Category Archives: Holistic midwifery & doula education

WISE WOMAN WAY OF BIRTH DOULA TRAININGS (2024)

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We have two courses scheduled for 2024

Cost: $675 (Canadian)

taught by Gloria Lemay

Jessica Austin, with a Doula client.

Jessica Austin, with a Doula client.

This course will give you the skills to assist women giving birth at home or in hospital. Doula services are in demand. There is a pre-reading requirement. Please email waterbirthinwoman@gmail.com for further information and to register for the course.

The course will be on Zoom and assignments and tests will be on Google Classroom.
12 Classes 2 and a half hours long. In 2024, this will be the next available course.

Course One: Wednesday evenings (Pacific Time)
Wednesday January 17 to April 3 7:00 p.m. to 9:30 p.m. (Pacific)

Course Two: Wednesday evenings (Pacific) September 4 to November 20 7:00 p.m. to 9:30 p.m. (Pacific)

Successful students will receive Wise Woman Way of Birth Doula Training certification.

OVERVIEW OF COURSE CONTENT
Class 1: Introductions, birth “politics” and Language
Class 2: Preventing Problems before the Birth: Nutrition. Prenatal Screening
Class 3: Types of “support” in birth: Midwife, Dr, Obstetrician, Doula — what are the differences? Comparison of home and hospital choices. Assisting your client in making a clear Birth Plan for the chosen place of birth.
Class 4: Anatomy and fetal positions, introduce the concept of “pain” and normalizing birth sensations through knowing the anatomy. Introduction to the concept of breech and twins as variations of positions.
Class 5: Medical Birth Phases and the “real” phases of birth and how to recognize them.
Class 6: Breastfeeding and early days postpartum and newborn care / Doula Role in these.
Class 7: Common Interventions and the Intervention Cascade. (Fetal monitoring, ultrasound, epidurals, Caesarean, vacuum, forceps, etc.)
Class 8: Preventing Birth Derailment in common scenarios and special situations: Induction for Postdates, augmenting a “slow” birth, a diagnosis of Low or High Amniotic Fluid Levels, Meconium, premature release of the membranes, vaginal birth after cesarean (VBAC).
Class 9: “Informed Choice”: what it *really* means and how to use it as a tool for your client vs a tool for enabling the institutional model of birth, more work on creating a Birth Plan with a client
Class 10: Business Basics: Finances, record keeping, professional practices, client confidentiality, and effective advertising. Structuring a plan for working with clients from interview through to completion.
Class 11: Comfort Measures, supporting Long Births, Helpful things to say, Water Birth.
Class 12: Staying calm when the baby comes: what to do if things change quickly and the doula is the most knowledgeable person present.,
Write Exam. Goal setting for next steps, further Resources.

Postpartum Doula Certification(2024)

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We have heard such positive feedback about our Postpartum Doula Certification Course. We have put together a great course that will launch participants into action in this career.

The Wise Woman Way of Birth Postpartum Doula Training will be taught primarily by Candice Johnson. Candice is the owner/operator of Cherish Childbirth in Vancouver, BC. She has built her business over the past 10 years and is the “go to” woman when families are having problems in the early days of parenting. She has a broad education in Massage, Breast Feeding, Childbirth Education and Infant Massage. Candice has trained many postpartum doulas and is active in the Vancouver birth community. She is the mother of two boys who were both born at home and breastfed into toddlerhood.
Website: https://www.cherishchildbirth.com/
SCHEDULED COURSES FOR 2024:

6 live classes on Zoom, 2 and a half hours long.
Cost: $525 (Canadian)

Courses in 2024 dates:

Course 1: Saturday January 20th to February 24 10 a.m. to 12:30 p.m. (Pacific)

Course 2: Wednesday April 10 to May 15 7:00 p.m. to 9:30 p.m (Pacific)

Course 3: Saturday September 28 to November 2 10 a.m. to 12:30 p.m. (Pacific)

6 Classes Live on Zoom, assignments and materials on Google Classroom.

Course Description:
This course will prepare you to be with families in the months after welcoming a baby. It includes all the aspects of the “fourth trimester” from practical feeding skills, to understanding the postpartum person’s body and how to support the family as a whole.
Our societal structures provide little care for new families. Having a trained eye and calm presence in a home in the early days is invaluable. Postpartum Doula care is proven to improve breastfeeding success, family bonding, and postpartum dis-ease disorders. Postpartum Doulas are in high demand!
The course will be on Zoom and assignments and tests will be on Google class room.
Successful students will receive Wise Woman Way of Birth Postpartum Doula Training certification.
Please email if you need more information or to register. waterbirthinwoman@gmail.com

Class ONE – The Fourth Trimester and the Role of the Postpartum Doula

Class TWO – Postpartum Healing – Physiology, Nutrition and Traditional Practice

Class THREE – Business for Postpartum Doulas and your Post Birth Bag

Class FOUR – Breastfeeding

Class FIVE – Alternative Feeding Methods, Twins/triplets, Newborn Intensive Care Unit

Class SIX – Newborn Care (including diapering and baby wearing).

Introducing Candice Johnson, the course instructor: Quote:
I have been living and breathing all things birth since I was asked to attend my first birth over 15 years ago. I feel a deep innate knowing of the undisturbed birth process. As an extension of my birth work I organically began supporting breastfeeding. I enjoyed my time with families postpartum but until I had my own babies I didn’t fully understand the importance of supporting someone through the postpartum period. Suddenly what I had always known, respected, and held space for I experienced first hand. This sparked a passion for serving new families. I hope by sharing my knowledge of how to support the “fourth trimester” through doula education, much needed support can be brought to communities everywhere.
Candice Johnson, Birth and Postpartum Doula, Childbirth Educator, Breastfeeding Counsellor
— on Bowen Island, British Columbia.

Is the baby breech?

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The baby can be breech or head down throughout the pregnancy and it’s of no real concern until 34 weeks gestation. At that point, the baby’s head is big enough and firm enough that it can be palpated and a reasonably good assessment can be made by a clinician. This is also the point in the pregnancy where it makes sense to take steps to encourage the breech baby (3% of all pregnancies) to turn to head down through Webster technique (chiropractic), knee/chest position, or external cephalic version by an obstetrician.

For birth workers, these are some of the things I’ve observed about pregnant women carrying the baby in a breech position. They are not 100% diagnostic but can alert you to look closer for breech position. If the only thing that is concerning in the final weeks of pregnancy is “What position is this baby in?”, it’s possible to have a “one swipe” ultrasound. An ultrasound technician can do a very brief scan and see where the baby’s spine, head and bum are. There’s no need to do a time consuming (prolonged ultrasound exposure) scan just for position. If the baby is breech, you’ll want to know where the placenta is located as well. If the baby is head down, the scan can stop and the parents can go celebrate.

These are some signs that the baby could be breech at 34 weeks and beyond:

1 heart tones heard with fetoscope (not doppler) in upper segment (belly button level or higher).
2. Woman has feeling of a hard ball in her ribcage. Woman tends to squirm and press down on the top of her uterus when sitting.
3 head is slightly firmer than the bum on palpation after 35 weeks gestation age.
4. Abdomen has a more tight/taut sausage shape/quality than the usual round/squishy orange shape/quality.
5. Where are the baby hiccups felt? If high (woman’s belly button region), breech is suspected.
6. If the woman has had a previous breech birth, check carefully because a fibroid or a bicornate uterus (or other unusual anatomy) may predispose to carrying all her babies breech. (One woman I have worked with had 7 breech births. She had 2 uterii.)

I must admit that the best breech births that I have attended are the ones that were NOT diagnosed in advance. Women who have a surprise breech are spared all the worry, over-testing, over-lecturing and general misery that diagnosis of breech can bring.

Please let me know in the comments if you have any other tips or techniques for spotting those little beings who want to back into life. Thanks Gloria

HOW BIRTH STORIES GET JUMBLED

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I wanted to share this memory with you, Ted. I don’t know if you remember this incident but I’ve told it to so many people and it always makes me laugh so I thought you might enjoy this trip down memory lane.

Many years ago, when we both had young kids and you were married to Karen, I bumped into you in the parking lot of the “7-11” on West Fourth Ave. We exchanged small talk for a while and, all of a sudden, you got a strange look on your face and blurted out the following, unforgettable (to me) sentence: “Gloria, is it true you were a topless dancer in China?” I couldn’t fathom how that thought could ever enter someone’s head. I’ve been accused of many things in my life but that was pretty far-fetched—I had never been to the Orient, I had never been to the local nude beach, none of what you said made any sense at all. But, somewhere in there, I started thinking “How could this husband of another birth attendant have gotten this idea in his head?”

Then, I remembered a birth that I had called Karen out to one evening. It was the second vaginal birth for the woman. When Karen arrived at the home, I went through the woman’s chart with her. The only surgery the birthing woman had ever had was a breast augmentation. She was a Caucasian woman who was married to a Japanese man. I explained to Karen that the couple had met in Japan and the first child had been born in a Japanese hospital, completely natural birth. The woman had been in Japan because she had taken a job as a hostess in a nightclub in Japan. japanese fan

Now, they were living in Vancouver and having their second child. The baby was born just after midnight and I sent Karen home soon after.

I’m guessing that what happened is that she crawled into bed with you, Ted, and you must have asked her “how did the birth go?” There wasn’t much to tell except that bit about her previous breast augmentation surgery so perhaps Karen told you about that. Somehow, in your sleepy state, that got changed into “Gloria Lemay was a topless dancer in China”.

Once I had retraced the strange pathway of that statement, I said to you: “You know, Ted, that’s not true about me BUT it’s way more interesting than my real life. Will you, please, spread that rumour about me!”

Thanks for the special moments and laughs that knowing you has added to my life. I love you and your dear family.

Midwifery History Canada

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I’m posting this article from 1991 to make the history of midwifery struggles in Canada available online. Thanks to Andre Picard, writer for the Globe and Mail (Canada) for granting permission. Gloria

Midwives no longer shrugging off attacks
ANDRÉ PICARD, The Globe and Mail (Canada)
Friday, November 29, 1991

THE death of a baby last week in Montreal has reignited the debate over one of the most emotional social policy issues in the province – midwifery.
Isabelle Brabant, a self-trained midwife who has delivered more than 400 babies, arrived at a hospital less than 10 minutes after the baby stopped breathing during a home birth and her resuscitation efforts failed. Doctors were also unsuccessful in reviving the infant.
Dr. Augustin Roy, president of the Quebec Corporation of Physicians, wasted no time condemning the tragic events, saying “home birth is a quasi-criminal act for a woman who has had a cesarean in the past.”
In the past, proponents of midwifery have shrugged off such attacks, saying doctors are more interested in maintaining the status quo (including revenues from hospital births) than in improving the quality of treatment.
Yesterday, however, they decided to draw a line in the sand.
“We’ve tolerated this witch hunt for long enough,” said Marie-Claude Desjardins, president of Naissance-Renaissance. “We demand that obstetrical violence end. . . . We demand that respect of women begin.”
Michele Champagne, president of the Quebec Alliance of Practicing Midwives, said: “Midwives are not endangering the lives of women and children any more than doctors are, and to suggest otherwise is a lie.”
Statistics compiled by the Office of the Coroner show there are about 350 deaths a year of children in their first week of life. One a day.
In the past five years, six of those deaths have been after midwife- assisted births. One a year.
There were about 97,000 births in Quebec last year, slightly more than 1,000 of them midwife-assisted.
Yet, midwifery remains in a strange sort of legal limbo. Last year, the government announced, as part of its massive health-reform package, plans for pilot projects that would lead to the licensing of midwives and their practicing in hospitals alongside doctors.
But the plan is stalled by the insistence of doctors’ groups that “self-trained” midwives be ruled inadmissible.
Because midwifery is not formally recognized in the law, there are no standards, but the Association of Practicing Midwives insists on all its members having a minimum of three years of training, and that at least two qualified midwives assist in home births. But, as the law stands, midwives are banned from doing their work in hospitals.
Polls in the province show 80 per cent of voters in favour of legalized midwifery, and legalization of the practice in Ontario has turned up the heat to the point where Quebec Health Minister Marc-Yvan Cote warned doctors that if they continue with their obstructionist tactics, he will skip pilot projects and go directly to legalization.
Three years ago, Ms. Brabant was attending another birth where the baby died. The subsequent coroner’s inquest, which many feared would be the death knell of the movement, exonerated her, and support for the cause has grown tremendously.
This time the Office of the Coroner has decided an inquest is not even warranted. That fact, coupled with the reaction of Dr. Roy, has convinced midwifery proponents that victory is near.
Micheline St-Onge, a parent whose child died during birth at a hospital, drove the point home, by bringing the debate back to its roots.
“We have to do everything to ensure the comfort of women and the safety of their children, so ultimately they must be allowed to make the choice between having their baby delivered by a doctor or a midwife,” she said yesterday.
“Very few people know just how painful it can be to lose a child,” Mrs. St-Onge said. “Why have things degenerated to the point where we have lost sight of that, where the death of our children is used merely to score” debate points.
“No child’s life should be cheapened to that point.”

© Copyright 2016 The Globe and Mail Inc. All Rights Reserved. Permission to share obtained.

Newborn Girl born at home

Newborn Girl born at home

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Breastfeeding Benefits

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This is a good checklist of all the benefits that breastfeeding provides and the
risk of using any kind of subtitutes. Thanks to the California Dept of Health for
creating the poster. Gloria

Preparing for a Home Birth

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Home Birth Supply List

Please let me know well in advance if you are unable to find any item on the list. Collect all supplies and place them into a box. Place the box in an easily accessible place. Please tell the midwives where the supplies are kept when they arrive for the birth.

 24 flat incontinent pads to use under Mom’s bottom (22” x 24”)
 1 box of 4”x4” gauze squares
 2 boxes of Super Kotex pads (overnight)
 1 box or bag of salt (cheap, for stained linens)
 1 450 ml bottle of Hydrogen Peroxide (for removing stains from carpets, etc.)
 1 small bottle of bleach or Sudsy Ammonia
 1 100 ml bottle of Witch Hazel
 1 sealed small bottle of Olive Oil for perineal massage, baby’s bum
 1 bag of “pure” cotton balls
 2 large green garbage bags
 2 Plastic sheets (shower curtain liners work)
 1 flashlight with extra batteries
 1 plug-in room heater (if needed)
 1 hot water bottle
 1 nail brush
 1 tea strainer
 Womanly Art of Breastfeeding (book)

Nice Extras:
Bath pillow, candles, ice cubes, popsicles, plant mister, music, camera/film, tapes, thermometer, massage cream, heating pad, small Fleet Enema (if you get constipated a lot in pregnancy), reusable cotton menstrual pads.

Preparing Your Home:
Make up 5 casserole dishes to get you through the first days after birth and freeze them. Put a plastic sheet on your bed in the last week of pregnancy in case your waters break. Dust and clean the bedroom. Clean the toilet and bathtub. Clear off the top of a chest of drawers or other surface for us to put our instruments on. Make arrangements to have your pets out of the house during the birth.

Sterile Linens:
 6 face cloths
 6 bath towels
 2 bed sheets
 2 cotton cloth diapers
 6 receiving (flannel) blankets for baby
 1 undershirt and nightie/sleeper for baby

Put clean linens in HOT dryer for one half hour. During the last 10 minutes throw in 3 brown paper grocery bags and heat them through. When dryer finishes, fold the hot linens with clean hands and put them in hot bags. Seal them with staples or tape and label the outside. Store in a dry place. You do not need to use your best linens…clean is our main concern.

Electrolyte Balanced Drink (Labour-Ade):
1/3 cup lemon juice
1/3 cup honey or maple syrup
1/4 tsp salt
1 crushed calcium tablet (or 1/4 tsp calcium powder)
enough water to make 1 quart

Mix all ingredients together- use warm water to help dissolve the honey and calcium, and then chill. You can also make ice cubes. Buy enough ingredients to make 4 quarts. This is a delicious drink for after the birth as well. *After the baby is born you can add 1/4 tsp. cream of tartar to this drink to assist with peeing after the birth.

Grand Multipara Birth

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From www.nzdl.org

From www.nzdl.org

This is an online conversation that I had with a grand multip (woman who has given birth more than 5 times). There are special things about birth after the fifth baby. . . for instance, sometimes the process can be stop and start for days and, then, suddenly. . . here’s the baby. There is nothing wrong with that way of birthing but, because large families are relatively rare, many practitioners lose faith and patience and brand the woman as “failure to progress”.

Another unique thing about women carrying a fifth or more baby is that they are prone to what midwives call the “blue right leg syndrome”. It can be alarming to see how blue the right leg becomes in pregnancy but, then, the baby is out and the woman’s right leg looks just fine again. I like to read things by the midwives in the USA who serve religious groups with big families. Lots of little anecdotes like that.

CORRESPONDENCE BETWEEN GLORIA AND CAROLINE
Hi Gloria,
I am wondering if you could answer a couple things for me.
I was reading your post about the 30 Minute Third Stage, and saw your comment about the anti-bleed tea. I’m curious to know more about this.
I understood that shepherd’s purse was not to be used until after the placenta was delivered, and that it was dangerous to use it before.
I see that one of the ingredients for your anti-bleed tea is shepherd’s purse. Can you share with me how it differs in the tea, as opposed to using the tincture? Also, is this safe to use as a grand multip? This is my 10th baby, 14th pregnancy.
I tend to bleed a fair bit with my births, and I am trying to be prepared this time, (due in August) and read and research things that I could/should try to have on hand, especially in case my attendant doesn’t make it here on time. I tend to go quickly, and feel a strong need to be prepared this time.
Thank you for any input you are willing to share (smile emoticon). Caroline

TUES 22:35
Hi Caroline, One of the things with grand multips that really helps prevent bleeding is going for a 1/2 hour brisk walk (edited for clarity–a daily walk in pregnancy). One of my clients found some research on it and it really seems to work. I don’t know why. As far as the shepherd’s purse, no one can really do studies on these herbs and their use after a birth. We worry more about after pains with grand multips. Therefore we give a cramp bark /cinnamon tea. A couple of things that I’ve seen lately that interest me for the after pains are 1. Increasing magnesium supplementation after the birth. 2. Emptying the bladder more often than you think you need to. Just get up and pee if it’s been a while and don’t wait till you feel like pee’ing. Apparently these 2 things are very helpful for cramps. Thank you for writing. I’d love you to have a smooth, relaxed birth. Gloria
06:07

Thank you so very much for your time!!
These are some very interesting points.

I’m curious for a little more information on the brisk walk. Is this something your recommend in labor? Or for the days leading up to birth?

I feel so much peace about our upcoming birth. Much more so than I’ve felt with any of the others. But I also am loving to learn as much as I can about birth as a whole, and things that could be useful for my own as well.
Thank you again. Caroline

10:30
You’re very welcome, Caroline. I mean a walking program starting NOW. I never ask women to walk when they are in the birth process. I’m afraid they will hit me! ha ha. You’ll know what you want to do when having the baby, it’s the preparation that’s important. By a walk I mean a brisk walk with no kids, no purse, flat shoes and really walking as fast as you can. Gloria

Gloria, Thank you! I will start doing that today. ?

I am soaking up as much information as I can.

I also have to say that I love following your page and reading on your site. So much information that has been so useful.
Thank you for everything you do!!
Makes me wish I was in Canada and could meet you! Caroline

That’s very sweet of you. You are exactly the woman I am writing for, so many people just can’t “get” what I’m trying to communicate.
Gloria

I am loving the learning! I have been trying to dig as deep as I can, and find as many different ideas and perspectives as I can. I’m always thrilled when I find new perspective that makes sense!
Will you be offering your online class again in the future? I would be very interested in taking part, if you do.
Caroline

Added: Another tip I will give to grand multips. When you have lots of older children, they ALL want to hold the new baby. This gets to be a competition and a struggle and it could be a reason why the mother might bleed too much. Explain to the entire family like this: “It’s very important that Mommy has the baby on her skin for the first day of the baby’s life. That helps Mommy’s body to change over from being pregnant to being a nursing mother. If we want Mommy to stay at home and be healthy, we are ALL going to wait until the baby is 24 hours old before we take turns holding the baby.” In most families, the kids really understand this and they don’t mind so much not holding the baby as long as no one else is either.