Comfort Measures for Mom: The Inside of My Doula Bag!

Over the last 4 years I have gathered quite a ďbag of tricksĒ that I bring along to births that I attend as a labor support doula. Some of what is inside my bags was passed on to me from other doulas, some of the things I picked up at my recent Midwifery Assistant class at The Farm and some I figured out on my own.

I donít always use everything that I bring along, but it is nice to always have the option should I need something that could provide comfort to the mother in labor.

I personally only bring one bag along, a back pack, since I want to have my hands free to help the mother and carry anything that she needs. My back pack has three compartments. So letís start with the front and work our way back.

Small front pocket

My watch. I donít always time the contractions, but I like to get an idea of how long the contractions are lasting and how far apart they are. Plus, I keep detailed notes of all internal checks and other relevant information, for example, when we go to the birthing center or hospital or when the water breaks.

Pens and Notes books. This is for my note taking.

Toothpicks- I often bring cut fruit for everyone that will be involved at the birth. This is a good way to create diplomatic relationships with the hospital staff. Plus, I am a strong believer that laboring women should not be starving themselves. So if mom wants a piece of easily digestible fruit, it is right there waiting for her. (I also bring frozen grapes since they also have natural sugar and are refreshingly cold)

Those that have given birth might be confused to why I bring food since many hospitals state they only want the patient to have only clear fluids or ice chips. Here is my reason: Lamaze International states: ďA recent review of the research on this topic found that there is no evidence that restricting food and fluids in normal labor is beneficial.15 Recent research shows that eating and drinking are safe in normal labor.15,20,26,29 Based on the best evidence available, food and fluid should not be routinely restricted in labor.

The American Society of Anesthesiologists and the American College of Obstetricians and Gynecologists (ACOG) recommend that clear fluids be given to low-risk woman during labor.3 The American College of Nurse-Midwives recommends that healthy women experiencing normal labors determine for themselves what, if anything, they wish to eat or drink.1 The Cochrane Pregnancy and Childbirth Group recommends a diet of easy-to-digest foods and fluids during labor.13 ď
Washcloth Ė even though the hospital has paper towels, I find a soft terry cloth washcloth is much more comfortable on momís neck and face.

Plastic Ziplock bags- I have been quite fortunate that I have never needed to use the bags for this purpose, but the cab ride to the hospital can be bumpy and uncomfortable and mom may vomit. Often times we go to the hospital rather late in the labor process and vomiting is a sign of transition!

Corn Starch- It is not good to use baby powder during labor since inhaling talcum powder is not good for you or baby. So instead I bring corn starch. More often I use massage oil, but if the mother doesnít like the feeling of oil, I have the corn starch available.

Several packs of high quality hard candy or honey sticks
- if the mother does not want to eat or drink anything and she is not receiving intravenous fluids, it is likely that her blood sugar will drop. In that case, sucking or chomping on a hard candy can perk her back up.

Middle Pocket on the Bag.

Bendy Straws
- When mom is in hard labor or pushing, it is much easier just to place the bendy straw at her lips then to try to have her sip from a cup.

Big plastic bag
- After I leave the birth and before I step foot back in my apartment, I take off my shoes and place them in the plastic bag and then wash my shoes before wearing them again. Birth can be a rather messy experience. I could have possibly stepped on vomit, urine, amniotic fluid, or blood. I certainly donít want to track that back into my house.

Hydrogen Peroxide-
I typically wash off the sink, counter, toilet and bath tub. I know that the rooms should be cleaned, but I would rather do a quick cleansing of the space before hand.

Band aids and Neosporin Ė should I or anyone else at the birth get a cut, a hospital is no place for an open wound.

Soft gardeners pad- the mother may want to be on her hands and knees, so a little padding could go a long way.

Inside the small toiletry bag-

*toothbrush and tooth paste. I am often very close to momís face, she doesnít need to smell my coffee breath!

* massage and aromatherapy oils- I bring several different options, lavender, Bindi herbal massage oil, lemon, peppermint and non-fragrant.

* hair bands for both mom and me

* lip balm-
women in labor often breath heavily and their lips get dry. A little lip balm can be very comforting.

* deodorant-
always want to smell fresh!

*nail file, advil, cough drops, tea (caffeinated, for me!), wet naps, emergen-C or airborne (hospitals are full of germs), energy bars, cough drops

Yoga Strap-
should mom want to do a supported squat and my arms and hands are tired.

Big Pocket of the Bag

Birth Ball and pump- I take a 65 cm ball and a VERY good, quick pump with me. I recommend to all my clients that they have one to use at home before the birth, but in case it gets left behind, I have one on hand. The ball is EXTREMELY useful. Most laboring women use it to sit on, lean against, hang onÖthe possibilities are endless! Even if mom doesnít end up using it that much, it provides another seat for the people in the room, since generally there is only one chair available.

Hand held fan- labor is tough work and mom will build up a sweat. So a little cool breeze could feel real nice.

Squirt bottle- this has two purposes. 1. I add a little bit of essential oil (what ever smell mom likes) and spritz it around the room. Labor doesnít always smell so good! 2. it could feel really good for the hot laboring mom to get a refreshing mist of cooling, yummy smelling water on her face, neck, chest or back.

Eye pillow-
this could feel really good on the laboring momís eyes if she is resting. It could be heated or chilled.

I hope that some of these tips and suggestions can help make mom and her labor partners more comfortable.

This entry was posted in Comfort Measures for Mom: The Inside of My Doula Bag! by Deb. Bookmark the permalink.

About Deb

Debra is a graduate of the Boston Conservatory of Music with a degree in Musical Theater. She has spent most of her life performing and was introduced to yoga through a choreographer in 1997. After several years as a yoga student, she decided to continue her education and became certified as a Bikram Yoga instructor. In 2001 Debra headed out to Seattle to study with renowned prenatal yoga teacher Colette Crawford, R.N., at the Seattle Holistic Center. Debra has received a certificate for Vinyasa Yoga from Shiva Rea, with whom she continues to study. Debra has also been certified in the Maternal Fitness Method with Julie Tupler. In 2004, Debra completed the OM Yoga advanced teacher training with Cyndi Lee. Debra currently studies with Cyndi Lee, Genevieve Kapular, and Susan "Lip" Orem. After being witness to several "typical" hospital births, Debra felt it was important to move beyond the yoga room and be present in the birthing room. In 2003, Debra attended her first birth as a DONA certified labor support doula. In that short period of time, Debra has attended about 40 births. She is continuously in awe of the beauty and brilliance of birth. Most recently, Debra received her certification as a Lamaze Certified Childbirth Educator. Drawing on her experience as a prenatal yoga teacher, labor support doula and childbirth educator, Debra looks to establish a safe and effective class for pregnancy and beyond.

7 thoughts on “Comfort Measures for Mom: The Inside of My Doula Bag!

  1. you have a great bag. Three other very important things that I always keep with me are gloves, a thermometer and an emergency birth kit that has the bare essentials for delivery. I leave that in the trunk of my car. Just in case you never know. it’s better to have it and not need it than need it and not have it.

  2. yes! great suggestions. i found out the hard way about needing gloves and an emergency birth kit. (third time mom-precipitous birth. less then 15 min from spontaneous water breaking to birthing on the bath room floor) i have since added those to my bag since i posted this entry. but didn’t think to add the thermometer – great idea!!!

  3. Great bag! I’m just starting out and love the suggestions. I also have tiny portable speakers for anyone’s ipod for music and LED tealight candles if the mom wants the lights dimmed and a mood set.

  4. I bring a sarong wrap for the mum. It is pretty and light and less cumbersome then a bed sheet for when she walks around. The mum’s feel less exposed too!

    I also bring the mirror to the bed AFTER the baby is out and on mum’s chest. We are all oohing and awing at the baby but all mum can see is the top of the head. With the mirror placed by the bed she can see her baby as it makes it way to the breast. This is really appreciated by mum!

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