The #MeToo Movement, Birth Activism, and the Future of Childbirth Support

Those who follow my blog and webinars know that I often question and challenge the current approaches accepted by many birth support figures. For example, I have been continuously stating in blog posts and webinars that contrary to the accepted notion,evidence-based studies do not empower women to own their childbirth experience because women base their decisions on a set of predetermined beliefs rather than the evidence. (If this idea sounds familiar to you, it’s only because you recognize it from the introduction to Henci Goer’s book “The Thinking-Woman Guide for a Better Birth”, in which she applies this decision-making process to OBGYNs). I also repeatedly urge birth support professionals to avoid the term ‘Natural Birth’, along with the idealization of the un-medicated childbirth over the choice to receive medical assistance for coping with labor. Perhaps this can explain my fascination with the debate among feminists around the #MeToo movement, and the tension around its possible outcomes.

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How I Grew My Doula Practice When No One Yet Heard about Doulas

I am not an expert in marketing. To be honest, as an introvert, I am very challenged in this field. However, as a pioneer doula in my homeland, I had no choice but to spread the concept of a doula and endlessly share the doula benefit statistics. But that was in the old days (LOL). Nowadays, ‘doula’ is a dictionary term, and all you need to do is put yourself out there as a doula. I sat down and gathered a few ideas that served me well over the years.

  1. Storytelling: Since there is no need for you to promote the profession of a doula, I feel that you’d better avoid the “doula benefits statistics” talk. Instead, try to connect with your listeners on a personal level and build rapport.

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How Doulas Can Align the Vision, Beliefs and Actions of Expectant Moms (or How to Close the Gaps? )

Doulas often feel that they are accountable for their client’s positive and healthy birth experience. While this is somehow true, it certainly does not dismiss the couple’s efforts to achieve their desired birth experience. The presence of a doula at the birth should not by itself be perceived as a guarantee to a healthy and active childbirth. When couples choose not to engage in other types of labor support and preparation activities such as pregnancy physical activity, prenatal yoga, or childbirth education classes, there is a high chance that the doula will be the only one accountable for their positive birth experience. In this case, both parties risk a complicated relationship which might involve disappointment and lead to a non-satisfying birth experience.

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Your Client Chose A Hospital-Based Birth: Now What?

Whether you are a childbirth educator or a birth doula, you know that most expectant couples you’ll teach and support plan a hospital-based birth. The statistic is that out-of-hospital births are less than 5% of all births. I trust you to be deeply invested in your clients’ well being as they prepare for their nearing birth, and that’s why I am going to teach you how to lead them with respect to their choice of birthplace. I intend to show you how to do these two things:  

  1. Recognize your client’s context around the place in which she chose to give birth.
  2. Lead her in a way that doesn’t evoke internal conflict and resistance between her choices.

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Distinguishing Truth from Myth and Fears from Reality about Labor Pain

As I was looking for more studies about the drastic increase in birthing mothers who get an epidural for childbirth, I found the following research, published by Stanford medicine, titled: Study shows women prefer less-intense pain at the cost of prolonged labor. Here is what the researchers did: ”For the study, Carvalho and his colleagues gave a seven-item questionnaire to expectant mothers who had arrived at the hospital to have labor induced but were not yet having painful contractions. The questionnaire pitted hypothetical pain level, on a scale of zero to 10, against hours of labor. The women took the survey a second time within 24 hours of giving birth. A sample question asked, “Would you rather have pain intensity at two out of 10 for nine hours or six out of 10 for three hours?” Both pre- and post-labor, women on average preferred less intense pain over a longer duration, according to results published in the British Journal of Anesthesia.”I find this study to be somewhat disturbing but revealing at the same time. It is even useful from a coaching perspective. The questions the researchers asked were misleading. Women were asked to weigh their options and choose between coping with labor pain or having a prolonged birth as a potential implication of getting an epidural. But – –  are these the real options they weigh? Is prolonged labor the risk associated with taking an epidural in childbirth, or is it a side effect that might lead to many other potential risks?

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Six Habits of Thinking that can Sabotage Your Client’s Birth

For the past six years, I have practiced prenatal coaching with my birth clients. By incorporating four to six prenatal coaching sessions into my doula practice, I was able to identify six habits of thinking, or repeating themes, which could harm your clients’ birth experiences. Whether they are aware of these thinking habits or not, these themes run like an underground stream that will find any possible crack to emerge and surface. This blog post is dedicated to these six habits of thinking and the coaching strategies you can apply to address them:

  1. Perceiving childbirth as dangerous.  
  2. Confusing discomfort with pain and avoiding both these sensations.
  3. Avoiding information that challenges her mentally and emotionally.
  4. Adopting the cultural dichotomy of natural childbirth vs. medicated childbirth.
  5. Perceiving childbirth as a project rather than a process.
  6. Confusing the unpredictability of childbirth with the inability to prepare for it.

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Insights and Reflection of a Doula of Twenty Years

This year, World Doula Week has an additional substance for me as I celebrate my 20th year practicing as a birth professional.

Yes, of course, I still support birthing mothers individually, and I wonder if I’ll ever stop. During these 20 years, L&Ds and other birthplaces have been my synagogue; where I strengthened my faith in the universe, in nature, in people, and in my body. Witnessing my clients in their moments of triumph strengthened me from within and taught me that I am a powerful force. Supporting them through low moments of pain, despair or doubt reminded me I’m a vulnerable human being. Stepping aside allowing couples to have their moments of touch, love, care, and the deepest connection we experience during birth, made me realize how precious my marital relationship is to me. I am lucky to have found a supportive partner who is an amazing father to our three daughters.

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Integrating Group Coaching into Childbirth Education

Curing the Dramatic Drop in Childbirth Education Attendance 

Recent studies found a dramatic drop in childbirth education attendance. Taking that the new consumers of childbirth education are millennials, it is not surprising. Millennials were born into the era of online information, and they are consuming knowledge on Google, Facebook, and Youtube.  Integrating coaching principles and strategies in your childbirth education classes will make you attractive and uniques. It will draw potential students that are looking for more than knowledge and information they already got online. It will magnet students who are ready for the next step of self-discovery –  clarify their belief system about childbirth, their wishes, and their goals,  and carve their desired birth experience. You will be able to lead them toward clarity and to elicit their accountability to their desired childbirth experience.

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Resolving the Advocacy Dilemma in the Doula Practice – Webinar

The advocacy dilemma in the field of childbirth support is a tough one to crack. The dilemma lies in the tension between certain components of birth support practice, such as serving and supporting, and other components such as being a change agent in our society and a birth activist. By relying on coaching principles and strategies, I suggest that you can be sure to practice within your scope of practice and to refrain from projecting or engaging any ‘activists agenda’ in your relationships with your birth clients. Coaching is the pathway to client-centered relationships and care.

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