Re: Doula care

From: ainsron@sbcglobal.net
Mon Apr 15 15:09:06 2002


Joe, you forgot one thing on the "food chain."

#7) - Lawyers - to sue all of the above (or below, in this case).

><< They are not encouraged, nor are they often able, to labor sit with women
>since they usually are responsible for several women in labor at anyone time,
>post-partum rounds and phone calls.
>
>A doula is hired by the woman to sit with her in labor. They also can be
>hired for post-partum care in the home. Since many women go home between 24
>and 48 hours, a doula is a cheaper version of the baby nurse at home. >>
>
>Okay, so let me see if I have the stratification right. In the near
>(indeterminate) future, THIS will be (roughly) what OBSTETRICS will layer out
>to be:
>
>1) Maternal-Fetal specialist - complex consultations, reading fetal monitors
>(by fax from her office?), funipunctures & amniocenteses, ultrasounds,
>conduct of later pregnancy in high risk cases, etc.
>
>2) Obstetrician - cesarean sections and other complicated labor & delivery
>stuff, intermediate consultations, conduct of early pregnancy in high risk
>cases, simple ultrasounds, etc.
>
>3) CNM - abnormal conduct of labor, vaginal delivery, in hospital care, some
>home delivery, some office care.
>
>4) OB nurse practicioner - office obstetrics in uncomplicated cases, home
>care in complicated cases.
>
>5) doula - normal conduct of labor, normal postpartal care, home care in
>uncomplicated cases.
>
>6) taxi driver, toll booth attendant, police, frantic husband - everything
>else.
>
>I don't know - maybe I'm reading too much into all of this discussion...
>
>hehe
>
>Joe P.





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