Doulas of the Roundtable
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...
info_outline Episode 133: Doula MistakesDoulas of the Roundtable
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...
info_outline Episode 132: Doula BeginningsDoulas of the Roundtable
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,...
info_outline Episode 131: Supporting Single ParentsDoulas of the Roundtable
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. ...
info_outline Episode 130: Finding the EvidenceDoulas of the Roundtable
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...
info_outline Episode 129: Vulvar CancerDoulas of the Roundtable
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....
info_outline Episode 128: Advanced Maternal AgeDoulas of the Roundtable
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...
info_outline Episode 127: Combination FeedingDoulas of the Roundtable
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...
info_outline Episode 126: Perinatal Mood and Anxiety DisordersDoulas of the Roundtable
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...
info_outline Episode: 125 Season 5 Wrap UpDoulas of the Roundtable
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!
info_outlineTransitional labor is the third phase of the first stage of labor. It is also considered the most challenging phase of labor, especially for those giving birth without pain medication.
During the transition phase of labor, contractions occur every 1-2 minutes and last approximately 60-90 seconds. The cervix dilates from 8-10 centimeters. This is the phase of labor where many laboring individuals want to quit. They may express an inability to go on. Or may question their desire to avoid pain medication.
This is often the phase of labor where a client may express, "I don't want to do this anymore. I want to go home. I can't do this. Please make it stop."
Physical signs of transition may include shaking, sweating, and feelings of anxiety or panic. As the baby moves lower into the pelvis, some individuals may experience burping or passing gas, rectal pressure, or the urge to bear down. These signs are often present in those who have received pain medication.
Join us as we discuss how to support clients through transitional labor and how why this phase of labor can present a challenge to birthing individuals.