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Postpartum planning: Updated

** This post contains affiliate links. If you purchase from one of these links I receive a small commission at no charge to you. It helps to support my doula work.

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The postpartum period is a subject close to my heart. It's such a crazy time. Mom is trying to heal and figure out nursing, while bonding with baby and trying to stay present for any older siblings. Dad is figuring out his role and is still reeling from the birth as well. All the while everyone is exhausted, but people want to visit the new baby and help out the family. While it feels like life should pause for a while it seems to do the opposite. 

One of the most visited posts I have here at the Living Heart Doula blog is A Postpartum Checklist, and dives in to some facets of planning for postpartum. It also includes some really great slides on new babies and their families. 

Having a few things prepared, friends signed up for meals, and extended family ready to serve can make a huge difference for a new family. I’m updating the list to share new products, as well as services that can help a postpartum family.

1) Postpartum Doula Services- Having a postpartum doula is indispensable. They can start as early as the day you get home from the hospital or birth center, or you can hold off until your partner has returned to work. A postpartum doula can also do an overnight shift, so mom and partner can sleep. She can bring baby to mom for feedings, or bottle feed based on your preferences. The doula also helps with house hold chores like laundry, dishes, vacuuming, and helping older siblings. Their knowledge of breastfeeding, newborn care, and postpartum healing can be a huge help. Service prices can vary, and may be billed as hourly or as packages. Add services to your registry and have friends and family chip in! Living Heart Doula will be adding postpartum services this spring. Be on the watch for more news!

2) Earth Mama Organics- I love their products, and their postpartum items saved me with my last birth. Some must haves include perineal spray, perineal herbal packs, and organic nipple butter. They also have their own Lying-In plan for postpartum families you can find here:

Earth Mama Organics Cyber Monday

3) Takethemameal.com - Free sign up service to organize having meals brought to the family. Super easy to use and share over email and social media. The service also has a function where friends can order a meal to be delivered if they are unable to cook. Having meals covered takes the burden and logistics of food preparation away from the recuperating family.

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4) Depends - An option aside from typical menstrual pads. Wearing Depends during the first heavy days of lochia can be helpful, because the whole thing acts as a pad. No more worrying about leaking on to undies or sheets.

5) Natracare Wipes and Pads- An all natural organic option, wipes can be used for both mom and baby. The organic pads are super absorbent and keep the skin feeling dry instead of sticky like with plastic pads. However, they are not especially large. Save them for when bleeding has become more manageable.

6) Boobytubes - Awesome product by Bamboobies, these beaded tubes can be put in the freezer to help with engorgement, or in the microwave to help with a clogged duct. Can also go along the neck and shoulders to help with aches and stiffness.

7.) Ecocentric Mom Box- You can check out all the goodies I got from my subscription box here. Receive a box full of natural goodies for mom and baby, ranging from snacks to awesome hair care products. Subscriptions can vary from one time to a full year, and make a great gift for new moms. Ecocentric Mom offers a nice self-care pick me up, and a way to find some new clean products.

Ecocentric Mom box

8.) Pelvic Floor Physical Therapy - This subject really needs its own post, but I’ll give you an introduction here. In other countries, especially Europe, women receive physical therapy after they have a baby. Your back, hips, pelvis, vagina, perineum, core and bladder can all be affected by pregnancy and birth. This includes both vaginal and cesarean births. Experiencing pain, incontinence (snissing, anyone?) or diastasis recti is common, but is NOT NORMAL, and can be corrected by physical therapy. What makes it different than just doing kegels until you’re cross eyed, is that the specific muscles and tendons that are strained, weakened, and overcompensating can be identified, and you are taught how to properly release and strengthen the affected areas. Body mechanics are applied to help correct diastasis recti and ease pain as muscles recover. It can be life changing. With 50% of women experiencing prolapse in their lifetime, it’s worth the investment.

9.) Get a baby carrier- Baby wearing was how I managed to do life with both my girls. Babies want to be held and snuggled. This allows you to keep baby close, get breakfast made, and the dog walked. Moby and Boba wraps are great for newborns, and as baby grows soft structured carriers like Boba are great for getting baby on and off easily, as well as place in a back carry. You can learn more about carriers here.

10.) Sitz Bath and accessories- I’m a little bitter no one taught how to do a sitz bath when I had my girls. Available at drug stores like Rite Aid or CVS, it’s essentially a large basin that fits in the toilet. Fill with warm water, Epsom salt, or herbs. Place in your toilet, and simply soak. It’s great for hemorrhoids and perineal tearing. It also relaxes the pelvic floor muscles so you can actually go #2. No one said postpartum was glamorous.

11.) K-Tape Services Frederick Birth Center- K-Tape is a cotton elastic adhesive, with therapeutic properties that can be applied to ligament function, muscle applications, corrective postures, and lymphatic drainage. During the postpartum period, K-tape can help with numerous issues, including swelling, engorgement, diastasis recti, and mastitis. Mom’s who have had a cesarean birth can benefit from lymphatic drainage. The scar tissue can disrupt neurological pathways and the drainage of lymph in the lower body. K-tape can support the return of menstruation, and can ease uterine cramping. Gynecological issues like prolapse and incontinence can benefit from K-Tape. While I’ve focused on the benefits of K-Taping for women, anyone can come and get taping at the Frederick Birth Center! Contact the staff at FBC for an appointment.

12.) Like Neighbors- This is a service that allows friends, families, and neighbors to help in your time of need while being across the country. Services like lawn mowing, house cleaning, dog walking, gift cards and meal delivery can all be added. It’s a great way to have support and let people know what your family’s needs are.

13.) Postpartum belly binding- Beng Kung belly wraps, Mama Strut, and Velcro girdles are all ways to support your core and back after birth. Your muscles have taken a vacation for at least six months, and having the support helps to engage them and maintain proper posture. This helps to prevent and correct diastasis recti, as well as the aches and pains we often feel while nursing for long periods and carrying carseats.

14.) Strong as a Mother: How to Stay Healthy, Happy, and (Most Importantly) Sane from Pregnancy to Parenthood: The Only Guide to Taking Care of YOU! by Katie Rope- This book breaks down all things postpartum, from healing, birth recovery, and mental health. Author Katie Rope shares stories from a wide variety of mothers, breaking down the mommy traps we can get sucked into. It’s one of the few books out there talking about postpartum in an open way, while not beating around the bush of how hard modern moms have it.

15) Placenta Encapsulation - Encapsulation is the process of steaming, dehydrating, grinding, and putting a placenta into pill form. Benefits include a boost in hormones, increased milk production, and faster recovery. The evidence is still anecdotal at this point, but you only have one shot at preserving the placenta to try. If you plan on having your placenta encapsulated, please use a professional encapsulator that is blood borne pathogen certified. I recommend Deborah Bailey of Doulas of Central Maryland.



What have I missed? What really helped your family in the postpartum period?







 

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Baby Wearing: The Ins and Outs

When I was pregnant with my first baby, my doula and friend, Julie,  introduced me to baby wearing. She bought me a Boba as a shower gift, and let me borrow her Maya wrap. Baby wearing keeps your baby close to you, which is great for bonding, nursing, and generally surviving life with a baby. My babies would nap, nurse, enjoy the scenery as we walked the dog, and enjoy being, “held”, as I cleaned the house. Some days it was seriously how I managed to do anything!

 

I learned a lot about different carriers through the years, and through a lot of test runs have figured out what works for me and also for each individual child. Here's the skinny on each type of carrier, with some tips for each kind as well.

Ring sling: Made of large cloth swatches, secured with two metal, plastic, or bamboo rings.  These are great for fast in and out, and are great for hip carries. The only down side is you kind of feel like you need to keep a hand on baby, so you aren't totally hands free. It's much easier to use with an older baby that has head and neck control, but can still be used with a newborn. Slings have  a bit of a learning curve at first, and I needed help with getting started and fixing my sling when the fabric would get bunched.  

Ring Sling: Hip carries take the weight off of moms arms and core. 

Ring Sling: Hip carries take the weight off of moms arms and core. 

 

Soft structured carriers (Ergo, Boba, and Tula): Soft structured carriers (SSC) are generally easy to wear, adjust to almost all body types, and can be worn on the front or on the back as baby gets larger. These are great for baby naps, and allow your hands to be completely free. With a SSC you want to look for one with wide berth for hips; this prevents hip issues as baby grows and takes strain away from their back, unlike typical front facing carriers (bjorns). SSC can be used with newborns with special inserts depending on the brand. Ergo sells a newborn insert for their specific carrier, allowing it to be used from birth through toddler hood.

 

Soft wraps (Moby, K’tan): Best used during the early newborn weeks, wraps are soft and snuggly, and are great for naps, walks, etc. Your hands can be completely free, and with a little adjustment you can nurse while wrapped. It may take a few viewings on YouTube to get the wrapping right. A few styles of wrapping let you set up the wrap beforehand, so your wrap becomes an extra accessory. Bonus! The K’tan comes in different sizes. I'd suggest trying one out at your local natural baby store first.

 

Soft stretchy wraps work well up to 18 lbs, but are uncomfortable any heavier. Move onto a woven wrap or SSC after you're done with the Moby.

Moby Wrap: Front carries are cozy and can be pre-wrapped.

Moby Wrap: Front carries are cozy and can be pre-wrapped.

 

Woven wraps: These babies are the Cadillac of baby wearing. Super versatile, comfy for mom and baby. And. So. Beautiful! However, there's a catch. These wraps come with a hefty price tag, and there's a lot to learn about wrapping. My kids were always too wiggly and wanting up and down all the time for me to even be tempted to wrap. But by god, do I want one just because they are so stinking pretty!

Woven wrap: Lenny Lamb brand. Look how cool this is!

Woven wrap: Lenny Lamb brand. Look how cool this is!

 

 As with all the carriers, consider them an investment. They will last you through multiple children, and majority retain their resale value. If cost is prohibitive, buy used! (The straps will be soft and broken in.) Utilize your baby registry as well!

 

A few rules to remember when baby wearing:

1)      Chin is away from the chest. This ensures that the airway is open.

2)      Baby should be high enough that you can kiss the top of their head. Too low, baby could fall.

3)      Always keep buckles and straps done tightly. Wraps should always be secured with a double knot.

4)      Wait to wear baby on your back until they have good head and neck control.

Keep your babies close, and enjoy your carrier!

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