2. What is a doula?
3. What is a doula cont.
provides nonmedical physical and emotional support to a woman during labor and sometimes well beyond.She offers information about pregnancy, birth and hospital/birthing center routines, provides continuous support and comfort during labor, and acts as something of an interpreter between mother and medical staff when needed.Her job, in sum, is to support a woman's prenatal desires for the birth of her child while helping her adjust to the realities of the actual labor 4. What is a doula cont
5. Guide 6. Assist 7. Support 8. Encouragement 9. Continuous support(this is something that nurses alone may or may not be able to provide) 10. What is a doula cont.
11. She stays with the mom from the time labor starts(or starts and stops and starts:)) to a few hours after birth. 12. She usually meets with the mom before and after birth. 13. What does a medical professional do?
14. This may include taking the blood pressure, checking the cervix, giving medication 15. Diagnosis medical conditions 16. Pre-eclampsia, dystocia, failure to progress etc. 17. Determines the best medical decisions to make along with the client 18. Case Study
19. obgynmorningrounds.com/blog/morning-rounds/3-101-chorioamnionitis/ 20. Case studyWhat a doula does
21. Life Process-as experienced by the mom-Hunger
22. Peppermint tea might be a good thing to offer at this point(sugar or honey can be added).This relaxes smooth muscles and aids in digestion.Peppermint oil may be used for a similar purpose. 23. If food is not allowed, clear liquids like jello, broth or popsicles may be offered. 24. Process-Fatigue
25. what time she started 26. how much sleep she's had in the past 24 hours and the quality 27. does she look tired or exhausted 28. does she say she is sleepy or fatigued. 29. Fatigue cont.
30. A foam pad may help the beds feel more comfortable for sleeping. 31. Help work with contraction pain to facilitate rest
32. May want/need medication or epidural 33. Process- Thirst
34. ice chips or small sips of liquids, may help if you she has an iv bag or can't have fluids. 35. Process-Pain
36. Different positioning like side-lying or reclining in a chair. 37. rocking or walking may help, but don't push it. 38. Pain cont.
39. lavender, rose, or jasmine essential oils. 40. Feeling warm(fever)
41. Wet washcloths to cool 42. Peppermint oi 43. Ice packs 44. Fans 45. Pain with cervical exams
46. Start some deep breathing exercises and visualizations before, during, and immediately after the exam. 47. Have her ball up her fists and place them behind her hips during the exam.This helps tilt the cervix closer. 48. IV pain
49. Again, deep breathing can help before, during and after the procedure. 50. Afterward a warm or cold compress may be useful to decrease the pain. 51. Process-Anxiety
52. Lavender oil 53. Deep breathing 54. Music therapy 55. Process-Fear
56. Assess her spiritual resources
Focus on the things she does have control over. 57. Process-Social Network
58. Also discuss whether or not she wants outside distractions like the phone or computer network. 59. Help the spouse or significant other to feeling included in the birth process. 60. Process-Feelings of being cared for
61. Process-Decision making
62. Before any procedure is done(ie vaginal exam, iv, medication), make sure she gives at least her verbal consent. 63. Continuous support for women during childbirth(Cochrone Review)
64. In current history, this is no longer true and is more the exception rather than the rule. 65. This particular review was done to look at the effects of continuous support versus the usual care. 66. They also wanted to look at what effects certain variables may have on continous support. 67. Benefits of labor support
68. Less likely to have intrapartum analgesia 69. Less likely to report dissatisfaction 70. Labors were shorter 71. Less likely to have c-sections 72. Less likely to have instrumental deliveries 73. Less likely to have regional analgesia 74. Less likely to have a baby with low apgars. 75. When is it most effective?
76. When the labor support was not a part of the woman's social circle 77. In settings where epidural analgesia was not readily available. 78. Who should provide support
79. Support from a chosen family member or friend appears to increase woman's satisfaction with their childbearing experience. 80. How does labor support help? Theorectical foundations
81. These factors include:
82. High rates of intervention 83. Unfamiliar personel 84. Lack of privacy Continuous labor support provides a buffer for these situations. 85. Theoretical Foundations cont.
86. This may happen due to:
87. Helping to effectively use gravity 88. Supporting women in whatever position they choose 89. Recommending specific positions for specific situations 90. Theoretical Foundations cont.
91. Continuous labor support helps to decrease anxiety and fear by:
92. Information and advice 93. Comfort measures 94. advocacy 95. Conclusion from the review