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Debra Pascali-Bonaro

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doulas

Should I become a doula?

by Ariel de Roche

Ever have a song stuck in your head?

And that one line keeps repeating over, and over….and over again.

And no matter how hard you try fight it, it seems like your inner DJ has a glitch.

Well sometimes fear can feel like that, a repeating song of doubt, whispering, “Are you sure you this is the right thing to do?”

This is how I felt leading up to my doula training, questioning if I should give up, although I knew in my heart that this was the right step but that doubt song in my head just wouldn’t quit.

Then I arrived at the door of my first birth doula training, took a deep breath, and opened the door…and it was the one of best decision I have made so far!

Who knew that the 20+ women in that room would become my personal doulas? Providing support, easing my doubt, reassuring that I wasn’t alone in how I was feeling. We laughed and cried as we shared our stories and personal journeys – no two stories exactly the same, but each woven with an invisible thread that connected us all together.

Talk about oxytocin overload!

That day the recurring song of doubt transformed into a song of empowerment! I was reminded of the power of women, the power of community and that simply holding a hand makes a world of difference. 

So now anytime that song of doubt pops up, I will think back to these moments, turn up the volume of my favorite Beyonce song, and lean into that next step. Look out world, another group of amazing doulas are here to change the world, one step at a time!


Ariel de Roche is a DONA-trained birth doula based in New York City. Growing up in a large tight-knit family, she has always been surrounded with pregnant bellies and tiny humans which has greatly informed her profound passion for sexual and reproductive health research, and advocacy. Through birthwork, she seeks to continue to empower and encourage all women, in all ways.

 

 

Turn your doubt into empowerment and  join the circle of doulas at an Upcoming Doula Workshop

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Family Friends, Food, Wine, Passion and Fun!

debra-and-jimi-italyWe sailed into Portofino, Italy early one morning, just a short distance from France where we had spent the last few days. From the moment I stepped on shore, there is a completely different feeling – it must be my Italian blood as there is a different energy, a familiarity to me. I am ready for pasta, Italian music, and I can’t wait to eat our first Italian lunch in Santa Margherita.  Two days later we arrive in Rome, a place I have been fortunate to have visited many times before. I have so many stories from Roma from what seems like a lifetime ago – I had been a flight attendant or back then we were called “stewardesses” or “air hostesses”, and I would fly to Rome often and would spend a few days a week there. Since then, I have visited Roma to speak about doulas at the Ministry of Health, visited on my honeymoon, and even to spent a few days with a dear friend of mine, Father Peter who gave me a private tour of the Vatican and amazing art/history lessons around the city…a story for another day 🙂 

I love walking thru Rome’s piazza’s at night -Piazza Navona, Pantheon, and Trevi Fountain are my favorite nighttime walks in Rome but for me, nothing compares to heading south of Naples to Agerola and the Amalfi Cost to where my great-grandmother is from. As I have shared in other blogs, I work hard to find a balance between passion, work, pleasure and rest.  It’s not always easy but I can be sure that each year when I head to Agerola and the Amalfi coast my heart, belly, and soul will be filled with enough to take home memories of pleasure for months to come.  

italy-sunsetWinding up the mountain from Napoli the views begin to lift my whole being higher.  Coming thru the tunnel and seeing the sign of welcome to Agerola I truly feel I have come home, back to another time when life was simpler (which has some great advantages and it’s difficulties too). Soon we are pulling into the driveway of my family – Graziella and Agostino’s home with Nonna Maria, Nonno Antonio and their daughter Angela too.  What great hugs, smiles, kisses and soon the food..ahhh…Graziella is the best cook in the world! (I really mean that and can’t wait for her cookbook to be ready to share with you as I know you will love her recipes as much as I do!)

Although a year had passed I felt as If I never left.  After some concern over Nonna’s health as she needs surgery on a duct from her gall bladder and is not feeling well and also looking very yellow, we give her our love and prayers that the operation will happen soon and say good bye till tomorrow and head down the other side of the mountain. Agerola is called little Switzerland as it is  located at the  peak of the Amalfi coast looking down to the Bay of Naples on one side and the Mediterranean on the other- with spectacular views and a cozy mountain life of cows giving fresh milk in the morning – made into the best mozzarella and ricotta cheese by 9 am you have ever tasted!

scooters-italy Efesio our friend and trusted driver in this region takes us to our Villa with spectacular views of Positano and glistening sunsets.  It is wonderful to be with our friends from NJ and CA as I get to give them a tour of my favorite things to do on the Amalfi coast which includes walking thru the magical Valley of the Fairies – my favorite walk in all of the world – which goes thru a small rainforest with spectacular waterfalls, Roman ruins, lemon groves and down into the Town of Amalfi for the best lemon cream!  We also spent time walking around Positano -Priano where my great-grandfather was born, had a picnic at Pipo that Angela prepared for us with one of the amazing views in Agerola, and an incredible family dinner.  We also rented scooters and drove together along the Amalfi Coast, which is one of the best ways to take in all the sights, sounds and smells on these windy roads overlooking the Mediterranean sea.  The days are full and I savor every moment, every hug and every taste.  

italy-familyThe time goes by too quickly and l say each time one of these years I need to come and spend several months in Italy and learn Italian.  I know I am still a few years from this, but I do vision that one day I will make it happen! In the meantime, I will be in Italy again next year and hope to teach a workshop…if you’d like to join me, sign up to receive details as they become available. 

What is your favorite Italian food that fills you with pleasure? What about your favorite place in Italy?

Share you favorite Italian tweet or share mine – “Mangia bene e ama la vita! Eat well love life”

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What’s it like to take a doula training?

Mothering PositionCurious about what it is like to take a doula training? What types of things you will learn, what the atmosphere is like? Read a recent testimonial that was shared with us from one of Debra’s trainings


The training exceeded my expectations. I now know how to be a great Birth and  Postpartum Doula. The information and literature was extremely helpful and invigorating.   I learned about the joys and challenges that may arise during the mother’s transition into motherhood when she arrives home from the hospital and how important my role is as a Postpartum Doula.

The instructor was awesome. She was knowledgeable, and explained everything in detail to us. Debra did various demonstrations and so did we, which made the class so exciting. Some nights we had homework and everyone was eager to present the next day. Our instructor shared her experiences of being a Doula with us, the good, the bad, the indifferent and we were just in awe at the stories she told us. She was uplifting and empowering. We also learned the Business aspect of being a Doula; such as ensuring our paperwork is accurate and in order and to take good notes at all times and over all how important documentation is. We also received marketing tips on how to present ourselves to the public. I have a clear understanding of how to obtain my certification, which I am looking forward to.

Lastly, I had the distinct honor and pleasure of being in the midst of such beautiful women of all cultures they were, kind, giving, talented, wise, intelligent, funny and grateful.  The room was filled with love. Love for the lives that we will touch as Doulas.  We shared stories of motherhood, recipes, resources, smiles, tears and laughter. We bonded and are now Doula sisters.

Again thank you I am truly Grateful,
~Patrina Owens

LET THE CIRCLE BE OPEN BUT NOT UNBROKEN


Interested in becoming a doula and want to learn more?

  •  7 Benefits of Taking Debra’s Doula Workshop
  • 10 Doula skills you will Learn at Debra’s DONA Doula Workshop

Ready to jump in?
Find a doula workshop or retreat near you, and join our amazing community of birth keepers from around the world
I'm going to be a DOULA!
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Community Doula Program

rotondi+birth-1by Regina M. Conceição, BA, CD(DONA), CLC

My first doula experience happened when I was 13 years old, although I didn’t know it at the time. Every day after school towards the end of my aunt’s pregnancy my mother would send me over for a couple of hours to help her with chores around the house.  I remember Titi Manda being so big and swollen and unable to bend down and dust her living room end tables.  My job was to take care of the dishes, help her with the cleaning and just make her feel more comfortable in general.  When my cousin was born I still loved helping. I changed diapers, kept the baby entertained and helped by putting him to sleep. I loved it so much and my Aunt loved the help so much that when she was pregnant again four years later I willingly took the chance to be by her side and help out.  Despite the fact this was my own family, these experiences ignited a lifelong commitment to serve and support mothers during their time of need.

Fast forward to the end of my junior year in college I discovered midwifery and doula care in one of my Women’s Studies courses. Learning about midwifery struck a chord with me and I made the decision to become a doula after doing a little more research on what exactly a doula did. I enrolled at Hands of Light a traditional midwifery and healing arts school in Fitchburg, Mass that offered one weekend a month classes on becoming a doula and DONA doula training as well.  I traveled from CT one weekend a month for a year and received my doula certification.  

In 2004 I was hired by Columbia University Early Head Start’s newly formed Perinatal Support Program (PSP).  At PSP I assisted with organizing our program’s doula training with Debra Bascali-Bonaro.  After receiving my second DONA doula training I worked towards my certification.  At PSP I was able to provide doula services to pregnant mothers living below the poverty line and living in under-served communities.  Providing doula services to PSP participants I was able to hone in on my skills on how to support mothers and their families.  I learned how to provide education, logistical planning, and social support to help reduce stress associated with preterm labor and connect families to community resources.  I officially became a certified DONA doula in 2007 and established my doula business, A Passion for New Beginnings, Inc. (APNB). After 5 years at Columbia University Early Head Start Perinatal Support Program I decided to leave and focus on APNB’s growth and development.

A few months after leaving PSP, I began to feel a huge void in my heart.  Although I enjoyed working with private clients I deeply missed my community doula work.  To help fill the void I would occasionally volunteer and teach a class to PSP.   Then one day while reading The Metropolitan Doula group email digest there was an inquiry about forming a community doula program in Brooklyn to help improve maternal infant mortality rates.   I immediately responded to the email and shared my experience with PSP and connected the sender of the email with my former supervisor.  In December 2009 By My Side was born and I along with 3 other doula colleagues started to provide doula services to low income women in Brooklyn.

My involvement with By My Side has been filled with many amazing and intense moments. When the father of one family was deported, leaving the pregnant mother alone with two other children under the age of five, I decided to reach out to one of my former clients and asked them to post on their parent list serve that I was looking for donations of gently used baby items, clothes and toys for my client’s other children.  A few days later I made arrangements to pick up the items directly from the donor and learned that she was a former attorney who wanted to start a nonprofit organization to connect families to donations of essential baby and children’s items.  I eventually connected the donor with By My Side’s program director and from there she gave birth to her nonprofit organization, Little Essentials.  That encounter also provided an additional blessing as the donor ended up hiring my client after she had her baby to clean her house!

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I have had By My Side clients decide to become doulas after they have worked with me.  Mothers have been inspired to start small doula businesses, provide cooking classes, artisanal craft shops, etc. within their community.  One mother is now a By My Side Doula. A family By My Side was blessed to have a second time was a mother and father working on creating their small marketing and branding business.  I spent 2 hours of pushing in various positions with this couple.  Pushing looked like a game of Twister; my body bending, and arms stretching.  My body still remembers that birth, but I wouldn’t change that experience for the world.  Two weeks after that birth my client’s small business picked up and now they are running it full time and they recently helped with By My Side’s doula campaign!  My other experiences are bearing witness to families advocating for themselves, owning their birth stories and watching sometimes reluctant partners help mothers in labor.  

Being a By My Side Doula hasn’t always been easy. I have encountered many difficult experiences which have made me contemplate continuing my community doula work.  Thankfully, By My Side has a team of gifted, amazing, and talented doulas available whenever you need them.  They have literally “doulaed” me back to life and my life purpose.  Through my work with By My Side I am able to hold space for laboring clients.  It is an honor and privilege for me to be allowed into such a sacred time and space.  I consider myself blessed to be a part of a community doula program making such a difference improving birth outcomes one birth at a time.  By My Side is truly by your side.  

[Tweet “It is an honor and privilege for me to be allowed into such a sacred time and space. I consider myself blessed to be a part of a community doula program making such a difference improving birth outcomes one birth at a time.”]
“Birth must be honored and given every opportunity for the growth that is inherent in its potential.”  – Raven Lang

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Regina M. Conceição’s passion is rooted in the women’s studies movement – A woman’s strength is staunch, resolute, and purposeful. Her unwavering fervor for life is exuberantly demonstrated in her work guided by this women’s studies conviction. Inclusive, Regina is an avid advocate of midwifery and the integrative approach promoted by the midwifery model of care. She is the force behind A Passion for New Beginnings – learn more.

The Healthy Start Brooklyn Program (HSB) seeks to improve the health and wellness of women, infants, and their families in Central Brooklyn. Rates of infant death, premature birth, and illness in the neighborhoods of Bedford-Stuyvesant, Brownsville, Bushwick, East New York, and Flatbush are far higher than elsewhere in New York City and the United States. To enhance the lives of families in these neighborhoods, HSB supports services, education, and training. By My Side Doula program is a (HSB) funded project. to learn more visit: http://www.fphny.org/media/pdf/HSB-Brochure.pdf or contact 646.253.5700


Interested in becoming a doula?

Join Debra Pascali-Bonaro for an upcoming workshop or retreat. 4


 

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Childbirth: A Memory of a Lifetime or Not?


(Including Penny Simkin’s new video)

Have you thought about what you want to take with you from your birth into the rest of your life? What birth story do you want to tell your children and grandchildren? Have you wondered how you can create Pleasurable Birth Memories? How to find and hold your power?

I was recently reflecting on my life and of course that includes my births- being born, giving birth and the many births I have been blessed and honored to attend. Having a birthday and celebrating another year provides a wonderful opportunity to be grateful for all of life’s experience, connections and lessons as well as time to ponder what elements create lasting positive, pleasurable memories, especially when it comes to childbirth – my life’s passion.

naomi2I first learned about the importance of a woman’s  birth memory from a special mentor to me and co-founder of DONA International, Penny Simkin. I encourage all birth workers to reach Penny’s classic article, “Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience” a study which analyzed the long-term impact of the birth experience on a group of 20 women. “Women reported that their memories were vivid and deeply felt. Those with highest long-term satisfaction ratings thought that they accomplished something important, that they were in control, and that the birth experience contributed to their self-confidence and self-esteem. They had positive memories of their caregivers words and actions. These positive associations were not reported among women with lower satisfaction ratings.”

“I think because of what I experienced in the delivery room I felt powerless. I felt what I said really didn’t make an impact and didn’t make a difference.” – Mother quoted in Penny Simkin report

My grand-elder may not remember what she had for breakfast the day before but she will likely remember the words that were spoken to her and how she felt about her birth experience. This is no wonder since birth is a time when we are open, raw, exposed and vulnerable – open to possibilities. We are open to ecstatic moments between surges and also vulnerable to an edgy presence in our birthspace or the ice-cold touch of a hand on our belly. It can work both ways!

For too long we have felt birth was a day to get thru, we didn’t care how the baby came out. It’s one day in a woman’s life but as Penny Simkin, and others have shown us, our birth memory is impacted by how we were treated- if we were respected, if we received love and support, and at what level, if we had continuous companionship, if we were honored and consulted with choices and decision-making (informed consent and informed refusal). Together these factors create either a positive memory that will empower a mother, give her strength and power in all her life, or sadly, and too often today, when many of these elements are missing our maternity care system, disempowers women, leaving new mothers with an emotional scar. The emotional scar will provide a map to the deepest parts of the mother who knows that something was not right, that a day that should have been joyful, blissful and, yes, orgasmic, has turned sad, stressful and, for a growing number of women, traumatic. This is unacceptable!

“The birth probably increased my self-confidence, although it’s not something I perceived at the time. It was definitely something major that I had done. In some ways it was probably a watershed, because it was one of the big things in life, and it happened to me in a very positive manner, in a manner that made me condiment that I could do it again, that I could do it- period.” – Mother quoted in Penny Simkin report

Birth is a day that can and should be transformative, powerful and blissful- creating an orgasmic feeling full of emotion and joy. Your birth memory will last a lifetime and plays a role in how you feel about being a mother, about your relationships and we now know can alter your self esteem to bring you more power and strength in all your life, or to take away and leave you feeling less than capable at mothering and future challenges.

 

So what creates a lasting positive powerful birth memory? Read my Key Essentials for Creating a Powerful Birth Memory for some ideas to get you started. You deserve to give birth with love, dignity and pleasure, creating a powerful memory that you will savor all your life!


Additional Sources: Mannava P1, Durrant K2, Fisher J3, Chersich M4,5, Luchters S, Global Health. 2015 Aug 15;11(1):36. doi: 10.1186/s2992-015-0117-9., Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review.

Srivastava et al. BMC Pregnancy and Childbirth (2015) 15:97 DOI 10.1186/s12884- Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries.

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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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Awakening the Doula Spirit

It’s hard to believe I have been a doula for 30 years.  When I reflect back to how I began, there is not just one particular moment of beginning for me. Being with women in childbirth is in my heart, some would say a calling. I was fascinated with childbirth from an early age, my great grandmother, grandmother and mother’s story of power and joy prepared me to trust birth and to know I deserved more from our maternity care system. Although I had powerful, pleasurable, natural childbirths, with all I know now – I wish I’d had a doula.

It was after my own birth that I became inspired to be a childbirth educator, to help women and their partners understand the many choices they had or sadly were not being given.  Before long people were inviting me to come to their birth to take pictures, and to offer encouragement.   I was honored to attend a birth and would do anything to be present at such a sacred time.  It was one day I’ll never forget in 1987 when my issue of Mothering magazine arrived in my mailbox. I prepared a cup of tea and sat down to enjoy the articles. One of the first articles that jumped out at me was about a Doula.  I began to read and had to yell – I am a doula!  I had discovered a name for what I was doing and soon a connection to  the many other women that were having that same moment of realization.  Before email we wrote letters, and before cell phones we called and left messages, and the very first doula meeting in the world was organized – to take place in my  home state, New Jersey in 1987.  In 1992,  I was present at the very first meeting of DONA International in Boston, and became part of their very first Board of Directors for the first six years.  Working with Penny Simkin, Marshall and Phyllis Klaus, John Kennell, Annie Kennedy and other amazing birth advocates and doulas on the DONA board was an experience that has shaped many aspects of my work today. The long hours of debates knowing that the models and processes that were developed were setting the foundation for the growth of doulas globally was both challenging and exhilarating!

Hugging closed eyesAs a doula trainer I have facilitated doula workshops in 30 countries and I have watched doulas grow in every region of the world. Each workshop opens my heart more to the power, passion and magic that happens when women connect with their deep intuitive wisdom and pass it on believing in, supporting, caring and nurturing women, men and families as they cross through the sacred gateway to parenthood and in the process nurturing each other.

For many years every time I told someone that I was a doula, they asked me “What is a doula?”  I was determined to keep educating them, but  I never thought in my lifetime I would see doulas spread around the world as they are, being  supported by research as one of the only “interventions” in childbirth with only benefits and no harms.

 

What is a doula?

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In the US two states, MN and OR have passed legislation to cover doulas under Medicaid.  The recently NY Doula Report  from Choices in Childbirth provides an overview of the medical evidence supporting the benefits of doula care, and goes on to say: ‘With the implementation of the Affordable Care Act comes an unprecedented opportunity to ensure that women receive quality, respectful maternity care throughout their pregnancy and childbirth experience. Doula Care in New York City: Advancing the Goals of the Affordable Care Act examines doula care within the “triple aim” framework to demonstrate how doula care can help to improve outcomes, reduce spending and improve the patient experience of care. The report also considers the powerful role that doulas can play in fostering greater patient engagement in health care decision-making and reducing disparities in health outcomes, additional goals outlined in the ACA.”

This fall I had the pleasure of visiting Marshall and Phyllis Klaus, two of the founders of DONA International, world renowned for their work in parent infant attachment as well as helping to re-discover the importance of female companionship during childbirth.  Their work literally changed my life! Becoming part of DONA International and actively spreading the doula spirit and research wherever opportunity presents itself is only possible because of the Klaus’, Penny Simkin, Annie Kennedy and John Kennell.  It was so special to me to have the opportunity to tell Phyllis and Marshall how much they mean to me and to thank them once again for dedicating their lives to improving the care that every MotherBaby receives and for teaching, encouraging and supporting me on my path.  They have a place in the history of childbirth, neonatology, doulas, breastfeeding and more.

How will you pass along or re-discover the doula spirit within you?

If you would like to become a doula, join me at a workshop or a doula retreat.

photo-3If you’d love to know more about working as a doula, enjoy reading Naomi’s birth story where you will  see me as a doula. Every birth is a blessing!  Being with Naomi was so special  and sacred and yet we only met via email the day before! When I entered her home during labor I could feel immediately how to join the circle of support and nurture her.  When we open ourselves fully, allow our intuition to guide us and love from the deepest part of our heart it is easy to develop a deep connection.  Women in labor are open to the core and doulas who can meet them their enjoy this divine connection that life rarely provides us in todays busy world.  Giving is receiving!  I have had opportunities to see 100’s of babies enter the world, women become mothers, men become fathers, parents become grandparents, children become siblings, we are all transformed by each new life  and I feel so honored, and blessed beyond words to be a part of the circle of support, and the circle of life.

I believe Doulas are on their way to becoming a covered benefit for all who want a doula in the U.S and that other countries will follow.  It’s no longer a question that doulas do make a difference!   As the late Dr. Kennell said, “If a doula were a drug, it would be unethical not to use it.” There are many ways  we are beginning to understand that women affect each other’s physiology as you may know, when women live together,  their menstrual cycles sync.  Women help other women lower stress levels, creating tend and befriend instead of the flight or fight response and I believe we will continue to learn how a woman’s continuous presence and support in childbirth  creates so many short and long term benefits for MotherBaby, Father, Partner and family.

May you pass along the doula spirit in all you do, nurture yourself and each other,  bring more love, peace and acceptance to birth and our lives. Look for my two additional doula videos in the coming weeks!

~Debra Pascali-Bonaro

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