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Childbirth

Share experiences and get support around labour, birth and recovery.

What is the point of a doula?

82 replies

ReallyTired · 06/08/2008 22:45

I know that they are supposed to offer support before, after and during childbirth.
However they aren't qualified midwifes and don't necessarily have midwifey/ health visitor qualified.

So why would someone prefer a paid doula over an unpaid, husband friend or mother?

OP posts:
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babs10000 · 07/08/2008 00:07

the point is is that midwifes, esp in London, are massively stretched and simply cannot provide teh one to one, continious care that women require in childbirth

amazonianadventure · 07/08/2008 00:08

maybe it would help if some of them came on and spoke about twhat they do in more detail.

1dilemma, im a doula and ive already given my 2p.

you wrote unqualified doulas, were not qualified!

MarsLady · 07/08/2008 00:12

If I were to post some of the testimonials that I've got perhaps you would understand better.

Let me share something that a client's husband sent (their baby was born in the early hours of Monday).

Dear Mars,

I am trying to get my thoughts down in an email as soon as possible, while my eyes still fill up with tears every time I think about the whole experience.

We cannot begin to thank you enough for everything you have done for us over the marathon. At the end of it, all five of us (You, mw, client, baby, client's DH) worked brilliantly as a team for the best possible outcome. However, I cannot help but feel you were absolutely instrumental in guiding and supporting us through the whole thing. At each of the key turning points in the journey, you were there to steer us towards the positive outcome.

You were constantly there with the practical support - whether it be help keeping the pool full of hot water, magicing up delicious food or cups of tea. Having flicked through some of the photos - you seem to be almost a pro photographer! Your support for Irini was great - I picked up on you carefully placing your hand down for Irini to grab while in the pool - allowing her to make an unspoken decision

You were fantastic at coaching us. It is seems easy in the anti-natal classes to remember all the tips, but it all went out the window when at the start I was breathing through each contraction with "d-a-m-n i-t". You immediately replace "damn it" with "yes" and a reminder to not fight the contractions. I felt able to get back into some kind of control and keep breathing out "yessss" with Irini. You kept us mobile or resting, whatever was appropriate with a constant stream of ideas to get things moving or get some energy back.

Your steady flow of gentle guiding tips - often unspoken - to keep me being there for I with the right thing at the particular moment was something that I never realised, but helped us immeasurably.

The most important part of the coaching came at that critical moment. Looking back on it now, I feel that I went through a partners version of transition. I felt absolutely hopeless seeing I having given more than she thought she could every give physically give to then spend a further 3 hours trying. I couldn't face the thought of us leaving our home environment to the hospital - but felt we had to accept it. In that moment of complete doubt in our teams ability to see I push through to the right conclusion, you were able to pick me up from the bottom, while still supporting I. You were then able to give me that push to say I had to support her right then and there. It was down to that that I ignored any doubt and just went to work with her. In the end, I's big push felt like a football match when the crowd is all for one side.

You were absolutely brilliant in the role of gatekeeper. It really felt like you were creating this space for I and I. With the various people coming in and out of the house - somehow you managed to make it all work and keep our atmosphere. At the critical point of making the hospital decision, you cleared the room in the blink of an eye leaving I and I alone to think as calmly as possible - it was wonderful to have a minute as just us.

The amazing thing is that reading this now - it looks like you were totally in control - but actually, you managed it all while letting us run the whole thing for ourselves. That is a real balancing act.

Anyway - I can't type any more and I am sure I have missed half of what I meant to thank you for.

We have had a great first day - we are all doing well in our right place at home. He has already managed a nice fountain of pee all over the bed - so, we have now started on the obvious lessons!

**

I have taken out the names (my client's name begins with I).

I think that the above sums up the point of doulas really.

kiskidee · 07/08/2008 00:13

Marsy, you missed out one of the references to your client's name.

frumpygrumpy · 07/08/2008 00:16

Bravo! I've always loved you.

1dilemma · 07/08/2008 00:17

Sorry kiskidee I must havbe missed the bit where you talked about your birth.

Babs if you're talking to me I've had all mine in London, agency midwife for the first, no midwife for the second, got the midwife I was supposed to have for the third.

Amazonianadventure my point about doulas not being qualified was in relation to what kiskidee had said (note I said qualified not trained) I saw the bit where you said you don't give medical advice/deliver etc and responded by saying that I was sure this wasn't what she was saying but etc etc.

By what they do I ment examples (obviously suitably altered so noone can ID themselves)

babs10000 · 07/08/2008 00:19

PLEASE all take note..can revolutionise birth and in turn breast-feeding...

I couldn't do it with any of mine with any success..forget birth - breastfeeding is where I felt the most sense of failure..I tried so hard but I truly believe a baby has to go STRAIGHT on the chest..this helps then to develop teh latch whcih is crucial to everything..having had an epidural with the first she was the only one placed straight on my chest..I managed 4 months..albeit painful..the boys were ripped from be kicking and screaming adn I was so traumatised I didn't even ask what sex they were..they were whisked away from me and tha is soooo wrong..nothing is more important then to get that baby on the chest

MarsLady · 07/08/2008 00:21

I seem to have not deleted my client's name but he does say at the end of the email that it's not a private email and one he would happily share!

I love the job that I do. I have worked with mintpurple who is a regular MN poster and a mw. I think that mintpurple would be able to give an opinion on doulas.

I get on very well with mws. In fact I get on very well with consultants and doctors etc. At the Whittington hospital I'm known as the "sensible doula" (whatever that means... they just don't see my wild side). I've even been booked by obstetric consultants! They see the benefit of doulas.

Here is an excerpt from my website:

Why should I hire a doula?
Childbirth can be a scary thing, especially for first timers. A doula tends to be a woman that has already given birth and she can help take away some (if not all) of that fear. Doulas can make a difference in the outcome of your birth. Here are a few examples taken from the book Mothering the Mother: How a Doula Can Help You Have a Shorter, Easier and Healthier Birth, by Klaus, Kennell, and Klaus (1993):

50% reduction in the caesarean rate

25% shorter labor

60% reduction in epidural requests

40% reduction in oxytocin use

30% reduction in analgesia use

40% reduction in forceps delivery

I don't know if you need more to convince you and actually if I think about it I don't need to convince you. I turn down 5-6 women a week who are keen for my service (I say that not to boast but to show the demand and the point of doulas). I work with some incredible women who have the same passion for birth as I do. It is about providing our clients with informed choice, not making their decisions for them.

Am I worth my fee as a "professional birth companion"? Drop me an email and I'll put you in touch with any number of my clients and you'll see.

The first couple that I ever doula-ed (officially) for said that they really don't understand why people don't hire doulas. It was their second birth and miles better in comparison to their first. They felt safe and supported. That's all I'm there to do, to let my couples feel safe, supported and informed.

1dilemma · 07/08/2008 00:21

Like wot mars just did

(but I have to ask was it a HB?)

MarsLady · 07/08/2008 00:22

(I know kiskee... but I'm no longer on call having been at 3 births in the last 5 days... none lasting less than 24 hours...I've sunk a bottle of red)

MarsLady · 07/08/2008 00:24

Yes it was and they were very nearly transferred in (because it seemed that she just couldn't push him out). The baby was born with the paramedics in the room. When I left they were all snuggled up in bed together and I got a call from a client expecting twins to say that her waters had broken! Good job I love my job!

1dilemma · 07/08/2008 00:28

Mars I didn't mean whether they like you what's not to love I just ment what they think about what doulas do, whether/what they see your role as. I'd love to know what the cons. obs thought!

I also don't think it's a question of convincing people or not but people can still be curious about what doulas do.

Maybe those who have and havn't had doulas can give an interesting opinion (as long as they didn't get a doula because they had 'problems' wiht their previous birth(s))

MarsLady · 07/08/2008 00:29

Reallytired... the other point that I ought to make in direct response to your question: "So why would someone prefer a paid doula over an unpaid, husband friend or mother?" is this. I'm objective. I'm not going to be panicked if/when a doctor walks into the room. I've been on this journey before. I've experience that first panicky moment of birth. When the contractions start and you think it'll happen now and be over shortly. A husband also needs support. He needs to know which questions to ask, why his partner suddenly despairs, when to take breaks etc. The same can be said of the woman's mother. Her friend may or may not have given birth, but does she know the difference between hospital protocol and medical reason?

Must go to bed but couldn't leave this thread unanswered.

1dilemma · 07/08/2008 00:30

Glad for them
It's a nice letter I was willing it to have ben a HB!

MarsLady · 07/08/2008 00:30

1dilemma... did I answer your question in any of my ramblings?

MarsLady · 07/08/2008 00:32

oh and I signed the petition for one woman one midwife. If you haven't (anyone reading this thread) then you should!

There shouldn't be a need for doulas... but there is! And whilst there is a need, I shall continue to meet it!

babs10000 · 07/08/2008 00:33

did anyone see that programme about 8 women from the sixties that one of them documented? Fascinating. At 60 guess what they all said and what was beared out..wealth is immaterial

babs10000 · 07/08/2008 00:34

sorry wrong thread!!

1dilemma · 07/08/2008 00:34

Yes thanks

If you've got more expected you'd better go to bed!

babs10000 · 07/08/2008 00:34

idilemmma - have you had a baby yet?

1dilemma · 07/08/2008 00:37

babs see my post from 00:17 I did answer you. I'm keping track of this thread I wanted to see if it was a HB
I know I'm tubby but I didn't think I looked that tubby

babs10000 · 07/08/2008 00:39

what is HB!!

MarsLady · 07/08/2008 00:40

homebirth!

MarsLady · 07/08/2008 00:41

no more! The 3 weren't supposed to come in such a short space of time (1 was twins, 1 was rather late and the other was bang on time). I wouldn't sink a bottle if I were still on call!

kiskidee · 07/08/2008 00:43

enjoy your bottle Marsy. From the state of your typing, you haven't dived in deep enough yet.

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