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How to Choose a Quality Provider (Midwife or OBGYN)

11/7/2023

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​Are you pregnant in Nashville and wondering how to choose the right OBGYN or midwife for your pregnancy and birth?  Here are some of our top tips.

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Choosing a quality midwife or OBGYN for your pregnancy is an important decision and is key to having a positive birth experience.  Like many of the decisions in pregnancy, it can also feel overwhelming. You want to find someone who you feel comfortable with, someone you trust, and someone who you know will provide you with the best possible care. In our work with Nashville families, we have found this process to be helpful in choosing your provider:

Ask Yourself:

  • What matters to you?  Get specific on what you are looking for in a provider.  Is it the amount of time they spend with you, how they make you feel, whether they tend to recommend more natural recommendations, their approach to care, etc.  Do you have specific goals such as unmedicated birth, VBAC, spontaneous labor/avoiding an induction, over 35 years of age, etc?
  • What type of provider do you want, an OBGYN or midwife?  To learn more about the differences in midwives and OB’s, check out our blog post, Doulas, Midwives, and OBGYN’s Explained
  • Where do you want to give birth?  Do you want to give birth in a hospital, birth center, or home?  Do you have a specific place in mind?  Things to consider are hospital policies, location, and the financial aspect such as insurance coverage.  Check out the Nashville Birth Place Comparison Guide, to see a side-by-side comparison of local hospitals and birth centers on many of their major policies and options. 
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​Reach Out For The Intel:

  • Ask your friends, family, and coworkers for recommendations, but don’t be afraid to step out and try something new if it is calling you.  Sometimes, joining a local mom’s Facebook group can be helpful.  You can search the group for specific provider names to see if there are trends in feedback.  You can also pose a question to the group about specific providers or general recommendations. When gathering info on providers, be specific for what you are looking for (type of provider, location, what matters to you) so that answers are more specific.  For example:​
    • “I’m looking for a naturally-minded OBGYN or midwife that takes time and listens, etc.”
    • “I’m looking for a homebirth midwife that accepts VBAC patients.”
    • “I’m looking for an OBGYN that is trauma-informed and respects my preference for minimal cervical checks, and is open to me delivering in whatever position I choose.” 
​​As with all reviews, keep in mind that not everyone has the same values for care, so use that as another filter.  
  • Ask us! Set up a consult to chat through what you are looking for in your birth and who/where might align.  We have experience with dozens of Nashville midwives and OB’s in most of the major birth places in Middle Tennessee (St. Thomas Midtown, Vanderbilt Hospital, Vanderbilt Birth Center, TriStar Centennial, TriStar Summit in Hermitage, TriStar StoneCrest in Smyrna, Williamson Medical Center in Franklin, St. Thomas Rutherford in Murfreesboro, and many homebirth midwives).  We also help you to know which questions to ask your provider based on your specific health profile and preferences, so you can have productive and richer doctor visits.  ​

Tour and Interview:

  • Tour the birth places and ask questions relevant to your wants and needs.
  • Schedule a visit with your short list of providers and see who you feel most comfortable with. Ask questions about their philosophy of care, their experience with different types of births, and their availability.  Pay attention to how the provider makes you feel. Do you feel comfortable and supported? Do they listen to your concerns and answer your questions? Do they make you feel like you're in control of your own care?

Don’t be afraid to Switch Providers during Pregnancy:

  • We can’t always get a full feel of the provider and their style of care in an interview.  If you begin to have doubts about your care while pregnant, work to communicate directly with your provider to see if you can work through it.  If not, take the steps to explore other options.  We have had several families do this and they don’t regret it.   We shouldn’t have to sacrifice how we feel with a provider for quality care.  We can have both!  Don’t be afraid to put in a little extra work to switch providers.  This is your birth experience and it is worth it!
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Building Your Baby Registry

10/10/2023

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You asked, we answered! We get tons of questions about baby registries from our families. What should you include, what should you not? What is worth the price, what is not? Diapers, swaddles, baby wipes, nipple cream, etc. 🤯So, we decided what better way to answer your questions than to poll our very own 615 Doula Co. community and get their opinions! On October 4th-10th we did just that and received dozens of answers in our question boxes and polls. Not to mention, the dozens of DMs we got from mamas who were passionate about their favorite products and just could not fit it into a question box! If you weighed in, thank YOU!

So, without further ado, here is the master recap of all things baby products, gear, services, and more! We have made it easy for you, by gathering only the most commented on or recommended items. Oh, and Amazon shoppers, don’t forget to ‘add to cart’ and save while the Amazon Prime Deal Days are going on (10/10 & 10/11). Happy shopping!

The Essentials and Logistics

What are the must-have items to add to your baby registry? 

While there were no clear top two winners, the most commented on must-have items were:
  • 2 way zipper onesies - an absolute hands down must!
  • Keekaro peanut- easily wipes off for messy diaper changes without having to wash and change out pads
  • Kyte baby sleep sacks
  • Velcro swaddles - keep reading for favorite brands!
  • Baby Bjorn bouncer - even though this is a pricier item, moms swear by it!
  • Portable, rechargeable stroller fan 
  • Baby carriers - almost all moms commented that you must have 2! A wrap style one for newborn/early infancy and a more structured carrier for 6 months onward
  • Haakaa - to catch letdown for breastfeeding. However, a lot of lactation experts suggest a more passive milk collection cup instead so as to not encourage an oversupply.
  • Sound machine - The most recommended were the ​​​
              1. Dohm because it gives a more natural white noise sound similar to a fan
              2. Hatch because you can control volume and sound from your phone plus it has different night light                          features
              3. 
A portable, rechargeable sound machine
What is a priority for your registry?
   
​Every mom has a different priority for her baby registry; whether it be adding luxury items, adding services, having a budget friendly registry, or only adding minimal items or the essentials only. It was clear that the 615 Doula Co. moms’ priority were adding minimal items or essentials only with a whopping 52% of moms choosing this option (Hello, fellow Marie Kondo fans!), and the clear second winner was making sure the registry was budget friendly (26%).
Which platform(s) did you use for your registry? 
   
​There are so many stores and online sites that offer baby registries, from Walmart and Target, to Amazon and Babylist, it is hard to know which one(s) to register at. For many moms, they choose where to register based on what stores are nearby. It makes returns and exchanges easier. However, for some moms, they would rather only use websites so they can mail back returns or make exchanges that way. The 615 Doula Co. moms are clearly website people! 55% of moms reported they used Babylist for their registry, claiming it was so easy to use because it allowed friends and family shopping their registry to see the best prices for items and which different stores carried that item. It was an easy place to view everything at once. However,  35% of moms used Amazon and loved that option as well.
What item(s) could you do without?
   
​There were two clear winners for items that moms felt like they could live without: a swing, and a Boppy nursing pillow. Many moms stated that their baby was never a fan of the swing so they truly felt like it was a waste of money and space in their house (hello, big bulky swings). We were a little surprised to hear that the Boppy nursing pillow was a top item moms could ‘pass’ on, so we took the debate to DMs and found that breastfeeding moms found them cumbersome to feed with because they would slip out from under baby and create an awkward gap between baby and mom. These moms opted to use no nursing pillow or some loved the “My Breast Friend.” 

Interestingly enough, we had a couple moms communicate polarizing views on the famous countertop bottle sterilizers. What we found after having some conversations with them is it seemed like moms who use formula or exclusively pump consider the bottle sterilizer an absolute ‘must-have’ item. While, moms who exclusively breastfeed consider it an item to pass on.
What is/was your favorite swaddle?

​There were two clear winners in the swaddle department, and to our surprise both are very reasonably priced! The Halo swaddle came in as the top contender.  The runner up was the Swaddleme! 

Diapers and Wipes

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So what is the deal with diapers and wipes?! Well, let’s get down to the nitty gritty (no pun intended 🤭; sorry, I have a 6 year old and we are still in poop-joke land) and talk about favorite brands and what is most important to moms in a diaper/wipe.

What is your favorite diaper brand? 
   
​As a first time mom, you tend to hear a lot about how diaper brands and/or styles are dependent upon gender. However, we polled moms that had both a boy and a girl and 91% of those moms reported gender did
not matter for their favorite diaper brand in style or function.  Phew, one less thing to worry about!  It also can be difficult when choosing a diaper to know what is most important to you, whether that be clean ingredients, price/convenience, functionality (aka no leaks), or cloth. To our 615 Doula Co. moms, functionality was the clear winner of importance with clean ingredients coming in as a close second. 
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While there is not a clear winner for diapers, what a lot of moms do is add a bag of each of the brands in their registry and try them out to see which they like best. Here are the top 5 diaper brands 615 Doula Co. moms love:
  • Pampers
  • Coterie 
  • Hello Bello
  • Millie moon
  • Cloth

What is your favorite wipe brand?

Similar to diaper brands, there are many reasons you might choose a wipe from how well it grips poop, to the moisture level, to if the wipe has clean ingredients, to how it comes out of the package. The 615 Doula Co. community is passionate about this topic and clearly chooses a wipe based on 1. Clean ingredients and 2. poop grip. Here are the top 4 brands for favorite wipes:
  • Honest
  • Hello bello
  • Water wipes
  • Millie moon ​

Breastfeeding Supplies

What supplies were worth the hype?
   
We hear from a lot of moms about so many products that are ‘worth the hype’ and it can be overwhelming to have so many options. Our 615 moms reported these two items that were 100% ‘worth the hype.’ 
  • Silverettes
  • Haaka ladybug collection cups

What were your favorite breastfeeding/nursing bras?
   
There are a lot of nursing/pumping bras on the market. Here are the top two most popular:
  • Kindred bravely 
  • Bodily 
If you are looking for a more budget friendly option, Target (Auden brand) and Amazon have some great ‘dupes’!

Favorite pumps:
   
We find that a lot of moms like to have a hospital-grade pump to use as their primary pump for 90% of the time, so as to keep up a healthy milk supply, and a more convenient or wearable pump for the times they just have to be on the go. These were the top answers for both hospital-grade and wearable options:   
  • Hospital grade
    • Medela 
    • Spectra 
  • Convenient/wearable 
    • Pumpables (more affordable option)
    • Medela hand pump
    • Elvie stride plus 

Many moms do not realize that their insurance should cover a pump. Make sure to check with your OBGYN or Midwife and ask them how you can get a pump covered through insurance! 

Baby Wearing 

There are many ways to wear baby, whether it be a ring sling, structured carrier, or wrap. After talking with moms, we have found that it truly depends on baby’s preferences and mom’s preferences. However, 615 Doula Co. moms clearly loved the combination of a carrier wrap for the first 4ish months and then a structured carrier once baby was older. 
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Which was your favorite carrier?

The landslide winner for a carrier wrap was Solly Baby. Moms loved how soft, stretchy, and compact it was for on the go. However, there were three pretty close winners for favorites of more structured carriers
  • Artipoppe
  • Babybjorn 
  • Ergo baby

Postpartum Care Items

We know as moms, we tend to put ourselves last. Postpartum care is no exception to this (even though it should be, because mama you need all the support and care! You are healing!!). So in order to keep your healing as a top priority, it can be really helpful to put these items on your registry to make sure you have all you might need ahead of time! These are the items we hear most moms rave about:
  • Peri bottle of some sort (Frida Mom is super popular because of the curved spout) P.S. don't try to sterilize the squeeze part of the bottle the old school way with boiling water. It shrivels up into a little plastic ball🤣
  • Disposable panties for the first few days (Depends Silhouette Active Fit or Frida Mom)
  • Padscicles for the first two days (you can make your own or Frida Mom has some instant ones as well)

Splurge Items

Who doesn’t love to talk about, research, and dream about those baby splurge items? We all know that specific item that comes to mind when we think “Oh, I would love to have that!”  Here is what our moms had to say about what splurge item was totally worth it:
  • The Nanit
  • Nuna carseat and/or stroller
  • Doona stroller
  • The Snoo *nothing like stirring a little controversy* 
  • Slumberpod for travel
  • Snuggle me

Some other less common ones we heard were: Guava bassinet, Baby Bay Cosleeper, Happy Baby carrier, Mockingbird stroller. 

Services

A new trend we are seeing is adding services to your registry (i.e. doula, pelvic floor therapy, meal services, lactation support, and more!) Many parents feel uncertainty about the etiquette of including services and then the logistics of how to make it happen.  Here are a few things to consider when choosing if adding services is right for you:

  • Most families did not include them on their registry, but wished they would have.
  • There is a big block for women on how to include services. Many registries do not offer an option to do so, so it can be hard to navigate how to add them to your registry. Here are a few ways you can add services to your registry:​
            1. If you have your registry on Babylist there is an option for shoppers to fill out a blank card and then                        drop their venmo in the details for services.
            2. Ask for cash instead of gift cards and use that cash to book a service. The best way that this is                                  successful is to have an organizer who asks for cash on your behalf. For example, this could be your                        workplace. If your workplace is throwing you a baby shower, have whoever is hosting it ask for cash                      only towards a specific service.
            3. If you are having a smaller baby shower with just a few close friends, request that they all go in                              together to buy you a service on your wishlist.
Local to Nashville?

We are connected to some great local Middle TN service providers that you can add to your registry: from lactation to pelvic floor therapy and everything in between! Below are a just a few of the wonderful providers in the area:
  • The Pelvic Yogi (she has had a few clients gift her services to friends or family before)
  • Archer Physical Therapy​​
  • RealisticallyFed
  • Golddust Lactation
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Looking for Your Birth Team in Nashville?  Doulas, Midwives, and OBGYN’s Explained

10/6/2023

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Are you in the process of building your ideal birth team and wondering which professionals are the right fit for you? Doulas, midwives, and OBGYNs play distinct roles in supporting families throughout pregnancy, birth, and postpartum. In honor of Midwifery Week, let's delve into the world of midwives 💕.

What is a midwife?

Midwives provide a wide spectrum of care, ranging from routine well-woman examinations and pap smears to fertility support, contraceptives, guidance during menopause, and continuous care throughout the stages of pregnancy, childbirth, and postpartum. In Tennessee, all midwives collaborate with OBGYNs to ensure appropriate care in the event of pregnancy or birth complications requiring specialized skills.

In many countries, midwives are actually the primary care providers for well-woman and pregnancy care. For instance, in some Northern European countries, midwives attend two-thirds of births.  In America, we are beginning to see more women opt for the care of a midwife for a lower intervention birth.  In 1990, only about 4% of births were attended by midwives, but in 2017 that number was up to about 9%. 
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What is the difference between midwives and OBGYN’s?

Midwives are experts in normal birth processes and often provide holistic, patient-centered care. OBGYNs specialize in surgical procedures and high-risk pregnancies, but the division between high-risk and low-risk can be nuanced. Midwives can work with families facing some risk factors, such as gestational diabetes or high blood pressure. However, OBGYNs are essential for medical procedures like c-sections and repairing severe vaginal tearing.​

What is the difference between midwives and doulas?

Doulas are not medically trained but offer invaluable support in mental/emotional, physical, educational, and advocacy capacities. Their style of support can vary greatly, so it's essential to explore what resonates with you.  At 615 Doula Co, we are happy to share more about our intentional approach.

Types of midwives:

  1. Certified Nurse Midwives (CNM) are registered nurses that have also completed a master's degree in nurse midwifery. The hospital-based CNMs even support patients that choose epidurals (common myth!).  Hospital and Birth Center Midwives in Nashville are all CNM's.  There are also a handful of homebirth midwives that are CNM’s in Middle Tennessee.  
  2. Certified Midwives (CM) also have a master's degree in nurse midwifery, but their undergraduate degree is in a different area. Certified Midwives practice in the home birth space in TN.
  3. Certified Professional Midwives (CPM) practice after passing a competency exam by the North American Registry of Midwives. CPM's are present in the home birth space here in TN.  ​
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The Evidence-based Benefits of Midwifery: 

Numerous global studies have highlighted the benefits of working with a midwives, including improved maternal mortality rates, decreased need for a cesarean, lower rates of labor induction and augmentation, and decreased incidences of 3rd and 4th degree tearing (those are the severe, but luckily less common types of vaginal tearing). 

If you're a fan of data and research, you're probably familiar with the Cochrane review. While their findings are more limited, they are still compelling. In their analysis of hospital-based midwives, they found that women receiving midwife-led continuity models of care were:
  • Less likely to receive epidurals
  • Less likely to have instrumental vaginal births
  • More likely to have spontaneous vaginal births
  • More satisfied with various aspects of their care

Notably, the Cochrane review confirmed that there was no increased risk of adverse outcomes for women or their infants associated with midwife-led care.

Local to Nashville?​

  • If you want to learn more about the OB and Midwifery practices at each Hospital and Birth Center in Nashville and Middle Tennessee, download our FREE Nashville Birth Place Comparison Guide. 
  • If you're considering a homebirth midwife, we can recommend some great ones! Regardless of your preference, booking a consultation with us is a great next step. Let's chat about your needs and preferences for your care. We're excited to be your first stop on the journey to building your ideal birth team.
Sources // Cochrane Library / Evidence Based Birth / Healthline / American Pregnancy
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Eating & Drinking During Labor

11/24/2020

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Labor is called labor for a reason. It is hard work. Not necessarily work that you have to put in as it happens involuntarily, but your body and the wondrous organ that is the uterus is working really hard during labor to get the baby in the right position and to push it out of your body. Hard work requires energy and that is where food and drink comes in! 

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Have you ever wondered why many hospitals do not allow eating or drinking during labor? This overwhelming trend in hospital “policy” is for fear of aspiration (throwing up and choking on it) if general anesthesia (getting “knocked-out” and intubated) is needed. This started in the 1940’s when the drugs and tools used while providing anesthesia were very different. Luckily the field of anesthesia has drastically improved, making the probability of aspiration extremely rare. Some hospitals are heeding the newer research and changing their policies for low-risk pregnancies.

Many women feel that they could use a little nourishment, especially during long labors. Some women report no desire to eat during labor, especially as it intensifies. In quick labors there may not be time for it. 

Your body. Your taste. Your choice.  

If it is early labor, by all means, eat a well-rounded, nutritious meal until satisfied. Heavy meals are sometimes later regretted. 

Here are some food ideas that I have found laboring people like:
  • Hydrating drinks like water, gatorade, juice, coconut water, or bone broth
  • Peanut butter crackers or other nut butters
  • Bars like nut, fruit, protein, granola, etc. 
  • Fruit like berries, grapes, etc. 
  • Honey stick

If you ate during labor, what were your foods of choice?

When is a pregnancy no longer low-risk and fasting is recommended?
Planned c-section. There are also some other potential factors that might increase your chances of aspiration such as: airway issues, eclampsia, pre-eclampsia, obesity, or opioids in your IV, but they haven’t been thoroughly studied. An epidural does not take you out of the low-risk category, but waiting a while after it is placed to make sure it doesn’t cause nausea is advised.  

Compare the eating policies at the local hospitals by downloading the Nashville Birthplace Comparison Guide.

Sources // Evidence Based Birth

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    Meet Nicki

    Hi, I'm Nicki! I am a Nashville based Doula and founder of 615 Doula Co! My favorite part of working as a Doula is supporting families through the life transitions of pregnancy, birth, and postpartum life.

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