I recently had the opportunity to be part of a training for a local hospital's BFHI process. I wanted a tactile way for people to feel the differences in palate shapes. Needing the models to be comparable to a newborn's mouth-size, I had the idea of using plastic spoons.
1. I used an air-drying clay and I formed different shapes onto the spoons. They dried overnight without shrinking, which was great since I hadn't put much thought into my supplies. I then used a cement glue to adhere the forms to the plastic spoons. This was all pretty easy stuff. Originally I planned to make lower gums as well, hence the spoons with just the gum-lines. I imagined putting the spoons together with palate-spoon facing the gum-spoon, and adding a tongue in between (balloon with Play-Doh in it so it was flexible). I didn't end up following through with the complete mouth as it wasn't crucial to the skills I was teaching.
2. Up until now this was all pretty simple stuff. But I wanted a coating over the forms, so I decided to use balloons, and this is where it got tricky. I used water balloons, and I had to not only stretch them over the spoons and forms without them breaking, I also had to use the cement glue to ensure the balloons were tightly applied to the forms' odd shapes. The bubble-palate balloon kept pulling away. I had to go through a few balloons because they kept tearing, and then I had to keep my thumb in the bubble for a few minutes to allow for the glue to really grab hold of the balloon. Also the glue is messy, and it will get all over your fingers and your project -- try to wipe it off the spoons ASAP because it is hard to get off the latex later.
3. Overall the process was pretty easy, and I created an ideal-shaped palate (u-shaped and gently sloping from front to back), a bubble palate, a v-shaped palate, and a channel palate.
4. This is how I had participants engage with the spoons -- in a similar fashion as when they are engaging with a real baby's palate, from underneath. The feedback from folks was excellent. The nurses appreciated the variations present, right next to each other, so they had immediate comparisons. Most admitted they never felt a baby's palate except to rule out a cleft, and they could see how this information would be helpful when encountering babies who are struggling with feeding.
This is Max, my amazing demo doll I bought from Magic Cabin Dolls. His tongue sticks out, he is intact, and anatomically correct. These sweet dolls come in different colors, genders, and are machine-washable as well.
If you have questions, or you make your own, let me know! I'd love to see what you come up with.
Being a US-based doula, it is easy for me to assume the general ways we practice as doulas are similar around the world. This 31 Days project gives me a dose of reality and shakes up my US-centric thinking when I read stories from doulas like Nicci. I wish Nicci and everyone like her the strength to keep supporting families, the courage to continue the uphill battle, and the heart to handle so much pain. The title for her post is also the motto for her bereavement training program -- thank you, Nicci, for allowing me to share your powerful words here.
My name is Nicci and I am a Bereavement Doula from Pretoria (Gauteng Province, South Africa), dealing exclusively with miscarriage, stillbirth and infant loss. I have been a "death doula" since 2015 and I am currently one of the most experienced bereavement doulas in the country.
Death humbles you. It leaves many wounded and scared (and scarred!) but also just as many people are awakened to the miracle and the fragility that is life. It opens your eyes to the absolute gift it is to breathe (and have those you love breathe) every single day. I deal with indescribable pain and heartache. My job is not an easy one, in fact, it’s probably one of the most emotionally challenging professions out there. But it is made bearable by knowing that I could help a mommy or daddy carry the load, even if it’s only for a little while. There is something unique about child loss. Because you don’t only lose a child you love, you lose the promise of that child’s life. You lose the "could have beens". You miss their first day of school. You miss their 16th and 21st and 30th birthdays. You miss out on every little thing that would have made that child "yours".
Like the character in the book The Shack, I carry The Great Sadness with me every single day of my life. Sometimes The Great Sadness is quite satisfied to sit in the corner of a room or on the roof of my car and just leave me alone – sometimes even for a day or two. Other days, The Great Sadness would just not let go of me. It will cling to me whilst I brush my teeth, when I feed the dogs, when I pray, when I speak to a telesales agent and decline a cellphone contract for the umpteenth time. It will rear its sad head when I walk in a shopping centre and see something or someone that triggers a memory. Sometimes when I walk passed a baby store The Great Sadness would hug me so tight that I struggle to breathe. But the Great Sadness and I have come to an agreement: Whenever I am with a client, it will not show up for a while. But sometimes The Great Sadness breaks its word and all that I can do is be sad with them.
The parents I assist and I usually have a lot of time talk and cry and yes, even laugh. Sometimes it’s much easier to talk about your pain to a stranger – somebody that you don’t feel guilty over because you are "burdening" them with your pain. Someone that won’t judge, just listen – who may shed a tear or two with you but who will not fall apart.
As a bereavement doula I am learning more and more about life, death, loss and everything in between every day. I have seen that parents feel guilty because they are experiencing deep grief over the death of their child. Statements made by well-meaning friends may cause them to question the validity of their deep feelings of sorrow – statements like the following: “Just be glad you didn’t get to know her. This way you won’t have to suffer the grief.” Or “The woman down the street lost all her children in a fire, you are lucky compared to her.”
The fact is that grief cannot be compared – not even between parents. Grief will not lessen just because the grief of another person is perceived to be greater. Also, they may have given birth to another child. But this will be another child, not a substitute for the one who has died. I always say babies aren’t puppies who can fulfill a general need. And to be honest, not even a dog can be replaced, how on earth can people expect parents to "replace" their baby who has passed on with another!
Although primarily my focus, I don’t just assist with baby loss but also with other losses. I have assisted a mother who gave birth via c-section to a healthy, beautiful little baby boy. The reason she needed me though, was because her husband was brutally shot and killed in front of her. This woman was shattered and tears jumped in my eyes when I looked into hers. It was almost unbearable to look at her. But she needed a calm, collected and professional person to assist her during the birth. In hindsight, I was none of the above. I may have appeared calm and collected, and yes, even professional to the untrained eye. But I was falling apart on the inside. The moment the doctor lifted that precious little boy from his mommy’s tummy I had such a huge lump in my throat I couldn’t breathe. The Great Sadness won that day…
Because there is such a huge need for bereavement birth workers in South Africa, I have written an Online Bereavement Training Program to enable as many people as possible in South Africa with a heart for bereavement to assist parents going through loss. Students are equipped with the right information, tools and coping skills to guide families in South Africa going through the unimaginable.
It is my dream that my profession will be formally recognized and acknowledged in South Africa and that bereavement doulas’ services will be covered by all medical aids. The motto of the bereavement doulas trained by Nicci.doula Bereavement is “to serve with love in loss” – I hope to be able to do this for a very long time to come.
Ever since the traumatic birth of her firstborn, the subsequent birth of his brothers, 6 infertility treatments, 3 miscarriages and 1 adoption, it has always been Nicci's dream to make a difference in the lives of bereaved parents. She is Birth and Perinatal Bereavement Doula, and a certified SBD Doula®. Passionate about ensuring families of all kinds have the unique support they need, she is the former director at Voice of the Unborn Baby, and Managing Director of Doulas of South Africa. Nicci is an avid writer and has written many short stories on her experiences as bereavement doula. Nicci also wrote a book about her infertility struggles. Besides being a doula, she is also a professional stillbirth photographer. Nicci believes in the power of encouragement, and in building confident and empowered doulas to make a difference in South Africa. She also believes in dreaming big and working hard. She is passionate about people in general and more specifically about the doula profession. If you would like more information on the work Nicci does, please visit www.niccidoula.com or visit her Facebook page. For international bereavement training please visit www.stillbirthday.com.
Nicci lives in a leafy suburb at the foot of the Magalies mountains, in the Pretoria area of Gauteng Province, South Africa.
Titles and terms can be confusing when it comes to assessing a doula's experience, training, and certification. Did you know:
I am the first to admit, you don't need experience, training, or certification to be an incredible doula and make a difference -- we all start from a desire to serve. I value the doulas in my community and I honor the differences in our personalities and styles, interests and specialties. This is a work of the heart, and by following our instincts to care for a mother and family during birth, we offer unique support that helps build them up for the start of their parenting journey.
Why certify? Read what doulas and moms have to say about it.
♥ four young boys and a boy dog (offspring)