Is the Doula Profession at risk?

Doulas’ Dilemma #2: The Doula Scope of Practice

This is the second blog in a series of three that I began writing in November. I am very passionate about the doula profession. That’s why I feel called to write this series before it is too late.  And by “too late” I mean that I think our profession is in danger. Being a doula trainer and at the same time an approved continuing education provider for obstetric nurses, allows me to be connected and empathetic to both sides of the conflict – doula and medical caregivers. On top of listening to nurses’ pain points in their relationships with doulas, I recently have been invited to speak at a few OBGYN and midwives’ practices and heard that they are on the verge of banning doulas

Additionally, recent events confirm what I have been fearing – the current practice of doulas’ who share evidence-based information that supports better obstetric practice (while not being medically trained and bearing no liability for their clients’ health) is going to hurt us.

  • It puts our relationships with medical caregivers at risk.
  • It will lead more cities to follow New York in attempts to license doulas.
  • It will lead our best friends – hospital-based midwives – to ban doulas or have blacklists of unwanted doulas that they don’t trust.
  • It might also make it harder for us to find paying clients because they hear more and more stories about doulas who break the trust and rapport that couples have established with their medical providers.

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Birth Support Coach vs. Doula

Since the seventies, those who provide education and support to birthing individuals have all been called ‘Labor Coaches’. In that group are childbirth educators who teach about childbirth and deliver a body of knowledge, usually in a group setting. Also in that group are doulas who are trained to provide emotional, physical and informational continuous support throughout the birth. We all got used to thinking about childbirth as an event in which our role is to help the birth giver cope with labor strains while providing information, reassurance, and applying comfort measures.

On the other hand, coaching, a growing industry generating $11 billion in the USA, is an entirely different practice that stands by itself. It is the practice of leading competent and healthy individuals to optimally perform in order to achieve their goals.

Birth support coaches that are trained here at the Birth Coach Method, likewise, are also trained to coach expectant individuals towards achieving their desired birth experience. 

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From Prenatal Yoga Poses to Desired Birth Visions

Prenatal yoga instructors, you are first in line

Out of all the birth support professionals, prenatal yoga instructors probably are the ones to begin supporting expectant individuals the earliest along their journey of pregnancy and childbirth.  From a coaching perspective, I see it as a huge advantage, so if you’re a prenatal yoga instructor, you can make miracles leading and empowering expectant mothers to strongly hold not only yoga poses but important convictions about their childbirth experience.  Just like the practice of yoga helps individuals to connect with their breath and their body, coaching strategies help them connect with their beliefs, inner truth, values, and needs.

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Fresh from the Oven: Sharing from our Birth Support Coaching Course

Are you curious about what happens in our Birth Support Coaching course?

It’s exciting to lead the first group of birth professionals who joined the Birth Coach Method’s first coaching course. We have participants from all around the globe: The Netherlands, Israel, and the US (East and West Coast). We all come together on consecutive Tuesdays for eight weeks using the Zoom platform. It is a group mentoring session in which I get to expand on the topic of the current lesson studied prior to the meeting. In addition to highlighting important concepts, we all brainstorm scenarios and engage in powerful coaching exercises.

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How to Use Hospitals’ Whiteboards as A Coaching Strategy

Exciting steps towards improved communication between L&D nurses and their patients

I’m constantly searching for coaching props and strategies that can help me coach expectant parents throughout pregnancy and childbirth. I have been developing tools and strategies for some time now and excitedly shared them with the community of birth support pros in previous posts and in my book. So, you can imagine my excitement when I came across a few resources affirming the use of white dry-erase boards in L&D for improving communication and maternal care.

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Beating Information Overload with Coaching Strategies

Are your birth clients overwhelmed by the overload of information?

Being overwhelmed by the overload of information is a state of consciousness that many expectant couples struggle with. It disempowers and damages their ability to make mindful decisions and perform well. Beating it requires a shift in our practice rather than providing more information. You can help your birth clients beat this overwhelm by coaching them.

In my practice, I often encounter the overwhelm that my clients
experience being overloaded with information. Seriously, it feels like it enters the room when they do. How often are you being called to resolve this overwhelm as a childbirth educator or a doula? There are conflicting opinions and expectant parents don’t know what advice to take or what to believe while all along trying to do the right thing; they want to find what is best for the mother and the baby. The overload of information creates a ‘noise’ that interrupts our internal conversations with ourselves. Feeling overwhelmed is not only disempowering, but it’s also exhausting.

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Five Best Coaching Strategies for Childbirth’s Moments of Crisis

The process of childbirth presents birthing women with some recognized moments of emotional crisis, as well as some unexpected ones, related to the unfolding of the birth. My experience has been that the known and expected emotional crises occur during transitions or changes occurring throughout the process. It is common knowledge that the transition from one phase of birth to another triggers an emotional reaction. For example, the transition from the early phase of labor to active labor is symptomized by the emotional change in which excitement and self-confidence give way to fear, despair, or self-doubt. Birthing mothers express these new emotions in a variety of ways: If they are talkative, they might express them by sharing their thoughts, such as: “Do you think it’s time to head the hospital”? Or “Do you think all these contractions are doing anything”?, “Do you think I’m progressing?” and “How much more painful will this be”? 

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The #MeToo Movement, Birth Activism, and the Future of Childbirth Support

 

 

Those who follow my blog and webinars know that I often question and challenge the current approaches accepted by many birth support figures. For example, I have been continuously stating in blog posts and webinars that contrary to the accepted notion,evidence-based studies do not empower women to own their childbirth experience because women base their decisions on a set of predetermined beliefs rather than the evidence. (If this idea sounds familiar to you, it’s only because you recognize it from the introduction to Henci Goer’s book “The Thinking-Woman Guide for a Better Birth”, in which she applies this decision-making process to OBGYNs). I also repeatedly urge birth support professionals to avoid the term ‘Natural Birth’, along with the idealization of the un-medicated childbirth over the choice to receive medical assistance for coping with labor. Perhaps this can explain my fascination with the debate among feminists around the #MeToo movement, and the tension around its possible outcomes.

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How I Grew My Doula Practice When No One Yet Heard about Doulas

I am not an expert in marketing. To be honest, as an introvert, I am very challenged in this field. However, as a pioneer doula in my homeland, I had no choice but to spread the concept of a doula and endlessly share the doula benefit statistics. But that was in the old days (LOL). Nowadays, ‘doula’ is a dictionary term, and all you need to do is put yourself out there as a doula. I sat down and gathered a few ideas that served me well over the years.

  1. Storytelling: Since there is no need for you to promote the profession of a doula, I feel that you’d better avoid the “doula benefits statistics” talk. Instead, try to connect with your listeners on a personal level and build rapport.

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How Doulas Can Align the Vision, Beliefs and Actions of Expectant Moms (or How to Close the Gaps? )

Doulas often feel that they are accountable for their client’s positive and healthy birth experience. While this is somehow true, it certainly does not dismiss the couple’s efforts to achieve their desired birth experience. The presence of a doula at the birth should not by itself be perceived as a guarantee to a healthy and active childbirth. When couples choose not to engage in other types of labor support and preparation activities such as pregnancy physical activity, prenatal yoga, or childbirth education classes, there is a high chance that the doula will be the only one accountable for their positive birth experience. In this case, both parties risk a complicated relationship which might involve disappointment and lead to a non-satisfying birth experience.

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