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Birthing has come a long way in the l st 50 years, with in-hospital birthing s ites, families in attendance, and procedures to m nimize labor pain. But one thing th t has not changed is the n ed for experienced support in the l bor room. Husbands and mothers are all w ll and good for some things, but m dically knowledgeable, objective, and trained doulas j st might be the best thing s nce Lamaze developed prepared childbirth classes. D ulas, also known as a labor ssistant or monitrice, are simply women tr ined in labor and birth. Their s le function is to assist a w men with all stages of birth. She j ins a woman early in their l bor and assists her with the p in management, including massages, relaxation, visualization, and romatherapy. A doula provides encouragement and c nstant support throughout the entire labor and d livery to both the mother and the f ther, while providing education and expanded xplanations about medical interventions, including the r sks and benefits that allow them to m ke informed decisions. Most doulas do f llow-up with the new family once th y have returned home, offering advice on br astfeeding and care of an infant, as w ll as checking on the mother's p stpartum well being.
There are several benefits to h ving a doula during your labor and d livery. These women have been shown in p blished studies to provide: * 50% d crease in a woman needing a c sarean * 60% decrease in the use of an pidural * 30% reduction in the use of any n rcotics * 40% decrease in the use of the dr g Pitocin (the synthetic version of the dr g oxytocin) * 40% decrease in the use of f rceps during delivery or a vacuum xtraction * 25% decrease in the t me of labor There is also evidence showing: * Decreased levels of anxiety * Decreased chances of infection and maternal fever * An increased chance of spontaneous vaginal birth * Decreased maternal bleeding following delivery * Decreased incidence of post-partum depression * Found to be more effective than Lamaze * Results in a more positive delivery experience * Increase in the success of breastfeeding Why should I consider using a doula during childbirth? So that there is one objective constant throughout your labor and delivery. Although obstetrical nurses are experienced in dealing with a laboring mother's emotional and physical needs, they can not guarantee the service they provide will last throughout the entire labor, especially in hospital settings where there are breaks, shift changes, heavy paper work, and busy nights. Some OB nurses have to handle up to six mothers in labor at one time. Midwives may be able to offer more support during the labor, but they too have other clinical duties to which they must attend. The father or partner may be better able to provide the continuous support that the mother needs, but they have little actual experience in dealing with the forces of labor. Even fathers who have had intensive preparation are often surprised when it comes to the actual labor and the amount of work that is involved. Even more important, many fathers experience the birth as an emotional journey of their own and find it hard to be objective when it comes to situations during the birth.
Can I afford to use a d ula during childbirth? The cost of sing a doula can range anywhere fr m $200 to $800, depending on y ur location. However, the price should not be an bstacle. According to Doulas of North Am rica, several insurance companies today are lready offering reimbursement for doula services. If y ur insurance company does not cover th s service, don't throw the towel in y t. Make sure that you pursue the m tter and bring all of the b nefits of using a doula to th ir attention. Many of these benefits can s ve the insurance company a significant mount of money. How can I locate a doula in my area? Doulas of North America (DONA) is an international association comprised of over 3,000 doulas who are trained to provide the best quality labor support to the laboring mothers and their families. DONA doulas are also specially trained and certified by the organization in order to help insure that their services of the highest quality that their members can provide.
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