13 Nov

Birth Plan Prompt Sheet

Birth planning is a vague science; some birth workers now refer to “birth preferences” instead, and some prefer to avoid this sort of planning altogether. I’ve found a few resources online including this comprehensive tool from the NHS, and cobbled together a list of prompts so that my clients and I can go through it together and make something that is completely tailored to their needs. I’ll be taking several copies with me to the birth!

Birth Plan

Early labour – where?

Where to give birth – MLU/delivery suite/pool etc

Who do I want to be with me?

Equipment I plan to take with me

Intermittent/continual monitoring of baby during labour

Keeping active during labour

Positions to adopt

Trainee midwives/doctors in the room

Immediate skin to skin

Pain relief preferences

Episiotomy

Third stage – active/managed

Breastfeeding

Vitamin K

Any special requirements

30 Jun

Holly’s birth story

I started losing plug Wed morning and then getting cramps late afternoon and evening. I felt really agitated and hyper all day so I just knew it was starting. We set up the birthing pool and went to bed at 1am. The pains were much worse when I lay down so I left hubby to sleep and paced around the spare room.
At 3am I eventually tried to lay down again to get some rest but just as I drifted off my pelvis audibly popped and my waters broke. I went to the toilet expecting a cascade but it stopped only for me to sit back on the bed and loads pour out. I woke OH who started filing the pool whilst I contacted my doula. My waters were very green in colour so I knew baby had pooed at some point but not recently as there were no meconium chunks. I called triage and they said the homebirth MW was out at another birth but would come over soon. I had a bath and OH poured water over my belly to soothe me.

My contractions got very intense very quickly and soon no amount of pacing or swaying helped. I kept spilling out more waters as I moved about much to my amusement/horror. I was so desperate to get into my pool but it wasn’t hot enough for ages it was like torture sitting looking at the full pool, having serious contractions and not able to get in. My doula was amazing and helped me through each contraction.

1st MW turned up at 5ish and was very worried about meconium and wanted me straight into hospital. My doula and husband talked through the risks and it was agreed I could continue to labour at home and they’d keep monitoring baby. I knew she was a big strong girl so I wasn’t too worried.

I got into the pool finally at around 6 and the contractions went mad, at times overlapping into one another and so intense they were making me convulse. New MW took over at 7 and I agreed to my first VE and I was 9cm! She was pleased but also a bit shocked and so an ambulance was called to take me the whole 2 min ride to hospital as I had agreed that for baby’s sake I would birth her there. By this time I was delirious; I could hardly take a step without contracting and I was at the animal noise stage by now. What a sight for my neighbours haha!

In the ambulance it was like having an out of body experience, I felt like I was asleep and watching myself as I lay there making these insane noises. We arrived at roughly 8:30/9.

The next 2 hrs are a blur with random periods of lucidity between contractions. I tried so many positions: squatting, standing, on toilet, kneeling over back of bed, holding legs open….. But in hindsight I was allowing too much of the power to go into the noises I was making and not into the pushing. So we got her to the point where her head was visible but it keep slipping back inside. Although she had constant monitoring via the little pin on her head she didn’t get distressed but the meconium was still a concern so they didn’t want her stuck down there for too long. Around 10:30 the doctor said she would need to use a suction cup to stop baby sliding back and asked if she could cut me rather than allow me to tear. She was calm and explained all my options and I felt sure that she was only doing what was best for me and baby so I agreed. So after little local anaesthetic and a cut and some serous suctioning, my baby came into the world at 11:05.

I am so pleased with the actions of the hospital. I was tired and getting a little worried and couldn’t have pushed this little chunk out on my own. In the end, her meconium has caused her no problems but we have stayed in overnight for 4 hr obs.

I have vaginal stitches but they are to the side so no damage to perineum. So far no pain from them either.

I have had a brilliant experience and only truly now appreciate how a plan is only a plan and that the medics really do know their stuff. I would definitely labour at home again but would probably birth in hospital or midwife led clinic in the future.

I have a cuddly little lady in my life now, she was worth the wait and we are learning from each other already. She’s latching well but not taking very much each time, she is sleeping a good 3hrs straight each time too so I’m a happy and contented for the moment.

12 Nov

Incentivising Breastfeeding

Much excitement this afternoon when I was asked to speak to Anne Diamond on BBC Radio Berkshire, with a response to the news that researchers from the University of Sheffield are running a study where 130 new mothers are offered £200 vouchers if they breastfeed their babies. This is aimed at mothers in communities where breastfeeding rates are low, with the intention of increasing initiation rates and reducing health inequalities. The Guardian has a good explanation of the project and some responses to it here. Read More

13 Mar

Announcement!

Today I met with my mentor Maddie McMahon, and after an interview which took place over a pleasant lunch, I am now a Recognised Doula. Here’s an explanation of Mentored and Recognised Doulas from the Doula UK website:

Mentored doulas
A Mentored Doula has completed a Doula UK approved Preparation Course and is involved in Doula UK’s Recognition Process. This means that she has a Mentor providing support and supervision within a framework for reflective practice until she has gained sufficient experience to become a Recognised Doula. A Mentored Doula’s fees reflect her previous and current experience, her expenses and the going rate in her area.

Recognised doulas
A Recognised Doula has been evaluated by a Doula UK Doula Mentor at the end of the Recognition Process, as having sufficient experience to practise without on-going mentoring. Doula UK nevertheless continues to provide support for all its members.