#newmoms group: What's Your #Postpartum Plan?

The second Saturday of each month is the free Outside The Mom Box support group for pregnant women and new moms with babies under 1 year. Each session starts with introductions and then goes in our main topic. We leave about 30 minutes at the end for Q&A. Last Saturday we had post partum doula and mom, Suzanne Lee of Eno River Doula talk with us about postpartum planning. Here are a few noteworthy bits of advice from that conversation:

Suzanne started out by asking our group of five new moms and one pregnant woman about postpartum plans were or had been. We heard first from a mom of a five month old who was easily able to share some advice about her experience. "I needed to accept a lot more help than I ever had before," she shared with us. This struck me as not only self-aware but also brave. It's hard to admit that we need help, especially when new moms are often told, (subconsciously or overtly) that they should be able to do it all. I remember feeling like I should be able to do it all, in spite of having a local sister who had already been there before.

Moms talked a lot about the challenges that surfaced that we hadn't anticipated. With unexpected challenges (not being able to produce enough milk for example) then it's often easy to label ourselves as a "bad" mom, a mom who "cannot even feed her own child," as one mom told me once. We are our own worst critic. That must change when we have children. If it doesn't, our negative self-talk will spill over onto our child. Kids miss nothing. They might not have the language yet to talk about what they see but they will. They might not understand the reasoning behind our anxiety yet but they feel it now. Better to start to work on those issues now than later on when your child is way faster at noticing and adapting than the baby he is now.

One new mom reminded us that it is also helpful to be willing to let go of our preconceived ideas about baby raising. That for her was about bedsharing. But this can be true of diapering choices, formula vs. breastmilk, baby wearing or vaccination schedules. When we let go of a set idea because we realize that it is no longer serving us, we not only grow more confident as a mom but we also gain skills in the practice of responding to our baby's needs. 

We all know that family can be a blessing or, sometimes, a real curse. So as one new mom pointed out, "try to plan your visitors based on how helpful they are to you." Someone who is not as helpful or who may be higher maintenance, less independent and more needy could be told to come at twelve weeks instead of three weeks. Remember, this is the one time in your life when the world will essentially revolve around you...as long as you make your needs and wants clear!

Lastly, don't put off the inevitable: childcare for example. If you know you're going back to work, make as many arrangements in advance as you can to alleviate worries down the road. Plans can always change (see above!) but it's better to have a plan than to wing it later on when emotions are running high.

Questions? Comments? Share them by visiting my contact page or leaving your thoughts below. Thank you for reading! We will meet again Feb 14 from 2-4.  Join us!

{new post} August #pregnant ladies support group

The 2nd Thursday evening of each month is Outside The Mom Box pregnant women support group. We meet from 6:30-8:30 pm at my office as a way to share resources, have important conversations and build community. Last Thursday we talked about postpartum support. Here's a bit from that conversation-

New moms are very aware that there isn't a great deal of postpartum support for them and their babies after they arrive home from hospital or birth center. Cobbling together support (a parent here, sibling there, perhaps a good friend or a postpartum doula provides a few visits) is about as good as it gets. To make matters even more challenging, moms are expected to head back to work after a relatively short amount of time after baby. That varies from mom to mom, of course, but what isn't variable is the fact that time off isn't paid. [Except in California where you can receive six weeks paid leave.] So not only is there very little emotional and physical support after you have a new baby, financial support is also pretty much nonexistent. 

After having delivered a baby, our bodies need time and rest to heal properly. Depending on the circumstances of delivery (a scheduled csection will have different healing needs than an unplanned csection), the nature of what needs healing and rest will vary but here are some areas of your body that likely will need attention:

Baby's room or your room may be your new resting place once baby arrives. Make it an oasis of comfort and calm.

Baby's room or your room may be your new resting place once baby arrives. Make it an oasis of comfort and calm.

  • Uterus needs to get back to its usual fist-size (this process is called involution) that means that you need to rest in order to help that happen. Breastfeeding also helps.
  • Muscle aches: physically your body has been sleep deprived, stretched, pulled etc. Muscles you didn't know you had will be sore;
  • Hemorrhoids can pop out from stress of labor…not dangerous but one more piece of your body that requires times for healing, sitz baths and attention.
  • Crotch pain in general: I had some tearing with my daughter and should have been icing more than I was (who knew?!) so my stitches became itchy and uncomfortable. There may also be general soreness, burning/stinging, etc. Sitting can be very uncomfortable for weeks.
  • Constipation, nausea, aches, tingly feelings from drug hangovers from epidural, narcotics etc 
  • Sweating-the water weight you packed on will be coming out!
  • Csection incision will need time to heal, that means rest, minimal or no lifting, altered positions for breastfeeding, etc.

And our mind needs extra attention, too. Emotionally, new moms have a lot to deal with! New mothering can be isolating. As we saw, new moms are dealing with a lot physically which can translate into less facility get out and go anywhere. But it can be just plain scary leaving the cocoon of your home for those early days with baby. Many unknowns fly through the mind, everything to how temperature might affect baby to "what if she starts to cry?". It's important to remember that "just" becoming this new person called "mom" can be scary and overwhelming. Who are we? We don't feel like our old self and the mom hat is still really stiff. New moms might find themselves not feeling connected to baby, not "liking" baby immediately. That kind of thinking can be devastating for new moms and can cause feelings of guilt. New moms need emotional support to be assured that all of these feelings are usually normal and completely okay. It helps to hear this reassurance from a real person ideally from another mom or trusted friend or confidante, someone who has been there before.There are so many areas that new moms need emotional support that having someone come into the home and help not only with daily tasks and hands-on support but also normalizing feelings of anxiety is crucial.

But how? How do new moms get the support that they need? Where do we go from here? Up! Things can only get better and here are a few ideas on how we, as a community, make that happen:

  • New moms support group: open to any new mom, with or without baby, they happen on the 2nd Saturday of the month in my Durham office. 2-4 pm. A great way to connect with other new moms, get some love, reassurance and a bit of information along the way.
  • (Drop off) Supper Clubs: I'm going to start this in my neighborhood (Old North Durham) first but I think it's an easy enough idea for anyone to tackle who feels strongly about supporting new moms. Send an email to your local list serve and ask for volunteers to make and drop off a supper at the home of a new mom. I'll post more about this next month with clearer directions, etc. This could be a great way to build community within your neighborhood and among different generations!
  • Post-partum doula services: I believe in DONA's motto, "a doula for every woman who wants one," and so this fall, I will be doing some outreach to other local postpartum doulas to see if they might donate a block of their time to pop in to see new moms who would like their services. I will of course, offer the same: donating time each time to check in on new moms.

So, action steps-

...for pregnant ladies:

  1. Make your list and check it twice of who will be on hand and help after baby arrives. Make sure that they are helpers, not family or friends looking for entertainment!
  2. Visit my contact page if you'd like a visit from me or another postpartum doula after your baby arrives.
  3. Plan to come to a Saturday afternoon with other new moms at my support group.

...for new moms: what would you add to this list? How could you better support a new mom and her baby? Leave a comment below.

Who hires a postpartum doula?

I get asked this question a lot.

It usually stems from the confusion about what a postpartum doula actually does.  Which makes sense.  Whenever you hear the word "doula", many people assume the doula in question is a birth doula...if they know the word "doula" at all!

Here's a bit of my own story--

When I had my daughter, my heart felt like it might burst with love for her but I also felt lost, stressed and worried. My husband and I combined had about five minutes' worth of baby experience and while our hearts were willing, our brains were muddy from nerves and a lack of sleep- completely unreliable at a time when we needed them most. We weren’t sure about a lot.

  • Is she getting enough to eat? The nurses at the hospital said wake to feed her and my sisters said not to.  Who do I listen to?

  • She sleeps so much! Is this normal?

  • We thought that babies cried a lot.  She doesn't cry very much; is our daughter okay?

Without family close by, I relied on the usual SOS’s: texting and Google. Getting informed, reliable help when you need it shouldn’t be that hard, even if it is “just” an extra pair of hands so you can shower.

Enter my plan--once I got my sea legs and my mind back--to become a postpartum doula.  I love the idea of supporting women and their families when they need it most.  Yes, they need the support in childbirth too and there are amazing birth doulas, midwives and other professionals who meet that need.  But there are far fewer of us who are there when the going gets really rough, when the rubber meets the road, when the euphoric "I DID IT!!" stage wears off and what you have left is pain, confusion and sleeplessness.  This is often the place where the gap of community and support becomes strikingly obvious. And happily, that's where I step in. 

Most of my work at Outside The Mom Box is about building relationships.  In childbirth education, with local recommendations, through support groups and more.  Not many people let a complete stranger into their home at their most vulnerable time.  I wouldn't! My goal when I meet clients, any new folks really, is to get to know the other person (who she is, what;s important to her, what are her hopes and fears, etc.) and maybe get to share a bit of who I am and perhaps some resources to help in the future. I do this work because I feel passionate about supporting women and their families.  I do it because I want to be of service.  So, maybe the best answer to "who hires a postpartum doula?" is this: families who wants their little one to get the best possible start in the world.

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Teach Me How to Breastfeed!

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Did you ever think you might utter those words?  No, of course not.  "Teach" someone how to breastfeed??  How?! What?? Come on! 

Yet, if you choose to breastfeed you will need to learn how to actually make the process work...for both you and baby.  It's simple but not easy.  It's not instinctive but it can be learned.  IBCLC TaNefer Lumukanda decided to put her many talents, including teaching women how to breastfeed, to use in one awesome video.  So, if you feel inclined to learn a little bit before your baby arrives, check this out.   

And don't worry if you didn't get everything TaNefer said or you need a little extra support, as a post-partum doula I'm here to help...with getting a good latch, positioning, tandem nursing, and identifying all kinds of unexpected challenges like how to treat engorgement or learning about the signs of mastitis.  I've also been breastfeeding my own daughter since minute one.  And for areas beyond my own level of expertise, I have an IBCLC who is my GO TO for all kinds of breastfeeding help and support.  

Remember, "all the babies love it, all the babies love it!"

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