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By using our site, you agree to our collection of information through the use of cookies. To learn more, view our Privacy Policy. To browse Academia. A comprehensive study of spatial and temporal consumption patterns of the selected illicit drugs heroin, cocaine, amphetamine, MDMA, methamphetamine, cannabis and therapeutic opioids codeine, methadone has been performed in six Croatian cities by applying wastewater-based epidemiology. Enhanced consumption of illegal drugs was generally associated with larger urban centers The aim of this study was to analyze illicit drugs and their metabolites in wastewater from eight selected wastewater treatment plants WWTPs in Slovakia. The effect of two of the biggest music festivals in Slovakia on illicit drugs in wastewater was also investigated. We then compared our results with data obtained in other parts of Europe and the world. This study demonstrates that Slovakia has one of highest methamphetamine consumption rates in Europe. Amphetamine, ecstasy and cannabis consumption in our study w The aim of the study was to determine the profile of amphetamines consumed by a community in Poland. Back-calculations used in the sewage epidemiology approach were applied to estimate the level of consumption of the drugs being analyzed. These types of studies were carried out for the first time in Poland for a considerable period--from June to December The concentration of amphetamine, methamphetamine and MDMA in wastewater samples and the levels of their consumption were lower than reported in other European countries, but unexpectedly, the ratio of consumed methamphetamine to MDMA and the consumption level of methamphetamine w A wastewater-based epidemiology approach was performed to estimate the drug consumption in Palermo city, the fifth largest city of Italy with a population of inhabitants, and to investigate the monthly variability of drug loads in wastewater from different areas of the city. A seven-months detection campaign was conducted at the two wastewater treatment plants of the city. Following a pre-treatment, 32 samples of wastewater were analyzed by liquid chromatography-tandem mass spectrometry. We estimated a mean cocaine use in Palermo of 0. Amphetamines residues in wastewater were always recovered in concentrations lower than the limit of quantification. Our findings showed that drugs consumption in Palermo is in line with those of other Italian cities and that no significant differences on prevalence on cocaine and cannabinoids co Journal of Human Environment and Health Promotion, Background: Wastewater analysis has emerged as a promising methodology for real-time monitoring of illicit drug consumption. The main objective of this article is to identify the occurrence and distribution of illicit drugs and their metabolites in the wastewater treatment plants WWTP of municipalities with adequate sewage coverage systems, in terms of water and sewage services, in the Hydrographic Regions of the State of Rio de Janeiro HRRJ. Methods: Diurnal composite samples of influent were collected from 13 wastewater treatment plants between December 27, , and January 10, , to detect the presence of illicit drugs, including Ecstasy, Amphetamine, Methamphetamine, Cocaine, Benzoylecgonine, and Cannabis. The excretion products were quantified using liquid chromatography coupled with mass spectrometry. Conclusion: The consumption patterns of illicit drugs were analyzed, and it was observed that stimulant drugs such as Cocaine, Ecstasy, and Amphetamines were consumed to a greater extent in municipalities located on the coast or with greater purchasing power. In contrast, Cannabis consumption was found to be more widespread across the surveyed locations, with higher consumption rates observed in regions with high traffic. Journal of experimental agriculture international, The journal of trauma and acute care surgery, Log in with Facebook Log in with Google. Remember me on this computer. Enter the email address you signed up with and we'll email you a reset link. Need an account? Click here to sign up. Illicit drugs in wastewater of the city of Zagreb Croatia — Estimation of drug abuse in a transition country Senka Terzic. Related papers Wastewater-based assessment of regional and temporal consumption patterns of illicit drugs and therapeutic opioids in Croatia Senka Terzic. National study of illicit drug use in Slovakia based on wastewater analysis Jozef Ryba. Illicit drugs consumption evaluation by wastewater-based epidemiology in the urban area of Palermo city Italy Alida Cosenza. Illicit drug consumption estimations derived from wastewater analysis: A critical review Sara Castiglioni , Cristina Postigo , Miren de Alda. Comparing illicit drug use in 19 European cities through sewage analysis Pim De Voogt. Environmental Pollution e Contents lists available at ScienceDirect Environmental Pollution journal homepage: www. Enhanced consumption of stimulating drugs cocaine and ectasy was systematically detected during weekends. All rights reserved. Introduction Wastewater represents one of the main sources of different types of contaminants into the environment. Typical representatives of such contaminants are pharmaceutical compounds, which belong to the most studied environmental contaminants during the last decade Richardson, Studies of their behaviour in wastewater treatment plants showed that the removal rates of some of illicit drugs are rather low, leading to their introduction into the surface and drinking waters Boleda et al. E-mail address: terzic irb. The approach is based on the assumption that all drugs residues found in municipal wastewater derive from the human excretion. Consequently, amount of drug or its metabolite, determined in untreated municipal wastewater would correspond with its collective consumption in a given local community. Along these lines, monitoring of selected illicit drugs in representative wastewater samples could provide a basis for the assessment of the current consumption patterns and offers instantaneous information on changes in drug abuse trends. So far, the proposed approach was applied in several studies, all of which were performed in highly developed countries Bones et al. Terzic et al. Consequently, the main advantage of our study is a comprehensive and consistent sampling strategy, which provided a basis for highly representative average mass loads of selected drug target residues DTRs. Moreover, the paper provides a concurrent estimation of drug abuse for all common types of illicit drugs, including heroin, cocaine, amphetamines and marijuana. Experimental 2. Selection of target compounds The selection of the DTRs was made taking into account metabolic pathways of selected illicit drugs as well as the existing data on their occurrence Zuccato and Castiglioni, and stability in wastewater Castiglioni et al. Psychoactive substances considered in this study Table 1 included 5 illicit drugs and 2 common therapeutic opiates. Selected DTRs included morphine and 6-acetyl morphine as principal heroin-derived substances, cocaine and its main metabolite benzoylecgonine, amphetamine and 3,4-methylenedioxymetamphetamine MDMA, ecstasy as well as the main urinary metabolite of marijuana, norcarboxy-D9-tetrahydrocannabinol THC-COOH. Methadone and its metabolite, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine EDDP as well as codeine were monitored as representatives of therapeutic opiates. Methanol J. The collection of composite samples assigned to Sunday Tuesday started at 9 a. No preservatives were added to the samples. All samples were processed within maximally 3 h after collection. Before elution of adsorbed analytes, the cartridges were washed with ultrapure water and subsequently dried with N2 30 min. Elution of enriched compounds was performed with 6 mL of methanol MeOH. LCeMSeMS analyses Determination of all psychoactive compounds was performed using a single-run multiresidue LCeMSeMS method, which allowed a simultaneous determination of 10 compounds, excreted after consumption of 5 illicit drugs and 2 therapeutic opiates Table 1. Eluents used for the separation included 0. The injection volume was 20 mL. The desolvatation 40 arbitrary units and auxiliary 10 arbitrary units gas was N2, while Ar was applied as a collision gas. The collision energy and tube lens offset were optimised for each analyte and surrogate separately. The selected transitions as well as applied collision energies CE are presented in Table 1. Quantitation of all analytes was performed using corresponding deuterated internal standards for all analytes Table 1. All elements of method validation are given in Supplementary information. The method detection limits MDL of individual target analytes were estimated to vary from 0. Results and discussion 3. Occurrence of psychoactive drugs and therapeutic opiates in wastewater All of the collected wastewater samples contained measurable concentration levels of selected DTRs thus indicating a wide-spread use of both illicit drugs and therapeutic opiates investigated in this study. However, pronounced variability of concentration levels were noticed, depending primarily on the type of compound and to a lesser extent on sampling date. This is in agreement with previously published research Boleda et al. After the initial study in Italy by Zuccato et al. The average removal rates of individual target compounds, calculated as arithmetic mean from all sampling dates are presented in Fig. A relatively poor elimination of these compounds, including cases of negative elimination, was also reported by other authors Boleda et al. It was suggested that the reason for poor elimination of codeine might be the re-transformation of codeineglucuronide to free codeine during wastewater treatment Boleda et al. Daily variations in mass loads of drug target residues Sampling strategy adopted in this study was focused on obtaining the representative values for the mass loads of individual DTRs, taking into account daily and seasonal variability. Following the approach originally applied by Zuccato et al. Therefore, daily mass loads of selected DTRs were considered equal to their collective daily excretion. Two main questions were addressed in this experiment: a the consistency of the collective excretion rates of individual compounds over time as an important prerequisite for the reliable consumption estimation and b capability of the approach to reliably detect small variations in excretion rates, including daily and seasonal changes. On the contrary, the ratio of morphine, codeine and methadone loads on weekends and weekdays was very stable 0. These observations clearly illustrate the difference in drug consumption patterns between stimulating and opioid drugs, the former being obviously more intensively used during weekends as so-called recreational drugs. The results from these experiments Fig. It should be stressed that the excretion of any other investigated DTR not shown did not exhibit weekday-dependent load pattern during the whole investigated period. Drug consumption assessment The assessment of consumption of 5 illicit drugs, including heroin, cocaine, amphetamine, ecstasy MDMA and marijuana, was performed following a procedure proposed by Zuccato et al. The applied methodology takes into account the known metabolic pathways of selected drugs, the molar ratio of metabolite to parent drug as well as the percentage of a selected drug target residues DTRs , excreted after consumption of the parent drug. The estimation of drug abuse was based on representative excretion rates of selected DTRs, taking into account both daily and seasonal variations. The representative excretion rates of the selected DTRs were applied to calculate the drug abuse normalised on inhabitants as well as on inhabitants in the age group of 15e64 years. The correction factors to convert excreted amounts of individual drugs into consumed amounts were taken from the literature Baselt, ; Osselton et al. The estimated total consumption was normalised to the number of citizens served by investigated WWTP inhabitants, corresponding to inhabitants in the age category 15e64 years. Unlike most of other selected DTRs, morphine can originate from multiple sources. It is an important, but not exclusive metabolite of heroin and it can partially originate from the excretion of therapeutic morphine and codeine Baselt, Therefore the normalised daily excretion of heroin-derived morphine was calculated by subtracting the normalised value of excreted therapeutic morphine from the normalised representative value of the total excreted morphine. Table 4 Drug target residues, average excretion rates and average drug doses used to back calculate drug consumption. The estimated consumption of 5 selected illicit drugs in the city of Zagreb is presented in Table 5. To facilitate the comparison with different data sources, the estimated consumption is expressed in different units. The consumption of both amphetamine-type drugs seems to be much lower 3. The estimated amounts of cocaine consumed in western-European cities exceed markedly the consumption of heroin, while in Zagreb the heroin consumption is two times higher than the consumption of cocaine. It should be stressed that accurate information on therapeutic morphine consumption is crucial for the reliable estimation of heroin abuse. Therapeutic morphine consumption varies significantly for different countries. As reported by Zuccato et al. These results, however, were not corrected for the contribution of codeine. PEq inh. Ecstasy Amphetamine Marijuana References 9. These data were not applied for the estimation of the total consumption of individual drugs because the seizure success can be highly variable in individual years. Normalised number of drug doses was calculated taking into account the average doze-size of individual drugs UNODC, ; Zuccato et al. The data in Fig. Obviously, some drugs like heroin causes much stronger addiction, resulting in a larger percentage of drug addicts involved in treatment programs. According to the paper published by Zuccato et al. The most recent report by Postigo et al. The EMCDDA report also suggests that countries with low cocaine consumption usually have an enhanced consumption of amphetamine-type drugs. This does not seem to be the case in Croatia. The amphetamine-type drug consumption rate in the city of Zagreb 3. According to this report the seized quantities of individual drugs in were Comparison of consumption of illicit drugs A and number of treated addicts in the city of Zagreb B ; number of treated addicts from Katalinic et al. According to the Croatian Institute for Public Health, the number of treated cocaine addicts in Zagreb was 86 for the year , while our results indicate a consumption rate of 1. If we assume that most of cocaine users are so-called light users, consuming an average of 0. Conclusion Wastewater analysis represents a promising complementary tool for the assessment of patterns and trends in illicit drug abuse. The main advantages of wastewater monitoring as compared to classical socio-epidemiological approach is the possibility to obtain the information about the average consumption in a given area in real-time and, using an adequate sampling strategy, the ability to simultaneously monitor changes in usage intensity for several types of drugs. Our results, obtained in the WWTP of the city of Zagreb, suggest that illicit drug usage patterns in transition countries might be quite different from those in the Western Europe, in particular with respect to a comparatively higher usage of heroin and lower usage of cocaine. We are grateful to Dr. A technical help of Nenad Muhin is also highly appreciated. Supplementary information Supplementary data associated with this article can be found, in the online version, at doi References Baselt, R. Disposition of Toxic Drugs and Chemicals in Man, third ed. Bijlsma, L. Simultaneous ultra-high-pressure liquid chromatographyetandem mass spectrometry determination of amphetamine and amphetamine-like stimulants, cocaine and its metabolites and a cannabis metabolite in surface water and urban wastewater. Journal of Chromatography A , e Boleda, R. Water Research 43, e Bones, J. Using environmental analytical data to estimate levels of community consumption of illicit drugs and abused pharmaceuticals. Journal of Environmental Monitoring 9, e Castiglioni, S. Analytical Chemistry 78, e Caulkins, J. Estimating average lifetime cocaine consumption. Chiaia, A. Environmental Science and Technology 42, e Daughton, C. Pharmaceuticals and personal care products in the environment: agents of subtle change. Environmental Health Perspectives , e Giger, W. Hydrophilic and amphiphilic water pollutants: using advanced analytical methods for classic and emerging contaminants. Analytical and Bioanalytical Chemistry , 37e Huerta-Fontela, M. Ultraperformance liquid chromatographyetandem mass spectrometry analysis of stimulatory drugs of abuse in wastewater and surface waters. Analytical Chemistry 79, e Occurrence of psychoactive stimulatory drugs in wastewater in north-eastern Spain. Science of the Total Environment , 21e Stimulatory drugs of abuse in surface waters and their removal in a conventional drinking water treatment plant. Kasprzyk-Hordern, B. The removal of pharmaceuticals, personal care products, endocrine disruptors and illicit drugs during wastewater treatment and its impact on the quality of receiving waters. Illicit drugs and pharmaceuticals in the environment e forensic applications of environmental data. Part1: estimation of the usage of drugs in local communities. Environmental Pollution , e Katalinic, D. Croatian Institute for Public Health. Mari, F. Cocaine and heroin in waste water plants: a 1-year study in the city of Florence, Italy. Forensic Science International , 88e Musolff, A. Temporal and spatial patterns of micropollutants in urban receiving waters. Osselton, D. Pharmaceutical Press. Postigo, C. Environment International 36, 75e Richardson, S. Water analysis: emerging contaminants and current issues. Analytical Chemistry 81, e Sakoman, S. School Programmes for the Prevention of Drug Abuse. World Drug Report. Cocaine and metabolites in waste and surface water across Belgium. Can cocaine use be evaluated through analysis of wastewater? A nation-wide approach conducted in Belgium. Addiction , e Spatial and temporal variations in the occurrence of cocaine and benzoylecgonine in waste- and surface water from Belgium and removal during wastewater treatment. Zuccato, E. Illicit drugs in the environment. Philosophical Transactions of the Royal Society A , e Estimating community drug abuse by wastewater analysis. Cocaine in surface waters: a new evidence-based tool to monitor community drug abuse. Chapter breanna bush. Desarrollo-organizacional Chris Abud. Chapter 1. Farmer-managed restoration of agroforestry parklands in Niger chris reij. Good communication is vital to dignified care. This project explored the ways in which nurses could improve their relationships with both patients and colleagues Everybody matters 2: promoting dignity in acute care through effective communication Mary Flatley.

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I support you to learn to ride the waves of…. Hi there! I'm Merrewyn, a mentored doula offering birth and postnatal support in Cornwall. I live in mid-Cornwall with my husband, two young children and three very beloved animals! I am extremely passionate about helping women and birthing people have positive and empowering experiences where their bodies and intuition are trusted and respected. I feel very strongly that every…. You deserve a pregnancy, birth and postnatal period that is transformational. That is your right and it is my honour to walk with you while you claim it. My name is Phillipa, I am a Mum of two beautifully different babes who humble and teach me on a daily basis. Before becoming a doula and infant feeding peer supporter I worked as a social worker for over 12 years. But working in the Local…. Hello, my name is Phoebe and I live in Brighton. It is my passion and aim to create a warm and loving safe space for anyone who is pregnant or those going through the postpartum period. My background in advanced clinical massage therapy has led me to discover and understand the importance and beauty of space holding. I believe that every person is entitled to experience the birth that they want to have. I will give you all of the information that you need to know for what your options are and…. The feeling of empowerment that I felt after these two births are something I would so love to help nurture in other women throughout their pregnancy, birth, and post-natal journeys. I believe that feeling empowered and supported throughout our pregnancy and, significantly so, throughout our labours and births, gives us the best start from which to begin to nurtureours and…. Congratulations on your pregnancy. It can be such a sacred and exciting time, but often not without anxiety or nerves. Choosing a doula to accompany and support you will be such a fulfilling experience. I believe that with kindness, wisdom and compassion we can make choices that will nurture and…. Student Birth Doula: 'I am a mother to two wonderful girls, which I gave birth to at home. I am a dancer and mover, a Feldenkrais and somatic movement practitioner and a mentored Doula. I feel that every pregnant woman should have someone by her side, who can hold space for her, listen, witness, support her and serve her wishes and needs on this beautiful magical journey. I want women to have the freedom to choose and own their pregnancy, birth and motherhood journey from an empowered and…. Portsmouth-based birth doula — helping you creating a safe and supportive space for the birth of your baby — focussing of education and regulation so that you are best equipped for your physiological birth. I honour the sacred-ness and magic of the birthing process and tailor my services to suit your unique and individual needs and desires. Budstobloom From a young age, I have been interested in the care of children and I have naturally found a way with them. I spent my time learning about natural aspects of life, heath and wellness and communication. My goal has always been to work with and support women in their womanhood journey and now motherhood! I have a good rapport with people and my care for…. Sophie is a progressive birth doula and sex educator based in Ibiza, Spain. She began doulaing in in East London, and built a wide and supportive birthing community and clientele in Hackney. Sophie relocated to Ibiza in , and has been supporting births there ever since. Sophie still travels back to London and Brighton, to…. Tracey Williamson, Established Birth Doula. I am a mum of 2 beautiful daughters born 11 years apart. My eldest daughter has graced me with 4 amazing grandchildren. Of which, I was present at 3 of their births. I live outside Rochdale so can cover all Greater Manchester and beyond roughly one hours travel away A very practical mum and…. Congratulations on the beautiful news of your pregnancy, and for starting off your research to find yourself a Doula. I am a full time Massage Therapist, so I love massaging and pampering ladies and especially love to chat with pregnant ladies. Over the last few years, I followed a very beautiful journey developing many connections with pregnant and postnatal…. My work is full circle. I love my work. It's a tight community of generally open minded international people, many of whom have escaped the mainstream paradigm and are looking for alternative ways to live their lives , with deeper meaning and integrity. The role of the doula is welcomed here, at home and in the hospitals. Kate's Doula courses have been a huge success and have helped enormously in building up a solid birthing community…. Little did I know this would be an indication of my chosen path. I love teaching and connecting with mums and then meeting the babies and welcoming them to mummy and baby yoga and seeing them…. I have an enormous passion and get great pleasure from making people feel good about themselves. I help women, on many levels, and this is what really makes my soul sing. I specialise in magical face and body treatments, intimate steaming and…. Find a doula. Distance from the search address in miles. Please type your address. Search using your address or post code. United Kingdom. I… Read more. Aisha O'Reilly Hello my name is Aisha My own birth experiences were of two wonderful home births and I believe that you too should have the opportunity to naturally follow the rhythms of your body, mind and baby to engage together… Read more. I gave birth… Read more. Amanda Lau Established Doula: 'Hello! My aim as a Doula will be to provide non-judgemental… Read more. Every birth adds… Read more. I believe all women should have the opportunity to have an empowered birth and one that is coated in bucket loads of love and… Read more. Maybe you are… Read more. Eli Tersou Student Birth Doula: 'I was guided to the Doula path by what felt like coincidences, but now realise was answering a calling. Later on, I found the space to… Read more. My philosophy is that kindness, wisdom, compassion, and… Read more. Justine Garratty Student Birth Doula. Over the last five years my fierce passion for nurturing women and… Read more. Kizzy Petit Student Postnatal Doula. After having embraced my own birthing story, I had a calling… Read more. My approach as a holistic doula is to… Read more. Whilst this can seem like a lot, there are way through challenges in birth… Read more. My aim is to work together to… Read more. Amy Fairbrother Established Birth Doula. However, on a maternity placement as an apprentice healthcare support worker, I realised that with the staff… Read more. I really believe that huge life lessons can be found in each of my unique birth experiences and that postpartum, with it's intense hormonal shifts, is an opportunity for… Read more. Motherhood can be a lonely place and I know how important it is to have other people… Read more. I look forward to starting working with you Read more. My aim is to help inform and support your choices, to… Read more. I do not have a… Read more. Now I teach baby massage classes, online aromatherapy classes… Read more. Eleanor Carr-Archer My name is Eleanor and I share my life with four beautiful souls on the edge of Dartmoor; my husband and our 3 wonderful boys. I believe it is fundamentally important that women and pregnant people have the right to be heard, their… Read more. Eli Hello! I also came to being a birth doula to honour my own mother's journey and… Read more. Esme Shea I grew up in a family where birth was deeply honoured and the intuitive wisdom of women celebrated. We were… Read more. Etta Bell Hi! I am a mother of 2 beautiful children who are a source of joy and learning for me… Read more. I particularly enjoyed looking after Mum and… Read more. She wants women and… Read more. To me, being pregnant, giving birth to a human being is one of the most beautiful, powerful and life changing… Read more. Hana Hello! As the last few years of listening to birth… Read more. I loved the caring aspect of my role as a Special Care dentist; tailoring care for each individual and their… Read more. This may look like building trust in your body through grounding exercises and… Read more. Isabella Smith Established Postnatal Doula: 'My story as a postpartum Doula started when I gave birth to my daughter and had my partner and my sister by my side. In the… Read more. Jenna Foster Hello there! After the birth of my second daughter, I found my… Read more. Jenny Baker Hi! Jerry Horton Hello! I made the decision for finish my family first, so fast forward 9 years and 3 more kids … Read more. Jess Hi, my name is Jess! I am passionate about informed choice… Read more. Beyond doula work, I'm also a massage therapist and facilitate women's circles… Read more. Jess Willerton Student Birth Doula. Having completed this, I am now being mentored with her… Read more. I understand how to support and nurture through this… Read more. Juweyria Hassan My Name is Juweyria Hassan, and I love working as a doula because it helps me empower you as a mother and your new bundles of joy. I understand that welcoming a new baby and giving birth is a challenging event and I want to be a shoulder to lean on and provide a… Read more. I strive for my relationship with each family to be very… Read more. I was called to doula work when expecting my first baby, fascinated by stories of women birthing in ecstasy which… Read more. Rebecca Wallis My name is Bec and I have always been fascinated by pregnancy, birth, nature and the human body. This means I have no judgement around which way you chose to birth-my job is to support you in… Read more. Rowena Tebbutt Student Birth Doula: 'I believe that when we feel truly supported, properly listened to and totally in our power, we are capable of amazing things. And feel… Read more. Samsara has been… Read more. Trust Your Instincts: We will work together… Read more. You may feel the… Read more. Lucy Hamilton Student Birth Doula: 'I have three little girls who are beginning to understand how their bodies work and how they need to nurture and love themselves. Some of us are conditioned into just trusting what we are told without question and sometimes unconsciously give our power and choice away… Read more. Mariana Saraswati Chand Welcome. I support you to learn to ride the waves of… Read more. Merrewyn Alcock Hi there! I feel very strongly that every… Read more. Phillipa Cresswell You deserve a pregnancy, birth and postnatal period that is transformational. But working in the Local… Read more. I will give you all of the information that you need to know for what your options are and… Read more. I believe that feeling empowered and supported throughout our pregnancy and, significantly so, throughout our labours and births, gives us the best start from which to begin to nurtureours and… Read more. Sarah Goodman Congratulations on your pregnancy. I believe that with kindness, wisdom and compassion we can make choices that will nurture and… Read more. I want women to have the freedom to choose and own their pregnancy, birth and motherhood journey from an empowered and… Read more. Simin Goudarzi Portsmouth-based birth doula — helping you creating a safe and supportive space for the birth of your baby — focussing of education and regulation so that you are best equipped for your physiological birth. Snnah Yaseen Budstobloom From a young age, I have been interested in the care of children and I have naturally found a way with them. I have a good rapport with people and my care for… Read more. Sophie Whippy Sophie is a progressive birth doula and sex educator based in Ibiza, Spain. Sophie still travels back to London and Brighton, to… Read more. I live outside Rochdale so can cover all Greater Manchester and beyond roughly one hours travel away A very practical mum and… Read more. Over the last few years, I followed a very beautiful journey developing many connections with pregnant and postnatal… Read more. Virginia Walker My work is full circle. Areas Covered: Ibiza. Cyd Established Birth and Postnatal Doula. Kate's Doula courses have been a huge success and have helped enormously in building up a solid birthing community… Read more. Kate Gardner Student Birth Doula. I love teaching and connecting with mums and then meeting the babies and welcoming them to mummy and baby yoga and seeing them… Read more. I specialise in magical face and body treatments, intimate steaming and… Read more.

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