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Thursday, April 18, 2013

Dads and the Doula

I have had several people wonder why get a doula when their husband is going to be there?  Here is some great information concerning this.

When it comes to pregnancy, birth, and parenting, today's father may want to share everything with his partner. He may want to be actively involved; ease his partner’s labor pain, welcome his baby at the moment of birth and help care for his newborn at home. A birth doula can help a father experience this special time with confidence.

Studies show that when doulas are present at birth, women have shorter labors, fewer medical interventions, fewer cesareans and healthier babies. Recent evidence also suggests that when a doula provides labor support, women are more satisfied with their experience and the mother-infant interaction is enhanced as long as two months after the birth. With doula support, fathers tend to stay more involved with their partner rather than pull away in times of stress.

Today, a father's participation in birth preparation classes or his presence at prenatal visits and in the birth suite is a familiar occurrence. Yet, we sometimes forget that the expectations of his role as a labor coach may be difficult to fulfill. Sometimes it is also culturally inappropriate for an expectant father to be so intimately involved in the process of labor and birth.

The father-to-be is expected, among other things, to become familiar with the process and language of birth, to understand medical procedures and hospital protocols and to advocate for his partner in an environment and culture he may be unfamiliar with. A doula can provide the information to help parents make appropriate decisions and facilitate communication between the birthing woman, her partner and medical care providers.

At times a father may not understand a woman’s instinctive behavior during birth and may react anxiously to what a doula knows to be the normal process of birth. He may witness his partner in pain and understandably become distressed. The doula can be reassuring and skillfully help the mother to cope with labor pain in her unique way. The father-to-be may be asked to accompany his partner during surgery should a cesarean become necessary. Not all fathers can realistically be expected to coach at this intense level.

Many fathers are eager to be involved during labor and birth. Others, no less loving or committed to their partners' well being, find it difficult to navigate in uncharted waters. With a doula, a father can share in the birth at level at which he feels most comfortable. The doula’s skills and knowledge can help him to feel more relaxed. If the father wants to provide physical comfort, such as back massage and change of positions, and help his partner to stay focused during contractions, the doula can provide that guidance and make suggestions for what may work best.

So how is a doula different from a labor and delivery nurse or partner/spouse?
The most important thing a woman needs during labor is continuous support. This means that you have someone by your side continuously from start to finish. A doula never leaves your side. Nurses have many other responsibilities other than you. Aside from helping care for you, the nurse is communicating with your care provider, taking care of other patients, documenting care, taking breaks, and taking care of other responsibilities. A nurse’s support ends when her shift does. The doula only has one obligation the whole time she is with you—and that is YOU!  Sometimes people think that they don’t need a doula because their partner will be with them continuously throughout labor. Your partner is an essential support person for you to have by your side. However, your partner will need to eat and use the bathroom at times. Also, most partners have limited knowledge about birth, medical procedures, or what goes on in a hospital.Doulas and partners can work together to make up a labor support team. To read a husband’s perspective on hiring a doula, read this article from Bloom in Spokane, Washington.  http://www.bloomspokane.com/2009/07/05/hiring-a-doula-a-husbands-perspective/  


I hope that this helps you on your path in choosing what is best for you and your family.
Info taken from these sites, they have more information on this topic as well.  

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