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Re: Doula's From: Michael Klein (mklein@unixg.ubc.ca) Mon Jul 22 14:58:19 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: dahmd@gate.net: "Re: Doula's" Previous message: R. Daniel Braun: "Re: Doula's" In reply to: EWAITOB@aol.com: "Doula's" Next in thread: dahmd@gate.net: "Re: Doula's" Dear friend: a Doula is "a supportive labor compagnion." She is employed by the woman not the hospital. It is an advanced type of labor support and should be considered organizationally as not different from labor coaches. I suspect that the issue here has little to do with the doula and a lot to do with the the overall environment that you are trying to change. Suggest that you contact Penny Simpkin who will be cced above. She will be able to give you. more spedific info on scope of practice from the point of view of the national organization of doulas. Good luck -- Michael Klein, M.D., F.C.C.F.P., F.A.A.P.(Neonatal-Perinatal), A.B.F.P. Professor Departments of Family Practice and Pediatrics University of British Columbia Head Departments of Family Practice British Columbia's Women's and Children's Hospitals Vancouver British Columbia, CANADA Tel: (604) 875-3441 Fax: (604) 875-3435 E-mail: mklein@unixg.ubc.ca On Mon, 22 Jul 1996 EWAITOB@aol.com wrote: > I have recently run into some friction in my hospital in regards to doula's. > The hospital were I deliver is in a small southern town and has been very > resistant to change. They hired me to bring their OB up to speed ( believe me > it was behind) but their attitudes make this difficult. > With several of my patients I have started using a doula ( who is also a lay > midwife). she has helped considerably in decreasing their anxiety and reduced > my epidural rate. In the last delivery the patient had asked if the doula > could help deliver. We then proceeded to do a 4-handed catch with the doula > providing warm compresses to the ant and posterior fourchette. My hands were > there the entire time. The delivery went very smoothly. The patient was > pleased and no adverse events occurred. the next day I was speaking to the > hospital administrator because he had heard the the doula had delivered. She > has since been excluded from any further deliveries and i have lost several > patients because of this. > His concern was over privledges and I was wondering if anyone knows the > particular regulations concerning doulas and hospital privledges. In my > opinion she is a labor couch and does not need to go through the > administration to obtain privledges. Any input would be appreciated. > Next message: dahmd@gate.net: "Re: Doula's" Previous message: R. Daniel Braun: "Re: Doula's" In reply to: EWAITOB@aol.com: "Doula's" Next in thread: dahmd@gate.net: "Re: Doula's"

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