It’s beautiful.

Before we get to the statistics, having a doula at a birth simply makes sense in today’s environment.

Women who are given continuous emotional and physical support during their births tend to be more calm and relaxed and less fearful during the birth process.  Having someone experienced and trained in what is normal, to help women into positions that aid in the baby’s descent and maternal comfort all the while telling the mom that what she is doing is safe and normal helps tremendously.  Adrenaline produced by tension, fear, and anxiety in the mother are all shown to slow down and even halt the birthing process.

As labor and delivery floors are staffed with fewer nurses and more technology, women are increasingly not provided with continuous support in the standard hospital environment. Many labor and delivery nurses are too burdened with the duties of monitoring the mother and baby’s physical well-being along with the hospital paperwork and protocol to be able to provide the kind of intense non-medical emotional and physical support a woman needs in labor. Having a doula present ensures that a woman is supported by a trained professional whose sole focus is to take care of the non-clinical needs of the mother.  A labor and delivery nurse is constantly juggling her responsibilities to care for laboring women, follow hospital protocol and the orders given by the woman’s care provider – a doula’s primary responsibility is to her clients.

So, back to the stats:

DONA International, the organization through which I am certified as a birth doula, has published a position paper.  It is well worth the read.  In this paper they highlight some studies that attempt to document the value of doula support.  Some of the highlights of what they found were:

• Women who have doulas are safer:

26% less likely to have a cesarean section(major abdominal surgery), 41% less likely to have a birth assisted by vacuum extraction or forceps, and doula care even reduces the likelihood that the child would score less than a 7 at a five minute APGAR

• Women who have doulas have shorter births:

the average length of the labor is decreased by by 25%

• Women who have doulas have less painful births:

Doula support has also shown to facilitate less painful labors with women using analgesics and anesthetics 28% less than women without doula support

There are some things in life that just make good perfect sense and having a doula  or someone trained and equipped to provide continuous emotional and physical support for women at a birth is crucial.

I have another doula friend who likes to joke that her clients don’t get epidurals for pain in labor – they get epi-doulas.

And please don’t think that I am naive to think or suggest that women with doulas will have pain or discomfort free labors.  I have had three babies  – all of them were un-medicated births.  I understand the intensity of the  pain a laboring woman can have – and I know that many of the suggestions doulas have can make that pain manageable.

We were overseas for their births and we made the best choices we could in our given circumstances (no doulas).  Looking back I think we did a great job considering, but there were definitely moments when it would have been very helpful to have had an advocate translating (literally and figuratively!) the system to us.

For example, with our second, we went in for an un-scheduled induction.  Looking back, I was in early labor and didn’t know it and the doc was just trying to hurry things along. At the time, I thought that if we didn’t induce, then something seriously awful could happen to me or the baby.  Later during the induction, We couldn’t tell if I had simply a regular IV or one with Pitocin.  We had a lot of questions during that birth that a doula would have been able to help with and ease my/our anxiety through the whole process.

I truly love being a doula.  Supporting women and families through the amazing transition that is labor and birth is a honor that I am thrilled to have – every time.

Klaus, Marshall H, John H Kennell, and Phylis H Klaus.  The Doula Book: How a trained Labor Companion Can Help You Have A Shorter, Easier and healthier Birth (Da Kapo Press, 2002)

“DONA International Position Paper: The Birth Doula”, p. 3: Hodnett E, Gates S, Hofmeyr G, Sakala C.  “Continuous support for women during childbirth.”  The Cochrane Database of Systematic reviews 2003. Issue 3, Art No. CD03766. DOI: 10.1002/14651858.CD003766.

“Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes?”, American Family Physician, October 1, 2002.   http://www.aafp.org/afp/20021001/cochrane.html

Bradley, Robert.  Husband Coached Childbirth (Fifth Edition): The Bradley Method of Natural Childbirth. (Bantam Books, 2008).

Related posts:

• Where can I find safer, lest costly Maternity care? With a Midwife

• So what’s in the doula bag? 20 Indespensible items for birth
• Consumer Reports: On Birthing

My faves: 

• The Nature of Natural Birth – I love this one because we get to see how beautiful and intimate birth can be.  This mother gets great support from her husband, midwife,  and doula.  No matter how many times I watch this one, I tear up.  If you want to be inspired, check this out.
• Prevent Cesarean Surgery -  This video is completely different than the first as it highlights a very different reality and aspect of our birth culture today – the Cesarean Epidemic.  You get to hear firsthand from mothers who have had cesareans and some of the unintended consequences they endured as a result of their surgery.  I love this video because it outlines steps families can take to prevent unnecessary Cesareans.
• Home Birth of Judah Darwin -  I have always loved this video.  I love this couple’s story.  I love how we get to see a woman working really hard in labor, yet she describes it in her subtitles as “intense and strong and amazing.”  She also gets amazing support from her midwife and doula and husband.  At one point we see her getting the double hip squeeze and later hear her getting coached to focus the intensity on moving the baby down.  Amazing support.  So many women’s birth are sabotaged for lack of excellent emotional support, so I love it when I see and hear stories of women being tuly supported throughout their births.  Women are increibly strong during birth, yet we are also incredibly vulnerable as well – making great support essential.
  

So I could write so much more about all of the great videos submitted in this contest,, but I’ll leave it to you to comment on your faves and why. . .

A study came out this week showing that home births with a midwife are “just as safe” as hospital births for low-risk, healthy women.  It is a great read and I would love to hear your comments on this article:  Home births ‘as safe as hospital’.

Now imagine if the media in the U.S. portrayed home birth (or childbirth in general!) in this light:

The above video is actually a Spanish commercial for mattresses.   I love how this birth is gentle, respectful, beautiful, and safe.

The text of the video:

Mom: “We spoke and we decided that the best option would be for our daughter to be born in our bed, in our home.”

Dad:  “It’s the place where our first son was born. repeating this in the same bed is important.”

Mom: “It’s a miracle, isn’t it? That there is one life inside another and you are going to help it be born. And being able to do this how you want, in the place that you want, in your home.”

Dad:  “You relate to the space in a much more intimate way.”

Midwife during the actual birth:  “Slowly, slowly.”

Mom: “There is a light, a smell, a heat in this space when a new life comes that is just so special.”

Text:  “Waira. Born March 21 . . . in a Flex bed. ”

Mattress company slogan:  “Your bed. The most important place in the world.”

If only birth could be portrayed in the media in such a beautiful way more often. . . sigh. . .