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Feature Articles

 

Women Regain the Rituals of Natural Birth through Doula Support
click here for the PDF
by Keith Waller, published in Natural Awakenings, May 2007

 

 

Published in Parent Magazine, April 2007

The birth of a baby is a momentous event for a family. How do parents, especially new ones, cope with the challenge?

For thousands of years, women bearing children have had aid from other, experienced women whom they trust: a mother, a sister, a friend….In recent times, with more hospital births, fragmented families, transient communities, all women have not had this help.  True, more fathers are now involved in the birthing process, yet they can also feel under-prepared and overwhelmed. Other caregivers are often so focused on the baby that the mother can feel overlooked. The more relaxed, calm, and confident the mother is, the easier the birth will be for both mother and child. The presence of a trained, caring companion can make all the difference in the mother’s experience of the birth, and relieve her partner of feeling solely in charge of her well-being.

The newly emerging doula profession is filling this need for TLC to moms in labor and postpartum. “Doula” is a Greek word meaning “woman servant”. Labor doulas are trained companions for childbirth. How do they help? Ideally, a doula will meet with a couple more than once during the pregnancy, and might attend a childbirth class with them to learn what techniques they will use. The doula will help the couple make a detailed birth plan, which may include personal information she wants the caregivers, to know, freedom to move around during labor, how the fetal heart rate is to be monitored, preferences for care of and contact with the baby immediately postpartum, how the baby is to be fed, and having her partner’s continuous presence. The doula will often be aware of the protocols followed in the facility the couple has chosen, and be able to advise the couple as to how the birth plan will fit within these guidelines. The couple may need to talk to their caregiver about any adjustments needed to coordinate their birth plan with the practices of their chosen facility. The doula can be a source of general information and reassurance for the mother to be, available by phone throughout the pregnancy. However, the doula gives no medical information or advice. She refers all such questions to the mother’s doctor or midwife.

 Ideally, a labor doula will meet with a couple more than once during the pregnancy, and might attend a childbirth class with them to see what methods they will use. The doula will help the couple to make a birth plan. Among other details, this could include personal information she wants the caregivers to know, options for labor (e.g. she is free to move around, change positions, eat and drink as needed, how the fetal heart rate is monitored), immediate postpartum care of and contact with the baby, how the baby is to be fed, etc. The doula will often be aware of the protocols at the facility the couple have chosen, and be able to advise the couple as to how the birth plan will fit with these. They will need to talk to their doctor or mid wife about their birth plan and what adjustments might be needed.

 The doula will be available by phone during prelabor (or “false labor) and early labor. The mom calls in the doula at whatever point  they have agreed on during her pregnancy. The doula comes well-stocked with her knowledge and her “bag of tricks”. She is familiar with comfort measures such as massage, breathing, relaxation and visualization techniques, positions that increase the ease and efficiency of labor, hot and cold packs, soothing and refreshing aromatherapy blends, and most of all, her continuous, nurturing presence and encouragement. The doula remains with the mother for at least two hours postpartum, and helps with the start of breastfeeding, if the mother chooses this way of feeding. There is a follow-up visit within two weeks postpartum as the mother, couple, or family reviews this experience that has changed their lives. Trained baby nurses can help specifically with the baby’s needs at this time. Some doulas , known as postpartum doulas, take a separate training and specialize in meeting the mom’s needs in the immediate postpartum period. Either of these can be a wonderful help to a tired and bewildered family, especially in this age of numerous C-sections, when the mom is recovering from major surgery. The increased number of multiple births are putting added pressure on some families, who would also, no doubt appreciate an extra pair of loving hands.

What are the benefits of doula care? Research has shown that mothers using a doula tend to have fewer Caesarean sections, less medication, shorter labors, shorter hospital stays, fewer incidences of maternal fever (which means prophylactic antibiotic treatment for the infant), are more likely to breastfeed and for longer. Babies tend to be healthier postpartum, with fewer incidences of vomiting, coughs, colds, or runny nose, poor appetite, or diarrhea. Doula-supported moms often have less depression and more confidence postpartum, and feel closer to and happier with their baby, which promotes long-term mother-child bonding.

Where to find a doula? Beach Baby’s Services, Inc. is a new company that will shortly offer the services of trained  doulas  and other services.. Our area of service is Horry, Georgetown, and Marion counties.

Pat Burrell and Mitra Homayounian, the owners, have impressive credentials in the conventional and holistic healthcare fields. Pat is a Registered Nurse with over twenty years of Maternal-Child Health experience, the founder of Wholistic Childbirth Education, and is a Certified Lactation Consultant , among other credentials. Mitra Homayounian is a Licensed Yoga Instructor and Licensed Massage Therapist, trained in Pregnancy and Infant Massage and Yoga for Pregnancy. She also trained with Deepak Chopra in Ayurvedic Therapy.  They are both trained doulas. Here is what Pat has to say about this great new company:

“We at Beach Baby's Services Inc. are excited to be the first group of women in this area to provide this wonderful service to the women, babies and families along the Grand Strand and surrounding areas. We offer the combined knowledge and experience of a dedicated group of women to serve you. We have the combined years of over a century of experience of women helping other women in birth and caring for babies and families. All of our doulas are DONA (Doulas of North America) trained. At present our services include Labor Doula care, Baby Nurses, Wholistic Childbirth Education and Breastfeeding Counseling. The doulas who are a part of the Beach Baby's family vary in backgrounds and bring cultural diversity to you. This adds an incredible world of knowledge to the birth experience for all. We feel we represent all women and we are devoted to the service of [the] One in All.”

With a mission to improve maternal-child health in

Horry, Georgetown, and Marion Counties. Doula services are priced on a sliding scale. This is to allow many families to afford these services. It is our goal to "provide A doula to every woman who wants one" as part of our DONA creed. Grants will be pursued for the training of low-income women to enable them to earn a living in this field. Beach Baby's invites other doulas in the area to join their team. Contact them at (843) 272-8673 or www.beachbabys.org.

 

 

 

Published in South Carolina Woman, April 2007

The birth of a child is a powerful rite of passage in a woman's life. Where does she turn for guidance? 

Woman bearing a child have traditionally trusted other women for aid. Although in recent times the father has become more involved with the birth, he is not always present. Even if he is, a few childbirth classes may not be enough to make him feel adequate to the task of stalwart support for his beloved when she is under the intense strain of labor. He may feel some fatigue, anxiety, and distress of his own. All the advances in modern care for the baby notwithstanding, the mother may feel overlooked. And a relative or friend is not always standing by to take up the slack.

Doulas are now filling some of the needs women have for female empathy and support at this crucial time. "Doula" is a Greek word meaning "woman servant". Labor doulas are trained companions for women giving birth. They help with information, emotional nurturing, and natural techniques to induce calm, relaxation, and relief of discomfort, making labor easier.

A doula will meet with the mother and/or couple more than once during the pregnancy. She will suggest they draw up a birth plan, as detailed as possible, specifying how they want the birth to be managed. For example, if it is to be a hospital birth, the woman might want to include personal information she wants the staff to know. She might want the option of moving around and changing positions during labor, rather than lying in bed. She might want a tub or shower available, as warm water is very soothing during labor. She might want her partner to remain with her throughout the labor. One they have completed the birth plan, they will want to meet with their doctor or midwife to see how it will fit with the caregiver's and/or hospital's protocols, and make any necessary adjustments. Often the Doula will be aware of the routine of the various facilities, and be able to give the couple some idea of what to expect. Also, she may recommend that they visit the facility, so that they will feel more comfortable when the big day comes.

A doula can be available by phone for emotional support throughout the pregnancy and early labor. And if the mom has questions, the doula can supply her with useful sources of information. The doula, however, is not a health professional and does not give information or advice of a medical nature. All such questions are referred to the mother's doctor or midwife. The decision about when to call the doula in to assist will be made by the mom during her pregnancy.

When the doula arrives for the birth, she brings her "bag of tricks", which could include relaxation, visualization, and breathing techniques, massage, aromatherapy, hot and cold packs, a birthing ball, and knowledge of positions changes for increased comfort, ease, and efficiency of labor. Most af all, she brings her warm, encouraging self.

The labor doula remains with the mother throughout the labor and delivery and at least two hours postpartum. She is able to give some guidance on breastfeeding if the mother wishes to breastfeed her child. There is a follow-up visit within two days postpartum to review the birth and the significance of this very deep experience to the mother and family, in order to gain a sense of emotional completion. Some doulas take a separate training to help Mom in a general way in the postpartum period. Trained baby nurses can also be a wonderful help at this time to provide care to the newborn. They can be hired hourly or for live-in assistance with the baby. At a time when Caesarean sections are very common and multiple births are increasing, these women provide a much-needed service to mothers recovering from surgery or simply in need of an extra pair of caring hands.

What are the advantages of having a doula assist with a birth? Research has shown that women who have a trained companion during labor have fewer medications, fewer procedures (including C-sections), shorter labors, healthier babies, and less postpartum depression. They also feel more confident about their mothering abilities and closer to both their partner and their baby, a promising start to a lasting and happy bond between mother and child.

Beach Baby's Services, Inc. is owned by Pat Burrell and Mitra Homayounian. Pat is a Registered Nurse over twenty years' experience in Maternal-Child Health. She is also the creator of Wholistic Childbirth Education and a Lactation Counselor, among many other skills. Mitra is a Massage and Certified Yoga Instructor, trained in Pregnancy and Infant Massage and Yoga for Pregnancy. She also trained in Ayurvedic Therapy with Deepak Chopra. Both Pat and MItra are trained doulas.

We at Beach Baby's Services, Inc. are excited to be the first group of women to provide this wonderful service to the women, babies, and families along the Grand Strand and surrounding areas. We offer a dedicated group of women whose combined years of experience in helping other women with birth, baby, and family care total over a century. The doulas in the Beach Baby's family vary in background and cultural heritage, bringing an incredible world of knowledge of the birth experience for all. Our doulas are DONA (Doulas of North America) trained. At present our services include Labor Doula Care,

Baby Nurses, Wholistic Childbirth Education, and Breastfeeding Counseling. We will soon be adding Postpartum Doula Service as well. Because we have a mission to improve maternal-child health in this region, doula services are priced on a sliding scale to make this service affordable to many families. Our goal is to "provide a doula to every woman who wants one," according to the DONA creed. Grants will be pursued to train low-income women to pursue a living in this field. Other doulas are welcome. We feel we represent All Women, and are devoted to serving the One in All. Contact us at (843)272-8673 or beachbabys.org. 

 

 

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