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Re: Doula'sFrom: ann kane rn icce ibclc (tectaform@aol.com)Fri Nov 7 19:47:06 1997
At Mon, 22 Jul 1996, Douglas Krell wrote: > >Dear EWait > >If by "up to speed" you mean to be giving obstetrical privileges to >midlevel and lesser providers, then it sounds as if you are doing a >great job! > >In the ultimate evolution of the managed care model, procedures should >be done not by those with the most experience, but by those with the >least qualification and training necessary to accomplish the task. That >is efficiency, cost effectiveness, and the appropriate way to manage >your own valuable time. > >Why should we as obstetricians be doing $25 dollar per hour tasks when >we are worth $100 dollars per hour. If you continue to do $25 dollar >per hour tasks, then that is what you ultimately will be worth. > >Of course in our hospital, we do not even have CNM's doing deliveries >yet. Doulas are allowed but they have no obstetrical privileges. When >the OB/GYNs in our community are tired of doing $25 dollar per hour >tasks they will let the appropriate people do them OR they will be >satisfied with $25 dollars per hour. > >-- >Douglas Krell MD >Santa Fe >
-- Doulas are to be considered as mother and family's support person. She is more prepared for the birth then many significant others which in our are are able to catch the baby. i do not understand what is up in your facility but there must be many uninformed individuals regarding the benefits of doula aervice in and out of the houspitl setting. I have been a labor nurse for many years and now own my own douola service which provides in home postpartum care ai have written many articles on the use of doula service which appear in International childbirth educsation journal. the last being the benefits off doula service with the high risk mothers . I would be happy to discuss any issue relating to doula service with you. they have met with opposition but if you haave been around long enoughyou will remember so did lamaze and father attended births!,
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