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doulas with nurslings

603 Views 13 Replies 11 Participants Last post by  amygoforth
Okay, so how do you handle births if you're breastfeeding? I assume taking babies to births isn't such a great plan since your attention would be split between the mama and your baby. So, I guess pumping would be necessary. Is it difficult to leave the laboring woman for the 1/2 hour or so it takes to pump, every 4-6 hours or so?
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If I hired you to be my doula, I would not want you to leave and go pump.

:

I'm being blunt, and maybe the other moms on here would be more understanding about it, but the thing is we give is CONTINUOUS support.

I did not start doula-ing until my kids were older, so I have no experience with having to pump during a birth, but personally when I have another kid, I probably will take at least 6-9 mos off from births.
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Babies ride in slings at homebirths. For hospital, the pump is a good friend. Baby can be brought to you for nursing. You don't have to pump all that often unless you need to. I am currently not attending births (unless anybody in my area has a homebirth they'd like attended!) because I have an exclusively breastfed baby. He'll be starting solids this week and I hope to take my first client since this birth in the autumn.

Namaste, Tara
I'm not a doula and I just like to lurk here
: but what about that "Whisper Wear" pump that you wear in your bra? I wonder how well that works. Seems like it might be a decent option, but I have no experience with that pump myself...
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I've pumped or hand expressed just enough to make myself comfortable, not enough to get a full bottle's worth. That doesn't take a full half hour, maybe just five or ten minutes. And, yes, we give constant support, but even a "super" doula has to pee once in a while (maybe even poop, god forbid!), or eat something to keep up her strength so that she CAN be good support. When I'm close, I have dh bring my son to me for a ten minute nursing session, if the labor allows. If it's a sooooper-duper needy mom, then I run in to use the toilet and hand express while I'm in there. One day of this will not adversly affect your supply long term. Just be sure that while you're "recovering" from the birth, you keep your nursling with you and nurse a lot!
Quote:

Originally Posted by doula and mom
If I hired you to be my doula, I would not want you to leave and go pump.
That's what I'm afraid of, and I wouldn't blame you one iota.

It's not too critical now since I'm just beginning my doula training and certification, but it is something to consider. I have a nursling now, and I plan to have another baby in the next few years.

Perhaps one way to work it would be to be up front with potential clients that I breastfeed and need about 15-20 minutes to pump at least every 5-6 hours. Then they could hire/not hire me as they feel comfortable.

On the other hand, I may just hold off taking on clients of my own until late next year, when DS is well on solids and mainly nurses for sleep and comfort...
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Since you do not need to save this milk, it is not so difficult to accomplish.
When I had a nursling (a freelance career at the time) I was completely unable to pump on the days I worked I just went to a private bathroom sink and hand expressed to comfort.

If the client seems like the type of person that is reasonable and open, I would be honest on the interview that you will need to take a short break when it seems appropriate and not interfere with her care so you can pump to relieve engorment.

Otherwise, say nothing and just go to the bathroom on your own to alleviate engorgement when needed apx every 5 hours or so. I think not making a big deal about it is the best way to approach the situation
I have been a nursing doula for five years and that is something that I explain to families that hire me. Not a single one has had a problem with it. You will have to go pee, you will have to eat and you will have to pump. Luckily you can probably pump and eat at the same time. I have never had a family not hire me because I nurse.
Just be honest with people. The worst they could do is not hire you.
Like others have said, you'll need to eat and use the bathroom. Why not eat and pump at the same time? You'll be fine.
Taking a break to pump while on a general break is one thing. That is something all working women who nurse have to figure out, and it would be unfair for you not to be hired b/c of that. However, bringing a newborn along is something not everyone would want. I can't imagine doing the work I do now at the level I am doing it while preoccupied with a new baby. Of course I do it now sometimes while preoccupied about 3 older kids, but they don't come to births with me haha..
I don't know, maybe I was too harsh before -- I didn't pump much with any of my kids, so I suppose it wouldn't really matter if it were only for 5 or 10 minutes. If I was interviewing doulas and I met one that I really clicked with, it probably wouldn't be a big deal if she told me she might need to pump.
Taking a 1/2 break every 4-5 hours is a totally reasonable plan. I always tell people I will be taking breaks. I need to eat, go to the bathroom, call home, pump, take a walk, get some fresh air, etc. It is not reasonable to think that you will be sitting next to the woman's side with no breaks for long periods of time. If someone expected that of me, I would not work with them.

Even as a midwife, I take naps, take walks, take breaks. Better for the woman, her partner, myself, and ultimately the birth if everyone is fresh, rested, fed, etc.

Plus, leaving for a period gives the woman time alone with her partner which they really need during the labor.

I use a pump in style with an adapter and pump in my van. I make a little "nest" on the floor and sit and eat and pump and call home to check on hubbie/kids. I like the privacy of going to my own car and being able to talk on the phone at the same time.

You have to do what works for you. If this is the arrangement you wish and need, then you may have to let some clients go, but that's OK, otherwise, you will burn yourself out quickly.
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I attended my first birth postpartum when my baby was 5 months. At that point I needed to pump once, and I was able to run home for an hour and feed him once. Total time gone at the birth was about 17 hours. That was a hard one, because I really missed my baby, and he wasn't eating anything else, and he wouldn't take a bottle.

My next births have been much easier...one I even missed due to a precipitous labor
. But he eats anything and everything now, so being away is easier.

At my last two births (I had two babies in two days) I came at 7 pm, left at 1am, fed baby, went to bed. The I got the call from my other client. At 4 am I was back at the hospital, by noon I was home, I fed my baby. I never pumped.

Give it some time in the beginning. In hindsight, 5 months was too early for us, and that made me really resent being away from my baby.
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Quote:

Originally Posted by Maggi315
Taking a 1/2 break every 4-5 hours is a totally reasonable plan. I always tell people I will be taking breaks. I need to eat, go to the bathroom, call home, pump, take a walk, get some fresh air, etc. It is not reasonable to think that you will be sitting next to the woman's side with no breaks for long periods of time. If someone expected that of me, I would not work with them.

...

I use a pump in style with an adapter and pump in my van. I make a little "nest" on the floor and sit and eat and pump and call home to check on hubbie/kids. I like the privacy of going to my own car and being able to talk on the phone at the same time.
Great advice, Barb. Thanks! The nest in the van is a fantastic idea! The perfect retreat. I also use the PIS w/ the adapter, so I'll be all set. I'm so glad I posted here... this issue has been stressing me out.

(Hello? Obsessive much? I'm not even attending doula training until November!)
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