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5 Comfort Measures (you might want to try during labour)

by Laura Hill (YDD Back Up Team Member)

Labour can be a daunting experience, but with the right planning, aids, and support, it can be a more comfortable one. Comfort measures during labour can help alleviate pain, reduce anxiety, and promote relaxation, making for a more positive birth experience. These measures are non-pharmacological techniques that aim to enhance the birthing person’s sense of control and well-being during labour. It is also important to have a support system in place, such as a partner or doula, to help with relaxation techniques and provide emotional support.

These measures are non-pharmacological techniques that aim to enhance the birthing person’s sense of control and well-being during labour

1. Baths and Showers

Hydrotherapy is a safe and effective method of relaxation and pain relief that has been used
for centuries. The warmth and buoyancy of the water in a deep bath causes a decrease in
stress hormones and increase in production of oxytocin.

 

 

2. Touch and Massage

Find out what kind of touch you find comforting and use that during labour. Light touch,
counter-pressure techniques, acupressure points and massage can help to release tension in
muscles and promote relaxation. Massaging with oils containing scents like lavender or
peppermint can also be helpful in promoting relaxation and reducing anxiety.

 

 

3. Peanut Ball

A peanut ball is an exercise ball used to help open the pelvis and increase the progress of
labour. It is especially helpful for positioning and pushing with an epidural.

 

 

4. Heat and Cold

Both heat and cold can provide comfort during labour and afterwards. Heat or cold (or an
alternation of the two) applied to the low back may help relieve pain. And a warm compress
on the perineum can be used to relieve pain and soothe the area.

 

 

5. TENS Unit

A TENS (Transcutaneous Electrical Nerve Stimulation) unit is a battery-operated device that
delivers electrical impulses through electrodes to your skin. These impulses are thought to
stimulate the release of endorphins, which when used during early labour, can build up to
reduce the sensation of pain.

 

 

 

 

Want to get prepared for pregnancy, birth and postpartum? Grab our free Bump to Baby Checklist! This clear and thorough guide walks you through everything to expect from your first trimester to past your 6 week postpartum check up.

  • What tests and screenings will be offered and when
  • When to sign up for prenatal education and what types to consider
  • Things you should think about that your care provider may not mention
  • Links to helpful resources
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A Meet and Greet with Your Downtown Doula

 

Common questions we get and our answers….

by Dr. Olivia Chubey, ND

How long have you been practicing? How many births have you attended?

Our team is a mix of varied experience from those practicing since 2002 to newer graduates.  Our collective prides itself on our collaboration and mentorship focus.  Which means that even if you work with a newer graduate, they are under the direct mentorship of a more experienced naturopathic doctor and doula, with access to them during your birth.  So no matter who you work with, you will get the benefit of the experience of our whole team.

 

 

 

What techniques do you use to help me through labor and birth?

Through our team’s experience we have created CONFIDENT BIRTH prenatal class.  This class focuses on the techniques we have found work wonders for clients. 

Additionally, as we are all naturopathic doctors we may use tools specifically under our regulated scope of practice including but not limited to: acupuncture, botanical medicine, homeopathics.

 

 

How do you involve/include my partner during labor and birth? 

It depends on their comfort level of desire in participation.  We have intake processes for both parents to see how we can best serve families in creating inclusive and family first births. Our role is not to replace your partner, but to assist them in helping you and filling in the gaps of care. 

 

 

 

Have you attended births at my birth location and what were your experiences there?

Currently we cover the following cities: Toronto, Etobicoke, Mississauga, Oakville, Brampton, Vaughn, Aurora, Newmarket, North York, Markham, Scarborough, Ajax, Whitby, Oshawa.

 

 

 

 

Do you have any other clients that have due dates near mine? Do you have a backup doula? If so, may I meet her? How often is your backup doula used?

Sometimes we do!  It depends on our caseload that month. Although it is unlikely that you will go into labour at exactly the same time as our other clients, we do have a backup team dedicated to ensuring smooth coverage in the case where your primary doula can not be present. During your on-call period you will receive information regarding who are your backup doulas, their contact information and an opportunity to meet with them.  The backup team is SO great we wish they could attend more births, but the reality is that your primary doula is highly likely to be at your birth. 

 

 

At what point in labor would we meet up? How should I contact you during labor and at what point? Is it okay if it’s in the middle of the night? Are you always on call?

We are on-call for you 24/7 starting at 38 weeks gestation. So yes – please do call us at 3am if your labour has started!  We will go over the specifics of how best to mutually communicate and reach us during your appointments.  While each client’s care is specific to them and their labour, generally, we will provide virtual support in early labour and meet with you when you are in active labour.

 

 

 

Do you stay for the entire labor and childbirth, or do you have a time limit for long births? How long do you stay after the birth?

While each client’s care is specific to them and their doula, if we are able to connect in active labour we are there until 1-2 hours after your baby is born.  We will not leave you high and dry, but we try to aim for 24 hours (without sleep…can be longer if the doula has an opportunity to rest) maximum for safety purposes. 

 

 

 

How do you feel about epidurals or any pain medication?

What matters is how you feel about them.  Our role is not to choose for you, but to learn about your needs and desires and to assist in creating a positive experience through education, emotional and physical support and advocation. 

 

 

 

 

Do you help with breastfeeding? What’s your experience and training with breastfeeding?

We do!  Your birth doula will be able to support you getting started in immediate postpartum, however we also have a dedicated lactation team, including IBCLCs that do home visits. Our lactation team are also available for prenatal lactation education.  Let your doula know if you’re interested in more support from a lactation consultant. 

 

 

 

Do you have MORE questions? Bring them to your free Meet & Greet – book here!

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Finding Comfort During Labour

by Dr. Sarah Winward, ND IBCLC

Labour is intense, to say the least. But does it have to be painful? It can be helpful to reframe the sensations you are feeling. In the words of Ina May Gaskin “labour is an interesting sensation that requires all of your attention”. Many people prefer to refer to surges or rushes as opposed to contraction, HypnoBirthing follows this tenant as well.

Labour is an interesting sensation that requires all of your attention.

Ina May Gaskin

The Pain-Tension-Fear Cycle

It’s very common to have fears surrounding birth. When we experience fear it releases adrenaline which in turn can cause ineffective muscle contractions around the uterus. As a result the production of oxytocin and endorphins decrease and the muscles in the uterus start working against each other. All of this restricts blood flow to your uterus and is a trigger for pain. It also lowers your pain threshold. In dangerous situations, this fear-pain-tension cycle allows for response and survival, in birth it can become a complication. Often, as the pain increases the fear increases and then the tension increases resulting in a repeating, and counter-productive, cycle. So, reducing pain really comes down to reducing tension in your body.

Breaking the Cycle

In her book “The Birth Partner” Patty Simkin discusses the 3 R’s of labour. These are Relaxation, Rhythm and Ritual. Engaging in all 3 of these brings you into the present moment and allows you to move through each contraction without being overwhelmed by them. Often rituals will arise spontaneously during the course or your labour and they can change as your labour progresses. The best rituals involve rhythm and repetition, which lead to relaxation. Things to incorporate in your rituals include: focusing on the breath, staring into someone’s eyes, “slow dancing” with your birth partner, dancing to music, or anything else that feels good to you in the moment.

Helpful hints for your birth partner

Penny Simkin’s book The Birth Partner also outlines a great tool for partners. It is called the Take-Charge routine and is outlined in detail in her book. It is great to use when the birthing person is having difficulty maintaining their ritual or is appearing to be overwhelmed or distressed.

1) Remain calm, others pick up on your energy

2) Stay close, bring your face close to theirs

3) Anchor them by calmly holding their shoulders or hands

4) Get them to look at you, eye contact itself can help to bring them back to the moment

5) Talk to them in between contractions, make suggestions of rituals to try, such as concentrating on the breath

6) Help them regain their rhythm, move your body with theirs

It may also help to remind birthing persons that they are about to meet their baby!

Tips to use in the moment

Any of the following can be helpful during labour, but remember that the right thing for you to do is whatever makes you fell calm, safe and relaxed:

  • Discuss any fears that you are experiencing with your doula, partner or care provider
  • Progressive relaxation, guided meditation or visualizations
  • Make noise and breath with sound
  • Change positions: hands and knees, on a birth ball, walking around, slow dancing
  • Acupressure
  • Use water such as a shower or birthing pool
  • Ask for assistance and allow your partner and doula to support you with hip squeezes, low back pressure, massage, etc
  • Hot or cold applications to your face, back or neck