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Dana H. Glazer

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My Experience With a Doula During Childbirth

Posted: 07/ 9/2010 8:00 am

After writing last week about a father's role in the birthing room, it occurred to me that I would be remiss not to address my own personal experience in the delivery room as you might find it surprising and perhaps even helpful.

Like many dads, I attended birthing class with my wife, watched videos and even read a book or two on the subject of birth. However, studying for the experience and being in the frontlines of a birth are, of course, two different things; and as prepared as I tried to be for the occasion, I thank our lucky stars that we decided to have a doula present with us in the hospital room.

Yes, you're reading this correctly. As a dad, I strongly encourage parents to have a doula present at the birth, especially if it's in the hospital. I realize that for many dads this might be considered some sort of demotion of their role in the birthing process, but I see a doula's job rather differently. Let me explain.

First, when my wife, Deborah, and I initially interviewed doulas, we were looking for someone who could work with both of us and who would be respectful of my role in the delivery process. We ultimately hired a doula, named Sabine, who was very considerate of what our needs were as parents. While it was an additional cost to hire her, we thought it would be worth the extra money. Little did we know how true this would be as I'll soon explain.

When the day came for the baby to arrive, Sabine was there, not just to support Deborah, but myself in the process as well. The nurses seemed a bit taken aback by her presence but we were so glad she was there.

While Sabine was supportive of us, she took a backseat to our doctors and nurses; but then, after 19 hours of intense labor, it seemed that our baby was not going to arrive by natural means. The doctor then informed us that surgery would be necessary. At this, Sabine spoke up and asked for a few minutes to try some alternative birthing positions to help along the process. The doctor nervously granted the request and when Sabine instructed my wife to get off her back, the nurses were less than thrilled.

A few minutes later, our first son, Charlie, was born naturally. If not for Sabine, Deborah would easily have had a caesarian birth as were 32 percent of births in this country in 2007 - up 53 percent from 1996. In our home state of New Jersey, 38.3 percent of births in 2007 were caesarian. The reasons for these increased rates are often attributed to hospitals seeing caesarian births as a more controlled, efficient approach as well as having less insurance liability than a vaginal birth. The World Health Organization suggests that the rate should be no more than 15 percent. As a dad, I find the statistics about caesarian births in our country to be problematic and I feel very grateful that a doula like Sabine was present in both of our son's births.

So, if you're a dad-to-be and you are hesitant to rescind your position as the only advocate for the delivery of your child, consider the percentage of caesarian births in this country and how those statistics might change with an experienced doula by your side, giving you and your partner the support you deserve during one of the most challenging and meaningful days of your life.

(Dana H. Glazer is the award-winning director of the feature length documentary film, The Evolution of Dad. To learn more about the film, please visit www.evolutionofdad.com)

 
After writing last week about a father's role in the birthing room, it occurred to me that I would be remiss not to address my own personal experience in the delivery room as you might find it surpris...
After writing last week about a father's role in the birthing room, it occurred to me that I would be remiss not to address my own personal experience in the delivery room as you might find it surpris...
 
 
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11:40 PM on 07/11/2010
As a doula in Austin at the Get Babied! Doula Collective my husband is my biggest referral source. I had a doula for my births too, and he is forever greatful. For him the pressure was off to guarantee a positive experience - he outsourced that job to the doula so he could sit back and enjoy the experience too. I'm curious what dads are opposed to doulas and why dads and doulas still make the news?
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justkeepswimming
10:52 PM on 07/11/2010
This is completely right. Having someone present during childbirth who can make sure that the mother's wishes are honored and unnecessary interventions aren't forced on her makes all the difference. Bravo to this dad for being comfortable with that and making sure his wife had what she needed.
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bgofca
09:56 PM on 07/11/2010
doulas, midwifes, birth plans are all great, but everyone needs to keep in prospective that what is most important is the birth of a healthy baby. Having a child of my own that had brain damage from a vaginal delivery i know what can go wrong. Also, having worked many years in an neonatal intensive care unit as a nurse, I have seen too many very bad outcomes from home deliveries gone bad; infants came to our unit after receiving brain damage at delivery. Many had seizures and lifetime problems; many of those died. I have been at deliveries to take care of a baby in distress and seen alternative techniques delay care for the baby (one midwife wanted to keep the non breathing baby on moms abd instead of letting us resuscitate). the mother needs not to be made to feel like she is a failure if she is unable to deliver the right way. a healthy baby is what is most important not the parents experience. wise decisions can accomplish both.
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sbmulqueen
I voted for "That One" - TWICE!
10:55 PM on 07/11/2010
Thanks for sharing your personal story. I had to drop out of prenatal yoga because all the moms-to-be could talk about was their "fear" of not being able to have a natural childbirth. It was paralyzing them and really ruining their whole experience. I finally spoke my mind - their first "job" was to deliver a healthy baby and not to feal like a failure even if they had to have a C-section - and didn't go back. It was just too much pressure.
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TheBees
05:29 PM on 07/26/2010
And I wonder how many babies have brain damage, seizures and lifetime problems at the hands of OBs and their interventions and unnecessary management? Its misleading and irresponsible to try to put the blame on so-called alternative caregivers for problems that are just as prevalent if not MORE common in hospital settings.
Maybe if OBs would work WITH women and their innate ability to birth instead of against them they wouldn't need midwives, doulas and birth plans.
06:03 PM on 07/11/2010
Just wondering why the doula didn't speak up earlier? She waited to suggest this after 19 hours of labor?! (Yikes!). Is it just me or is modern medicine trying to diminish the role of midwives and doulas while many are passively accepting that?
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11:21 AM on 07/11/2010
This is really heartening.
Great news for the Mom, Dad and the baby.
Doulas rock!
10:13 AM on 07/11/2010
Great story! I wish that OBs would educate themselves on alternative birthing positions. This is one of many reasons why I chose to use a midwife and give birth at a birth center. If I didn't have that option I definitely would have hired a doula.
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LaurieAnn
Charity is NOT a substitute for justice.
02:55 PM on 07/10/2010
So glad you took the time to write the article. 13 years ago, when I gave birth to my son I suggested the idea of a doula to my husband and he was all for it. As older first time parents I was concerned that I would have a long labor (which I did) and that my spouse and I would get too exhausted during the labor process to make good decisions. I am so grateful that we did so. Our doula helped my husband massage me during the long labor and took over at times so that my husband could have a few bathroom and snack breaks. Because of our doula's help I had a pain killer free delivery, though sadly not a medication free delivery as my labor slowed and I received pitocin. I was however able to have a vaginal delivery.

Having an experienced woman in the room who had been through labor and deliver a few times herself and then many times with others gave me the confidence to stick with the most natural process possible. She also helped talk with the nurses on duty and even got one unhelpful nurse replaced. This was just such a blessing.

I encourage every parent to hire a doula for the birth if they are able to do so.
12:03 PM on 07/10/2010
Thanks for sharing, My husband and I used a doula twice, and the first time she earned her money before we even got into labor, with lots of early consults. We have 3 kids, and I became a Lamaze educator as a result of having a great birth and seeing the local need/good market. For any woman who is really serious about giving birth without pain meds, hiring a doula to help makes a lot of sense. And they really do help the dad do what he does best -- hold the mom, comfort her, and just be there without him having to know the detailed ins and outs of labor. He can also process things, too -- after all, it's his baby, too, who is being born, and that is a beautiful, weighty thing for partners to wrap their heads around. Thanks again for sharing your thoughts!
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Kim Stagliano
Author All I Can Handle I'm No Mother Teresa A Lif
07:17 PM on 07/09/2010
Great post! We used a doula three times - just for the birth, not for after care. She ran interference for us so my husband could concentrate on me as I snarled and looked away and stimmed my way through natural childbirth. (I wasn't mean to him, really, just very very distracted.) She made sure I could walk, squat, shower as much as I wanted instead of being stuck in the bed. She made sure the nurses kept away from me with any drugs. She was our advocate at a time when I couldn't focus on anything 4 inches past my nose and my husband was busy waiting for his babies to arrive. My OB's (I had 2 difference docs for 3 kids) were totally cool with the Doulas and welcomed her into the process. Had I needed a Cesarian, she'd have been there with us for that too - to make sure we understood the process. I'm a big Doula fan, can you tell? :)
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MichelleRodulfo
women's health & wellness junkie
06:29 PM on 07/09/2010
Yes, it's amazing how technical and how much medical intervention is associated with childbirth. For women with low risk pregnancies, a natural birth with the assistance of a midwife and a doula can be a wonderful experience. More women need to be empowered to explore these options.

http://michellerodulfo.com/body-wellness-mamatoto-resource-childbirth-centre/
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nikanj
free the fnords
02:52 PM on 07/09/2010
Nineteen hours of hard labor on your back ?
This is why women need to be proactive in learning for themselves about different birthing
positions and practicing them (with a doula if possible) before labor begins.
If you are already familiar with moving your very pregnant body into different positions,
then it will be much easier to do so during the delivery process, and also easier to insist
that you be 'allowed' to do so by your medical caregivers.
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LaurieAnn
Charity is NOT a substitute for justice.
02:58 PM on 07/10/2010
This is another way that my doula was helpful to me during labor. She was able to be a strong advocate for me with the nursing staff at the hospital. I live in a very conservative area where most mothers request pain medications and we have a high rate of cesarians and a low rate of breast feeding. I was able to make it through a long labor and be ready to breastfeed immediately following birth. I wouldn't want to give birth without a doula present.
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nikanj
free the fnords
11:29 PM on 07/10/2010
And postpartum doulas could certainly be a nice addition to the birthing process too.

Medical deliveries assume that the birthing process is complete once the placenta
appears. That is not the case, parturition is a complex and multi-phasic process
which may take much longer than we generally recognize to complete itself.
01:54 PM on 07/09/2010
This is a great article. When I first expressed my desire to have a natural childbirth outside of a hospital to my husband, he didn't understand why. A year and a half, countless books, articles, documentaries, and discussions later, he is fully on board and understands how important it is to get back to birth as a naturally occurring life event...not an overly medicated hospitalized ritual. We are excited to welcome our first baby into the world in February of next year and are so excited to have a doula be part of our team. Not only to help me, but to coach him on how to be as involved and as useful to me and our baby as possible.