The Body Ready Method is an innovative and comprehensive approach to supporting the pregnant, birthing, and postpartum body. As a Certified BRMTM Pro, I’ve been trained to understand the what, the why, and the how to prepare the body to remain strong and functional during pregnancy and to create the balance, the support and the mobility needed for a more efficient birthing process and smoother postpartum recovery. Understanding birth biomechanics to know what positions and techniques to do to encourage progress and ease at any stage of the birthing process is essential to help my clients have the best birth experience possible.
As a BRMTM Pro, I aim to minimize the need for medical interventions by understanding the physiology and biomechanics of the birthing process.
The BRMTM Pro certification was the result of four months of intense study, attending weekly classes, passing weekly quizzes, watching oodles of hours of synchronous videos, reading the BRM manual, meeting weekly with my awesome study group, and passing a rigorous capstone interview.
Why would I put myself through all this when I have been trained as a doula for years and already had a comprehensive toolkit of techniques to assist my clients? Because it is the most current and innovative approach and I believe will be the standard going forward for birth workers to understand to deliver the highest level of service possible to our clients. So, I did this for YOU. And for me to know I am offering the best care possible to those I serve.
It’s all connected. We know that. But shoes and pregnancy, really? How we hold our body and use our body throughout the day impacts our tissues and alignment. In order for your baby to more easily find her way through the inlet of your pelvis, your body needs to be in neutral pelvis alignment, ideally with anterior superior iliac spine (ASIS) stacked over pubic symphysis (PS) in a vertical plane. The shoes we wear affect our alignment and posture by causing us to tip forward and shorten and tighten our calf muscles. When that happens, our posterior chain is shortened and the front of our body has to work harder to keep us upright. The lower back arches forcing the hips and pelvis out of alignment to an anterior tilt making it more difficult for baby to enter the pelvic inlet. The ribs flare to keep us upright. The head and neck are pulled forward and we strain to keep our eyes on the horizon. The body adapts to how it is used and finds a way to keep you upright and not falling forward. The compensation pattern caused by stresses and mis-alignment bring the body into a less than optimal situation. Tension in the calves ultimately affects the pelvic floor which needs to be supple and responsive in order to yield for birth. So, yes, shoes impact pregnancy and birth because they affect our posture and alignment. So, what is a person to do? If you are one who has been in a high heel for much of your life, the transition to a lower heel would be helpful. Making that transition too rapidly might painful as your muscles need to adjust. Ideally spending as much time barefoot or in a flat shoe will help your body find its biomechanical advantage.
You can check your alignment by placing your fingers on these bony markers when you are seated and standing. If the ASIS appears to be in front of the PS, this would indicate an anteriorly tilted pelvis; a very common mis-alignment in our western world and popular shoe styles. There are many tools and positions we can share that will help bring back that biomechanical advantage and draw the pelvis closer to neutral, making it easier for your baby to find her way out. And who doesn’t want an easier labor? If you would like to schedule a session for an assessment of your alignment and posture, please reach out. In the mean time, you could try a wall stretch. A wall stretch for the calves is done in front of a wall. Stand close to a wall facing it. Be slightly away from the wall. Hold the wall with both hands with palms resting on it. Place one leg ahead of the other one with toes up on the wall. Bend this forward leg and do a stretching movement while keeping the other foot behind this leg. Hold and return to starting position. Do this three times. Do the exercise with the opposite leg also. You can also check out One Strong Mama, an exercise program designed for pregnancy, birth, and postpartum which addresses a comprehensive body alignment.
Labor and birth are unpredictable. Let’s start with that. However, there are things you can do to significantly affect your birth experience. Choosing your birth team is the first thing you can control. Many women think they should stay under the care of their gynecologist who they’ve had a relationship with for years. This may not be the best medical professional to care for you during your pregnancy and birth however. Once you develop a birth plan, a thoughtful guide to how you’d prefer your birth to go, you might find that your obstetrician is not in accord with your desires or regularly attends the type of birth you want. If that is the case, change! It is challenging to micro-manage a medical provider’s approach and makes for an uncomfortable relationship when that occurs. Consulting your doula for who in your area might be a better fit is a good place to start. It may be an obstetrician in a hospital, it could be a midwife in or out of hospital, or it could be in a stand alone birth center with a midwife. You have many choices and it is important to take the time to ask your medical provider questions during your visits to make sure they are the right person for you.
The next thing that you have control over is when to leave home for the hospital or birth center. Laboring at home for as long as possible is ideal. You will labor easier, faster, and more comfortably in your own home surrounded by your smells, food, pets, bed, etc. Feeling safe and secure is important for your body to open and release your baby and that feeling is best experienced in your own home. Typically, we suggest you leave for the hospital when you are 4-1-1. Your contractions are four minutes apart, lasting one minute long, and this has continued for one hour. This would put you in active labor and chances of the transition to the hospital slowing your labor at this point is less likely. You will avoid unnecessary interventions if you are closer to active labor when you arrive.
Lastly, know your options and what is normal. Work with your doula to learn skills that help labor progress and you be more comfortable. Your doula will provide some childbirth education during your prenatal visits. She’ll practice comfort measures and labor positions with you so you will be comfortable with these techniques when labor begins. She’ll offer you referrals to local bodyworkers including pelvic floor physical therapists, chiropractors, and acupuncturists if needed. She’ll support your partner, in addition, so s/he can give the birthing person effective comfort measures.
Take advantage of the things you can control to influence the type of birth you will experience. Birth is a transformational experience in your life unlike any other, take charge and use the tools available to you to have the best experience possible. Find your doula today to help you control what you can.
Labor and birth are unpredictable. Let’s start with that. However, there are several things you can do
In the days of COVID-19, doula support has morphed into a new way of providing services to clients. Since March with the Safer at Home orders, I’ve been conducting all prenatal visits via Zoom. We’re fortunate to live in an era when we have access to excellent technology to allow us to meet “face-to-face” yet be safe.
virtual prenatal visit
Here is what my living room looks like after a visit. Prior to the visit, I’ve delivered a packet to the client with all the handouts that we are going to review. All the information is also available in my online Resource Library for those who prefer to see it that way. The client is in their living room and I’m in mine and together we review the packet of childbirth education materials, practice comfort measures and laboring positions and answer questions. Some clients are actually preferring the virtual support as they don’t have to get childcare, and, it gives the supporting partner or husband a greater hands on role.
As a bonus, my Birth Plans now include much of the Postpartum Preparation that I offered as a separate contract prior to the pandemic. That makes the Birth Plans a great value and more comprehensive. Since many parents are not having the previously expected support of family and friends coming into the home once baby arrives, intentionally and carefully creating a postpartum plan is even more essential now. We review preparedness for baby’ care and mom’s recovery, discuss plans for sleeping, feeding, diapering, and household needs.
“The way hospitals, OB’s, and nurses are set up there is very little coaching or support during the labor and even delivery until your wife/parter is ready to push. Then the whole team comes rushing in ready to catch the baby. Having a doula (especially Jo Ann) to support us through the whole process (even virtually) helped ensure a more positive outcome not only in physical health for mom and baby but in mental and emotional health as well. This is something every woman should strive for and be able to achieve. Being that JoAnn now has virtual options (thanks to the pandemic) no matter where you are located, she is able to support you, so give her a call and see if she is the right fit for you. “
Testimonial from virtual support father 2020
If you are wondering if virtual birth doula support is for you, please give a call and we can see if it (and I) are the right fit to support you during this very important time of your life (414) 301-7729. Because doulas are part of the non-medical support team of your pregnancy, we are not issued PPE as are medical staff in the hospital and minimizing the number of people in a delivery room is strongly recommended to keep everyone safe, virtual doula support is an excellent option for those who still want the expertise of an experienced, certified doula but not the added risk and contagian of in-person contact.
In honor of Father’s Day, read a recent testimonial posted by a client eloquently expressing the benefits of virtual doula support for him and his wife during labor and delivery:
“Doula support from a husband’s perspective “the short of it”: If you had no formal training and had to coach the Super Bowl in nine months you would hire the best coach with multiple Super Bowl titles to get you up to speed. That is what it’s like having Jo Ann’s support as a husband/partner through pregnancy, labor, and delivery (which, let’s be honest guys, we know nothing about, and it’s the last thing you want to be bragging to be an expert at…). She is extremely dedicated, knowledgeable, and caring about her craft and her clients which makes her the best choice. Guys, hiring a doula doesn’t get you off the hook for doing the work but you will have someone to support you as well with ideas and guidance as you do the work. Your wife is birthing your child, the least you could do is help in whatever way she needs during the process. Jo Ann will give you the tools necessary to do this through practice and repetition prior to labor and delivery.
We hired Jo Ann at 38 weeks knowing we wanted someone knowledgeable who could continuously support us with the goal of a VBAC through preparation, labor, and delivery. The way hospitals, OB’s, and nurses are set up there is very little coaching or support during the labor and even delivery until your wife/parter is ready to push. Then the whole team comes rushing in ready to catch the baby. Having a doula (especially Jo Ann) to support us through the whole process (even virtually) helped ensure a more positive outcome not only in physical health for mom and baby but in mental and emotional health as well. This is something every woman should strive for and be able to achieve. Being that JoAnn now has virtual options (thanks to the pandemic) no matter where you are located, she is able to support you, so give her a call and see if she is the right fit for you.
The long version (for those still reading):This whole pregnancy (2nd child) my wife talked about having a positive physical, emotional, and mental birth experience with as little intervention as possible along with a VBAC (vaginal birth after cesarean). I watched as she put in multiple hours per day for months preparing her body and mind for labor and delivery after full days of caring for our 18 mo old daughter and working part time. We were two weeks away from our due date when it really hit me that I knew very little about how to support my wife in achieving her goal once the time came that she would be in labor. It was the moment when I was reading the first few chapters of “The Birth Partner” by Penny Simkin (a recommendation from my wife) when I realized how much a doula could benefit both of us during this process and we decided to start searching (better late than never). The other factor which played into our decision was the ongoing pandemic and policies where only one support person was allowed in the birthing room at a time. If we were going to achieve the birth plan we both wanted it was necessary to have someone that could provide continual guidance and help us weigh pros and cons of decisions prior to labor, during labor (at home or hospital), and delivery. This, I realized afterwards, would be extremely beneficial to any woman and in any circumstance, not just during a pandemic.
We are SO thankful to have found Jo Ann, she is an incredibly caring human being and there is not a doubt in my mind we should have hired her for our first child, earlier in this pregnancy, and would 1000% hire her again if we choose to have more children. She ended up supporting us through FaceTime nearly the whole labor and delivery since things were moving along quickly (4 hours of labor and 4 hours of pushing is fairly quick in this case). I was truly in awe of her ability to stay engaged with us and pick up on nuances in my wife’s face to let her know when things were happening during the entire 8 hours. This is not an easy task while virtual and just staring at a screen, but it is the mark of someone who is truly dedicated to their craft and their clients. I have no doubt that Jo Ann’s virtual support is just as beneficial as her in person support.
Through her virtual support I was able to confidently support my wife 100% while being able to “phone a friend” for guidance every step of the way. Her involvement also allowed me to fully immerse myself in the process of supporting my wife and not have to spend time away from my wife thinking or referencing materials about what and how I should be giving support to my wife next. Since we practiced the positions and methods she recommended that we would use during labor and delivery in the days leading up to it, we both knew our roles well when the time came and could execute without thinking or discussing, when that would have only distracted from the task at hand.
For those considering hiring a doula, Jo Ann is the right choice no matter you or your partners birth style preference. She will guide the conversation around what preferences your wife/partner has for the birth plan and then assist you in confidently supporting your wife/partner to meet as many preferences as is possible. Believe me, there will be things you will forget about when the time comes, and Jo Ann ensures that you have yet another person fully committed to how you and your wife/partner want this process to go.
Another way Jo Ann supported us so well was discussing the pros, cons, and the why behind some of the advice and feedback we received (or would receive) from our OB and medical staff. We were able to discuss scenarios that may come up prior to even being in labor and have a notion of the direction we would take so we wouldn’t have to try to discuss once we were at the hospital focused on delivering a baby. She was able to explain the options in a way that made decisions based on our birth plan clearer and was able to give insight into alternatives which could be pursued, including doing nothing and just waiting (which is sometimes the best option). Having this third party observer with the knowledge to understand the medical jargon and the articulation to explain helps make clear minded decisions during a time when your mind is otherwise preoccupied trying to support your wife/partner.
VBAC Warrior
If you are considering hiring a doula, you need not look further, Jo Ann is one of the best. She is extremely knowledgeable through her training and experience but also attended additional trainings and researched additional topics including VBAC when there was additional information available to help us. She was always responsive and available whenever we had a concern. She is always calm and reassuring, collaborative with the hospital staff and OB, and always had a suggestion when it felt like nothing was working. After hiring her at 38 weeks, during a pandemic, with only virtual support options my wife was able to achieve an unmedicated VBAC delivery (my wife is also a warrior!) We could not speak more highly of Jo Ann’s support. If you are still on the fence, give her a call, it only took a few minutes for us to realize the value she could add during pregnancy, labor, and delivery.”
Birthing families are facing additional stresses during the time of COVID-19. The health concerns of how the virus could affect them or the baby, the loneliness of physical distancing, working from home with older children, and much more complicate each day. Many parents are without the expected anticipated support postpartum of their friends and families upon returning home from the hospital.
A major worry of some is if they would be separated from their newborn immediately after birth should parents have confirmed or suspected COVID-19 or mother has a fever or cough. Fever in labor can occur due to something called chorioamnionitis, which is inflammation of the membranes. Fever can also be a common side effect of an epidural or meconium. There is conflicting research and advice on this topic of maternal newborn separtion. As a birth doula, it is one of the topics my clients are most concerned about. And to make it even more confusing is that the information continues to change.
The newest recommendation from the American Academy of Pediatrics and the CDC currently recommend separation. The AAP states “While difficult temporary separation of mother and newborn will minimize the risk of postnatal infant infection from maternal respiratory secretions.” The exact wording in their report is, “The likely benefits of temporary maternal and new born separation at birth for decreasing the risk of newborn infection should be discussed with the mother optimally prior to delivery.” Disappointingly, what is not mentioned is the harms of mother newborn separation. Know that parents are free to accept or decline this recommendation after an informed consent discussion. They do state that an alternative to separation includes keeping the newborn at least 6′ from the mother at all times with a physical barrier and to not breastfeed. This is in keeping with the CDC’s recommendations also.
However, in contrast all around the world, including the World Health Organization, the United Kingdom’s Royal College of Obstetricians and Gynecologists, UNICEF, and guidelines from Canada and Italy state the contrary. Their recommendation is to keep mother and newborn together unless the mother is too sick to care for baby.
You as parents have the final word. Evidence Based Birth has created a sample Informed Consent Form for Refusal to Separate Birthing Parent and Infant. You can link to the form on my Resource Library. Please reach out to your doula to discuss this topic prior to birthing.
We are three weeks into the Physical Distancing in Milwaukee required to flatten the curve from COVID-19. This is hard. We are social beings and being isolated goes against our nature. At first, I was excited about having some (unknown amount) of time in front of me to stay home, clean a few closets, read some of the stack of books on my nightstand, and slow life down a bit. But then, it hit me, the realization that this Physical Distancing wasn’t going to be just a week or two but some much longer unknown amount of time where we are not going to be going about the life we knew.
My coping methods to find and keep balance during uncertain times includes list making. Trying to feel in control of something in an out of control time. Lists of what to clean, which new parks to hike, what business systems and paperwork to revise, which clients to follow up with. But my higher self knows that is not the best use of this time, going inward and finding meaning and mourning for our world is where I need to be.
Today, I walked a different route out to the lighthouse on Lake Michigan. My husband took this picture of me and my pup and I think it is a good representation for how I’m feeling – a bit off kilter. The funny thing is, this lighthouse is actually very tall and straight. It is just the angle of the photo that makes it look like it’s leaning. And so it is with the world. The earth still spins and the sun still rises, just with a world-wide pandemic novel virus spreading through it; a bit off kilter too.
Be gentle with yourselves. Take the time you need to mourn and grieve the many losses we are experiencing. Hold in prayer those who are keeping our society running and caring for the most vulnerable. And those who have lost their loved ones or employment completely.
Pregnant families are among the most stressed at this time. Their birth plans are being impacted in countless ways including not knowing if their partner or husband will be allowed in the hospital with them, adjusting to virtual support from their doula, not having their family visit after returning home with a newborn. I can help with this. I have been and am supporting births virtually and working extra hard to prepare families to manage during the 4th trimester. Help is available, please don’t feel like you have to go this alone. We’re in this together and we’ll help each other find balance once again.
I’ve learned that so many of my clients in the Milwaukee area seek to find deeper meaning in what bringing a new life into the world is all about. Some have religious traditions that help them with this. Many wish they had a way to go deeper and gather their female tribe around them to support them during this special time. A Mother’s Blessing is a way to be surrounded by the special friends and family to affirm and empower the mother-to-be as she prepares for the transition from pregnancy to childbirth to motherhood.
Our western tradition of preparing for a baby includes baby showers – which are super helpful to the new family in assembling the physical objects to set up a household to bring baby home. We also focus on the physical and medical aspect of childbirth with preparation classes at a hospital or birth center and in prenatal meetings with the Doula. The spiritual and emotional piece often gets neglected.
A Mother’s Blessing is an intimate gathering of closest female friends and family to create a loving circle around the mother-to-be helping her to prepare for her upcoming birth. It is a beautiful pre-birth ceremony borrowed from an old Native American tradition (Blessingway) celebrating a woman’s rite of passage into motherhood. The goal is to have her feel loved, recognize her strength, believe in her body and its ability to birth her baby, feel confident for labor, birth and motherhood. It’s a time where the focus is not on gifts, but instead on nurturing and supporting the soon-to-be mom. She should feel empowered, loved and strong after experiencing a Mother Blessing.
If you are a mother-to-be and this resonates with you, share this idea with your best-ies. If it feels too overwhelming for them to take on planning such an event, contact me, 414-301-7729, for facilitating this powerful gathering for you. I provide a menu of rituals to choose from to be customized to what would speak most to the mother-to-be. The host provides the venue, food, and invites guests.
Becoming a mother is a life changing, transformative experience. “Showering” the mother-to-be with the affirmation and support of a Mother’s Blessing is a true gift of love.
Being pregnant during a Wisconsin Summer can be a challenge to staying comfortable. In the Milwaukee area, even though we are now officially in the Summer season, temperatures have still been cool and wet. However, because we live in Wisconsin, we know the hot, humid, sticky weather of Summer will arrive soon. When you are carrying another human inside you, the effects of the heat can be felt even more intensely.
If you are pregnant, how will you stay comfortable and safe during the hot summer days? Let ‘s think about these things now.
Hyperthermia – Abnormally high body temperature can be dangerous for pregnant women. During the Heat Advisories, stay cool in the shade or inside and avoid hot tubs. Applying a cool washcloth to the nape of the neck and forehead can feel refreshing. Carry around a personal hand held fan for those times you are feeling the heat Maybe hang out at one of Southeastern Wisconsin’s beautiful lakes in the shade and feel the breeze.
Exercise safely – Swimming is a great exercise for pregnant women, feeling the freedom of movement in all directions can be lovely when you are feeling a bit encumbered by the weight gain.
Hydrate – Pregnant women are more likely to show signs of dehydration such as lightheadedness or dizziness which would cause them to fall. Also, low levels of hydration can affect your hormones which, in late pregnancy, could stimulate intermittent uterine contractions. The Cleveland Clinic recommends pregnant women drink 10-12 glasses of water a day.
So, grab a towel, pick up your favorite book on pregnancy or parenting, head to the beach, put an umbrella in that tall, chilled glass of water and enjoy the albeit brief Summer of Wisconsin.
As we celebrate the birth of our country on the Fourth of July, we remember all those serving in our military who put themselves at risk to protect and defend us every day. When families are separated because a partner or spouse is on active duty, the anxiety of facing labor and delivery for a pregnant woman can be great. As a member of the Military Birth Resource Network,I support military families through this difficult time. Having a Birth Doula’s support can help moms feel safe and more comfortable during pregnancy and allow her to achieve the birth she desires. We are a continuous presence during labor and delivery.
Postpartum care is also important for a mom and newborn when a partner is absent. Protecting mom’s time to rest and bond with baby is critical to establishing the loving bond between them. A Postpartum Doula provides non-medical physical, emotional and informational support to a new mother. That support may include: newborn care, support with breast or bottle feeding, meal preparation, maternal care or light household tasks.
Discounts provided for doula support services to military families. Contact me to find out how I can help you.
