Common Medical Interventions in L&D for Birth Doulas



These two lessons are adding up to more than 4 hours!

These classes were reviews by our distinguished members of Birth Coach Method’s advisory comity; Olga Libova, CNM, and Alit Ronen L&D RN.  The lessons provide you with comprehensive information about the most common medical interventions in L&D and with the coaching strategies to be used when these challenging medical alterations or impositions emerge. Leading and coaching your client throughout medical interventions before and during childbirth is extremely challenging; it challenges our strong belief in the concept of ‘natural childbirth’  as the ideal one, and it challenges us emotionally. If we don’t fully understand the scope of our practice as birth support professionals, it might also jeopardize our relationships with the medical staff. In reality, most birth doulas and coaches will support clients who choose to give birth in a hospital setting, where birth management is routine care. We want to reassure you that we strongly advise against evidence-based advocacy.  Your advocacy should rely on your deep understanding of your clients’ needs, beliefs, values, capabilities, and goals. These will help you lead patient-centered care and increase your clients’ sense of autonomy.  Therefore, we make sure to focus on the respectful and professional way of coaching around medical interventions. One of the most central principles we focus on is asking questions instead of stating or making suggestions when it comes to the medical aspects of childbirth. You can lead your clients to make an informed decision by asking questions.

I recently took the workshop ‘Common Interventions In Labor and Delivery.’ The classes covered all the major interventions with clear descriptions, explanations for why they might be used, and ways to navigate them. The visuals were helpful and added to the narrative. I feel the class is an excellent resource especially for those who are new to the birth world. Well worth the time and money.   

Tequita Williamson,
Certified Doula, DONA International

Program Objectives

  • Students will learn to clearly understand the most common medical intervention in L&D.
  • Students will learn to explain the interventions to their clients following the BRAIN model.
  • Students will learn to ask coaching questions that give a sense of autonomy to the client, promotes discussion and partnership between birth clients and their medical caregivers, which in turn result in patient-centered care.

Here is what you can expect to learn in this series:

  1. Medical procedures during triage.
  2. A basic reading of the fetal monitor strip; stress test. EFM, IFM, looking at the strip.
  3. Vaginal exams.
  4.  The concepts of prodromal labor and prolonged birth.
  5. Methods of birth augmentation and induction.
  6. Artificial rupture of membranes.
  7. IUPC – Intra Uterine Pressure Catheter.
  8. Dealing with meconium.
  9. Pain medications: Opioids and an Epidural.
  10. Vacuum extractor and forceps.
  11. Cesarean Birth.

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