



| Alicia's Labyrinth |
| What is a doula? A labor doula, coming from the Greek language meaning “woman who serves,” is a trained professional who provides continuous physical, emotional, and educational support to a woman before, during, and just after childbirth. S/he: Recognizes that childbirth is an empowering and moving experience that a woman will remember for a lifetime; understands the physiology of birth; assists a woman and her partner in preparing for birth; stays by a woman’s side throughout the entire labor and delivery, as well as an agreed-upon amount of time postpartum;eases communication between a laboring woman, her partner, and clinical-care providers; and nurtures and protects a woman’s memory of her birth experience. Why should a woman give birth with doula support? Studies, obtained from Mothering the Mother (1993), by Marshall Klaus, John Kennell, and Phyllis Klaus, have shown that women supported by doulas during labor have: 50% reduction in the cesarean rate; 25% shorter labor; 60% reduction in epidural requests; 40% reduction in Oxytocin use; 30% reduction in analgesia use; and 40% reduction in forceps delivery. Giving birth and beginning the motherhood path are rites of passage - sacred, magical. A woman has the right to a positive birthing experience - for her and for her baby. A doula educates a woman, telling her about possible options, so that she can make informed decisions, and a doula accepts these choices regardless of her/his own beliefs. A doula provides continuous and nurturing support, which is highly individualized to suit a woman's needs. A doula works only for a woman and her family. When birthing in a hospital, there is the extra advantage of no shift change. A doula stays with a woman during her entire labor and an agreed-upon amount of time postpartum. Does a doula take the place of a loving partner/husband? A doula works in conjunction with a woman's partner/husband as part of the birth team, taking some of the pressure off her/him from feeling that s/he must do everything “just right” during labor, as well as minimizing some of her/his fears. If the goal is for her/him to be very involved and “hands-on,” then a doula can encourage her/him with good suggestions of ways to help. If the plan is for her/him to be less involved, then a doula can step in according to a woman' s comfort level. A doula's care for couples is very different; they will have “custom care." A doula knows that the role of a partner/husband is just as important. What is my birth philosophy? Birth is a natural, intuitive rite of passage, seeped in empowerment and spirituality, filled with unexpected life lessons, so I am offering you a connection to inner birth wisdoms: Connecting a woman To her inner soul depths, Childbirth is that moment When time converges, And the gates blow open, Infusing her DNA With the ancestral wisdom Of never being alone, As women encircle her In loving embrace From past, present, and future. The mystery of this beautiful rite of passage brings a woman in touch with her innermost self, her body, and her spirituality. A new way of being emerges from the transformation of a woman into a mother. This individual territory is unfathomable, unknowable. During pregnancy, labor, and birth, my goal is to encourage a woman and her partner to take an active role - from learning birthplace routines, to dialoguing with caregivers, which will allow insight into their philosophy and willingness to share decision-making; from delving into personal fears, to understanding labor signs and symptoms. A woman’s trust of herself and her body is also important. Designed to give birth, her body unconsciously knows the organic happenings of labor. A healthy, uncomplicated pregnancy and non-medicated, or “natural,” birth are usually safest for both woman and baby, yet if she chooses - or such a need arises due to absolute necessity - medication and/or other medical procedures, I will make her aware of benefits and risks to aid informed choices. What are my services? Two prenatal visits and one postpartum follow-up at agreed-upon location; being on-call two weeks before, two weeks after due date; prenatal and postpartum phone support; evidence-based educational information to assist the process of making informed choices; demonstration and practice of labor- support techniques; birth goal-plan counseling; aid in understanding labor signs and symptoms; comfort measures for early labor; nurturing individualized physical, emotional, and educational labor and birth support; continual presence throughout the entire duration of labor and birth; help during the first/second hour with facilitation of infant bonding, as well as breastfeeding if necessary; and community resources and referrals as needed. What are my add-ons? Reiki and/or pregnancy massage sessions; individualized blessingway ceremonies to acknowledge, honor, and celebrate journey into motherhood; customized welcomingway ceremonies to present baby to loved ones; and keepsake birth stories and poetry. DISCLAIMER: Although there may be assistance with information using education and experience, clients make their own informed decisions, which are directly communicated to the medical staff. I refrain from performing clinical tasks, medical assessments, interpretations, or evaluations of mother and baby, for all such aforementioned tasks are outside of my scope of practice. FEES: Please contact me regarding prices and/or barter opportunities, as each woman, and if she has a husband/partner present, receive "custom care." |