Having a baby (again)? Whether this is your first, second third (or more!) time, giving birth is always one of life’s most significant experiences – however it happens. A growing trend for parents with all types of pregnancies and birth plans is the presence of a Doula – often called “a mother for the mother”. Patti, our Childbirth Education expert (and also a Doula) has this to say about what a Doula can offer the birthing family.
What is a Doula?
A doula accompanies women in labor to help ensure a safe and satisfying birth experience. As a doula, I draw on my knowledge and experience to provide emotional support, physical comfort and, as needed, communication with the staff to make sure that you have the information you need to make informed decisions as they arise in labor. I can provide reassurance and perspective to you and your partner, make suggestions for labor progress, and help with relaxation, massage, positioning and other techniques for comfort.
Choosing a Doula
Meet with your Doula candidates first before you make any final decision about retaining their services. This meeting does not obligate you in any way. Once you make your choice, you will want to meet with your Doula a further two or three times to discuss your preferences regarding the birth experience. She will also want to know your own best ways of coping with pain and fatigue and how you and your partner foresee working together.
When you are in Labor
I prefer that clients call me when they think they are in labor, even if they do not yet need me. I can answer questions and make suggestions over the phone. Together we will decide if I should come right then or wait for further changes. Except for extraordinary circumstances, I or my back-up will remain with the clients throughout the birth process.
After the Birth
I usually remain with clients for two hours after the birth, until they are comfortable and the family is ready for quiet time together. I prefer to stay with clients until baby has had at least one time at the breast and has fallen to sleep for the first time after birth. Doulas are available for phone contact to answer questions about the birth or baby and will likely visit with you twice after the birth to see how you are doing and to allow you to debrief about your birth should you desire to.
Limitations of Doula Practice
As a Doula, I do not make decisions for clients. I will help get the information necessary to make an informed decision.
As a Doula, I do not perform clinical tasks such as blood pressure readings, fetal heart checks, exams, and others. I am there to provide only physical comfort, emotional support, and advocacy.
As a Doula, I do not speak to the staff on the family’s behalf. I will discuss concerns with clients and suggest options, but the mother or her partner will speak to the clinical staff.
Patti is a Childbirth Educator, Doula and Registered Nurse living and practising in Calgary with her husband and five children.