welcome to birth coach method’s webinar who moved my cheese – the labor and delivery version ©...

Welcome to Birth Coach Method’s webinar

Who Moved My Cheese – The Labor and Delivery Version

© BIRTH COACH METHOD 1

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Self-Reflection is Self-Care

© BIRTH COACH METHOD

Our philosophy

Our scope of practice

Our commitments and goals

Our relationships

Our Core competencies

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The Maze is Where You Find Your Cheese


Happiness

Satisfaction

Relationship

Fulfillment

Money Health

Romance

Family

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Our Professional Maze


Pregnancy and birth

Labor and Delivery room

Anyw

here

birt

h ta

kes

plac

e

Joy

Fulfillment satisfaction

Empowerment Trauma

$$

Relationship

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The Fear of Childbirth in Ancient World


Maternal death

Stillbirth

Infection

Hem

orrh

age

No blood transfusion

No family planning No Sanitation

Mal

nut

rition

No Antibiotics

Bleeding


Our Cultural Believes about Childbirth

“Unto the woman He said: 'I will greatly multiply thy pain and thy travail; in pain thou shalt bring forth Children; {S}

Genesis Chapter 3:

And still the victor

Roamed back and forth along the living ranks

With spear and sword attacking or with stones,

as long as hot blood gushed from his wound.

But when his blood no longer flowed, and the gash dried,

Then rays of pain lacerated Agamemnon.

Comparable to the throes

A writhing woman suffers in hard labor

Sent by the goddesses of Travail, Hera’s daughters,

Twisters, mistresses of pangs

The anguish throbbed in Agamemnon now.

HOMER, around 750 B.C

Childbirth Metaphor in Ancient Greece



The Foundations of OBGYN around 1860


What Did We Give-Up to have the New Cheese?

Female Support Family Support

Our Nest Our Traditions Our voice

Our freedom


Midwifery Care vs. Obstetric ManagementObstetric gynecologists were all men, and they have never committed to support women in childbirth, they were, and still are, holding to different values, and have different focus.


Modern Birth Activism - 1970


What Type of Cheese Doulas Are?

Female support

Emotional support Tactile support

Physiological support

Birth traditions


The Advocacy Dilemma “Doula training workshops set up a contradiction faced

by many trainees who have just learned about a model

of birth that posits midwifery, out of hospital birth, and

low interventions as optimal. Thus, communicating how

to hold strong believes and yet not advocate for them is

not always a simple matter… “( Christine Morton,

Birth Ambassadors, p. 132)


Self Care and Integrity in the Doula Position

1. We might lose our privilege to support our client -”A doula in

labor room is worth three doulas in the waiting room“.

2. Based on our little knowledge about childbirth and possible

complications we can agree that we’re not experts in this

domain, and therefore it is not safe for us. It should not be in

our scope of practice.


How would it help a doula to inquire about the medical terminology, diagnosis or procedure rather that inquire about:

1. The belief system of her client around her birth in general and at this moment.

2. How does the client feel about what she heard from the doctor?

3. What does the client want to do about the new situation?

4. What does the client need from her doula in light of the new situation?

5. How can the doula empower her client at this point, or facilitate acceptance.

Coaching vs. Advocating


The Role of the Coach


The Coaching Relationships Robert Dilts, 2003:

“Coaching is the process of helping another person perform

at the peak of his or her abilities. It doesn't presuppose that

people are broken - on the contrary, it helps them identify

and develop their strengths. It starts from the assumption

that people have the answers and that the coach's role is to

help that person to overcome internal resistances and

interferences, give feedback on behavior and give tips and

guidance.”

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The Role of the Doula who Practice like a Coach •The role of the birth coach is to lead the mother towards an optimal performance during childbirth.

•Coaching always comes before the performance.

•Conducting prenatal coaching sessions is an essential part of the doula role.

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Improving Performance VS. Solving Pathology

Coaching (Doulas) Therapy (Medical Figures)

Success oriented Symptoms oriented

Empowerment Mood management

Doing better = feeling better Feeling better = doing better

Client accountability Client expect to be fixed

Innovative strategies Insight/cognitive tools

Action oriented Passive involvement

Results driven Issues/deficit driven

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To lead our birth clients towards an optimal performance in the field of

childbirth, or in Penny Simkin’s words - to facilitate a high level of satisfaction

from the way they were conducting themselves during childbirth. In

situations which involve medical concerns, complications, or interventions,

we can only empower our clients to advocate for themselves, and to take

decisions that is aligned with their belief system, and we cannot inform them

or advocate for them.


Doulas’ Scope of Practice

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1. How do you feel about taking Pitocin now?

2. Did you ask the midwife what other options are possible for you at this point?

3. Did you ask your midwife what are the side effects or risks Pitocin might have at this time on your birth?

4. Can you ask your midwife to take another look at your birth plan and help you keep most of your preferences in place, regardless of using the Pitocin?

5. Do you know what is the risk of postponing the administration of Pit, while trying for a couple of hours to invite spontaneous contractions in an alternative ways?

6. Yes, it is a deviation from your ideal birth, however there was no way for you to know the unfolding of your birth in reality. What do you think now, after 24 hours of rupture with no contraction? Are you ready to make an adjustment, or do you need more time?


Doula Asking Leading Questions:

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Remind your client (and yourself) that you are not a medical expert,

and that your role is to focus on the quality of her birth experience,

and on empowerment.

•Ask questions and listen from curiosity.

•Assess whether she needs support to adjust her goals and wishes.

•Evaluate how comfortable, or aligned she is with the information and the treatment plan provided to her by her OB. Get an accurate understanding of the implications that this condition might have on her birth experience.

•Refer her to studies and resources on the topic.

•Facilitate flexibility and adjustment if needed.


Focus Your Coaching on the Birth Experience


New Applications of the BRAIN Model

1. Empower our client to advocate for herself based on the BRAIN model.2. To aske questions that refers to BRAIN from the POV of her Birth Experience.

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•How is this intervention or procedure serving you’re your birth experience? Or from the point of you of your desired experience, what is the benefit of this?

•How does it interrupt with or risk your goals?

•What do you think can be done in order to change the situation?

•Would you like me to help you explore your options?

•Would you like us to practice role playing, so you can practice what it feels like to say this to your OB?

•Assuming that there is nothing else that can be done, are you ready to look at what is still possible for you in terms of your desired birth experience?


Coaching Questions around BRAIN

Lead with Questions!


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•Facilitate a conversation about the differences between accountability and responsibility. (She can only be accountable for the process, and never is responsible for the outcomes, as these are not in her control).

•Shift the focus from the limitations to what is still possible for her.


Facilitating Adjustment and Acceptance


Become the ChangeDoulas coach birth clients towards an optimal performance during childbirth by clarifying their client’s goals, motivation, and belief system, and by fostering new skills. They lead clients to form a positive concept of childbirth by distinguishing truth from myth and fears from reality. Doulas support their clients physically and emotionally during birth, and facilitate higher levels of satisfaction from the birth experience.

You are no longer in the position of the warrior or the opposition.You become a leader, a coach, a facilitator, a mentor, an awakener, and not the protector.


Fostering Collaboration in L&D• Ask questions using the word we to create collaboration. • Make leading suggestions by asking the nurse questions.• Encourage your clients to talk to the nurse and to practice

trust throughout the birth. • Offer your help to the nurse when there is an opportunity to work together.• Be a pleasant guest; always ask for permission, even when

you think that the answer is very predictable.


Did I Move Your Cheese Today?• Embracing the coaching approach in the field of childbirth

support will free you from the warrior position. • The new approach defines doulas’ scope of practice as

leading the mother towards an optimal performance during childbirth, and facilitating optimal birth experience. This scope excludes informational support around medical aspects of pregnancy and birth.

• The coaching tools and strategies become the doula’s core competencies, in addition to the tactile ones.


Birth Coach Method

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The Four Domains of Coaching for Childbirth


Coaching around M

.I.

Prenatal Coaching

Coaching through labor and birth or through pain

Coaching for

closure

Coaching always comes before the performance!

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The Art of Coaching for Childbirth Integrating the Principles and Strategies of Coaching into the Field of Birth Support

A dynamic & eye-opening one day workshop that will leverage your birth support practice! © BIRTH COACH METHOD

Workshop Approved for DONA CEUs

I am happy to bring this workshop to your area, Contct me at [email protected]

mailto:[email protected]

The Art of Coaching for Childbirth (7.5 DONA CEUs)


To Healthy Birth On Earth! www.BirthCoachMethod.com

Class are only $10 now!

http://www.birthcoahmethod.com/

welcome to birth coach method’s webinar who moved my cheese – the labor and delivery version ©...

Documents

cheese birth coach method

birth labor

selfcare birth coach

birth ambassadors

hospital birth

model of birth

birth coach methods

modern birth activism