I am the founder of Birth Coach Method and am celebrating 20 years of leadership in the field of childbirth support. Throughout my career, I have been honored to provide doula support and teach childbirth ed. classes to hundreds of expectant couples, as well as to direct two birth resource centers. I am also a doula leader in my community in the South Bay area of Silicon Valley in California.
“Impression without Expression Causes Depression. Study without Service Leads to Spiritual Stagnation”. I recently came across this saying by Rick Warren, and it has reminded me of how depressed I was some years ago. I was feeling that my birth support practice is no longer impactful, nor sustainable. I wanted to quit because I found it impossible to provide the service I was trained to provide. As a doula trainer, it made me think of all my lovely doula students who had never established a doula practice or served birth givers because they found it to be irrational in its demands and not sustainable. This is not longer the case. I was blessed to reinvent and reclaim my passion for birth support by developing transformational birth support coaching. The miracle grew even bigger when my students began offering transformational birth coaching exclusively, without being hired as a doula. Some decided to stop providing doula services completely. Naima Beckles is one of them. Soon after Naima graduated from the course, she wrote to me thanking me for the inspiring training and shared that she was now exclusively coaching birth clients. I felt inspired and interviewed Naima to learn about her professional revival.
Pregnancy and childbirth are the most profound experiences in human lives. It is the utmost transformation. However, in our culture, the conversation about these meaningful experiences has been reduced to one topic: labor pain – the fear of it, coping with it, and praising or cheering those who succeeded to avoid it and had a ‘Natural Birth’. The cultural idealization of those who gave birth using no pain medications has had its emotional toll on birth givers. A 2018 study found relationships between an increased chance to develop postpartum depression when birth givers took epidural to alleviate pain in childbirth and did not meet their goal to avoid it. These birth givers experienced “negative emotions related to unmet expectations or a sense of personal failure”. These findings suggest that decisions about coping with labor pain have social and personal values attached to them, presenting individuals with ‘The Epidural Dilemma’. This dilemma is fervent and can be navigated with coaching strategies.
The psychological birth of a mother, similar to adolescence, involves hormonal and identity shifting.
Listen to my interview with Maureen McGrath where we discuss Matrescence January 24, 2021
Throughout this profound identity transition, an expectant individual undergoes an average of about 13 doctors’ appointments during pregnancy, 3 urine tests, 4-5 blood tests, 4 ultrasound tests, 2-3 vaginal exams/swabs, and 2 monitor exams. That is if they are healthy, give birth before or on their EDD, and do not need further diagnostic or screening exams. Then, they will go through the childbirth experience. An experience in which the transparent fabric of one’s routine is disturbed by pain, fear of death, and temporary loss of control. Their body expels a new human being while they are under the care of medical caregivers – most of them practice from an “expert” position. This abundance of encounters with medical maternal healthcare providers amplifies the neglect of expectant individuals’ emotional state and mindset during this profound transformation. Not even one behavioral assessment is routinely recommended for this individual. Instead of focusing on individuals’ well-being and mental health as they transition to parenthood and prepare for the profound transformation of childbirth, maternal caregivers and researchers tend to focus on how the baby is doing.
As a seasoned birth support professional, I have witnessed the maternal care system implementing so many new procedures and clinical policies over the 23 years that I’ve practiced. Since 2010, new reforms in maternal care associate the quality and safety of care with the increase in vaginal birth rates and the reduction in cesarean rates. However, the origins of obstetric gynecology lead maternal care policymakers to search for new clinical reforms to resolve a problem that may have originated somewhere else. I believe that none of these reforms will be able to achieve the three major principles designing safety of care: patient- engagement,patient-centered care, and partnership among patients, their family members, and their medical caregivers.
When doulas provide prenatal coaching sessions they can help clients be better prepared for the birth of their child and demonstrate a higher level of accountability for their childbirth experience. This is not done by means of education. Prenatal coaching goes beyond teaching and delivering evidence-based knowledge.Its purpose is to help couples discover hidden gaps, resistances, or inner conflicts, and work together as a team to resolve them.
Just like prenatal coaching, transformational postpartum coaching shifts the focus from helping or informing to elevating new-parents’ performance level, self-confidence, and well-being.
Most of my writing has been dedicated to pregnancy and childbirth support. During the pandemic, I’ve been thinking a lot about the challenges of new parents or parents who have expanded their family recently. I want to share how transformational coaching during the parents’ postpartum period can enhance their experience.
You can learn to empower expectant individuals to perceive their own mindset and desires as the most valuable ‘data’ their providers should focus on, by doing so yourself! Learn to provide transformational birth support coaching, and you’ll get to see them conducting themselves brilliantly and with confidence throughout their birth experience, and celebrate themselves.
During this long-lasting period of social distancing, I find myself struggling when I can’t physically support my birth clients. I began searching for new meaning or a pathway to the concept of providing ‘continuous labor support’ and was reminded of two very different states that I already explored while becoming a transformational life coach: Being and Doing. I am so used to thinking about providing continuous support as an action-oriented practice, filled with hands-on engagement. But the need to practice social distancing doesn’t allow this type of support. There may be many birth support figures who feel the same, and I hope that this blog post will serve all those who serve.
Some of the most heartbreaking news that doulas received along with the outbreak of COVID-19 was that we are banned from hospitals. Many of us were already committed to couples and families that we have come to love and care for, and with the increased level of uncertainty and fear, we knew that our clients needed us even more. As the numbers of COVID-19 cases continue to increase, it becomes clear that this crisis might last as long as a year or even more, raising a growing concern about doulas’ source of income. As upsetting and tormenting as this ban might be, the current crisis bears an opportunity; an opportunity to achieve work-life balance.