Education is key! Next prenatal course begins March 5th.

I have another upcoming prenatal series starting at the Centre for Social Innovation, in the Annex, on March 5th. This course will run Tuesday evenings from 6:30-9 pm for six weeks.

If you are expecting a baby between late April and early June, this is the class for you! I cap my courses at six couples, so that my students can get to know one another and start building those new parent networks early. This course will give you and your partner the information and skills you need to cope with labour and birth; self-advocate effectively with your healthcare providers; know how breastfeeding should look and feel; know what to expect of a newborn; and make decisions about parenting that will work for you and your family.

The course is $240 per couple. Discounts are available for doula clients. Email me for more information, or to register.

Topics for the series include (but are not limited to):

-pain management and coping strategies for labour

-the physiology of labour and birth

-positioning for labour and birth

-risks and benefits of common interventions

-breastfeeding

-newborn care, characteristics and abilities

-parenting options

Education is the key to having a birth experience in which you feel confident, calm and in control.

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At Long Last….

Baby held in parents' palm

After many years and many promises, Ontario finally has a breast milk bank! This is amazing news for those babies who most need donated milk. Until now, milk for vulnerable babies whose moms were unable to feed them directly had to be shipped in from outside of the province. Now moms in Ontario can donate milk if they have oversupply and this will mean access to donated milk for a much higher number of at-risk babies.  If you need milk, you need to get a prescription in order to access the bank. For more info on that, go here. If you have milk that you would like to donate, please visit this page to find out more.

Every baby deserves the most nutritious food possible and for the vast majority, that food is breastmilk (the only real exception that I know of being babies with galactosemia). Eventually, it would be wonderful to see the system open up to all babies – not just at risk babies – whose moms are unable to breastfeed for medical reasons and who wish to have breastmilk for their babies. This might further encourage the powers-that-be to ensure that all moms are given adequate education and consistent, good quality support so that they can realize their breastfeeding goals. Believing that you can’t breastfeed your child is a frustrating and heartbreaking experience for many women and sadly, in a huge number of cases, support and education are all that stand between breastfeeding success and failure. We can’t continue to let so many moms and babies fall through the cracks, given the tremendous health benefits of breastfeeding and how much it can mean to moms to be able to achieve their goals.

This is the announcement about the milk bank that I received this morning from The Maternal Newborn and Child Health Promotion (MNCHP) Network:

Located at Mount Sinai Hospital, and in partnership with The Hospital for Sick Children (SickKids) and Sunnybrook Health Sciences Centre, the Milk Bank collects donated breastmilk from lactating women, pasteurizes it, and distributes it by prescription to medically fragile babies in Neonatal Intensive Care Units across Ontario.

The Milk Bank has been developed by some of Canada’s foremost experts in paediatrics and neonatology, including Dr. Shoo Lee, an internationally recognized neonatologist and Scientific Director of the CIHR Institute of Human Development, Child and Youth Health and an inter-professional clinical team from all three hospitals. The process for creating the Milk Bank included ensuring regulatory approvals for donor milk banking and conducting research about the benefits of donor breastmilk for very low birth weight babies. The safety and quality of donor human milk is the Milk Bank’s top priority, and The Rogers Hixon Ontario Human Milk Bank meets or exceeds all safety standards for donor human milk banking.

Evidence from the medical literature was used to determine the eligibility criteria for babies to receive donor breastmilk. The research determined that providing donor breastmilk to a specific group of infants – preterm or very low birth weight hospitalized babies – can protect them against life-threatening illnesses such as necrotizing enterocolitis and potentially against serious infections and other complications related to preterm birth.

The Rogers Hixon Ontario Human Milk Bank is made possible through the generous support of the Ministry of Health and Long-Term Care and the Rogers Foundation.

http://milkbankontario.ca/

Big News!

I am very pleased and excited to announce that, just today, I was offered a job as a prenatal instructor at Women’s College Hospital here in Toronto! I’ll be teaching an evening class, weekly, likely starting in September.

I’m really psyched about this opportunity. I’m also thrilled that WCH is letting me use my own curriculum, which means that women accessing prenatal education through the hospital will receive the same quality, evidence-based information that I provide to my students when I teach as an independent CBE. Not having to teach to the “typical experience” was really important to me, as I firmly believe that women are capable of and entitled to better than the standard base level of care that most women are receiving today. I am also really jazzed, because unlike every other hospital in Toronto, WCH opens their classes up to all women, not just those who are patients at their own hospital. In other words, if your OB or midwife is at St. Joe’s or Mt. Sinai or Scarborough General or any other hospital in the city, you can still take childbirth education classes at WCH!

I’ll post more once I have more info on the date that my first WCH series will be starting and other relevant stuff. Can’t wait!

Where Have I Been?

Wow, so it’s been a while since I’ve posted! Things have been busy, both personally and professionally and I’ve been neglecting my poor little blog.

In an attempt to remedy that, I thought I’d write a quick update post to let you all know what’s been going on in Doula-la Land…

  • I’m teaching a fabulous prenatal series at the Centre for Social Innovation. Yesterday was class 2 of 6 and I’m already having lots of fun with this group. I’ve got another series coming up in August that is only 1/3rd full so far, so if you’re expecting this fall, drop me a line for more info!
  • I’ve just formed a brand-spankin’ new partnership with Spadina Chiropractic Centre. Drs. Beth Croszman and Eva Chan are experienced chiropractors who are passionate about working with moms prenatally and postpartum, as well as with newborns. Hip pain? Back pain? Colic? These docs’ll sort you out in no time!
  • I’ve got several doula clients in the queue and am looking forward to being back on-call as of mid-June. If you’re looking for birth support for August, September, October and beyond, I still have some availability depending on your EDD. Remember, a preliminary meeting to discuss your options and individual needs carries no obligation!
  • I just recorded my first podcast yesterday! The brilliant and talented Desmond Cole is producing these for me and I’m super excited about the whole thing! I’ll be posting the finished podcast here once it’s ready for your listening pleasure. Hopefully this will become a regular feature on my site.
  • I’ve got a couple of community presentations coming up this month and next that I’ve been preparing for. I’ll be speaking to women in Regent Park (at the Centre for Social Innovation, Regent Park) on June 28th about the benefits of labour support and accessing doulas for reduced cost or for free. I will also be speaking at LAMP Community Health Centre in Etobicoke on July 9th (their July calendar hasn’t been posted yet, but keep your eye on their site for details). These talks will be specifically geared to women who want to learn more about what doulas do and why and who may be facing financial constraints in their ability to pay for labour support. I will also be touching on issues facing women who are uncomfortable with receiving care from male healthcare practitioners for religious or cultural reasons. If you’re interested in attending, drop me a line and I’ll send you more details, or you can get in touch with the powers that be at either of those two organizations for more info (see websites for contact info). Both talks will be free to attend and questions will be most welcome.
  • I’m also excited about a new cross-promotional partnership with Lila Yoga in the Annex. Prepare your body for childbirth and meet other mothers-to-be in a safe space at prenatal yoga, or bring your baby for postnatal yoga to build strength and enjoy freeing movement while connecting with other moms and babies!

That about sums it up for me…good thing too, because I’m officially out of time. Off I run! Hope you are all well and enjoying the Spring!

Summer/Fall Prenatal Classes at the Centre for Social Innovation

If you are expecting a baby in later summer or fall of 2012 and are looking for prenatal education that works for you, you’re in luck! I am offering a full series of Prenatal Classes at the Centre for Social Innovation (Annex) from August 15th to September 19th, 2012. This is a six-week series, Wednesday evenings from 6:30-9:00 pm. People have already started registering for this series – I have, at present, room for four more couples (or singles with a support person). If you are interested in taking my summer course (May 30th to July 4th), there are still a couple of spots available in that series too.

Now, you may be asking yourself, “why would I pay for independent prenatal classes when I can just attend the free ones at the hospital?” This is a great question and there are a number of excellent reasons. Continue reading

Good Motherhood Is Not A Myth

There was a recent article in the Globe and Mail in which Elisabeth Badinter, author of The Conflict was interviewed. Badinter argues that women are in a no-win situation when it comes to motherhood and feminist values. She believes that women in Western society today are pressured by the tyranny (she even uses the term “ayatollah” to describe lactivists) of an ‘all-natural agenda’ to embody a form of motherhood that resembles an old-fashioned ideal, rather than an image that is informed by the feminist discourse of the past few decades.

I don’t want to rehash each of Badinter’s arguments here, so I’d suggest you head on over and read the interview before you continue reading… I can wait 🙂

OK, now that you’ve read Badinter’s take, here’s mine. Continue reading

Summer Prenatal Classes at the Centre for Social Innovation

If you are expecting a baby in later summer or fall of 2012 and are looking for prenatal education that works for you, you’re in luck! I am offering a full series of Prenatal Classes at the Centre for Social Innovation (Annex) from May 30th to July 4th, 2012. This is a six-week series, Wednesday evenings from 7:00-9:30 pm. This series is already half-full – I have, at present, room for three more couples (or singles with a support person).

Now, you may be asking yourself, “why would I pay for independent prenatal classes when I can just attend the free ones at the hospital?” This is a great question and there are a number of excellent reasons.

1. While the information provided by public health prenatal classes is useful, these courses often omit a large quantity of information that is considered “alternative” or that is not routine at that particular hospital. For example, while my prenatal classes cover labour coping techniques ranging from massage and acupressure, to breathing and vocalizations,to hydrotherapy and heat, to epidurals and other forms of pain medications, a hospital class will generally only cover the epidural with any depth. Even if you plan to have an epidural, there are still many useful options available to you that won’t be explored in a standard hospital course. This is just an example of how hospitals tend to teach to the norm, rather than to what is possible. It’s understandable given the number of people they have to teach, but not exactly desirable if you want your birth experience to be as satisfying and positive as possible.

2. Public health courses tend to be two-day “crash courses”. This may seem ideal – get it all done with in one weekend! – but a course that is drawn out over a number of weeks will give you the chance to really get to know other couples in the class (start building up that new-parent social network now, before the baby arrives) and also opens up the possibilities for asking the questions that matter to you, even if they don’t occur to you until four days after class. You’ll also retain more of the information, as you’ll only need to digest two hours of material at a time, with time to reflect in between each class. I also cap my attendance at twelve people so that there is time for more questions and to facilitate group interaction.

3. Many people report being frightened or discouraged by the content/approach of hospital prenatal classes. It is vital that you understand all of your options and what is happening to your/your partner’s body during labour and birth, but it is not helpful to hear horror stories or to be inundated with negative information. My classes provide clear and detailed, evidence-based information while focusing on the positives – helping you to feel informed and fully prepared, but also excited and optimistic, not afraid.

4. I tailor my courses to the participants in them. Upon registration I’ll send you a questionnaire that asks you about your pregnancy, your current level of knowledge, your interests and your hopes for the course. That way I can focus on areas of particular interest and reduce coverage of topics that people already understand.

Prenatal education is the first step to an empowering birth experience. Feeling like an active, informed decision-maker prior to and during your labour and childbirth is the key to birth satisfaction. Knowledge is essential for confidence and self-advocacy.

The cost for the entire series is $240.00 per couple. If you are interested in hiring a doula and would like to talk to me about the doula services I offer, I also provide package deals for doula clients who enrol in my prenatal classes.

Topics for the series include (but are not limited to):

-pain management and coping strategies for labour

-relationships and sexuality during pregnancy and in the postpartum period

-the physiology of labour and birth

-positioning for labour and birth

-risks and benefits of common interventions

-breastfeeding

-newborn care and characteristics

-nutrition and exercise

This course is ideal for people expecting to give birth between late July and September of 2012. Email me at heather@socialinnovation.ca to register or if you have any questions.

Embryonic Stem Cells – To Bank or Not to Bank? Part 1

This post is something of a follow-up to the post I published a little while ago about the benefits of requesting delayed cord clamping during the 3rd stage of labour. As I discussed in that post, premature clamping of the cord (the current standard practice in most North American hospitals) deprives the newborn of about 40% of his own blood volume and has been found to contribute to anaemia in babies weeks or months after birth. Since the concern about increased risk of jaundice in babies whose cords were allowed to finish pulsating before clamping has been discredited by the most recent and comprehensive research, there is really no argument against allowing the cord to pulsate from a health and safety perspective at the time of birth.

The one complicating factor that remains though, is the fact that some parents are now considering the option of banking their newborn’s ‘cord blood’ (the term is something of a misnomer, since cord blood is really just fetal blood that hasn’t had time to flow back into the baby – calling it “cord blood” implies that it is somehow different from other fetal blood, but really calling it this is akin to referring to “leg blood” or “arm blood”, which obviously doesn’t make sense) for the purpose of stem cell preservation. The idea behind this practice is that the stem cells found in fetal blood could be stored and harvested later in the event of an illness that is treatable with stem cells. Since finding a stem cell match in the general population can be difficult and often poses ethical problems, banking cord blood is often seen as an insurance policy in case of illness.

The problem is, banking cord blood is expensive and not always reliable as the stem cells contained within it have a limited shelf-life and transplant is not always guaranteed. Given what we know about the benefits (as well as ease and cost-effectiveness) of delayed cord clamping and taking into account that the chance of ever using the stem cells from banked cord blood at all is only about 1/2 700, if one had to choose between the two practices, it seems that delayed cord clamping would be the way to go in the vast majority of cases (possibly excepting those where a first degree relative has a familial illness that is treatable with stem cells). Recently though, some medical practitioners have begun to explore the possibility of both delaying cord clamping and collecting ‘cord blood’ for banking. At present all of the evidence is anecdotal, but practitioners are reporting that while they aren’t able to collect the usual 500mL, they are able to collect 150mL or more with patience and care. That is more than enough to be useful for stem cell harvesting and seems like a ‘best-of-both-worlds’ option for those families where banking is indicated (i.e. in cases of previously diagnosed familial illness in first degree relatives). For more info on this, check out this article from Lamaze International where the most recent research on delayed cord clamping and cord blood banking is discussed.

Another absolutely fascinating new discovery is the fact that menstrual blood contains embryonic stem cells too! Part two will focus on the relationship between our fears about birth and our anxieties regarding our periods. Maybe the stem cell discovery will encourage a more favourable perspective on menstruation and the female body in general.

Related:

“Should We Private Bank Our Baby’s Cord Blood?” Information That Can Help You Answer That Question

 

Doula!

Doula DVD

Well, there hasn’t been much time for blogging recently, which makes me a little sad. I’ve been working on something about birth as a feminist act that was intended to be for International Women’s Day (last Thursday, ahem). Obviously I’ve missed the boat on that, but hopefully I’ll have it ready soon.

In the meantime, I wanted to post some more information about the free film screening that I am hosting on March 28th at the Centre for Social Innovation (more on that here). I really hope to see a lot of friendly faces, new and old, at the screening. Please share the details widely and come out for the film if you can! There will be an informal meet-and-greet after the screening with myself and a couple of other Toronto-area doulas. Babies and children are welcome of course.

Even if you are not planning on having a baby any time soon, this film will give you a little peek into a side of birthing that you may not have seen before. I’d recommend it for anyone who ever plans to have a(nother) baby or who wants to be able to support and encourage  loved ones in their quests to have positive and empowering birth experiences.

This is the press release for the film:

Doula! The Ultimate Birth Companion is a 65 minute, intimate and emotionally charged documentary about doulas and their part in pregnancy, birth and the first few weeks. Made by UK film-maker Toni Harman (Credo, Real Birth Stories), Doula! launched in June 2010 and screenings are being organised in the UK, Europe, the US, Canada, Australia and Japan.

Through close-up documentary footage of three doula-supported births, Doula! captures the non-medical but highly practical and emotional support given to the mother before, during and after childbirth. This unique look into a doula supported birth is captured through two intimately filmed home water births and accompanied by a video diary shot by the parents of a home birth that ends in a hospital caesarean section.

Film-maker Toni Harman said “I was inspired to make Doula! by my own difficult birth experience two years ago that ended in an emergency caesarean. I wish I had known about doulas then as I’m sure I would have had a much more positive experience. The film has really opened my eyes about the amazing difference having a doula can make and I’m hoping the film will empower other women to have the birth they want, with the help of a doula.”

Doula! is supported by the UK’s non-profit doula organisation, Doula UK. Bridget Baker, Doula UK co-chair said, “Doula! shows how the calm accepting presence of a doula can enhance the whole experience of childbirth. From the practical to the emotional, we become aware of some of the work an intuitive doula can do. The film is a joyful and inspirational view of doulas at work.”

Spring Prenatal Classes at the Centre for Social Innovation

If you are expecting a baby this spring and are looking for prenatal education that works for you, you’re in luck! I am offering a full series of Prenatal Classes at the Centre for Social Innovation (Annex) in April and May 2012. This is a five-week series, Thursday evenings from 7:00-9:30 pm, beginning April 19th.

Now, you may be asking yourself, “why would I pay for prenatal classes when I can just attend the free ones at the hospital?” This is a great question and there are a number of excellent reasons.

1. While the information provided by public health prenatal classes is useful, these courses often omit a large quantity of information that is considered “alternative” or that is not routine at that particular hospital. For example, while my prenatal classes cover labour coping techniques ranging from massage and acupressure, to breathing and vocalizations,to hydrotherapy and heat, to epidurals and other forms of pain medications, a hospital class will generally only cover the epidural with any depth. Even if you plan to have an epidural, there are still many useful options available to you that won’t be explored in a standard hospital course. This is just an example of how hospitals tend to teach to the norm, rather than to what is possible. It’s understandable given the number of people they have to teach, but not exactly desirable if you want your birth experience to be as satisfying and positive as possible.

2. Public health courses tend to be two-day “crash courses”. This may seem ideal – get it all done with in one weekend! – but a course that is drawn out over a number of weeks will give you the chance to really get to know other couples in the class (start building up that new-parent social network now, before the baby arrives) and also opens up the possibilities for asking the questions that matter to you, even if they don’t occur to you until four days after class. You’ll also retain more of the information, as you’ll only need to digest two hours of material at a time, with time to reflect in between each class.

3. Many people report being frightened or discouraged by the content/approach of hospital prenatal classes. It is vital that you understand all of your options and what is happening to your/your partner’s body during labour and birth, but it is not helpful to hear horror stories or to be inundated with negative information. My classes provide clear and detailed, evidence-based information while focusing on the positives – helping you to feel informed and fully prepared, but also excited and optimistic, not afraid.

4. I tailor my courses to the participants in them. Upon registration I’ll send you a questionnaire that asks you about your pregnancy, your current level of knowledge, your interests and your hopes for the course. That way I can focus on areas of particular interest and reduce coverage of topics that people already understand.

Prenatal education is the first step to an empowering birth experience. Feeling like an active, informed decision-maker prior to and during your labour and childbirth is the key to birth satisfaction. Knowledge is essential for confidence and self-advocacy.

The cost for the entire series is $200.00 per couple. If you are interested in hiring a doula and would like to talk to me about the doula services I offer, I also provide package deals for doula clients who enrol in my prenatal classes.

Topics for the series include (but are not limited to):

-pain management and coping strategies for labour

-relationships and sexuality during pregnancy and in the postpartum period

-the physiology of labour and birth

-positioning for labour and birth

-breastfeeding

-newborn care

-nutrition and exercise

This course is ideal for people expecting to give birth between late May and August of 2012. Email me at heather@socialinnovation.ca to register or if you have any questions.