Lamaze Magazine 2008 - (Page 14) Celebration Birth By Barbara A. Hotelling, MSN, WHNP, LCCE , CD(DONA) Stand By Me Decide on a birth team, and possibly a doula, to serve as your support system. G iving birth will be one of the most memorable events of your life. It may be hard to imagine how you will respond to the powerful physical and emotional aspects of labor. But no matter how you feel, it is bound to be easier if you are surrounded by a team of people you trust before, during and after the birth. A Doula’s Role The word doula means “woman caregiver,” and its origin refers to the female who attended to the lady of the house during childbirth. Historically, doulas were aunts, sisters, cousins or friends who helped cook and clean, as well as offered support. Today’s doulas perform similar services. There are more than 5,000 professionally trained doulas in the United States, available to any woman who wants continuous non-medical support at childbirth. Studies show that the presence of a doula at a birth results in shorter labors with fewer complications and fewer interventions, such as Pitocin, forceps or cesarean. Research shows that women supported by doulas request pain medication and epidurals less frequently; they also report greater satisfaction with the birth and their partner’s participation. Doulas provide a variety of services, depending on your personal wishes and birth-plan preferences. Meet with your doula during the third trimester to discuss your expectations. Once labor begins, you may want your doula to help by massaging you or moving with you, but sometimes a doula helps most by simply giving you permission to listen to your inner wisdom. Having someone by your side to answer questions and let you know that you are doing well can empower you to see the light at the end of the tunnel. A doula can help communicate your preferences to other members of your support team, allowing you to relax and focus so childbirth is ultimately more satisfying. A Partner’s Compassion While a doula can provide incredible support, your partner is still your most vital source of emotional comfort. He or she knows the subtle signals that express your needs, as well as your preferences for touch, music, scents and tastes. Most importantly, your partner is likely to be the lighthouse you focus on during contractions. He or she may choose to participate in your birth in a variety of ways, but that love and presence cannot be replaced by anyone else. Talk to your partner now about his or her role, what you think you’ll need during this time and who can best help you get it. The Rest of the Team If you are giving birth at home or in a birth center, your midwife will pay attention to the physical condition of you and your baby and guide you through labor and birth. In a hospital, doctors and nurses will evaluate your progress and attend to your physical needs, but because there are other patients, they cannot provide the continuous support that leads to the best birth experience. Consider inviting family or friends who can stay with you throughout labor and birth. Show them your birth plan and encourage them to go to childbirth classes with you or take a tour of the birth center or hospital if you are not giving birth at home. Often, women do not want anyone other than their partner present at birth; others feel more comfortable with greater support. As you learn more, choose the birth team that helps you feel most empowered and confident on the big day. | Online: Read more at lamaze.org/magazine. Finding a Doula These organizations can help you find a doula in your area: DONA International; www.dona.org; (888) 788-3662 Association of Labor Assistants and Childbirth Educators; www.alace.org; (888) 222-5223 LAMAZE MAGAZINE 2008 14 LAMAZE.ORG PHOTOS: ADAM OLSZEWSKI; HAIR + MAKEUP: JEAN NEEUBOHN; FASHION STYLIST: SADIA SEYMOUR FOR HALLEY RESOURCES http://www.dona.org http://www.alace.org http://lamaze.org/magazine http://LAMAZE.ORG
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