Halloween always makes me think about the spooky creatures individuals are troubled by, such as labor pain, cesarean, irreversible body changes, and dying at birth. The fear of labor pain is a common challenge among expectant persons. After all, the process of childbirth has been for centuries described as one of the most intense, physically demanding, and painful experiences a woman can go through. This perspective overshadows the excitement and joy of bringing a new life into the world. In this blog post, we’ll explore the fear of labor pain as a spooky thought and discuss ways to conquer it, ensuring a more positive and empowered birthing experience.
Pregnancy and childbirth are incredibly transformative experiences. Unfortunately, our culture has reduced the conversation about this utmost transformation to one topic: labor pain. Whether on social media, in moms’ groups, or on the playground, individuals undergoing their childbearing years’ discussions focus solely on fear and coping with labor pain. This narrow focus can make them preoccupied with deciding whether to take an epidural. It doesn’t help much that their guides, birth support professionals, also tend to distinguish between “Natural/Unmedicated Birth” and “Medicated Birth.” The first option is often idealized, whereas the latter is viewed less favorably. This can result in birth givers feeling negative emotions such as disappointment or failure if they choose to take an epidural.Since the decision to use pain relief during labor is a personal choice that has emotional and social implications, I suggest helping expectant individuals to navigate this “Epidural Dilemma” with transformational prenatal coaching,
As a doula trainer and leader of doulas’ communities on social media, I am convinced that the three most significant challenges to having your thriving doula practice are client enrollment, client engagement, and client empowerment. And if you’re open to adopting a new framework for birth support, I know I can help you achieve these three Es with ease. You can learn new strategies for Enrollment, Engagement, and Empowerment in my upcoming Three Keys to YOUR Thriving Birth Support Practice 2-day workshop.
I have shifted the focus of my birth support toward prenatal coaching and led many birth practitioners to implement this transformational coaching approach into their birth support practice. I’ve noticed five common negative mindsets that expectant individuals may hold throughout my teaching and as I coached my own birth clients. These repeating themes can sabotage birth givers’ birth experiences, even when there is no physiological or anatomical problem. In coaching, we call these negative mindsets limiting beliefs or success blockers. Regardless of individuals’ awareness of their thought processes or beliefs, those run subconsciously like a program you downloaded and installed on your computer unintentionally. And just like a computer program, these negative mindsets may change clients’ attitudes, behavior, and the decisions they make.
“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.
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.
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.
Twenty years ago, when I was nearing the end of the yearlong doula training program in Jerusalem, my trainer advised us all not to quit our jobs in favor of establishing a doula practice. Regardless of the fact that we enrolled in a yearlong program with a commitment to give 100 hours in hospital shifts, Shoshannah guided us to view the doula role in terms of community service rather than a career path.
A doula for every woman is not just right; it’s a valuable asset
This perspective is reflected in the well-known saying “A doula for every woman”, a motto I trust was carved with noble intentions but prioritizes the welfare and empowerment of only one woman – the birthing woman, at the cost of disempowering another woman – the doula. It should be noted that the topic of doulas’ monetary compensation, just like the other two dilemmas I addressed before it, has also caused some turbulences within the doula community. This can be read in Penny Simkins’ Real Talk from Penny Simkin, in which she responded to the disagreement with this motto as expressed by a ProDoula member.
This is the second blog in a series of three that I began writing in November. I am very passionate about the doula profession. That’s why I feel called to write this series before it is too late. And by “too late” I mean that I think our profession is in danger. Being a doula trainer and at the same time an approved continuing education provider for obstetric nurses, allows me to be connected and empathetic to both sides of the conflict – doula and medical caregivers. On top of listening to nurses’ pain points in their relationships with doulas, I recently have been invited to speak at a few OBGYN and midwives’ practices and heard that they are on the verge of banning doulas
Additionally, recent events confirm what I have been fearing – the current practice of doulas’ who share evidence-based information that supports better obstetric practice (while not being medically trained and bearing no liability for their clients’ health) is going to hurt us.
It puts our relationships with medical caregivers at risk.
It will lead more cities to follow New York in attempts to license doulas.
It will lead our best friends – hospital-based midwives – to ban doulas or have blacklists of unwanted doulas that they don’t trust.
It might also make it harder for us to find paying clients because they hear more and more stories about doulas who break the trust and rapport that couples have established with their medical providers.