Being Present

Being Present

Or, “The True Gift of Labor Support”

I got called out of retirement and had the privilege and honor of being the doula at the birth of Baby M born just over two months ago.

I’ve been asked by many couples over the years if I would consider being their birth doula. It’s always a bittersweet moment for me, as I love being a witness to birth almost more than anything else in the world. But with four kiddos, two part-time jobs, a relationship with my hubs that I like to see flourish, and this writing gig of mine – I have ZERO time to attend births.

So, when M & A asked me if I would be their doula at the end of the first night of our 4-week series, I told them what I usually tell all of my students making this request: “Oh, that’s so sweet – but I’m not really doing births. My life is just a little bit too full to consider this a realistic option right now…”

They were a little bit disappointed – but said they understood and they’d see me next week. I promised I’d send them an email that included thoughts on hiring a doula, what to look for, what questions to ask, and a few referrals for local doulas that I thought were really great.

The next week, I asked if they’d decided on a doula yet.

“Ummmm, no. We only want you.” This flattered me, but I knew when their due date was and not only would I be teaching a ton of classes around that time, I was also scheduled to leave town to go to my niece’s wedding. There really was no way.

“I really wish I could be your doula – but it’s just not going to work out. I think you should contact some of the people that I’ve referred you to and we can chat more about this next week.”

I’m guessing you’ve figured out what happened next.

Every week they’d come back and say that they hadn’t talked with any of the referrals and finally they decided that if I couldn’t be their doula, they’d be just fine on their own.

Now, I think couples can do really well on their own, but it’s hard to deny what the evidence shows about having the continuous presence of a doula during labor and delivery – statistically better outcomes for both Mommas and babies!

On the last evening of class, M & A gave me a book and a thank you card which read, in part: “We would be remiss not to formally ask you to consider if you would attend our birth. We completely understand your busy teaching schedule and travel plans and if it relieves any hesitance or pressure, we wouldn’t plan to rely on your presence. In our minds, the structure would be that if it worked out such that you were free and available, we’d love it if you would join.”

I mean, really, how could I say no to that?

This was a couple that I believed would be just fine if I wasn’t able to be there on the big day – I didn’t for a second think they were trying to say the right thing to get me to agree. They were being completely sincere and were speaking my language… I’ve always felt that when labor begins, the people that are supposed to be there to witness the event somehow end up being there. If I was meant to be at their birth, I would be there.

So, we came up with a really interesting split-fee set-up: one amount for the pre-birth “Phone Doula” work that I would provide for them which included: a formal interview about their birth wishes, some assistance creating a template for what really mattered for them in their birth experience, some questions to spark discussion with their provider, and the availability to answer any questions and advise them as they came ever closer to the birth of their baby. And if I ended up being able to be at the birth, there would be an additional fee.

The real gift of labor support is being fully present to an expectant family.

And for me, that began when they hired me. It wasn’t as if I dropped everything I was doing, but we had some regular text check-ins and a few phone calls to see how M & A were doing as the due date drew ever closer. I slept with my phone on and next to my headboard at night (I usually have it turned off, far away from where I sleep and covered up as any “Ping!” noises or even the battery light is enough to keep me awake!)

I kept my phone with me at all times and was checking it much more often than is usual and I’d get back to M & A as quickly as possible after receiving any contact from them.

And on Saturday, April 8th, I began my formal “it could happen at any moment” doula-watch. M called to report that A was having contractions and that “It might happen tonight!” While I appreciated his excitement, after hearing that they were both scarfing down Mexican food at 11 o’clock at night, I encouraged them to get some sleep as I didn’t think that they were going to have a baby anytime soon.

I received word from M in the early morning hours that A had slept soundly through the night – confirming what I thought was happening… Great early labor, but nothing to be getting too worked up about.

Over the next several days, I was in pretty close phone contact with M & A as they navigated what seemed to be prodromal labor. They were handling it so well and really only needed quick check-ins for reassurance that they were on the right path and that everything they were experiencing was normal and good work for what was to come.

On Thursday April 13th, the call finally came: A’s water had broken! I think they were both excited for this very positive sign of labor finally happening, although the contractions hadn’t progressed enough to call it “active labor” yet.

I was excited for them as well – I’ve had prodromal labor myself and I know just how frustrating it can be if it continues past a couple of days – and we were closing in on six days at this point! I was also thrilled they’d gone into labor before I left to go out of town – but, I was scheduled to teach a class that evening and I hadn’t arranged for a sub yet.

It took some finagling on my part (and a small bribe of chocolate and beer) to enlist my friend and colleague Jen to take my class for the evening – but the details weren’t figured out until about 4 pm that afternoon. During the day, M & A made their way into the hospital and I continued playing Phone Doula for them, encouraging them at one point to try some exaggerated marching through the hallways to see if they could get the labor to pick up speed. Apparently, this was a hit with all of the nurses – they loved it!

I finally arrived at the hospital around 6 pm and after saying hello, A had what was, by the reaction, her first real-deal contraction, saying “Whoa! That one was really different!” I laughed and said, “Well, now that your whole birth team is here we can get serious and have ourselves a baby!” And, in fact, about eight hours later that’s exactly what happened!

I won’t give a play-by-play of the entire labor, other than to say that, I fell in love with this couple as I watched them work together to bring their baby into this world!

The act of giving birth, watching partners support the one they love giving birth, and witnessing the birth of a family is sacred work to me. And in this sacred space, time stands still as we are all present to one another, living only in this moment together.

And while it’s nice to know a few things about breathing, and positions and other comfort measures – the real gift of labor support is in being present.

Some people might doubt how having continuous labor support can make such a difference in positive labor outcomes for Mommas and babies – but in our ever-increasingly-barely-ever-present culture, I think it makes more sense now than ever!

As a birthing woman settles into her rhythms and rituals, making claim to the strength she might not have been aware of until this moment, she’s able to ask for whatever she needs – RIGHT NOW – to realize this act of co-creation. She opens herself, both figuratively and literally, to bring forth this new life from within.

And in this moment-by-moment experience, everyone focused and working for one purpose, a miracle occurs: it’s not just a baby that is born, but also a mother, a father and a family. These people are now connected to one another, and they will be, for their whole lives! To witness this in whatever role – doula, nurse, provider, friend or family member – is also a gift that connects all of us in this one moment in time.

I was really exhausted after this beautiful birth! And I couldn’t figure out why at first – I mean, I was only there and working hard from 6 pm until about 2:30 in the morning. In the world of birth, that’s not a lot of time! And then I realized why… It had been awhile since I’d been so focused and present in a continuous way for such a long period of time. And it’s intense to be truly present to the sacred for any period of time.

But oh, what a gift!

I dedicate this post today to M & A and Baby M. I’m so honored to have played a small part in witnessing the birth of the three of you as a new little family! Thank you for your persistence in hiring me, and for giving me the idea of being your “Phone Doula.” I’m so happy to be connected to you in this way.

PS – We’re also connected in one other very important way… Baby M and my son, Alejandro, share the same birthday (only 15 years apart)! I’m pretty sure that this is another sign that I was meant to be fully present at this birth.

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