Dawn Thompson radio interview.
This interview with Dawn Thompson, a doula in San Diago, has been passed around within the doula community. I believe it to be insightful for doula’s, mothers, and mothers-to-be. So many of us have experienced stalled labors that have led to Caesarean sections. Often the reason for the C-Sections is a “failure to progress” or “the baby was just too big”. My belief has long been that our bodies wouldn’t make something that we could not push out on our own. So when I read this article about cervical scar tissue forming knots and restricting the cervix from dilating I let out a sigh of relief. Care providers, doulas, and all women must know that this cause of restricted dilating CAN potentially be avoided.
The rise of HPV and the increased presence of abnormal cervical cells and cervical cancer has resulted in more cervical procedures among girls. One of these procedures, called a coloscopy, conducts a biopsy by removing cervical tissue containing abnormal cervical cells. Another procedure, called a Loop Electrosurgical Excision Procedure (LEEP), uses a thin wire loop electrode attached to an electrosurgical generator. The generator transmits an electrical current that cuts away cervical tissue in the immediate area of the loop wire. This causes the abnormal cells to rapidly heat and burst and separates the tissue as the loop wire moves through the cervix. Each of these procedures potentially leaves scar tissue especially when a woman has this procedure more than once which is common.
Unfortunately, the cervix has to be greatly effaced to know whether or not there is scar tissue and a doctor or midwife will not feel the scar tissue during a routine check. Asking your care provider to look for and break up scar tissue is an easy way to increase your likelihood of a vaginal birth. I am now asking my clients if they have had any cervical procedures, because this bit of knowledge can possibly change the direction of a labor and its outcome.
Dawn wrote a blog about this 6 years ago after experiencing this with her sister and it has changed her life as a doula and educator.
All to often physicians fail to understand what women really need when they express fear of giving birth. Because women today doubt their natural capacity to have a normal birth and healthy baby, what they need most is reassurance- not reassurance that everything can be done will be done for her and the baby, but reassurance that her body and her baby know what to do during a process that nature has designed for success. Still, fear does have its place. As a physician aptly puts it:
“I don’t think women are as ignorant of their bodies as we doctors make them out to be. They can, however, be scared out of percieving what’s going on inside. But I don’t know of one instance in my practice where the need to do something wasn’t clear to the woman long before it became clear to me”
The danger of focusing on fear is that by doing so we perpetuate it and increase its strength.
Be hospitable to an unwelcome emotion, as if it were an unexpected guest. Offer it a cup of tea. Greet it kindly and see if you can learn something useful, say “Thank you” and send it on its way. Above all, do not invite it to share your supper and offer it a bed in your house for the night or you will have a difficult time getting it to leave- Buddhist saying
Jordyn is a certified Doula, Yoga and Pilates instructor and birth educator who specializes in Women’s Health and wellness in Philadelphia. She began her first doula certification with BirthMark, DONA accredited training in 2008 and Birth Arts International in 2010. Jordyn Completed her 100 hour Prenatal Yoga Teacher training through Yoga on Main with Jade Groff in Philadelphia in 2010. After working in Philadelphia for 3 years as a birth educator, yoga instructor and doula she moved to Santiago, Chile. While in Chile she trained and apprenticed with Kojava Ezra board certified Pilates and Gyrotonic teacher completing a 200 hour Pilates teacher Training. Jordyn combines the practice of pilates and yoga with body awareness and education to foster a woman’s belief in her abilities as well as develop a body intuition.
The work that I do is also what I am most passionate about in my life. I have dedicated myself to developing holistic living skills through my studies as a Doula, Prenatal Yoga Instructor, Birth Educator and Pilates instructor. My dream is to one day run a wellness clinic where I offer Pilates and Yoga, as well as provide pregnant women a wholesome and fulfilling birthing experience by supporting them during all stages of pregnancy and after. In my free time, I enjoy painting, practicing Pilates, and teaching birth classes. I enter each day hoping to leave a positive imprint on those around me and that the birth empowerment work will leave a positive imprint on the world.