your kid wants to come, and we’ve got to be flexible with that.

Kristin:  Right.  And even with inductions, there can be some sweet moments where they’re on the birthing ball or moving around the room, and you can capture – again, if it is a couple, you can couple the intimacy with the couple, or if there’s a doula supporting…

Autumn:  Well, the greatest part is it’s not just one single moment with the birth.  It’s the entire process, and being able to capture that for basically the entire family is so special because we literally see the moments before, where they’re on the ball and they’re trying to get them out, and then they —

Kris:  It’s the whole story.

Autumn:  It literally is the story.

Kris:  And going back to personal experience, I was induced for my son because he was a week late and didn’t want to come.  And there are times, because it was a long, emotional, hard birth, that don’t necessarily remember.  But because I had my photographer there and I made a book later on, I’m able to remember and to kind of — not necessarily relive, because I don’t remember the pain, thank God, but I do remember the joy, and I remember thinking – like, for me the birthing ball was bad, and all I can remember was saying, “Ball bad!  Ball bad!”  But I remember that because I have the photo of me with that ball and then the ball completely on the other side of the room because I didn’t even want to see it.

Kristin:  Listening to your body is key!  That’s what I say.  That’s part of it!

Alyssa:  So once you get into the labor and delivery room, what does that look like?  Are you kind of like a fly on the wall trying to stay out of — like, you don’t want them to even know you’re there, or are you talking to them and —

Kris:  It kind of depends on the couple or on the mom and what they want, and this is why we do the prenatal consult.  We usually try to help out if we can, like either be a gopher — like, so if mom is really sweating but doesn’t want her partner to leave and needs a wet washcloth or something, then we will do that.  If you need some ice chips or something, we can go and do that for you so that your people don’t have to leave, although of course if you have doulas, then they usually end up helping out that way, too.  So we help out where we can, but otherwise, it’s usually very intimate, and the couple is pretty much in their own world.  We just kind of capture that and stay out of the doctors’ way.  After you have your baby, we know that you’re really excited to show the photos of your new little baby to friends and family and all your loved ones, and so instead of sending cell phone photos that can look a little weird, we do sneak peeks so we’ll provide you with a handful of photos that are completely ready to send out to friends and family.

Alyssa:  Like the next day?

Kris:  Within 24 hours.  Usually less than; it’s usually one of the first things that we do when we leave the birthing room.

Autumn:  She gets really excited.  She gets back to the studio, and she’s, like, “I’m doing this!  I’m really excited!”

Alyssa:  You always do.  Every team photo, you’re, like, okay, give me a couple weeks.  And then two days later, you’re like, “They’re ready!  I was just too excited.  I had to go through them.”

Autumn:  Well, I mean, it’s our work, and we get so excited about it, and we can’t wait to show it off because what is the point of just sitting on it when we can share it with everyone?

Alyssa:  In my past life, I was a photographer, and it was the same thing.  While it’s fresh in my head, I wanted to go through them.  It’s exciting to see what you just created.  So I get it.

Kris:  You’ll get a handful of photos the same day, usually within a few hours, so you can send them out.  And then the final photos, we say two weeks, but it’s usually sooner.

Kristin:  And certainly, I feel like birth is a major rite of passage, and as wedding photographers, you understand how much time, money, and preparation is involved in planning for that rite of passage, but really, when you look at minor investments in the birth and postpartum time for a family, hiring a birth photographer or doing newborn shots doesn’t even compare to the investment in a wedding photographer, for example.

Kris:  Oh, yeah, no.  It’s a fraction.

Kristin:  Can you explain a bit about what your fees are so people who aren’t familiar with birth photographers — as you talk about being on call and longer lengths and so on?

We have a couple different packages when it comes to the birth, and they each include high-resolution images for you to share, to do whatever you want with.  And then you also get an album to create for our highest package, which is a 20-page lay-flat album.

Kristin:  You’re saying a digital album?

Autumn:  No, a photo album.  So you get digital files, high-resolution, and then our highest package, you get a 20-page album to share and have it on your table so you can show it off.  And plus like Kris said, you get to relive the moments because sometimes you just don’t remember, and having that printed album is so important because you can’t have all of your images live on digital because you don’t know how long they’re going to last.  We always want everybody to print things.

Kris:  Which is why we provide you with the high-resolution images, too, because those are good quality for printing.  So you’re welcome to print them yourself or you can print with us.  We have a la carte print packages, too.  So the first package, like Autumn was saying, it’s $850.  It includes everything: the prenatal consult, the on-call availability, the two hours after birth, and then 100 or more, however many, high-resolution images, and a 20-page 5×5 print photo album.  And then our second package, which is our base package, is $500, and that includes 30 to 50 high-resolution images, so that’s if you need just a little bit; just a little reminder, not the whole big coverage of everything.  And then because we want to see you guys again and provide you with a really good first family photo that’s not right after birth, we include 10% off your newborn session if you get either of these two packages because, yeah, your first family photo — yeah, it’s great to have one in the hospital, but let’s get one where your hair and makeup are actually done, too.

Kristin:  And I know you do documentary-style or more of the posed family shots, depending on preference and price and so on?

Autumn:  Absolutely.  We actually prefer doing newborn sessions in the home because it’s where you’re going to be the most comfortable, and then you also don’t have to worry about packing up the family and moving them to our studio, which can be a hassle sometimes.  Our goal is to make everything hassle-free, so we come to you, and we can document your entire family as you are, and we can also get some posed shots that would be printed and put on the wall.  The documentary style also work well if you do an album.  Plus, it’s more realistic.  It’s you in your zone.  It’s where your family is.  And if you have other kids, it’s also really fun to see how they interact with the baby, also.

Kris:  Some of the documentary ones that we’ve done are within your nursery, so if you’re changing your baby on the table or nursing them in a rocking chair or something like that and then you get a photo of the entire nursery in this environmental setting, too.

Kristin:  It’s nice.  You did that with a twin client of ours.

Kris:  Yeah.   They were so sweet.  They were adorable, and we had grandma in there, too.

Alyssa:  So if anyone is interested in birth photos or family photos or baby photos —

Kristin:  Or maternity photos.

Alyssa:  Yeah, maternity photos — what’s the best way for them to reach out?

Kris:  Probably our website would be the best.  We have all our packages listed on there.

Kristin:  And you also have a page on the Gold Coast Doulas website.

Kris:  We do, so you can just go to the Gold Coast Doulas website and go into Birth Photography and find us that way, too.  And then we have all of our packages listed and a handful of images to show you, just kind of a portfolio of examples to see if we’re your flavor of photographer or not.

Autumn:  And the best way to find out is just reaching out and setting up a consult to get to know us, really.

Kris:  Yeah.  You can do that straight from the website.  We have contact boxes.  You can email us.

Alyssa:  And probably depending on the time of year, as long as it’s not wedding season, you could do it last minute.  Like, hey, I’m 38 weeks and I just decided I want a photographer.

Autumn:  Oh, absolutely.

Alyssa:  As long as you’re not in the throes of wedding season, you might be able to say yes?

Kris:  You know, as long as you’re not a Friday or Saturday, chances are really high.

Alyssa:  Cool.  Well, thanks for joining us.  Is there anything else that we didn’t cover?

Autumn:   I did want to point out that another thing after birth – one of our favorite things to do is follow you through the first year.  What we have is a package that basically is dedicated to capturing your baby at several stages in the first year.  So then you can do the three, six, nine months and then the one year, so you can also print that out and get it on the wall to see how much they’ve grown.,

Kris:  They change so much in that first year.

Autumn:  They really, really do.  It’s amazing.  They go from literally —

Kris:  Tiny squishes to little humans.

Autumn:   Yeah.  It’s amazing.  And it’s really fun for us, especially somebody like Kris who’s there during the birth, probably the maternity session, and after with the newborn, and then we get to follow you through and literally watch your family grow.  It is so much fun.

Kris:  It’s awesome watching them grow.

Autumn:  Yeah.  Because our goal is to become lifelong friends, not just the photographer one day.

Kris:  Yeah.  We want to get to know you and become friends and tell your story.

Kristin:  I love that.

Alyssa:  That’s cool.  Thanks!

 

Birth Photography: Podcast Episode #92 Read More »

Birth story

When Your Baby Doesn’t Follow Your Birth Plan

Have you ever set out to accomplish something life-changing? How did you prepare for it? Did you research it online? Did you read a how-to book? Did you seek advice from those you trust? Would you ever show up for the big day without preparing ahead of time?

Back in November of 2017, I finally saw those two blue lines on a pregnancy test.  I was unbelievably excited, but yet filled with fear and anxiety. After over a year of trying to conceive and a devastating miscarriage, my husband and I were blessed with the opportunity to try it again.  For anyone that has experienced a miscarriage you know that each cramp, test, and Dr. appointment is filled with intense emotion and fear.

The fear and anxiety wasn’t completely gone after our 12 week ultrasound, but it definitely became a background noise that I could drown out with our baby registry, nursery decorations, and my efforts to create the perfect environment for my baby for the remainder of the pregnancy.

During my first trimester, I was gifted The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth by Genevieve Howland (highly recommended by the way, even if you’re not a super crunchy mama) by my sister who unknowingly would become the trail blazer that would go before me by about 12 weeks and share all her child rearing wisdom with me.  This was new for me as an OLDER sister, but her recommendations and personal experience were pivotal in creating an empowering childbirth experience for me.

Fast forward to the third trimester where it really started to sink in that I was going to birth this tiny human inside me.  This is the part of the story where I realized I was going to experience something life-changing that I knew very little about.  After reading the best books, talking with seasoned mamas and investing in a bomb childbirth course (Mama Natural’s once again!), I decided that my ideal birth plan was to have a vaginal delivery with as few medical interventions as possible.  I did the research to get the facts and my husband was very supportive (but also a rookie) so I wanted some reinforcement to help me achieve my dream birth story. This is the part where my very wise sister recommended talking with Gold Coast Doulas about how they could help me reach my goals.  She had just accomplished a successful, low intervention vaginal delivery so it didn’t take much convincing for me to call and get matched up with doulas that were a good fit for my birth goals.

At 41 weeks and 3 days, it became apparent that my son had not read my birth plan and despite my best efforts was coming out on his own terms.  In the midst of my research, I learned that induction could be intense, unpleasant, and ruin my plans for an unmedicated birth; unfortunately, my OBGYN had decided this was the best option for me. My husband and I walked into the hospital like a couple headed to Baby-Mart to pick-up our baby.  I had not experienced one real contraction to this point, was dilated to 1cm (I still think this was a pity centimeter) and I had shed many tears as I realized how little control I actually had over this birth experience.  I prayed God would help me surrender to His will for this birth.

As if this was the moment my son had been waiting for all along, I felt my first real contraction minutes after being hooked up to the fetal heart monitor before beginning the induction process.  I finally stopped feeling sorry for myself about my “ruined” birth plan and regained my confidence knowing this was MY birth plan and no matter how it ended, it was the perfect plan for me!

Contractions continued to come, and they recommended that I receive a dose of Cytotec to soften my cervix. Thankfully labor continued to progress on its own without any further doses of cytotec or pitocin.  Several hours after contractions started, I peed the bed… or so I thought. After 2 trips to the bathroom and continued “leaking” I realized my water had broken. My cervix continued to dilate and my husband was now recruited to help me through my increasingly more intense contractions.  My nurse was amazing and encouraged me to change positions by kneeling and leaning forward on the bed and rolling from side to side with a peanut ball between my legs to encourage continued progression of my labor. It’s funny because I knew this movement was important, but in that moment, all I could think about was how it made my contractions hurt worse and that I didn’t want to move at all. Turns out that’s the point! You want to intensify contractions, progress labor, and get that baby in your arms!

As the hours progressed my husband continued to ask if we should ask Mary, our doula, to join us (she’d been checking in with him periodically) and I continued to say no. I guess I had heard too many stories about long labors because I was convinced we still had a long way to go.  When my attentive husband noticed the signs of transition he quietly vetoed my decision and let Mary, along with family, know that we were getting close and it was time to come to the hospital. When Mary arrived they were wheeling in delivery equipment and it was go-time. She reminded me of the breathing techniques I had practiced and was available to help with whatever comfort measures we needed even when it was silence.

There was no mistaking when it was time to push as my fetal ejection reflex kicked in.  I was thankful that my provider let me stay in a side-lying position to push while my husband and Mary held legs and hands (focusing on my needs) allowing the doctors to focus on our son. My husband excitedly updated me that they could see his head, but he just didn’t seem to want to move past that point. Despite my best pushing efforts for about 40 minutes, our baby’s heart rate was dropping, and I was now needing oxygen. At this point, my OBGYN highly recommended an episiotomy to deliver my son quickly. This was not part of my birth plan, but I agreed knowing everyone’s goal was to deliver a healthy baby. As his head emerged and the OBGYN quickly freed him from the umbilical cord around his neck, he launched himself earth-side and to this day has not stopped moving and wiggling.

It’s crazy to think that at 8 pm on Sunday night we walked into the hospital with a space in our hearts we had no idea even existed and by 8:30 am on Monday morning our hearts were overflowing with love and connection with someone we had only just met.  Childbirth was unknown, exciting, and challenging.  The experience was so very empowering and the outcome was undeniably life-changing. My piece of advice for expecting moms is to go into labor and delivery prepared, supported and believing in yourself knowing that your body was made to do this!

Written by Dr. Nicole Bringer, DPT
Owner of Mamas & Misses Physical Therapy
www.mamasandmisses.com 

 

When Your Baby Doesn’t Follow Your Birth Plan Read More »

Jamie doula

Meet our new postpartum doula, Jamie!

We are excited to have Jamie join our team. As a yoga instructor, she brings a sense of calm and balance to a room that immediately sets you at ease. Let’s learn more about her!

What did you do before you became a doula?
I spent a glorious taco-and-sun infused 6-years in Austin, Texas, doing communications for the mother’s milk bank, traveling, and writing historical fiction for a start-up fashion brand, and later hustling as a project manager at a digital strategy agency. Now back in the mitten, I teach hot yoga at Yoga Fever and work part-time as the storytelling coordinator at Treetops Collective, a non-profit that supports New American women.

What inspired you to become a doula?
I’m passionate about supporting and advocating for women. I’ve babysat since I was “old enough” (which was 12 because it was the 90s…) and have always been fascinated with pregnancy, childbirth, and motherhood. So becoming a doula made perfect sense––empowering new moms in this amazing new stage of life. I want new parents to be confident in their innate skills as the perfect parent for their child—resisting the temptation to compare themselves to others, and ignoring the overwhelming opinions and conflicting messages that barrage them daily.

Tell us about your family.
My husband Chris and I met in Chicago 8 years ago and when he got accepted to grad school in Texas, I crazily agreed to move with him after only dating 6 months. We’ve been married for 4 years now, so it turns out maybe I wasn’t that crazy. We moved back to Michigan last year and bought a home in the South East End of GR and are eagerly expecting our first baby this summer. Until then, our two big dogs and 6-toed cat continue to keep us vacuuming.

What is your favorite vacation spot and why? 
The best vacation I’ve ever been on was to Peru this past spring. We got the city and coastal experience in Lima and the historic, mountain setting in Cusco, and topped it off with a bucket-list hike of the Incan Trail to Machu Picchu. The culture, landscape, people, food, and history of the country was beyond incredible––10 out 10 would recommend this trip.

Name your top five bands/musicians and tell us what you love about them.
Whew, impossible to choose! How about 5 albums I’ll never get tired of?
Lucius, Good Grief
Solange, A Seat at the Table
Prince, Purple Rain
Paul Simon, Graceland
Fleetwood Mac, Rumours

What is the best advice you have given to new families?
You are so strong. You are capable of so much more than you think you are. One day at a time.

What do you consider your doula superpower to be?
As a project manager at heart, I’m all about strategizing to meet goals. I love to help parents develop a plan for meeting their parenting goals––be it with developing a schedule, breastfeeding, sleep shaping, whatever.

My doula superpower kicks in when things get tough and sticking to the plan is overwhelming. I’m there as a calm and reassuring presence––even in the face of endless crying and sleep depravation—to support and encourage parents to keep at it and work towards success. It’s rewarding to watch these parenting wins—when they are reminded of just how capable they are.

What is your favorite food?
I love Indian food. Lately I can’t stop requesting my husband make us butter chicken in the InstaPot—with lots of garlic naan on the side (you’re going to want this recipe—just ask me for it).

What is your favorite place in West Michigan’s Gold Coast?
I love the beaches of Lake Michigan––during my time in Texas, I really missed my Great Lakes. Growing up, our family spent many summer weekends camping in South Haven—going to the beach and eating huge waffle cones at Sherman’s Ice-cream so that gets my vote for nostalgia.

What are you reading now?
This book has been on my reading list since I had the opportunity to meet the author, Jessica Shortall, during my time at the Mothers’ Milk Bank at Austin, and I’m finally diving in: Work. Pump. Repeat: The New Mom’s Survival Guide to Breastfeeding and Going Back to Work.

And when I’m done with that, The Happiest Baby on the Block by Harvey Karp is queued up on my nightstand.

Who are your role models?
I am inspired by strong women who support one another, follow their truth, and live their passion. My social media feed is full of amazing women who get me all fired up in the way they advocate for body positivity, social justice, equality, mental health—here are a few of my faves: Frida Kahlo, Ruth Bader Ginsberg, Beyonce, Rupi Kaur, the fine ladies of the My Favorite Murder podcast, Karen Kilgarif and Georgia Hardstark, Ilana Glazer, Christiane Amanpour.

 

Meet our new postpartum doula, Jamie! Read More »

pregnancy physical therapy

Physical Therapy During Pregnancy

Maternity clothes✓ Registry✓ Hospital tour✓ Doula✓ Photographer✓

What could you possibly be forgetting? What about getting YOURSELF prepared?

Likely from the moment you found out you were pregnant you have been focused on the tiny human growing inside of you. While prenatal vitamins, nursery preparations, and choosing the perfect name are all very important parts of preparing for the birth of your baby, so is preparing YOUR body to birth this baby!

Hopefully in the midst of your nesting you have decided to create a birth plan.  As you consider what positions you want to labor and deliver in and what interventions you feel comfortable with during your birth experience, I would challenge you to consider what you are doing to achieve those goals.  Hiring a doula and recruiting a rockstar support person is a great place to start, BUT there is more!

Research has shown that the percentage of first time moms that experience perineal tearing during delivery is somewhere between 80-90%. Research also shows that 66% of women that deliver their babies in sidelying have NO perineal trauma and 61% of women that deliver on hands and knees have the same TRAUMA-FREE experience.  (Simarro 2017, Walker 2012, Soong 2005, Shorten 2002) Instead of crossing your fingers and hoping for the best when it comes to your perineum, what would it look like to practice different delivery positions with your partner BEFORE you go into labor? What about the evidence that says perineal massage 1-2x per week starting at week 35 can DECREASE your risk for tearing and episiotomies? Have you been taught how to perform this technique and are you taking the time to do it? (Seehusen & Raleigh, 2014) With my first son, I totally missed the boat on perineal massage. I ended up with a nasty episiotomy. You better believe I’ll be making perineal massage a priority this time around!

Our bodies become a temporary home for our babies during pregnancy. Our mama bear instincts have already kicked in, and we want to make sure we are creating a healthy and happy environment for our babies to grow within. Exercise and intentional movement is a great way to foster this type of environment for our little ones. Did you know that exercise helps prevent or manage gestational diabetes, high blood pressure and preeclampsia? Exercise also helps us sleep better,  reduce our stress levels, and minimize back pain.  If your pregnancy is non-complicated and you do not have activity restrictions, you should be exercising! The American College of Obstetricians and Gynecologists recommend exercising at a moderate intensity 3-5x per week. Sometimes we become paralyzed when we’re not sure where to start and what’s safe.  Trainers, instructors, and Physical Therapists with certifications and experience working with women during pregnancy are great resources for mamas hoping to create safe exercise habits.

Let’s not forget about investing in our pregnant bodies to make life easier for ourselves in the postpartum.  During your pregnancy your belly is doubling or even tripling in size.  As we gain 25+ pounds, we expect our pelvic floor to step up to the challenge and make sure we don’t pee our pants when we sneeze at the grocery store. There are two studies that give us good reason to keep our pelvic floors strong during pregnancy.  The research found that women experienced less urinary incontinence at 35 weeks gestation, 6 weeks postpartum and 6 months postpartum when they did pelvic floor exercises DURING their pregnancy compared to women that DID NOT do pelvic floor exercises. (Boyle et al., 2012, Price et al., 2010) Sidenote: sometimes the phrase “pelvic floor exercises” is confusing. Does that mean kegels? Yes and no. Clear as mud I know! Kegels are pelvic floor exercise where we lift and squeeze our pelvic floor muscles, but it’s also important for our pelvic floors to have the ability to relax and lengthen. Sometimes women experience pelvic pain and incontinence because of overactive pelvic floors (need help relaxing) and sometimes it’s because they have underactive pelvic floors (need more strengthening). Even if you have excellent pelvic floor strength and no concerns about incontinence, it’s still helpful to create a mind-body connection with your pelvic floor.  During labor and delivery the goal is to relax and open your pelvic floor while pushing so that your pelvic floor remains healthy even after childbirth. Bonus points if you practice your breathing and pelvic floor relaxation while pregnant in the positions you hope to deliver your baby in.

I’ve been a mom in your shoes, running around with my To-Do list trying to check off all the boxes before my baby arrived.  As you prioritize your list and consider your baby budget, remember that your body IS this baby’s home.  The way that you prepare your body WILL make a difference on the day that your baby decides to make its grand entrance.  Exercise, pelvic floor awareness, perineal massage, and labor positions are all important pieces of the pregnancy puzzle.  It’s tempting to become intimidated or overwhelmed at this point because you’re just not sure where to start.  Start by consulting a Women’s Health Physical Therapist.  Now that you know what your goals are, you have some great questions to ask them!  Physical Therapists should be another member of your prenatal team, and we want to help you make your planned Birth Story a reality.

My practice is Mamas & Misses, LLC and we offer In-Home Physical Therapy sessions for women local to West Michigan as well as phone or video consults for those who live further away.  One of our missions is to provide knowledge to mamas that will empower you during your pregnancy and postpartum experience; therefore, we have lots of FREE info on our YouTube channel as well as our Instagram account @mamasandmisses_pt.  

Dr. Nicole Bringer, DPT
Owner of Mamas & Misses LLC
Email: nicole@mamasandmisses.com
Phone: (616) 466-4889

 

References

Boyle, R., Hay‐Smith, E. J., Cody, J. D., & Mørkved, S. (2012). Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews, 10, CD007471. doi: 10.1002/14651858.CD007471.pub2

Price, N., Dawood, R., & Jackson, S. R. (2010). Pelvic floor exercise for urinary incontinence: A systematic literature review. Maturitas, 67(4), 309-315. doi: 10.1016/j.maturitas.2010.08.004

Seehusen, D. A., & Raleigh, M. (2014). Antenatal perineal massage to prevent birth trauma. American Family Physician, 89(5), 335-336.

Shorten A, Donsante J, Shorten B. Birth Position, Accoucher, and Perineal Outcomes: Informing Women about Choices for Vaginal Birth. Birth. 2002;29(1):18-27.

Simarro M, Espinosa JA, Salinas C, Ricardo O, Salavadores P, Walker C, Schneider J. A prospective randomized trial of postural changes vs passive supine lying during the second stage of labor under epidural anesthesia. Med. Sci. 2017, 5, 5. doi:10.3390/medsci5010005

Soong B, Barnes M. Maternal position at midwife-attended birth and perineal trauma: is there an association? Birth. 2005;32(3):164-169.

Walker, C., Rodríguez, T., Herranz, A. et al. Int Urogynecol J (2012) 23: 1249. https://doi.org/10.1007/s00192-012-1675-5

 

Physical Therapy During Pregnancy Read More »

Kelly Wysocki-Emery

Meet our new IBCLC, Kelly Wysocki-Emery!

We are thrilled to have Kelly join the Gold Coast Team. Many of our doulas have used Kelly personally for lactation consultations with their own children. She comes to us with years of experience and a trusted name in the community.

1) What did you do before you became a lactation consultant?

In a former life, I was on a path to become a counseling psychologist. I was working on grad school in Oklahoma when I had my first baby; my life course then changed dramatically. My undergraduate degrees were in psychology and education, which serendipitously helped in my final career choice as a lactation consultant.

2) What inspired you to become a doula/lactation consultant?

I think it’s so true that we become what we wish we had. I was certified as a doula in the early 90s after having a difficult postpartum period with my first baby. I lived many states away from my family and friends, and felt the isolation and loneliness hard. I also had a rough time breastfeeding. As I crawled out the other side, I decided to help other women who were going through the same experiences I had been through. In the end, I gave up the doula role, went back to nursing school, and continued earning experience and education to become a lactation consultant.

3) Tell us about your family.

I have two adult children, girl and boy (or a woman and a man, now!), and four step-children; so six “kids” in our blended family. Although the kids are spread out over the country, we still get together throughout the year to enjoy each other’s company. My husband is an emergency medicine physician, who also works in medical education at Michigan State University. I am expecting my first grandchild in July of 2020, and am so VERY excited about that!

4) What is your favorite vacation spot and why?

Anywhere I can be warm and near water, and not have to wear shoes or a coat! I’d have to say Greece, if I had to be more specific. I went to Greece to help pregnant/breastfeeding refugee women in 2017, and fell in love with the place so much that two years later I returned for a vacation there with my girlfriends. I definitely will be going back with my husband in the upcoming years. The climate AND the history/culture/people/food of Greece have won over my heart forever.

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

Patty Griffin – She sings the raw truth with her beautiful voice. Got me through my divorce intact.

Beatles – I discovered them in early college and connected immediately.

Eagles – A band from my childhood with so many songs that spark memories for me.

Eminem – Don’t ask me why. I just do. Don’t judge me.

Aerosmith – I have a secret thing for Steven Tyler. Again, don’t ask why. I just do.

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

Your baby is going to love you no matter what. Remember the big picture: Lead with love. You are not alone in what you are experiencing, and it can, and does, get better in time. Hang in there!

Oh, and you’re doing much better than you think you are!

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

I’m pretty good at getting babies off nipple shields. Not every single time, but often I can do it!

8) What is your favorite food?

Lately, I am really enjoying miso soup and sushi at Ando.

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

I’ve moved downtown and live by the Grand River now, so my husband and I really love walking or biking up and down the river, exploring the landscape, watching the fish and birds (the Osprey are our favorite), and seeing the city grow and change each and every year. We can really stare at the water all day and be content.

10) What are you reading now?

Just finished up Tongue Tied by Richard Baxter. Very interesting new research and helpful modalities for babies who are having trouble latching/nursing.

11) Who are your role models?

My mother, who taught me about unconditional love, loyalty, how to work hard and do things that you are afraid to do, how to make people feel welcome, and how to have fun.

My husband for his incredible work ethic and ability to plan for the long-term; I continue to learn so much from him about how to have a healthy relationship with money.

 

Meet our new IBCLC, Kelly Wysocki-Emery! Read More »

Perinatal Mood Disorders: Podcast Episode #91

Today we talk with Elsa, a therapist at Mindful Counseling in Grand Rapids, Michigan who specializes in perinatal mood disorders.  Learn what postpartum anxiety and depression look like, how they are different, and signs to look out for.  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 from Mindful Counseling.  She’s here to talk to us a bit about postpartum anxiety.  Elsa specializes in the following areas: perinatal mood disorders, which includes postpartum depression, anxiety, OCD, grief and loss, eating disorders, and body image issues.  She also works with clients dealing with relationship problems, coping with medical illness, trauma and abuse, women’s issues and self-esteem, and mood disorders and anxiety.  So obviously, you’re a natural fit working with clients who struggle with everything from eating disorders to anxiety and depression, transitions in their relationships, and expanding their family or having their first child.  So today, Elsa, let’s focus a bit on the difference between postpartum depression and anxiety and what women can do if they’re interested in seeking treatment and getting help.

Elsa:  Yes, postpartum depression and anxiety can go together.  Sometimes women will struggle with anxiety with depression.  Sometimes it is separate.  Postpartum anxiety and depression can look very different.  People classically think of postpartum depression as mothers who don’t connect with their babies, moms who are checked out and can’t get out of bed all day.  That’s actually not always the case.  Often, women with depression are exhausted and often can’t stop crying.  They can’t look, maybe, on the positive side or think rationally.  As far as the anxiety, it can come out more in not feeling necessarily down but feeling like you can’t relax; feeling that something bad is going to happen at any time.  Having thoughts of something happening to your baby; scary thoughts.  Sometimes even flashes of images of very violent things happening or the baby falling, and moms often feel guilty for those, actually, and don’t tell anybody, but they’re actually really important to talk about.

Kristin:  I had a friend who was afraid of driving in her car or anyone driving her baby.  There can be a lot of, like you said, those intrusive thoughts.

Elsa:  Yes, and it’s obsessive sometimes and you can’t get it out of your head.  So rationally, you can say, I’m not going to drop the baby going down the stairs.  I have the baby in my hands.  But it keeps going; it gets hooked, the idea or the image, and then they’ll struggle with almost a loop where it just can’t get out of your head.  Or anxiety can present sometimes in something around sickness.  No germs.  Thinking that my baby is going to get sick; I can’t take her out to the store, and I can’t take her to this house.  And how far that goes; I mean, some of these are common sense, and you want to take care of your child, but then how far does it goes?  Does it prevent you from doing things that you want to do, or do others notice that maybe this is being a little unreasonable?  It seems to be causing you even more anxiety to be thinking some of these things.  Another part is that sometimes anxiety can come out as anger.  Feeling just angry and irritable; feeling tense.  That can come out, obviously, with partners, and they can notice it.  Being different, a marked change from before for women.  Those are some of the symptoms that come that people can notice with anxiety.  Another one would be sleeping; when moms can’t sleep when the baby is actually sleeping.  That’s another sign of postpartum anxiety for people to watch out for.

Kristin:  Sure.  That makes sense.  I know even with postpartum doulas in the house, some women still struggle with fully sleeping even though their child is being care for by someone else. And sleep is so essential.  There are so many studies on how, if you’re not getting enough sleep, it can lead to mood disorders and anxiety and so on.

Elsa:  Yeah, it just leaves women very vulnerable, and now it’s become so normalized that part of the postpartum world is just not getting sleep.  And I think it’s also expected that women are also just supposed to go on with their lives and do all the normal things that they’re supposed to do even when they’re running on little to no sleep, and this goes on for weeks or months.

Kristin:  Yes!  So what resources would you suggest if they’re looking for help?  Obviously, we can talk about how to reach out to you!

Elsa:  For sure!  You can definitely contact Mindful Counseling GR.  You can contact Pine Rest.  They actually have a mother baby unit, so they actually have therapists that have specialized training, like I do, to work with women postpartum.

Kristin:  And now Pine Rest even has the ER when you can —

Elsa:  Oh, the urgent care center?

Kristin:  Yes, the urgent care center.  They can go in at night and not have to go the hospital.

Elsa:  yeah, they can go to the urgent care center and get assessed and get attention or treatment a lot quicker.  OB offices have a list of therapists who are trained and specialize with postpartum or perinatal mood disorders, which includes anxiety and depression in pregnancy and postpartum.  So there’s a list that you can ask for from your OB, as well.

Kristin:  Great!  How do they directly reach out to you?  Are you accepting new patients, Elsa?

Elsa:  Yes, I am!  You can reach out to me by contacting me through our website.

Kristin:  Perfect!  Thank you for coming on today!

 

Perinatal Mood Disorders: Podcast Episode #91 Read More »

Rise Wellness Chiropractic

Symphysis Pubis Dysfunction with Rise Wellness Chiropractic: Podcast Episode #90

Dr. Annie and Dr. Rachel talk to Alyssa about Symphysis Pubis Dysfunction (SPD), how to prevent it, how to treat it, and things every pregnant and postpartum woman should be doing!  You can listen to this complete podcast episode on iTunes or SoundCloud.

Hello.  Welcome to another episode of Ask the Doulas.  I am Alyssa, and I’m talking with Dr. Rachel and Dr. Annie again of Rise Wellness Chiropractic.  How are you?

Great!

So I got asked by a client about symphysis pubis dysfunction, and I’m not even exactly sure what that is, but you knew.  Right when I told you, you knew.  So can you tell me?

So SPD — sometimes people think of sensory processing disorder, which is with older kids, but in relation to pregnancy, it’s symphysis pubis dysfunction.

And what the heck does that mean?

It’s a mouthful!  So basically, where your two pelvic bones meet in the front is called your symphysis pubis, so that’s where the two bones meet together.  There’s cartilage in between there, and that area widens for birth.  So usually late second to third trimester, we’ll see some women will start having pain.  That can be related to the relaxin that’s in their system that’s helping the ligaments loosen and helping that area separate, but what we usually find is it’s more due to pelvic imbalances.  Usually one side of the pelvis is higher than the other or something like that or it’s rubbing in a weird way.  That’s usually what causes that symphysis pubis dysfunction.

So it’s strictly for pregnancy?

Yes.

And are there any ways to not get it?  Avoid it?  Treat it?

Get adjusted!

Yeah, just because if it’s caused from a misalignment —

Exactly.  Yeah, if it’s caused from pelvis imbalances, then that is directly a chiropractic issue.  It’s biomechanical.  That’s something that we can address through adjustments.  And then we also have stretches that you can do, and there’s also a Serola belt which is like an SI  belt.  It goes around your sacroiliac joints, and it’s just a low belt.  It doesn’t really do anything in terms of — it’s not like a belly band or something that you would wear to support the baby, but it does help to support the SI joints and keep everything together.  Really, it’s hypermobility in that joint that’s causing that pain.

It’s too mobile?

It’s too mobile.  Yeah, so we usually see it with not first-time pregnant moms but usually second or third, especially if they’ve had some kind of fall or something like that while pregnant.  They can injure their pelvis, and that’s usually what brings those things up.  I actually had a patient a couple weeks who came to us for SPD, and under care, she was doing great.  All her pain went away.  But she had fallen during her first pregnancy, and then during her second pregnancy, she started having all this pain and stuff come on. 

So falling during pregnancy; it’s not just like a random fall at any time in your life that could affect this?

It could be.  Pregnancy is really good at exacerbating existing issues or past issues.  Like if you’ve had any pelvic imbalances in your past and then you’re pregnant, just that relaxin is going to kind of flare things up.  Typically, what we see is pain with putting weight on one leg.  Climbing stairs is when your pelvis is moving the most, so that’s usually when a lot of the pain is flared up.

Walking; something that you don’t have to do very often.

Yeah!

Sounds horrible!

But sitting is not good for it either.  It’s one of those things that nothing is good for it.

Laying hurts; turning while you’re laying.  Like that’s not already hard when you’re in the third trimester!

Does it actually cause any more pain or discomfort during labor and delivery?

It can.  It depends on really, like, what the pelvis — because if you think of the pelvic bowl, if there’s imbalances in the pelvis, it’s not just affecting the bones.  It’s also affecting your pelvic floor muscles.  It’s affecting all of your stabilizer muscles.  So it can potentially affect how things go during labor.  I don’t know if it creates more pain, necessarily, or if it would be, but any pelvic imbalance is going to effect, probably, the efficiency of your labor.

Plus, it doesn’t necessarily clear up after.

That was my next question.

Yeah, it’s not like you deliver the baby and then it’s gone.

Because you still have that imbalance?

Exactly.

Exactly, yeah.

So then what do you do for that?  Just keep getting adjusted?

Well, it should clear.  If you’re getting adjusted, it should help clear it up while pregnant.  So I guess what we’re saying is, you should get checked if it’s happening.

I mean, it’s definitely like you have to retrain that pelvic imbalance somehow, and you do that through chiropractic adjustments or through exercises, through physical therapy, sutff like that.

Yeah.  PT floor rehab, yeah.

Probably a combination of both, right?

Right.  If you do it all, then you probably have best outcomes. 

Yeah, I don’t think we understand how important the pelvic floor is, and all we’ve learned is Kegels.  That’s not necessarily even a good thing to think.  When I saw a physical therapist for pelvic floor issues specifically, I was, like, that makes so much sense!  Even just the way we breathe; I didn’t know that my diaphragm was part of — what would that be?  The top?  The diaphragm is the top of your pelvic floor?

Yeah.  It’s the top of your —

Like the space?  I guess I can’t say top of the floor.  Your pelvic floor is the floor.

Your intrabdominal space.  So it’s like the lid, and then your pelvic floor is the bottom.  But it’s a big airtight balloon, pretty much, so when you breathe, it affects everything.  But pelvic floor is an issue that we don’t talk about, really, with women in birth, but it’s a huge thing.  Every woman who pushes out a baby has pelvic floor issues.  Every woman who has a C-section has pelvic floor issues because those are attached to your abdominals, too.  So, really, every woman should be getting some kind of rehab on pelvic floor after birth.  That’s my soapbox!

I’m in these group exercise classes, and every woman is, like, oh, jumping jacks.  I’m going to pee my pants!  I had one friend who was, like, I was working out and I didn’t know if it was sweat or I had peed my pants!  Yeah.  I get it!

Well, pelvic floor and core strength, too, are both things that get overlooked with women after pregnancy, and then we see women with back pain later, and it’s because their core is so weak.  So, really, we’re just promoting physical therapy pelvic floor rehab.  It’s what needs to be done.

And chiropractic care.  Retraining all that neurology is important.

I think even just learning about it!  I’ve done yoga classes forever, and they will say, like, during this pose, tighten your pelvic floor.  I’m, like, what the hell are they talking about?  What?  How do I do that?  But now after learning that even breathing is different and the feeling of — I hate saying Kegel because it’s not even what it is, but I guess that is the feeling of what you would do to stop your pee, but doing that during certain exercises is a whole different feeling, but I think now that I’m conscious of it, I’m, like, oh, that makes sense.  Oh, I can do that here.  Okay.  It’s gotten a lot better, but I still can’t do jumping jacks.

See?  The jumping jacks!  I don’t do them either.  They’re like, do jumping jacks to warm up, and I’m like… No.

I do the ones where I just put my hands up.  I just kick my leg out.  I’m fine with it!

It’s what everyone’s doing!  They call those jumping jills.

Is there anything else pregnant or postpartum women need to know about symphysis pubis dysfunction?

It’s not something that you need to suffer through.  There’s a lot of chiropractic studies where it helps in a lot of case studies, but also, biomechanically, it makes sense.  You don’t have to feel like you can’t walk up the stairs or sit or that you have to be in a lot of pain when you’re trying to sleep.  Find out you’re pregnant and get under care.  That’s really what we tell people. 

Tell people where to find you!

We are in East Town in the Kingsley Building right next to Gold Coast Doulas, or you can find us at our website or on Facebook and Instagram.  You can message us on those platforms.

Well, as always, thanks!  We’ll have you on again soon!

 

Symphysis Pubis Dysfunction with Rise Wellness Chiropractic: Podcast Episode #90 Read More »

certified doula

The importance of certification – Why Gold Coast Doulas are different!

Did you know that in the State of Michigan you (yes, you) can call yourself a doula? There is no licensure, training, or certification required. That’s scary. How do you, as a consumer, know you’re hiring the best doula you can?

At Gold Coast Doulas we believe in elevating the standards of doula support to the highest level possible. That’s why we require every single doula on our team to take a training, complete all of the required coursework, support the required amount of clients, and become certified within the time-frame given by the certification organization. If a doula cannot complete these requirements, they do not work with us.

We don’t believe a training is enough. If you’re looking for a certified doula, don’t be afraid to ask if they are actually certified, and not just trained.

We don’t accept hobbyist doulas. We only bring on those that are motivated, professional, and will adhere to our standards of judgment-free support. We are not activists. We support every type of birth ranging from unmedicated, to epidurals and cesarean births.

At Gold Coast Doulas we have always been transparent with the level of training and certification our doulas have. For instance, pre-certified doulas have taken the training, are working through their coursework, and working through the required amount of qualifying births or postpartum clients. Each doula’s bio will tell you where they are at in their certification process. It takes an average of two years to become certified.

Gold Coast also takes professional development one step further and requires each doula on the team to form their own LLC, carry their own insurance, and complete a minimum of two in-person continuing education trainings per year. We believe that elevating the standards of doula care is critical for the health and support of each family, the sustainability of our business, and the respect of the medical community.

Now, the hard part is deciding which Gold Coast Doula is right for you! We have an amazing team and will work with you personally to find the right fit.

Written by Alyssa Veneklase & Kristin Revere, Co-Owners.

 

The importance of certification – Why Gold Coast Doulas are different! Read More »

Lauren Utter

Meet Lauren – our newest Birth & Postpartum Doula!

Welcome Lauren Utter to the Gold Coast team as our newest birth and postpartum doula. We are so happy to have her!

1) What did you do before you became a doula?
I was a preschool teacher, event coordinator for a camp for children with various needs, and a nanny.

2) What inspired you to become a doula?
I accidentally discovered doula work. For a while, I knew I wanted to work with families transitioning into parenthood but I did not know how specifically. Initially, I thought I would be a lactation consultant but with more research the term “doula” kept coming up and it was exactly what I was looking for. I am excited and eager to begin supporting families as a doula.

3) Tell us about your family.
I come from a large family. Five kids and I am smack dab in the middle. Our house was loud, busy, and always on the go. We are all very close now, and I am proud to call them some of my closest friends. Also, we ALL have our own dog so you can imagine how wild holidays are.

4) What is your favorite vacation spot and why? 
I have not traveled as often and far as I hope to one day, but my favorite so far is Hawaii. It has some of everything; beaches, mountains, volcanoes, and culture.

5) Name your top five bands/musicians and tell us what you love about them.
Surprising to most, I do not listen to music often. If I do it is normally the radio or on shuffle. However, a couple current favorites are Leon Bridges and Desi Valentine, and am a big fan of songs that make you want to move!

6) What is the best advice you have given to new families?
Parenting is not one size fits all. It looks different for every individual and family.

7) What do you consider your doula superpower to be?
Connecting with timid babies and toddlers, and babies experiencing stranger danger.

8) What is your favorite food?
French Fries!

9) What is your favorite place in West Michigan’s Gold Coast?
Ludington is one of my favorite places in West Michigan’s Gold Coast because my family and I always went in the summers growing up. It is a family favorite.

10) What are you reading now?
The Whole-Brain Child By; Dr. Dan J. Siegel, and Nurture By; Erica Chidi Cohen.

11) Who are your role models?
I have loads of role models but a few are Malala Yousafzai, Michelle Obama, and Ellen DeGeneres.

 

Meet Lauren – our newest Birth & Postpartum Doula! Read More »

Spectrum Health Midwives

Baby-Friendly Hospital Initiative: Podcast Episode #89

Today we speak with Katie and Becky from Spectrum Health in Grand Rapids about what it means to be a designated Baby-Friendly hospital. 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, co-owner, and I’ve got Alyssa here. And we’ve got special guests joining us today from Spectrum talking about the Baby-Friendly initiative. So welcome, ladies! Introduce yourselves and tell us about your background!

Becky: My name is Becky Crawford, and I’m a nurse manager at Spectrum. My background is in postpartum and labor and delivery nursing.

Katie: And I’m Katie. I’m the project specialist for women and infants at Spectrum Health. My background: I am an RN, and my background is high risk OB and postpartum nursing.

Alyssa: Awesome!

Kristin: Fantastic! Thanks for joining us! Tell us about what baby friendly means and why it’s such an intense process to go through certification. Fill us in!

Katie: The Baby-Friendly hospital initiative was actually created back in the early 90s, and it’s an international organization to promote, protect, and support breastfeeding practices. Spectrum Health Butterworth was designated Baby-Friendly initially in October of 2014, and we just went through the redesignation process and were redesignated at the end of May of this year. There are ten steps for Baby-Friendly that each support breastfeeding practices, and we can talk through some of those steps, as well. You have to be proficient in all of those ten steps to receive the designation, so you really have to show breastfeeding excellence, and it’s a really strict and rigorous process to go through.

Becky: I think overall, the way I describe it to patients is that we’ve created a culture that’s supportive of breastfeeding and of moms that want to breastfeed. So it’s not that we force anyone to breastfeed. Our goal is just to educate moms, support them, and help them be successful if that’s the option they choose.

Katie: Absolutely. As nursing professionals, part of our responsibility it to make sure that best practice and current research reaches our patients and that they’re educated on all of those best practices. Breastfeeding is best practice, but it’s also about informed choice and supporting our patients with whatever choice they make. While Baby-Friendly is primarily about breastfeeding and supporting breastfeeding, there is a formula feeding option there, and we support patients in that option, as well. It should never be about pressure. It should just be about education and informed choice.

Kristin: That is a question that I get from doula clients. If they choose, whether for medical necessity or personal choice, to formula-feed, how they can navigate the system with Baby-Friendly hospitals.

Alyssa: That’s what I was going to ask, too. Do you think that designation scares a mom who knows she doesn’t want to breastfeed? Does she think shes going to come into this hospital and you’re going to try to force it? What does that look like for a mom who doesn’t want to?

Becky: We do hear that feedback from moms that haven’t delivered with us, that they’re just nervous. Having to talk about breastfeeding, even, can be an uncomfortable conversation if they know that’s not the choice they want to make. So our approach with our staff is to educate the patient on all the options, let them choose, and then support. So it should be a one-time conversation. We’re going to talk through all your feeding options. These are the great benefits of breastfeeding. If you choose not to do it, okay. Then let’s talk about formula feeding, and we’ll focus our education there. So making sure they know their options, they understand the benefits, and then support.

Katie: And, you know, nurses educate on a lot of topics, right? It’s not just about breastfeeding. But the other topics we educate on, it’s the same sort of informed choice, right? Breastfeeding is such a personal decision. It’s such an emotionally charged topic. I think that while we need to educate our patients on breastfeeding and why it’s great, we also need to acknowledge the fact that it is a really personal choice, and it’s okay if you choose not to, as long as we’ve given you all of the information.

Kristin: And so your labor and delivery nurses, your postpartum nurses — everyone is specially trained to support the initial latch and continued breastfeeding through their stay?

Katie: Yes.

Kristin: And that’s something that we always stress as doulas is that you have support from your nurses as well as the board-certified lactation consultants who do rounds in the postpartum time.

Katie: Actually, one of the ten steps is staff education. All of our nurses receive 20 hours of dedicated breastfeeding education. Of that, 15 hours are classroom education and then 5 of those is clinical, practical breastfeeding education hours. Every one of our nurses; it’s built into orientation for any women’s nurse, so everyone from labor and delivery to postpartum gets this education. There’s also a requirement for providers, so nurse midwives as well as physicians, to receive additional breastfeeding education, as well. Per Baby-Friendly, they’re required to receive three hours of breastfeeding education.

Becky: We also have a team of lactation consultants that offer further help for any mom that’s struggling, but I’m also bringing in more peer counselors, too, just to round on every patient and offer every mom some support, ever with those first few times they’re latching, just so they can hear that they’re doing a great job. It’s really just to address the breastfeeding concerns of all moms, not just the moms that are struggling, just to really walk them through it.

Katie: And we do have quite a few nurses that are certified breastfeeding counselors, so they have received additional education as well as the education that they received for Baby-Friendly.

Kristin: How are you able to support moms with babies that go to the NICU initially with their breastfeeding goals?

Becky: Well, actually, we get them pumping right away. If your goal is to breastfeed, we like to have them pump within two hours of delivery to start establishing that supply. Our nurses will come in and do education, and the lactation consultants will see them, also, and just talk about the importance of pumping to build up that supply. They’re also going to skin to skin. There are some lactation consultants that are dedicated just to the NICU and these moms, so there’s a lot of support there, too.

Katie: The providers in the NICU are very, very supportive of breastfeeding, and they encourage and educate moms on the importance of breastfeeding, as well, so there’s good collaboration between our OB teams and our NICU teams regarding supporting those moms in breastfeeding and being successful.

Kristin: That’s what my clients tell me, that they get a lot of support, even over at Helen DeVoss, as well as in their rooms with lactation. As far as other elements of the Baby-Friendly designation, what else encompasses those ten standards?

Becky: There’s a lot. We start right at delivery, with the golden hour after delivery. We place baby skin to skin immediately after delivery, and we avoid all unnecessary care for that first hour. Any exams or assessments would all be done while the baby is skin to skin on mom. We try to give them that time to bond and establish that first feeding.

Kristin: And if the mom can’t do skin to skin, I have dads ask me all the time about the benefits of them doing skin to skin with baby. So that’s something that’s encouraged, as well?

Becky: Absolutely. We’ve had lots of dads do skin to skin. We like to bring them in on the process whenever possible.

Kristin: That’s fantastic. And then delayed cord clamping is now a standard policy?

Becky: Yes. And we also room-in, so babies stay with their moms 24 hours a day unless mom requests otherwise. But that’s what we try to encourage and do all procedures at the bedside to keep the family together 24 hours a day.

Katie: I think that rooming in is another hot topic when you’re talking about Baby-Friendly and breastfeeding, and the literature does tell us that rooming in does help moms to be more successful breastfeeding. I think that it’s important that patients understand that we’re going to allow you to keep your baby with you. We’re going to be able to take care of mom and baby together. You’re going to learn your baby’s feeding cues. You’re going to learn all those little nuances. We’re going to help you learn that in the couple of days that you have with us. There is space where if you wanted your baby to go to a nursery, we could do that. We’re supportive of that, as well, but again, we are going to educate, and then we’re going to honor choice.

Becky: Exactly.

Kristin: And then there’s delayed bathing and other procedures beyond that?

Katie: Yes.

Alyssa: What’s the thought behind all the delayed cord clamping, delayed bathing? Why? What are the benefits?

Katie: The delayed bath is sort of about the transition from being inside mom and then outside and regulating temperature. So we wait at least twelve hours. We like to wait closer to 24 hours to do that first bath. We’re, of course, not going to hand you an ooey gooey baby. We do a little wiping off, but it really does help that baby transition to life outside of mom and regulate. It also allows you to go immediately into skin to skin so the baby can help regulate not just the temperature, but the heart rate and the breathing. And, again, that’s evidence based. In fact, there’s a pediatrician out in Massachusetts who really pioneered the Baby-Friendly initiative in the hospitals out in Massachusetts, and she did a study on delaying the baby bath, as well. That’s the literature we have for it; it’s all about maintaining stability for the baby.

Kristin: That’s awesome, Katie.

Becky: For the delayed cord clamping, that just gives the newborn a little more blood volume, and, actually, it’s better for baby. There’s no reason to cut the cord any sooner, unless the baby is having a respiratory issue and would need resuscitation, so that would be out of the norm. But otherwise, we do wait and delay so the baby can have more blood volume from the placenta.

Alyssa: How long?

Becky: Our standard is a minimum of one minute. I know a lot of moms request —

Alyssa: So this isn’t like it’s for an hour —

Becky: We’re not saying 10 minutes or 20 minutes. Generally, the cord stops pumping within five minutes. So some moms request to please wait until it stops pulsating, and we can do that, too. Generally, we wait about a minute, and that’s probably close to when it stops pulsating. But we’re not talking about an hour or anything like that.

Kristin: Yeah, some of my clients want to see it actually turn gray and stop pulsating before it’s cut.

Alyssa: And I didn’t want to see mine at all.

Becky: I didn’t either, personally!

Alyssa: My husband did accidentally and was like, oh, my God, an organ just fell out of you!

Katie: I love all of that stuff. It’s so fascinating!

Kristin: As far as additional steps that you take to get recertified, tell us about that process and why it’s important.

Katie: You will see in our women’s and infant services department that OB triage is on A level, and then all the way up to the 8th floor in that tower, you’ll see the 10 Steps for Baby-Friendly posted. It’s just showing our support of those ten steps. We have to show that patients receive prenatal education in our clinics regarding breastfeeding. We have to show that all of our staff receive the education. The people that come out to do our survey — the interview staff.

Becky: And patients.

Katie: And patients and providers, so they will go in patient rooms to see that they receive the education about breastfeeding and that they’re being appropriately supported for breastfeeding. So they look at our exclusive breastfeeding rate.

Kristin: And then you have support groups, as well, when mothers go home and need additional support. They can go to free support groups and seek help through their OB or midwives or pediatricians?

Katie: Absolutely. I think a lot of our pediatricians have at least one pediatrician who is an IBCLC, so a lactation consultant, as well. I know that our DeVoss clinic has two pediatricians that are lactation consultants.

Becky: And our pediatrician who is an IBCLC actually oversees the residents, and so she’s the one working with them and training them. It’s kind of keeping that mindset forefront for all of them, too, and helping them learn the Baby-Friendly system.

Katie: So while nursing took this on and rolled it out, there is a lot of support from providers, as well. Of course, our nurse midwives receive, as part of their education, breastfeeding, but our pediatric providers are all very supportive of breastfeeding, as well.

Alyssa: Is there anything that you think is a misconception for this Baby-Friendly Initiative? Is there anything that it isn’t? You told it what it is, but what isn’t it?

Becky: Yes. I think the thing we hear most is that, I’m going to be pressured to breastfeed if I deliver there. And there is nothing further from the truth. Our goal is a culture supportive of breastfeeding, not a culture of pressure. So our goal is to educate, let moms make decisions, and support them. So there’s no pressure. I think the other big misconception is about rooming in. Sometimes you have a mom who, let’s say, has had a C-section and she’s exhausted, and she just needs support for a couple of hours. We will accommodate that. We’re all about supporting moms. So although we do encourage rooming in, and there are a lot of benefits to it, in certain circumstances when it’s not best for the family, we support what is.

Katie: I think that it’s the 80/20 rule. There’s going to be exceptions to every rule, and it’s just important that we support our patients through that. I think that Becky and I have probably both taken care of those moms that have had long labors or C-sections, and they come up to the floor, and they just need rest. You have to take care of yourself.

Becky: They’re crying. The baby’s crying. Everyone’s hit a wall. And it’s like, why don’t I just cuddle your baby for an hour. You take a nap, and then let’s try again. Sometimes just 45 minutes of sleep can change the entire situation.

Katie: I remember after my second one, I got two hours of sleep. Like, two consecutive hours. And it was the best two hours ever!

Alyssa: I’m thinking about my situation. It was fairly quick. Yeah, sure, I was tired, but I did choose one time in the middle of the night to have them take my daughter to the nursery so I could get — it was about two hours. But I felt so amazing. But I wasn’t in this dire circumstance. So today with — this was before the Baby-Friendly. So today, would I have to prove to you that I need the sleep?

Becky: No.

Katie: No!

Alyssa: It’s just, would you take her for a couple of hours? You’re not going to say, well, you don’t check these boxes, so she won’t go.

Becky: No. I think the goal is when moms come up to the postpartum unit to talk to them about, well, babies room in 24-7, and we keep you together and care for you together. However, if you have a need to send your baby to the nursery, we’ll accommodate that. So our goal is to not educate the mom at 2:00 a.m. who’s exhausted and crying about how she should room in with her baby. That’s not really the time to have that conversation, and it probably wouldn’t be well-received. So we want to educate them when they first come up so that at that point, at 2:00 a.m., if you decide to make that decision, it will be more like, okay. I’ll bring her back for her next feeling.

Alyssa: I didn’t think I wanted to, but now I do.

Becky: And that is common. Okay, I just need a little bit of a nap, and then I can keep going.

Kristin: Yeah, we’ve had clients hire us to help out in their postpartum room when their partner had to go home to tend to another child or had a job to get back to. We’ve loved that role of being in the hospital, as well as later on in the home, to support them and help them get sleep and also learn baby cues and feedings and help support breastfeeding.

Alyssa: Basically, be their postpartum doula in the hospital as well as at home.

Becky: We would welcome that support, definitely! I’m sure our nurses would love to partner with you on that!

Alyssa: For those moms who don’t want to send — maybe they desperately want the sleep, but they don’t feel comfortable sending their baby to the nursery. Your doula sits in the rocking chair and holds your baby.

Becky: What a great option!

Alyssa: Yeah, it’s been really kind of life-altering for a few of our clients who are a little bit more on the — you know, a lot of moms just have anxiety, especially first-time moms.

Katie: I think that so much of the focus goes to the baby, but we’re taking care of mom, too, and that needs to be in the forefront, as well. There’s two patients there.

Becky: And be aware of her self-care and her needs in the moment, too, because what I always try to tell my patients is, you need to take care of yourself so you can take care of this baby. And if that means a short nap, then I think we need to do that because it’s going to make you a better mom in the morning when you’ve had a little bit of sleep.

Kristin: Exactly. What other hospitals in the area within the Spectrum brand are Baby-Friendly? We have clients in a 50-mile radius of Grand Rapids, so we work with a lot of your smaller hospitals, as well.

Katie: So Spectrum Health Butterworth just received redesignation, like we talked about. Spectrum Health Zeeland.

Becky: They’re newly designation last September.

Katie: And then Spectrum Health United Memorial up in Greenville. They were designated five years ago, and they’re going through the redesignation process right now.

Alyssa: So is it every five years?

Katie: Yes. And then Spectrum Health Big Rapids is going after designation, as well. We have, as a system, Baby-Friendly requires us to have an infant feeding policy, and we have standardized that infant feeding policy across the system for all of our regional hospitals, as well. So you’re going to see a piece of Baby-Friendly in all Spectrum hospitals. And the reason for that is that it’s evidence based and it’s best practice, so even if they’re not designated Baby-Friendly, these are practices that we should all be doing.

Becky: Right. They’re probably practicing very similar to Baby-Friendly, even if they don’t officially have that designation.

Alyssa: That’s great. Anything else you want to share before we sign off?

Kristin: What resources, if any of our listeners want to learn more about Baby-Friendly or some of the work Spectrum has done — where can they go online to get more information?

Becky: I think just going to the Baby-Friendly website will give you a lot of information about the 10 Steps and about what we’re focused on as a Baby-Friendly hospital. So you can really start just researching Baby-Friendly, and we are following that to a T, so that will tell you how we’re practicing.

Katie: Our provider offices also have education and information about Baby-Friendly, and then —

Becky: Our childbirth education classes.

Katie: Yes, at Spectrum Health Healthier Communities. They have information, as well.

Kristin: So the educators can fill their students in with any questions they have?

Katie: Correct, yes.

Kristin: And then is there anything special with the hospital tours that our clients go on before delivery? Do you incorporate Baby-Friendly or answer questions based on that? I haven’t been on a tour in a while.

Katie: I don’t think that they specifically talk about Baby-Friendly, except that —

Becky: The practices, probably.

Katie: Yeah. They likely don’t highlight the nursery like they used to. Our nursery — we don’t have babies lined up in the nursery like we used to. They’re with their moms, so you can’t go to the maternity floor and look through the window of the nursery. There’s no babies there.

Becky: I do think they talk about some of our practices, about how you room in and we keep babies together. And I think the other thing is maybe some of the practices, like the skin to skin after delivery. Things that might be different than other hospitals, just so they know what to expect; that we would never supplement a baby unless it was medically necessary, and we’re not handing out pacifiers unless somebody requests it. So it might be slightly different than other hospitals that are doing deliveries in the area.

Katie: Our childbirth educators are pretty passionate about breastfeeding and supporting breastfeeding practices, as well as supporting natural birth. They give the whole gamut of the birth experience.

Kristin: Well, thank you for joining us and sharing so much!

 

For tips on how to make your hospital room feel cozy for birth read Creating A Cozy Hospital Birth Space in First Time Parent Magazine by Kirstin Revere.

 

Baby-Friendly Hospital Initiative: Podcast Episode #89 Read More »

The Millennial Guru

Saving for Baby: Podcast Episode #88

Kristin talks to Paige, The Millennial Guru, again today about how to financially prepare for growing your family!  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, co-owner of Gold Coast, and I’ve got Paige Cornetet, the Millennial Guru, here with me for our second episode on financial tips.  This one is focused on, once you’ve had your baby, how to really stock savings and plan ahead and make important financial decisions.  So welcome, Paige!

Paige:  Thank you!  Thanks for having me on!

Kristin:  Yes, it’s our pleasure!  Fill us in, for those who missed the previous episode, a bit about what you do, and then we’ll get into your ideas for how our clients and audience can save.

Paige:  Perfect, thank you.  I started the business Millennial Guru, and basically, I do workshops and trainings focused on women as well as millennials.  I’ve written a couple of children books focused on financial education.

Kristin:  Fantastic.  Yeah, I love your books, and you’ve got another one coming out?

Paige:  Yes.  This one’s called The Hen in the Pen, and it’s all about investments and understanding the difference when you eat your chickens, when you eat your eggs, and if you eat all your chickens, you don’t have anymore eggs left, so focusing on eating your chickens because they provide for your lifestyle and growing your flock of chickens.

Kristin:  I love it!  I can’t wait for it to come out.  So tips — okay, so baby is here, and children are expensive?

Paige:  What?!  Yes, very!

Kristin:  So let us know what you would recommend for our audience.

Paige:  Oh, my gosh.  I mean, that’s a good question; that’s a big question.  I would say tips for moms: I think it’s really important to definitely have, like we talked about before on the previous episode — margin.  So understanding that cushion of what it is, how much that you need for a rainy day fund, whether it’s an emergency or something that the baby needs that you didn’t know that you were going to need and they didn’t get it at your baby shower, whatever it is.  Understanding what are the necessities, and then taking it even further, around the wants and needs.  So understanding what is it that you need; what is it that your baby needs; what is it that your family needs, and then what is it that you want?  What is it that your baby wants?  And what is it that your family wants?  Kind of differentiating those two, I think, makes a big difference.

Kristin:  Sure.  And they’re all the decisions of, do you leave your job and stay home with the baby, or do you look at in-home or a childcare center for daycare, and how do you maximize your income if you do return to work when all this money is going out for childcare, and what is the best situation for your family?

Paige:  Totally.

Kristin:  Short-term and then long-term.

Paige:  Well, and I think you have to be honest with yourself, as well.  I have a lot of friends who are having babies, and they’re either going back to work or leaving work and figuring out what that is, what that means to them.  And I think that, as well as, yeah, your personal desires on top of, you know, what is it that you can afford, whether it’s daycare, whether it’s staying home, and how does that look for you?  But I think being honest is the first step with yourself.  And then on top of that is, what is it that you want, and what is it that you need?  How do you need to provide for that desire?

Kristin:  Yes.  And then planning for college and other expenses and even — I mean, my kids are in sports and other activities, like theater, and all of the activities get pricey.  My daughter started dance at age two, for example, and so you think of those expenses, and are you going to limit activities for children?  What are you willing to budget for activities, sports, and so on?

Paige:  Absolutely.  Well, it’s interesting you say that about activities.  My family had a saying.  It was called GUTS, and it stood for Golf, U Pick, Tennis, and Swimming.  So those were the four activities that we were allowed to do, so golf, tennis, and swimming are things you can do until you’re 80, so they’re life-long sports.  Even if you don’t play it, you still have to learn it and do it.  And then the u-pick was just, whatever it is that you wanted.  So I loved dance.  I loved ballet; I loved jazz.  And I had to do it.  So even though it was u-pick, since there was four of us, my dad was, like, well, your sister has to do it with you, too, in terms of coordination and carpool and schedules.  It’s time and money.

Kristin:  That’s what it’s all about, yes.

Paige:  My sister, Brooke, she didn’t love dance as much as I did, but she did love the vending machine that gave candy at the bottom of it, so I was able to convince her to do one more year because there was skittles and candy that we could get right after.  Her want was candy; mine was dance.

Kristin:  It’s all about compromise.

Paige:  Exactly.

Kristin:  And then looking at other things outside of kids’ activities and just — you had talked in the previous podcast about maximizing your time, talents, energy, and so on.  So outsourcing your household things, whether it’s getting your groceries delivered by Shipt or having a housecleaner come in, or a postpartum doula, which I highly recommend!  Get some sleep!  What are your priorities?  So tell us about some of your theories in maximizing and how to figure out what might be more beneficial to outsource.

Paige:  Yeah.  I think just the things that you mentioned are really great, but understanding what is it that takes you a lot of time and what are the things that you don’t like to do that you can outsource?  So I would say, yeah, I love the grocery delivery.  If you want to work out, too, who is going to take the baby so that you can be physically active, or is there a place like the gym that you can bring your baby to so that you can work out while the baby’s there?  So I think figuring out what are your lists of goals; what are the things you need?  Definitely sleep!  Number one is sleep, and then we can talk about food and physical activity.  It’s understanding that, what that is that you need, and then going, okay, so if I need sleep, let’s hire a doula so that mom can get some rest.  Okay, now that I have the sleep — food.  I need healthy food.  Using outsourcing; people bringing food, meals.  Communities, whatnot; Shipt.

Kristin:  Yeah, special food delivery services that are local, as well as national, that you can get food delivered to your door, which is also a time saver, and if you can get specialty diet needs because a lot of people may need to cut out dairy or have certain allergies if they’re breastfeeding their baby and need to make some adjustments to their regular diet.

Paige:  Exactly.

Kristin:  So other than that, what are your other tips when you’re looking at — you’ve got this baby.  I mean, there’s college, obviously.  That’s a big one.

Paige:  Yes.  Well, I would say education, just in general, is an important one to be thinking about because, okay, they’re going to preschool.  Now they’re in middle school.  All those different levels of schooling, and what does that look like?  Where do you live?  For example, Michigan has a really great public school system.  Where I grew up, Florida, does not.  So what does that look like where you live, the state?  What works for you?  Would you want to send your kid to, like, a Montessori — I grew up there, so I’m a big fan of Montessori — and if you do, what does that look like?  So I think education is definitely a priority and planning for that, as well as just, not only education for paying for that, but education for your child from you because you are a teacher, as well, to your children.  And so are there things that you want to teach your child?  For example, I just have coffee this morning with a good friend.  She has a two-year-old, and she’s, like, what is education?  I want my daughter to go to a great college and — but she’s like, but I want her to have access to a lot of experiences like they’re going to spend a month and a half in Hawaii with her brother to really understand — and she’s like, I’m bringing my daughter with me.  I’m so excited because it’s important for her to see the world is bigger than just West Michigan where she lives.  So education, I think, in the whole sense of the word, is definitely very important on many levels for your children.

Kristin:  It’s not just planning for college.  You’re looking at, will it be a private or parochial school that you need to reserve funds for, or is music education?  You would lump that into the education category?  Same as sporting activities, for example?

Paige:  Yes, as well as experiences, too, right?  So let’s say travel is very important to you and you want that to be important to your children.  Are you going to be providing for those experiences that are very educational but maybe aren’t necessarily around schooling?

Kristin:  So when you’re planning your family budget, how does all of that fit in?

Paige:  Well, I think it depends on each family, of course.  So each family has, you know, from different jobs, different means, different lifestyles, different priorities.  But the one thing that we all have in common is time.  So we all have that equally, and I think that understanding where is the time going and what is it that your children are going to be doing?  For example, like you said, different sports; activities.  What’s important to you?  What’s important to the child?  What’s important to give them exposure to?  And then I think if you can do that and set that overarching as a bigger picture, it kind of will fall into place and you can start planning for that more strategically.

Kristin:  So how can people connect with you individually if they want to set up a planning session or hear you speak?  You have many appearances with your book releases coming out and so on.

Paige:  They can email me at paige@millennialguru.com.  Or you can call me and contact me at 616-443-1000.  Or they can go to my website or any social media, Millennial Guru.

Kristin:  Thank you so much for being on!

Paige:  Thank you!  Thanks for having me!

 

Saving for Baby: Podcast Episode #88 Read More »

The Millennial Guru

The Millennial Guru: Podcast Episode #87

Paige, The Millennial Guru, shares some savvy saving tips to help you think about priorities, wants, and needs and how to budget for them.  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, co-owner, and I’m here today with Paige Cornetet, and she is known as the Millennial Guru.  Welcome, Paige!

Paige:  Thank you!  So excited to be on the show today!

Kristin:  Yes!  Tell us about why you started Millennial Guru.  You’re also an author.  Fill us in, since you’re a local Grand Rapids resident and business owner.

Paige:  Absolutely!  So I started the business with the intent in mind of how to help  my generation.  I’m a Millennial, too, so full disclosure, I’m a Millennial helping the Millennials.  It was about how to help my generation understand themselves and dive in a little bit further, as well as teams.  Obviously, when you get out of college, you get a job and you go to work, and you work with a different type of generation of people, so yourself, as well as different generations, and kind of how to bridge that gap with the different generations.  What does that look like with different technology, with different concepts, with different philosophies.  I think the most important thing with who I work with is starting with yourself.  Who are you?  What are your talents?  What are you good at?  Then, once you understand that fully, how can you express that to your team and understand your team members and their talents.

Kristin:  I love that!

Paige:  You, yourself, is kind of the thought and the basis of the philosophy for my business.  Then it kind of led into not only understanding yourself but also understanding your wealth.  Those kind of go hand in hand.  I wrote a bunch of different children’s books, and it was really fun.  It was with the intent of, okay, so I’m helping my generation understand about themselves and also about their wealth and that the themes are and the concepts and the understanding.  Then I was thinking, how can I help the even younger generation, the kids, the little guy, understand at even an earlier age.  They’re not going to necessarily understand themselves yet, but they can understand themes and concepts of their wealth or their future wealth.

Kristin:  My kids have one of your books, and they love it!

Paige:  Yay!

Kristin:  So as far as focus, how can people who are local to you connect and figure out, even if they’re not ready to have kids, maybe how to plan for their future of wanting a family, wanting a house/

Paige:  Yes!  First of all they can connect on the website or my email, paige@millennialguru.com.

Kristin:  And you’re very active on social media.  They can find you on Instagram, Facebook, everywhere.

Paige:  Exactly, all of the above.  I think that, first of all, they can connect with me, and then we can have a bunch of different conversations.  I do workshops, on top of that.  It’s understanding first what you’re good at and what that looks like for you.  So, for example, one of my talents is Maximizer.  I love doing many things at once, meaning killing many birds with one stone.  That’s the high pressure life, and how I do things is make sure that I’m covering a lot of things.  It’s kind of for the greater good, the excellent.  So I bring that to my business and also my personal life, as well.  So when I’m investing, I want to maximize my return.  I always want to maximize; what is the best way that I can do it to get the most out of it?  That’s how I do things, including my goalsetting.  As an example of a big goal, I have three siblings, and I wanted to go on a trip with them each individually this year, which is a lot of trips.  My 30th birthday is coming up, and so I thought what if I can just do a whole sibling trip and we can all go together and I can check all those boxes off at once?  We’re about ready to do that.  We’re going on a safari in Africa, the four of us together, soon.  That’s an example of how understanding yourself and how you approach things can apply to you professionally, to your goals, your personal goals, your business goals, and to your future financial planning goals.

Kristin:  What are your priorities?  If travel is a priority before having children, how do you save for that and craft out the time in a busy work schedule?  Life in general is busy.

Paige:  What?  It is?

Kristin:  Right?  And then saving for a family if that’s something they desire, as well as checking off those boxes of travel and things that they want to get accomplished.

Paige:  Absolutely, and I think you said that really great.  Priorities means establishing what are your wants and what are your needs.  Once you have the needs covered for you, you also have to think about the needs when you have a family.  What are the needs for the kids?  What do they need?  What are their wants?  First, if you can do it with yourself: what do I want?  What do I need?  Planning financially for that will help make it easier going forward when you do have a family and you have kids.  It’s like, okay.  Do I want those really cute little baby shoes for them, or do they actually need them?  They’re really cute and they’re Instagrammable, so…

Kristin:  So much of life right now is the Instagram filters and photos!

Paige:  And they do grow, so eventually, they probably won’t need those shoes.  It’s things like that.

Kristin:  And you also travel quite a bit.  We have listeners from all around the country, and you do workshops and speaking engagements?

Paige:  Yeah.  It depends on who and what and how and also where, but I’m mostly in Eastern standard time.  That’s kind of where I stick myself a lot.  It’s a little bit easier for myself.  Again, my Maximizer can’t help it.  Let’s just stay in the same time zone so that I don’t have to catch up on sleep!  But yes, I’m all over.  I do a lot of speaking engagements and workshops, mostly focused around yourself and your wealth.

Kristin:  And we had talked ab bit when we met up for coffee recently.  You do some strategy session for entrepreneurs like myself and helping small businesses maximize their wealth, personally and for the business itself.

Paige:  Absolutely.  It’s interesting that you say that because I’ve been thinking about that a lot as myself being an entrepreneur.  Where is my margin?  Where is that space where I can have creative development for that, and where is the space that I can have financially, as well?  So the margin has been kind of at the forefront of helping entrepreneurs.  Where is that cushion — and margin is the word that I use for it, but you could use a lot of different words — of financially, and so feeling that way or distributing or redistributing things, as well as your time and energy as an entrepreneur.  Are you doing it all?

Kristin:  Yes, or can you outsource?

Paige:  And that goes back to families, too, right?  If there are certain things when you’re having kids or having a family, what can you outsource?  Who can you use to rely on, if it’s a community or if it’s grandparents.  Extra set of hands!

Kristin:  Yes, we’ll have to talk about some of that outsourcing for families in our next episode.  We’ll have you on to talk a bit more about savings when you have a newborn.  And again, if people are interested, they can find you at your website.

Paige:  Thank you so much!

Kristin:  Yeah!  Thanks for being on!

 

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Certified B Corporation

What is a B Corp? Podcast Episode #86

Today Kristin talks to Hanna from Local First about what it means to be Certified B Corporation and how it impacts our community.  Gold Coast Doulas is the area’s most recent B Corp!  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, co-owner of Gold Coast, and I’ve got Hanna Schultz here with me.  She’s from Local First, and we’re going to be talking about B Corp business today.  Welcome, Hanna!

Hanna:  Thank you so much for having me!

Kristin:  Thanks for being here!  So we have partnered with you.  We’ve been a Local First member from the day we started Gold Coast, but we’ve been working with you over the years, initially becoming a Good for Michigan business, and now we’re so excited to be a certified B Corp business.  I’d love to hear your involvement in the process and why B Corps matter.

Hanna:  Absolutely.  Local First started about 15 years ago.  The organization was born about 15 years ago, and through the years, we have really seen, and the statistics support, that local businesses are better for the community in a lot of different ways, based on every indicator: environmentally, socially, and the way that businesses give back to the community.  So we’ve leaned into that, those studies, and what we’ve seen with our Local First businesses, and like you had mentioned, we sort of created this program that we call Good for Michigan, helping businesses to really track their metrics around their environment, social, and community sustainability.  We want businesses to success financially, and we see the connection between businesses that give back to the community and treat their employees well and also are conscientious about how they consume from the environment or what they put back into the environment.  We see the connection between those things and a healthy business financially, so we have created programs to help businesses track those metrics.  Through that work, we’ve also created a very strong partnership with a nonprofit called B Lab, and that is a nonprofit that certifies B Corps, like you mentioned.  Gold Coast is Michigan’s newest certified B Corporation.  There are 22 in the state now, which we are really excited about.

Kristin:  It’s growing!  It’s so exciting!

Hanna:  Congratulations!  Local First and the Good for Michigan program are a Be Local community here in Michigan, so if any business is interested in going through the certification process for B Corp, they can come to us to get some assistance or to be connected into resources to help them through that certification process.

Kristin:  And we started with a Quick Impact Assessment to see where we scored, areas we could improve, and then sat down with you when we knew our goal was to become a B Corp.  We were learning how we can work on our environmental impact, our community service, governance, and all of the different categories.

Hanna:  Absolutely, and the Quick Impact Assessment is a very helpful tool for businesses to start out with because it’s free.  It’s a relatively easy way to just sort of check out and see what questions are going to arise around your business, depending on the size of the business and the sector of business that you’re in.  Gold Coast Doulas would not take the same exact assessment as a law firm or as a restaurant, for instance.  The assessment kind of auto-generates based on the category that you self-select into.  The Quick Impact Assessment is a good way to get a snapshot of what a larger assessment could look like and give you an idea of where the low-hanging fruit might be, for instance, around, well, we don’t have a recycling program in our office yet, but we could probably do that.  Then Local First and Good for Michigan can help tie you into the resources in the community that can help you get there.  West Michigan, in particular, which is where the work has started — we’ve started to scale across the state now, but West Michigan in particular is so rich in resources; specifically nonprofit resources, to help businesses kind of improve those different impact area.  So there are organizations that can help you implement a recycling or composting program.  There are resources that can help you check your energy efficiency and save money in those ways.  There are also organizations that can help you with your employment to be a conscientious employer around benefits and salaries and cultural competency, which is something that is really relevant in our community.  There are resources that we have curated through our website and in other ways to help businesses connect into those services that will cost them either very little or are free in the community so businesses can focus on spending the time to do the work and not worry about having to gather the resources financially to put into it.  There are ways; there are certainly things you can do if you have the resources, but if you don’t and you’re really just interested in doing the best work that you can afford to do, we’ve helped businesses along that spectrum as well.

Kristin:  We’ve certainly appreciated all of the support and help you’ve given to us!  I would say the biggest learning experience for me in the six-month process of becoming certified was that, really, I have always prided ourselves on shopping local and looking at our vendors, but to become a B Corp, there’s so much documentation as part of that process and things that you don’t really even think of doing, like checking where do they get their t-shirts from, and are things ethically sources, and it’s more than just supporting local businesses.  It’s looking at where their suppliers are, where the sourcing is, and thinking that you live in — your business is located in a sustainable building, but what can you do beyond that, and how are you tracking your energy usage and efficiency?  It was eye-opening to me, going through the process and knowing how we can do better in the future because it’s a three-year certification process, so we have documentation.  Just getting certified is a continuous process to become certified, and again, you have a lot of businesses that have been long-time B Corps and they have gone through that recertification process.

Hanna:  Yeah, and I think one of the unique things about B Corp certification that is different, because I think as a business owner there are a number of different certifications out there, and you can look and see what fits your business best so that you can really signal your values as a business.  I think something that’s becoming more and more prevalent is that consumers are supporting businesses that signal values that mirror theirs, so being able to say, hey, we’re a responsible business.  Maybe it’s LEED certified.  There are some that you see that are all over the place, and something that we see value in B Corp, particularly, is because the process is so rigorous and because you have to recertify every three years, which I think at times there is a challenge around whether a business or an organization might certify and then say, cool, we got the stamp of approval and now we’re done.  We don’t have to kind of do this work.  And you and I have had this discussion that it’s a constant process to continue improving and learning.  We as individuals need to constantly improve and learn how we can be better stewards to our community and to our relationships and to the earth, and as a business, it’s the same.  It’s a living, breathing thing, and it can constantly be improving and constantly be in touch with how to better walk out those values.  The B Corp certification changes.  You’ll take a different assessment in three years when you do recertify.  Some things will slightly shift.  They’ll expect you to have made improvements.  When you do recertify, then you’ll be able to say, we’re not sitting on our laurels.  Gold Coast has been doing this work.  We’re working hard towards improving on all of our indicators, and that’s something that we find very meaningful.  That said, it’s an arduous process, and it takes a lot of time and it takes a lot of energy.  I think it’s that much more satisfying when you do get there, but what we’re trying to do also as this B Local — so I put B Local sort of in finger quotes because it is a designation.  It’s not like we almost have our own seal as Local First and Good for Michigan.  We have our own designation as the convener of the Michigan B Corps, and what we’re trying to do with that designation is really provide what we call a community of practice around B Corp.  When we started this relationship with B Lab and with the B Corp community, there were three B Corps in West Michigan, and this was about five years ago, six years ago now.  And we’ve grown to over 20.  So we’ve taken that time — and certainly, I mean, part of this is because the movement has grown and the recognition has grown and the return on the investment of time, then, is growing because more people know what B Corps are and are using that to make their decisions around purchasing.  I also like to think that we had something to do with it.

Kristin:  I would say so.  I mean, that’s how I became passionate about it is talking to your team.

Hanna:  Yeah, and we are hoping that we can connect the B Corps that have taken the time to certify and have put the resources into certification so that there is this community of 20 business owners, in theory, and they have — most of our B Corps in the community have a disaggregated structure of leadership, as well, so they usually have a number of staff that really are integral in the process, and that changes, obviously, depending on the size, and we have different sizes of B Corps in Michigan, as well, but we try to pull those folks together and keep those connections very close so that if you wanted to reach out to somebody at Brewery Vivant, for instance, or Cascade Engineering, or even in Ann Arbor, we have Revalue, which is an interesting organization that we’re doing some work in the Ann Arbor area, and you could call them up or we could make an introduction, and then there is this kind of collaborative spirit around, hey, I’m struggling with this; how have you seen your improvement along these lines?  I don’t know how I’m going to convince, for instance, my office of six people to recycle because it’s just not anybody’s habit; I have no idea how this is going to work.  How do I talk them into it?  How did you talk them into it?  There’s sort of this conversation that happens and this mentorship, collaborative, community of practice spirit that happens in those rooms when the walls come down and everybody’s vulnerable and saying, hey, I’m really struggling with this, or hey, I’d really love to pay my staff a living wage, but I have no idea how I’m going to do it.  Or I’d really love to provide a 401(k) for my staff, but I just don’t know what that’s going to look like.  How do I provide the training for people?  How do I have conversations about appropriate workplace interactions or cultural competency in the workplace or making sure that my staff is being respectful to one another regardless of background, race, religion, sex, et cetera.  How do we have those difficult conversations?  And you, as the newest B Corp, the owner of the newest B Corp in Michigan, you will be invited to our next CEO peer circle, and that is where we sit around the table and we kind of have these lightly-facilitated, completely confidential, very vulnerable conversations around, like, what are we going through as a community of businesses that are intentionally-minded and wanting to, again, really signal those values, and how can we help each other?  That’s been pretty powerful.

Kristin:  I love that!  It’s great to have that support and be able to look at best practices, and you also — even for businesses that aren’t intending to become B Corps, you have a lot of seminars in the area and you can learn about different topics every time, but you had one today that I missed.  Tell us about some of the seminars that you put on that the public would be invited to or Local First members.

Hanna:  Any businesses — if you’re not a Local First member, you don’t have to be to attend those workshops, and they typically cost no more than $15 or $20, so we try to keep them really inexpensive, but today, we actually  had a workshop about how to be having intelligent — let’s see, it was the psychology around intelligent conversations, so we brought in an expert and a local business owner to specializes in this psychology of having difficult conversations in the workplace and interacting with staff and customers in a way that is emotionally intelligent, is making sure that you’re providing what you need to your employees that helps, ideally, keep those employees around, keep them happy, keep them productive and doing their best, bringing their best selves and their full selves to work.  Something that we’re seeing across the board in the business community is a challenge around retention.  Really having a hard time holding on to super talented folks, and it’s one of those sort of double-edged swords, right, because that’s an indicator of low unemployment rate, and obviously, we know that we have some work to do in Grand Rapids around employment in certain communities, but if we set that aside for a moment and say, we really want to just build teams that have a lot of talent, and as a business owner, we want to honor that talent and make sure that it’s being fostered and making sure that it’s being developed, and how to do that is to really be a mindful employer and have conversations with your staff; keep connected; keep creating a culture that they can show up as their full selves to work and bring with them what they need to bring with them and that you’re helping them foster their creativity and foster their loyalty, too, to your company and grow as a person and as an employee.  So that is what the workshop today was about, and then we usually have workshops every month or every other month.  All of this you would find on our website or on our Facebook page, but they are based on, frankly, the conversations we’re having with business owners in the community.  Some of it’s driven by our B Corp businesses that say, hey, we’re seeing these trends, or our Local First membership; hey, we’re seeing these trends or these are the things we’d like to learn about.

Kristin:  We’ve had even tours of facilities, and we’ve had so many different topics.

Hanna:  Thank you, yeah.  We had an electronic recycling.  Valley City Electronics is a B Corp in the community, and they help businesses recycle their electronics, which is not something that a whole lot of people know about, but it’s this really wonderful service that we have here in town, and it’s also a place where you can go and get a used, refurbished laptop if you need to provide that for one of your stuff.  There’s all these ways that they give back to the community, as well, but we use the data that we’re able to drive from the Quick Impact Assessment that we were talking about earlier, that short assessment.  If you’d prefer to keep all of your information to yourself, you do not need to share the data with Local First or Good for Michigan, but if you want to be transparent about your impact, then you can share that with us, and we simply use that as an aggregate data collection so that we can help decide what these workshops are going to look like; where the gaps are; what our community needs in terms of education around these impact areas.  Then we put the series together based on all of those factors.  We’re currently actually working on our 2020 workshop series as we speak.

Kristin:  Can’t wait to hear what you’ve got lined up!  So B Corp, for those who don’t fully understand what it is, the short summary is, profit with a purpose.  So it’s a way for a business like ours to be able to give back without having a nonprofit arm.  Our passion is to help low income women, but we have to charge a living wage and cannot necessarily serve them as doulas, so we do a lot of community education, volunteering, giving money financially to organizations that support low-income women and families.  Our diaper drive would be an example of that.  So how would you, for those of our listeners and clients who have no idea what a B Corp is and why Gold Coast should be interested, can you help me fill them in?

Hanna:  Absolutely.  You know, I think those examples about Gold Coast sort of signaling — again, back to that signaling of values as a business.  These are things that we’re seeing are really helping businesses grow their customer base.  I mean, frankly, at the end of the day, a for-profit business needs to make money in order to exist.  And the argument that we would present as an organization that advocates for B Corp certification is that walking out your values and really putting intentional effort towards not only documenting what you’re doing as a business but also verifying, having this third-party verified signal of, we’re doing this work – there is a return on that investment.  There is financial growth and sustainability in that model, and we believe that B Corp is the most holistic measurement, the most holistic certification, out there that shows that not only are you as a business being a good steward to the environment, but you’re also treating your employees well, and you’re also giving back to the community.  The standards are high.  As a B Corp — as a consumer that maybe hasn’t heard of B Corp or as a consumer that is looking at all of the potential choices that I have when spending my money, regardless of whether o not I have very little or if I have a huge amount of money to spend, we make a decision every time we spend money.  When I have additional information around, oh, this business is B Corp — that means to me that I’m spending my money in a place that matters, and that money is going to go back to my local community, or that money is going to go to help families and low-income women.  That’s something that I’m very passionate about personally, and that’s how I’m going to vote with my dollar is I’m going to use my resources to push money into doing good in the world.  This is something that, if you see the B Corp Certified seal on a business — for instance, when you go to your local grocery store and you see 7th Generation or Method, those are — like if you were going to be buying laundry detergent or something — you’ll see on the back that there’s a B Corp seal, and that’s something where you can think, okay, I’m buying a $10 jug of laundry detergent, but I know that there are certain environment standards around their brand, and their employees are being treated a certain kind of a way.  Or a clothing brand; I know that whatever manufacturing standards this clothing brand is using, I can feel good about where this came from.

Kristin:  Yeah, their sourcing is obviously good.

Hanna:  Yeah, and again, the standards and the assessment itself generates based on what type of business it is, but you can be sure that that business has gone through something very vigorous and has jumped through a lot of hoops to maintain that certification, so it’s just a way to know that you’re making an impact with the money that you’re spending, and that’s something that resonates with me.  I think that’s something that resonates with a growing number of consumers and business owners, because as a business owner, you also consume from other businesses.  So to have that shared value statement, I think is really important.

Kristin:  And certainly many of our clients are millennials, and I feel like millennials want to give their money to companies that are giving back and have a purpose and meaning beyond just your standard profit focus.

Hanna:  Yeah.  Again, a huge piece of what economic development is all about, and as an employee of Local First, I can say that local development and local economic development is something that’s important to us, and equitable economic development is something that’s really paramount to us.  You’re right; the consumer statistics support what we’re saying, what you’re saying.  Millennials and people who are coming up into wealth and coming into influence are making their decisions based on a lot of the values alignment.  You’ll see that when you click on the news and there’s some sort of boycott here or there, or this business CEO makes a decision that negatively impacts their workers or the environment, and there’s a reaction to that in terms of their customer base.  And so you’ll see that, regardless of where your personal values lie; you’ll see that decisions are being made based on those values of the business, and I think that’s happening more now.  The statistics are supporting that that’s happening more now than it has in the past, so it’s becoming very valuable from a financial sustainability standpoint for businesses to signal those values and to put as much intentionality around how they’re showing up in the community and in the world as they possibly can.

Kristin:  Right.  And as far as our industry, we are the first birth-related business.  We’re not a retail space; we don’t manufacture anything.  We’re service, and the process was unique for us because we don’t have employees.  We have subcontractors who are business owners of their own, so that part, too, was how do we really focus on being good for employees when we have two owners, my business partner Alyssa and myself, and then subcontractors?  But we are good for them; we give them opportunities; we’ve done disability trainings that are optional for our team, as well as PRIDE has come in and did an LGBTQI training for us, and we’ve done Empathy with Healthcare Professionals through Mothership, so we’ve tried to use that overarching philosophy even though we don’t, at this point, have employees.  Someday, I’m sure we will.

Hanna:  And I think, too, because this movement — B Lab, the nonprofit that certifies B Corps, has been around for twelve years, I think, roughly, and the movement is growing, and it’s grown very quickly.  But that doesn’t mean that they don’t encounter new business models.  They’re out there working with them every day, so the cool thing about the assessment, the B Impact Assessment, is that it is always evolving.  Even another layer of connection between Local First and Good for Michigan and B Lab is that, because we are that Be Local community for the state of Michigan — so B Lab is a global organization.  B Corporation certification is a global movement.  It’s not just North America; it’s not just the United States.  It’s everywhere, which is wild to think about, and it’s wonderful to think the movement is that large, but as a Be Local in the state of Michigan, we do have a relationship with the folks that are helping to curate the assessment and how it evolves in North America, specifically, because a lot of the policies are based on the continent and based on place.  So it does change in different areas, but we get to have conversations around what’s relevant here in our place.  Culturally, what’s relevant in the United States, and we help inform how the assessment evolves a bit.  So I expect that based on your experience with B Lab and how things went and how you had to work around the uniqueness of your model while also being very adamant in saying, this is something that really matters to Gold Coast and we want to make this work — having had that interaction will help them and help inform them on how to update the process around unique models like yours.  There are very few healthcare-related B Corps, and as you can imagine because of the environmental impact of healthcare organizations and because of just the size of many of them and the uniqueness of the structure, it’s not an easy model.  We’ve also had very few in the country.  When I say we have very few, I mean in the country, in the United States.  There are also very few banks for a similar reason.  Very few banks are “locally owned,” and so those large national chain banks, the power is so disaggregated that it’s difficult to track all that data.  So that kind of brings you back to those local businesses.  They tend to have an easier time certifying as a B Corp just because of the way the decisions are made.  That doesn’t mean that a chain couldn’t become a B Corp.  Patagonia, for instance, is huge.  You’re probably familiar with the brand Patagonia.  Ben & Jerry’s, for instance.  Both those huge brands are B Corps and have been for a long time, so you see — I can’t even imagine how difficult that certification is, right?  But they put a lot of resources into it.  It’s something that’s very valuable to them.  It signals their brand identity.  For an outdoor apparel company that sort of has that hipster vibe and it’s a little bit more high end, it kind of signals this, which makes sense.  But then there’s the ice cream brand, too, and that’s something that anybody would grab off a shelf, and it doesn’t matter if I like hiking or if I prefer to Netflix and chill; whatever it is, but that’s a choice I’m making that I’m going to buy this ice cream instead of something generic coming from who knows who, what cows and whatever.  The idea that the assessment is ever-changing and it’s always signaling to the community what’s relevant to that community and to our place is really important, I think.

Kristin:  If people are interested in learning more, where should they go?

Hanna:  The best place to get started is to head to our website or follow Good for Michigan on Instagram or Facebook.  That’s going to connect you to our staff, and if you’re interested in taking the assessment, you can find it right there in the homepage for your business.  It’s totally free and totally confidential.  Or you can reach out to one of our staff and we can have a conversation with you a little bit more about what starting down the path would look like for your business.  It can be as simple as just having a conversation, taking that Quick Impact Assessment and then stopping there, or moving all the way through to B Corp certification like Gold Coast has and 22 of our other good friends here in the community.

Kristin:  Last year, I accidentally took the full B Corp assessment, thinking I was taking the Quick Impact, but that really helped me think about the process for this year.  Thanks for coming on!  We’ll have to chat again as we get further along in the process.  I know there’s a big retreat that you don’t even need to be a B Corp business to attend — the B Corp Conference?  Tell us about that!

Hanna:  B Lab puts together a conference every year they call the Champion’s Retreat, and there are a couple different tracts of the retreat.  There’s the tract that’s just for B Corp certified businesses.  There’s a tract for Be Local communities, like ours, and then I believe there is a new tract around prospecting B Corps or businesses interested in learning more about the process and how it could be beneficial to them.  This year, it’s in Los Angeles.  Last year, it was in Louisiana.  The year before that, it was in Toronto.  It was in New Orleans, and then in Toronto.  So it bops around all over the place.

Kristin:  To warmer clients so Michiganders can get out somewhere with sunshine like LA!

Hanna:  Yeah!  I’m looking forward to it.  I will be there and a few of our local B Corp CEOs and leaders will be there.  It’s not an inexpensive thing to attend, but we will be able to go and we’ll be bringing back some learning from that and hopefully be plugging it into our programming for next year, and we’re excited to be able to continue doing the work.  It’s a privilege to be able to get to work with businesses like yours and like the other businesses that are taking time out of their busy days and their passion to sort of give back and use their business as a force for good.  It’s a tagline that we like to use because we believe that business can be used as a force for good.  We’ve seen it.  We know there are folks like you that are out there doing it, and we’d really like to hold up those businesses as an example and help others follow in their footsteps.

Kristin:  Thanks for joining us today, Hanna!

 

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Deb Timmerman Stress Mastery

Stress Mastery: Podcast Episode #85

Deb Timmerman, RN, DAIS, CSME speaks with us today about her new certification in Stress Mastery.  What does that mean, you ask?  It’s all about learning positive ways to handle stress and actually master it, instead of letting stress take over.  Listen to see how this can help parents throughout pregnancy and postpartum.  You can listen to this complete podcast episode on Itunes or SoundCloud.

Alyssa:  Hello, welcome to Ask the Doulas Podcast.  I am Alyssa Veneklase, and I’m so excited to be talking to Deb Timmerman today.  I haven’t seen you in so long!

Deb: Hi, Alyssa, it’s great to see you, too!

Alyssa:  For a little while, we had you teaching a prenatal stress class here, and then life    and business just got kind of in the way, and we haven’t scheduled any more, but I loved that class.  You have so much good information about stress and how stress affects the body, but now you have some new certifications where you’re actually talking about how our bodies need stress to a certain extent; is that correct?

Deb:  I am.  So I think maybe the first place to start is, why the prenatal stress education?  I’m a member of the Michigan ACEs Initiative Education team, and that’s not a formal name, but a couple years ago, Michigan got some grant money to bring the ACEs study — ACEs stands for Adverse Childhood Experiences study — and the consultants who were involved in that study, they actually set up a agreement for them in Michigan to use the ACEs science to see how we could change the way we’re delivering healthcare in Michigan.  So the ACEs study is all about things that happen in childhood, like dysfunctional household, abuse, neglect, and you basically get a score for the ten questions that are on this little survey, and what they found was that the higher your score, so if these things happened to you from 0 to 18, the more likely you are to have emotional, physical, mental health issues as you age, and it even cuts time off your lifespan.  As they began to do further studies after that, they found out that some how we deal with stress actually affects our genes and is passed on when you have a baby.  That’s a long answer to that, but I think it’s really important because it’s where kids get their start, and if you don’t know about that, you can unknowingly pass on certain things to your kids.

Alyssa:  You are in this high-stress environment while pregnant.  It’s affecting your baby?

Deb:  Yes, it is.

Alyssa:  And I remember the movie.  It was called Resilience?

Deb:  It’s called Resilience, the science of stress, biology of hope. Or maybe that’s backwards; biology of stress; science of hope.  Anyway, you can find it, Resilience, and there’s a trailer out.  Yes, really interesting movie.

Alyssa:  It is.  Tell me about your new certifications and this new idea about stress.

Deb:  Okay.  I was an ACEs kid.  Out of ten, my score was six, and when I learned about that particular piece of data in my life, it clarified everything for me.

Alyssa:  And six is high?

Deb:  Six is high, yes.  Anything over four, it really increases your chances and your risk level.  So I had a lot of health issues when I was in my 40s.  I fell down a flight of stairs on my summer vacation, had a bad injury from that.  But also was extremely heavy.  I weighed 321 pounds, and I was on diabetes medication and high blood pressure pills, and I had a really high-stress job.  And my family life was nuts.  So I happened to go to a conference, a nursing conference, and heard about this, and it was like I had discovered something really critical.  It was like the missing puzzle piece for me to figure out why I reacted or had the habits that I had, and as I started to travel down that road, I became really interested in sharing that information with people because I think it’s key.  We spend a lot of money on the back side of health, taking care of chronic illness.  My thought was, wow.  This made a huge difference for me.  What if I could share that information with folks?

Alyssa:  And it’s probably worth noting that you are an RN?

Deb:  I am an RN.

Alyssa:  And that’s what you were doing in your previous life?

Deb:  I did, and I didn’t know about that particular study at that time, and I wasn’t — I mean, they cover the stress response in nursing school, but not to the point with all the brain science and all of that.  So in the last 20 years, they’ve made huge discoveries, and it’s super interesting.

Alyssa:  When did you leave the nurse world?

Deb:  Four years ago, I left the nurse world and started my own practice, but I had trained as a healing touch practitioner.  In 2009, I started that, and I don’t remember when I finished, but I was never able to use that in a private practice, but I did in my buildings.  I was a nurse manager in both of my previous jobs, and I found that when you teach people those self-care skills, it really changes your culture, and it made us care about each other.  When we care about each other, we do better with our patients and the folks that we’re charged with caring for.

Alyssa:  So you taught the other nurses or the patients?

Deb:  Eventually, we did teach nurses healing touch at the hospice, which was my last job, but there are all kinds of other really cool interventions that you can do to build capacity for stress management, and those are the things that we worked on.  You mentioned the stress certification.  I’ve been a diplomate of the American Institute of Stress for a couple years, and you get that designation based on the amount of training that you’ve had regarding stress and how you’ve used that to help other people, and at the end of last year, this little thing came in my email box, that they were doing a beta for this stress mastery educator certification, and I got invited to submit an application.  I was one of 40 people throughout the world that was chosen for beta one, and we worked with Heidi Hannah.  She’s a Ph.D. researcher and stress mastery educator and teaches at Harvard, and she has all these other amazing professors and Ph.Ds. who share this information, so I was super interested and hoped I would get selected just because I thought it would be really neat to learn from these people.  And it has been beyond my wildest expectations.

Alyssa:  What is stress mastery?

Deb:  We talk about stress management like we have to manage stress, but we actually need some stress in our life to help us grow, learn, and adapt.  And when we master something, it means that we learn to dance with it in a positive way, and we use it to fuel positive change versus working on controlling what’s going on in our life.  So I actually now help people build their capacity versus teaching them how to manage it.

Alyssa:  Build my capacity to deal with stress instead of trying to reduce it or eliminate it?

Deb:  Yeah.  The way we do that is through evidence-based practices like the healing touch that I did.  That was one thing I had under my belt, but since then, I’ve become a Tai Chi Easy Practice leader.  That’s all about Qigong breathing and moving meditation.  I’ve also gotten a certification in mindfulness and meditation.  Breathing and some of those other key interventions that we can do on a daily basis throughout our day are really what helps stop that stress reaction and helps us build that capacity.

Alyssa:  What if somebody is like you before with a really stressful job and a stressful home life?  All these stressors: you don’t want people to try to eliminate some of that?  You just want them to learn effective ways to cope?

Deb:  Well, I don’t think that you really — coping means that we have to continue to deal with it, and yes, you do have to decide what you’re going to work on first, and there are certain areas of life that you’re going to have to make some decisions about and maybe pare down, or maybe that job is really horrible for your health and it’s time for you to move on.  So we do validated stress assessments to figure out what areas of your life and out of sync and where your stress issues come from so that you can make good decisions.  Oftentimes, when you’re in the midst of it, you just know that the world is falling down around you, and you don’t have any clarity about where that stress is coming from.

Alyssa:  So how do you differ from a therapist or a counselor?  Or do you also kind of work that in?

Deb:  I would say I work in tandem with a therapist or a counselor.  I’m not going to talk to you about all the things that happened to you in your childhood.  I don’t get into all of that.  We use the ACEs screen as a way to help you recognize how your stress patterns developed and then look at the different areas that are out of balance in your life, and then I’m going to teach you how to do a daily practice to help yourself not be so triggered.  Triggers and tamers, I would look at; what are you stress triggers; how can we work with that; what kind of language are you using with yourself.  That negative stuff breeds more negativity.  How can we switch that around to help you have a more positive outlook?  I do a lot with breathwork.  It is one of the easiest ways to get that stress reaction to moderate and to get you into that rest and digest state so that you can think clearly.  The way the brain is organized, the brain’s number one job, priority one, is safety.  It’s always scanning, looking at the environment, trying to figure out how to keep you safe.  The stress reaction is what keeps you safe.  It gives you that juice, that bolt, of adrenaline to get to safety.  But when you’re stuck in that feedback loop and that’s your whole life, you really can’t think and use the part of your brain for higher executive functioning because that feedback loop kind of gets in this little track.  Do you know those people in your life, where they’re kind of stuck in that?  Things are always falling down around them.  Some of the exercises for building capacity are to be able to get that to shut off so that your brain can actually rewire and build new circuitry for that.  That’s capacity-building.

Alyssa:  Do you think everyone in general could benefit from some sort of practice?

Deb:  Absolutely.

Alyssa:  It’s not just the high anxiety, panic mode — I mean, I think we all feel it at some point, right?  So even if you don’t have it on a daily basis, you’re noticing it — like you said, what are your triggers?  So how do you — we talked a little bit about prenatal.  What about a postpartum mom who has sleep deprivation working against her, as well, and then maybe new triggers that she didn’t even know existed before, who says I don’t have time to do Tai Chi with you.  Are you crazy?  I can’t do Tai Chi and meditate.  How would you help a mom who came to you and said, what can you do for me?

Deb:  I would tell a mom like that, what did you do to take care of yourself before, and what are you doing now?  Typically, when a new baby comes in or there’s a child, they take first priority, and oftentimes, moms are trying to work and take care of this, and the demands are huge.  So first we would walk through, what are you doing now?  What did you love?  What do you have time to do?  How can we structure something so that you give yourself some attention every day?  We’ve all heard that adage, you can’t give from an empty cup.  That’s super important.  Your child, from zero to three, learns from serve and return, and you need to have the energy to show up for your child every day so that that child learns to feel safe with you, cared for, and loved.  If you don’t have that ability for your child, then you’re going to be suffering with problems further on down because your child develops anxiety, sleep issues, all those things.

Alyssa:  And what do you mean, develops from serve and return?

Deb:  Babies mimic what we do to them, the cooing, the eye movement, hugs, kisses.  That’s serve and return.  When you’re munching on your baby and nuzzling, that actually builds their neural circuitry and helps them feel safe.  It’s a normal part of development.  We used to think that babies got all their neurons and they were never going to get another one after they were born, and what you had, if you didn’t use, you would lose.  There’s a little bit of truth to that.  What gets paid attention to develops, and what doesn’t eventually kind of gets pruned away.  There’s a process actually called pruning in the brain.  But we know that neural circuitry actually develops now from our experiences and the things that happen in our world around us, so you want to create that loving, safe environment for your baby, and if you come home stressed out and you have nothing else left to give, are you doing the right thing for that child?

Alyssa:  So zero to three is really, really important?

Deb:  Very important!

Alyssa:  Into my brain is popping this video I saw where a mom gives a sad face or a mad face and the baby mimics that.  There’s an actual study, and I’m forgetting the name of it.

Deb:  I don’t know that particular study, but the Center for Child Development at Harvard does a lot with that serve and return, and they actually have a campaign going right now.  I’ll post that link on my website, and you can look at that if you’re interested.  Lots of wonderful videos about how the brain develops and why that’s so important.  Back to the mom: trying to figure out what she can do within her day to recharge her batteries is super important.  Actually, I just met with a mom this morning.  I think her little guy is four, and then she’s got one that’s maybe two.  And she said that they just went through a period of stress where their family dog was sick, and they had some financial issues, and their older one started acting out.  My question to her was, and what was going on in your household?  She said it was chaos, and then she looked at me and goes, oh, crap, he saw that, didn’t he?  So yes, that is exactly what happens.  And their job is to build a relationship with you, so if you can’t be present, they’re going to act out because they’re trying to get their needs met.

Alyssa:  They notice everything.  My daughter is six, and nothing gets by her.

Deb:  I think I saw a picture with her meditating someplace when you were off, and I thought, wow, Alyssa, that’s awesome.  What a great skill to teach your child!

Alyssa:  Well, it’s amazing even in schools now; I think they know the importance of this.  They’re teaching yoga.  They’re teaching mindfulness.  They’re teaching meditation.  And even if it’s only once a week — I never had that as a kid.

Deb:  Well, and when it becomes part of what we do as our daily practice, it becomes easy.  It becomes habit.  So then it’s not like you have to spend all this time on self-care.  You have it integrated into your day.  That’s really my job; to teach you how to discover all these different practices that might speak to you because what you love isn’t necessarily going to be what someone else loves.  Figuring that out, and then how do you work that into your day, and how do you sustain that for long term?

Alyssa:  That’s the hard part, especially as a mother.  My days are never the same, so I would love to be able to say, from 9:00 to 10:00 AM every day, I’m going to do this.  Doesn’t happen.  I mean, on top of that, I’m a business owner, too, right, so the day just gets more hairy.  But having someone say, okay, well, let’s figure out something that can work for you.  If you can’t do it at 9:00 today, let’s do it at 8:00.

Deb:  The newest research that’s out there is that you should start your day with that practice before you even hop out of bed, and my favorite go-to is a guided meditation.  It’s the thing that always made me feel really good, and it’s the thing that I teach because I love it.  There’s lots of them on YouTube, and the cool thing about YouTube is you can pick the amount of time that you have.  Maybe today you have five minutes, and tomorrow you have ten, but building that and scheduling that into your week.  And then because there’s so many different ones, you could pick the rate of speech, the kind of voice.  Like, I have one that I love at night.  It’s an Aussie guy who does a sleep thing that’s maybe 26 minutes.  I’m never awake by the end of that.  I usually wake up the next day and it’s still frozen on my iPad.  It’s wonderful.

Alyssa:  For someone who has never experienced a guided meditation, you could choose some with or without talking?  Or do they all have talking?

Deb:  A guided meditation typically is something that helps cue you by voice to pay attention to your body in the here and now, and there’s all different kinds of scripts out there, but for someone who’s just beginning, I think a breathing thing, a couple minutes of breathing, is really good, and then after you get comfortable with that, you can explore.  We know that the brain needs 10 to 20 minutes of that prime-timing in the morning, but truly, any time you can do 30 seconds or more with focused attention on that effort, it’s still beneficial to your body.

Alyssa:  My Apple watch actually does that for me.  It will tell me when to breathe.

Deb:  Yeah, it has a breathing app.  Perfect.

Alyssa:  So that alone, if I do it — most of the time, I’m somewhere that I can’t do it and I just dismiss it.

Deb:  If I was working with you to coach, I would talk about what you already have in place, and we would work on building that.  How could you work that into your day, and really, even if you’re in a meeting, you could excuse yourself, go to the restroom or whatever, if you were that committed, or reset your watch or program it so that it works around your meetings.  Those are all things that you can integrate into your day.

Alyssa:  I love it.

Deb:  It’s easy.

Alyssa:  I mean, it is.  We just find excuses of why we can’t or shouldn’t.  I just feel like we’re always full of excuses.

Deb:  Well, I think that’s what I’ve appreciated being part of this stress mastery educator process.  Heidi is wonderful at being able to package things in a way that are easy and doable.  Three steps to getting your stress mastered: assess, appreciate, adjust.  Figure out where you’re out; appreciate what you can learn; and then those tools to adjust.  And then the BFF model, so yeah, being your own best friend, but it really stands for breathe, feel, and focus.  It’s really that simple.  We make it difficult because we think it’s this thing that has to take a lot of time.  What takes time is changing the habit, but once it gets integrated, then it’s easy.

Alyssa:  And then coming full circle here, working that in to your daily practice and having your children see that as part of your practice, right?

Deb:    Yes.

Alyssa:  Because then they are like, oh, this is just something we do.

Deb:  Yes.  Last week, I actually taught teachers how to look at their own stress, a group of 20, to look at what was happening, and they got to choose the track that they wanted to be in, so at the start of the two days that we were together, why are you here?  My mother in law is driving me crazy; I need to figure out how to get hold of my stressor.  At the end of my day, I have nothing left for my family.  Starting with the ACEs piece that we talked about and recognizing how they developed the way they look at stress.  What were the patterns?  What are their triggers?  It was really beneficial for them.  Many of them have ACE training otherwise in their classrooms, but they don’t know how to apply it to their own lives.  I mentioned that puzzle piece for me.  That was it.  Okay, now that I understand how I developed it, now I can shift because I can appreciate how I got where I am and make those adjustments.  It makes it a whole lot easier than someone saying, oh, I have to do these ten things today because I have to manage my stress.  At the end of the two days, it was so fun to go around in the circle and to hear them say what they learned about their own issue and what their one takeaway was going to be and how they were going to integrate it.  You can throw out everything you’ve done and say that you have to start with ten things, but the reality is, we don’t have time for that, and it needs to be graduated.  You start with one thing, two things, three things, and pretty soon, you start to feel the shift, and then you’re motivated to do the rest of the work.  So yes, they’ll go back and model that, hopefully, for their students.

Alyssa:  For their classroom, yeah.

Deb:  I taught some interventions, some Tai Chi interventions, moving meditation, breathwork, short meditations.  You don’t have to come up with all the stuff on your own.  There are tons of resources out there.  My job is to just share those resources with you and have you pick what you want.

Alyssa:  Tell us how people find you.  I know you have a website.

Deb: Yes, and you can follow me on Facebook.  Deb Timmerman is my name.  I’m on LinkedIn.  Same thing, Deb Timmerman, RN.  And then on my website.

Alyssa:  And people can find you there?

Deb:  They can find me there.

Alyssa:  Ask questions?

Deb:  Ask questions!

Alyssa:  And set up a consult?

Deb:  Yep, sure can!

Alyssa:  Is it just kind of like booking an appointment?  And what do appointments look like — 30 minutes, 60 minutes, 20 minutes?

Deb:  I typically offer an assessment or at least a meet and greet first to find out if we’re even compatible in working together.  That’s usually a 30- or 45-minute, either online; we can do a Zoom call, or we can meet in person if you’re local over coffee, and finding out what your goals are.  What is it you hope to learn?  Why did you call me?  What’s your reason?  What’s your motivation?  And then I would recommend, based on that appointment, what I thought was a good strategy for us and how long that might take and what that would cost, and then we would work together.

Alyssa:  Excellent.  Are you covered by insurance or not?

Deb:  We are not at this point covered by insurance, but I think that’s going to change because there is a big shift with all this ACEs movement, and they’re all getting on board.  Yeah, but in terms of investment, I think — my job isn’t to stick around forever.  It’s to give you those tools so that you can go on your own, and if you need a little check-up now and again, that’s easy to do.  We offer all kinds of online resources for people, and a podcast.  There are medications on there that you can do.

Alyssa:  What’s your podcast called?

Deb:  It’s called Mindful Moments.

Alyssa:  How fitting!

Deb:  Those podcasts, there’s always a little nugget of information.  Usually, they’re short, 7 to 8 minutes, but there’s a couple that are 20, like if you need a longer relaxation and have time.

Alyssa:  I will have to look it up myself!  Thanks for sharing!

 

Stress Mastery: Podcast Episode #85 Read More »

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!

 

Preparing Your Body For Pregnancy: Podcast Episode #84 Read More »

HypnoBirthing Story

Maddie’s Birth Story: Podcast Episode #83

Our listeners love hearing a positive birth story.  Today Maddie, a previous HypnoBirthing and Birth client, tells us all about her labor and delivery as well as her experience in the hospital right after having her baby.  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 my former birth client, Maddie, and we’re here to talk about her personal birth story.  Welcome, Maddie!

Maddie:  Thank you.  I’m glad to be here!

Kristin:  So we talked a little bit about why you chose HypnoBirthing in a previous podcast, so tell us about your birth story.  How did you know you were in labor?  Give us all the details.  I was lucky to be there!

Maddie:  Yes, it was wonderful to have you there!  I went into work on a Wednesday, and I was due July 18th, and it was July 13th.  For some reason, I just kind of thought, oh, I’ll know.  It’s not going to happen yet.  I went to work; I had a normally-scheduled weekly appointment with my midwife.  I went at 10:30, and I had been kind of grouchy all day and just felt a little off but did not think about it at all.  I’d been having practice labor for a few weeks, so I really wasn’t noticing anything different.  I went to my appointment and sat down, and she said, how are you feeling?  And then I started bawling. I said, “I just feel so confused by my body!”  And she was like, well, let’s just take a look.  How about we just take a look, and so she did an exam, and she said, girl, you’re six to seven centimeters!  And I was like, what?!  And I started crying again, and then I said, but what does that mean?  Even though I’d been through HypnoBirthing; I knew what it meant, but it was just so unexpected.  I was so far along already.  She was fantastic; she was so wonderful, and she said, well, it means you’re going to have a baby today.  Go have some lunch.  So I called my husband.  He was working, and I told him I was six to seven centimeters, and he said, well, what does that mean?  And I called my mom who was coming, and she said, but wait; what does that mean?  So we were all pretty taken off guard because it wasn’t like I had woken up and said, oh, you know, I think something’s happening.  No one was really prepared.  Hey, I’m six to seven centimeters.

Kristin:  Right, I couldn’t believe it when I got the call.  I was like, what?!

Maddie:  Yeah!  I went and got some lunch and drove myself to the hospital and parked on the fifth floor of the parking structure and waddled in.  You showed up; you were the first one, and we went up to the room.  Fortunately, since I’d already had the exam, I didn’t have to go through and wait for 20 minutes for them to monitor me or anything.

Kristin:  That’s so nice to skip triage and go right up.

Maddie:  We went up the room, and it was not bad for a really long time.  You know, my body was doing a lot of the work as far as maybe turning the baby or getting more effaced.  Having done HypnoBirthing, I knew that dilation is not the only factor that you need to pay attention to, so I was able to just kind of relax and say all right, it’s going to happen when it happens.  You were there; you did a lot of hip squeezes for me, which was really fantastic for that counter pressure, because I was having back labor.  My husband is not able to do those with his wrists, so that made a huge, huge difference.  And we just kind of hung out, and I listened to my HypnoBirthing, and I listened to some relaxing music.  My appointment was at 10:30, and he wasn’t born until 10:45, so it was a while, but…

Kristin:  But for a first-time mom, it was pretty quick, and it’s one of the few calls I get in the daytime hours.  Most of the time, I get a call at 2:00 AM or 11:00 PM.

Maddie:  Right!  Things started to get ramped up some, and then I started noticing it more, but none of it was overwhelming.  One thing that we talked about in HypnoBirthing was breaking the amniotic sac.  That’s protection for baby, so I didn’t want to do that; didn’t really feel like there was any reason to.  The contractions really weren’t bad.  The surges weren’t overly painful or overwhelming, and so my midwife worked her full day at the office and then came in.  She checked me again quite a bit later, and then she did accidentally break the amniotic sac, and then after that, things got pretty intense.

Kristin:  Yeah, that can intensify a lot!

Maddie:  Yeah! I think from the time my water broke until the baby was born was about 2 hours and 45 minutes, so doable.  I spent a lot of the time in the tub, and that felt really great.  My husband was able to just use the hand shower, and having that, the different points of pressure, I think kind of helps take your mind off of it to some extent.  The water makes it a little less intense.  I really liked to be in there.  Then we got out, she said she wanted to check me, and I was Group B Strep positive, so they wanted to do another round of antibiotics.  That had been one thing that, when I found out, I was super devastated, because I wanted to labor at home for as long as possible.  I didn’t want to have to come in before six centimeters, and we had me the plan that if I came in and I wasn’t six centimeters, I didn’t want to know what I was at.  But I would just not go home.  You could know; my husband could know, and then we could make the decision.  Let’s walk around a little bit or just not be admitted.  But because I was already six to seven centimeters, when I was checked, we went right in after I got lunch.  We went right in and got admitted, so I was able to get those antibiotics in.  Once she checked me again and broke my water, it got intense.  It was really just — I felt very internal.  You know, it was not a lot of talking, and it was — I think right after it broke, I kind of got to that point where I was like, oh, no.  I can’t do this!

Kristin:  Which most women go through with unmedicated births.  Transition!

Maddie:  Right.  However, as soon as I had that thought — I have a distinct recollection of, oh, no, I can’t do this.  No, wait – that means I’m really close.  That means I can do this.  And so then I really tried to just focus on my breathing, because we’d talked about that and learned and practiced about getting those breaths in.  And I did end up struggling with that, but having you, having my husband, having my midwife all saying, all right, this is the birth you prepared for.  You can do this.  Just take those big breaths.  Breathing and focusing on those voices helped me to kind of get back on track, get it under control.  We tried a lot of positions for delivery, which that was one big thing.  I had changed providers pretty early on from an OB who said you’re only allowed to birth on your back, and I said, I want the freedom to do whatever position feels comfortable for me and for my baby and my body.  And so I ended up doing a lot of my laboring and pushing leaning over the back of the bed on my knees, and that definitely felt like the best position for me.  We tried on the side with the peanut ball.

Kristin: I remember trying a lot of different positions, and it’s all about listening to your body.

Maddie:  Right, and my body was saying, this does not feel good!  Don’t do that!  So I spent a lot of time there, and then I got to a point where I just remember feeling so hot and just, you know, put as many ice-cold washcloths on me as possible.  I was so hot, but I was just kind of getting right there to the end.  It was right at the end, and then my midwife had said, okay, I want to check you after this next surge, and so I want you to roll over.  And I already knew I was crowning, but I couldn’t really explain it at that point.  I’m like, no, no.  He’s there.

Kristin:  Right.  I feel him!

Maddie:  He’s right there!  So I did end up flipping over, and that was okay on my back, and that was fine.  What was helpful was the nurse that was there; she had said, do you want a mirror?  And I had said no, no, I don’t want a mirror.  And then she said to reach down and feel your baby.  When I could feel — he’s right there.  More than just oh, I feel it with my body, but actually touching it with your hand — he’s almost here!  That kind of gives you a little reinvigoration.  I’m right there at the end!  So I was able to catch my baby and put him right on me and do optimal cord clamping.  It was fantastic, just beautiful.  He was born on July 13th at 10:45 PM, so about 12 hours from when I figured out that I was in labor until he was born.  And it was being just relaxed about the whole process and recognizing it’s going to happen when it happens, and your body is going to do it, and trusting your body.

Kristin:  Exactly, trusting your baby and your connection with your own body and your baby, because it’s the two of you working together along with, of course, your partner and support team.

Maddie:  The very first thing I ended up saying after Charlie came out was, good job, buddy!  He was a part of it, too.

Kristin:  Exactly, babies work so hard!  They have to turn in the canal and — yeah, they’re exhausted.  You’re exhausted.

Maddie:  Exactly, there’s a lot happening.  It was beautiful!

Kristin:  It really was.  It was an honor to support you.  How did it go with the skin-to-skin time and breastfeeding as a first time mom?  Let’s talk about some of that and how you felt bonding in that first golden hour.

Maddie:  That was fantastic that I could do skin-to-skin right away.  I didn’t feel pressured to stop.  That was super important.  I did have some postpartum bleeding, and so while all of that was being taken care, not being separated from my baby was so big so I could just focus on him.  That part was wonderful.  We got all cleaned up.  The breastfeeding definitely was more difficult.  I have one side that’s inverted normally, and so baby really struggled to latch on that side, but he also struggled on the other side.  I was fortunate that Spectrum has IBCLCs on staff 24 hours a day, and so they were able to come in at 3:00 AM and focus on what’s going on, why is baby not latching.  We did end up using a nipple shield, and that was pretty demoralizing for a while.  We used it until six weeks, and I went to some Le Leche League meetings and things like that.  It really was important to have those contacts ahead of time and know where the meetings are; know when the meetings are; know an IBCLC that’s recommended in case you are having those issues so you’re not having to try to figure that out when you’re exhausted and you’re feeling downtrodden and things aren’t working.  It’s really hard to try to find that when you’re already struggling.  So having figured that out ahead of time, I was able to go to a meeting, go meet with a lactation consultant again.  We did stick with it, and then at six weeks, which is pretty common, he just kind of got it.  We got in the tub where it was warm and kind of womb-like and got rid of the nipple shield, and it worked.

Kristin:  That’s amazing that you were so persistent and it paid off!

Maddie:  Yes!  We just weaned at 2 years and 11 months.

Kristin:  Oh, congrats!

Maddie:  Yes, that was exciting.  We had a fantastic nursing journey.  If you really stick with it and arm yourself with that support system, you can do it.  I feel like so many women don’t have that support system.  My mom nursed; my sisters nursed all of their children.  Having that support system makes a huge, huge, huge difference.

Kristin:  Yeah, and like you said, just taking advantage of lactation while you’re in the hospital, even for moms who have a great first latch, to just have someone see your holds and answer any questions you might have — it’s a resource that I highly recommend anyone take advantage of, if they’re birthing in the hospital, of course.

Maddie:  Right.  That was important that they did come in.  They came multiple times to check on us and did work on holds and really understanding, you know, here’s another technique.  Here’s another hold to try if this one isn’t working, so you have those skills in your toolbox to pull out.  Okay, this isn’t working; let’s try this.  That definitely was helpful for me, as well.

Kristin:  Great!  Well, thanks for sharing your story!  Do you have any parting words?

Maddie:  I would just say to do your research.  It’s easy to just say that my doctor is going to do what’s best for me.  This is what happens.  This is how it goes.  But it doesn’t have to be.  You can be such an advocate for yourself, and you can surround yourself with other people to advocate for you so that you can get the type of birth that you want so that you have the support that you need.  Even if you have a partner that’s not able to be there in the way that you need, you can get a doula.  You can have a midwife who births in the hospital.  It’s really not different.  I know people that really think, oh, they’re not a doctor.  That’s totally different.  Just really doing your research and asking other moms who have been through it.  Moms are very willing, good or bad, to give you their advice, so get as much information as you can so that you can make your own informed decisions.

Kristin:  Yes!  Thank you for sharing your story because other women want to hear personal, especially positive, stories.  I feel like when it comes to birth, you here the dramatic or tragic.  Everyone likes to tell negative stories, and there aren’t enough positive, and a lot of women in pregnancy want to surround themselves with light and positivity.  We really appreciate you coming in!  Thanks so much, Maddie.  Thank you, everyone, for tuning into our podcast.  Remember, these moments are golden.

 

Maddie’s Birth Story: Podcast Episode #83 Read More »

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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Dr. Nave Health for Life Grand Rapids

Understanding Your Cycle: Podcast Episode #82

Dr. Nave now works with queens through her virtual practice Hormonal Balance. She talks with us today about a woman’s monthly cycle. What’s “normal”?  What if you don’t get a period at all? Is PMS a real thing?  You can listen to this complete podcast episode on iTunes or SoundCloud.

Alyssa:  Hello, welcome to Ask the Doulas.  I am Alyssa, and I’m here with Kristin.  Our guest today is Dr. Nave, who is a naturopathic doctor at Health for Life Grand Rapids.

Dr. Nave:  Hi!

Alyssa:  We were excited to meet you – what was it, a few weeks ago?  We presented to your team, and you – I was really intrigued.  Tell everyone what you specialize in as an ND, and then they’ll know why I wanted to talk to you so bad.

Dr. Nave:  I am especially excited about assisting women to reconnect to their identities, and the way in which I do that is by really looking at their hormones, their mental health, their physical health, and other aspects of their life.

Alyssa:  Do you only work with women?

Dr. Nave:  No, I do not, but my passion is women.

Alyssa:  So today you’re going to talk about cycles, and I know you have a couple specific thing about a woman’s cycle that you want to talk about, so explain what those are, and then let’s just dive in.

Dr. Nave:  Okay.  I want to talk about what a typical cycle should look like, so this is how your cycle should look if nothing is going wrong.  And then we’ll transition to talking about PCOS and what is going on with that.

Alyssa:  And what does PCOS stand for?

Dr. Nave:  PCOS is polycystic ovarian syndrome.  In medical terminology, a syndrome just means a cluster of symptoms that fit this particular diagnosis, and so with PCOS, what’s happening is that the woman isn’t bleeding or she has skipped periods, and that is due to low progesterone, which is an important hormone that allows the endometrial lining, basically, in the uterus so that implantation of the fertilized egg can happen.

Alyssa:  Okay.  So let’s talk first about what it should look like.

Dr. Nave:  Sure.  With our cycle, there are five main hormones that influence a woman’s hormonal cycle.  We have LH and FSH, which are the hormones that are produced by the brain to tell an egg to mature and to allow the endometrial lining, which is basically the build-up of tissue in the uterus that allows the implanted fertilized egg to become a baby.  So we have those two hormones that are produced by the brain, and then we have estrogen, testosterone, and progesterone that are produced in the ovary.

Alyssa:  All the time, or only if an egg is implanted?

Dr. Nave:  At specific times.  A typical cycle, in terms of what we would call the normal cycle or the optimal cycle, would be a 28-day cycle.  We have some leeway in terms of, in the medical community, how we diagnose whether it’s too long or too short, whether it be above 35 days or less than 21.  For me, I think it’s best if it’s 28 days because it’s kind of like cycle with the moon, so the lunar cycle, because it also helps with the math.  So we’ll just use 28 for the typical just for explaining what happens.  In the first 14 days, that’s what we call the ovulatory – like, the building up of estrogen.  The brain tells the ovary, by way of follicular stimulated hormone, FHS, to make one of the eggs mature.  So it’s like, hey, ovary, let one of these eggs become the mother, so to speak.  The brain does that, and then the ovary responds by allowing one of the eggs to become mature. We have multiple eggs that are responding during this time in different life stages, but the one that is the oldest usually gets picked, in terms of its life phase.  It becomes mature; the estrogen is being made by the egg itself, which allows for that ovulation to occur.  FHS tells the egg to become mature, and then the egg itself makes estrogen so the egg can further mature.  It’s a fascinating, interesting thing that’s happening.

Alyssa:  That’s during ovulation?

Dr. Nave:  Yes, so during the first 14 days of your cycle, the estrogen is building up so that the egg can fully mature.  Then what happens is that there are two types of cells that are a part of the egg.  One produces estrogen, and the other aspect makes testosterone, so those are the other two hormones that we’re talking about.  Once the egg matures and it’s released, the thing that’s left behind is called the corpus luteum, also known as the yellow body.  That then makes progesterone.  All of this is sort of happening at the same time, so we say 14 days for the ovulatory phase, but really, it’s like the brain is telling the body to make progesterone at the same time it’s telling the body to make estrogen.  It’s just that it’s at a lower level.  Until the egg is released.  You don’t really have that progesterone being made.

Alyssa:  It’s ebbing and flowing based on the day of your cycle?

Dr. Nave:  Yes, yes.  Around day 14 is when the egg is released.  It’s the highest level of estrogen at that point in time, and then the yellow body that’s left behind – the brain told the egg, by way of the luteinizing hormone, LH, to start making progesterone.  Are you following?

Alyssa:  Kind of, yeah.  In my head, that little egg is moving along, following a timeline.

Dr. Nave:  Right!  At day 14, we have the highest estrogen, and progesterone starts to climb up.

Alyssa:  And estrogen is decreasing and progesterone is increasing?

Dr. Nave:  Yeah, estrogen is at its peak; progesterone starts to spike up a lot more.  I’m grossly simplifying it, sorry!  As the progesterone is being built up – so the corpus luteum is making the progesterone because the brain told it, hey, make progesterone by way of the LH, the luteinizing hormone.  That causes, then, the endometrial lining in the uterus to build up so that implantation of the egg can happen.  Towards day 28, which is when you expect bleeding to occur – basically, the reason why bleeding occurs is that the progesterone starts declining at that point because progesterone is necessary for the build-up of the uterine wall so that implantation can happen, but if there’s no fertilization off the egg, then it basically is a withdrawal of the progesterone, and then it just sloughs off.

Alyssa:  So day number one is not the – is that the day your period starts?

Dr. Nave:  Yes.

Alyssa:  So day 28, then, is the day before you period starts?  Okay, I’m seeing the timeline in my head.

Dr. Nave:  Yeah.  Day one, when a doctor asks a woman, okay, what’s day one of your period, he or she is technically asking, when’s the first day of your bleeding.  Technically, we’re always cycling, but we consider day one the last time you bled.  That’s what the cycle should look like.  Now, when we experience our periods, even though people consider it the status quo that we experience PMS, we don’t have to experience it.  Does that make sense?

Alyssa:  The hormonal changes don’t necessarily mean that we’re going to have the mental and – becoming angry or disorganized or frustrated?

Dr. Nave:  Yeah.  Seeing those symptoms for a woman, that would indicate to me that maybe the ratio is a little bit off.  Some examples are acne or being really bloated.  Being bloated, puffy, having water retention and having really heavy bleeding – that could be a sign that the woman is experiencing what we call estrogen dominance.  Now, estrogen dominance doesn’t necessarily mean that she has high estrogen.  It could just mean that her progesterone is low and therefore throwing off the ratio so that when she’s experiencing premenstrual syndrome, PMS, she’s experiencing these symptoms, even though if it were normal, she wouldn’t have to.

Alyssa:  So you’re not saying that PMS is made up.  It’s a real thing; it just means there’s an imbalance somewhere?  It can be fixed, that you don’t have to deal with this stuff?

Dr. Nave:  Absolutely.  And the weepiness: estrogen.  Estrogen is important for our bone health, our cardiovascular health.  It’s the reason why we as women don’t get heart attacks until much later in life because it protects our hearts; it’s important for our bone health, which is why when you experience menopause or perimenopause, it’s very important to get your bone density checked.  That’s the importance of estrogen.  And then testosterone, which is produced by the egg, is important for sex drive and being able to be aroused.

Alyssa:  What happens in a woman’s body when they’re aroused that helps with implantation?

Dr. Nave:  When the woman is aroused, that allows the cervix to sort of pulsate so that when climax is achieved, the sperm can travel up into the uterus and, hey, let’s get to the egg wherever it is.  It also allows for the vaginal canal, which typically is around three inches, which sounds crazy, but it actually lengthens and stretches.  It’s a muscle that moves to accommodate the penis, if you’re having that kind of intercourse, or allow for artificial insemination in that way.  So it increases the likelihood of implantation successfully occurring.  It’s so cool!

Alyssa:  We’ll pause so everyone can visualize!

Dr. Nave:  Our bodies are amazing!  In order for conception to occur, not only do the hormones have to cycle how they should, but you have to address your mental health; are you in the space that you can have intercourse or whatever it is?  The ovary itself isn’t even attached to the uterus.  There’s a gap between the two of them, and we have chemotaxis – basically a chemical, like how your body produces the hormones, that attracts the egg to go down the fallopian tube as opposed to staying in your abdominal area.

Alyssa:  So every time you see a picture, it looks like…

Dr. Nave:  They’re attached?  Yes.  But they’re not.

Alyssa:  So they have to let go and then actually be drawn up by the fallopian tube and then into the uterus?  They’re not attached?

Dr. Nave:  No.  We have connective tissue or fascia that’s in that area –

Alyssa:  Which helps kind of push it in the right direction, probably?

Dr. Nave: Not exactly.  It’s more like it creates this compartment so that your uterus isn’t just floating around in your abdominal cavity.  We have this connective tissue that anchors it in that area so there’s less likelihood that a fertilized egg will end up outside of the uterus, which is why ectopic pregnancies are so low in terms of their incidence.  But we also have these finger-like projections in the fallopian tube that brushes the egg along.  So it’s not just the hormone that’s attracting the egg to where it needs to go and we have all these other signaling processing that are working.

Alyssa:  I’m picturing a crowd surfer pushing it along.

Dr. Nave:  We’re all supporting you!  So that’s what a normal cycle should look like.

Alyssa:  Ideally, that’s what it should look like?

Dr. Nave:  Yes, ideally, that’s what it should look like.

Alyssa:  And when a woman doesn’t have her cycle?

Dr. Nave:  When she doesn’t have her cycle, then we have to consider two different things.  Is it that she’s not bleeding at all, which we call amenorrhea, or are there greater than 35 days between each cycle, in which case we call that oligomenorrhea, or many menses, technically.

Alyssa:  It seems like it would be the opposite because there’s a big space between.  But either way, it’s a problem, and that will help determine how you treat it?

Dr. Nave:  Yes.  And so if it is that a woman isn’t bleeding, as in amenorrhea, then we have to consider why is that the case.  Is it that she’s pregnant?  That would be the first thing to assess.  Is she pregnant?  Okay, she’s not.  What exactly is going on?  One particular condition that I’ve been hearing or rather seeing more women experience is called PCOS.  We mentioned it earlier, that PCOS stands for polycystic ovarian syndrome or Stein-Leventhal syndrome.  Basically, what’s happening is that instead of the progesterone going up around day 14 to day 28, instead of it increasing, the body is changing it into another type of hormone.  Just to give you some context, our bodies use cholesterol to make all our steroid hormones, which are all our sex hormones as well as cortisol.  Our bodies use the cholesterol and then turn it into pregnenolone which is like the mother of all of those hormones. Pregnenolone can then become progesterone. It can become testosterone.  It can become estrogen, which we have three different types of estrogens, or it can become cortisol.  In PCOS, what’s happening is that instead of the pregnenolone going down to becoming progesterone, it’s getting turned into either testosterone, estrogen, or cortisol.  A woman who potentially has PCOS or has been confirmed with that diagnosis – in addition to having amenorrhea, for her to be diagnosed with it, she also has to have two out of three symptom criteria.  We have what’s called hyperandrogenism, which is high testosterone, and some of the symptoms she could experience would be cystic acne or hirsutism, which is just a fancy term for hair in unwanted places, like coarse, thick hair along your hairline or along your breast or in places that aren’t typical areas that you have hair distribution.  That’s one, and then the amenorrhea that we talked about, and the last one is seeing cysts.  The only way that we can really assess if there are cysts in the ovary is if we do a transvaginal ultrasound.  I say we, but not me, but the actual tech would do that for you, and basically, they place a probe inside the vaginal canal, and they use an ultrasound on top of the abdomen to visualize if there are any cysts in the ovary.  The reason why we get the cysts – to back up again to looking at the cycle, instead of the egg being released, the egg just stays there, because you need the progesterone to tell the egg, hey, release.

Alyssa:  It stays where?

Dr. Nave:  It stays in the ovary.  And then in the ovary itself, you have all these eggs that look like they’re just about to release, but they end up forming what’s called a cyst.  It can be fluid filled.  Cyst is just a fancy term for a ball, kind of.

Alyssa:  I didn’t know a cyst could be an egg that didn’t move.

Dr. Nave:  That didn’t move, yeah.

Alyssa:  So when people say they’ve had ovarian cysts burst, it could be an egg that didn’t move?  Could be, doesn’t have to be?

Dr. Nave:  Could be, doesn’t have to be.  It could just be fluid.  But in the case of PCOS, it’s like the ovary doesn’t release the egg, so it becomes mature, kind of, but not to the point where it actually releases because we don’t have any progesterone, or there’s minimal levels of progesterone so that if and when a woman experiences bleeding, if she has PCOS – so long cycle or no bleeding at all – in the long cycle aspect of things, there’s no egg.  It’s just blood or tissue that got to build up a little bit.

Alyssa:  So the egg still is stuck in the ovary?

Dr. Nave:  Yes.  I mean, you could have some release at some point if her progesterone can get high enough that that can occur, but it’s kind of scattered.  You can’t really track it per se because it’s insufficient.

Alyssa:  So she’s having them, just not – I guess 35 days instead of 28 – wouldn’t most women just go, oh, that’s no big deal; I just have a long cycle?  What are the other symptoms?  What else would they see?

Dr. Nave:  She could have the symptoms of PMS but never actually bleed.  So she’s still cycling, because remember you’re still cycling, always, whether you bleed or don’t bleed; the hormones are still doing their thing.  She can experience the PMS symptoms but not bleed, which means that she’s not able to get pregnant.  And even if you don’t ever want to get pregnant, our uterus is what I like to call an emunctory.  An emunctory is basically an organ that our bodies use to detox or remove toxins.  If we are not bleeding, that means those hormones are getting reabsorbed into our bodies, which for a woman, if she’s estrogen-dominant, it basically reinforces the estrogen dominance because she’s reabsorbing it in her intestines, which makes the symptoms to get worse.  Because to get rid of our hormones, once they’ve done their thing and we’ve shed our lining and we bleed, the other way in which we get rid of our steroid hormones is by poop.  So if you’re not pooping, then…

Alyssa:  Is that another symptom or side effect?  Is that a cycle issue, or not?

Dr. Nave:  It could be a cycle issue.  One of the symptoms that women sometimes experience is when they’re on their periods, either they’re constipated or they have really loose stool, and that’s because of hormones.

Alyssa:  They call it period poop, and I never knew why.

Dr. Nave:  Yeah, it’s because of the hormones.

Alyssa:  So it’s normal?  If you’re having a regular cycle and you have a day of poop that’s not normal, it’s just your hormones?  That’s normal?

Dr. Nave: Normal in the sense of it’s to be expected with what you’re experiencing, yes.  Other things that can happen with PCOS, and this is not with every woman, is that some women gain weight.  Some don’t.  For a woman that does gain weight if she has PCOS, what’s happening is that the body is converting the progesterone into cortisol.  And cortisol is the hormone that affects our sleep-wake cycle.  So when you first wake up in the morning, the reason why you’re fully awake is cortisol.  It spikes at that point.  What happens when we’re under a lot of stress, or if you have PCOS, our bodies are making a lot more cortisol, and that cortisol allows for the breakdown of stored glucose and the conversion of other proteins and fats into glucose.  This issue with that happening for prolonged periods is that the woman can experience what’s called insulin insensitivity, so her body is no longer able to respond to insulin, which means that when she eats, then she can’t stabilize her blood sugar, which means that the sugar stays longer in the bloodstream, which causes damage to small blood vessels and nerves, which is what happens in diabetes.  That’s why for a woman with PCOS, having metformin might work, which is why some doctors place a woman with PCOS on metformin to increase her chances of conceiving.  It’s not just the hormones that affect your cycle; hormones influence every aspect of our lives, from the moment we wake up and take our first breath to the moment that we pass on into the next life.  It’s this orchestra that each hormone has a part to play and influence each other in term of how effectively each part is able to do their part.

Alyssa:  So let’s say I came in and I had questions about my cycle.  What’s the first thing that a woman could expect?  Bloodwork?

Dr. Nave:  The first thing I would want to know is what labs she’s already gotten done.  Has she gotten her thyroid checked?  And when I say thyroid, I don’t just mean THS because THS is just your brain telling your thyroid, hey, make the thing.  It’s also looking at the levels of the thyroid hormones because you have two types of those.  You have free T3 and free T4.  Their ratio is also important.  So thyroid function; CBC, which just stands for a complete blood count.  It’s checking for anemia, because that could be another reason for amenorrhea.  You may not be bleeding because you’re iron deficient.  And then I would also want CMP.  That’s a complete metabolic panel, and that looks at the kidney and liver function, which are affected if blood sugar isn’t being regulated effectively.  On the CMP, there’s also a fasting blood glucose on there, so that would be something to look at.  I would also want to review her symptoms.  What symptoms are you experiencing?  Are you experiencing acne?  Are you experiencing bloating and irritability on your menses?  Do you experience depression on your period?  There’s also the consideration that we have PMS, and then we have PMDD, which is premenstrual dysphoric disorder, which is basically PMS on steroids.  It’s like the cycle overall is so horrendous that the woman can’t go to work.  It’s affecting her daily life, affecting her mental health.  She’s more depressed on her period, more irritable, or really angry, or in so much pain that she can’t leave her home.  Looking at her as a whole person is what I’m about.  And she’s the expert in her experience, right?  She knows what it’s like to walk in her body, to experience these symptoms, how they affect her life, and then both of us taking our expertise to work together to get to the root of why this is happening and give the body the tool that it needs so it can rectify it.

Alyssa:  You just reminded me that I need to make an appointment with you.  I remember when I met you the first time, I was like, yeah, I need to see her, because not only have I turned 40, but I know my hormones are changing.  My periods are changing.  Just weird things happening.  So how do people find you?  What’s the best way to get ahold of you?

Dr. Nave:  I am at Health For Life Grand Rapids, and you can check the website and look for my page.  There’s a 15-minute free meet and greet and consult, so we can see if we’re a good fit.  I can hear about your concerns, and you can get the cure that you need.

Alyssa:  I love it.  Thank you so much for joining us.  We’re going to have you on again, and we’ll talk about some other intriguing topics.  Again, thanks for tuning in. This is Ask the Doulas Podcast; you can always find us on our website and on Facebook and Instagram.  Remember, these moments are golden.

 

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HypnoBirthing Story

Maddie’s HypnoBirthing Story: Podcast Episode #81

Today our former birth client and HypnoBirthing student, Maddie Kioski, tells us her personal pregnancy journey using HypnoBirthing and how it helped her feel excited about labor and delivery instead of scared.  You can listen to this completed 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 Maddie Kioski.  She is a former HypnoBirthing student of Gold Coast and also my birth client.  Good to see you!  It’s been a while.

Maddie:  You, too!  It’s been so long.  We just had the third year birthday for Charlie, so three years!

Kristin:  That is so amazing!  I love following all of your adventures on Facebook.  So, Maddie, let us know a little bit about your HypnoBirthing experience and why you chose HypnoBirthing and what it did for you.  We’ll have another episode coming up about your actual birth story, but this is focused on the class.

Maddie:  I’m lucky to have two older sisters who were very instrumental in that they both researched natural birthing and all of that, so before I ever got pregnant, I was kind of familiar.  The middle sister took a HypnoBirthing class in Atlanta, so when I got pregnant, I knew I wanted to go for a natural birth, so I started researching in our area.  I found you guys, and I found speed-dating with the doulas, and so I was like, oh, perfect.  And I saw you guys did the HypnoBirthing classes, so once I came and met you guys, I was sold.  I knew for sure this is what I want to do.  So my husband and I did the weekends class, so we had just longer weekend classes.  When we started, he was not totally sold on it, but he said, well, if you want to do, then of course we’ll go and we’ll do it together.  I actually really enjoyed having the weekend class.  For me, it was a long period instead of the shorter periods; you could really focus on it and really get in depth.

Kristin:  Did you do any preparation knowing that it was a very time-intensive class versus being spread out for five weeks?  Did you read the book in advance?  Did you do any preparation?

Maddie:  I didn’t.  We came to the class, and then we would read after class on the way home; we’d read on the way to class, and then we’d do some in the interim before the next week.  I just knew this is what I wanted to do.  I can’t remember; I think I was maybe five months when I started.

Kristin:  That sounds about right.  Yeah, I remember there was some time before your due date.

Maddie:  Yeah.  So we started listening to the rainbow relaxion every night.  It was weeks before I even knew there was a rainbow in it; I just fell asleep every time.  But my husband listened to it every single night, so he was pretty familiar.

Kristin:  It’s good to fall asleep to.  It means that you’re getting in that fully relaxed state.

Maddie:  Right.  So I think what was really, really helpful for me in the classes was reframing how you think about birth.   That was really helpful for me.  Instead of saying Braxton-Hicks, it was practice labor.  This is natural and normal and healthy; really understanding that trusting my body to do what it needed to do; trusting my baby, that he was going to be able to do what he needed to do.  Reframing all of those words was really, really helpful for me.

Kristin:  Yeah, I’m all about the impact of language.  Even the contraction; you think of it being intense and tightening up, but in labor, you want to be relaxed or it’s just going to be more uncomfortable and take longer, so calling it a surge, for example, and viewing the wave-like motion of labor.

Maddie:  And I also think what was really helpful for me is understanding what’s actually happening with your body and the different phases and knowing — I felt very internal when I was going through it, and so knowing what was going to happen and having learned about all the physical physiology, hormones, and all of that — I felt was really helpful to just kind of put my mind at ease and feel more prepared about what was going to happen and what I could expect.  And I think being able to relax and feel more relaxed about it also let me feel a little free with, if something doesn’t go exactly how I want it to go, that’s okay.  We have another plan.  We know if it’s an emergent situation, things are going to have to change, but feeling more relaxed about the birthing process allowed me to feel relaxed about letting go of exactly how things were going to happen.

Kristin:  Right.  And there are some misconceptions about HypnoBirthing only being for home birthers.  You birthed in the hospital?

Maddie:  Yes.

Kristin:  And you were able to apply what you learned in class?

Maddie:  Absolutely.  I took an old phone with me and I had my rainbow relaxation, and I had some other music on there and the affirmation track, and so I was playing those while I was at the hospital.  Even just something like keeping the lights down low to allow a more relaxed atmosphere, to allow your hormones to really react to the calm environment rather than bright lights and people coming in and out.  I mean, you can change your environment when you have the knowledge of what it should be to help your birth go more easily.  So that was helpful.  And I was fortunate to go to Spectrum Butterworth, and you can labor in the tub there and all of that, and they have a lot more training as far as helping women through a natural birth.

Kristin:  Yeah, your provider makes a difference; a supportive hospital and their policies and procedures make a big difference in being able to achieve HypnoBirthing in the hospital.

Maddie:  What was helpful as well: I did do a lot of research as far as who I wanted as a provider and selecting a provider that you guys have worked with a lot and a lot of other moms in the area have recommended, so they were more familiar with HypnoBirthing, too, and they understand it more and understand what a natural birth looks like.

Kristin:  And it can be much different to observe someone who is internally focused if a provider is not familiar with HypnoBirthing.

Maddie:  Right, exactly, and not feeling forced to respond and explain what’s happening and just allowing your body to do the work that it needs to do, allowing your baby to do the work that they need to do.

Kristin:  Exactly.  Was there anything from the class that didn’t sit with you?  I always say, take what you like from a class or experience and then discard the rest.  Was there anything that didn’t resonate with you immediately?

Maddie:  I responded well to a lot of the self-hypnosis kind of techniques, but we didn’t end up really using those a ton when we were actually going through the birth process.  We did a lot of focusing on breathing because that’s where I really ended up struggling was just calming down and getting those deep breaths in and having my husband understand what needed to happen; understand I needed to be breathing to get that oxygen in for baby, too, and help calm my body down.  He was a fantastic birth partner.

Kristin:  I remember that about your birth, for sure.  He’s a very supportive partner.

Maddie:  He was really involved, and we felt really connected after, so that was beautiful.  And I know some people did a fear release, and for me, that didn’t really work, I feel like, as well for me.  I think it would be really helpful for some people, but my main concerns were that I get migraines, and they’re really bad, and I’ve had kidney stones and they’re really bad, and so I felt like, oh, man, if I can’t handle those, am I going to be able to do a natural birth?  So I think what helped more was just understanding how the birth process works, and then I talked with some other moms who also struggled with those same health issues, and they were able to help calm my fears, as well.  Understanding that your body is putting out all that love hormone; you’re not going to be getting a migraine.  Your body is protecting you from that; it’s focused on what needs to happen.  So the actual fear release part, I didn’t really use that as much.

Kristin:  And one thing about the HypnoBirthing class that’s helpful is you work on your birth preference sheet or birth plan.  Was that helpful in having discussions with your providers during your pregnancy?

Maddie:  Extremely helpful.  I think it was almost more helpful for my husband and I to kind of give us a guideline of what we need to focus on.  With HypnoBirthing, we had informed choice, really; here are evidence-based articles that you can read about these certain preferences that you can choose from.  That was helpful for us to talk about.  My providers were so wonderful, though; I just kind of was like, well, here’s my sheet, and they were like, yep, these all look great.

Kristin:  Whatever you want!

Maddie:  So that was helpful.  But I would say I had a shift change, and so I think what would have been helpful that I didn’t realize was making sure, when we did that shift change, that the other nurse made sure to read the birth preferences.  I had put on there that I didn’t want coached pushing, and so when she came in, I don’t think that she had really read it necessarily, and so then they were pretty focused on that.

Kristin:  That can be challenging, the timing.

Maddie:  I was just trying to block that out.  You were helpful, and the midwife and my husband were all talking about breathing and getting those breaths in, and that was helpful.

Kristin:  Great.  Any other tips or advice for anyone considering HypnoBirthing?

Maddie:  I think it was so helpful and such a bonding experience that I feel — I felt prepared and I felt excited to give birth.  I think so many women go into it feeling scared and saying, give me drugs; they just feel from the beginning that I’m not going to be able to do it.  And after going through HypnoBirthing and really understanding the process, understanding and getting to a point where I trust my body and trust my baby; it’s natural; it’s normal; it’s healthy.  I was so excited!  I was so excited to go in and give birth.

Kristin:  I could tell that; I could see it and feel it.

Maddie:  And you can know, okay, it’s not going to be a walk in the park, but it was beautiful, and I feel so fortunate to have had such a wonderful first birth experience.

Kristin:  Do you use any of the breathing or relaxation techniques in general life or parenting?

Maddie:  I do, actually, do a lot of deep breathing when I feel frustrated and I need to take a step away and focus internally; do some breath depths; focus on a relaxing color.

Kristin:  I do that with my kids.  I get them to use HypnoBirthing and the birth breaths and the relaxation.  For me, I have a fear of the dentist, so I’ve used it at the dentist!  Yeah, it’s very helpful.  Well, it’s so good to have you on, and we’ll talk about your actual birth story shortly.

Maddie:  I’m excited!

Kristin:  Thanks for listening to Ask the Doulas with Gold Coast Doulas!  Remember, these moments are golden.

 

Maddie’s HypnoBirthing Story: Podcast Episode #81 Read More »