Tag Archives: doula

I’m Back!

Honestly, it was probably foolish of me to try to get a series started here when I was out of state. I spent about three and a half months in Oregon helping to care for my terminally ill father, who was blessed to be ushered into Heaven on December 10th. It has taken me quite some time to feel settled in again, both at home and at the office.

I thank you all for coming back to check in and see what might be new. For now, I want you to know that I am still putting some things in order, and am writing out a plan for this blog, my birth business, and my work as a midwife assistant.

I am truly excited for what this new year is bringing my way, and I anticipate much growth and change.

I plan on finishing the series I started with guest blogger, Kim Prather of Front Range SCENTSabilities, on the use of Young Living Essential Oils in pregnancy, labor, and birth first and foremost!

Please, take a moment to explore some of the changes I’ve made recently to my Services page, and take note that I will be phasing out my gmail address temporarily, as I focus on my work with Preparing For Birth.

birth in joyThank you so much for sticking around, and stay tuned as I organize my grey matter and begin a weekly blogging schedule.

Grace & Peace,
Tiffany Miller, CLD, CCCE, Midwife Assistant

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New Happenings!

Image from: homeandgardenideas.com

My business is beginning to thrust up little green shoots of growth, and I am deliciously excited with the doors that are opening for me in this privileged line of work! My responsibilities in my work grow, and I find myself considering each and every commitment in my life, my list of priorities, and my dreams as a birth professional in a new light as I experience growth and learning through change.

It seems to be a bit of a bumpy ride, but like birth, it will all be worth it in the end! The hard work, prayer, and rearranging I am committed to in order to keep growing is a lot to digest, and is a little bittersweet. It means that my life will not be the same. That’s great though – it was time for a change!

This summer will be a time of transition for me, as I begin to phase out a lot of personal outside commitments, and focus on more family and birth work commitments. By the fall, there will be a lot more birth work, if all things go as planned, and I am working hard to make small, daily changes to give my work a greater chance to thrive.

I cannot do otherwise. Every time I turn around, I’m receiving “random” confirmation from the God I serve that “this is the way, walk in it.” It’s exciting and scary and new and so very, very right.

One of the changes I am implementing is committing to real-live, genuine office hours as a part of Preparing For Birth! They are short, but they will be expanded come fall. These hours will allow me to keep my word to a few friends who need me over the summer, but still initiate the growth in birth work that is on the horizon.

I will be in the office from 1:00pm to 5:00pm every single Tuesday. I will reserve the mornings for home visits and postpartum work, while the afternoons will be open to interviews and prenatal office visits. It’s also a time that anyone who would like to can stop by, borrow a book, ask a question, pick up supplies, register for classes, etc… Preparing for Birth is growing, and I get to be in on it!

Another change is that, in addition to being a private practice doula, and a contracted educator, I will also be offering my doula services under contract with Preparing for Birth. There will be benefits to my clients whether I am hired under the Birth In Joy name or the Preparing for Birth name – I feel strongly that this will be the best way for me to give greater access to my services to a wider range of women and their families.

Also, I will become the official “librarian” for Preparing for Birth. Over the next few weeks, I will be collecting and cataloging all the books we have at our disposal, and implementing an easy system for our clients and students to check out books and videos. To be honest, this sounds fun to me. My natural bookworm tendencies has me excited about this!

As I sit in the office, typing this post, I smile. I know that there are challenges coming up, and there will be some inner conflict as I work to change some deeply ingrained habits, but I know that I am strong to meet them, by the grace of God. I’m sure that there will be a few stumbles as I unlearn a lot of things, and open my heart and mind up to learning new things, but I am also sure that I am not alone. I have an incredible community of support, and I am truly as excited and happy as I am nervous about it all.

I cannot wait to see those small green shoots grow into lovely shade trees – perhaps kind of willowy – stable and richly green in season. I am willing to work and wait, water and weed, protect and persevere to see it all come to fruition. To rely on the grace and wisdom of Jesus as I walk.

I can do this.

I was made for it.

Grace & Peace,
Doula Tiff

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Intangible Reasons

Image from imdb.com

My husband and I watched “Away We Go” last night. It’s a movie about a pregnant couple’s quest to find the place where they want to give birth and raise their baby. Along the way, they meet up with a lot of old connections to try and get a feel for where they belong. During the obligatory “hippie-tandem-nursing-birkenstock-wearing-freaks” scene, one line really stood out to me, and bothered me.

As filled as the scene was with exaggerated stereotypes, it wasn’t those that bothered me, because all of the families in the movie were portrayed in a way that was a bit over the top. (Except the infertile couple – THAT was one of the best movie scenes I have ever witnessed. Ever.)

John Krasinki’s character explains why he and his girlfriend don’t need a doula. He says something along the lines of “Doulas are for women who are clueless, or have a partner who doesn’t want to be involved, and since I am involved and educated, we don’t need one.”

While he is right in the fact that a doula can be a great asset to a couple who are “clueless,” the quote illustrates the common misconception that doulas replace fathers in the birth room. That if the father is involved and supportive, a doula is just an extra. It’s simply not so.

For one thing, “clueless” clients have more potential to drive a doula crazy! We try to teach our clients to take responsibility for their own births, and encourage them to educate themselves as much as possible about everything relevant to their situation. Some do, and some don’t. The hardest births to be on as a doula are ones in which a mother has not educated herself much at all, and has unrealistic expectations of both birth and her doula. That is a problem that is usually easily remedied. However, not really the point of this post.

Moving on. Sorry to slow you down.

The truth is that men in the labor room is a recent phenomenon. For eons, it’s been women’s work. Birth is what women do. And we do it well. We did not “need” our men in the birthing room – we could handle it pretty well, thankyouverymuch.

However, we began to want our men in the birth room, and welcomed them. Super-cool! We felt it only made sense for the one who helped create this child, be there to help bring him into the world. And we were right. Men should have the chance to see the women in their lives be so strong.

We then threw the baby out with the bathwater, and banished everyone else in favor of the men in our lives.

No one – and I mean no one – can replace the father, husband, lover in the labor room. However, neither can the father bring the shared connection all women have. They can’t bring the “girl power” women thrive on when they are laboring.

Birthing women need both.

For example, I had both my husband and my mother at all of my births (this was before I’d ever heard the word “doula” – my mom essentially filled that role). I could not have done what I did with either of them missing. It is hard to explain tangibly the reasons that this is so.

When I tried to explain it to my husband, I told him that when Mom said I could do it, she was the one I believed.

It’s not that I didn’t believe anyone else, it’s just that it was her energy, faith, and connection to me that helped me put feet to my own belief in my ability to birth. I believed my husband when he said he believed in me, and I appreciated his confidence, but when my mom looked me in the eye and said “You can do this,” something inside me responded, and I could not doubt that she was right.

That is why even the most educated, proactive, emotionally-healthy, bonded couple can benefit from having a doula – and I would even venture to say, needs a doula.

I hear it all the time from my clients: that they just believe me when I tell them they can carry on. They tell me that they love and appreciate the safety and security of their partner’s presence; the love that radiates from his eyes when he holds her hand or brings her water gives her a comfort that cannot be matched. She blossoms under such romance (which is exactly what it is).

But when the doula speaks, moms listen, and their faith in their own ability to birth is given wings.

The truth is this: She cannot do as well as she wants to do without either.

Nearly every client tells me, “I couldn’t have done it without you!” then immediately turns to her partner, “But I couldn’t have done it without you either!” Both statements are as true as true can be. I feel the same way about my mom and my husband.

Of course, there will be exceptions to this, and only you can decide if you are one of them. There are also many situations in which a mother doesn’t have a partner at all, or her situation varies from the norm in some other way. Her need for a doula who will walk alongside her, hold her hand, and support her unconditionally is even greater! I have supported several such women, and stepping into what is essentially a dual role is tough. I could never do that for all births!

My point is that just because factors, A, B, and C all line up for you does not mean that you don’t “need” a doula. Sometimes, it’s the most educated clients that need me the most when push comes to shove. (No pun intended.)

Never say never. Talk to doulas in your area, gauge your needs well, and make the right decision for you and your family. Don’t let anyone – especially a care provider or Hollywood – tell you that you don’t “need” anything when it comes to your birth. Only you can decide that. And take what the media says with an extra-large grain of salt.

Grace & Peace,
Tiffany

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Filed under All Things Doula, Childbirth Education, Crunchy Parenting, Just Me, Miscellaneous, Pregnancy & Birth, Specially For Dads

Enough

Image from global.wonderware.com

I cannot always be everything to everyone, but I can sometimes be something to someone.

It’s okay with me that I cannot be the right doula for every mother. It’s okay with me if they choose another doula. I often ask potential clients if they are interviewing other doulas, and if not, I ask if I can give them some recommendations. After all, I would never encourage a client to hire the first care provider they meet.

Just as I encourage clients and potential clients to interview multiple care providers, I encourage them to interview multiple doulas. It’s only right to do so. Every doula brings something different to the table. Different strengths that will complement a client’s weaknesses. Different experiences that are in line with the experiences of different clients.

It would be the height of arrogance for me to view the interview process as a chance to “sell myself.,” as if I can guarantee that I am the best possible fit for all women, all the time. I’m already “sold” as a doula — after that, it’s a matter of the client’s needs, cultural/religious preferences, and simple personality.

I’ll frame it this way: Doulas are like those puzzle pieces that all look alike. You know, when you’re putting together the cloudless blue sky in a landscape? Or all the grass? We all are part of the same section of the puzzle, and we all look alike on the surface. Many of us have similar scopes of practice, similar philosophies of birth, and similar servant hearts. But – we are not as alike as we look!

Many families have a piece missing from their birth team that fits us exactly. The best way to find out who fits in that spot is to try a few different pieces. The good news is that it often doesn’t take talking to more than two or three of us before a family finds a good fit.

Heaven forbid a client ever hire me simply because I’m the only one they talked to. Sure, that sometimes happens, when we click really well, but that’s not the norm. Heaven forbid a student from a childbirth education class hire me, simply because I was their teacher. I really do feel better about a client deciding to hire me after they have talked to at least one other doula, and their gut tells them they feel right about hiring me.

I may not be able to be everything to everyone, all the time.

I can, however, be something really special to someone. I can make a difference, one mother, one baby, one family at a time. I can be the piece that completes the puzzle.

And that, to me, is enough.

Grace and Peace,
Tiffany

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Birth Professionals are People, Too.

In light of my last post, which highlighted what things I might do differently if I were to find myself with child again, has got me thinking. Not posting, but thinking.

When I open up and share about the struggles I had with breastfeeding, CIO/Sleep training, and other decisions, I often see a look of surprise on the face of the person I’m talking to. I assume the surprise I see stems from their knowledge of what I do as a birth professional.

I think people must think that, as a birth professional, I must have gotten it all “right,” or that I’m some sort of cape-wearing supermom. “You, of all people, had trouble with that?” I see a bit of skepticism in their eyes.

I would like to just take this moment to say that I am no different than the mothers I serve. I am real, human, and I don’t know everything. I don’t have all the answers. I don’t have it all together all the time. In fact, I often find myself struggling with questions of what I ought to do.

At no time do I want anyone to think that, because of my level of knowledge about birth and all that goes with it, that I somehow must have a better handle on things than anyone else. I hope this thought never crosses anyone’s mind: “Of course she can do it. She’s an expert!”

Heaven forbid! I “did it” before I knew all that I knew now. In fact, I only knew a fraction of what I know now when I was birthing my babies. My knowledge was pretty limited, and that is part of why I struggled with certain areas.

As a birth professional, I speak of what I know with passion, honesty, and confidence born of both experience and education. But I didn’t learn it all at once. It has taken time, more education, and more experience.

Birth professionals are people, too. We all have our own stories, mistakes, and triumphs that we want and need to share with other women on this journey. There is nothing “special” about us that makes us more able to birth our babies (or whatever) than any other woman. Every woman has that capability – even if she needs a cesarean. She is capable of coming into motherhood on her own terms, as an empowered, knowledgeable, strong woman.

Give your doula, childbirth educator, or other birthy friend the room to be human. You may find you learn more from her experience than from her head knowledge.

I share my story as honestly and accessibly as I possibly can. I hope that every time you read my blog, you come away encouraged, empowered, or a little more knowledgeable.

Grace & Peace,
Tiffany

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Time Management, To-Do Lists, and Other Things Practical

I’m sitting in the office I share with three other women, thinking about what I want to write about this week. Lately, I have been at a loss for topic ideas, because I look around the blogosphere, and see how much truly wonderful stuff has been written about all things birthy.

It came to me that I haven’t really shared a lot about what it’s like to be a doula and childbirth educator who is homeschooling four young children and has a husband to feed and care for.

It’s interesting.

The understatement of my life!

I have discovered in this line of work that my ability to manage time is critical. When I was just “me at home,” I could fudge a lot more with time than I can now that I have a “real job” to do. Even if it is mostly home-based.

I’ve gotten a lot better at time management, actually, as I get more and more into the simple habit of just writing things down, putting them in my phone, and setting alarms for myself. It’s amazing how much more incentive there is to remember things when you’re getting paid! Ahem.

(That reminds me – I need to set an alarm really quick that will remind me to take meat out for our dinners. One sec. Okay. Done. Where was I?)

An electronic and/or paper brain works far better than my own grey matter. It’s sad, but true. And hey – if it makes me a better wife, mother, doula, and childbirth educator, then I’m all for it! There is no shame in using crutches if you’d be limping otherwise.

What I’m still needing serious improvement in is the nitty-gritty, paper-and-pencil, business-y stuff.

Remembering to make copies, file stuff regularly — not to mention figuring out HOW to file all this business stuff — make time for phone calls, emailing and updating clients, and working on curriculum are all things where I need some work.

Take today, for instance.

When I went to bed last night, I had a pretty long list of things I wanted to get done at the office today. Did I write them down? No.

*facepalm*

This morning, when I got here, I tried to remember it all, but could only come up with a few things. I’m running through that list pretty quickly, actually, and I think I’ll end up taking some time to read The Greatest Pregnancy Ever, which came in the mail a few days ago.

After that? I’ll probably head home, and take the girls to go get some Easter dresses for Sunday. Woohoo!
I was supposed to begin a new Home Birth Prep Series tonight, but since it’s frigging WINDY and COLD today, (there’s a winter weather advisory in effect until midnight too), I decided it wouldn’t be nice to make pregnant mommies come out in this crazy weather, and cancelled for tonight.

So, I have even more time to figure out what I’m supposed to do “at work” today. I will not remember everything else that was supposed to be on my list until bed time tonight, I’ll wager.

As tricky as it is to manage all the practical ins and outs of my days, it seems to be working so far. I’m procrastinating less, learning more, and growing. Not without setbacks, of course, but I celebrate every step.

What tricks and tips do you use to help you figure out what you need to do in your daily routines for work? How do you organize paperwork in your birth business? What works best for you?

Grace & Peace,
Tiffany

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Something is Better Than Nothing.

As a birth professional, a big part of my job is walking alongside women and their partners during the childbearing year by educating them about almost every aspect of their pregnancy, labor, birth, and postpartum period.

I meet women where they are, not where I think they should be. Often, not even where she thinks she should be. Ask any mother, and she can give you a whole laundry list of things she thinks she can do better. Her mind is filled with “if only’s.” Part of my job is to encourage her to grow and change in ways that will benefit both her and her baby.

However, I’m not the one walking her journey. I’m just with her for a relatively short period of that journey. I get glimpses and snapshots of her and her life, not the big picture. I do not have the power to make decisions for her, and even if I did, how can I really know, at the deepest levels, what is truly right for her and her family?

In pregnancy, labor, and birth, there is not a definitive “right” and “wrong” for many decisions that come up. There are things that are good, things that are better, and there are things that are usually best, but even those can be subjective. There are no guarantees.

So, as an example, take a smoking mother.

We all know that smoking is harmful to anyone, and there is no known “safe” level for nicotine in an unborn baby. We all know that it’s wise to quit when we are carrying a child. Of course, we would love nothing more than to see her totally quit the habit, for her health and for her baby’s. However, we also know how horribly difficult it can be to cut off a nicotine addiction.

How horrified are we when we see an obviously pregnant woman smoking? How much do we look down on her poor choices, and feel a righteous indignation that “we would never do something so terrible!

What we are missing is the other side of that coin.

How do we know, on the surface, that this isn’t the first cigarette she’s had in weeks? How do we know she’s not working her butt off to quit, but is struggling just like anyone else? How do we know she’s not eating really healthy foods, staying hydrated, and doing mild workouts to stay as healthy as she can?

When will we get to the point when we realize that something is better than nothing.

If that woman were my client, I would assume she knows the dangers of cigarettes to her unborn child. I would assume she feels badly enough about smoking as it is, and that what she needs from me is encouragement to do what she can with what she has at that moment, just like the rest of humanity.

I would remind her that everything she is able to do well, is enough. That something is always better than nothing. That smoking one less cigarette everyday does make a difference, and shows that she is trying.

Even if I did know exactly what would be right for this mother, should that change the way I see her as a human being? May it never be!

As a doula and childbirth educator, I have come to realize that I might be the only person this woman ever meets who does not look down on her. Who treats her with respect and dignity. Who believes in her ability to make good choices for herself and her baby. Who will cheer her on and encourage her in every effort she is able to make, and will ultimately help her to empower herself to continue in her personal growth beyond the ending of our professional relationship.

It’s a valuable lesson I think all individuals would do well to learn. To look beyond what is seen, to the heart, whenever we can. And, when we can’t, to leave well enough alone and refrain from judgment. It’s one I am grateful to have learned early on in this birth career of mine.

This posts is an offshoot from a seed planted by my mentor and friend, Desirre Andrews, who has taught me to think outside the box more than anyone else I know.

Grace & Peace,
Tiffany

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Filed under All Things Doula, Birth Stories & Inspiration, Childbirth Education, Just Me, Miscellaneous, Motherhood, Pregnancy & Birth

What is a Doula?

A doula…

…is a big ol’ momma heart with soft, wise hands attached. And she knows when to reach out those hands, or when to sit on them.

…is a light-bearer. She illuminates the path ahead for birthing families, then hands over the torch, and falls into step beside them.

…is a believer: in women, in babies, in daddies and partners, in birth and all that goes with it.

…is a builder of bridges. With the bricks of understanding, compassion, and communication, a doula helps build a safe, reliable bridge over the waters of conflict between a birthing family and their care provider. She walks across that bridge with each family, confident in everyone’s ability to be kind to one another.

…is a voice of passion and reason. She speaks the truth in love, and seasons it with grace.

…is a human being, with flaws of her own. She gives the graces she desires to receive, and owns up to her mistakes, learning from each one.

…does not need to be perfect to be effective in her work – she only needs to be teachable and humble.

…is a professional, with skills and knowledge for the task at hand. She not only trusts the birthing family, she trusts herself to be what they need, when they need it.

…is a space-saving device. She protects the privacy and peace of the families she serves, and finds creative ways to help them feel at home, wherever they may be.

…[fill in the blank].

How would you describe a doula?

Grace & Peace
Tiffany Miller, CLD

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Begin It.

“Whatever you can do, or dream you can do, begin it. Boldness has genius, power and magic in it.” ~Goethe

A chord was struck inside of me today. A flame was kindled.

Birth work is my calling, my passion. It’s what I was born to do.

I was also born to the life of a married, homeschooling, home-managing mother. This is my primary calling, my primary passion.

I have a lot of work to do, this side of Heaven.

The two callings are not mutually exclusive, as evidenced by many who have gone before me.

I am meant to do these things together, this I know for sure.

What I have always doubted is my ability.

No longer.

Since I am called to both, I am already equipped for both. I just need to choose wisely.

How to manage my time to maximize productivity, both in my home and in my work.

How to keep the first things first, and the rest out of the way.

How to organize all the pieces of paper in a way that makes sense to me, and makes efficiency easier.

How and when to say either “Yes” or “No” at the right times, to the right things.

How to make self-care a priority.

Not necessarily “me” time, but basic self-care. For me, self-care is: Quiet time to pray; Nutrition & Hydration; Exercise, Sleep, Peer review time, and Chiropractic care. I don’t desire luxury – just good health, spiritually, emotionally, mentally, and physically.

Last, but not least, I need to choose wisely where to start.

The first thing that comes to mind that I should do?

Buy a four-drawer filing cabinet, and get all the paper everywhere organized and pretty.

Laugh if you will, but this is the beginnings of boldness in me!

I have a tendency not to start things – not out of procrastination, so much as a disbelief that I can be good enough at it. I’m a “discouraged perfectionist.” I get overwhelmed at the big picture, and literally give up before I even begin.

That is the case here. I’ve doubted that I can fulfill both callings on my life, because frankly, I’m not that amazing! I’m just average.

Still, it’s us averages that get work done, isn’t it?

So, I’m without a legitimate excuse.

They say to break down your larger goals into manageable steps.

The acquiring of a four-drawer filing cabinet seems pretty manageable to me, and might even feel a little magical.

How does the above quote strike you? What do you need to begin?

Grace & Peace,
Tiffany

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Announcement!

As of the beginning of May, 2011, I have become an official part of Preparing For Birth here in Colorado Springs. Desirre Andrews, the founder and owner, has a passion for mentoring other birth professionals, which I am now taking advantage of.

I am not really very fond of diving into something head first, and hoping I make it. I am much more the “read-every-instruction-then-proceed-with-caution” kind of person, so having a mentor is actually quite important to me. I have so many gaps in my birth work that I desire to fill, and I know I cannot do it alone. I am still finding my voice in the birth community, and I only have glimpses of what that will be in the future, but I don’t yet have the whole picture.

So, in an attempt to go about this career choice in some semblance of order, I have chosen to learn from those who are farther along in their journey than I. I fully intend to blunder about for awhile as I find my feet, but with such women to learn from, I’m confident it won’t take as long as I feel like it will!

To start, I will be teaching a specialized Homebirth Preparation class! This coming week, I will be calling and speaking to several of our local homebirth midwives in order to garner support and gain a better understanding of what the homebirth community needs. Much of the curriculum is the same as traditional classes, but there are definitely some things specific to homebirth that many birthing families would benefit from.

I cannot tell you how excited I am to become part of a team like this!

Grace & Peace,
Tiffany

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