Early Labor | What Should I Do?

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Early labor can often leave us with the question of, “When do I head to the hospital?”. Clever reminders like “511” remind us that contractions should be 5 minutes apart and 1 minute long for 1 full hour before you head in. As doulas, we are huge advocates for distraction through early labor. Often, when you focus on distractions you’re able to discern when you can’t ignore labor anymore.

When your pregnancy is healthy and labor is going normally, we love to encourage clients to try to make their contractions go away. True labor won’t stop just because you put your feet up! In addition to staying hydrated, eating nourishing food that feels good to you, and laying down for a bit, here are a few of our favorite ways to enjoy a distraction during early labor.

Schedule an Appointment

An excellent way to relax and distract yourself is to get yourself to a self-care appointment. Book a pedicure, a prenatal massage, or find a salon near you that does blow outs. These appointments are wonderful for distraction but they also help create a flow of oxytocin in your body. Oxytocin is a wonderful pain relief and also calming hormone and it can be stimulated by skin-to-skin contact. Be sure you’re in contact with your birth team and consider having someone else drive (just in case!)

Warm Shower or Bath

The warmth of a shower or bath can ease tension and relax your muscles, helping you stay comfortable as early labor progresses. Water has a calming effect and can provide gentle relief, especially for back pain or cramps. Sitting or standing under a warm shower allows the heat to target your back and abdomen, while a bath can create a more immersive, weightless experience that helps you relax between contractions.

Safety Note: Be sure to keep the water at a comfortable, warm temperature (not hot) and stay hydrated if you’re soaking for a while.

A pregnant individual does a yoga and meditation routine.

Movement and Gentle Exercise

Moving around can be surprisingly effective in early labor. Gentle stretches, walking, a prenatal yoga video, or using a yoga ball can help release muscle tension, encourage a more optimal baby position, and may even help labor progress. Slow dancing with a partner or swaying your hips in a figure-eight motion can bring comfort and connection, grounding you through each contraction.

Tip: If you have a yoga or birth ball, sit and gently rock your hips, move them in a figure 8 motion, or bounce lightly to ease any pressure in your lower back or hips.

Create a Calming Environment

A soothing environment can make a big difference in how you feel. Dim the lights, play calming music or sounds, and use soft, cozy blankets or a favorite pillow. Try lighting a candle that has a soothing scent to create a spa-like atmosphere if you’re interested in aromatherapy. Choose things that bring you comfort and help you feel safe.

Tip: Make a playlist with a mix of calming and upbeat songs. The calming ones can help you relax, while the upbeat tracks can lift your mood if you’re feeling restless.

A pregnant woman in early labor reads a book sitting on a couch.

Mindful Distractions

Early labor is the perfect time to engage in activities that keep your mind occupied without draining your energy. Simple activities like reading a favorite book, watching a comforting movie, or doing a craft project can keep your focus off contractions while still allowing you to relax. Some people enjoy adult coloring books, knitting, or easy puzzles that bring a sense of calm.

Tip: Make a list of short, enjoyable tasks you can do easily and stop anytime, so you’re prepared with options if labor progresses quickly or you start needing to focus more on your contractions.

These techniques can help you stay comfortable and relaxed at home as labor begins. Remember, there’s no right or wrong way to experience early labor; do what feels best for you. Take things one contraction at a time, stay connected to your body, and know that each step brings you closer to meeting your baby.

Unsure if it’s really labor? Check out our blog “Am I actually in labor?”

Newborn Classes and Childbirth Education for New Parents

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There isn’t a handbook for pregnancy, birth, or parenthood and that can be overwhelming. If you’re finding yourself with notebooks or spreadsheets full of information to wade through, you’re not alone. We have access to an entire internet full of recommendations, be they current or outdated. Finding reasonable, science-backed answers can feel like an uphill battle and a lonely one at that. Are childbirth classes really necessary? Are newborn care classes worth it?Where can I find newborn classes and childbirth education in Baltimore?

That’s a call only you and your partner can make.

Childbirth Education

What is Childbirth Education?

Childbirth Education Classes are educational programs taught by experienced instructors well versed in the field of Pregnancy, Birth, and Postpartum. Childbirth Education curriculum varies and classes attended are generally chosen based on your preferences. Some focus heavily on a larger, trademarked curriculum such as Evidence Based Birth or Lamaze, while others are completely unique to the instructor such as Doulas of Baltimore’s signature Complete Childbirth Education Series.

Childbirth Education classes can be taught in person, online, in a group setting, or on an individual basis. There are many options and approaches, the bottom line is finding one that someone you trust teaches.

 

What should my class cover?

While there are many different types of curriculum, and the benefits of childbirth education still require more official study, it’s well known that access to education increases positive outcomes. When looking at classes, ensure yours covers these basic topics:

  • Decision making strategies to ensure you remain an active participant in your birth story
  • Tips for staying healthy and comfortable in late pregnancy
  • Physiology and the process of labor and birth
  • Common interventions and medication options
  • How to create and communicate your birth preferences
  • Hands-on coping, comfort and relaxation techniques 
  • Preparing for the postpartum experience

 

Whether you’re planning on going through childbirth without an epidural or are open to medication, understanding these key topics can help you create the birth and postpartum experience that will set you up for success.

 

Doulas of Baltimore is hosting our Spring session of our Complete Childbirth Series on Saturdays beginning April 6th, 2024 in Baltimore and our One Day Baby 101 workshop in Frederick. Our Complete Childbirth Series runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Our Baby 101 workshop is a one day intensive that gives new parents all the essential information they need. Learn more and register here!

Newborn Care Classes

What are Newborn Care Classes?

Newborn Care Classes are educational sessions for anyone who needs updated information on the care and keeping of newborn babies. Experienced teachers lead these classes who have taken professional training and work in the field. There are many different options for taking these classes including Hospital-based programs and more uniquely designed curriculum created by individuals. Ensure the source and how frequently the materials are updated are considered when searching for your classes. Safety standards for newborns and infants change regularly and ensuring you have the latest information ensures you’re able to keep your baby safe and those around your baby updated.

What should my class cover?

All Newborn Care classes should cover the basics of baby care such as feeding and diapering as well as:

  • Preparing your home and family for a newborn
  • Common baby gear and gadgets
  • Normal newborn characteristics
  • Hygiene including diapering, bathing, and dressing
  • Crying and newborn communication
  • Comfort and bonding techniques
  • Newborn sleep patterns and safe sleep
  • Feeding options and techniques
  • Hunger and satiation cues
  • Common feeding obstacles

 

Doulas of Baltimore has an opportunity for Newborn Care Education this Spring. Join us in Baltimore for our 4 Week Essential Newborn Care Series. This class runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Learn more and register here!

 

When considering the question, “What childbirth classes should I take?” consider who is teaching it, what the course covers, and if the curriculum is aligned with your birth wishes. If you’re searching for infant care classes for new parents we recommend ensuring that the course is based in science and has up-to-date information on safety and development for newborn babies. We recommend if you’re searching for Newborn classes and Childbirth Education in Baltimore or Frederick, consider Doulas of Baltimore!

 

We believe education is one of the most important things you can invest in. Above all when we educate ourselves we empower ourselves to make sound decisions, enter any situation with confidence, and create a great environment for a positive experience. Generally taking classes with your birth partner prior to giving birth can deeply connect you to one another creating a sense of safety and support.

Pinterest graphic about classes for new parents to take

Doula Support & Childbirth Education Are Like Cookies & Milk

Some things in life are made better when they’re together. Milk and cookies. Peanut butter and jelly. Macaroni and cheese. Doula support and childbirth education. All solid choices independently but the combination of the two is unmatched. Maybe you haven’t heard of that last one, but I promise you, it’s just as cohesive of a relationship as milk and cookies! 

Hiring a birth doula helps ensure you and your partner are supported and confident during your pregnancy and birth journey. Just knowing that you will have someone whose sole focus is YOU during this process can relieve so much unanticipated stress. 

In order to ensure you receive the most out of your experience with a birth doula, it is beneficial to ALSO invest in a quality childbirth education workshop!

Here are three reasons why you (and your partner) will benefit from the combination of doula support and childbirth education workshops:

Your DOB doula is intimately familiar with our childbirth education curriculum. 

She is able to help you recall 3rd trimester health and safety information and communicate your preferences and priorities for your birth experience with your care provider through your pregnancy. Recognizing that your body was preparing for labor (hello too many trips to the bathroom!) meant you were able to give your doula a much appreciated heads up at 9 pm instead of 3 am! During labor, your doula can offer reminders to use your  B.R.A.I.N. to make decisions and ensure your partner feels confident with how and when to use the hip squeeze they learned during Comfort Measures. 

Your childbirth education workshop will set the framework for what to expect. 

Having a foundational knowledge of the ‘what ifs’ of pregnancy and birth can help you to avoid potentially serious complications. Unfortunately, not every aspect of pregnancy, labor, birth, and/or postpartum always goes perfectly according to plan. For example, because you’ve taken a childbirth education course together, your partner was able to recognize that the persistent headache you’ve had for the last 24 hours, may be outside of the range of normal and requires a call to your provider. Having the knowledge of what is expected at each stage of this journey helps you to better understand the process, communicate your concerns, and make decisions that are best for your family.

A well-prepared partner means better support for you.

Taking a workshop together takes the responsibility to inform and educate your partner, off of your shoulders. Chances are that you, as the birthing person, have shouldered much of the responsibility in researching and preparing for the birth of your baby. You may have sent resources – books, podcasts, TikTok videos, and articles in their direction but most partners benefit more from receiving information directly from a unbiased professional. 

Having access to a professional birth doula throughout your pregnancy, labor, birth, and postpartum experiences means having a sounding board for thoughts, questions, and concerns.

But the saying is true, you don’t know what you don’t know. Taking a childbirth education workshop and conferring with your doula can help you to devise questions for your providers so you aren’t left responding “I don’t know; what should I be asking?” at the end of your next prenatal visit!

4 Ways to Prepare for Baby’s Arrival

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Two things can happen as you get closer to your baby’s arrival date. You feel the urge to nest, or prepare your home for the new baby. You might set up the nursery or clean the house. You also might feel overwhelmed and anxious about getting everything done. Here is an overview of four ways you can prepare for baby’s arrival. 

Set Up Your Home

The first thing that new parents usually think about is where baby is going to sleep. The American Academy of Pediatrics recommends that babies “room in,” (https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx) or sleep in the same room as parents, for the first 6 months. Make sure that the crib or bassinet is away from windows, heavy shelves, and electrical cords. Other things you might want in the nursery or in your bedroom are a diaper changing table, chair for feeding, a dresser for clothing, and places to store extra diapers and toys. Consider buying natural or greenguard items to prevent off-gassing, or buy them used or well in advance of baby’s arrival. 

Get the Gadgets 

Some gadgets aren’t really gadgets at all: they are necessary tools. For example, you can’t leave the hospital without a proper car seat. Many new parents opt for car seat/stroller combos, where the carrier snaps into the car seat or the stroller, for a variety of functions. 

Additionally, a baby carrier or babywearing device can be worth its weight in gold. Babies are soothed by being nestled close, while parents enjoy having their hands and arms free. Slings, wraps, and packlike/structured carriers are all great options. Often families will opt to have a couple carriers to choose from depending on who is wearing the baby and whether they are on for a walk (or other outdoor activity) or if they are trying to get chores done around the house. Check out this list of babywearing devices. 

Another popular product we’ve seen lately is the Snoo smart bassinet. Many new parents swear by their effectiveness. So much so that some employers (like Under Armour) are taking notice and now provide a 6 month rental Snoo bassinet for their employees. The bassinet responds to a baby’s cries with swaddling, shushing, and swaying (part of the 5S theory). It does this by rocking and playing white noise to soothe the baby. It also ensures that babies sleep on their backs with a special sleep sack. 

Clinical Decisions to Consider 

Less exciting than preparing the nursery or getting everything ready, but just as important, are the clinical decisions to consider before baby arrives. While you’ve been working with a doula and midwife and/or an obstetrician, once baby is born, they’ll need a pediatrician. Ask your healthcare provider for recommendations and get a pediatric care provider. Similarly, begin thinking about childcare providers. While you may have time off from work, consider who will take care of baby when you head back to work. Lastly, consider options available at the hospital for your newborn such as cord blood donation or delaying cord clamping, erythromycin eye ointment, vitamin K injection, and circumcision. 

Take Care of Yourself 

In the excitement and nervousness you may experience before bringing baby home, it’s easy to forget to take care of yourself. You can take time to appreciate your friendships, your romantic relationship, or your relationship with your other children through special trips or outings. And make sure to get adequate nutrition and rest – things that might be in short supply in the coming months.

You can learn more about how to prepare for baby’s arrival through our Baby 101: The 4th Trimester, Birth Basics or Complete Childbirth Education classes. Click here to learn more.

4 Lessons from Childbirth Education that Helped Us Get Through COVID

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At the very beginning of our Complete Childbirth Education classes in Baltimore, we ask you to fill in sentences about how you feel about birth. While “I am nervous about…” is definitely not the same for everyone, over the last year, COVID-19 has made expecting parents nervous. And it brings up lots of questions for new moms: What does coronavirus mean for a hospital stay? Could baby meet grandma and grandpa? Who will be able to help me after delivery? 

Although 2020 was totally unexpected, at Doulas of Baltimore, we’ve tried to keep the safe, nurturing, and smart perspective we’ve had serving you for the last 7 years. As things are slowly getting back to normal, we wanted to share how 4 lessons from our CBE classes helped us get through this past year. 

Need to Make a Decision? Use Your B.R.A.I.N.!

Use your B.R.A.I.N is a philosophy we use in class. When making a decision, think about benefits, risks, alternatives, intuition, and what would happen if you did nothing. At the very beginning of the pandemic, we used this philosophy to think about what services we could safely offer to you all. While we’ve always known the benefits of comprehensive support, there were many risks involved in continuing in-person classes and doula support. Our intuition (and clients and friends who work in medicine) helped us make the call to move all of our support to an alternative – virtual classes and support – until it was safe to be in person again. 

Confidence and Support Help Get Us Through

Doulas are experts who provide steadfast and nonjudgemental support to you and your family during pregnancy, labor, and after baby arrives. While our classes continued with all of the regular topics, we also dealt with the most pressing issue: navigating the obstacles of COVID. What is the absolute need-to-know information? How can we help make this a less stressful situation in a very stressful climate? Like in all of our classes, we focused on evidence-based information and provided straight talk about birth and postpartum care in the pandemic. We also used that same evidence-based information to make decisions about how to run our business and what we could safely offer to clients. 

Take a Deep Breath 

Was that a contraction? A real contraction? Or just pre-labor? In our classes, we always go over the stages of labor  and how to tell the difference. Over this past year, each time a wave of infections started coming down and businesses started opening up, it was almost like Braxton Hicks contractions. They are stressful, because you are trying to figure out if they are real or not, but ultimately, they are not the real thing. 

When we went virtual, we wanted to wait until it was safe and realistic to provide in person support again, and we wanted to know the difference between pre-labor and real labor. The last thing we wanted to do was tell a client, “Yes, we can be with you in the hospital,” and then back out. Now, as vaccinations are available for everyone, case numbers remain low, and hospitals have permanently re-opened for professional doula support, we can offer in-person support again. 

Adapting is Key

If you’ve been in one of our classes or been pregnant, you know: labor takes many paths. And what you want to do is know the unexpected situations and what to do about them. No one knew what 2020 would bring us or when, and adapting to the ever-changing scenarios has become key to keeping our support going. We were able to bring classes to a virtual space, and some aspects of online meeting and learning are great (including no commutes on weeknights!). This is one reason we plan to continue to offer some classes online in the future. However, some things such as comfort measures, are hard to teach over Zoom. And, a big part of what we do is supporting you during and after birth, in person. So, we are adapting again. This fall, we will be offering a few classes in person in addition to our online Complete Childbirth Education class, and we have begun working one-on-one with families in person again for both birth doula support and in-home postpartum and newborn care

You can find out more about our classes here and contact us to find out more about in person doula support this summer and fall.