doula – Nannyjob blog

Understanding Doulas: What Are They and What Do They Do?

In the realm of childbirth and early parenthood, doulas play a critical and supportive role. A doula is a trained professional who provides continuous physical, emotional, and informational support to mothers before, during, and shortly after childbirth. This post explores the role of doulas, their responsibilities, and the benefits they offer to expecting families.

Introduction

What is a Doula?

A doula, derived from the Greek word meaning “woman’s servant,” acts as a non-medical companion who supports mothers through the childbirth process. Unlike midwives, doulas do not provide medical advice or perform clinical tasks. Instead, they offer comfort, guidance, and advocacy, ensuring the mother’s experience is as calm and positive as possible.

What Doulas Do

1. Prenatal Support

During the prenatal phase, doulas help families prepare for childbirth. They provide education on childbirth options, help develop birth plans, and offer resources and techniques for managing pregnancy discomforts and stress.

2. Labor Support

Doulas are perhaps best known for their role during labor and delivery. They offer comfort through pain relief techniques such as breathing exercises, massage, and positioning suggestions. Doulas also serve as advocates for the mother, ensuring her birth plan is followed as closely as possible and facilitating communication between the mother and medical staff.

3. Postpartum Support

After childbirth, doulas continue to support mothers by offering help with breastfeeding, newborn care, and adjustments to family dynamics. They also provide emotional support to help mothers process their birth experience and transition into motherhood.

Benefits of Hiring a Doula

1. Reduced Risk of Medical Interventions

Research shows that continuous support during childbirth, like that provided by doulas, is associated with lower rates of medical interventions, including cesarean sections, and the use of forceps and vacuum extractors.

2. Emotional and Psychological Benefits

The presence of a doula during childbirth can lead to a more positive childbirth experience. Mothers supported by doulas often report feeling more satisfied with their birth experience, with decreased instances of postpartum depression.

3. Better Outcomes for the Baby

Studies suggest that babies born with doula support face fewer health issues at birth and higher breastfeeding success rates.

Conclusion

Doulas provide invaluable support to mothers and families during one of the most significant experiences of their lives. By focusing on non-medical care, they contribute to a holistic birthing process that prioritizes the mother’s physical comfort and emotional well-being. For many mothers, having a doula by their side is an essential part of their birth plan.

Resetting The Body-Clock With Autumn Time Change

When the clocks go back in October, it can be a real nightmare for some families as it can take several weeks or even months to get their children back to sleeping to a civilised hour! Some parents never really manage it resign themselves to being woken early until the clocks change again in spring.

But don’t worry, there is a fun and simple solution to this problem and it takes just one weekend!

Be aware that if your child has a habit of early rising before the clocks change, this may not work. You may need to make additional changes.

The idea is to get your child so exhausted that you break their current habit of waking at a particular time. You can then reset their body-clock based on how much sleep they need each night and putting them to bed at the right according to this.

Friday Night – Bedtime 2-3 hours later than usual

Instead of giving your child dinner at dinner time, give them a snack then give them a bath. Get them dressed then go out for dinner. Take plenty of toys/games and keep them entertained by bringing the different toys/games out one at a time. Travel home with the windows down in the car and the music up or walk home so that they don’t fall asleep on the way. When you get home, do the usual bath (yes, two baths! The first was to wake them up a bit) and bedtime routine and put them to bed 2-3 hours later than usual. The older they are, generally, the later you will need to keep them up.

Don’t expect them to sleep any later the next morning, but do expect them to be a bit over-tired and grumpy by the afternoon. If your child usually has a nap, limit it to 50% of their usual nap time.

Saturday Night – Bedtime 1.5-2.5 hours later than usual

This similar to the first night, so have a snack instead of dinner, then go out to play! Take the torches to the park and have some fun. When you get home, sit down to a nice family meal (you may need to keep the heating down low to keep them awake). Afterwards give them a really long bath (keep adding hot water), and get ready for bed as usual. Put them to bed 1.5-2.5 hours later than usual depending on their age.

Again, your child probably won’t sleep any later their usual wake up time, which will be an hour earlier as the clocks will have gone back at 2am! Limit any naps to 50% of the usual time.

Sunday Night – Bedtime 1-1.5 hours later than usual

Do the usual bedtime routine, just slightly later than usual. Your child should be absolutely exhausted by now and by the third morning they will sleep later. Their body clock has now been reset! Hooray!

For the next few days, maintain a bedtime 30-45 minutes later than you would normally and then on Wednesday or Thursday, go back to their usual bedtime. This helps to stop them falling back to their spring/summer wake-up time.

Most children between the ages of 3 and 8 years need 11-12 hours’ sleep in every 24 hours. 8-11 year-olds generally need 10-11 hours’ sleep.

Set each child’s bedtime based on how many hours’ sleep that individual child needs, and work backwards from when you want them to wake in the morning. This can sometimes mean that younger children go to bed a little later than older children, but it is worth it if it means that everybody wakes around the same time and nobody is over-tired as a result of being woken by the one little person who doesn’t need as much sleep.

Enjoy resetting your children’s body-clocks, it is fun!!! Spread the word and the parks will be filled with children and torches on one Saturday night in October each year!

Double Trouble – How To Cope With Twins And Multiples

Having one baby is hard work, we all know that. The thing is, unless you have a multiple birth (or children very close in age) you don’t realise just how tiring and relentless (although extremely rewarding!) looking after two or more tiny tots can be.

So, as always, we have a wealth of top tips to help if you have your own, or nanny for, twins or triplets:

Routine is king. This, of course, applies in theory to all babies. You’ll find it is much more necessary with twins. Make sure you put the babies down to sleep at the same time, and try to feed them at the same time (or one straight after the other). Even of one cries for food whilst the other is sleeping, in the first couple of months it can really help to wake the other one to feed as well.

Togetherness. If possible, keep your babies together, whether this is in the same cot or just in the same room. Twin babies are almost always comforted by knowing the other one is nearby, and having physical contact with each other. They’ve had nine months of sharing everything, so it would be a massive adjustment for them to then spend a lot of time, or sleep, without the other.

Support system. It’s important to get as much help as you can as a parent of twins. If your partner has returned to work and you find yourself alone and incredibly stressed, pull in your support network. Ask relatives and friends or regular baby-sitters to provide relief, if you haven’ got a nanny. Remember that it will be easier for anyone to help you if you suggest specific tasks, such as feeding or bathing one of the babies, taking them out for a stroll, shopping, cleaning the kitchen, or preparing a meal.

Get some ‘me’ time. It’s important to have a little bit of time each day, if possible, to relax. Even if it’s a 20 minute bath when your partner gets home from work, or half an hour of reading before you go to sleep. It’s a fact that stress and anxiety are more common in parents of twins, so making sure you grab a few golden moments of time for yourself is key.

For more help and information on twins and multiple births visit Twins Trust | Twins Trust – We support twins, triplets and more…

When’s it due?

Only around 4% of babies are actually born at 40 weeks, commonly known as the due date. 80% of babies are born 2 weeks before or 2 weeks after. That leaves parents with a dilemma – when should they start looking for someone? And when should they book someone to start?

Many people choose to have some kind of childcare around or just after the time a new baby is expected to make an appearance but predicting when that might be if you opt for a natural birth is not an exact science. Only around 4% of babies are actually born at 40 weeks, commonly known as the due date. 80% of babies are born 2 weeks before or 2 weeks after. That leaves parents with a dilemma – when should they start looking for someone? And when should they book someone to start?

That all depends on what kind of care you want. If you’re talking about care for older children while a mother is in labour then it’s a wise idea to have someone on standby from 2 weeks before. If it’s an existing nanny or childminder then that can make life a lot easier if the baby is born during the week (as long as you’ve agreed contingency plans in advance). If you want someone to be on standby and not make plans to go out then you can expect to pay them some kind of retainer so it’s a good idea to have a backup plan for your chosen carer. Ideally you’ll have someone in place by the time you’re 6 months pregnant, but tapping into existing childcare networks earlier on means you have a greater chance of finding joined up care if your preferred carer can’t make it. For expectant mothers who don’t usually use childcare, or who have children in school or nursery, a temporary nanny/mother’s help may be a good solution and if you employ them during the day even part-time they’ll give you a chance to grab some much needed rest. It’s a good idea to make sure your older children are familiar with the child carer before the due date, as a new child carer and a new baby all at once might be unsettling.

A doula who provides care for you during labour should be used to making arrangements to be on standby for the month around the due date and that is usually reflected in the price of a birth care package. If, however, you choose to book a doula solely for the post-natal period you should discuss with them when they usually start and what the arrangement is if a baby ends up arriving late. Many mothers feel they benefit from having a doula in the early days on an occasional basis especially if their own mother can’t be around to help. A doula is generally more flexible in their duties than a maternity nurse and less intrusive as they don’t live in for the duration of the booking. Depending on your location doulas might be difficult to find, so it’s advisable to start looking early in pregnancy.

A maternity nurse, who will care for mother and baby and ease the baby into a routine will usually start around 2 weeks after the due date (although some may have availability to start earlier than booked). If a baby ends up being later than expected most will charge either a full or reduced fee from the date the booking starts. Many families also prefer to have a few days together as a family and aim to have a maternity nurse start just as the other parent goes back to work. Some maternity nurses can get booked up far in advance, and as they are likely to be on a booking which may not be in your area while you’re searching for them interviewing may be tricky to arrange. Most people start to look for a maternity nurse around 3 months into their pregnancy and book by 6 months to ensure availability but, unlike doulas, there are several agencies which place maternity nurses and maternity nurses are often not restricted by location so finding an emergency maternity nurse or late booking is easier to accomplish.

Targeting Tantrums

Supernanny Jo Frost used to make it look easy, and nannies usually know that the ‘naughty step’ and ‘time out’ techniques can be sanity savers in dealing with the most frustrated or badly behaved of toddlers, but nobody wants to actually let it get to that stage. So, how do we go about avoiding tantrum situations altogether?

If a child is prone to tantrums, making sure that frustration is kept within the limits of a child’s tolerance can be tough, but it is possible. Of course avoiding tantrums depends on each individual child, so there are no quick fixes that work for all.

Some of the the best ways to avoid toddler tantrums:

Give Leeway. Don’t back the child into a corner when you see them getting upset or angry about something. Instead of insisting on absolute “do’s” or “dont’s”, leave a bit of an escape route for them, and coax them to meet you half way if they really don’t want to do something.
Explain. Understand that tantrums often occur when a child simply doesn’t understand something, and their frustration grows as they try to get it. Try to explain things thoroughly before a situation is entered into which you think might cause this to happen. The child will feel calmer and more prepared, and less anxious about not fully understanding a situation or task.
Expression. One of the reasons toddlers have tantrums is because they are beginning to learn how to grasp speech and language. They often understand much more than they can express, which is fuel to the fire of a tantrum. Calmly listening and picking up on what you feel the child is trying to express will help the toddler feel less frustrated.
Enough food and sleep! It may sound like a no-brainier, but think about how you feel if you had a poor nights sleep and are hungry. It isn’t pleasant for anyone, let alone a toddler who doesn’t understand that this is the case. Make sure the child has had enough of both, and they will be far less likely to get frustrated over the small things with a clear head and a full belly.
Avoid negative attention. When a toddler has a tantrum and gets a reaction, this may actually be satisfying their need for attention in general, and in turn make them more likely to have tantrums. To avoid this behaviour, try to pick up on the good things that the toddler does and reward them with positive attention, even if it seems small, it will make a difference. This will make them less likely to need the negative kind, and less likely to demand it with tantrums.
Choose the right tasks – make sure you’re not trying to push the child to advance before they are able to. Offer age-appropriate tasks and games, so that you are more likely to have a situation where you praise them for doing something right. Once a more simple task has been completed and the child feels good, only then move on to slightly trickier things.
Set the stage – make sure you set boundaries to try toavoid tantrum situations. If you know you don’t want the child to have a certain item, make sure it’s hidden and out of sight to avoid the battle even starting. Of course this is not always possible when a child decides they want something that they can see when you’re out of the house!
Give control – work out what little things you think the child can handle being in control of. If they feel in control of some things, they are less likely to throw a tantrum about something they are not in control of. If a tantrum does arise, give them a subtle reminder of what they can control, to distract them from what they can’t.

Stick to these tactics and you might just save yourself some difficult situations dealing with tantrums! Do you agree with our ideas? Have you got any tactics that work to avoid tantrums? If so why don’t you add a comment or post them on our Facebook page…

Doulas: what are they and what do they do?

Doula is a Greek word which originally meant servant. It’s come to mean a woman who supports women through pregnancy, birth and/or the postnatal period. Unlike a maternity nurse who focuses mostly on getting a baby into a good routine in the early months a doula is there throughout the journey to parenthood.

Doulas are often flexible in what they will do. Some specialise in pregnancy and birth, others only do postnatal support to help you adjust to parenthood, get breastfeeding off to a good start and recover from labour. Many will be able to put together a bespoke package to support new families.

Continue reading “Doulas: what are they and what do they do?”

‘Hurrah’ to the Royal Baby.. ‘Boo’ to the acute morning sickness!

Hyperemesis Gravidarum – The Facts

Along with everyone else in the UK, Nannyjob let out a huge ‘Hurrah’ this week upon hearing the lovely royal baby news. We’ve all watched this perfect pair go through the courtship we all envied, then the wedding of the century. And now, the ultimate – a new cute bundle of joy for the nation’s sweethearts.

So, after our excitement had (only mildly) died down, we started to feel really quite sorry for the beautiful Kate, as we heard that she’d been admitted to a London hospital with hyperemesis gravidarum (a.k.a acute morning sickness). Now you may be thinking that all or most expectant mums get a bit of morning sickness – true, but this acute condition means that rehydration is needed, hence the hospitalisation. So, as we are always here to be the fountain of knowledge to our lovely readers (or tell you what the doctors say!), here we explain what Kate is going through:

hyperemesis gravidarum, is a serious medical condition with potential consequences for mother and baby.
by definition, the condition is the loss of at least 5% of the total body weight.
while seven out of ten pregnant women suffer nausea, usually in the first three months, some are sick morning noon and night throughout, vomiting as much as 25 times a day.
Other than the vomiting and nausea the mother might also experience very sensitive olfactory sensations, bad taste in the mouth, shivering, difficulty reading (from dehydration and changes to the eye), and delayed gastric emptying.
Charlotte Bronte is believed to have been a victim. Women were dying from this condition up to the 1950’s.
Now dehydration can be treated with a drip and is a common reason for hospitalisation accounting for more than 25,000 admissions a year.
Now for the fun bit – A Swedish study in The Lancet in 1999 suggested women suffering from the condition were slightly more likely to be carrying a girl (we’re already making a list of potential royal girls names!).

Nannyjob is super excited about the royal baby, and wishes Kate and William the very best of luck with their pregnancy. And who knows.. They might even start their search for a nanny soon….! 😉

Childbirth: 5 Benefits Of Being A ‘Stay At Home’ Mum

Hands up if you spent a toe-curling hour of each Wednesday night over the last few months glued to the TV set, watching from behind a pillow as the ever popular ‘One Born Every Minute‘ quite literally delivered step-by-step, real-life, and often very graphic footage of hospital births into your front room … ?!? And hands up if watching it has made you ask yourself whether or not your next (or your first) child would be born on a maternity ward, or actually born in the comfort of that very aforementioned front room?!

There is still a huge proportion of women who opt for home births instead of hospital births, for a number of different reasons.

Throughout human history, women have always given birth in a familiar place, especially in the days when giving birth in a hospital, with it’s incredibly high infection rates, was more dangerous than at home. Not until almost 1940 did hospital-birth mortality rates in the Western world drop below those of home deliveries.

Even now, babies are still born at home in most places around the world. Although the move from birth at home to the hospital started in the 18th century, giving birth at home was the most common way in most countries until around 1950.

5 Benefits of modern day home birth:

One on one midwifery care. You get to know your midwife and know that she will be the person delivering baby, instead of whoever is on a hospital maternity ward on the day of your labour.
Start as you mean to go on. Other family members can be present, and the environment that you have set up for your new arrival is the one that he will immediately sense as he enters the world.
Less anxiety for you. You’re at home, in familiar surroundings, without hearing the cries of other labouring women or feeling any ‘white coat syndrome’. To some women this in itself can make all the difference to their decision.
Less pain for you. Of course, you may be laughing out loud at this sweeping generalisation of probably one of the most painful experiences a woman ever goes through, but it is proven that being in familiar surroundings gives women more control over how to deal with labour pains. There is then less chance of them producing the adrenaline hormone, which interrupts labour hormones and actually causes labour to be slower and more painful.
Lower rate of postnatal infections for both you and baby. It’s now considered an urban myth that you are safer giving birth in a hospital than at home. Low risk mums with straightforward pregnancies are deemed to be as safe at home as in hospital.

Needless to say, there are situations where expectant mums do not have the choice and need to give birth in a hospital environment, be it that she needs a cesarean, has had a higher risk pregnancy in some way, or due to not having suitable facilities or space at home.

For more information on birth or to find out if home or hospital is right for you, visit www.nct.org.uk, where you can find a wealth of information and help.