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Why do I need a doula if I have my partner?
Some
women feel that if they have a partner planning on being involved
in the birth of their baby, the services of a Doula are unnecessary.
The doula is sometimes thought to be needed only by women without
partners.
Today,
a father’s participation in birth preparation classes or
his presence at prenatal visits and in the delivery suite is a
familiar occurrence. Yet, we sometimes forget that the expectations
of his role as a “labour coach” may be difficult to
fulfill.
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 advocate for his partner
in an environment he is usually unfamiliar with. The doulas'
role can enhance the birthing experience for the mother and ease
the father.
During
pregnancy, a doula meets with the couple to discuss the couple’s
priorities, any fears and concerns, and plan how they might best
work together. Both partner’s thoughts and feelings are
addressed. The father is given an opportunity to talk about his
own concerns for the birth.
At
the onset of labour, most doulas will come to the couple’s
home and help them through the beginning of labour until the time
arrives when they must leave for the hospital. The presence of
the doula can be reassuring and help parents not leave too early
to the hospital.
Upon
departure, the doula can help the father prepare the mother, pack
suitcases in the car, make phone calls, and any other final tasks
to be done.
Once
at the hospital, and as labour increases in intensity, the doulas'
role with the father becomes significant. The deepening pain the
mother experiences can spark new questions and feelings in the
father. At times a father may not understand a woman’s instinctive
behavior during childbirth and may react anxiously to what a
doula knows to be the normal process of birth. Doulas' are
experienced in childbirth and have a good understanding of what
is normal in labour, as well as options to consider if their labour
does not follow typical lines. A doula can provide the information
to help parents make appropriate decisions and facilitate communication
with care providers.
Some
couples may feel that the presence of a doula might interfere
with the unique intimacy between them. They may want privacy or
the experience for themselves. In reality, when labour begins,
many couples are greatly relieved to have someone experienced
remain with them. The nurses and doctors have several patients
to attend, therefore they are commonly in and out of the birthing
rooms.
The doula will be in constant attention to the parents, and can
readily assure them that their labour is progressing normally.
If not, she can help give them better understanding of what is
going on. She can explain certain medical procedures, or gather
further information from the obstetrical staff.
Fathers
often may feel uncertain about what to do. The doula can give
suggestions and encourage the father to participate and be as
involved and supportive as he can at his own comfort level. When
a doula supports the couple throughout labour, the father is freed
to reach to the mother in a more caring and nurturing way. The
presence of the doula complements the father’s role and
strengthens it.
A
doula will also have some one-on-one contact with the mother,
massaging her into relaxation, talking her softly though the pain,
encouraging her to vary positions which can speed up labour and
can lessen pain, and expressing support between contractions.
The father and the doula may use their strength together to help
the mother, especially during a long labour.
Upon
delivery, Dad may want to observe his newborn first medical assessments.
The doula will remain by the mother unless instructed otherwise.
She may assist in breastfeeding if that is the mother’s
choice and help make her comfortable.
During
the postpartum visits, any questions the parents have about their
birth will be discussed, and each will hopefully be left with
the understanding and contentment about their child’s entrance
into the world
Although
I refer to the mother’s partner as the father this may not
always be the case. It can be a sister, mother, friend etc….
Anyone the mother chooses to accompany her through labour and
birth.
This explanation of the doula's role applies to any
partner the mother chooses.
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