Doula

How to write a birth plan

Birth plans, birth wishes, birth preferences, or whatever you prefer to call it can be a useful tool. The work of going through what is important to you and your partner in your birth is likely the best part of creating a birth plan, no matter if you actually print it out.

Birth wishlists can be a great way to give the care team you are working with an idea of the ideal birth you hoped for. This way if paths stray from what you envisioned the staff can help keep it as close to your ideal as possible.

What you can include in your plan:

  • Basic information: your name, partner’s name or support person’s name, doula’s name, important phone numbers, your care provider’s name
  • Important items to know about the birthing person: allergies, or medical conditions the staff should be reminded of
  • Ideals for coping and what is important to you in early and active labor: After going through options in birth include those that really stand out to you as what you hope for in this birth.
  • Pushing preferences
  • Placenta plans: If choosing placenta encapsulation services it is a good idea to have this on your birth preferences sheet as a reminder. Also mentioning if you intend to use a cord blood banking service.
  • Cesarean birth preferences: items like clear drapes used, support people you want present, skin to skin if possible after birth.
  • Newborn care: erythromycin eye ointment, vitamin K, hepatitis B, circumcision/intact
  • Feeding preferences: it is nice to note if you are planning on breastfeeding, or formula feeding, or some combination

A smart idea is to write a long detailed plan for yourself that goes through all the options and ideals you have. Then that plan is for you. Trim and omit the unnecessary items to create a simpler plan to hand in to your birth staff. Creature comforts like dim lighting, do not need to be on your staff’s plan.

Pro-tips for birth plans

  • Keep it simple! Bullet points and simple statements to convey your wants is ideal. Also birth plans should not be so detailed you are telling your provider and staff how to do their job. Some plans simply state one item, for example “We would prefer open communication throughout the entire process.”
  • Be positive! Use phrases like “we prefer x,y,z” instead of “NO X,Y,Z!”
  • Thank the staff! Your care providers and nurses want you to have a lovely experience. They work hard and long shifts. Tell them how excited you are to be at that facility with the wonderful staff you have selected.
  • Make it fun! Say what?! If you can find a way to make it funny, or light, or cute in some way, the staff will enjoy reading it. Some clients in the past have made it sports themed, or added a funny comic. One couple made it look like a movie poster!

When making your birth wishes list explore all the things you envision or hope for. It is a great activity to get you thinking about the experience you’d like. A place you can learn about your birthing options is through a childbirth education course. Check out Metro Detroit Doula Service’s offerings today!

by Andrea Stainbrook

Gas, Constipation, & Hemorrhoids. All things poop in pregnancy.

Often people don’t share about their poop issues they experience in pregnancy. They can be all too real. Let’s dive in and learn about these common issues.

GAS

Blame the dog if you want but odds are you will be gassier in pregnancy. This can start early on and at any time. We can thank all this extra farting to the increased levels of the hormone progesterone. Progesterone actually causes the muscles of the digestive tract to relax. Because of this more gas can escape. On top of that, as your baby grows, the pressure in your abdomen also increases which adds to more gas being pushed out.

HOW CAN I HELP REDUCE THE GAS?

-Add more exercise to your daily activity. By doing this you can stimulate digestion and keep the gas moving.

-Eat smaller meals throughout the day.

-Avoid trigger foods. Some foods that can be triggering are: fatty & fried foods, beans, sprouts, broccoli and whole grains.

CONSTIPATION

Constipation can happen very early into pregnancy, and it is known to occur at any point and in any trimester. That pesky hormone progesterone relaxing our digestive tract muscles means that things move more slowly. For some their prenatal vitamins or iron supplements could be the culprit as well.

Pro-tip: Address constipation right away, don’t wait! This can help you avoid hemorrhoids from developing.

HOW CAN I HELP ALLEVIATE CONSTIPATION?

-By increasing your amount of daily exercise, you help keep your body functions moving.

-Increase your fiber consumption and drink lots of water.

Squatty potties help get you in a good pooping position.

-Talk to your care provider about your vitamins and if it is related.

HEMORRHOIDS

The dreaded hemorrhoids. These friends usually pop up in the last trimester. Hemorrhoids are simply swollen veins in your lower rectum. Good news is they usually resolve on their own some time after delivery. Between experiencing constipation and so much pressure on the rectum from your growing baby in your uterus, it can be common to experience hemorrhoids. Sometimes they can cause pain and/or itchiness. They can be internal or external around your anus.

HOW CAN I MAKE HEMORRHOIDS GO AWAY?

-Warm baths, or witch hazel soaks & witch hazel pads, can help.

-Being mindful not to stand or sit for too long of stretches.

-Medicated Tucks pads, Preparation H, or other over the counter remedies ease the pain and calms the itchiness.

-If they hang around after your baby is born and are causing a lot of discomfort it is good to talk to your doctor.

In a perfect world none of us would experience any of these, but odds are we will all likely cross paths with one or all of these in pregnancy. Doulas are never too shy to talk about these so never be afraid to give your doula a call!

Authored by: Andrea Stainbrook

Metro Detroit Doula Services

Who is Metro Detroit Doula Services? | Meet Yolonda Rabbani

Take a moment and learn all about Yolonda. This driven and thoughtful doula has a fire that burns bright and is dedicated to supporting families. We asked her, and she answered!

What is your doula path?

I believe I found my place as a doula by allowing the journey to organically unfold. A spark occurred while I was in college studying to become a healthcare professional. During my studies, I continued to come across current issues within women’s healthcare that I felt needed more attention. While I chose to continue my studies, I also decided to branch off here and there, attending lectures specifically related to obstetrics hosted by local colleges and healthcare provider networks such as DMC and Wayne State University. Not only was I learning a ton of information about women’s healthcare in today’s society, I was beginning to learn a great deal about myself. The application looked a bit like me, Yolonda, begging all female friends and family (and strangers) to take their reproductive health more seriously and encouraging them to be more engaged in the care that they receive.

While researching for one of my finals, which turned into an opportunity for me to do research for something I actually cared about, I came across an article in the American Journal of Obstetrics and Gynecology. The article shared statistics regarding the birth outcomes for women who gave birth with the support of a doula, opposed to women who did not. There was no question about it, having a doula decreased the potential for many invasive as well as non-invasive interventions. Not only improving the overall experience for the mother and her baby but significantly reducing the infant mortality rates, which at that time (~ 2010) was 44% in the community that I now live in.

If we turned on the radio in your car, what would we hear?

NPR or BBC news, or some classic rock, R&B or gospel song from the early 90’s/80’s, maybe a little TuPac.

3 words that describe Yolonda:

Positive, Inspiring, Truthful

I’ve always known deep inside that my place is in women’s care. I can also say that my love for supporting women of all groups grows exponentially with each new client. Childbirth, to me at least, is a sort of rite of passage. I feel like you become part of a tribe of very, very strong women. Transitioning into motherhood comes with many uncertainties, and can be scary even with the support of family and friends. As a doula, I’m able to provide the additional support needed to ensure that every client I work with feels empowered.

What are you reading now?

I have a few books going at the time; The Law of Divine Compensation by Marianne Williamson (Love this book!), Oprah Winfrey’s What I Know for Sure, and A Course in Miracles by Dr. Helen Schuman.

If you could have a superpower, what would it be and why?

Learning life lessons the first go-round. That should totally be a superpower, it would save us so much time.

Who is your role model?

I have a few, and who they are tends to change as I continue to mature. I totally love Randy Patterson, co-founder of ProDoula. I can definitely relate to her personal story. The fact that she is confidently and unapologetically her best self is very encouraging to me who, as a young woman was taught to suppress those things that made me different.

The many midwives and female obstetricians who I’ve had the pleasure of working with and learning from.

My celebrity role model right now is Jennifer Lewis! I just read her book!

This is a bit different, but one of the closest people to me, my cousin and friend Karissa Holmes. It’s a long story but she has been a huge driving force when I felt my weakest. She really helped me get it together and was an example herself of how to work through some really tough challenges.

What is your favorite thing to do on a day off?

Just having a day where I can do whatever I want, even if it’s nothing, is “a favorite thing”, if that makes any sense (smile).

Give us your best piece of advice to expecting parents/new families?

When dealing with the inevitable unsolicited advice, It’s ok to do what’s best for you (and your family), be confident while doing just that!

“Be who you are and say what you feel because those who mind don’t matter and those who matter don’t mind” – Dr. Seuss

What is your favorite song to karaoke?

Even Flow by Pearl Jam, a classic and a great song!

Contact Metro Detroit Doula Services today to have Yolonda be your doula!