Doulas of the Roundtable

For many birth workers, where they enter this work is not the same place where they wind up. For example, some may enter this work providing labor support. Yet they may find once they have their own children, that postpartum work is a better fit. Others may enter into the field via postpartum support. Then, life leads them into childbirth or newborn care education.  Unlike many other professions, birth work allows the individual to step deeper into the work by providing other related services. Or, it can allow one to step back from birth work entirely and re-enter at a later date. All with minimal barriers to the work. Join us as we discuss the path we've taken and the many options that allow individuals to support growing families.

As doulas, it's not uncommon to encounter individuals with a fear of birth. This fear can be rooted in many sources. First, the way in which TV represents birth. Second, the stories our friends and family share; and third, an individual's lived experiences. The media often portrays birth as a dramatic process. The water breaks and the camera cuts to immediate transition-style contractions. Birth in the media is often presented in an unrealistic and dramatic light. We rarely see a birth that has little to no drama and is a straightforward process.  Well-meaning family and friends often share the traumatic aspects of their own personal experiences. Or they share the traumatic experiences of others that they know. It can often be difficult for the pregnant person to find examples of physiologic birth that goes well.  As birth professionals, it is essential for us to become informed on the sources of fear surrounding the labor and birth process. Join us as we discuss these sources of fear and the support that we can offer our clients to help reduce fear and instill strength.

Doula mistakes come in all shapes and sizes. We're human, so it's understandable that mistakes will happen. Some mistakes will be unavoidable and only discovered through trial and error. Others can be avoided. Common mistakes include a lack of effective communication, such as being slow or failing to follow up on inquiries or client communications. For labor doulas, there can be a sharp learning curve in incorporating the on-call life into daily life. This includes making sure that we are available to our clients via our preferred communication methods. From a phone that dies to forgetting that we put our phone on silent, these doula mistakes can cause a breakdown in trust between a potential or actual client and the doula.  Whether you are a labor or postpartum doula, the potential for mistakes is real. Join us as we discuss common mistakes and how they can be avoided or remedied.

One of the most common questions we hear is, "How do we navigate the question of how many clients we have supported when we first start out?"  The question "How many births have you attended?" Or "How many families have you supported postpartum?" is not uncommon. Certain personality types are more inclined to ask these types of questions. For them, the answer will be part of their decision-making process.  Yet, for some, the actual number will matter far less than the actual answer provided. Honesty is always the best policy, so being truthful with the number is essential. However, the additional information you can provide regarding how many hours of training, other certifications, and life experience you bring to the table can also be conveyed to those who inquire.  Join us as we explore the many ways you can confidently answer this question.

Supporting single parents through pregnancy, labor, and the postpartum period looks different than supporting those who are partnered. How we approach labor or postpartum support with an unpartnered parent will look different.  Many factors will be different when planning for labor. For example, will they get to their birth location? Or who will make medical decisions about the laboring person's care if no other family support is available and the pregnant person is not able to make a decision? For most, creating a medical directive isn't on the list of preparations for labor.  Support during the postpartum period is equally important. Will the client have friends or family to help in the early days or weeks after birth? Is there a plan for when this support will start to dwindle naturally? As postpartum doulas, it's easy to assume that overnight support may be more necessary for single clients. But for many, there are often other times of the day when they find they struggle more. Helping clients identify these areas of struggle and plan for how to address them is an important part of our role. It is important to be aware of our biases when approaching these conversations. Join us as we discuss how to approach these conversations with unpartnered clients.

As birth professionals, providing evidence-based information to our clients is essential. However, it's not uncommon to wonder where to find quality research. Knowing how to read and interpret the evidence is also a skill that takes time and discernment. The first step is understanding the types of studies that exist. From randomized controlled trials to cohort studies to cross-sectional studies, knowing what type of study to look for is essential. The next step is to look at the entire study, not just the abstract. It's important to read and understand the full text. It is also important to look for any disclosures surrounding conflicts of interest. A conflict of interest could result in bias within the study. Join us as we look at the many factors that go into finding and providing evidence-based information to our clients.

According to the American Cancer Society, vulvar cancer accounts for 6% of all cancers of the female reproductive organs. Over 1600 individuals will die from vulvar cancer per year. Cancers of the uterus, cervix, and ovaries are far more well-known, identified, and diagnosed. Yet, cancer of the vulva is a diagnosis that is often hard to obtain. Often, the symptoms can be mistakenly attributed to other skin conditions or yeast and bacterial growth. As a result, many individuals may experience a delay in diagnosis and treatment. This can often result in a delay of treatment for literally years. As with any cancer early detection and treatment leads to improved outcomes. Join us as we discuss one person's journey through vulvar cancer to bring awareness and identify the resources and support that doulas can provide.

Advanced maternal age is defined as a pregnant individual who is 35 years of age or older at the estimated due date or date of delivery. Pregnancy at or beyond this age is considered a risk factor for adverse outcomes in the birthing person and baby. When one is considered "advanced" in age, it is common for closer monitoring to be recommended during pregnancy. Induction of labor or elective cesarean birth are both considered appropriate options for managing labor and birth. For the pregnant person, being labeled and frequently reminded of their "advanced" age can lead to many challenging emotions. Some individuals may desire to assert boundaries surrounding discussions about their age. Instead, they may prefer to focus on their actual risks vs the perceived or statistical risk. Join us as we discuss the many complexities of supporting clients of "advanced" age during pregnancy.

Combination feeding is one of many approaches families choose when feeding their baby. It may be the plan from the start. Or, clients may find themselves settling into combination feeding due to postpartum challenges. Some parents may feel that taking on 100% of the responsibility for infant feeding is an overwhelming task. For these individuals, sharing the task of infant feeding can help them show up as the best version of themselves. Our role is to help them identify their goals, and help them build a plan to get there.  Some may desire to give their baby breast milk exclusively. For these parents helping them build a plan that incorporates pumping will be essential. The parent who desires to use formula in addition to feeding at the breast will have a plan that looks much different.  Join us as we explore the practical and emotional sides of combination feeding.

Perinatal mood and anxiety disorders impact 15-21% of pregnant and postpartum individuals, according to the National Institute of Health. As birth professionals, it is likely that you will encounter a client who experiences a mood or anxiety disorder during pregnancy or after birth. We must be able to identify the signs and symptoms of those who may be struggling.  For many, their labor or postpartum doula may be the first person they see and speak to about what they are experiencing long before their postpartum follow-up visit with their provider. Join us as we discuss the various ways pregnant and postpartum individuals experience perinatal mood and anxiety disorders, as well as the statistics surrounding PMADS.

It's been a busy, amazing year of growth, learning, and success. Here we are again at the end of another amazing season. Looking back over the past year, it's always fun to see our most popular episodes and share our favorites.  As always, your love and passion for the topics we talk about are seen, heard, and felt so very much. We appreciate the interaction and feedback you have been giving us on our social media platforms, and if you haven't found us yet, check us out on TikTok. We look forward to another great season of chatting about the topics we love most!

When it comes to your website, there are a few website essentials that you should be sure to include. There are also common traps that you should avoid. Your website is the virtual storefront of your business. Often, it will be the first impression that a prospective client will encounter. As a result, you must make an excellent first impression. This first impression goes far beyond the aesthetic of your website. The content of your website's pages is critical to encouraging someone to reach out and learn more. It's not uncommon for individuals to struggle with writing content for their website. It's not unusual to try and reach out to resources like ChatGPT to have the content created externally. However, these types of platforms often sound like AI, and they do not represent the voice of your business.  Join us along with our special guest and business consultant, Randy Patterson, as we discuss the essential pages for your website, how to represent your brand's voice, and how to speak to your potential clients in a way that helps them understand how your services will benefit them.

Choosing between virtual or in-person training is one of the first choices often made when considering the many pathways to becoming a doula. Both formats offer pros and cons to learners. Which format may work best for you will depend on many factors. Do you thrive in more independent learning? Or do you thrive in a classroom setting? Do you learn best by listening or by doing? There are many other considerations, such as neurodiversity and the inclusion of different learning styles to accommodate all learners. The choice between virtual vs in-person training is unique. Utilizing both formats will enable some to feel confident and ready to take their skills to the next level. Join us as we discuss the many nuances of virtual vs in-person training.

The methods of support provided during the third stage of labor are many. How the third stage progresses will determine the type of support appropriate for each client. Assistance with bonding, the initiation of breastfeeding, and supporting a client through a perineal tear are all ways in which a client may need the support of their doula. It is also essential for the doula to be aware of complications that may arise during the third stage to best help a client experiencing one. Complications such as postpartum hemorrhage, placenta accreta, or the need for other post-birth interventions may arise without warning. Knowing how to support the client and their partner or other support person is integral to the doula's role. Join us as we explore the many ways to support clients through the third stage of labor.

Understanding birth-related trauma is an essential skill for all individuals who work in the perinatal field. The fundamental definition of trauma is: a deeply distressing or disturbing experience. When working with birthing or newly postpartum families, we may encounter clients who will identify their experience as traumatic. It is never our role to define or redefine the language a client uses when sharing their experience. Sitting with someone in their trauma and supporting them through it is a learned skill. However, a lack of knowledge is not an excuse for a lack of sympathy or support. Join us as we discuss how to support families through birth-related trauma by referencing Evidence and Guidelines for Trauma-Informed Doula Care by Elizabeth Mosley as well as discussing the nuances of supporting clients who have experienced trauma.

The expectations vs the realities of doula work can be vast. Many people consider entering this work, thinking it will be sunshine and rainbows. Experiencing birth and cuddling babies is often high on these lists. One of the very first stark realities that most doulas face is the fact that they are starting a business. It's easy to focus on just working with families who want or need your help. While doing so, many fail to consider that they are becoming a self-employed business owner. As a doula, you are selling a service, but at the same time, you are also selling yourself as a provider of that service. Communication is another reality of doula work. Dependability and responsiveness in communication are essential when working with pregnant or newly parenting families. Clients need to know that we are there when they need us. This starts from the very first touch. Whether it's a quick response to an email or simply picking up the phone when it rings, the response or lack thereof can send an obvious message.  Join us as we discuss the expectations and realities of doula work.

Childbirth education is a way for pregnant individuals to learn about the process of birth and what options may exist. It does this through expelling fear and increasing knowledge. In addition, it teaches pregnant people how to advocate for their wishes. However, the role of the doula and the role of the childbirth educator seem very similar but the approach to providing information is actually quite different. The sequence of support for doulas is emotions first, feelings second, what do they need or want to know, then what do they want to do. Childbirth educators start with information first.  What do their learners want or need to know or what do they already know. Then how do they feel about the options/information presented. Finally, what are they going to do with the information they have learned. What decisions will the make about their preferences with the information they have learned? Come join us as we discuss the process and value of childbirth education and how we can form connection and community as educators.

For many, the pushing phase of labor is an exciting yet scary part of the labor process. Many individuals have concerns or fears surrounding the pushing phase of labor. From tearing to their infant's safety, a doula is needed for emotional and physical support. Supporting a client through this phase begins during pregnancy. Here, we can help clients explore how they would like to push and what positions they may prefer to give birth in. This is a process of discussion and discovery for the client. Many may not be aware of the multitude of options and positions that exist when it comes to this stage of labor. There are many options, from passive descent to coached pushing to standing, squatting, side-lying, or semi-sitting. It is also important to remember that preferences before pushing begins may change once the pushing process begins. Join us as we discuss the nuances of supporting clients through the second stage of labor.

We often see questions among doulas about agency interviews. There are a lot of specific questions about what to expect and what questions to ask the agency. Each agency will have specific questions that they feel are important to ask. So, what you may encounter will vary from agency to agency. However, some questions will overlap between businesses. It is common for agencies to want to know what training you have taken. If you haven't yet taken a training, they may point you in the direction of the training they prefer or may have the most need for to utilize you best. Presenting your authentic self in agency interviews is also important. Many agency owners deeply believe in how this prospective doula "feels." It's okay to feel nervous but coming to the table with your authentic self is important for both sides. When looking to join an agency, asking the agency what services are most in demand is a great way to assess if they offer what you want to provide. It will also help you determine what additional education you may want to pursue to offer more through the agency. Another important question often surrounds compensation. How much will you be paid for the services you provide? Join us as we discuss both sides of the agency interview and what that may look like.

There are many benefits to adding placenta services as a part of the services you offer. While there is a benefit to the clients who utilize this service, there are also benefits to those who offer it. Processing the placenta for encapsulation in the client's home brings a wealth of benefits to the client in addition to safety. It also allows the encapsulator to sit down with the client and check on how they are recovering from birth. In addition, they can also check in on the newborn and how they are transitioning to life outside the uterus.  Offering encapsulation as a labor doula allows you to continue your support into the postpartum period. It also allows for those who are also postpartum doulas to introduce the benefits of this type of support to the client. It gives the opportunity to affirm the client in how they are caring for their baby. Encourages them to ask questions and for you to provide necessary or requested resources.  Join is as we discuss the many benefits to clients and birth professionals of placenta services.