|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Fwd: Doula'sFrom: EWAITOB@aol.comMon Jul 29 20:59:41 1996
In a message dated 96-07-29 12:16:30 EDT, mklein@unixg.ubc.ca (Michael Klein) writes: << 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. >> The literature is very positive on the benefits of Doula's. Irregardless, lets throw some common sense into the discussion. All of our medical intervention has sterilized the birth process in many hospitals. I'm not talking about sterile procedure which is obviously important and should be preserved. Lots of money can spent on building LDRP's that look like living rooms but are still psychologically sterile. Douhlas can add to the team and provide support that would take to much time away from L and D nurses. I'm talking about psychological support. Husbands are OK but doulas have been shown to spend far more time concentrating and supporting the gravid than the husband. My experience has been very positive with the ladies exhibiting far greater control and requiring less narcotic or epidural pain relief. In terms of marketing. The ability of a L and D department to provide douhla support will attract many women who otherwise may seek care in alternative settings. Douhlas also create birth plans which decrease the anxiety a women will feel before entering labor and can give her some feeling of control. Most spend a good deal of time on patient education and can be quite skilled in labor positioning and breast feeding. If the douhla is good she wont' get in the way when we need to get interventional. She can also provide emotional support when things get scary. EWait OB --------------------- Forwarded message: --------------------- From: mklein@unixg.ubc.ca (Michael Klein) --------------------- Sender: ob-gyn-l@listserv.bcm.tmc.edu Reply-to: ob-gyn-l@listserv.bcm.tmc.edu To: ob-gyn-l@listserv.bcm.tmc.edu (Multiple recipients of list) Date: 96-07-29 12:16:30 EDT 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
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:19:00 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.