Food During Labour: How to Nourish Mama

Food during labour is an important way to nourish and support your body. But there are many things to take into consideration when deciding what food to bring to labour.

We asked Lindy Cook, Naturopath, Herbalist and Nutritionist all about the best food and drink options to have on hand during labour.

How do we prepare food during labour when we don’t know what to expect?

You might not be hungry at all. But you might be! The only way to move forward is to be prepared. A good guide is to have plenty of snacks or small meals to choose from, so you can pick what you feel like in the moment. 

When choosing foods, aim for light, nutritious snacks or meals that include complex carbohydrates, with protein and healthy fat to stabilise blood sugar and energy. This will provide your body with energy and nutrients, while eating and drinking small amounts more frequently is easier on digestion.

It’s a good idea to write your own list of what to eat during labour. I encourage you to go through the list of suggested foods below and write down a few things that really appeal to you. 

But if you have no idea what will sound good, use these tips to plan ahead what to eat during labour:

  • Bring a variety of foods to ensure you’re able to find something that sounds good when you need it. 
  • Have a variety of textures available: soft, crunchy, juicy. Pack it all.
  • Don’t forget your partner! Pack enough for them to eat too, without wiping out your snack supply.
  • Treat yourself. Choose items that are a little extravagant you don’t normally buy, like that premium organic juice or fancy European chocolate bar. 

Of course the most important thing of all is to listen to your body and not force yourself to eat something that doesn’t sit well with you. 

What food during labour do you suggest? 

Some hospitals will have a refrigerator you can store your drink and food in. If this isn’t possible, a small esky bag can be useful. The following list isn’t comprehensive but it covers a wide range of snacks and small meals to choose from:

  • Greek yoghurt – rich in good fats and protein. Try adding some berries for a little extra sweetness and energy, can also be frozen into cubes
  • Homemade bliss balls containing protein powder
  • Mini frittata with spinach, carrot and goats cheese
  • Green smoothie with a plant-based protein powder
  • Frozen berries, grapes or bananas, as these fruits are refreshing and remain soft when frozen
  • Quinoa with avocado, or brown rice and an organic egg. Both are light but substantial and well balanced
  • Banana or apple with nut butter
  • Dried fruit and nut mix (preferably without sulfur)
  • Granola bars 
  • Wholegrain toast or wholegrain crackers, with avocado or natural peanut butter or almond butter
  • A spoonful of raw honey, for a boost of energy
  • Peanut butter sandwich
  • Cheese cubes
  • 100% applesauce. The individual squeeze packs are great during active labour.

What are the best options when it comes to fluid intake?

Your body uses a lot of energy during labour and it’s very important you stay hydrated during this period. Aim to take a sip of fluids every 15 – 30 minutes. Another good option is to make ice cubes out of your favourite fruit juice or smoothie and suck on them.

Also, make sure to have a few straws on hand! You’ll probably find yourself in various positions during labour and you may not want to move much. Having your support person hold the straw to your lips will make it much easier to consume.

Here are some of my favourite options of what to drink in labour:

  • Coconut water – an excellent source of electrolytes and an ideal, healthy option for staying hydrated in early labour
  • Miso Soup.
  • Bone Broth – nutrient rich, can assist with nausea
  • Diluted cloudy apple juice .
  • Frozen red raspberry ice cubes with honey or natural raspberry popsicles.
  • Raspberry leaf tea is wonderful during labour and it can gently stimulate productive contractions.
  • Protein smoothie. 
  • Eating juicy fruits like watermelon and cucumbers will increase hydration. Frozen watermelon is very refreshing.
  • Sprinkle a little Celtic salt or other trace mineral salt into your water.
  • Lemon-lime labour aid provides electrolytes, required for muscle (uterine) contractions, particularly useful during active and later labour. 

Lemon-Lime Labour Aid

  • 2 cups coconut water
  • 1 cup water
  • juice from 1 lemon
  • juice from 1 lime
  • 2 tbsp organic honey
  • ¼ tsp unrefined Himalayan salt
  • 1 tsp good quality magnesium powder
  • A few drops of rescue remedy
  • optional: trace mineral/electrolyte drops

Mix all the ingredients together, refrigerate and sip on throughout labour. You could also try freezing it into ice popsicles or cubes in advance, which can be added to water or coconut water. 

When are the best times to eat food during labour?

Eating light snacks and staying hydrated during labour has been shown to significantly reduce the length of labour! Awesome, right? This is why you want to make sure you’re drinking enough fluid during early labour to avoid dehydration, as it can cause ineffective contractions. For food, you want to eat foods that give you lasting energy.

Early labour is a great opportunity to eat deeply nourishing foods to fuel you for several hours. Protein is so important for pregnancy nutrition, plus it helps balance your blood sugar so you don’t have crashes later. If you can stomach protein during labour, try to eat some.  

As labour progresses into the active stage, your appetite will naturally decrease. If you’re able to, eating small bites of easily digestible foods during pushing can help you to maintain your strength. 

It’s wise to have a few options available because you don’t know what might seem appealing, or if you’ll have an aversion to certain tastes or smells. 

Carbs are an excellent choice for that. If eating carbs feel too heavy for you, try having a smoothie, some fruit, a granola or protein bar. Avoid fried or greasy food in case you feel nauseous later in labour. 

What foods and drinks should be avoided during labour? 

It can be temping to just stock up on energy drinks for labour but it’s not a good idea as they’re high in sugar and caffeine. Some energy drinks have as much as 8 times the amount of caffeine as 1 cup of coffee.  It’s not recommended to drink more than one cup of coffee a day while pregnant. 

Other foods and drinks to avoid during labour include:

  • Oranges and orange juice. The acidity may cause an upset stomach or burning if vomiting occurs after consumption.
  • Protein and fat (late in labour). These slow the rate that your muscles use energy supplied from the sugar. Avoid foods like steak, fries or burgers. 
  • High sugar and fat foods. Foods high in sugar may give you that quick energy boost but will leave you feeling tired and nauseous once your energy peaks. Avoid foods like doughnuts, pastries or cakes. 
  • Try to avoid spicy food during early labour since it can cause you to have diarrhoea, which is no fun.
  • Avoid the sports drinks with artificial food dyes and high fructose corn syrup.
  • Energy drinks. These are high in caffeine which can affect you and your baby’s heart rate and blood pressure.

What should the partner or support person be eating throughout the labour?  

Make sure your partner has snacks packed as well! Avoid anything that will linger unpleasantly on their breath (garlicky pasta is out!).

Partners may like to have some easy to grab, quickly nutritious snacks like trail mix, granola bars, peanut butter, nuts, fruit. They will especially be thankful for preparing a sandwich or other simple meal ahead of time.

Your partner is going to need a lot of energy and support to prepare for the journey with you while you are going through the intense stages of labour. You will need a lot of attention, patience and support, so your partner needs to be prepared with nourishing food to stay focused on you. 

What are the best options for nausea during labour? 

The feeling of vomiting and nausea, also known as morning sickness, is fairly common during pregnancy, particularly during the first trimester. However, sometimes a woman may experience similar symptoms when she goes into labour. 

Most often, vomiting in labour happens around transition. This is near the end of the first stage, just before pushing begins.

Some women vomit throughout labour, which can cause dehydration and drain your much needed energy which may slow down contractions. So it’s important to have some tips on hand if you’re nauseous through labour:

  1. Don’t limit food intake: Pregnant women are likely to feel hungry and thirsty during the initial stages of labour. It is essential to eat during early labour to ensure you have plenty of fuel to get through labour. Restricting food intake can trigger ketosis, when your body burns fat reserves as fuel. This can increase acidity and cause you to feel nauseous.
  2. Avoid dehydration: Dehydration during labour can cause nausea and vomiting, as well as slowing down contractions and stalling labour.
  3. Food aversions: Sometimes, specific foods or drinks can bring about nausea during early labour. Some women may be adversely affected by foods like peanut butter or beverages like juice.
  4. Eat bland food: Eating bland food which is easier to digest, such as fresh fruit, rice, multigrain crackers, clear-based broths, yoghurt, bland multigrain cereals.
  5. Essential oils : Essential oils like lemon, lavender, peppermint can work well to stop vomiting at the time of labour. Sniffing the oils may ease the sensation of vomiting.
  6. Ginger: Ginger is known for its beneficial effect in controlling vomiting. You can use ginger tincture which may be an easy, effective and portable way to avert vomiting. You can add a few drops to your tea, broth, water or take it directly.
  7. Hydrotherapy: Some women may find hydrotherapy advantageous when dealing with the sensation of vomiting. Sitting in a tub of water or standing under a shower can ease nauseous feelings.
  8. Cold washcloth: Placing a cool piece of cloth on the face or back of neck can bring some respite from feeling nauseous. You may like to add a drop of essential oil like peppermint for a pleasing, cooling sensation. You can also put a frozen bag or ice cubes at the nape of the neck.

Nurtured Birth offers naturopathy support tailored to your pregnancy and birth needs. We’d love to nurture you on your journey, please contact us for more information or to book an appointment.

Essential Oils in Pregnancy, Birth and Beyond

The use of essential oils in pregnancy has a range of therapeutic effects, from easing tension, anxiety and aching muscles to generating a positive mood, calming or energising. 

Essential oils in pregnancy can be wonderful to support the changing body through each trimester, into labour and postnatally, but must be used safely and sparingly.

Jo Harris, founder of Soularoma shares her tips and guidelines for using essential oils in pregnancy.

What are the benefits of essential oils in pregnancy? 

I obviously love and deeply believe in the benefits of essential oils during pregnancy, it is a very special time and usually happens only once or twice in most women’s lives.

A pregnant woman’s wellbeing (physical & emotional)  is of utmost importance and thus it is a time to use essential oils for that extra boost if it is needed.

 It is important for women to have complementary approaches available during their pregnancy to cope with the physiological and emotional issues that can appear.  It is empowering for a woman to treat issues which don’t require medical intervention by herself with natural essential oils.

What are the considerations you apply when choosing essential oils for pregnant women?

Safety is always number one, but then also what the individual client likes and needs (emotionally, physically & spiritually) at that moment. 

Unfortunately there is a lot of contradicting information with essential oils in pregnancy. With pregnancy it is best to be on the safer side and act with caution. 

Why is it important to seek the advice of a trained aromatherapist? 

To be sure what you are using is safe for you and your baby. This is of utmost importance at all times with essential oils but especially so when during pregnancy. 

It is also important to use very little during pregnancy. So the dilution should always be half of a normal adult dose- a maximum of 1.5% dilution. 

What do you include in your Birth Surges oil and why? 

For establishment of labour – clary sage, a great uterotonic, helps relax (like a euphoria), and decreases anxiety, fear and panic. Clary sage also works to decrease irritability and strengthen the central nervous system. It also helps gain clarity. 

For active labour – rose oil, it is a great uterotonic, rose is calming, decreases anxiety, fear and panic and works to promote love (opening the heart), concentration, patience and decreasing irritability. It also protects from negativity. 

Birthing the placenta – jasmine helps promote confidence, helps to decrease anxiety and fear. Jasmine is also a great oil for gratitude & opening the heart. Jasmine also helps to reach a meditative state and to feel peace.

None of these oils should be used before 38 weeks of pregnancy. 

Essential oils in trimester one 

During the first 13 weeks of pregnancy a woman will undergo a variety of changes as her body begins to support her growing baby. These changes occur physically, emotionally and physiologically. 

Although not all pregnant women will experience all symptoms, there are many common changes and complaints that can be experienced, such as nausea, fatigue, headaches, emotional vulnerability, hormonal swings. There is also a mixture of excitement and anxiety about pregnancy and birth.

With these changes in mind we need to find essential oils that are soothing and relaxing but also uplifting and revitalising. It is really important to use essential oils only if really needed during the first trimester – less is more. Safety is really important in this trimester especially. 

  • For nausea – cardamom, mandarin, lemon, orange, ginger; and for headaches lavender or lemon.
  • For emotional health – lavender, patchouli, orange, vetiver, mandarin, bergamot, grapefruit, palmarosa, petitgrain, lime. These oils have soothing, refreshing, uplifting, tranquil qualities.
  • To counteract anxiety – petitgrain, bergamot, lavender, neroli, orange, grapefruit, mandarin., lemongrass (in low dosages), rosalina, vetiver, chamomile.

Essential oils in trimester two 

As the pregnant woman enters into the middle of her pregnancy, weeks 14 to 27, she may find pregnancy symptoms begin to ease. She will begin to feel her baby move and often embrace the joy of her pregnant body and her baby growing inside her.  

Common conditions that may arise in the second trimester include increased energy, sinus aggravation, less stable joints/muscles causing pain, spider/varicose veins, heartburn and constipation.

The oils that will offer the most benefit during this time will target the digestive system, balance and focus, easing pain.

  • For digestion or indigestion – ginger and lavender, sweet orange, coriander, mandarin, cardamom
  • Aching muscles – lemon, ginger, rosalina, myrtle, cardamom
  • Sinus – Rosalina, myrtle, lemon
  • Overall balancing – lavender, geranium (not for use in early pregnancy), mandarin, petitgrain, neroli.

Essential oils in trimester three

The last 13 weeks of pregnancy are known as trimester three. During this time the baby has grown so much it is having a significant impact on the pregnant woman’s physicality. 

The common changes and complaints that occur include a decrease in energy, anxiety for impending birth, oedema, leg cramps. 

  • For inspiration and to invigorate – geranium, lemon, ginger, lemongrass
  • To promote sleep – a citrus base such as orange, tangerine or bergamot blended with lavender
  • To unwind, destress, relax – a citrus base of orange, bergamot or lime blended with geranium, patchouli, ylang ylang, or petitgrain, lemongrass, lavender, chamomile, rose geranium.  

Essential oils during labour and birth

Essential oils can offer support and calmness to the birthing woman, assisting her through each stage of labour, providing nurture, strength and positivity.

  • Inner power – mandarin, frankincense, ginger, rose, patchouli
  • Meditation – a citrus base or tangerine or bergamot, with lavender, frankincense, vetiver
  • Feminine – orange, ylang ylang, lavender, geranium, jasmine
  • Promoting contractions – clary sage, sweet marjoram, ginger, rose.

The baby can be greeted at birth by a mild pleasant aroma. The use of essential oils should be stopped close to birth to provide a more aromatically neutral environment as babies are very sensitive to smells. It is best for the baby to smell mum’s own scent to help with bonding.

Essential oils for the postnatal period

Common changes and complaints that occur after pregnancy and birth include exhaustion, physical tiredness and pain, emotional adjustments, hormonal changes, healing, breastfeeding issues. 

  • Breast engorgement – geranium
  • Healing emotions – lavender, patchouli, mandarin
  • Emotional tension – neroli, palmarosa, mandarin, chamomile.

Postnatal application of essential oils to the skin:

  • To help reduce stretch marks, help the skin keep its suppleness and elasticity by deeply moisturising using rosehip oil, helichrysum, lavender.
  • To assist with healing the perineum (tears, fissures, etc.) a lavender compress or lavender in water in a spray bottle can be applied to the perineum after going to the toilet. 
  • Soothe the skin for calming and relaxing – lavender, rose, roman chamomile.

Oils should be blended with a base oil or cream, diluted.

Always remember:

  • No ingestion of essential oils
  • Essential oils should always be packaged in dark glass and be 100% pure
  • Discontinue use immediately on an allergic reaction and seek professional advice
  • Do not ingest oils or apply undiluted on the skin
  • Keep essential oils out of reach of children
  • Oils contraindicated in pregnancy are: angelica, basil, bay, clary sage, cedarwood, cypress, eucalyptus, fennel, jasmine, juniper berry, myrrh, marjoram, peppermint, rose, rosemary, spearmint, Spanish sage, sandalwood, thyme, yarrow.

If you would like to get in touch with Jo Harris and find out more about her products and journey as an aromatherapist, please contact her at:

web: soularoma.com.au

email: hello@soularoma.com.au

Phone: 0457 698 480

Pregnancy Support And Dads: Supporting Your Partner

Most information about pregnancy focuses on the mama-to-be, but what about pregnancy support and dads? What role do dads take in supporting their partner during pregnancy?

Pregnancy is a time of celebration and excitement but there are also plenty of challenges. Dads play an important role in many ways during pregnancy, from conception all the way through to birth and beyond.

Believe it or not, dads supporting their pregnant partner is essential to her wellbeing, influences her birth experience and recovery afterwards. It also brings you together, strengthening your bond and creating a united team – your family.

How can you be the best support for your partner during pregnancy? Let’s focus on 5 important ways dads can offer support.

#1: Physical pregnancy support and dads

Pregnancy brings many physical changes, from morning sickness and tiredness to more physical effects such as sore joints and being unable to move easily. 

You can provide physical support to your pregnant partner to help her cope with these changes. It might she needs to make lifestyle changes, such as healthy eating, giving up unhealthy habits or taking up exercise. You can join her in the move to a healthier lifestyle, and offer encouragement and support. 

Pregnancy takes a physical toll on a woman’s body. Body aches and pains increase, she may get frustrated at not being able to do things easily, and feel generally uncomfortable all the time. Understand her physical limitations and be aware they will be constantly changing. Create opportunities for your partner to rest or provide caring support like a back massage or foot rub. 

Some women may feel self-conscious about how their body is changing. This can change their feelings towards sex. Talk to your partner about how she is feeling and be positive with responses. There are many ways to be intimate within your relationship. Cuddles, hugs and kisses may be the perfect support plan for now.

You can also support your pregnant partner by promoting a slower lifestyle, such as reduce busy schedules andcut back on socialising. If there are other children in the family, you can take on more of their daily care to give your partner  time to rest, meditate and prepare for birth, building a connection and bond with her baby.

#2: Emotional pregnancy support and dads

While often the attention is focused on the pregnant mama-to-be, dads can feel left out of the picture, a bit forgotten and ignored.  

Announcing your pregnancy news is a shared joy and any other celebrations  can involve you too. Pregnancy traditions such as baby showers or gender-reveal parties aren’t just for pregnant mamas – celebrating your new family together strengthens your bond as a couple.

Keep the lines of communication open. Often we wait until we’re asked to do something. Instead, specifically ask your partner to guide you in how to best support her. Make time to talk about how you’re both feeling about the birth and becoming parents. Ofter encouragement and reassurance and share your own concerns and worries, so you’re building a path of strength and resilience together. 

Hormonal changes during pregnancy can make pregnant women emotional and teary one minute, but bubbly and vibrant the next. They can even seem completely irrational at times.

It is important to understand these hormonal changes are out of her control. They can cause mood swings, reduce her energy levels and increase her need for sleep. The best way to offer support is by being understanding, comforting and encouraging her to take breaks and naps. A show of affection by offering a simple hug can make her feel loved and supported.

#3: Practical pregnancy support and dads

Taking on the essential daily tasks is a great way for dads to take the pressure off their partner, especially if she is still working. 

Pregnant women are giving so much of themselves to the growing baby they are often left depleted. You can assist or take over things like preparing meals, cooking, cleaning and washing, bathing other children.

Helping in this way is especially important when your pregnant partner is feeling particularly worn out or if certain cooking smells make her feel ill. 

Brainstorm ways your partner is going to need support after the birth of your baby and plan ahead. Will you take on cleaning and cooking, or should you organise a cleaner and meal delivery? Go shopping with your partner for items like prams and car seats.

#4.  Pregnancy support and dads

Being there from the start and being engaged is so important for dads. You can support your partner by attending pregnancy appointments such as ultrasounds and antenatal care check ups, helping to discuss options for care and planning your birth options. 

Take a proactive interest in being informed about pregnancy, baby development and birth. There are many well researched blogs and websites for you to choose from. 

Talk about the roles you will take on in parenting, what it means to you to be a parent and how you can share parenting roles. This can be a good time to work through any concerns about how you were raised and the things you want to avoid as a parent yourself. 

Dads can talk to their unborn baby to begin building a connection. By the third trimester babies can recognise voices and love to hear talking and singing. You can talk to your baby in your partner’s belly, to help build a bond with the baby and start developing your family connection. 

#5:Birth preparation support 

Dads can be supportive by preparing themselves to be the birth partner their partner will  need during labour  and birth. Nurtured Birth offers a specific workshop for partners to encourage them to be the best birth partner.

You can read up on the process of labour, and the varied scenarios that can occur in labour. You can start to think about your role in the birthing process, making sure to ask questions during antenatal visits. This makes it clear to health professionals you’re involved and want to be included too.

Attend birth classes and be proactive in your involvement. Nurtured Birth offers tailored and in-depth private childbirth education sessions you can enjoy in the comfort of your own home. Having a doula support you and your partner through pregnancy can be a wonderful way to connect and work through your fears and expectations about birth. 

During labour, make sure you are the best support by being her advocate and stay engaged with her choices and preferences. You can have an active role in birth by catching the baby, cutting the cord, supporting your partner to have a golden hour after birth, and enjoying skin to skin with your baby.

And finally…

You need to support yourself too. You still need to have some breaks yourself, if that’s time for exercise or visit friends or focus on a hobby.  Make sure you self-care, whatever this might mean to you.

You can always reach out to other partners to share feelings, ideas and tips. This can be family and friends, or you can make connections through childbirth classes and parenting groups. There are lots of resources out there for expectant partners.

Need to talk to someone for more information and advice?

Call Pregnancy, Birth and Baby on 1800 882 436 to speak with a maternal child health nurse.

Raising Children Network, supported by the Australian Government, has videos, information and more available, such as the ‘Dads Guide to Pregnancy’. Go to raising children.net.au 

Mensline Australia offers support and counselling services on 1300 78 99 78.

Beyond Blue offers support and advice for new dads on 1300 22 4636. You can download the book Emotional health and wellbeing: A guide for new dads, partners and other carers. There is a wealth of information and support on becoming a parent and what to expect.

PANDA National Helpline 300 726 306 for help for dads, parents and carers, specialising in prenatal and postnatal anxiety and depression.

Written by Sharon Clarke, Remedial Massage Therapist at Nurtured Birth

 

Home Birth During Covid-19

Home birth during Covid-19 is a choice many women are considering as they search for safe and alternative birth options. 

Pregnancy is an amazing time as your baby grows inside your body and you prepare to welcome a new person into this world and into your family. 

As your due date draws nearer there can naturally be some apprehension and uncertainty of what is to come during the birth. 

This is even more so in 2020 as women seek support and care during pregnancy and birth during the Covid-19 pandemic. 

Juliana Brennan is a private midwife, director of Mamatoto Midwives and a mother of three. She shares with us an amazing insight into the world of private midwifery and home birth during Covid-19.

How are you at this time? 

Well, a bit more settled now, but like everyone else there was so much upheaval and concern over the health of all our community, my family and especially my elderly parents.  

My biggest fear was not knowing much about the virus, the panic buying, children being taken out of school, social isolation and my son is in year 12…what is this going to mean for him?

I am glad we have had some restrictions lifted but I am still very much practicing social distancing to keep myself, my family and my clients safe. 

What is it like for you as a midwife at the moment? 

I’ve always been very busy and my practice is consistently booked out every month, however now I have been inundated with enquiries from women wanting home birth – even from women with very serious risk factors which normally excludes them from homebirth. 

These women have reached out because they were only allowed one support person in labour at the hospital and they really wanted that extra support person as well as their partner. 

Also they are fearful of contracting Covid-19 from the hospital setting…after all that’s where the really sick people will be…in hospital! So I have referred many women on to other midwives as I am already booked out until the end of October.

Many of my hospital shared care/hospital support clients who are experiencing an uncomplicated pregnancy have changed over to a homebirth. This is because they couldn’t have the support they wanted in the current hospital setting, but also they didn’t want themselves and their families possibly being exposed to Covid-19.

It’s a tricky situation as you really have to want to have a homebirth, and feel safe at home to be safe for a homebirth. Merely wanting to avoid a hospital for birth isn’t a good enough reason to have a homebirth.

I will still be careful in choosing my clients who are suitable for homebirth, both physically and emotionally.

What’s it like for prenatal clients who want to home birth during Covid-19? 

We have moved most of our education and appointments to an online format via Zoom.  Women we are meeting for the first time we would only see online. Our clients needing a check up we would see first online, then they would come into the clinic for a 10 minute visit for a check of blood pressure, baby’s growth and heartbeat. 

My clinic in Clifton Hill, where I work alongside natural therapists on the first floor, was closed down. Below us is a hairdresser that also closed down.

My sister came to the rescue and allowed me to use her clinic in Kew. She stopped seeing her clients face to face, so her offices were free for me to use. I must say, I really like the space. My colleague Danielle works out of one office and I work out of the other…so we are both doubly lucky to be able to say hello to one another’s clients and of course catch up in between clients! 

My new clinic room in Elwood at This is Life also closed down, so the lovely midwives from Mama allowed me to use their rooms…but now the Elwood clinic has reopened, so I am back there seeing my Bayside clients on a Saturday morning.  

My clinic room in Chirnside Park at Koru Natural Therapies has remained open, so I have still been able to see my clients there too.

Of course adhering to the strictest hygiene, washing down beds, tables and changing linen in between clients and of course lots of handwashing!

Overall my prenatal clients all decided to self isolate as much as possible. Especially from 37 weeks…this was my recommendation. Many women were anxious I may have to change their birth plans if they were planning a homebirth, but I reassured them if they were willing to self isolate and so was I, then we were at very low risk of contracting Covid-19.

What changed significantly for the hospital system was the decision to allow only one support person in hospital. This meant one of my clients wanting a vaginal birth after two c-sections (VBAC2C) chose me to support her in hospital instead of her husband! What a responsibility! 

For others it meant dropping women off at the emergency department and staying in close contact via phone or Zoom. Not ideal, but I completely understand the issues surrounding social distancing and protecting clients in hospitals and also hospital staff.

I do think two support people should be allowed in birth suites from now on…as Australia seems to have the infection under control much more so than other countries.

Have you adjusted your postnatal care? 

Home birth during Covid-19

Postnatally I am still happy to do face to face appointments, as long as clients and their families don’t have a cough, fever, or sore throat.

If they do, I arrange testing for them and wouldn’t visit if they had symptoms. This actually hasn’t happened…probably largely because my families all isolated fairly strictly prior to their births.

What is home birth during Covid-19 like? 

For my clients it is self isolation from 37 weeks of pregnancy then the birth at home is the same.  

My recommendation for women that have a fever in labour be transferred to hospital. Usually we would transfer anyway, after eliminating other reasons for fever such as dehydration. 

This guideline has been debated amongst my colleagues; some feel we should still keep women home if they have Covid-19 symptoms if they don’t seem too unwell.  My concern is leaving four hours after the birth and not being able to supervise all the time as well as the unknown effects of the virus on the unborn baby. In hospital the woman and baby would have constant supervision and care. 

It is definitely an issue for me if hospital transfer is required. I did have one first-time mother needing a hospital transfer in labour…and of course I had to hand her over to the hospital staff. I kept in very close contact with her partner and he called me regularly to ask for my advice. It still isn’t the same as being ‘with woman’ and it saddened me deeply…as I am her main care provider and I develop a strong bond with my clients.

How are you navigating any possible Covid-19 pregnant or birthing woman? 

The first thing to do is arrange testing and to self isolate until the results come back. If the woman presents with symptoms in labour I do have full PPE available.

So far none of my clients have had respiratory symptoms, so I haven’t had to worry about it. I think self isolating since 37 weeks has made all the difference.

What are the pros of a home birth during Covid-19? 

Well staying out of hospital is definitely a positive!

If hospital is needed, not being able to take your primary care provider with you due to the one person support policy is a real issue. Continuity of care leads to good outcomes in birth, but Covid-19 is a real threat and hospitals have to enforce the rules! 

What is birth like for healthy and well women at this time? 

They are being exposed to hospital environments, then discharged home very early, with NO follow up except phone calls from maternal and child health nurses (MCHN). Some MCHN refused to visit, some GP’s wouldn’t do contact appointments.

Thankfully one of my colleagues was able to offer postnatal face to face care to many of these women which meant breastfeeding could be fully supported and of course she could weigh babies and make sure they were thriving. My own clients had the same care as they would have had before Covid-19.

What are the main challenges birthing women are facing with these new protocols? 

Women who wanted two or more support people have had major issues adapting…many women choose to have private midwives at a hospital birth to advocate for them, and then facing this loss often meant changing to a home birth.

What are the main challenges for Independent Midwives in during this pandemic? 

Making sure we don’t contract the virus! Keeping our clients safe! Hospital protocols around one support person.

Nurtured Birth would like to thank Juliana for her contribution to our blog.

If you are considering an independent private midwife for your pregnancy and birth, Juliana Brennan is very experienced and deeply caring.

Home birth during Covid-19

Juliana can be contacted at Mamatoto Midwives for a comprehensive choice of maternity care options.  

Juliana Brennan

Mamatoto Midwives

juliana@mamatotomidwives.com.au

0419 253 778

At Nurtured Birth we love supporting independent midwives and working alongside them to enrich the continuity of care we know through research it results in better birth outcomes, improving mothers experience antenatally and postnatally.

We love it when our clients thrive therefore we have developed our practice to compliment maternity care by offering a range of pregnancy care options with pregnancy massage, osteopathy, doula support, childbirth education, naturopathy, pre & postnatal yoga, mothers groups too.

All this is our heartfelt vision to enrich, nurture, nourish and support a mama’s pregnancy, birth and beyond.

Written by Sharon Clarke, massage therapist at Nurtured Birth

Spectacular capture at the top by Bree Downes