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 What do you pack in your Doula Bag/Birth Bag? 
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breezyinsc wrote:
A warm washcloth over the entire perineum (from clitoral hood to anus) feels A-MAAAA-ZIIIIIING for most Mamas, myself included, especially during 2nd stage. It really took the sting out of perineal stretching for me. I was able to pretty much relaaaax into the warmth. Fond memories!

I would use a small crockpot, the tiny ones for like a pot of nacho cheese, and keep clothes rotating through. Nothing worse than finding a comfort measures you love, and having to wait for it!

Personally, I wouldn't *place* the cloth on my client, I'd give it to her partner to do it, but that's just me. I'll massage inner thighs and rub hips or buttocks, but I steer clear of any and all vaginas! That's just my own comfort level.



Hopefully not the same crock you use for your nacho cheese!:lol


Thu Feb 11, 2010 2:13 pm
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doula Michele wrote:
Hopefully not the same crock you use for your nacho cheese!:lol



ewww. :scared

our hosp took away the crocks because they don't have good enough temp control. darn it. now we just use hot water from the tap, which of course is often hot enough to scald someone :badidea


Thu Feb 11, 2010 2:18 pm
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breezyinsc wrote:
My hands are ALWAYS cold, especially in L&D rooms. I crack one open and keep it in my pocket so my hands aren't icy when Mama needs a massage :) Sometimes, though, Mamas like my cool hands on their neck during pushing!



i often hear, "Oooooooh, Sasha, your hands are so nice and cold. that feels good!" hahahahaha, my dh NEVER says that ;). he's been known to jump clean out of the bed when i crawl into bed and cozy up, my whole body is that cold.

anyhoo, i've also heard a mama say, after i apologized for how rough and scratchy my hands were, "no way. they feel REAL and that feels good. don't stop." that always makes me smile.


Thu Feb 11, 2010 2:20 pm
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Besides the urinary test strips, there are several other things on your list that seem more in the scope of a monitrice or midwife:

emergency birth kit
doppler
astroglide
hemhalt
gloves
evening primrose oil

Are you a monitrice as well as a doula?

I know we all practice differently, but I know if I showed up at the hospitals in my area with a doppler, astroglide, hemhalt, etc. it would not go over too well.

Everything else on your list I generally bring, and I have a small rolling bag as well and I agree - much easier to transport!


peacefulbabydoula wrote:
I'll start by saying I have one of those super easy if your trying to help a women into the hospital type bags-one of those that just rolls right behind you,thats a book bag too.In my Birth Bag I carry:
Gloves
An Emergency Birth kit(bought on inhishands.com for 13.00)for those precipitous births!
a birth ball pump(I'll bring my birth ball too)
My folder for labor notes
Massage Oils
Stress balls(2)
Bottle of water
Doppler
Astroglide(for the nurses that forget a woman in labor still needs lube to check)
Massage tools
Non scented lotion
robozo
A book for me to read
Hair ties(for momma)
Lip Balm(unopened) If I open it I give it to mom after birth
a watch(which I put on when momma calls me)
Socks
**I usually buy a bottle of recharge,and and empty water bottles I fill and freeze,when momma calls me I grab it and throw it in my bag)
oranges(i keep my fridge stocked) for momma
Snack for me(nothing strong smelling)
Bottle of HemHalt
Benedryl
Evening Primrose oil
small comfortable pillow(one of those small ones that looks like a mini boppy)
Bottle of urine sticks
sample packages of Lansinol

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Thu Feb 11, 2010 3:06 pm
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Jeez, Bella and Michelle! I just burst out laughing and my DH is looking at me like I've lost my mind...again....

I didn't use a crockpot, just the tap, thus the thorn about not having things ready when a Mama needs them!

I don't bring my own to births just cause I have so much other junk already. I talk about warm perineal compresses to all of my clients and I haven't had anyone bring it up again when they call me to the hospital or during birth. If I knew in advance that Mama wanted it, I certainly would.

And I would CLEARLY label it: VAGINA WASHCLOTH CROCKPOT so no one would make party dip in it :)

This is totally a deep, dark secret but: I didn't actually know what the crockpots or boiling water on the stove were for until I came to AD :shh


Thu Feb 11, 2010 3:24 pm
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breezyinsc wrote:
Jeez, Bella and Michelle! I just burst out laughing and my DH is looking at me like I've lost my mind...again....

I didn't use a crockpot, just the tap, thus the thorn about not having things ready when a Mama needs them!

I don't bring my own to births just cause I have so much other junk already. I talk about warm perineal compresses to all of my clients and I haven't had anyone bring it up again when they call me to the hospital or during birth. If I knew in advance that Mama wanted it, I certainly would.

And I would CLEARLY label it: VAGINA WASHCLOTH CROCKPOT so no one would make party dip in it :)

This is totally a deep, dark secret but: I didn't actually know what the crockpots or boiling water on the stove were for until I came to AD :shh


Honestly... I have never even seen hot compresses used. Nope.... If I saw a crock pot at a birth I would be thinking "mmm someone brought cheese dip".

I dont show up at the hospital with anything.... the nurses would think I was a freak. I use as much as I can of theirs.
And wow... those of you that get hot water in a hospital...LUCKY!! It takes about 10 minutes for us to get hot water.


Thu Feb 11, 2010 3:31 pm
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peacefulbabydoula wrote:
well,First let me say that my birth bag is also my prenatal bag.I see lower income clients,who usually get late prenatal care,and most of the time they see me before they see a doctor.I like to check their urine in those cases.Also,in my experience having hospitals check mom for a suspected UTI or kidney infection during labor-can be disaster waiting to happen-they usually try pumping her full of antibiotics (which of course dont work unless your on them for at least 24 hours,usually leaves mom with a yeast infection and baby with yeast infection,thrush,or both)so,if mom shows signs,I do it then I suggest to her to drink cranberry juice and I give her cranberry pills/vitamin C.Of course,all of this is usually done in early labor when mom can tolerate eating and drinking.


But by your signature, you are a doula, not a midwife, not a midwifery student and not an RN. So unless you are one of those and functioning in that capacity, why would you need to check for protein in the urine?

What qualifies you to test, diagnose, etc?

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Thu Feb 11, 2010 7:26 pm
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breezyinsc wrote:
I've got most of the previously mentioned items plus HotHands---little squares of self-heating gel. They're intended for construction crews and the like who work outside during cold weather to put in their pockets to keep their hands from freezing.

My hands are ALWAYS cold, especially in L&D rooms. I crack one open and keep it in my pocket so my hands aren't icy when Mama needs a massage :) Sometimes, though, Mamas like my cool hands on their neck during pushing!


I LOVE LOVE LOVE a scalp massage with cold hands LOL

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Angie
DONA Certified Birth Doula, CAPPA Certified Childbirth Educator
Certified Breastfeeding Counselor, Formerly Certified Happiest Baby Educator, Pregnancy & Birth Photographer


Thu Feb 11, 2010 7:27 pm
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Hi All,

I have a couple of questions:

Any particular flavor of honey sticks? Has anyone ever brought slippers? I hate to wear shoes once I'm inside and would love my feet to be comfortable. I also have PCOS & Insulin Resistance. I take pills at least 2-3 times a day. Has anyone else had to navigate doulaing and taking meds? I must eat when taking my meds or I get very nauseous.

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Thu Feb 11, 2010 8:27 pm
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Things I carry in my doula bag:
For Mom & partner:
Rice Socks~ two, one for heat and one for cold
tennis ball for massage
wooden massage tool
a sarong or pashmina for labor support/positioning
suckers
new chapstick
gum
tea bags
bottled water
massage oils, variety of scents
CD's of relaxing music, nature sounds or mom's fave if I know


For me:
notes/mom's file/pen
labor ball pump
snacks&water
money/ID
cell phone and charger
extra sweater or pashmina
warm socks or slippers
face wash
toothbrush/paste
hair brush/ hair tie
chapstick
Ina May's Guide to Natural Childbirth
handi-wipes and hand sanitizer
tylenol
fem products

I also carry my birthing ball and a CD player if client wants either, and a pillow and blanket from home, as the hospital never seems to have enough!

I carry a leather satchel type bag with two compartments, one for mom and one for me. Works great and wipes clean easily (hospital germs freak me out so I always wipe down the bottom of my bag with a clorox wipe)

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Thu Feb 11, 2010 10:47 pm
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Most women in the community I serve as a doula are low income as I said before,so they dont have insurance,I also get a lot of women from other countries(refugees) and most dont receive prenatal care until 2 trimester(maybe later).With that said,I have done all of my training as a doula with a midwife,so I guess you could qualify me as a montrice as well.As far as the doppler,astroglide,hemhalt and emergency birth kit,I live in a rural area where the nearest hospital is 45-1hr away,and I've been called to births where mom was crowning and midwife was "on the way".In those cases,I felt it very important to have a "just in case" birth kit-I've actually used 3 emergency birth kits.Maybe I should have explained that the nearest hospital is an hour away.I try to get most moms to the hospital 10cm and ready to push,but some moms of course have gone faster than I expected,so I've had to deliver.Because all of my training as a doula has been with a midwife,she taught me how to check urine,dilation/cervical thinning,know signs of pp hemorage ect. She also felt it crucial to tell me I should have these items on hand just in case.Also,most of my clients are home births,and because I work closely with mw's in the area,I am called as a Birth assistant because I am closer to the clients then they are-there are no mw's closer than 2hr away from me,so most times I get to the birth before the MW.Combine that with the fact I have had way to many precip births I feel more comfortable having this stuff on hand just in case-even if it just sits in my bag unused for months(or even a year).ALACE doula certification covers showing how to check the cervix btw.To me,its better to be prepared,though I didnt mention I dont go pulling all my "montrice/birth assistant" tools out at the hospital,I just like to have them just in case.

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Fri Feb 12, 2010 8:44 am
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peacefulbabydoula wrote:
Most women in the community I serve as a doula are low income as I said before,so they dont have insurance,I also get a lot of women from other countries(refugees) and most dont receive prenatal care until 2 trimester(maybe later).With that said,I have done all of my training as a doula with a midwife,so I guess you could qualify me as a montrice as well.As far as the doppler,astroglide,hemhalt and emergency birth kit,I live in a rural area where the nearest hospital is 45-1hr away,and I've been called to births where mom was crowning and midwife was "on the way".In those cases,I felt it very important to have a "just in case" birth kit-I've actually used 3 emergency birth kits.Maybe I should have explained that the nearest hospital is an hour away.I try to get most moms to the hospital 10cm and ready to push,but some moms of course have gone faster than I expected,so I've had to deliver.Because all of my training as a doula has been with a midwife,she taught me how to check urine,dilation/cervical thinning,know signs of pp hemorage ect. She also felt it crucial to tell me I should have these items on hand just in case.Also,most of my clients are home births,and because I work closely with mw's in the area,I am called as a Birth assistant because I am closer to the clients then they are-there are no mw's closer than 2hr away from me,so most times I get to the birth before the MW.Combine that with the fact I have had way to many precip births I feel more comfortable having this stuff on hand just in case-even if it just sits in my bag unused for months(or even a year).ALACE doula certification covers showing how to check the cervix btw.To me,its better to be prepared,though I didnt mention I dont go pulling all my "montrice/birth assistant" tools out at the hospital,I just like to have them just in case.


This is all still out of a doula's SOP no matter what the circumstances.
I do not care that you do these things, you just can't call yourself a doula while doing them.
There really needs to be a totally different name for more clinical doulas.


Fri Feb 12, 2010 8:58 am
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peacefulbabydoula wrote:
Most women in the community I serve as a doula are low income as I said before,so they dont have insurance,I also get a lot of women from other countries(refugees) and most dont receive prenatal care until 2 trimester(maybe later).
.ALACE doula certification covers showing how to check the cervix btw.To me,its better to be prepared,though I didnt mention I dont go pulling all my "montrice/birth assistant" tools out at the hospital,I just like to have them just in case.


ALACE workshops have the cervical exam component so that doulas can learn what providers are looking for to have a better understanding of what cervical exams are. ALACE states VERY that they are NOT training those who attend their workshops to PERFORM vaginal exams on clients.

As for the first part above, it's still NOT within a doulas SOP to be dipping urine and reading results that she's not qualified to address.

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Angie
DONA Certified Birth Doula, CAPPA Certified Childbirth Educator
Certified Breastfeeding Counselor, Formerly Certified Happiest Baby Educator, Pregnancy & Birth Photographer


Fri Feb 12, 2010 9:52 am
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doula Michele wrote:
This is all still out of a doula's SOP no matter what the circumstances.
I do not care that you do these things, you just can't call yourself a doula while doing them.
There really needs to be a totally different name for more clinical doulas.


i agree. i don't think you are doing anything wrong either. you sound more like what i would call a midwife assistant than a doula. i agree there needs to be another title than simply "doula". your job description is just far too different from what is commonly SOP for a doula. in my community if i was doing what you are, calling myself a doula, and showed up at the hosp w/ a transport, my butt would be in a sling and the rest of the doulas in town would string me up. calling myself a midwife or assistant working w/ midwife, totally acceptable.


Fri Feb 12, 2010 2:12 pm
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KeishaDoc wrote:
Hi All,

I have a couple of questions:

Any particular flavor of honey sticks? Has anyone ever brought slippers? I hate to wear shoes once I'm inside and would love my feet to be comfortable. I also have PCOS & Insulin Resistance. I take pills at least 2-3 times a day. Has anyone else had to navigate doulaing and taking meds? I must eat when taking my meds or I get very nauseous.



I take slipper socks with those rubber things on the bottom. I figure, whatever makes you most comfy!

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Fri Feb 12, 2010 2:52 pm
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