I first met Lauren in 2010.  Over the years, I've had the pleasure of getting to know this amazing woman on a personal and professional level.  She has a wealth of knowledge and information about birth, in general, and breech presentation, in particular.  She works hard to help women know their options in pregnancy and labor, and to make informed decisions for themselves.  She offers Birth Boot Camp childbirth education classes in Bowie, Maryland, helps breech mamas worldwide on her website, and is the author of Breech Baby Handbook.  
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How did you get into the birth world?

After my breech baby, I went into hyper research mode to find out if I actually needed a cesarean or if there were intelligent, trustworthy, and wise providers who would have offered me a vaginal breech birth.  I wanted to know if I made the right decision--to have a pre-labor cesarean for a footling breech baby who weighed 10 lbs.  It started as a path to affirmation, to know if the story I told myself in order to lay on the operating table was true.  I told myself that we needed the surgery; that the surgery saved one or both our lives.  It's a common refrain in birth stories and in my case I wanted to know if it was true.

Was it true?

I don't know.  I don't think so.  I think she could have been born safely, but the truth is I really needed someone to tell me that.  I had fallen into the belief that it wasn't safe.  I believed it was possible but probably very dangerous and not a smart path--not a good choice.  I would have been plagued with anxiety, my husband would have been worried, and there was no one who supported it.  That may have made it unsafe or overly dramatic and intense. 

If I had met Mary Cooper back then, I could have done it.  She's an Ohio midwife who works primarily among the Amish and other plain people.  She's done thousands of births and feels very confident about breech and women's birthing ability in general.  If I ever have another breech after 35 weeks, I will drive to Ohio and stay at a hotel until I go into labor--if she'll have me!

So anyway, I realized how important full information is, and how important it is to have people around you that believe birth works.  Birth is so much better when you believe it works, when you trust your body and your baby.  I was way too ignorant and needed more support than I got.  I decided to provide that where I could--to breech mamas online and with birth classes in person.  

What spurred you on to write your Breech Baby Handbook?

I researched and wrote the website to help parents of breech babies make decisions about their care almost 5 years ago.  It's helped a lot of people who are looking for answers.  When I am in mega research mode myself, I'd really rather have the layout of a book.  So I decided to put everything I know about breech in a book format, with headings and sections, and references, charts and graphs and all that good stuff.  There's also better updating, more tips, slightly more information.  It's the first thing to get added to when I get new information.  Having the book serves two purposes.  One is to make getting information and support for breech choices easier and faster and the other is that I get a little income and am forced to keep things current.  I did it as a public service for long enough that it was starting to get slow...now I have a reason to keep it going.  A whole lot of information is still available on the website for free, but the book adds another dimension. 

Who do you hope will read this book?

Women with breech babies and their families, of course.  Though it's good to know about breech options early in pregnancy.  Mostly though the big free tip is that every woman should ask her provider to check the position of her baby by 34 weeks.  A lot of the things we can do to help babies turn work better earlier.  That said, I really hope more birth workers will read it and be certified as Friends of Breech Babies, so they can offer breech consultations and help all their clients have optimally positioned babies or feel confident about their choices with breech.  There simply isn't much time when you find out your baby may be born breech. It's overwhelming.
 
How can care providers help breech moms?

Midwives and doctors can start fostering a community where vaginal breech birth is a safe and acceptable practice.  This means attending training, talking about it, finding a provider to shadow for breech births, and working to bring the option back.  People don't offer vaginal breech birth because women don't demand them.  I know that one midwife or one doctor usually can't just do as she pleases and buck the system.  That can be dangerous for their license and their job and sometimes their freedom.  But if they always refer women with breeches to providers who do offer vaginal breech birth, at least for a consultation, the climate will start to change.  There's a big difference between "No, a cesarean is your only option, it's not safe" and "I can't help you, but I know someone who can."

What can breech moms do to help themselves?

If you already have a breech baby (34 weeks +), decide if you want to have a vaginal breech birth.  Look at the research and the professional opinions, and decide.  Find someone who can attend you if you do want to and transfer your care.  Then decide if you want to try to turn the baby.  You're better off being with a supportive provider, even if your baby is head down.  If you want to try to turn the baby, be serious but relaxed about it.  Which is as hard as it sounds.  You can't do a few breech tilts here and there and look at spinning babies once a week and expect anything to change.  You have to be serious about it.  Try the Vinaver Method, see a hypnotherapist, go to the chiropractor, etc.  Not just one and done.  But you also have to stay positive and stay relaxed, being OK with whatever happens. The oxytocin has to stay high for you to even go into labor, and there are more breech babies with stressed mothers.  Good luck, right! 

How do you feel the environment is changing for breech moms?  Or do you think it is?

Vaginal breech birth is coming back.  It is.  There is great breech research coming out of Europe soon, and there has already been some.  More trainings are being offered, there are conferences about it. The professional opinions are opening up.  Institutional and system change is always slow, but it's coming.  Pregnant women and their families are helping to drive it.  People need to leave practices that don't offer what we want, and we need to tell them why.  Change follows the money. It's still an economy. 

Do you feel the environment is changing for birth in general?  

For sure.  Kind of like in the 70s, when our mothers were demanding they be able to labor without drugs and with their husbands present, more women now are asking for the freedom to move around, to make the decisions themselves, to have full information.  Birth classes used to be more about birthing in such a way as to not bother or annoy the hospital.  Here are ways to relax and breathe so that you can just lay there as if you are asleep or stay in the bed like they like you to do, and they won't push drugs.  I'm not saying that relaxation and breathing aren't important.  There are few things that are as important as being able to relax--body, mind, and soul, and getting oxygen to your muscles and baby. That's tantamount to safe birth.  Not to mention pleasant birth.  But modern birth classes help women advocate for themselves, move around in labor, practice upright birth, involve the partner.  Moan if you want to, use these balls, this rebozo, etc.  The options for pain relief are more varied and widely available.  Doula practice is strong.  It's much easier now to be part of the decisions, to advocate for yourself.  Doctors and midwives know they have to make some accommodations. It's a work in progress. 

How can care providers and other birth workers help birth be better?

Listen to women, and give them full information.  Give them options. If you don't feel comfortable with what they want, send them elsewhere.

How have you been able to make birth better, for your students?  For your community?  For the world?

The best part about teaching is opening doors and saying, "Have a look in here."  If I've helped anyone, it's because she looked behind one of those doors and explored it herself.  Then she can make a decision about what feels right for her.  Sometimes she will look for other doors to open on her own, now that she knows about the kinds of doors to look for.  No matter what she decides, I can still be standing there with her.  And I think that's how we make a difference.  Just be.  ​

Night, Night, Little Pookie by Sandra Boynton.  I’ll be honest, I love all of Sandra Boynton books but this is one of my favorites.  Pookie is such a cute little character.  I love that the Pookie books have little lines in it that Pookie says so as your child gets older, they can interact and say what Pookie says along with you.

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As World Doula Week comes to a close, I've enjoyed the opportunity to reflect upon what it means to be a doula, for me and for the expecting moms and dads I work with. I love supporting moms and dads in one of the most amazing moments of their lives. I love breathing with them, talking to them, encouraging them, holding their hands/arms/legs, and reminding them of how amazing they are. This is what doulas do. But there are also a lot of other things doulas do or provide that are not always mentioned. So I wanted to share 7 of the less-mentioned, but super awesome, benefits doulas offer:

1. Knowledge. A doula is like a childbirth expert at your fingertips. She’s intimately aware of the process of birthing a baby. She’s spent many hours reading about birth, witnessing birth, or possibly even giving birth herself. She knows the mechanics and understands ways to support moms during the different phases. She shares this knowledge with her clients prenatally, during labor, and postpartum. If she doesn’t know the answer to something, she probably knows where to find it.
2. Hours of research. This goes hand-in-hand with knowledge. Through her hours of research, a doula learns a lot about birth and current practices and guidelines. Not only is this a good investment for doulas to spend their time researching and learning, but if they’re certified, it might also be a requirement for re-certification. What does that mean for you? You don’t have to do as much of the legwork to find answers to your questions.
3. Hours of conferences and workshops. Not only does your doula read a lot, but she also probably attends birth related conferences and workshops to help her be a better doula. Various conferences could include massage techniques, positioning techniques, aromatherapy, acupressure, breastfeeding counseling, rebozo use in pregnancy and labor, etc. She may even travel to attend these workshops.
4. Doula community. Facebook has made the ability for doulas across the nation and worldwide to connect and support each other. Doulas share current articles and guidelines and blog posts to help each other. And you know what else? Doulas also actively ask and answer each other’s questions. For example, want to know if your care provider truly is VBAC friendly? Your doula can give you a list of things to look for and ask about at your next appointment, and she can go to the local doula group and ask the other doulas for their experiences with that provider.  
5. On call time. Most doulas offer 24/7 on call access from 38 weeks until delivery. What that means is she carries her cell phone wherever she goes (even to yoga or date night at the movies), ready to answer the call for when you go into labor. She adjusts her schedule, declines to carpool to girls’ nights out, avoids consuming alcohol, and tries to go to sleep at a reasonable hour to be ready and rested for you. She makes plans to not be farther than an hour or so away and uses her doula community to find back-up doulas, just in case she can’t make it due to illness or another client’s labor.
6. Birthy BFF.  Hiring a doula means you have an immediate friend who cares about birth as much as you do, who delights in conversations about mucus plugs, contractions, and leaky boobs. Having a tough time with prodromal labor (long, slow early labor)? Your doula is there to help you through.
7. Resources. Remember that doula community I was telling you about? Doulas also have relationships with other birth workers, including lactation consultants, midwives, OBs, placenta encapsulators, massage therapists, chiropractors, acupuncturists, photographers, and the list goes on.  Needing to know who to go to for extra specialized care? Ask your doula. (And if she doesn’t know, she’ll know other doulas to ask!)

Doulas work hard for you. They care. I’m so proud to be a part of this profession. Happy World Doula Week to my fellow doulas and all those who have or will benefit from having a doula in their lives!