Benefits of having a Doula at your birth
Studies have found that birth companions, of which doulas are one type, offer numerous benefits both to the mother and child. Women with support have a reduction in the duration of labor, less use of pain relief medications, lower rates of operative vaginal delivery, and in many studies a reduction in caesarean deliveries. Newborns in supported births have lower rates of fetal distress and fewer are admitted to neonatal intensive care units. In addition, one study found that 6 weeks after delivery, a greater proportion of doula-supported women, compared to a control group, were breastfeeding, and these women reported greater self-esteem, less depression, and a higher regard for their babies and their ability to care for them. These results are similar to findings that support from a female relative during childbirth has similar effects.
One study found doula support (without Lamaze classes) to be more helpful than Lamaze classes alone, as measured by levels of emotional distress and self-esteem evaluated at an interview 4 months after birth. In particular, it was noted that women in the doula-supported group reported their infants as less fussy than the Lamaze group.
What is a doula?
A doula is a non-medical assistant who provides physical, emotional and informed choice support in prenatal care, during childbirth and during the postpartum period. A birth doula is a continuous care provider for labor in many settings, also assisting the parturient woman during transport from home to hospital or birth center. A postpartum doula may begin care in the home (nutritious cooking for the mother, breastfeeding support, newborn care assistance, maternal-child bonding support, errands, light housekeeping) the next day after the birth, providing services through the first six weeks postpartum. In some cases, doula care can last several months or even to a year post partum – especially in cases when mothers are suffering from post partum depression, children with special needs require longer care, or there are multiple infants.
Types of Doulas
Labor/birth support doulas are labor support persons who attend to the emotional and physical comfort needs of laboring women to smooth the labor process. They do not perform clinical tasks such as heart rate checks, or vaginal exams but rather use massage, aromatherapy, reflexology, positioning suggestions, etc., to help labor progress as well as possible. A labor/birth support doula joins a laboring woman either at her home or in hospital or birth center and remains with her until a few hours after the birth. Some doulas also offer several prenatal visits, phone support, and one postpartum meeting to ensure the mother is well informed and supported. The terms of a labor/birth doula’s responsibilities are decided between the doula and the family. In addition to emotional, physical and informational support, doulas work as advocates of their client’s wishes and may assist in communicating with medical staff to obtain information for the client to make informed decisions regarding medical procedures.
Postpartum doulas are hired to support the woman after birth, usually in the family’s home. They are skilled in offering families evidence-based information and support on breastfeeding, emotional and physical recovery from childbirth, infant soothing, mother-baby bonding, and coping skills for new parents. They may also help with light housework, coordinate freshly made nutritious meals for the mother, and help incorporate older children. The terms of a postpartum doula’s responsibilities are decided between the doula and the family.
Some hospitals and foundations offer programs for volunteer community doulas. Volunteer doulas play an important role for women at risk for complications, and those facing financial barriers to additional labor support. These doulas will offer continuous encouragement and reassurance to laboring women. In this way, volunteer doulas can encourage mother based birth advocacy, and motivate a woman to feel in control of her pregnancy.
The doula is an ally and occasional mentor for the father or partner. Their respective roles are similar, but the differences are crucial. The father or partner typically has little actual experience in dealing with the often-subtle forces of the labor process, and may receive enormous benefit from the birth-familiar presence of a doula in the vicinity. Even more important, many fathers experience the birth as an emotional journey of their own and find it hard to be objective in such a situation, and a doula facilitates the family process. Studies have shown that fathers usually participate more actively during labor with the presence of a doula than without one. A responsible doula supports and encourages the father in his support style rather than replaces him.
A labor doula provides:
- Continuous physical, emotional, and informational support during labor and childbirth.
- Support from a professional care provider who understands, and trusts the process of birth, and who helps facilitate the birth experience for the parents, baby, and primary care providers.
- Explanations of medical procedures and interventions;
- Emotional support;
- Advice during pregnancy;
- Exercise and physical suggestions to make pregnancy and childbirth more comfortable;
- Help with preparation of a birth plan;
- Facilitation of communication between members of laboring woman’s birth team;
- Massage and other non-pharmacological pain relief measures, aromatherapy, any other non-medical comfort techniques she may be trained in;
- Positioning suggestions during labor and birth;
- Support the partner so that s/he can provide support and encouragement to the laboring woman;
- Help to avoid unnecessary interventions;
- Help with breastfeeding preparation and beginning;
- Some doulas offer a written record of the birth (birth story);
- Is present during entire labor and afterwards as long as is needed by parent(s).
A postpartum doula provides:
- Assistance with breastfeeding education and offers tips and informational support
- In home support for the mother, baby and family, anywhere from a couple days postpartum to several months.
- Informed and helpful newborn care help and assistance.
- Support for the partner so that s/he can support and nurture the mother, and the newborn baby.
- Evidence-based information with the partner that shows how his or her role in the early weeks will have a dramatic positive effect on the family.
- May also offer help in the following areas: household care, help with childcare/sibling care, meal preparation, errand running, and other tasks that may be requested.
Other resources:
http://www.dona.org/mothers/index.php
http://hawaiibirthsupport.com/
Reference:
http://en.wikipedia.org/wiki/Doula
DONA (Doulas of North America)
Listing here: http://www.dona.org/search/results.php?nav=0
Hawai`i island
Hawai`i Birth Support: http://www.hawaiibirthsupport.com/doulasnetwork.htm
Dr. Spellman: Perinatal Specialist {Monitrice/Doula,CB Educator, Lactation Counselor, Grief Counselor, Perinatal Yoga, Perinatal Massage/Acupressure , Baby Sign Classes.
O`ahu
Healthy Hapai: http://www.healthyhapai.com/
Hawai`i Childbirth Education Association/Doula Network of Hawai`i: http://www.hawaiichildbirthprofessionals.com here is a list of some of their doulas:
Kathryn Julia, Licensed massage therapist, Certified Labor doula – (808) 375-3465 or jultouch@yahoo.com
Kaela Ashton, Labor Doula- kaekailua@hotmail.com
Brynne Caleda, Labor Doula- (808) 753-8501 or brynne@brynnecaleda.com
Liko GIll – PikoBaby ‘Ohana Led Birth Services
http://www.pikobaby.com
(808) 724-6003
pikobaby.doula@gmail.com
BEST Birth Hawai`i – Pregnancy and Breastfeeding Center
Jaymie Lewis
Labor Doula
Certified Lactation Consultant
sacredhealingarts@gmail.com
808-783-0361
Lea Garner
JustTheDoula.com
JustTheDoula@gmail.com
808-674-0780 808-489-7365
Birth & Postpartum Doula services, Childbirth Preparation Classes, Breastfeeding education & Support, Placenta Encapsulation
Liko Gill
PikoBaby ‘Ohana Led Birth Services
http://www.pikobaby.com
(808) 724-6003
pikobaby.doula@gmail.com
Maui:
Pacific Birth Collective – www.pacificbirthcollective.org
Angelina Lombardo Meyer- http://www.MauiDoulaServices.com, (808) 572-1831 or (808) 268-8426
Monique Paris- (808) 269- 0888
Dr. Tracey Wright- (808) 575-5483
Kaua`i:
The Sacred Birthing School – http://www.sacredbirthingschool.com/contact-us.html
Barbara Essman, Labor Doula – 808.286.3602 or barbaraessmandoula@gmail.com
Seven Sisters Doula Collective, Kaua`i doula group. http://www.KauaiDoulas.com
I an a antepartum, labor/birth and postpartum doula and a certified lactation counselor on Oahu and would love to be listed on your website.
Would this be possible? If so what would you need from me.
Also Kelly Conaway and Laurelle Rzeszewski are no longer active doulas. Thought you might want to update this listiing.
Aloha and Mahalo,
Tammy Uva
aloha- I am a doula on the Kona side of the Big Island, and a Certified Professional Midwife as well. birthbliss@gmail.com, 808.626.5206 http://www.holisticmidwifery.net
blessings~ darby
Aloha
I am a birth doula/monitrice and lactation counselor serving all of Oahu. I’d be very pleased if you could list me on your website! I can be reached at Sacred Healing Arts 808-783-0361 or through my blog at hanaupono.com.
Big Mahalo!
With Aloha,
Jaymie Lewis
Of course Jaymie love, it’s Summer. ..;-)
ha! so awesome! gonna link you to me now! I should have known this was your blog! it is so thorough!!! xox
Summer, how about a link to AlohaLamaze.com/808-263-2229 under1) childbirth education, 2) circumcision and 3) breastfeeding?
Aloha, Janis
PS: Had my food and was ready to head off the the HCEA meeting today when I accidentally found out it had been canceled?????!!!!!
That’s great huh? 😉
Don’t forget a link to Normal Birth Hawaii as a network for birth visionaries (we all are).
JBB
Summer, please add Seven Sisters Doula Collective at http://www.KauaiDoulas.com to the list for Kaua`i in Finding a Doula in Hawai`i tab. Mahalo! Mieko
You could become a doula. Actually, I think MaternityWise has a training next month in Oahu and registration ends today. If you are interested, look at MaternityWise . com and click on training dates (:
Mahalo, sorry I didn’t reply sooner. I’m actually training to become a CPM and have taken a Doula training course and served as a Doula too. Aloha, Summer
Aloha,
I would love to be listed here.
Batya Friedland, doula & placenta preparation
Spanish, Mandarin, Thai, Hebrew
batyamidwifery@gmail.com
808.722.3176
As well under Religion/Faith & Birth:
Rabbi Batya Friedland, rav.batya@gmail.com, 808.722.3176
offering Brit Shalom, baby naming ceremony, funeral & memorial services
I am also an ordained Buddhist Chaplain, and therefore also welcoming of interfaith ceremonies.
Aloha Batya, I added you on 🙂 Hope all is well with you and your `ohana! ~Summer
I just LOVE the birth stories, so inspiring!!!
When you have a free moment, I know those are few and far between, I’d love to be added!
Lea Garner
Just The Doula
JustTheDoula.com
JustTheDoula@gmail.com
808-674-0780 808-489-7365
Birth & Postpartum Doula services, Childbirth Preparation Classes, Breastfeeding education & Support, Placenta Encapsulation
Much Aloha going into the New Year!!
❤ Lea
Will do! 🙂
Aloha ❤
I love your page! I am a birth and postpartum doula here on 'Oahu and was hoping you would be willing to list me here. I was wondering also if it would be okay if I added a link to your page on my website as well, thank you for your time!
Liko GIll
PikoBaby 'Ohana Led Birth Services
http://www.pikobaby.com
(808) 724-6003
pikobaby.doula@gmail.com
Aloha Liko! Mahalo, sure I would be glad to list you and no problem linking my page. Hopefully we’ll be able to meet in person one day! 🙂
A hui hou, Summer
Aloha!
I am a labor/birth/postpartum doula new to Hawai’i Island!
Find me on facebook: https://www.facebook.com/wildrootdoula/
Visit my website: http://wildrootbirth.myfreesites.net/
Send me and email: stuchel@gmail.com
Or give me a call!: (715)338-O735
Love & Light, Sophie
Aloha Sophie! Mahalo for your information/contact info and good luck with your business!
Aloha,
Summer
808-387-1098
sumlove808@gmail.com
As a Perinatal Specialist {Monitrice/Doula,CB Educator, Lactation Counselor, Grief Counselor, Perinatal Yoga, Perinatal Massage/Acupressure , Baby Sign Classes,
Aloha Dr. Spellman, are you on O’ahu?
Aloha! I am on Big Island Hilo side. MahaloNui
Aloha, I am on Big Island. My apologies but I replied previously but not correctly so it did not post!
Hi there! You mention volunteer doula programs in hospitals — I’ve volunteered in several on the mainland. Now that I am relocating to Oahu, I’m wondering if you could share which hospitals/birth centers (if any) have volunteer doula programs on the island.
Aloha, sorry I do not update this site anymore but thought I´d respond, in case you haven´t spoken to anyone else yet. There are many doulas on the island, but there are no volunteer doula programs in any of the hospitals yet, as far as I know. Mahalo, and please share if you know if it is different.