Doulas have all sorts of tips and tricks up their sleeves to make pregnancy, labor, and postpartum a smoother process for birthing people. The majority of the work I do for you comes from my heart, my head, and my hands. In order to provide support, knowledge, and comfort, I don’t necessarily need a Mary Poppins-style bag with tons of trinkets; however, there are a few tools I occasionally use at births to improve your labor experience. Here is a private look into what items I keep in my doula bag.
The first item on the list is a rebozo. A rebozo is a traditional Mexican cloth woven by women for women. My gorgeous, authentic, deep purple rebozo is very special to me, as it was hand woven by local doula, womb care, and rebozo expert, Mayte Noguez of Womb Centered Care and her grandmother. I had the opportunity to take a workshop with Mayte where she taught about the uses of rebozo, as well as the history and cultural significance. The rebozo has many uses in the Mexican culture. It is worn as clothing, can be used to carry babies, and is often used in certain cultural ceremonies. During labor, a rebozo can be used in a variety of ways to help support the abdomen, put pressure on the hips to relieve discomfort, open up the pelvis, and much more. During prenatal meetings with our doula clients we discuss and practice the many uses for this extremely versatile tool.
The second and third items on the list are a rice heating pad and an ice pack. Heat and cold therapy both have benefits during labor. A warm rice pack can help relax muscles and increase blood flow, while a cold pack can help numb areas of discomfort and reduce swelling. A rice pack warmed in the microwave often feels good when placed on the lower abdomen or on the neck and shoulders. An ice pack may feel good on the lower back when experiencing back labor. Depending on the situation, we may alternate heat and cold, or just stick with one.
Item number four is an Elle TENS Unit. As a part of our doula support package, all of our clients are loaned a TENS Unit in the third trimester and we demonstrate how it use it properly. This device has a hand held control panel and four electrode pads that can be placed nearly anywhere on the body. Typically in pregnancy and labor, people choose to place the electrodes on their lower back. When the TENS Unit is turned on, it sends a very small electrical current into the electrodes. You can turn the strength up and down and change the electrical current to pulsate in bursts or a continues at a steady pace. It may sound frightening; however, it is very gentle, safe, and effective at reducing pain. The frequencies put out by the unit help block the transmission of pain messages to the brain. The electrical impulses also stimulate your body’s natural pain relief hormones. This offers a drug free alternative to pain medication, with less side effects.
Massage lotion is number five in my bag of tricks. Having a doula who is also a professional, licensed massage therapist can be a huge perk for Bravo Birth DFW clients. Massage is proven to increase labor hormones and decrease stress and pain hormones. Whether its a back and shoulder rub, foot rub, or a gentle hand rub as you drift to sleep, we want to provide an experience that is relaxing and as stress free as possible. The massage lotion we use is hypoallergenic, unscented, paraben free, and contains arnica extract, which is another all-natural pain relief substance. During prenatal meeting, clients are able to read the label of our massage lotion and even test a small sample to be sure there will be no negative reactions. If preferred, we can alternatively use good old fashioned coconut oil, or the lotion or oil of your choice.
Number six is a handy emesis bag. This one I always hope we won’t have to use, but it’s no secret that labor often causes nausea and vomiting. When I arrive at a birth, I generally take the emesis bag from my doula bag and put it right into my pocket. Nobody wants to be sick, but if the urge to vomit comes on quickly, I am ready and prepared to swiftly pull out the bag and hold back your hair or rub your back.
Number seven and eight: ponytail holders and unopened chapstick (not pictured) are a must in every hospital or birth center bag, but if you forget yours, no worries! I always have back ups. These always seem to come in handy at the right moment.
The only other things not pictured in my doula bag photo are my own personal items. I always bring a full change of clothes. You never know when you might get splashed from a birth tub or shower, or even other birth fluids! I bring personal care items like a toothbrush, mouthwash, and deodorant. There’s nothing more distracting than your doula trying to speak encouraging words in your ear, but all you can focus on is her coffee breath. I also bring my phone charger, a protein drink, healthy snacks, and a giant water bottle. I promise to never eat in front of you, but I do want to maintain my own stamina and strength to help support you during labor, no matter the length of time I’m with you.
So what’s missing from the bag? I used to tote around a birth ball, a peanut ball, and a pump to air them up. While I still believe these are extremely useful tools, the majority of hospitals and birth centers in Fort Worth and Dallas keep a full stock of them on hand. Using the balls they provide is a lot easier than traveling everywhere with my own. If you are planning a home birth and won’t have access to a birth ball during labor, I highly recommend purchasing your own. Not only will you most likely get a lot of use out of it during your pregnancy, but your baby will probably love to be gently bounced on it as a newborn as well. The other items I don’t keep in my birth bag that other doulas might are essential oils. I am happy to utilize whatever oils you provide, in whatever way you wish to use them. I think they can benefit birthing people in a lot of ways, but I prefer not to dispense my own. Everyone reacts to oils differently, and because I don’t want to cause any allergic reactions or respiratory issues for my clients, I only use what you provide.
All of these tools can be beneficial during birth, but even without them, having a birth doula by your side can provide an invaluable level support for you and your partner. To set up a free consultation to discuss how we can support you in your desires for childbirth, contact us here.