As of today I have received my doula certification and have attended 5 births. I’ve had some clients deliver with an epidural and others who did not. I’ve been in attendance during vaginal deliveries as well as cesarean sections. Some clients were medically induced while others experienced spontaneous labor at home. After some births, my body has been physically drained and sore. After other births, I feel energized and ready to take on the rest of my day. The support I’ve provided has been as diverse as each of the women receiving the support.
Since I have begun my doula training, I vowed to myself to be dedicated to learning about research and evidence-based information. My dedication was due to apprehension that I would find an overwhelming amount of misinformation based on fear, old wives tales, and anecdotes. I have been pleasantly surprised by the volume of research that is available and the dedication of other birth workers in obtaining and sharing information based on research, data, and statistics.
The majority of my interest lies in helping my clients manage their pain and discomfort during labor and delivery. Three themes keep showing up: support, placebo effects, and perception of pain. These themes are a reminder of the power of the mind.
People feel and perform better when they perceive themselves to be in supportive environments. Support is relative and varies by individual and preferences. If my clients get what they want, they will feel supported and have a more satisfying birthing experience.
A client who gets an epidural after wanting a completely natural birth will feel dissatisfied. A client who gets an epidural after expecting, wanting and requesting it, will feel satisfied. It isn’t the epidural it’self that is causing these feelings, however, it is the expectations around the birthing experience. When our expectations are met, we feel content and fulfilled.
Since coming to this realization I have shifted the conversations that I have with my clients from spewing information and tricks of the trade to me listening to their hopes, wishes, and fears. I don’t have a magical doula wand or pixie dust that eliminates pain but I do have some experience, an ear to listen, a heart filled with good intention and a bag with some tools to help my clients customize a birthing experience that they won’t want to forget.