It has been one year now and things haven’t really settled down that much. The birth world has been hit especially hard. Not only are birth photographers and doulas being denied access to hospitals to be with their clients, but even family members themselves have been denied entrance. Taking this down time, I reflected on the reality of the situation, studied to become a certified doula (almost there!!) and took some time to read some thought provoking books about what constitutes a good birth, maternal care in America and what women really want.

I honestly don’t see hospitals easing up on the number of people present at delivery time especially in the metropolis that is Los Angeles. This begs the question, will home birth be on the rise?

Planning your homebirth

So you have decided, after much thought about what a good birth means to you, that a home birth is the way to go. The first thing is to find a trained health care provider. This could mean a certified nurse-midwife, a certified midwife, a midwife whose education meets specific standards or a doctor practicing obstetrics within an integrated and regulated health system.

I have worked around Catherine at Home Birth Services of Los Angeles. She is very calm, knowledgeable and very kind. I have also heard wonderful things about Heart to Home Midwifery and GraceFull Birth. Depending on your insurance, often times the cost of having a midwife is covered, but of course check not only with your insurance, but with the midwife you would like to use. While having a homebirth can be empowering, financial hardship is not.

The second thing is do make a birth plan. You can do this yourself or if you choose to have a doula present, she can help. How will you control pain? Will you labor in a birth tub? What supplies for a home birth will you need? Talking to your chosen midwife can help with these questions.

Prepare for a hospital transfer. Discuss the signs and/or symptoms that might necessitate a hospital transfer. How does this coordinate with your birth plan?

Who will be in the birth space? Keeping in mind the need to have calm, security and connectivity, will there be a doula in addition to a midwife? Will there be a birth photographer? Your other children? Your mother or just you and your partner and the midwife?

This mother had her partner, sister in law, mother in law, midwife, student midwife and me, the birth photographer. That seems like a lot, right? It wasn’t. It was every bit as intimate, warm and connected as if it were just her and her partner.

Being a birth photographer is wonderful. However, becoming a doula has given me a whole new perspective that I can go on and on about (obviously!!). Please feel free to check out this homebirth during COVID.

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So 2020 has been a bit of a whammy, hasn’t it? I have really neglected my beloved blog. Being the last day of 2020, it is fitting I make this year in review type of post. The last entry was in July and so much has happened since then! I have had several maternity sessions during COVID.

With hospitals not allowing birth photographers in and birth centers doing a reduction in support people allowed to attend, I have turned my focus to three things.

Doula Certification

The first is I am in the process of getting certified as a Doula. This is something I am really excited about! It not only allows me to grow as a birth worker, but will further my skills in holding space for the laboring person and partner. What does that mean though-holding space? It simply means being physically, mentally and emotionally present without judgement. “The person who is holding space helps set the tone for a kind, curious, and judgment-free interaction where the other person can be vulnerable, and like the term says “have space.” 

Maternity Sessions During COVID

The second thing I have focused on during 2020 is studio maternity photography. Maternity sessions during COVID are alive and well. Several online courses and webinars have led me to really excel in this genre. I have also been entering images into photography competitions which is something I have never done before. Winning a bronze in the RISE International Photography Competition motivated and pushed me to excel.

Website optimization

Finally, I have worked hard on this website. If you are visiting again, you will see it is much faster loading. There was a time for most of 2020 that the website was as slow as this year was long! My invaluable website builder, Tom, has put up with endless emails and phone calls from me and, well, I am incredibly indebted to him for what you are seeing now.

I look forward to a wonderful year ahead filled with growth, love and births!

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When putting together your birth team, take your time and trust your instincts.  Interview, ask questions and talking to past clients of theirs are an important first step in this process.

The Midwife

Midwifery is an empowering, woman centered form of maternity care. Midwives may practice during a hospital birth, home birth or in a birthing center.  These trained professionals help “healthy women during labor, delivery, and after the birth of their babies”.  “Women who choose them have had no complications during their pregnancy”. Midwives can have different levels of training.

Midwife Training

There are several paths one can take to become a midwife. The three most common types of midwives are Certified Nurse-Midwife (CNM), Certified Midwife (CM) and Certified Professional Midwife (CPM).

—Certified Nurse-Midwife (CNM) Certified Nurse-Midwives are “registered nurses who have graduated from an accredited nurse-midwifery education program and have passed a national exam. They can practice in all 50 states and the District of Columbia”.

–Certified Midwife (CM)  The 

Certified Midwife has a background in a health related field other than nursing. CMs graduate from a  masters level midwifery education program. They have similar training to CNMs, conform to the same standards as CNMs, but are not required to have the nursing component. Only a few states permit a CM to practice.

–Certified Professional Midwife (CPM)  The Certified Professional Midwife are non-nurse midwives who have training and clinical experience in childbirth. “The CPM credential is the only midwifery credential that requires the holder to demonstrate knowledge and have experience in providing midwifery services in out-of-hospital settings”. Their education and clinical training focuses on providing midwifery care in homes and freestanding birth centers.

Here are some valuable links for further reading: Midwife Schooling and  Midwives Alliance of North America. 

The Difference between a Midwife and an Obstetrician

You may be asking yourself what the difference is between a midwife and an obstetrician.  The type of pregnancy you are having will influence whether you choose a midwife or OB.  The main difference is that midwives are trained to work with women who have normal, uncomplicated and low risk pregnancies. The obstetrician is a generalist and works with a variety of medical conditions including surgery. While this is a blanket statement, there are exceptions such as working with a midwife during a VBAC (Vaginal Birth After Cesarean).

Doula

A doula is a non-medical person who assists a woman before, during, or after childbirth.  These trained professionals provide continuous physical, emotional and educational support. Most doula-client relationships begin a few months before the baby is due. During this period, they develop a relationship in which the mother feels free to ask questions, express any fears or concerns, and take an active role in creating a birth plan. Often times the term doula refers to the birth doula, or labor support companion. However, there are also antepartum doulas and postpartum doulas.

Types of Doulas

–Birth Doula Birth Doulas “have the ability to provide comfort with pain-relief techniques including breathing techniques, relaxation techniques, massage, and laboring positions. Doulas also encourage participation from the partner and offer reassurance”.  The doula acts as an advocate for the mother to keep as close to the birth plan and specific requests as possible. The purpose of a  doula is to help women have a safe and empowering birth experience whether that be an unmedicated home birth or a Cesarean birth.

–Antepartum Doula An antepartum doula provides informational, emotional, physical, and practical support to women with high-risk pregnancies, women on bedrest or any other mom who needs extra support during pregnancy.

–Postpartum Doula The postpartum doula privdes support in the first weeks following birth. Navigating those first weeks are anything but easy for a new family. The main postpartum doula is to nurture the entire family as they transition into life with a newborn. This includes doing things to help the parent(s) feel more confident in their roles, sharing education on family adjustment. They work on a families specific needs.  A doula is not a lactation consultant or a night nurse. Those are very roles.

           Birth Photographer

Everyone in the birthing space is part of the birth team and this includes the birth photographer. Hopefully you have met with the her (or him) at least once. It doesn’t matter how great the images are, if they don’t have the energy you are looking for, it will disrupt the balance of your birthing environment. What you are looking for is entirely individualized. Some mothers do not mind everything being photographed, while others are far more private.  Just like the other members of your birth team, take your time and ask questions.

Where to find a birth photographer

–Word of Mouth While most people know someone who has given birth, not everyone has used a photographer. Asking around is a great place to start, but remember if another mother swears by so-and-so, that doesn’t mean they will be perfect for you. That’s where taking your time comes in.

–IAPBP The organization is the International Association of Professional Birth Photographers. You can look for photographers in your given area easily. These are professional photographers who have a code of conduct they adhere to.

–BBH Birth Becomes Her is another resource when looking for a birth photographer.  This is also a place to find a profession photographer who has “completed the extensive Essence of Birth Online Course or has shown themselves to be a leader in their local birth community”.

–Search Engine This is where most people begin and honestly can be a great starting point.

Here is to wishing you a grand adventure in your pregnancy putting together your birth team.

If you are ready to talk about adding a birth photographer to your birth team, contact me today

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