COVID19 and doula support

At DoulaCare Ireland we are proud to lead the way with professional industry standards for doula work in Ireland. The COVID19 pandemic is no different. When you hire our doulas to support your family, you can be guaranteed they will be practicing with the highest standards of health and safety. 

We are acutely aware of the pressure parents and parents to be are under. With courses cancelled, clinical check ups spread out and peer groups harder to access, our doulas are here to ease that burden and help you to navigate your way through these uncertain times. 

So what are DoulaCare Ireland doulas doing to protect our clients and help to prevent the spread of the COVID19 virus? 

• We stay up to date with (and follow)  the latest guidelines from the HSE and WHO

• All of our team have attended a COVID19 health and safety training before returning to in person support. 

• All of our team have been trained on correct hand washing procedures 

• All of our team have been trained on correct use of cloth (reusable) and medical face masks

• All of our team have been trained on correct use of PPE (personal protective equipment)

• We fill in a health check form before each client visit (and our clients do the same)

• We wash our hands frequently with soap and water or use an alcohol-based hand rub

• We practice good respiratory hygiene 

• We will maintain social distancing as much as possible, or wear appropriate PPE if social distancing is not possible

• We avoid touching our eyes, nose and mouth 

DoulaCare Ireland has a lengthy COVID19 health and safety policy, which all our team sign up to before returning to in person support. This offers our clients reassurance they they will be supported with the experience, empathy and knowledge of our amazing doulas - in a safe and professional environment. 

All of our doulas with do the following before each in person visit with you:

• Fill in the Health Check Form DoulaCare Ireland has drawn up and ensure they are not ticking yes to any of the “risk” boxes (such as being in contact with a known COVID19 case or having any symptoms themselves)

• If a doula has any risk factors or symptoms they need to inform DoulaCare Ireland immediately and cancel their shift with client. (If supporting a birth client - their back up doula will be informed and will offer support to client instead - another bonus of our agency model). 

• Each doula needs to also check in with client that they have filled in a Health Check form and are not ticking yes to any of “risk” the boxes (if a client ticks yes to any of the boxes the shift cannot be provided).  

• They will also Shower /Wash hair /Brush teeth 

• Change into fresh work clothes and shoes 

• Pack fresh clothes and a pillow case for end of shift 

• Pack fresh PPE (personal protective equipment, such as face mask, visors, hand sanitiser etc)

• Fill in contact tracing form for anyone they have been in contact with up to that point
  

An example of our PPE for shifts: Dedicated work clothes (fresh for each shift), hand sanitiser, face visor, fresh face masks (with a ziplock bag to place used masks into) , gloves, antibacterial wipes, socks or slippers to wear in your home, fresh clothes to change into after shift, COVID19 health check forms and health and safety guidelines

When arriving at clients house and before going into house:

• Where possible, start the shift/visit with a virtual meet with client to see what support they may want 

• Use hand sanitiser 

• Put on PPE 

• Remove outdoor shoes at the door 

• Remove coat at the door 

• Wash hands immediately before touching anything (using HSE hand washing guidelines)
  

As with all our work, our doulas will speak to you about what you feel comfortable with in your home. You are always the guiding light in our care. If you would like to maintain social distancing or if you would like the doula to offer support with feeding or caring for your baby (wearing appropriate PPE). 

Enjoy a well deserved rest, safe in the knowledge our professional doulas will take care of everything for you

We tailor our services to each individual families needs. Offering bespoke care and support. You can have open discussions with our agency owners before booking in your doula support. This allows you the opportunity to ask any questions you may have to ensure you are 100% comfortable with your package. 

We also have a wide range of virtual supports available

Our courses and sessions are all LIVE (nothing is prerecorded). We tailor our sessions to your individual needs. Choice of group sessions or private 1:1 sessions. All at a time that suits you, in the comfort of your own home

We have trained and certified antenatal educators for many courses including:

*Full Antenatal Ireland Course

*GentleBirth Course

*HypnoBirthing Course

*Breastfeeding Preporation Course

*Parenting Courses

*VBAC Courses

*Baby Care Consultation 

*Birth Preferences Consultation

*Comfort Measures for labour and Birth Consultation

*Expressing/Pumping Support Consultation

*Birth Trauma Support Consultation 

*Virtual Early Labour Support

*Virtual Early Parenting Support

and much more….

With our virtual support you choose the times that works best for your family. With bespoke packages and courses available

So if you would like to know more about our in person or virtual supports, from fertility to the first year of parenting, get in touch and we would be delighted to get you on the road to a positive and empowered experience with DoulaCare Ireland.

Email info@doulacare.ie

Social Distancing when you have a new baby

SOCIAL DISTANCING DURING THE POSTPARTUM PERIOD

If you have just had a new baby, HUGE congratulations to you and your partner / family! I’m sure you are relieved to finally have your baby in your arms. But what now? In these uncertain times and circumstances we all find ourselves in due to Covid19, we must now keep our distance from the usual people who help us navigate through the early days and weeks of motherhood, notably our own mothers, close relatives, friends and maybe even a Postpartum Doula. 

Although it might all seem a very overwhelming and anxious time, being forced to slow down and stay at home could also be looked at as a favourable thing in the early days and weeks after giving birth. Hopefully, your partner or support person will be able to help out as much as possible with the household chores, perhaps caring for older children but also looking after you so that you can concentrate on recovering after pregnancy and birth and minding your new baby.

I know it’s not the same as in person but you can still reach out to family and friends by phone, Skype, FaceTime, etc and they can still help out by delivering meals or groceries to your front door.

If you are breastfeeding, the latest scientific information encourages mums to keep breastfeeding as it provides your baby with protection against many illnesses.  https://www.breastfeeding.asn.au/bfinfo/covid-19?fbclid=IwAR09GhJRhdzdKQJ3KeJSXho2iZtVGYvzy6TSH5oE4vU5Sj7jdxs00PQcdCM

If you are struggling with breastfeeding or didn’t breastfeed during the first few days and would like to start now, contact a Lactation Consultant or a local breastfeeding support group, such as Cuidiu or La Leche League. They would be more than glad to help answer any of your breastfeeding questions or concerns.

Doulacare Ireland Postpartum Doulas offer online support (via video call) if you have any questions about such things as baby comfort measures, infant feeding, postnatal recovery or would like to debrief after labour and birth. DoulaCare Ireland have over 40 doulas to support you so please get in touch if you need to.

Please reach out for help if you are feeling very anxious or low. Organisations such as Nurture Health specialise in pregnancy and postpartum mental health and will do phone counselling support. Depending on your policy, some health insurance companies will cover a number of sessions so make sure to check your policy beforehand. Also if you have the GentleBirth app, there are some postnatal tracks which some mums finds really helpful if they are not feeling well.

There are some good tips in our Fourth Trimester blog also https://www.doulacare.ie/blog/2018/7/25/what-is-the-fourth-trimester

There is also lots of online support available so try to avail of as much of that as possible too:

DoulaCare Ireland: https://www.doulacare.ie/

Breastfeeding Supports:

Association of Lactation Consultants Ireland http://www.alcireland.ie/find-a-consultant/ 

Cuidiu, Irish Childbirth Trust http://www.cuidiu-ict.ie/supports_breastfeeding_counsellors

Le Leche League Ireland https://www.lalecheleagueireland.com/groups/

Friends of Breastfeeding http://www.friendsofbreastfeeding.ie/wp/support-2/

National HSE Breastfeeding support https://www2.hse.ie/babies-and-toddlers/breastfeeding/

Postpartum mental health care: https://nurturehealth.ie/

 Remember to keep adhering to HSE guidelines regarding protecting yourself and your family https://www2.hse.ie/conditions/coronavirus/protect-yourself.html, try to get outside for some fresh air during the day, get as much rest as possible and lots of skin to skin contact with your baby will help you bond and keep baby feeling safe and secure in these worrying times. Hopefully over the next few weeks things will get back to some normality and we will all stay safe and well in the meantime. Best wishes to you and your families from all at DoulaCare Ireland 

With thanks to one of our doulas Maura for writing this blog. You can read all about the support Maura offers on this link https://www.doulacare.ie/maura-oshea

Moved over to main website blog: Obstetric Cholestasis

Obstetric cholestasis

It has a number of names : Intrahepatic cholestasis of pregnancy (ICP), obstetric cholestasis, cholestasis of pregnancy, jaundice of pregnancy, and prurigo gravidarum.

What is it?

Obstetric cholestasis is a disorder that affects your liver during pregnancy. The main symptom is itching on the palm of your hands or soles of your feet. Another symptom is persistent itching of the skin (anywhere on the body) when there is no skin rash.

How common is it?

Takes from the RCOG : Obstetric cholestasis is uncommon. In the UK, it affects about 7 in 1000 women (less than 1%). Obstetric cholestasis is more common among women of Indian- Asian or Pakistani-Asian origin, with 15 in 1000 women (1.5%) affected.

Iching is a really common part of pregnancy, caused by the stretching of skin as your body accommodates your growing baby/babies. However, it can be one of the warning signs of cholestasis. It is important to flag any concerns with your care provider (midwife or obstetrician). They can preform a simple blood test to rule out any concerns of cholestasis. 

So what happens if you are diagnosed with obstetric cholestasis? 

Once diagnosed with obstetric cholestasis, you will be advised to be under the care of a consultant and have your baby in hospital with a neonatal unit (NICU). 

There is no cure for obstetric cholestasis but all symptoms generally disappear once your baby is born.

Most women will then have additional antenatal checks. This will include regular liver function tests, until you have had your baby. You will also be offered additional monitoring of your baby. Often this will involve extra ultrasound scans checking growth and measuring the amount of fluid around your baby.

When you are in labour, you will be offered continuous monitoring of your baby’s heart rate. There is some evidence that it is safer to birth your baby early if your symptoms are severe. You will have an opportunity to discuss the option of having labour induced after 37 weeks. 

Early induction (before term, 37 weeks) may carry an increased chance of having interventions such as assisted birth (forceps etc) or having a caesarean birth. It also carries an increased chance of your baby being admitted to the special care baby unit (SCBU) with complications of preterm birth. Your care provider or obstetrician will discuss what they feel is best for you and your baby in your individual situation so that you can make an informed choice.

Remember to take time to ask lots of questions. It can be helpful to have a notebook and pen ready to take notes as in unexpected situations it can be hard to take in all the medical information you are being told. 

Take time to weigh up all the pros and cons and understand each step before making your informed decision. 

Our doulas are an amazing support through this process - walking the journey with you - offering emotional and physical support. If you would like more information on how we can best support you pop us an email on info@doulacare.ie