The Labor Practice - my new passion: integrating childbirth education and coaching concepts
If you know me personally, or professionally, you know I wear different hats: I am a childbirth educator and group facilitator, I am a birth doula and a doula mentor, and I practice life coaching and hypnosis. I feel like I always wear all of my hats, and it is just a shift of focus, a slight adjustment which I make in what gets more focus, or maybe you can see it as a shift between foreground and background. For example, when leading
my student as a childbirth educator, I am always a coach and a group facilitator, but the context of childbirth education gets the focus. Sometimes I work as a coach, and I think "wow, she would really benefit from hypnosis", and then I might suggest this client to try hypnotherapy in order to bring about the change in the area she is being coached. I think my doula students are the ones that really gets to experience me wearing all my hats: As a doula mentor I am incorporating years of experience as a birth doula and as childbirth educator, with my coaching skills. I coach my students around emerging issues and facilitate their growth into the position of the care-giver and birth doula. As part of the training they get to partially experience hypnotherapy, as I lead them through relaxation and guided imagery, and teach them several visualization techniques to work with. Since the training is in group sessions, I do serve them as a group facilitator - creating safe and intimate container, encourage all-inclusive atmosphere, balancing the agenda with the group pace and with emerging issues of individuals who creates the group, taking an anecdote being shared by a group member and making it into a learning experience for all, being accountable to model nonjudgmental feedback, and more.
As I keep integrating all my skills and areas of practice, my latest passion is the integration of childbirth education and coaching concepts. It has been about 6 months now since I began developing my new concept of childbirth class - The Labor Practice. I have just finished writing an article which explains how I got to this concept and how it practically works. For many years we taught expectant moms that if they react to labor pains, the pain of contractions, the same way they react to other pains- with alert, concern, fear and rejection, their habitual reaction is in the way of a good healthy and safe labor. Labor tools are in support of the progress of birth as well as the ability to cope with the pain of contractions. Labor tools are relating to the physiology and anatomy of birth, and when mothers do practice them, they have better chances of having a healthy birth which progresses in a timely manner (Off course it takes some collaboration from your baby too). It is hard for me to accept philosophies of childbirth education which deny the presence of pain in labor. Contractions are strong cramps of our uterus, and when a muscle cramps, pain is present.
So how are you being with that pain and what are you doing when you are in pain? That is a question every mother needs to deal with, and is central in the doula practice.
The Fear-Tansion-Pain syndrome is used to describe our habitual reaction to any kind of pain. When it comes to birth, the set of physiological symptoms affiliated with fear and tension is inhibiting the progress of birth. In short, the uterus works on two kinds of “fuels” –oxytocin and oxygen, both are in charge of effective contractions. In the presence of high levels of adrenalin, due to tension, the release of oxytocin is inhibited, and our contractions are not becoming stronger and closer together, meaning- failure to progress. In the lack of adequate amount of oxygen- the uterus is not contracting effectively and therefore the result is the same- failure to progress.
The classes are designed around topics: a class about using different balls, a class about different techniques of visualization, and a class about expansion of the body in birth, a class about the spiraling of our body in birth, and more. I always begin the class asking mothers what they wish to take that day, and I’ll do my best to meet my students’ needs. For example, sometimes I have 3 couples coming to the class around their due date, wishing to be reminded of their tools, and then I’ll practice with the group about 20 minutes of each phases of the birth reminding them of the different phases and different tools they choose for them. My goal is to give mothers and their partners the opportunity to practice the tools of labor on a weekly basis, so that they know the steps of the dance so well, on their birth day they will dance it. All it takes is practice, practice, practice.
If you want to read more about the Labor Practice, please click on the link to read the article on my website.

