Category Archives: Labor

Two for One Special!

For a limited time clients who hire me will get an amazing special deal – two doulas for the price of one!

I am super happy to announce that my friend, Patti Fisher, will be partnering with me for the next few months. We will be doing prenatals together and attending births together all with the back up of my wonderful team at www.oneheartdoulateam. That means you get two doulas for no extra charge. What a deal! Two doulas mean: more support for mom and dad, a freshly rested support person no matter how long labor lasts, an extra pair of hands to take photos or video, and more great birthy vibes to help you have a positive birth experience.

fullsizerender-4 Meet Patti!
Like me Patti is a mom of eight and grandma of nine. She is also DONA trained and is a volunteer with UCSD’s Hearts and Hands doula program. What’s more, in her Navy days Patti was an operating room technician in labor and delivery where she assisted with cesarean births and took every opportunity to watch vaginal births when she was not needed in the OR. Patti’s positive spirit and love for laboring moms translates into an incredibly supportive atmosphere whenever she is present. Most importantly, like all my doula partners, Patti loves Jesus and her beliefs about birth and God’s sovereignty over the whole process mirror mine.

If you choose to hire us, we will both attend your prenatal appointments so that we will be fully in tune with your dreams and vision for your birthing environment. We will also both support you during your labor at your home and birth place as well as during your postpartum period. If one of us is hindered in some way from attending your birth, you will have a doula at your side whom you know and who knows you.

Of course, you can still hire either of us individually or hire the whole One Heart Doula Team. As always, the choice is YOURS when it comes to your birth. But what a deal, right?

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Filed under Birth, Doula team, Labor

Microbiomes & Cesarean Birth

I came across an article in the U-T today talking about “vaginal microbial transfer” and its importance in cesarean birth. You might be thinking “What in the world is that?!?,” but I’ll tell you why I am intrigued by this topic.

First, when I did my doula training Penny Simkin, one of the most respected leaders in the field of childbirth (she co-authored the book Terry and I used as the “textbook” in our childbirth education classes back in 1986. And, yes, I realize many of you were not even born yet!), talked about the importance of microbiome seeding in the birth process. She has some great videos on the topic which can be found on YouTube. Frankly, I didn’t really get what the fuss was all about at first but in the years since my training I have read much more on the topic.

Second, this topic intrigues me because our country has abysmal cesarean rates. At San Diego hospitals rates range from 25-48% of births with most of the larger hospitals in the 30-40% range. Babies delivered by cesarean are statistically more likely to develop obesity, asthma, allergies and immune deficiencies. They also miss out on having their guts colonized during the birth process. The study this article references found that babies who were born via cesarean had significantly less Lactobacillus – the “friendly bacteria” – in their anal samples.

Third, this topic intrigues me because there is a possible solution which can help babies born via cesarean birth to gain at least some of the benefits of vaginal birth. Now, to the average expectant mom or dad this next part might seem a little gross, but bear with me. This study found that by inserting a gauze pad into the mother’s vagina during labor or prior to a cesarean and then swabbing the newborn baby’s mouth and body with that gauze after birth, at least partial restoration of the microbiome occurs. This is exciting information for those times when a cesarean becomes the necessary  choice for birth.

Read the study here for yourself:

Some other ways to protect your baby’s microbiome in the immediate postpartum period:

•As much as possible, have only mom and dad’s hands on baby

•Bring blankets from your home with your microbiomes to use on mom and baby after birth

•Forego the hat instead keeping baby warm via skin-to-skin contact with mom




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Filed under Birth, Cesarean Birth, Labor, Uncategorized

Welcoming Ezekiel

This week I was afforded the very special privilege of being invited to be a part of the birth of my grandson, Ezekiel Alexander Jordan. It is a privilege I do not take lightly, especially when it is my daughter-in-law doing the inviting. This was my third daughter-in-law to grant me this blessing.

It was a long, but fairly uneventful process which began with an induction for medical reasons. This was followed by a very long season of waiting. Thankfully, we were at a facility which is very patient allowing mama and baby to navigate their birth journey at their own pace. Ezekiel loved labor!

In the end, that slow pace jumped into hyperdrive and this Grammie almost missed the birth as I had left to go to my daughter’s volleyball match. As I walked into the gym my phone rang and I was soon scurrying back to the hospital.  My daughter-in-law was a pro at pushing and Ezekiel was born gently about 15 minutes after I got back to the birth room.

Seeing my sons become fathers has been such a joy. One advantage of a large family is having sons who are completely comfortable with babies. I’m so thankful my sons love babies and are adept at changing diapers, rocking their sons (yes, my sons have ALL sons!), and taking over the household tasks as their wives recuperate.

When our first grandson was on the way, my wise friend Redetha told me that the feelings I would have for my grandchild would be similar to the feelings I have for my own children. How right she was! Being a grandparent is truly the best. I love babies, and holding someone else’s baby is wonderful. But holding my own grandchildren is a completely different feeling. There is an amazing connection there which causes the same feelings in my arms and heart as when I held my own children – those amazing people who have grown up to bless our lives with -now – eight beautiful grandchildren, seven boys and our princess Alice.

Here are some tips for grandmas who are invited to their grandchild’s birth:

  1. Mama calls the shots! It is her birth. If she wants to go all natural, be her biggest cheerleader. If she wants an epidural, tell her it is fine. Leave when she wants privacy and don’t be offended. By anything. At all. It’s not about you.
  2. Check your fears at the door. Whatever your birth story, leave it behind you when you walk in the room. Some things should never be heard in the labor room:  “You should….” or “You shouldn’t…”  “Are you sure you don’t want something for the pain?” “Just listen to the doctor, honey.” (Not that the doctor doesn’t have wisdom to share, but parents have brains, too, and they have a right to informed consent and to make choices based on risks and benefits.)
  3. Protect her “cave.”  Moms need to be able to go into “Laborland.” A quiet, respectful atmosphere is key. Most moms like a dark, quiet room, especially as labor progresses.
  4. The “golden hours” belong to the new parents and baby. Once baby arrives, he or she will be placed skin-to-skin with mama. Talk ahead of time about what mom and dad want in the way of photography (and be sure to keep it off social media unless they have given consent!) The first couple of hours are very important for bonding, and new research is showing the importance of colonizing the baby’s gut by mom and dad’s microbes. I know how much you want to hold that new baby – I totally sympathize! – but it really is best if only mom and dad touch baby at first.
  5. Be sensitive to mom’s needs and desires when trying to initiate breastfeeding. While breastfeeding is natural, it doesn’t always come naturally to mom or baby. Moms have differing levels of comfort trying to feed the baby in front of other people. In the first 24 hours it is extremely important that baby latches on at least 8 times (often 10 – 12 or more!) and suckles for at least 10 minutes each time. Agunnamedain, take your cue from mom or simply ask what is comfortable for her. If you know how to help her and she desires that help, have that discussion. Realize, of
    course, that there is always new research out there and the ways we learned may have been updated. If you bottle fed, just be supportive of what mama wants to do. Please don’t offer to bottle feed the baby “so mom can rest” or say something to make her question her supply. Do encourage her to see an IBCLC, a board certified lactation consultant, if she has any problems getting established. And if after all that she decides to formula feed, support her in that, too.

All those things one hears about how wonderful it is to be grandparents…I have a little secret for you:   they are all true!

Congratulations, Jacob and Zinnea, and thank you again for inviting me into your very special birth day.

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Filed under Birth, Grandparents, Labor, Uncategorized