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engagement, encouragement and endeavor
Formerly Nadeshiko Doula. Meanings of en are connection and circle in Japanese. en doula
Spinning Babies® Parent Class / Lamaze Childbirth Education / Birth Doula / Postpartum Doula / Infant Massage / Placenta Encapsulation About me Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) Contact me nakajima.kay@gmail.com 
Spinning Babies® Parent Class
Spinning Babies is an approach to optimize the physical relationship between the bodies of the mother and baby for the easing of childbirth. We practice:
Private class: in-person $180 for my Lamaze class parents (One time visit 3 hours) $240 for other parents (2 visits, 2 hours each) For my birth doula family: no additional cost, includes Parent Class Video $26.99, Daily Essentials $16.99, all information, and techniques at the prenatal visits. Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) 
Lamaze Childbirth and Early Postpartum Class
1. Prepare your birth physically and psychologically, Process of Labor and Birth 2. Unmedicated Birth (Coping skills) & Medicated Birth (Risks and Benefits) 3. Decisions to make for your baby before delivery 4. Breastfeeding, Newborn Care 6 weekends and reunion (invite families who previously took my Lamaze class) Group class in Japanese, privates class in English and Japanese. Group: $320 (3 hours x 6 weekend) + reunion (potluck lunch) Private: $480 (3 hours x 4) + reunion (potluck lunch) Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) 
What is a Doula
A Birth Doula is a professional who is trained in childbirth and provides continuous emotional and physical supports to a mother and her family before, during and after birth. A Postpartum Doula cares for the mother and her family at hospital/home in the first weeks/months. Including breastfeeding support, infant care, light household chores and so on. Birth/Postpartum Doula provides non-medical support, evidence based information and companionship. A Birth Doula
● Recognizes birth as a key experience the mother will remember all her life ● Understands the physiology of birth and the emotional needs of a woman in labor ● Assists the woman in preparing for and carrying out her plans for birth ● Stays with the woman throughout the labor ● Provides emotional support, physical comfort measures and an objective viewpoint, as well as helping the woman get the information she needs to make informed decisions ● Facilitates communication between the laboring woman, her partner and her clinical care providers ● Perceives her role as nurturing and protecting the woman's memory of the birth experience ● Allows the woman's partner to participate at his/her comfort level Benefit of Birth Doula Support Numerous clinical studies have found that a doula’s presence at birth ● tends to result in shorter labors with fewer complications ● reduces negative feelings about one’s childbirth experience ● reduces the need for pitocin (a labor-inducing drug), forceps or vacuum extraction and cesareans ● reduces the mother’s request for pain medication and/or epidurals Research shows parents who receive support can: ● Feel more secure and cared for ● Are more successful in adapting to new family dynamics ● Have greater success with breastfeeding ● Have greater self-confidence ● Have less postpartum depression ● 31% decrease in the use of Pitocin ● 28% decrease in the risk of C-section ● 12% increase in the likelihood of a spontaneous vaginal birth ● 9% decrease in the use of any medications for pain relief ● 14% decrease in the risk of her newborn being admitted to a special care nursery ● 34% decrease in the risk of being dissatisfied with the birth experience Resources: DONA International 
Birth Doula Support
One Complimentary Prenatal Meeting (1 hour) After our initial meeting, I will have 3 prenatal visits (2 hours each). This gives us a chance to get to know each other! If you prefer, I will provide the information and techniques of Spinning Babies® to get ready for your birth physically and emotionally. Including a digital download of Parent Class:$26.99 and Daily Essentials:$16.99 and access to the Spinning Babies® materials. 1st Visit: We will talk about your labor and postpartum desires, review the childbirth process and birth preferences. We will practice Spinning Babies® techniques. 2nd Visit: We will talk about just-in-case scenarios, such as water break, back labor, overdue, scheduled induction, unplanned cesarean, and so on. Continue to practice your body balance. 3rd Visit: We will talk about the best-case scenarios with practicing variety of comfort measures (Position, Massage, Breathing, Acupressure, TENS unit, Peanuts ball, etc.) . Continue to practice your body balance. Breech Consultant: After 32 weeks, if your doctor finds that your baby is breech, we'll have an additional visit and try breech exercises, if you prefer. *I'll be on-call 2 weeks before and after your due date, and will get to your place/hospital in 1.5 hour. On THE BIG Day: whenever you feel you are in labor, please text/call me. I will provide information with encouragement at the early stage. When your contractions are close (about 7 minutes apart) and regular (for 1 hour or so), I will come over to your place/hospital and provide emotional, physical, and informational supports to your entire family. I will suggest when we should be going to the hospital or birth center. I will come with you and provide continuous supports during the labor physically and emotionally until you see your baby. I will support the initial breastfeeding and take basic pictures of the baby’s first moment. I will stay until you and your family are settled down (1~3 hours after baby is born). Postpartum Follow-up: I will come to visit you once again. I will support breastfeeding, newborn care, and so on about for 2 hours. If you have any questions, you can reach me over email/text and I will get back to you. Specialized training or previous experience
Fees: $1,700 ($1,600 for families who take my Lamaze class.) The average birth supporting hours is 7~14 hours. After 18 hours added $40/hr., up to 22 hours of support. There is no time on laborland. If you don't feel/think the time, labor always will progress so well. That's because we meet three times before laboring and talk about your body and emotional balance. *After your baby is born, I stay with you 2~3 hours. This is not included in the first 18 hours. Family who I previously supported: $1,200, Scheduled Cesarean: $800 Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) 
Postpartum Support
Offers education, companionship and nonjudgmental support during the postpartum fourth trimester. Assists with newborn care, family adjustment, meal preparation and light household tidying. Offers evidence-based information on infant feeding, emotional and physical recovery from birth, infant soothing and coping skills for new parents and makes appropriate referrals when necessary Benefits of Postpartum Doula Support: ● Increased breastfeeding success ● Greater understanding and appreciation of this chapter of life ● Decreased incidence of Postpartum mood disorders ● Quicker recovery time ● Feeling more rested and present ● Enhanced family bonding ● Increased confidence in parenting skills Postpartum support includes: ● Help with the emotional and physical recovery after birth ● Breastfeeding support/bottle-feeding support ● Assistance with newborn care such as diapering, bathing, feeding and comforting ● Encourages family bonding ● Offer a listening, non-judgmental ● Educational support and providing resources ● Infant Massage ● Spend time with the baby so family will have time to rest ● Baby’s laundry ● Light housekeeping ● Run errands and shop for groceries ● Assist in nursery organization/ set-up ● Sibling adjustment and care ● Prepare nutritious meals/ snacks Resources: DONA position papers on postpartum doulas Factors That Influence Postpartum Recovery by Penny Simkin Services: One prenatal meeting/free (complimentary) Postpartum care is offered in 3-8 hour shifts Hourly rate: minimum3 hours A:$40/hr. (Weekdays, 8am to 7pm) B:$50/hr. (7pm to 8am) C:$55/hr. (Weekends/holidays) (after 50 hours A:$35, B:$50, C:$55 for my birth doula family after 30 hours) *Short visit for breastfeeding/newborn care etc.: per visit 1~2 hours $100, add $40 weekends/holidays, add $60 evening. Travel fee: parking fee, more than 15 miles $1 per mile. Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) 
Placenta Encapsulation
Benefits of Taking Placenta
I follow a traditional Chinese medicine recipe. This method retains some of the nutrients and hormones in the placenta at the birth. Placenta Encapsulation $280 ($250 for birth client) -Placenta Tincture $50 (walnut size of dried placenta in 100-proof vodka in a glass jar, 3X2oz blue glass drippers and the recipe) *for the family who makes encapsulation -Umbilical Cord Dream Catcher $60 * for the family who makes encapsulation Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) 
Infant Massage Nurturing Touch for parents and baby! Eat more, Sleep more and Smile more! Infant massage and exercise are perfect activities all year around! You can massage your baby before bed, in the rainy day, in the park, on the plane, waiting room at a clinic anytime and anywhere! Interaction in Infant Massage May Include:
International Association of Infant Massage Private session: $220 (1 hour X 4 weeks) *For postpartum doula support family: 30 minutes X 4 sessions with no additional fee.)
Group session: $80 (1 hour X 4 weeks) Kayoko Nakajima SpBCPE, LCCE, CD/PCD(DONA), CEIM(IAIM) |
