Montreal Doula

 
_ In my experience working as doula with second (or more) time moms I have learned that many report having had trouble transitioning to motherhood after their first child. The experiences ranged from feeling angry at other women who had misled them, or lied to them; they were told that motherhood was going to be “the most fulfilling experience ever!” or that “you will wonder how you ever existed without your child!” to feeling sad, lonely, and yes- the word that many still refuse to acknowledge, depressed. There are definitely cases of severe Postpartum Depression, some that require therapy and medication and follow-up from a doctor. I do feel that there are also many cases of what could be called Postpartum Disappointment, where women feel like they’re failing, or not living up to the standard that they feel is being set for them by themselves and others.

It can come as a shock, the almost immediate switch from being practically without responsibility to being completely in charge of another human being. For most women in our culture pregnancy is spent searching through websites and chat groups researching all things maternity and birth related, choosing the trendiest and cutest baby products, preparing a nursery or even moving into a bigger home to accommodate the growing family. There doesn’t seem to be a lot of time spent focusing on what will actually happen once this baby arrives. Sure, for those who have never been near a baby there are the few minutes spent on baby care at some prenatal classes- showing how to bathe or change a baby, there are the warnings from friends and family about stocking up on your sleep, and getting ready to not go out on a date in a while- but is this enough? Much of the preparation is in regards to products and the emotional side of parenting is left out. There is a also huge gap in the different mind-sets out there. There are those who believe in attachment parenting: baby wearing, co-sleeping, extended breastfeeding, and cloth diapering a few of the common themes surrounding this “method” of parenting. Then we have the more “traditional” (I hesitate to use that word, for lack of a better one) that believe that the way some previous generations were raised was perfect: strollers, formula for those who want to, sleep training, disposables, and less of a helicopter parenting style.There is often a lot of judgement from some who have a certain parenting style that they feel others must follow as well. I’m generalizing here, to better illustrate my point, so please don’t be offended if you choose to do some from one “category” without others or vice versa.  I’m simply trying to explain that by trying to live up to or follow advice given by people who are not in our home 24/7 and who are not responsible for raising our children we just aren’t doing ourselves any service. Parenting, like in life, truly is about being authentic.

I come from a very woman centered, matriarchal family. My grandmother had 5 children; one son and four daughters, and she ruled our family for many years. She was a strong, well-spoken, extremely intelligent woman. But she was in no way soft or maternal- hell, she openly admitted to not really ever wanting to be a mother! It was just something that you did during that time. This lack of what some would call maternal instinct seems to have carried through to her daughters as well. Children in our family were very loved, of course, but we were not the center of attention. Daily lives were not altered or catered to the needs and whims of us children. I don’t wish to have had a different upbringing because I really benefited from the laissez-faire attitude my parents had. Whether it was lack of time or interest, we had very free lives (although we did grow up in a small rural town, where it was quite safe to be gone the entire day without anyone needing to know where you were). Our mothers (and now, my sister and I who are the newest generation of mothers in our family) made time for themselves, even when it seemed impossible; kept interests that didn't involve only us and did so because this is how mothering felt right for them.
I like to think of this as: Authentic Parenting or Parenting the Way that You Want To Without Giving a Damn About What Others Think.

Like most of my female relatives, I birthed my son relatively easily and naturally, and then entered into the postpartum period feeling a little, well- off. Knowing some other members of my family had encountered some issues, when the lovely haze of endorphins following my birth wore off and the weight gain circus began surrounding my 11 lb at birth son not gaining quickly enough in the week following birth- things began to get a bit hairy. There were tears, arguments, and some not-so-wonderful days as I tried to find my footing as a new mom. I hadn’t anticipated it being so difficult and it was a major shock having a newborn to care for at all times, when I’d never had anyone rely on me so much ever in my life. I quickly realised though, the more I listened to everyone else and stopped listening to my own instinct the further away I got from feeling happy and well adjusted.

I had, like most mothers, made many “plans” for the style of parenting I would take once my son arrived. I knew, for example, that I would never give a pacifier, that my son would be exclusively breastfed, he would sleep with us for as long as possible, I wouldn’t stick him in swings or baby chairs, and I would cloth diaper exclusively. What’s that saying about the best laid plans…?? Some of these have been followed through with to a T, others just didn't work out the way I had anticipated.
I realised after a few weeks that I couldn’t get more than 20 minutes of consecutive sleep with this baby in my bed. My back was cramped, my nipples were killing from bad latches at night, and I woke up every time he groaned or moved, which babies are apt to do every 3 minutes or so.  At 3 weeks old my son was moved into his room in his bassinet. Mind you our rooms were about 8 feet apart and we slept with our doors open, but halleluiah! I was getting to sleep between feedings and I felt so much better about bringing him into bed with us in the early hours to finish off our nights together. This was me being authentic. Following my instincts, even if they weren’t what I had originally intended. Where I had thought myself to be a mother who could take off for a weekend at some point, the longest I've ever been away from my son so far has been while I'm attending a birth. I felt ready at 3 months to start taking a 3 hour watercolor class. Not because I loved watercolor, but because I needed somewhere quiet to go. I would leave a bottle of pumped milk with my husband and pick up a cafe au lait and a pastry and sit for 3 hours in a room of adults (!) and listen to music and paint. There were some weeks when this was a major highlight. It was my time away and I could focus on Megan as a person, instead of only Megan as a mother. I never felt guilty, I allowed myself this, because I knew it was important. I came back feeling refreshed and able to be a better mother.

I think allowing ourselves to change our minds or to alter our parenting path is a major issue for many women. We know how much pressure we place on ourselves and on each other. There is judgment surrounding every facet of pregnancy, birth, and parenting. And why? For what? We’re only doing ourselves an injustice by putting all these rules and expectations in place. It’s the same thing I tell my clients in preparation for birth- you can prepare, and know your preferences, and then from there just - let it go-! You can’t know what hand you’ll be dealt, you can only know how you’ll deal with it when the moment comes around. Go with what feels right for you. Don’t be lead by guilt or someone else’s expectations. Be flexible, and know that sometimes what comes naturally might not be what you expected.

If you have experience that you’d like to share I’d love to hear them! Was there something that surprised you about the postpartum period? In what ways do you feel you parent in an authentic way?

 

 
The following post was written by my sister-in-law Angie. She is a baby expert if there ever was one! She served as my doula, my lactation consultant, and one of my main support people after I became a new mom. I recently asked if she would share some of her tips on breastfeeding and so, here they are:

Breastfeeding Secrets…from the Lactation Consultant
By: Angela Grant Buechner, BA, BScN, RN, IBCLC

I am often asked what I wish every new mom could know BEFORE having their baby, to make sure breastfeeding goes well. 

Well, we know that breastfeeding is the best for moms and babies, yeah yeah….we’ve heard it all before... but why do some women stop so early, if it’s so great?  

The first few weeks of a baby’s life (while mom and baby are learning how to breastfeed) can be stressful if she doesn’t have some tricks up her sleeve for when it’s not exactly going perfectly!
So, here are 5 tips that have been proven to help moms ‘hang in there’ when things are rough, or to ensure breastfeeding is not ‘wrecked’ when baby is having a bit of trouble:

1.        Skin-to-skin…Never under-estimate the power of your skin!  Babies transition to ‘life’ better when they are allowed to be held naked-skin-to-naked-skin, as long as possible, right after they are born.  Also, if your baby is too sleepy to feed, or is having any trouble, strip that baby down (keep the diaper on!) & breastfeed while skin to skin (you’re probably half-naked while learning to breastfeed anyway…)

2.       ‘Squish & Shove’
When you’re trying to get that ‘perfect latch’ we’ve all heard about, think about eating a sandwich.  If you were putting a super-duper, triple decker club sandwich in your mouth, you wouldn’t try to put it in sideways!  You would turn it in the right direction, squish it down as much as you could, and shove it in.With breastfeeding, it’s the same.  Look which way the baby’s mouth is going (depends how you’re holding baby) and hold on to your breast (that’s your BREAST, not your nipple!!) so you can squish it down and make it a bit ‘flatter’.  When the baby opens her mouth, shove her on to the breast as FAR as you can!  This is the ‘magic’ trick that keeps the nipple safe & sound (and prevents all that scary nipple pain, cracking etc.)!

3.       Hand Expression…
If your baby is sleepy, grumpy, mucousy, stuffed up, separated from you for any reason, you are engorged, or it hurts you too much to feed - YOU have to take over!  If you are ready with a ‘PLAN’ to hand express during these potentially stressful moments, then you will be able to keep breastfeeding going (and keep feeding your baby)!

Watch this video to learn about Hand Expression, from Jane Morton at Stanford University.  This is different than using a breast pump! 

http://newborns.stanford.edu/Breastfeeding/HandExpression.html

Often, NOTHING comes out when you use a pump, and that DOESN’T mean you ‘have no milk’…   Seriously, only  VERY FEW DROPS of colostrum are needed in the first few days, so if the baby can’t get it out for some reason, YOU can express these drops, & feed it to the baby with a medicine cup or spoon, and try all over again at the next feed!

4. Compressions & Cues

If baby is able to breastfeed ‘ok’…keep going!  Try not to limit how often or much the baby sucks in the first few weeks (watch your baby’s ‘cues’, not the clock, since the baby’s feeding frequency is what tells your body how much milk to make!)… after all, the baby doesn’t know that you were trying to have a shower or eat dinner!

To keep the baby ‘drinking’ and not just sucking, try squeezing your breast while baby is sucking (for the count of 3), so more milk comes out.  This is called ‘Breast Compression’ and is very good when baby is sleepy while feeding, or slowing down at the end of a feed.

5.  ‘Stuff’ & stories…

Avoid soothers, nipples, bottles (try a cup or spoon if necessary) for the first MONTH!  These things won’t help your baby learn to breastfeed, and may instead ‘mess with’ your milk supply.  Also, be careful of other things that can interfere with normal breastfeeding (‘feeding’ apps, books trying to ‘make’ your baby do anything!, or having formula at home ‘just in case’…)

If ‘Supplements’ are recommended, use BREASTMILK!  You can breastfeed (or try) every 2-3 hours, but if you express your own milk (or colostrum) after each feed, then you can use THAT to feed to baby!  If you ‘miss’ a feeding for any reason, express so your breasts still get the stimulation they need to keep producing milk!

Also, try not to listen to the people who tell you that ‘your baby shouldn’t need to eat yet’, ‘you don’t have enough milk’, or that their baby ‘sleeps through the night’ at 2 weeks old.  Find someone who will support your efforts instead, and can help you make a plan!   If you need help, find a CERTIFIED Lactation Consultant (IBCLC) as soon as possible.  Issues can often be ‘fixed’ easily in the first few days, but can pose more of a challenge after a few weeks.

Quote of the day: ‘Don’t quit on your worst day!” 

Hang in there, and commit to making it through to the ‘other side’!!!

Angela Grant Buechner is a mom of two exclusively breastfed girls, is a NICU Lactation Consultant & runs Nutmeg Consulting; a private Doula/Lactation Consultant business in Toronto, Canada.



 
Coming home from the hospital or birthing center with a new baby can be slightly overwhelming. Especially for a first time mom. First, you make sure baby is properly strapped into the car seat, you adjust and readjust everything a few times to make sure it's tight but not too tight and then you take the most nerve-wracking drive home, even it's just 5 minutes, it feels like the most treacherous drive EVER. And yes- it's normal to sit in the backseat.

You finally arrive home, get baby out of the car and walk into your house, for the first time as either a new family or with a new addition.  These are the top 5 things you will probably want or need most:

1) Yummy food and beverages- quick. You have probably spent the last 2 days (or more) eating food you aren't crazy about, or wishing for something yummy and homemade. You should arrange to have made meals in advance or set yourself up with a group of well wishers who bring food to you- fresh, daily! (More about that in an upcoming post) This way, whoever is there with you; husband, mom, sister, etc can pop something into the oven, or make you a fresh meal with something nice to drink, like an herbal tea or a smoothie.

2) A shower! You will probably be so happy to see a bathroom with your products and towels, it can be a great relaxing moment to have a nice hot shower before settling in with your new baby. Someone should be there to hold the baby, (this is when they could also be making you tea!) and to lay out a fresh outfit for you to hang out in. You'll want something comfortable, like yoga clothes or even flannel PJ's. You'll still be looking pregnant and will be bleeding and possibly be in some discomfort, so you won't be hopping back into your skinny jeans - so sorry to burst your bubble.

3) Before you hop into that bed,  fresh sheets! A nurse friend of mine is adamant about having fresh sheets on her own bed at least once a week (be honest now, most of us don't) and she makes a point of changing her patients sheets to make sure they feel clean and comfortable. We all know how nice it feels to climb into a soft clean bed. (This type of thing could be done by your post-partum doula, your mother or whoever is around to help out)

4)Peace and quiet- yes we know everyone is excited to see the baby and hear about the birth and take pictures and bring gifts. That can WAIT! A new family, and especially a woman who has just given birth, need time to decompress, relax and enjoy some quiet bonding time. The first few days fly by, and it's so important that space is given.  (Visitor- If you are bringing food, you're the exception, but please just drop it off and don't expect to hold the baby. He or she will probably be breastfeeding or sleeping in Mom's arms)

5) Someone to talk to. Yes I know what #4 said, but something so important, especially in those first few weeks is for someone to just listen. Giving birth is not some small insignificant thing in a woman's life. There is much to discuss, many feelings to can come up, and the one thing every single mom needs is someone she can unload on. Breastfeeding difficulties, birth trauma, stitches, sleeplessness, baby blues- these are all things that can be overwhelming for you after having a baby and knowing someone is there to say "it's going to be ok. You're doing an amazing job." can really change the way things look. On the other hand, sometimes you will just want to spend hours rehashing every moment of the labor and birth and the amazing feeling you get looking at your new baby.  Working as a doula I get to hear all of these stories, the good, the bad, the sad, the amazed, the proud- it's all part of the process.

These aren't the only things you (or the new mom in your life) might need- but it's quite basic. Some pampering, some rest, some reassurance, and some help around the house.

I recommend to my clients that they line up some support for after the baby is born. I don't mean, "oh, we have tons of friends who can't wait to come over and see the baby, I'm sure they'll know not to stay too long". Most new moms need some help with housework, some meal preparation to make sure they are eating and drinking enough, someone to help with diaper changes and to hold the baby while they shower or have a nap. It can be so beneficial to the new family, so they can rest and bond, and it makes the transition to parenthood so much smoother.

Thanks for reading, Megan