Israel Doula

The blog of a birth doula in Jerusalem, Israel.


About Me
My name is Michal Levy, and I am the writer of this blog, Israel Doula. It is a blog about my adventures as a birth doula, and as a professional massage therapist for pregnant women.
Click to read more...

Sunday, September 16, 2007

Breathing techniques for birth

Breathing techniques are usually a very important part of traditional childbirth education. A very well known technique is of course the Lamaze technique. When you say Lamaze, most people automatically think about breathing.
Although Lamaze is much more than just breathing nowadays, the breathing exercises are part of the course curriculum.

So here's the deal about breathing techniques:
What's most important to remember is to keep breathing, and not to hold your breath. And you should make sure that you're breathing at a slow pace and that you won't start hyperventilating. And for the rest, it's important that you keep your body as relaxed as possible.

If you think that a structured breathing pattern could be beneficial for you, I will try to write down the Lamaze breathing technique.

  • In the beginning, the contractions aren't very strong yet. You can easily keep walking and talking through them, and it's fairly easy to 'ignore' them.
  • When the contractions get a bit stronger, there will come a point where it will be hard or even impossible to walk or talk through them, and you will have to concentrate a bit harder on your breathing. Here is what you do:
      Inhale through your nose 2-3-4, exhale through your mouth 2-3-4.
      Make sure that you don't do it too fast.
  • When the contractions become stronger again, and this technique doesn't seem to cut it anymore, this is what you do:
      Hee-hee, hee-hee, hee-hee, hee-hee
      This is actually a bit hard to explain, but I'll give it a try anyway. The hee's are very short, and you sort of lead the air along your upper palate. With the first hee you inhale, with the second you exhale.
      So what you actually do is: in-out, in-out, in-out, in-out. Keep them in groups of 4, that way they're easy to keep track of. And again, make sure that you don't do this too fast or you'll start to hyperventilate.
  • When this also doesn't help anymore, move on to the next step:
      Hee-hee, hee-hee, hee-hee, hee-huuuuuuu
      It is exactly the same as the one before, only the fourth hee-hee is replaced by a hee-huu. Make sure to make the huuuuuu nice and long, and keep your voice low.
  • Now for pushing this is what you do:
      Take a full breath, take out a little air, hold and push down
      Don't hold your breath too much, this should be more or less instinctive. You should be able to get 2-3 pushes out of 1 contraction.
  • If the midwife or doctor tells you not to push, blow out a candle. It is physically not possible to blow and push at the same time.


It is best to practice these breathing techniques a few times a day so that they'll become second nature. The better your body knows how to do this, the more beneficial it will be.
By the way, this technique is not only helpful during birth. It's good for any stressful or painful situation you come across in life.

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Tuesday, September 11, 2007

Teaching and thinking

I met with R. again today. She's 38 weeks now, and still had to get her class about breastfeeding. This is R.'s first child, and she is very natural oriented, so it was easy to convince her why breast is better than bottle.
I brought my teaching doll, pregnancy/nursing pillow, and The Breastfeeding Book by Martha Sears.
It was fun teaching about how to latch, and demonstrating it. I think that of all the teaching subjects, breastfeeding is probably my favorite.

I also showed R. the story of my last birth, and discussed it with her. She is going to give birth at Hadassah Ein Karem, so it's less likely that something similar will happen to her as well. In any case, it is a good idea to discuss these scenarios with women before they give birth, so that they are aware of the games that are sometimes being played in the delivery room.



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Thursday, September 6, 2007

Healthy outcome for birth centres

Ruth Pollard, Sydney
September 3, 2007


BABIES born in birth centres had significantly lower death rates than those born in hospitals, a new Australian study of more than 1 million births has found.
For the whole article, click here.

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Monday, September 3, 2007

Relaxation techniques

I went to R. for another birth preparation lesson this morning. I was alone with her today, her husband was at work. It was the class about comfort measures and relaxation during birth. It was a really interesting because R. seems very into it. I have the feeling that she is well prepared for her upcoming birth, mentally as well as physically. She is interested in a natural birth without drugs.

Giving birth naturally is a realistic option for most women. You need to realize that giving birth, being in labor, is very hard work. But it can be done. Being mentally prepared for the tough job is half of what you need, the other half is relaxation. Being relaxed is key to having a successful drug-free birth. If you know how to relax your body, I mean really relax your body, you will be able to ride the contractions like a wave.

When you tense up, your contractions will feel more painful. And the more painful it is, the more tense you will be and before you know it, you're going around in a downward spiral. So, you need to train yourself to relax the different body parts. It is something you need to practice during your pregnancy, so that your body will know what to do when the time is there.

We did some relaxation exercises, and I noticed that R. knows how to relax her body really well. That is going to work to her advantage during labor! It makes my job a whole lot easier, because it's extremely difficult to teach someone how to relax, especially during the birth.
I also taught her some good positions and movements for labor, as well as the Lamaze breathing technique. Doing the Lamaze breathing is not the most important thing. It doesn't matter how you breathe, as long as you do it! Relax your body and keep breathing, that is what will get that baby out. The Lamaze breathing technique can help to focus on the breathing, which can be a good way to get through the contractions.

All that is left for R. now is the breastfeeding class, and then she will be ready to meet her baby!


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Sunday, September 2, 2007

Doulas deliver help for birthing moms

I found this article on cnn.com:

Doulas deliver help for birthing moms

Doula is a Greek word meaning "woman's servant." Part birthing coach, part mother's assistant, doulas are showing up in more delivery rooms than ever before.
For the rest of the article, click here.

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Thursday, August 23, 2007

What to pack for the hospital?

Here is a list of things I suggest you take with you to the hospital when you give birth.

For
labor

  • The notes from your course
  • Pregnancy passport
  • ID
  • Robe, slippers (that can get wet)
  • Favorite music with portable cd/tape player
  • Drinks, water
  • Food: dried fruits, fruits, energy bars, sandwiches (for mom and for dad)
  • Change of money
  • Washcloth
  • Chap stick
  • Personal items: pillow, pictures
  • Mouthwash/toothbrush
  • Lens case, eye glasses
  • Warm socks
  • List of phone numbers of people to notify of the birth, in order of importance
  • Hair band, snood
  • Camera/video + batteries
  • Disposable underwear
  • Sidur/tehillim
Post Partum

  • Nightgown(s)
  • Mega pads
  • Nursing bras
  • Nursing pads
  • Nipple cream
  • Breastfeeding book
  • Breastfeeding pillow
  • Toiletries
  • Homecoming outfit (maternity size)

For the baby
  • Onesie
  • Overall OR shirt, pants with footies (or separate socks)
  • Receiving blanket or thick blanket, depending on the season
  • Hat
  • Baby car seat!!!

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Wednesday, August 22, 2007

The childbirth preparation course

Today I had an appointment with R. and her husband. R. is 35 weeks pregnant with her first child, and has decided to hire me as a doula.
When R. first contacted me, she was already too far along in her pregnancy to register for a childbirth preparation course, so I offered to give her a private course. Today we had our second meeting.
We talked about the routine hospital procedures, and about all the possible interventions. I always try to give a view that is as balanced as possible and based on actual research, so the couple can make well balanced decisions about their birth management.
My goal is to prepare R. and her husband for the realities of giving birth in Jerusalem, and how to best cope with it. Next time, we are going to focus on relaxation, movements and positions, and breathing.

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