09/30/2023
How Doulas support clients who plan/get an epidural!
One of my most common questions during client inquiry’s include something like “what if I get an epidural?” What if?
Epidurals are incredible, whether you are choosing to get one from the start to enjoy labor your own way, or are incredibly exhausted and your body needs rest- there are SO many things doulas can do.
Pelvic Biomechanics:
Understanding pelvic biomechanics is important when laboring with an epidural. Mimicking all of the normal pelvic movement and rotation will help move your labor along, while you’re able to rest. Doulas use certain information from any cervical checks you may receive to choose optimal positioning, creating space in particular parts of the pelvis based on where baby is located. We utilize peanut balls, placed between different parts of your legs, to help keep pelvis open. Position changes every 30 minutes or so to keep your epidural medication even and provide optimal pelvic motion.
Pushing:
Did you know you can push in MULTIPLE positions with an epidural? The days of the standard lithotomy position are being pushed out, as data and research tells us this is not optimal. Hands and knees is a GREAT position to push in, and with support it’s possible with an epidural in most cases.
Offering a squat bar, that easily attatches to the bed, allowing you to birth in a squatting position.
Sidelying is another good alternative when an epidural has been placed!
Advocacy:
One of the most important aspects in birth work is advocating for our clients. Ensuring your needs are being met, speaking for you when you are unable or are very uncomfortable with confrontation, doulas are here for you. Maintaining a calm and peaceful birth environment is most ideal. Making sure you’re receiving true informed consent and that you are able to make active decisions regarding YOUR birth. Working alongside your medical providers with the same goals, ensuring you come out feeling safe, comfortable, and empowered after birth.
Partner Support:
Doulas should NEVER replace your partner. Instead we’re here for them too! Suggesting things they can do to help comfort you, reminding them to take a break or grab some water when needed, offering support when things don’t go as expected, and explaining the process, what is normal etc.