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I understand that clients who transfer late into care may wonder why my fee remains the same regardless of when they begin working with me. While I appreciate and welcome families seeking home birth at any stage of pregnancy, I want to clarify why my fee structure does not change for late-to-care transfers. 
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A Licensed Certified Professional Midwife (LCPM) is a healthcare professional licensed and certified to care for women and families throughout pregnancy, childbirth, and the postpartum period in the state of Kentucky. Other states may license CPMs but have a different creditionaling title for them. For example, in Tennessee, the correct creditial is CPM-TN. This article will primarily deal with Kentucky's LCPMs, who practice independently and provide care outside of hospital settings.  As I enter into apprenticeship as a student midwife, I will no longer be accepting new doula clients. This transition has been difficult as I am one of the last doulas still actively serving our corner of southeastern Kentucky. I am still accepting repeat clients, but will not be offering full coaching packages as I have in the past. While this is difficult to announce, I am certain that it’s the right choice for my and my family at this time. I am very much looking forward to the day when I can serve our community as a midwife.  Also see Aspiring Appalachian Midwife After the birth of my first child, I knew without a doubt that I had missed my calling. I had searched for a midwife to care for me during a homebirth but the restrictive laws in my state meant there was a homebirth midwife shortage and I could not find one who served my area. So, I had driven over an hour to birth under the care of nurse midwives in a hospital setting. That experience and the compassionate care I received was something I wanted all women to be able to experience.  I birthed my 4th baby! I am still surprised as I’m writing this, even almost two months later, that my 4th baby is actually here in my arms. It has taken me a while to feel up to writing out his birth story as the newborn phase has demanded much of my time and brain-space. However, it’s time to record his story as I did for all my children. This one starts with a bit of a scare.  What is a "birth plan?"• A birth plan is a written document given to your birth team (doctor, midwife, doula, nurses, partners, etc.) that spells out the choices you've made regarding your labor and the birth of your child.  Shouldn’t it be “birth preferences" or "birth wishes?"
Affirmations, or saying and believing something is true, can be a powerful tool for preparing for labor and birth. Used in all kinds of ways, from sports physiology to life coaching, affirmations can help focus and calm nerves and doubts. However, what we say can also have a negative effect. It's important to be mindful of the expectations we set for ourselves (and inadvertently others) as the goal is to care for ourselves, not tear ourselves or others down. When building your affirmations, avoid cliches and affirmations tied to one particular medical outcome. Here's some basic tips when creating your own birth affirmations...   40 weeks & 2 days:
Prodromal labor began and would last all the way until true labor began a week and a day later. I would contract consistently for many hours at a time before they would stop, only to start again a few hours later. These contractions didn't always hurt but were strong enough they weren't easy to ignore. It's important to me to include this time as part of this story because start-and-stop labor is hard. It's very difficult mentally and emotionally. This wasn't a new experience for me, as I had experienced this with my previous pregnancies. But my experience and knowledge doesn't make me immune to the emotional ups and downs of "maybe this is it...no, it's not" or the mental fortitude it takes to remain positive through it. There were many days I texted my doula (and dear friend!) to just tell someone how I felt during this time. I needed to hear "yes, this is hard" or "you're doing great" just as much as any laboring woman does, doula or not.
You're a pain expert now! You're familiar with methods to reduce that pain without medication or before (and after) you utilize any pain medications during labor and birth. If you're reading on this far, perhaps it because you plan on utilizing these medications, perhaps it's because you're unsure about what you want yet, or maybe you're just curious. No matter your reason, I'm here to help you explore those options! 
So now that we understand what pain is and dived a little deeper in how the body works during labor and birth, it's time to get into how to cope with the discomfort and, yes, pain that comes with having a baby. There are different kinds of methods and medications out there for you to consider. So much so, in fact, that I broke what was going to be one long article on pain management into three separate articles. I'm choosing to start with non-medicated pain options. The reason for this is because I feel strongly that everyone needs to be familiar with these methods, even if you're planning a medicated birth. While the following tools and skills can certainly be used all on their own, they can be used during a medicated birth either along side medication or in the even that medication does not end up working well for you.  |
