Episode 190: [Doula Talk] Cascade of Interventions
Hey Mamas!
In this episode of the Entering Motherhood podcast, Sarah Marie Bilger and Katelyn Bayless explore the critical topic of the "cascade of interventions" during childbirth and how initial medical interventions can lead to a series of additional procedures, often complicating the birth process and potentially resulting in a cesarean section. Emphasizing the importance of education, they encourage expectant mothers to be informed about their options and advocate for their birth preferences. The episode aims to empower mothers through holistic mindfulness and evidence-based practices.
What is the Cascade of Interventions?
The term "cascade of interventions" refers to a sequence of medical procedures that can occur during childbirth, often leading to a series of additional interventions. Katelyn explains that this cascade typically begins with a single intervention, which can set off a chain reaction of further medical procedures, potentially complicating the birth process and leading to outcomes such as a cesarean section.
A Typical Scenario
Katelyn paints a picture of a typical scenario involving a first-time mother who may not be fully aware of what to expect during labor:
Initial Intervention: If a mother tests positive for Group B Streptococcus (GBS), her healthcare provider may advise her to go to the hospital as soon as labor begins to receive antibiotics.
Hospital Admission: Upon arrival at the hospital, the mother may not be very dilated but is admitted nonetheless.
Epidural: As labor progresses, the mother might opt for an epidural to manage the intensity of contractions.
Labor Stalling: The epidural can lead to labor stalling, prompting the medical team to introduce Pitocin to stimulate contractions.
Further Complications: The introduction of Pitocin can create further complications, such as abnormal fetal heart rates, leading to additional interventions like breaking the mother's water or using an internal monitor.
Cesarean Section: This series of interventions can escalate quickly, often resulting in a cesarean section if the baby's heart rate does not stabilize.
The Importance of Education
Sarah and Katelyn emphasize the significance of being informed about the various interventions that can occur during childbirth. They encourage expectant mothers to educate themselves about the potential risks and benefits of each intervention.
Understanding Potential Interventions
Pitocin: Understanding what Pitocin is and how it affects the body can empower mothers to make informed decisions during labor.
Epidurals: Knowing the potential side effects and how an epidural can impact labor progression is crucial.
Antibiotics for GBS: Being aware of the necessity and timing of antibiotics for GBS can help mothers prepare for their hospital visit.
Access to Educational Resources
Katelyn highlights the importance of having access to educational resources, such as their O.W.N. Your Birth course. This course provides mothers with the tools they need to navigate their childbirth experience confidently, including handouts and materials that can be brought to appointments or the hospital.
Navigating Conversations with Healthcare Providers
One of the challenges mothers face is communicating effectively with healthcare providers. Sarah points out that during prenatal visits, providers may ask if there are any questions, but without a solid foundation of knowledge, mothers might struggle to articulate their concerns or preferences.
Tips for Effective Communication
Prepare Questions: Before appointments, prepare a list of questions or concerns to discuss with your provider.
Bring Educational Materials: Having handouts or notes from childbirth education courses can help guide conversations.
Advocate for Your Preferences: Understanding your options and being clear about your birth plan can help you advocate for your desires during labor.
As the episode wraps up, Sarah and Katelyn express their excitement about the launch of their O.W.N. Your Birth course, which aims to provide comprehensive education for expectant mothers. They invite listeners to join the waitlist and reach out with any questions or topics they would like to see covered in future episodes.
In closing, Sarah reminds listeners that they are capable and strong, encouraging them to embrace their motherhood journey with confidence. This episode serves as a valuable resource for mothers seeking to understand the complexities of childbirth and the importance of being informed about their options. By understanding the cascade of interventions and being proactive in their education, mothers can navigate their childbirth experience with greater confidence and empowerment.
Entering Motherhood Links
>> O.W.N. Your Birth CBE Course
>> Birthworker Doula Training Program
Don't miss out on our comprehensive Birth Preparation Workbook covering topics from mindset, movement, and what to expect.
Hypnobabies is a great tool to use hypnosis when preparing for childbirth. Use the code MOTHERHOOD20 to receive 20% off today!
Truly fuel your body with FOND Bone Broth a verified regenerative by land to market company dedicated to serving you rich and handcrafted items. Use code ENTERINGMOTHERHOOD for 10% off.
Looking to become a doula yourself and get into birthwork? Check out the Online Doula Training Program to get started on your path today.
Become certified through Postpartum University and help clients learn more about how to nourish their bodies in the postpartum period.
Want a baby carrier you can snuggle your baby tight in? Check out LoveHeld for their handwoven ring sling carrier you'll be sure to love.
In need of nursing tops and postpartum items? Kindred Bravely is the place to shop for all of your attire needs and more.
