11/04/2025
For the Doulas & Other Birth Nerds:
I often say that people really have no idea what we do as doulas. There are so many ways we support our clients that seem behind the scenes.
Sometimes it takes more ”gymnastics” to help a baby be born 🤸
When a client of mine is in labour, I’m always asking:
Where do you feel the contractions in your body?
I’m sure it’s annoying the number of times I ask this, but it helps give me an idea of how the baby might be positioned.
Doulas don’t do pelvic exams to check for cervical dilation or baby position (because we aren’t medical providers) but there are other signs!
Here’s a recent birth as an example (although similar scenarios have occurred many times):
During my client’s very early labour, I suspected her baby was not optimally positioned. Due to her contraction pattern and what she was feeling in her body.
I worked with her virtually through the night giving her exercises to help her baby to reposition.
Her back pain eventually subsided (yay!), but her contractions didn’t stop or progress (I would have expected either scenario).
But her new body sensations + contraction pattern told me her baby was stuck at the top of her pelvis and not descending.
By the morning, I told her we were entering into uncomfortable birthing position territory.
I suggested she do abdominal lift & tuck for 5 contractions while I made my way over.
When I arrived, her contractions had spaced to 9-10mins and were very short (approx 20+ seconds)
We used a rolled up yoga mat and I helped her into Walcher’s on her bed. She said it felt comfortable and I told her that meant we were doing it wrong so we adjusted!
Within a few minutes, her contractions started coming every 2-3 minutes and doubled in length!
And not long after that, she transitioned into active labour
(Side note: 2-3 min apart contractions does not necessarily mean active labour!)
The reason I started off saying this is “behind the scenes” is because by the time the healthcare provider does a pelvic exam, the baby has sometimes already (continued in the comments) 👇
Walchers:
Photo: