Post Partum Doulas - Our role in Maternity Care

“The birth of a baby represents a profound and permanent life change for the parents and other family members. After nine months of pregnancy the stresses of labour and birth, a family is born or enlarged. For new parents the challenges are numerous; recovery from childbirth, total responsibility for a tiny dependent newborn; sleeplessness; emotional adjustment; mastery of infant feeding and care; understanding of and adjustment to the unique personality of their baby; and household organization. Sometimes the physical or mental health of the new mother or baby is compromised, and the parents need more help at home than they had expected’ (DONA International, 2017). Read full paper here: https://www.dona.org/wp-content/uploads/2018/03/DONA-Postpartum-Position-Paper-FINAL.pdf

In New Zealand, between Midwife and/or Plunket visits, without support, without family members and with partners returning to work, being at home can feel daunting and at times overwhelming with a newborn. Who can you turn to?

In 2021, with borders closed and families far away, postpartum doulas can be utilised more than ever in helping support parents-to-be and families who are extending and awaiting the arrival of their new baby. Missing their support, or concerned that they can’t be supported due to distance - this is the role a postpartum doula fulfils. Her main focus is to nurture and to support.

Introducing PostPartum (or Post Natal) Doulas. A supportive advisor and helper who is professionally trained to provide postpartum support to the mother and her family.

Where did we begin?

A DONA trained or certified PostPartum Doula undertakes the following before they can assist you in your home:

  • Become a member and pay an annual fee to remain a member of the organisation

  • Sign and adhere to DONA International’s Standards of Practice and Code of Ethics

  • Attend 27 hour PostPartum Doula training

    To complete certification:

  • Complete business webinar

  • Breastfeeding education

  • Written essay

  • Provide references from an antenatal health professional and clients

Some of the topics that are learnt during the DONA International training/workshop:

  • Role of the PostPartum Doula

  • Establishing Healthy Boundaries

  • Processing the Birth experience with the client

  • Commonly experienced postpartum changes in the mother

  • Breastfeeding (breastmilk composition, positioning & latching, expressing etc)

  • When baby needs a supplement

  • Integrating the baby

  • Safe sleeping

  • Perinatal mental health

  • The newborn

  • Loss & Grief

  • Required reading (parenting, breastfeeding, baby sleep)

In what circumstances would you consider having a postpartum doula to assist you?

In DONA’s position paper “The PostPartum Doula’s role in Maternity Care” it is stated that “In traditional societies women and men grow up around birth, breastfeeding, infants, and children. After giving birth, women are surrounded by caring family members who have a great deal of experience and wisdom to offer. This kind of help is rarely available to new parents internationally. The doula’s support is intended to fill the gaps left by customary postpartum practices, which usually include only medical procedures, occasional check ups and the purchase of baby related paraphernalia. The doula’s education, quiet support and guidance are a manifestation of the traditional postpartum support that our society is missing” https://www.dona.org/wp-content/uploads/2018/03/DONA-Postpartum-Position-Paper-FINAL.pdf

We are experienced in supporting families through their postpartum experience and are by no means a replacement for, or intended to replace, the care provided by the lead maternity carer or Plunket nurse. We are there to help support and nurture the new mother and her family. However, we are trained to identify when and how to refer should this be necessary, especially in regards to mental health.

What does a PostPartum Doula do?

Our guiding principles are: NEAR

  • Nurture: To nurture and support the family, meeting them where they are at, offering non-judgemental advice

  • Educate: By modelling behaviour and observation, we educate the family and offer options

  • Assess: Constantly assessing the environment to be able to support and assist where possible

  • Refer: Providing resources and referrals to families, assisting them to develop skills in order for them to be able to seek out resources and seek referrals when necessary. Always respecting client confidentiality.

We also:

  • Care for the mother and her family in the first few months following birth providing non-medical support, companionship, to assist with newborn care, meal preparation and household chores.

  • Offer evidence based information on infant feeding, emotional and physical recovery from childbirth

We don’t:

  • Educate according to our own individual beliefs or personal experiences

  • Judge our clients, their family or their friends

  • Diagnose conditions or perform medical or clinical tasks

  • Overstep boundaries

We are skilled in:

  • Teaching baby wearing

  • Helping with breastfeeding (some Postpartum doula’s have further lactation training - so be sure to ask). If you are bottle feeding we can help support you.

  • Helping to settle baby, show you how to bath baby

  • Teach baby cues (e.g. hungry, tired, overtired)

  • Safe sleep for baby

  • A listening ear with caring hearts

  • Ensuring you get a rest and/or an undisturbed shower or bath (bliss)

  • Helping with siblings!

Each postpartum doula has her individual add on’s or additional services that she may be able to offer you such as:

  • Teaching Infant massage or may offer postpartum massage

  • Naturopath/Medical Herbalist/Homeopath/Natural Fertility Educator/Counselling Support

Be sure to ask!

Always check your Postpartum Doula has the training and/or certification credentials, however, you will know the right doula for you when you meet them!

I Paused. This is what I learnt.

New ideas, exciting plans, goals & visions. A full workbook full of ideas and a head full of noise. I am born in early April under the star sign Aries, a fire sign, which means we act before we think. We are hard workers, but usually to our own detriment. Born planners with to-do lists that are never actually completed. So, lets rewind back to 2020, first lockdown due to COVID. I had workshops and classes booked and clients to see. I am a real people person and much prefer to engage face to face than online. I had a choice. Go online or potentially disappoint my clients and let them know I will see them when it was safe to do so. I chose the latter and then this happened…

I Paused. Unintentionally I just lost my flow of ideas, my creativity disappeared and along with this went my goals and plans. I will just wait it out and it will pass I told myself. A week went by, then another. I walked everyday and I baked and I planned to plan, but it didn’t happen. The house was spick n span but my planning book and journal remained blank. So did my mind. I never slow down and am always months ahead with planning, so this was really unnerving for me. Usually strict with exercise and healthy eating, this soon was shelved. I became slack all around. Even my friends were puzzled.

I just couldn’t get back on the 100% steam ahead, non-stop 5am to 11pm train of doing, completing and planning. I was stuck on pause and this is what I learnt:

  • I missed my 5am wake up time and running 45-60 minutes at least 6 days a week. I learnt that without exercise I feel foggy and unmotivated. My family said I was moody!

  • I learnt that walking fast for an hour is just plain and simply annoying because after running you can’t really fast walk anymore - you almost have to talk yourself out of trying to run!

  • No matter how much you complete on your to-do list, it continues to grow and grow and grow

  • There are billions of humans in this world and it is impossible to please everyone, so I learnt to say no. By golly this was hard, but am now an expert at saying NO and not automatically following up with all the reasons why..

  • I looked at what I had achieved and not what I still had to achieve

  • I learnt that I could have a break and lose motivation and that was okay. It was searching and finding the reasons for losing the motivation that was the eye-opener!

  • I learnt I didn’t enjoy certain aspects of my work, or so I believed and chose to not focus on them. Interestingly enough, when my focus was removed the passion returned!

  • Life’s demands never go away and what I choose to do with my time is crucial

  • I really hate instant coffee and will never ever enjoy it no matter how hard I try

  • I can watch Shawshank Redemption on TV every Xmas and never get sick of it

  • I can binge watch McLeods Daughters right from the very first episode in 2001 and just tell everyone that I am watching the latest series on Netflix……

  • My cat has several sleeping places and moves in a new spot at least 10 times per day

  • I am a serious animal lover and can’t bring myself to trap the mouse that the cat brought in, but learnt it is not the best idea to feel sorry for the mouse trapped behind the fridge and feed it grated cheese in case he is hungry..

  • I should never have started to feed our neighbourhood pigeons. We started with 3 and now we have 22 waiting on our fence every morning.

  • That getting your daughter her own pony at the age of 4 is a great idea when looking ahead to the teenage years in terms of keeping them out of trouble, but I learnt it is a bad idea for finances because they cost a blimen fortune (teeth, shoeing, food, supplements, grazing, vet bills……)

  • I love the beach, but I learnt as an adult its still ok to admit you are scared of sharks and only go in knee deep because everyone else wonders if there is a shark hiding in that big wave breaking…

  • Meditation! Just 10 minutes a day

  • Remember to breathe mindfully and lower your shoulders

  • Buy a really decent pillow if you are a stomach sleeper (= no more crook necks)

  • Those who need you will find you, always

Its 2021, I have had an entire month of eating, drinking wine and occasional walks (no running), one birth which I attended NY’s eve and a handful of clients and I couldn’t be happier. I have been to Morrinsville, Mangawhai Heads and from Gisborne to Te Puia Springs. I’m back in Auckland and back to planning and my to-do list and my to-achieve list has a scribble or two added so far. I look up at my vision board which I create every year, and right in the middle are the words “Remember to Pause”. And you know what? I will do just that.