I hope this post serves to soothe some anxieties, and explains how your doula can still support you in this tumultuous time. If you have any questions or concerns, please do not hesitate to contact me!
My Doula Bag - Updated
A few years ago, I posted about my doula bag and it’s contents. Things have changed since then, and I wanted to re-write the post to tell you about it. I’m still using my ZUCA bag; it’s compact but has plenty of room for my supplies. The double wheels make it roll easily and quietly, and handle steps and curbs with ease. Also, the top of the bag is a seat, that I’ve found very handy at the side of a hospital bed or sitting behind a laboring person on the birth ball.
I purchased the organizing pouches that fit in the ZUCA to keep things neat and accessible. First up is the largest pouch that sits on the bottom of the bag. This one isn’t too exciting, it’s my personal bag. These items come in handy for long births when I need to freshen up.
Personal Pouch
*Full Change of Clothes
*Brush & hair ties
*Toothbrush, toothpaste, mouthwash
*Wisp toothbrushes
*Deodorant
*Medications
*Saline spray & artificial tears (hospitals are very dry!)
Fairly self explanatory, the next pouch is my Snack Pouch. These are mostly for me, but sometimes are helpful if the family didn’t pack any or labor is moving quickly. This pouch also holds mints and hard candies, to freshen breaths and soothe dry mouths. I also like to have Awake Chocolate for a caffeine boost when I can’t get a cup of coffee or tea.
Now we get to the fun stuff, all the doula tools and tricks! I’ll explain each of these as we go.
Environment Pouch
*Battery operated candles - these are a great way to calm the room, turning down the lights increases melatonin, which has a synergistic effect with oxytocin!
*Washcloths - hospital washcloths are scratchy and sterile white. I bring soft, colorful ones for my clients. These little touches make a big difference!
*Ice bag - if cool cloths aren’t enough, or the laboring person wants cold on their back or hips
*Contact solution & lens case - again, hospitals are very dry and this is an item easily forgotten by clients and their support people
*Honey sticks - I use these to give laboring people or a woozy support person a quick boost.
*Acupressure bands - these are great for points in the wrists, especially P6 for nausea.
Remedies Pouch
*Rescue remedy tincture & pastilles - these are a great way to soothe an anxious laboring person or support people!
*Calm, Focus, and Tummy drops from Calm-A-Mama - I don’t use these often, but I have them for my clients to use at their discretion.
*TENS unit and accessories - this is a great tool for early labor! Read more about it in this post.
*Essential oils, carrier oil, and gauze squares - there are a few oils that are useful for labor when used with discretion. I rarely put them directly on the laboring person, as their sense of smell is very sensitive, and I want to be able to get the smell out of the room if needed. These are in the clear packing pouch and sit on top of the other items in this pouch.
Labor Tools
These are the items I use at nearly every birth I attend, so they reside in the small pouch right on top.
*Unscented lotion - I use Lubriderm since it is so lightweight and non-greasy. and I am not allergic to it. My clients tend to want a lot of massage, counter pressure, and/or acupressure, so this gets used quite frequently! I also have a little tube of magnesium lotion, which is great for leg cramps.
*Tennis balls & massage tools - these help me save my strength when moms want massage or counter pressure for long periods of time.
*Saline spray & artificial tears - another set, this one for my clients! Hospital air is so dry, and dry eyes or noses are annoying in day-to-day life, but even more so in labor!
*New chapstick - dry lips are really common in labor, especially when laboring people are coping with deep breathing or moans and groans.
*New hair ties and clips - a flyaway hair is a nuisance, especially in labor!
*Bendy straws - a doula staple! It’s so important for laboring people to stay hydrated, but it is hard to drink out of a cup in some labor positions.
Whew! We made it through all the pouches! Lastly, I have a few items that ride loose in my doula bag, or in the interior pockets.
*Rebozo - an incredible tool! Rebozos have an amazing history and have been used for centuries to comfort pregnant people and those in labor. If you want to learn more, come to a class! The wooden spoon goes along with this in order to make hip squeezes easier!
*Phone charger - I have to stay in contact with my family, and occasionally other clients. I also use my phone to look techniques or positions up when I’m out of ideas!
*Reference materials - these are great when I want to share a technique with a nurse or support person before trying it, or when I need new ideas.
*Thank you notes - I love to give a little note to great nurses and providers! Personal connections matter, and I’ve made friendships with nurses from this small gesture.
*Business cards - always good to have on hand!
*Lactation keychain - the bead on this keychain represents the stomach of a newborn. It is a great tool to help encourage moms who are concerned about babies’ small, frequent feedings.
That’s it! I hope this blog was helpful to you. I would love to know what your favorite tool or trick in your bag is, so leave a comment below!
My Doula Bag
It's always an interesting discussion in groups of doulas about our bags. Some believe they just need their heart, hands, and voice. Some add a change of clothes and a few snacks. Some carry essential oils and massage tools. Everyone is different! A common belief is the bigger the bag, the newer the doula.
I'm not sure if that's true, to be honest. I definitely feel that my heart, hands, and voice are my most important tools. But, I like my other tools and tricks. I may be an over packer and over prepared, but I never want to be at a birth and think "Oh! I wish I had some peppermint oil to help with her nausea..." or "My arms are killing me, I wish I had a massager to give more pressure."
My current doula bag is a Zuca bag. I love that it is compact, has lots of pockets, and handles curbs/stairs/parking garages smoothly. Plus, the top of the bag is made to be a seat!
Snacks- sometimes I'm at a birth for hours, sometimes for a day or more.
Honey straws, & hard fruit candies- a 'clear fluid' pick-me-up for clients, me, or a woozy partner.
Mints & gum- you have to keep your breath fresh around a laboring client, even if you're surviving on coffee :)
Toothbrush, mouthwash, & deodorant- nice to take a moment and freshen up. Such a simple thing can really be a pick me up at a long birth.
FULL change of clothes- sweat, vomit, and amniotic fluid happen. Sometimes you need more than just a shirt!
Jacket- folks in labor often want the room pretty cool, and I think hospitals are always cold!
Kneeling pad- this gets used by myself, client, and partners. Hard floors do a number on your knees.
Washcloths- if you didn't know, hospital ones are scratchy and sterile white. I bring thick, soft, colorful ones for my clients. It's one of those little things that can really make a big difference.
Rice socks- I make these out of soft flannel. These are warmed and used most often for back pain in labor.
Ice bag & cooling towel- Labor is hard work, and sweat happens!
Massage tools, lotion, & massage oil- fairly self-explanatory. Sometimes you need more pressure or more focused counter pressure than my hands can give. My favorites right now are an acrylic 'spider' and tennis balls.
New chapstick and hair ties- these are items clients need often, but forget to pack.
Rebozo- an incredible tool! Rebozos have an amazing history (future post!) and have been used for centuries to comfort pregnant people and those in labor.
TENS unit- TENS units are an interesting tool. To learn more, visit the tab under 'Services' above
Essential oils- Controversial, I know. I absolutely do NOT make a client use these. I don't even pull them out unless a specific situation arises where one may help
iPod and portable speakers- sometimes, families don't think they want music, then the room is suddenly too quiet! I keep an iPod loaded with a variety of instrumental music.
Tablet- client files, reference materials, communication with colleagues, and books for when mom is sleeping or taking some time alone with her partner.
Birth ball & cover- this actually only comes with me if we're not sure the birthplace will have one, and stays in my car until we know we need it.
Reference materials- these change often. I currently have the Labor Lab booklet, an essential oil 'cheat sheet', and medication reference cards from my training organization.
Thank you cards & business cards- I LOVE writing a little note to my client's providers, especially if it is my first time meeting them. The little things we do truly make an impact!
Standards & Scope
There is no one, single definition of the scope of a doula. Each doula training organization defines these for themselves. These are the standards, scope, and other information from the organizations I have trained and certified with. I am proud to be a part of these organizations, and honored to hold myself (and be held) to these standards.
New Beginnings
Statement of Professionalism
Scope and Standards
Code of Ethics
Stillbirthday
Principles of Service