Tuesday, January 10, 2012

Birth and Language, Words and Life



I am very pleased to present our next Italian get-together.
It will be held at a wonderful retreat in the green heart of Italy, from July 14 to 21, 2012.


Casa della Pace is a calm, beautiful, loving environment that allows you to fully relax, retreat from your daily worries and cares, and concentrate on what really matters.

This week-long retreat in July 2012 will not only be a chance for us to explore language and narrative during birth, but through all of our life cycles, from birth through childhood, adulthood, giving birth and raising children, old age, and that final cycle, death.

We will be exploring the universality of language, the power of words, and the joy of storytelling. Guest facilitators will include Lewis Mehl-Madrona,whose current interest is narrative medicine.

We will be working towards an anthology of stories and pieces emerging from the retreat, which will be published in 2013.

Registration is limited. If you are interested, please contact us (leave a comment) and we will email you our application form.





Monday, January 9, 2012

Induction Epidemic

As I mention in my book, we still don't know exactly how long a human baby needs to gestate. We don't usually know the exact date of conception, and we have no real understanding of why or how labor starts. Statistics are wonderful tools for proving a point, so I am going to shy away from using them for now. I have read endless discussions on medical professionals' lists about the benefits and risks of 41 week inductions, and I am not at all convinced.

My father is very ill. His body is getting weaker and weaker, and when I was caring for him over New Year's he seemed as frail as a preemie, and weighed about as much. But his mental state is still as sharp as it ever was, his sense of humor as dry, and he had a wonderful New Year's toast with all of us, wishing us all a Happy New Year.

I don't know when he is going to go. It could be in two weeks, it could be in two years. But none of us would think to hasten his departure by giving him some meds that would call on the Angel of Death. Of course, if he were already half gone, we have been ordered by him to let him go. But as it is, we are waiting, trying to stay in touch as much as we can. My mother is there, cooking his favorite food and listening to his favorite music with him, reading him detective stories and generally fussing over him.

As it is at the end of life, so should it be at the beginning. If a woman and her baby are doing well, and all the medical tests show that everything is fine, then there is absolutely no reason that the baby and his mother should be "stimulated" to start labor. I am not arguing that once a woman reaches forty weeks she should be abandoned by her medical caregiver. Certainly, she can have a weekly Non-Stress Test or a Biophysical Profile. But if these tests show that all is well, why are we relying on numbers and averages to make medical decisions?

We had a holiday season recently. The hospitals in our city were packed during the week before Christmas. It wasn't because everyone had been having wild sex at the end of March last year. It was because women, their partners, and their medical caregivers wanted those babies to be born before the holiday, so they decided upon induction rather than waiting and suffering the inconveniences that would result.

A doula is a very useful resource in this situation. She can and should help the parents-to-be understand the advantages and disadvantages of induction, and help them to ask the medical caregivers the right questions. Informed choice is not just a buzzword, it actually means that the patient is informed and can make a choice. The patient should be informed, not just by the doctor who has to go away for Christmas, but also by someone who can inform her that if her cervix is long, closed, and high, and she is a first time mother, and her mother and sisters all carried their babies to 42 weeks, then  she may have a higher risk of ending up in surgery than if she waits a few days and trusts her doctor's backup.

There is an induction epidemic going on. Induction can and does lead to further interventions. If a prostaglandin induction does not stimulate labor, then oxytocin is initiated. Prostaglandin gel, IV oxytocin, and epidural medication can have a bad effect on the fetus, and may lead to emergency cesarean birth. All of these interventions are miracle workers when they are used to save a mother's or a  baby's life. To use them for social reasons is not only bad medicine, it is a sad reflection on our culture and our way of life.

Thursday, December 15, 2011

Montreal Doula Trainings

MBC volunteer doulas had a potluck meeting the other night, and the subject of doula training came up, as it always does when you get a few doulas together.

Here in Montreal, we have a good selection of opportunities for would-be doulas - but more about that in a minute. First, the whole question of training. We do not need to be trained, any more than doulas are "coaches". One reason why we have to keep using terms that we perhaps don't agree completely with is the grip the internet and its rules has over our choices. "Training" is a keyword that many people will use. Many doula "trainers" will agree with me, this is not an exact description of what we do, but for now, that's the word we agree to use.
Suggestions? Doula guidance? Flaky. Doula program? Could work. Doula course? Too limited.

A good doula training will include teaching, guiding, role-play, hands on experience, and, exceptionally, teaching by example. Usually, the course will have some kind of text, or at least some handouts, to follow; some physical demonstrations; and a role-playing segment where the students can get a sense of what it is really like to assist a birthing woman.

Montreal doula trainings come in two flavors: French, and English. The English programs seem to be few and far between, but most of the would-be doulas here usually find their fit. DONA, the international doula organization, does doula trainings very rarely here, but I have met a few women who have travelled to Ottawa to do their trainings. They cost around $400 for a weekend, and do not include shadowing or mentorship, but do give a good basic foundation. Alternative Naissance also does trainings in English twice a year.

The most well known, and the most comprehensive training in Montreal is the one run by Motherwit. Most of the English speaking doulas in town have graduated, or in the process of working on, this training. It gives the student an excellent preparation for working within the Montreal health care system - which is no easy task! These classes are run two or three times a year, and fill up fast. Mentorship and shadowing is also possible within the program. This is a great course run by a wonderful woman.

I also take on apprentices and run quirky doula courses. I am organizing one in Barbados for the third week of February, in conjunction with the Birth House in Bridgetown.  This summer, in July, I will be teaming up with Lewis Mehl-Madrona to lead a retreat in a fantastic spot in Italy, Casa della Pace. This will be a retreat opportunity for birth workers, writers, and any one interested in healing through story.
I am often approached by would-be doulas for shadowing and apprenticeship possibilities, and I am very open to those. I have four apprentices working with me now, and one in particular is doing a self-directed program using my book as a foundation, in preparation for midwifery training.

If you are interested in any of these possibilities, please email me for further information.

One question the women had the other night was "What if I do the training - and none of them are free! - and then I find out I don't want to be a doula after all"?
My answer is this: "Learn and keep on learning." You will not waste the money and effort doing a good doula program. So much of it prepares you for life, not just for working as a doula. I have learned so much over the years working as a doula that I hope to apply to how I live. Of course, it is important to find the right teacher, and you will know that right away. The choice should be made that way, however, not by price, effort, or convenience. Find a mentor, learn from her. Talk to other doulas. Volunteer. Keep an open mind and an open heart.

Wednesday, December 14, 2011

Never Give Up





Never give up

no matter what is going on
Never give up
Develop the heart
Too much energy in your country is spent
developing the mind
instead of the heart
Develop the heart
Be compassionate
Not just to your friends
but to everyone
Be compassionate
Work for peace
in your heart and in the world
Work for peace
and I say again
Never give up
No matter what is happening
No matter what is going on around you
Never give up

His Holiness the 14th Dalai Lama of Tibet