Re: Doula's

From: dahmd@gate.net
Mon Jul 22 15:27:22 1996


In article EWAITOB@aol.com writes:

>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. snip

I have only been involved with a few doula deliveries (kind of catchy). From a medicolegal standpoint having a doula assist, even if you are scrubbed, may present a dilemma for the hospital (since they are sure to be named in a suit). However, teaching institutions commonly allow residents and medical and nursing students to assist in patient care, fathers cut the cord, and some doctors allow significant others (especially those with medical backgrounds) to help "catch" the baby. Family members who act as labor coaches are essentially "beginner doulas")! It doesn't sound like you are trying to go into a partnership with a doula, and it doesn't sound like you are trying to abdicate your role as the attending. If you are in the room and "hovering", and the patient agrees, then what's the big deal?

I have found during my short career that whenever a hospital administrator, another physician, or group of physicians (i.e. a "department") takes a keen interest in what you are doing, it is almost *always* because of economic (and not patient care) concerns. I find this very disheartening. Does the use of doulas represent an economic threat to other Ob's in town? A number of OB departments around the country spend a great deal of time trying to limit the ability of CNMs and Family Practicioners to do deliveries, and maybe this falls into this category.

Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL





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