Showing posts with label doula. Show all posts
Showing posts with label doula. Show all posts

Monday, February 7, 2011

Ask a Doula Video Series Now on YouTube

A certified doula has started a new video series on YouTube called "Ask a Doula". The intent is to help expectant parents understand their options and be better prepared and able to make informed choices about their care. I think it's a wonderful idea, and I've subscribed to the series for future video uploads.

Here is the introductory video:


Click here to watch the video on YouTube and/or subscribe to the series.

Friday, January 21, 2011

Labor Doula, Childbirth Preparation, and Gentle Birth

I'm happy to announce that three more of my articles were published on the Pampers website:


Why I Love my Labor Doula - My personal tribute to my amazing doula!


A Birth Doula Supports Women in Labor and Birth - This discusses the many roles of birth doulas, including supporting women with epidurals and c-sections.

Preparing for Labor and Delivery - This covers a little of each of my 5 birth experiences, emphasizing the need for proper childbirth preparation.


Is Gentle Birth Possible? - My experience in discovering gentle birth.

Monday, November 15, 2010

Touch in Birth

This is a great resource for partners, doulas, midwives, and birth supporters everywhere.

I've been supported in birth by my husband (as licensed massage therapist), a doula, and midwives.  All of them used physical touch in supporting me, and I can personally attest to the great comfort and importance of touch in labor and birth.


I found this video through Enjoy Birth

Wednesday, August 4, 2010

A Father's Perspective on Doulas

My Experience With a Doula During Childbirth
by Dana H. Glazer
As published on Huffington Post

After writing last week about a father's role in the birthing room, it occurred to me that I would be remiss not to address my own personal experience in the delivery room as you might find it surprising and perhaps even helpful.

Like many dads, I attended birthing class with my wife, watched videos and even read a book or two on the subject of birth. However, studying for the experience and being in the frontlines of a birth are, of course, two different things; and as prepared as I tried to be for the occasion, I thank our lucky stars that we decided to have a doula present with us in the hospital room.

Yes, you're reading this correctly. As a dad, I strongly encourage parents to have a doula present at the birth, especially if it's in the hospital. I realize that for many dads this might be considered some sort of demotion of their role in the birthing process, but I see a doula's job rather differently. Let me explain.

First, when my wife, Deborah, and I initially interviewed doulas, we were looking for someone who could work with both of us and who would be respectful of my role in the delivery process. We ultimately hired a doula, named Sabine, who was very considerate of what our needs were as parents. While it was an additional cost to hire her, we thought it would be worth the extra money. Little did we know how true this would be as I'll soon explain.

When the day came for the baby to arrive, Sabine was there, not just to support Deborah, but myself in the process as well. The nurses seemed a bit taken aback by her presence but we were so glad she was there.

While Sabine was supportive of us, she took a backseat to our doctors and nurses; but then, after 19 hours of intense labor, it seemed that our baby was not going to arrive by natural means. The doctor then informed us that surgery would be necessary. At this, Sabine spoke up and asked for a few minutes to try some alternative birthing positions to help along the process. The doctor nervously granted the request and when Sabine instructed my wife to get off her back, the nurses were less than thrilled.

A few minutes later, our first son, Charlie, was born naturally. If not for Sabine, Deborah would easily have had a caesarian birth as were 32 percent of births in this country in 2007 - up 53 percent from 1996. In our home state of New Jersey, 38.3 percent of births in 2007 were caesarian. The reasons for these increased rates are often attributed to hospitals seeing caesarian births as a more controlled, efficient approach as well as having less insurance liability than a vaginal birth. The World Health Organization suggests that the rate should be no more than 15 percent. As a dad, I find the statistics about caesarian [sic] births in our country to be problematic and I feel very grateful that a doula like Sabine was present in both of our son's births.

So, if you're a dad-to-be and you are hesitant to rescind your position as the only advocate for the delivery of your child, consider the percentage of caesarian births in this country and how those statistics might change with an experienced doula by your side, giving you and your partner the support you deserve during one of the most challenging and meaningful days of your life.

(Dana H. Glazer is the award-winning director of the feature length documentary film, The Evolution of Dad. To learn more about the film, please visit www.evolutionofdad.com)

Friday, March 5, 2010

A Doula's Perspective on Midwives

by Samantha

"I have not personally given birth, but am a DONA birth doula and working on becoming a CBE (Child Birth Educator). Where I grew up (southwest NH) midwifery and natural birth is the norm and it is what made what to get on this path. I grew up thinking childbirth was a normal event. Not one that needed to be induced or numbed. There was a free standing birth center at the end of my street and my favorite thing was to go on walks and see if the "new baby" sign was up and the info on it. All gynecological care I ever received as a teen and young adult was by a CNM, and she made me want to be proactive in my own health, instead of fearful. When I was 17, I went to a DONA training to become a doula and fell in love with birth.

"I moved to Chicago to get my Bachelors in Nursing and to attend midwifery school. Since being in IL I have worked with mostly OB's and it has been very disappointing with one exception. There is one OB I have worked with multiple times who is part of a group with four midwives. The way he practices compared to other OB's is night and day. He allows pushing in any position, he does not rush mom and lets her do things at her own pace. He allows dad to catch the baby all by himself if he wants, he is anti-circumcision and applauds parents for opting not to cut. C-sections are only for women and babies who are in true distress and he doesn't believe in pushing pain meds or time tables. When I asked him if this was his normal practice or only the practice when he is a CNM backup, he said that the CNMs showed him what birth should look like and he never looked back."

Monday, January 25, 2010

Why a Doula is Better Than Your Best Friend

This article by Birthing Hands of DC on facebook is really good! It discusses why sometimes family and medical staff are not enough support or the right kind of support a woman needs in labor and birth.


In my own experiences I've found what this woman writes to be absolutely true. I've had some friends tell me "I don't need a doula. My husband is a great labor coach, and he is all I need." My response to that is that my husband is a fantastic labor coach as well, but it always helps to have another set of hands and an unattached, unbiased, knowledgeable person there to support me.


Wednesday, January 20, 2010

Men At Birth - First Male Doula Certified by DONA

"Keith Roberts is unfazed by the attention given him as the first man to be certified as a doula by DONA. He has has spent over 30 years in the field of holistic care, specifically focusing on pregnancy massage therapy and birth support for the last fourteen. The prenatal massage work he does was a segue to following one mother right into labor where he found expert massage therapy was extremely beneficial to her in labor. She was the first of fifteen more mothers he supported in labor before he determined to pursue certification as a doula."


This is a really interesting article about a male doula, and how he feels his support in labor is so helpful. The article also lists some really good advice for expectant parents.


Thursday, December 10, 2009

Benefits of a Continuous Doula

Benefits of a Continuous Doula
compiled by Penny Simkin, PT, CD(DONA)

Obstetric Outcomes
In hospitals where intervention rates (epidurals, oxytocin, and cesarean deliveries) were very high, doula care lowered the intervention rates.1-6

The most dramatic improvements in obstetric outcomes came in those hospitals where:
• interventions were high
• women were not allowed to have a loved one present
• the doulas were not clinically trained (not nurses, midwives or students)

Psychological Outcomes
All six trials that investigated postpartum outcomes found that women who had doulas had these more positive outcomes 4 to 8 weeks later than those without doulas.1,7-11
• enhanced breastfeeding
• better maternal-infant interaction
• less postpartum depression, anxiety, and greater self-esteem
• higher maternal assessments of their baby when compared to the "standard baby"
• greater satisfaction with the birth experience

In summary, the doula is emerging as a positive contribution to the care of women in labor. By attending to the women's emotional needs, some obstetric outcomes are improved. Just as importantly, early mother-infant relationships and breastfeeding are enhanced. Women's satisfaction with their birth experiences and even their self-esteem appears to improve when a doula has assisted them through childbirth. 12 "Given the clear benefits and no known risks associated with intrapartum support, every effort should be made to ensure that all labouring women receive support, not only from those close to them but also from specially trained caregivers. This support should include continuous presence, the provision of hands-on comfort, and encouragement." 13
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1 Sosa R, et al. "The effect of a supportive companion on perinatal problems, length of labor. and mother-infant interaction," N Eng J Med, 303:597-600, 1980.
2 Klaus MH. et al. "Effects of social support during parturition on maternal and infant morbidity." Br Med J. 293:585-587, 1986.
3 Kennel] JH. et al. "Continuous emotional support during labor in a US hospital: a randomized controlled trial." JAMA 265:2197-2201, 1991.
4 Hodnett ED, et al, "Effects of continuous intrapartum professional support on childbirth outcomes.-- Res in Vi-sing and Health . 12: 289-287, 1989.
5 Kennell JH et al. "Labor support by a doula for middle-income couples: the effect on cesarean rates." Pediatric Res. 32:12A, 1993.
6 McGrath SK. et al. "Induction of labor and doula support." Pediatric Res. 43:13A. 1998.
7 Garcia C. "The eighth doula study: social support during birth in Mexico.- Conference proceedings of Doulas of North America. Austin. TX, June 20. 1997. 89-93‑
8 Hofmeyr J. et al. Companionship to modify the clinical birth environment: effects on progress and perceptions of labour and breastfeeding." Br J Obstet Gynaecol. 98 756-764. 1991.
9 Landry SH, et al. "The effects of doula support during labor on mother-infant interaction at two months," Pediatric Res. 43:13A_ 1998.
10 Walton D. et al. "The impact of a hospital based doula program in a health maintenance organization setting.- Ain J Obstet Gynecol. 11. 1998.
11 Wolman WL,. et al. postpartum depression and companionship in the clinical birth environment a randomized. controlled study." Am J Obstet Gynecol. 168. 1388-1393. 1993.
12. Hodnett E, Gates S. Hofmeyr G. Sakala C Continuous support for women during childbirth. The Cochrane Database of Systematic Reviews 2003 Issue 3. Art No CD003766 DOI: 10 1002/14651858 CD003766.
13 DONA International position Paper The Birth Doula's Contribution to Modern Maternity Care DONA International: Jasper. IN- 2005

Tuesday, December 8, 2009

A Doula Video

A doula in Australia put together this beautiful informative video:



Monday, December 7, 2009

What is a DOULA?

The Greek word doula means woman caregiver. We now use the word to describe a trained and experienced labor companion who provides the woman and her husband or partner continuous emotional support, physical comfort and assistance in obtaining information before, during and just after childbirth.

A postpartum doula provides care to a family with a newborn baby.

A birth doula...

...recognizes birth as a key life experience that the mother will remember all her life...

...understands the physiology of birth and the emotional needs of a woman in labor...

...assists the woman and her partner in preparing for and carrying out their plans for the birth...

...stays by the side of the laboring woman throughout the entire labor...

...provides emotional support, physical comfort measures, an objective viewpoint, and assistance to the
woman in getting the information she needs to make good decisions...

...facilitates communication between the laboring woman, her partner, and clinical care providers...

...perceives her role as one who nurtures and protects the woman's memory of her birth experience.

The acceptance of doulas in maternity care is growing rapidly with the recognition of their important contribution to the improved physical outcomes and emotional well being of mothers and infants.

Definition from the DONA International approved Doula training manual.

Friday, November 6, 2009

Beautiful Photo Depiction of Home Birth


I recently came across a photographer's blog post:

Welcoming Jakob Asher: Here Comes the Son!


It's an amazing photographic depiction of a home water birth. The mother is a doula, and she was able to have a pain -free birth at home with no medical interventions.

Please take a look.

Saturday, August 29, 2009


The Doula and the Partner:
How They Work Together to Help the Birthing Woman
by Penny Simkin, P.T.


I ran across this article that discusses the myths and realities of doulas and how they work with the birth partner to support the birthing woman. It was part of my doula training, and I think it's a wonderfully informative article.

Friday, February 20, 2009

Non-Pharmacological Methods of Pain Relief for Childbirth

Many women are afraid of natural childbirth because they're afraid that by choosing an un-medicated birth they are choosing an incredibly painful birth. This is not necessarily the case if a woman educates and prepares herself for an un-medicated birth. I know this from experience. There are many non-pharmacological (non-medicated) methods for pain relief, and these are just a handful of examples that I thought I'd share today. Please feel free to contact me if you'd like more information.
  • Moving and changing positions for labor and birth. Positioning can make all the difference in labor progress as well as in comfort during labor.
  • Use of touch (handholding, stroking, patting) and Massage, and much more.
  • Immersion in water during active labor (as opposed to early labor) when the water is maintained at body temperature.
  • Use of Intradermal Water Blocks (subcutaneous injections of sterile water) - particularly effective for back labor, but there are many other comfort measures that can be used for back labor as well.
  • Continuous Labor Support by an experienced person (who provides physical comfort, such as relaxation techniques, massage, non-clinical information and advice for the laboring woman and her partner, advise on effective position, heat or cold for pain relief, and emotional support (encouragement and reassurance).

Saturday, February 7, 2009

Continuous Support in Labor and Childbirth

Anyone can offer continuous support to a woman in labor and childbirth, but seldom in the United States today is this available in the medical setting of a hospital. Nurses most often are attending to several patients at once and cannot devote continuous support to just one woman. Physicians are not present during labor other than occasional contact with the nursing staff or brief visits, until delivery, and then leave once the baby has been born and the mother is stitched up and settled. Even partners (husbands, family, etc.) may not be able to offer the support a woman needs. A birth doula is trained specifically in labor and birth, and specializes in offering continuous support.

According to the
Cochrane Reviews, continuous support in labor and birth facilitates a better labor experience and more positive outcomes in childbirth.

"Continuous support in labour increased the chance of a spontaneous vaginal birth, had no identified adverse effects and women were more satisfied."

Original studies done on continuous support were done by having a woman simply sit in the room with the mother for the duration of the entire labor and birth. The woman did not speak or interact with the mother, but her simple constant presence in the room yielded significant results. If you are interested in reading more about these studies and about the role of doulas, please read
The Doula Book by Penny Simkin (also listed on the right side of the page under Recommended Reading). It's a relatively short book and is full of important information.

Birth Doulas, of course, do much more than just sit silently in the room with a laboring woman. We are trained to provide non-medical, continous socio-emotional support through labor and birth. We come prepared with a vault of knowledge and expertise in the process of birth, as well as extensive understanding of possible complications, medical interventions, comfort measures, emotional needs and ways to address them, physiological needs and assistance, and more. We work with the mother, her partner, and the care provider and staff in helping to promote the best birth experience and positive outcome as possible.


I am eternally grateful to my doula and her irreplaceable help to me in my birth experiences. I'm so excited to offer this support to others, and most of all, to let every woman know that she can get the support she needs to have a positive birth experience!