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Re: Doula's From: Michael Klein (mklein@unixg.ubc.ca) Mon Jul 29 11:14:34 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Doula's" Previous message: Joseph W. DuBois Jr.: "Re: seeking a position" In reply to: DoctorJoe@aol.com: "Re: Doula's" Next in thread: DoctorJoe@aol.com: "Re: Doula's" Dear List: Character assassination on the list is in rather poor form. The literature on doulas and other supportive labor compagnions is overwhelmingly positive--including studies abroad and in North America, for one-to-one nursing as well as for professional doulas as wel as for midwives. Marshal Klaus and John Kennell, who did the original studies are meticlous scientists and ethically above reproach. They are also the progenitors for the modern era re bonding. Small minded, and jealous sniping, if true, is beneath all of us. The literature on doulas and other supportive labour compagnions is sooooo strong, that the SCOG (Society of Obstetricians and Gnecologists of Canada) Guidelines on Fetal Surveillance have chosen to emphasise the importance of this issue, above the less important issue of whether EFM or IA is the preferred method of surveillance for low risk labours. Similar conclusions from Cochrane. Salut -- 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 PS the effect does not vary considerably. It is remarkably consistent across many studies. Michael On Mon, 29 Jul 1996 DoctorJoe@aol.com wrote: > <<Doula's have in some soft studies shown to be beneficial, though this > effect varies tremendously. They should NOT however be at all > involved in the actual delivery unless they are certified to do so. > To do otherwise BEGS for medical-legal disaster in case anything went > wrong.>> > > Well, the scoop I had from the local neonatologists on the "Doula literature" > is that the first guy who did a study showing they were good became the de > facto expert and the REVIEWER of all subsequent articles. So anything that > contradicted his original study didn't get printed. Anyone have any other > insight into this? > > Joe P. > > P.S. Don't get me wrong. I supported our nurses when they were trying to get > a Doula program going down here... I'm just chatting politics here. > Next message: DoctorJoe@aol.com: "Re: Doula's" Previous message: Joseph W. DuBois Jr.: "Re: seeking a position" In reply to: DoctorJoe@aol.com: "Re: Doula's" Next in thread: DoctorJoe@aol.com: "Re: Doula's"

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