Debra Woods - Dakini Doula
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Benefits of Doula Care

7/16/2020

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Numerous studies have been conducted on the benefits of having continuous support from a trained birth doula. 
I've included some top links here. 
http://evidencebasedbirth.com/the-evidence-for-doulas/

https://www.dona.org/what-is-a-doula/benefits-of-a-doula/

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https://www.dona.org/wp-content/uploads/2016/12/DONA_infographic-3.pdf
What is it really about a doula that helps couples so much? We read stats of the reduction in use of pain meds, lowered rates of cesarean births, and less use of interventions when doulas are present. Stats are numbers that quantify. What makes those numbers possible is something that can't be quantified - one trusted, trained caring professional who provides continuous one on one support, who is beside the woman, unwavering and steadfast in tending to her comfort, her emotional and physical well being, whose care is not medical in nature. So, it's not, for example, about labour progress, cervical dilation, blood pressure measurements, but how is the woman feeling? Does she feel cared for? Does she feel safe?
What I bring are essential elements of care that the rest of the team aren't. And it's this exactly that we know makes such an enormous positive impact on how labouring women do and why there's less use of pain medications, with reductions in interventions and cesarean rates. It isn't a number though and it's something that can be hard to wholly describe. 
It IS my presence - ever mindful of how the woman is doing from moment to moment, encouraging and reassuring, calming and grounding. Bringing my years of knowledge/experience to this woman, here and now, understanding what her specific needs are. Ensuring that her partner is doing well also! Partners are freed up when I am present so they can be there fully, without worry or feeling useless. This in turn adds to the woman's sense of well being, so she relaxes and focuses on birthing. 
There is something wonderful that happens when women are tended to in this manner, that makes all the difference for their experience. The more secure they feel, the better labour goes. Yet when labour and birth take a different path, where other choices need to be made, my care still proves invaluable. I'm focused on emotional and mental well being, not tracings on the monitor.  
Care providers have their role. Their attention is focused on the health of mom and baby, through the lens of clinical care. We of course do need that, and the complementary care of the doula's non-medical support. 
My care has so many facets. It shows up in the littlest of details, in the simplest of actions, such as wiping a sweaty brow with a cool cloth. One may ask how do we get from that to 60% reduction in women requesting epidurals?  You'd need to ask the women.

"I wanted support during labour, which you can't always count on from your partner or the nurses, all the time. It's her experience... which partners don't have of being at births and of having had a baby. We'll always be grateful for your attention to us at our daughter's birth."  Shauna
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    Debra Woods, Dakini Doula
    I am a seasoned birth doula, postpartum doula and a parenting & childbirth educator.
    Since 1989 I have been supporting Vancouver families during the childbearing year and into early parenthood.
    I write about a variety of topics related to pregnancy, birth, parenting and baby care.
    I share information from local Vancouver health professionals.

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