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Showing posts with label postpartum depression. Show all posts
Showing posts with label postpartum depression. Show all posts

Tuesday, June 7, 2011

What is a Postpartum Doula?

Since discussing postpartum traditions in other cultures, I wanted to talk about what a postpartum doula is.

The roll of the postpartum doula is, in my humble opinion, essential. In our society, most of the people who would normally provide support to new mothers must work full time. Grandparents may be able to come stay for a week or two, but what about after that? Having a new baby is hard work! New mommies should not have to go through this fragile time alone. This is where the postpartum doula comes in. She fills in the gaps of care that a mother and baby need in the fourth trimester. She is a loving, supportive, and non-judgemental presence in the house. She is there not to take over care of the baby (as would a baby nurse), but to help ensure that the mother is rested, confident, and informed in how to take care of her own baby.

According to the DONA website, research shows parents who receive support can:

  • Feel more secure and cared for
  • Are more successful in adapting to new family dynamics
  • Have greater success with breastfeeding
  • Have greater self-confidence
  • Have less postpartum depression
  • Have lower incidence of abuse

Some of the things a postpartum doula does:

  • Mothers the mother so she can rest, relax, and recover from her pregnancy and birth
  • Gives the new mama precious time and freedom to take a shower, a walk, and or a much needed nap
  • Helps with non-medical baby care including:
    • Bathing
    • Diapering
    • Baby-wearing
    • Umbilical cord care
    • Soothing techniques
  • Assists with breastfeeding
  • Prepares nutritious meals
  • Assists with older sibling care
  • Helps with light housekeeping such as:
    • Laundry
    • Dishes
    • Vacuuming
    • Baby nursery set-up and maintenance
    • Surface cleaning
  • Runs errands or accompanies the mother on errands such as grocery shopping or doctor visits
  • Provides local resources for pediatricians, lactation counselors, support groups, and parenting classes
Doula care can range from a few hours a day to around the clock, depending on the needs of the family. They can also be especially helpful with multiples, recovery after a surgical birth, a mama suffering from postpartum mood disorders, and homes with older siblings. 

The goal of postpartum doula care is to help the mother feel empowered,  supported,  and confident in her new role. This applies whether it is her first baby or 5th. Mothers deserve help throughout this transition!! 

For more information, see the DONA article here

If you are interested in postpartum care in the Inland Empire, CA - I am currently taking clients! Check out my website for more info :) 

Tuesday, April 5, 2011

Postpartum Rituals: Western Society and Other Cultures


As we know, pregnancy and birth are one of the most important times in a woman's life. They are life changing events, and are typically treated as such. Women and their partners spend months in awe over the change of the woman's body and the life growing inside. They have rituals like baby showers to celebrate the new life of their child. They (hopefully) prepare for childbirth to the best of their ability by reading, researching, and taking classes about the best way for them to give birth. They set up the nursery, wash the baby clothes, and eagerly anticipate their precious baby's arrival. As it should be.

But what about AFTER the baby is born? How often are we prepared for the time after we come home from the hospital or birth center? I know I wasn't. Sure, I arranged for my ride home, and my mom stayed with me for a week. But beyond that, I had no idea of what to expect or how I was going to "do it all". I think this is true for a lot of parents in our society. We assume that we will not need help, that we can do it all ourselves.

I believe that mothers know how to care for their baby, instinctively. Does that mean we know how to do everything and need no outside help? No!! It has been common practice throughout history for many women to surround a new mother and instruct her in the art of mothering her child.

And what about the rest of it? The meals, the laundry, the showers, the first baby bath, the breastfeeding? Our society has such an attitude of the idea that women should be able to do it all, and 3 days postpartum, no less! I believe that this expectation of mothers causes immense undue stress, which can lead to lack of confidence in caring for her baby, postpartum anxiety, and even postpartum depression.

The author Suzanne Arms asks "Is ours not a strange culture that focuses so much attention on childbirth--virtually all of it based on anxiety and fear--and so little on the crucial time after birth, when patterns are established that will affect the individual and the family for decades?"

In other cultures, the postpartum woman is well taken care of. In Korea, mothers are cared for 21 days postpartum. They are on bed rest and keep their baby with them in their room at all times (source).
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In India, the postpartum woman is kept in seclusion "and attended to by female relatives. The Rajasthani enforced rest, physical and emotional support during the establishment of maternal bonding and lactation may be crucial in preventing or relieving postpartum depression, and are similar to those observed in Nepal which are also considered to manage postpartum stress" (source) .

In the North African Amazigh tribe, women are kept secluded and attended by a midwife for 7 days after birth. They are painted with henna and eye kohl, and perform some of the same familiar rituals as their wedding time. "The effect of these ritual actions was to allow the mother to rest and be cared for by an experienced attendant during the 10 day period required for her estrogen, progesterone and prolactin levels to stabilize and for her to recover her strength. Neither mother nor child were washed with water during this period, but were cleaned with oil and henna." (source) These rituals and care continue for 40 days postpartum, and the mother and baby are kept together constantly so that the maternal - baby bond can be established. The mother is also excused from all household chores during this time.

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In China and Nepal, "very little attention is paid to the pregnancy; much more attention is focused on the mother after the baby is born. This has been described as "mothering the mother." For example, the new status of the mother is recognized through social rituals and gifts" (source).
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In rural Guatemala, and the Yucatan, "ritual bathing, washing of hair, massage, binding of the abdomen, and other types of personal care" are common postpartum practices done for the mother (source).
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How does this compare to the postpartum care of mothers in America? Can we even imagine being doted on, tended to, having our hair washed, all our meals prepared and brought to us, being massaged, being "made up" to look beautiful, not having to worry or focus on ANYTHING but our new baby?

Typically a new mama will come home 1 or 2 days after giving birth in a hospital or birth center. Her husband (if she has one) may stay home for a week if possible, and her parents may be able to come to help for a week or two. For the most part, however, new mothers are left to fend for themselves, due to the nature of our society where it is rare to have support people who do not work full time. Mamas are supposed to recover from the birth, take care of their new baby, take care of their other children (if they have them), breastfeed successfully, cook for themselves and their family, keep the house clean, do the laundry, do the dishes, and try to rest. This is such an unrealistic expectation of our postpartum women. It does them and their babies a GREAT disservice by causing incredible stress because it is just not possible to do it all.

This is where postpartum doulas come in. My next blog post will discuss what a postpartum doula is and how she can help our precious postpartum mamas. :-)

Here are the articles where I got my information - very interesting, I recommend you read them!
Traditional Postpartum Rituals of India, North Africa, and the Middle East - Catherine Cartwright Jones
 
 
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