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Megan Stark

How to Find Provider Cesarean Delivery Rates

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    How do you find out provider cesarean delivery rates? We have a new resource we want to share with you below. We are excited about this resource because in our experience we have found resources are limited for comparing provider rates. During the first week of our online Childbirth Course, Pleasurable Birth Essentials, we encourage participants to research their providers by asking, “How do you know you’re getting good care?” and offer resources, but in the future we hope to offer even more comprehensive resources.

    Let’s look at what is available to pregnant women regarding their provider cesarean rates. For a subscription fee, one can check Consumer Reports and one can also check the CDC as well as one’s home state Department of Health, but without a PhD it takes some time to find and compare the numbers. Since cesarean rates vary so greatly – at a low with the World Health Organization recommending no more than a 10-15%, to states in the U.S. such as New Jersey and Louisiana, reaching the mid 30% range, it is important to know your provider’s rate. We are often put in the position of asking our providers directly using such prompts as found in Choices in Childbirth’s Questions to Ask Your Care Provider.

    Screen Shot 2015-12-16 at 1.28.02 PMA new resource that is available is Amino and they source their data from insurance claims, explaining on their website, “Every time you visit a doctor, an electronic insurance claim record is created to help your provider request payment from your insurance. These records contain a lot of useful information, including facts on the doctor, treatment, and costs. Billions of records like these are created annually as hundreds of millions of people get care.”

    Their blog, “The story behind C-sections in America: A state-by-state analysis and a new C-section predictor for pregnant women” provides an interactive map that shares some “statistics related to C- sections along with a predictor tool that reveals C-section rates by doctor.” To find provider rates, start at the homepage and proceed from there. Check it out and let us know what you think. Will you be using Amino?

    What resources do you currently suggest to clients who want to know more about their provider rates?

    We hope to discuss with you and other readers, so please leave your comments below, for birthkeepers and expectant mothers to see.

    Debra's acclaimed programs transform
    pain and fear into
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    For Parents

    Ensure you are positively prepared for a safe, satisfying, and pleasurable birth and a loving, intimate relationship as a parent. From planning your unique birth experience to reconnecting with your sexuality after birth, our programs offer exactly what you need!

    Our resources will empower you!

    For Doulas

    Be at the forefront of the new paradigm of birth as a sought-after doula, trained by one of the world’s most well-known leaders in pregnancy, birth, and postpartum. Our courses offer continuing education credit, mentorship, and inspiration to expand your practice with tools and tips for Orgasmic Birth and parenting with pleasure.

    You’ve come to the right place!

    BE PART OF THE NEW PARADIGM OF BIRTH THAT
    TRANSFORMS PAIN AND FEAR INTO POWER AND PLEASURE

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    A Healer’s Hands

    by Jordan Christopher

    Originally posted Maternal Beginnings

    “What happened to your hands?” This was the question that was asked to us many times as we strolled through Ubud market on a warm sunny afternoon in Bali.
    We were greeted with many smiles in the shops we entered, that quickly turned quizzical as they looked down at our yellow stained hands. “Tumeric” was our constant reply, and with that came some realization, but still lots of questions in their eyes.
    Why would tourists hands be stained with tumeric? “You do cooking class?” Was usually the follow up question, as their curiosity peaked.
    “No” we would reply, “we made medicine”. “Oh, jamu!” smiled one man, as it all began to make sense. “Why you make jamu?” We then began to tell him of our day spent in Ibu Robin’s kitchen gratering lots of ginger and tumeric as we made traditional medicine. When we mentioned Bumi Sehat birth center, it was met with instant recognition, and was always quickly followed with “you are  Bidan -midwife-?”
     
     Having long given up on explaining that we were doulas early into our stay in Bali, we replied “yes, Bidan”. Our yellow hands were no longer met with caution after the people we came across knew we were “bidans”. You see here in Indonesia a midwife wasn’t just a midwife. After attending the birth of a family’s child, it wasn’t unusual to be then invited to every special or sacred life event of that family. From attending a marriage, to welcoming a new life, and even the passing of one. The midwife played many roles; and when one was sick, a midwife could even be found at the foot of that bed to offer healing.
    My yellow hands stained everything I touched. My phone is now turquoise and yellow, my white wallet permanently marked and even some clothes that may never be the same, but I regret not a single moment. A hot afternoon of birthkeepers gathered in a kitchen making jamu and talking about birth, gave me the hands of a Bidan. The hands of a healer. 

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    Jordan Christopher is a birth & postpartum doula, childbirth educator and founder of Maternal Beginnings Doula Services in New York City.Her belief is that every woman deserves a safe and empowering birth experience, and therefore uses her various talents, combined with a wealth of compassion, to support women and their families before, during, and after their birth.

    $1000 by 1000Campaign for Bumi SehatJoin us for Eat Pray Doula in 2016! Learn more ways to bring gentle birth to your clients and join a circle of loving, passionate women for this incredible retreat.

    Please help us raise $1,000,000 for Bumi Sehat! Visit our Crowdrise Campaign to learn more.
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    Doula Rap!

    I’ve had such a fantastic time while training doulas in Austria! I’m now at the Midwifery Today Conference in Germany, another inspiring and amazing time!

    Doulas are amazing creatives, and I was so inspired and moved by this beautiful Doula Rap by Johanna König & Silke Weissenbacher

    [Tweet “You make your decisions in the right moment With your heart, your soul and your mindfulness”]

    Doula – always here for you
    I’m holding your hands, I ‘m always here for you
    I’m massaging your back- you’re going to love it
    You make your decisions in the right moment
    With your heart, your soul and your mindfulness
    The river wants to flow in order to reach the sea
    Doula- always here for you
    The smell of lavender and rose
    Get rid of your pants
    Everything in privacy
    then your darling will come to this world very gently
    Doula – always here for you
    Skin to skin
    Your child is very close to you
    Your dearest is finally here
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    And enjoy this video clip our host put together about our workshop!

    Visit my schedule to find a workshop near you!
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    Trauma to Triumph Video Chat with Penny Simkin

    “Thanks for sharing. I’ve not been comfortable to ask my students about sexual abuse. It’s really the wording that I need to work on and also how to go about helping the couples to heal their trauma before their birth.” – Yen Kong

    OB Conf. CouponPenny Simkin joined Debra for the Orgasmic Birth Virtual Conference to discuss “From Trauma to Triumph, Understanding and Healing the Effects of Early Sexual Abuse on the Childbearing Woman” In the video excerpt below, Penny explains how to broach the subject of sexual abuse with expectant mothers. Co-founder of DONA International, Penny Simkin, PT, is a physical therapist who has specialized in childbirth education and labor support since 1968. She has assisted hundreds of women or couples through childbirth as a doula. To view the full discussion and full conference, please visit http://www.orgasmicbirth.com/orgasmic-birth-virtual-conference/

    Receive 50% OFF until December 21st using discount code: Thanks50

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    Courage to Birth Video Chat with Roanna Rosewood

    “Thank you! You have given me so much to think about, and the idea that without challenging our fears we cannot be courageous, going towards uncertainty, made my perspective totally shift.” – Olive

    OB Conf. CouponRoanna is the bestselling author of Cut, Stapled, & Mended. She’s an international speaker, co-founder and host of Birth Plan Radio, and the executive action chair of Human Rights in Childbirth. Roanna joined Debra for the Orgasmic Birth Virtual Conference to discuss having the “Courage to Birth.” In the video excerpt below, Roanna discusses her quote “we cannot numb ourselves to fear, pain and death without also numbing ourselves to courage, pleasure and life.” To view the full discussion and full conference, please visit http://www.orgasmicbirth.com/orgasmic-birth-virtual-conference/

    Receive 50% OFF until December 21st using discount code: Thanks50

    Here is what Ashley wrote in response to Courage to Birth…

    “Thank you so much for this video! I am currently in the 22nd week of my 3rd pregnancy and trying to prepare to be in the birthing mindset. My other two kids are 12 and 9, so it has been a while and this was a surprise. My first birth, I thought I was prepared. At 22 I was pretty naive. I thought doing the classes was enough. My son’s birth was pretty traumatic. A very long labor, he was face up and with a narrow pelvis birth became very stressing on him and me. He was at a dangerous point in which fast action was needed. It all ended up with a ton of interventions. Including a 4th degree episiotomy, failed vacuum and forceps. It was so traumatic for me.

    “I ended up finding a doula to help with the next birth. To bring focus and calm. Again, I thought I was prepared. What I hadn’t prepared for was the FEAR of getting to the point of delivery. I was doing so well, then at 7cm working with my two support people and then I panicked about delivery and it being a repeat traumatic situation. I asked for the epidural, not because I was not handling the pains of labor…. not because I couldn’t do it anymore, but purely because of the fear. Her birth was so much better but there were still some unnecessary interventions that go around all because of my fears.

    “I have to be honest with you. I never even really thought about that much until watching this video. Now I’m realizing that there are a whole handful of fears that I had during each that were holding me back. One simple one that you mentioned, the gown! It kept me from going into positions that would have felt right to me and probably helped progress labor in a better way. This whole pregnancy has been much different than my others. I’ve had this positive mantra going through my head and I think it has really helped. I’m starting to get just as much excited about the labor and delivery side of things as I am for seeing my sweet baby!

    Thank you again for sharing this videos. It has definitely inspired this momma.”

    We hope you enjoy this clip as well as all the conference videos. Enjoy your savings until December 21st!

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    Top 12 Reasons to Attend a Doula Workshop

    DSCN0441I am privileged to teach, dance and connect with the circle of doulas all over the world. Being a doula is universal language – like a smile – the gentle supportive role can cross nations, cultures and languages.

    Labor support, comfort, and the nurturing of mothers, fathers and partners during one of their most vulnerable and yet their most powerful life moments is an honor. I do believe that just by holding a mother’s space during labor that you are giving her an amazing gift. That said, I also believe that being a trained DONA doula gives you an amazing base of knowledge and understanding that will deepen your understanding of ways to support and honor the sacred time that is birth.[Tweet “12 Top Reasons You Should Attend a Doula Workshop!”]

    Here are my top 12 reasons you should attend a doula workshop!

    1. Discover a doula’s Her-Story, Scope of Practice and Doula Code of Ethics
    2. Join the sisterhood: doulas practice all over the world and have a shared passion!
    3. Learn how to enhance comfort and pleasure for your clients
    4. Explore ways to grow your doula practice and your activism for every MotherBaby and Family
    5. Practice hands-on techniques for each stage and phase of childbirth
    6. RebozoLearn comfort measures with a birth ball, rebozo, peanut ball, water and more…[Tweet “Examine ways to make every birth -in every setting- a safe, sacred, gentle birth.”]
    7. Examine ways to make every birth – in every setting – a safe, sacred, gentle birth
    8. Refine the information you will cover during prenatal and postpartum visits
    9. Honor The Golden hour – Newborns and breastfeeding
    10. Improve your Communication skills
    11. Begin process to become certified with DONA International, a well-respected, evidence based and historic doula organization
    12. Elevate your doula business skills

    And a bonus reason? Because educated doulas feel more prepared for the challenges and triumphs that childbirth will bring.

    What to become a DONA International doula? I’d love to meet and teach you IN PERSON! I am constantly booking workshops all over the world. Check out my schedule to find a workshop near you!


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    My Birth Journey – to the Bathroom and Back

    This birth story is submitted by Milena Dyankova who shared her personal birth story with us after organizing a screening of Orgasmic Birth in Bulgaria in 2014.

    My Birth Journey – to the Bathroom and Back

    About a month before my due date I could finally take the long expected leave and finally focus on birth preparation. After a few extremely busy months I wanted to do yoga and other exercises to get tuned to and fit for birth as much as I could for the short period I had. Since this was my second birth I thought I had the knowledge I needed from my previous experience (what I call a mainstream hospital birth). And here I was the second night on my leave browsing through the Internet to find exercises I would like when I came across the idea of gentle birth. From one click to another a whole new world opened to me. I could not go to sleep until the early morning hours soaking information and stories on the idea of out-of-hospital birth. And it clicked with me. Strongly.

    P2P_image 09My mind brought memories from six years earlier when I had read a story about a homebirth in the Eastern European country we were living in that had stunned me with the beauty, the calmness, the strength I had felt from the woman’s words. Now I was reading similar stories that had only recently taken place in my native Bulgaria. That gave me great courage – I thought if people in Bulgaria that was lagging behind on many areas were already doing it so could I.

    The next thing I needed was to equip myself with the right reliable sources of knowledge and support. I didn’t need tons of information; I just needed something reliable and inspiring. And my research led me to Ina May’s Guide to Childbirth, a book by Ina May Gaskin and Orgasmic Birth, a film by Debra Pascali-Bonaro. Ina May’s Guide gave to my husband and me a good understanding of birth physiology and the factors that inhibit or stimulate it. It convinced me that my body was perfectly capable of doing what it needed to birth a baby without artificial stimuli (no induction, thank you very much). The Orgasmic Birth film was truly transformative – not only labor and birth were a natural event but it was not meant to be an ordeal, something to put up with to have your baby. On the contrary I saw they were an important journey that could take a woman to a high, even give pleasure, and most of all give her a chance to experience her own power. So I “planned” for an orgasmic birth.

    To me it was very important labor to begin when the baby was ready. My first baby was born after induction when two weeks past due date (defined without consideration for the length of my cycle and the conception date that I still remember to this day) I was no longer able to stand up to grandparents’ pressure. And even though I realized how lucky my baby and I had been to have had those two weeks, I was very sensitive to the topic, and it seemed to me the last couple of weeks everyone was calling to ask when I was going to give birth. The daily visits to the doctor’s office were the most troubling. My husband and I had decided we would keep the arrangement with the doctor who was very favorable to women’s active role in labor and birth. Yet, as due date passed he insisted on daily fetal monitoring as this was the protocol. Five days past due date he wanted us to do the monitoring at the hospital and I agreed to a vaginal check. It was rough.

    In the late afternoon my palms started to itch and in the evening the mucus plug fell. I thought the reason was the harsh check and felt upset with the doctor for intervening, yet I decided to let this feeling go and enjoy the evening. Around midnight I woke up with quite intolerable itching on the palms and soles that was feeling better by touching cold surface. I found relief placing my hands and feet on different spots of a leather armchair and soon drifted off. In the morning the itching was gone. It was a weird phenomenon that I had not experienced before and I could not find any reasonable explanation.

    It was Saturday. The day passed leisurely yet the cold weather prevented us from a much desired walk to refresh my mind so late afternoon we went shopping for the guests we were expecting the following day. Throughout the evening the memory of the previous night was recurring and I appreciated the itching gone so I could get a good sleep. Or so I thought…

    At 1:30 AM I woke up with a feeling I had only taken a light nap as I remembered moving my palms and feet looking for a cold place on the bed linen in my sleep. I felt the itching pretty strong so I headed for the leather armchair to find the cure from the previous night. My husband also got up and went to arrange something in the bathroom but I urged him to go back to sleep as he had also stayed awake the night before.

    This time the coldness of the leather did not bring the same effect. I also started to feel menstrual cramps and I became quite restless in the armchair. Soon it dawned on me – the time had come. I knew I had hours ahead and it was better to rest and gather energy so I went back to bed. Yet, pretty soon I found myself up again trying to find comfort on the birth ball. It didn’t work either. The bath tub seemed quite alluring at that point and with desperate hope to finally find my place I woke up my husband and asked him to fill it up. As he took to fulfilling my request I sensed the peace of mind one feels when the imminent and long expected is finally happening. Joy was there, too, as I was finally having the baby when he was ready to come. It was March 8th, Mothers’ Day in Bulgaria.

    The contractions became more frequent and stronger. I immersed in the water and my whole body relaxed as I sensed this was my place, my zone. Suddenly the light was too much and I asked my husband to dim it. He took a seat next to the tub and held my hand. Every now and then he was handing me a bottle with water. I started to drift away in my own world, my own dimension. I was aware of all that was happening to and around me, yet I was in my own distant space where I could surrender to the sensations and enjoy the deep gratitude for actually experiencing labor in its pure power.

    When contractions came my body changed its posture and arched, and I was diving somewhere deep while some strong alt sounds were emerging from within my womb. Later my husband called them moose mooing. The sensations were very strong and although my work with the Sedona Method had clearly shown me that ‘pain’ was only a label we attach to a group of sensations, it was difficult to deal with the ones I was experiencing. I tried the welcoming and allowing techniques that had done a great job for me many times, yet I could not keep my focus on anything. I was riding strong waves and the mental efforts somehow made the pain tougher. Contractions were becoming more and more intense and doubt crept into me “Oh, my Goodness, am I able to do this?”

    • I can’t. I cannot do it, – a wail escaped my lips.
    • Yes, you can, – a comforting voice came across and when I looked up I met a warming smile.

    Around 2:30 AM our daughter appeared in the bathroom, sat down next to the tub and started asking questions. I made an effort to respond, yet speaking was beyond my power. My answer was concise and I left it to her father to explain. However speech was disturbing and soon I asked for quiet. She stayed for a while, then went back to bed.

    My husband was providing great support. Every now and then he would hand me over the water bottle reminding me to drink. I would take a couple of sips motivated by discipline rather than thirst. Soon I felt and urge to throw up. As if strictly following “the rules” my body started to cleanse itself. Although I was still in the tub with the original water, I was not feeling cold. After a few efforts my stomach was empty of its content and the urge to throw up disappeared as suddenly as it came.

    Some time later I felt my face muscles contracting making my lips form an “O” and I realized this had accompanied orgasms sometimes. A slight regret crept in my mind, and then I smiled. As much as it was possible. Even though I was not having the orgasmic birth in the way I had envisaged it, my body was producing a similar reaction.

    Each contraction was making my body arch and bringing some mooing sounds from deep inside. The pauses were short. I felt compelled to get out of the bathtub so I went out, put on a shirt and found my place of comfort on the toilet. My husband sat down on a small chair in front of me and held my hands. That was of great help as if him holding tightly my hands gave me additional strength. I felt his presence so comforting and solid, exactly what I needed to keep my focus on my job knowing there is someone there for me to take care of everything else.

    Contractions intensified further and I started having bowel movements – apparently my body needed to cleanse some more. I was looking forward to the “rest and be thankful” phase so that I could take a little break, contractions were becoming stronger and stronger straining my whole body. And while I was thinking I’d finally found a way to ride the waves they started to grow into something different. The end of each contraction turned into a burning sensation that I could bear only screaming. The screams were tearing from my throat and I was thinking about the neighbors (we were living in a 6-storey building and the bathrooms underneath and above us had windows to a common space). Our daughter was sleeping in a distant room and the noise would not reach her. I was screaming at the end of the contractions squeezing my husband’s hands. He kept reminding me to drink yet I was already oblivious to the world around me.

    “These are pushes,” a lightning thought cut through my mind. But there was supposed to be a break. “Where is my break?” I grunted in my mind in a miniscule pause between contractions. A few minutes later an impulse made me get up from the toilet and take all-fours position on the bathroom floor. While kneeling down my water broke. My husband asked what was going on and I responded that was it. I felt tired already. Pushes were becoming stronger and stronger and I screamed at the peak. I needed to push myself. The next one I joined and I felt the head moving down. My body seemed to have been stretched to the limit like a fully-bloated balloon.

    I reached down to feel for the head yet it seemed my arm was not long enough. My husband realized birth was imminent and prepared himself. The head was slowly making its way downward. Energy surged all over me. Then the little body turned slowly and gently inside without any effort on my side, just like we had seen it on YouTube. I was strongly aware of the sliding inside, I felt as if electricity was going through me – my senses were acutely open and all perceptions came very powerful. Just a few seconds later the little body slipped out right into daddy’s palms. I turned around and sat down to embrace our baby who had been conceived with love and came to this world in an intimate environment where his dad and I were a team, one whole. My husband and I looked into each other’s eyes and I could see the same incredible happiness I felt. When I cuddled the little body the bathroom filled up with love as if coming from an invisible hidden spring. The incredible feeling of my own power and the grand power of Nature were going hand in hand with deep satisfaction. I was in awe with the wonders of Nature that had manifested through my body and I realized there was nothing I could not do. I had women’s power and strength.

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    Last day to register for Pain to Power Summer Session is Thursday April 30th! Learn more today!

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    My First Doula Workshop by Catalina Glasgow

    CATALINAHello!

    My name is Catalina and I have just completed my first DONA Doula Training Workshop in NYC with Debra Pascali-Bonaro and am on my way to become a DONA International Certified Birth Doula!  I am a 200-hour Yoga Alliance Registered Yoga Teacher (RYT) in Brooklyn and currently attend school as I work towards a Nursing degree in pursuit of becoming a Certified Nurse Midwife (CNM).

    My calling to birth work came to me after a very dark time in my life when I was faced with the most difficult decision I have ever had to make thus far.  I found myself pregnant and alone in my early 20’s with a lack of support from the current partner, friends and family that I had at the time.   It was not the fear of motherhood that led me to the decision to abort, but rather the fear of childbirth itself and an extreme sense of doubt in my body and myself that was perpetuated by the people in my life back then. Had I known what I know now about Doulas and Midwives and the support that I could have had through the labor process I truly believe that I may have been able to make a different decision in my pregnancy.  I think about my baby everyday and reflect on her to give me strength to do this work for all the women who need the same kind of support that I wish I had in my life during that period.

    However, there is no light without darkness in this world.  So out of the darkest of times after losing my baby I was able to clearly see the light that lead me in the direction of my true calling as a birth worker.  When this awakening occurred deep within my soul I felt so overwhelmed with emotion.  It was if the weight of the world was suddenly now on my shoulders . . . HOW CAN I HELP EACH AND EVERY WOMAN? WHERE DO I BEGIN? HOW DO I GET INVOLVED?  WHAT WILL PEOPLE THINK? These were the types of questions going through my head daily as I spent hours reading and researching on birth and what I could do to make a difference while still in school studying to become a nurse on the road to Midwifery.

    As I stepped into the room on the first day of our DONA Doula Training Workshop with Debra I suddenly began to feel a sense of lightness.  Simply by knowing that I was in one room with a likeminded community of women working together for a common goal the weight began to lessen. The circle of support in the room where we shared our stories and learned directly from Debra’s profound wisdom and experience became extremely significant for me. Here, in this group of women, I had suddenly found the support that I was desperately missing in my past and so deeply needed for my future.   I found something that day, a part of me that I did not necessarily know was even missing and I still don’t know exactly what it was.  All I know is that I felt complete for the very first time in my life and I knew that I had been healed.

    Each day I continued to feel lighter, gaining more and more confidence with Debra’s insight and guidance on how to support women in birth.  There were so many beautiful take-a-way’s from Debra that will stay with me forever and are imprinted on my heart, for example, “We birth the way we live”, “Be like Wendy” and “Birth it Forward”, just to name a few.  But, it was at one single point in the workshop when Debra said, “We know what we need to know when we need to know it” that I instantly felt all of the weight lifted off of my shoulders and I knew that I was now a Doula and that that was all I ever needed to know.

    Thank you Debra! – Catalina Glasgow

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    Debra offers doula workshops throughout the year and throughout the world. Please check her schedule for an upcoming workshop near you! No workshops near you? Interested in hosting one? Please email info AT www.orgasmicbirth.com for more information about bringing a workshop to you!

    EAT PRAY DOULA – March 22 – 31st 2015. This DONA approved Birth Doula Workshop is taught by Debra Pascali-Bonaro, LCCE, CD(DONA), Ibu Robin Lim and Midwife Katherine Bramhall. Nine days, not only to learn, but to also nurture your spirit!  It is the time to come and immerse yourself in the gentle, loving, heart-opening energies of Bali.

    The Birth Doula Workshop covers all of the basics of doula care before, during and immediately after childbirth. The workshop has been approved by DONA International and counts toward three steps toward certification (The DONA Workshop, Childbirth Education, Lactation Requirements). www.eatpraydoula.com

     

     

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    •  7 Benefits of Taking Debra’s Doula Workshop
    • 10 Doula skills you will Learn at Debra’s DONA Doula Workshop
    • Would you like to join Debra’s Pain to Power With Pleasure and Passion Workshop? Learn more.
    • Attend a Conference where Debra is speaking.

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