I am surprised how much room for interpretation there is about what confidentiality - or security means- 'as long as the family does not see it and it is just my personal friends and family and network' kind of idea is not confidentiality at all in my mind- it is not even being sensitive even if the code of confidentiality is not being broken
do different certifications have different standards of professionalism? Like DONA or CAPPA - is it written differently?
Is it in that code that all doulas are in that ring or circle of confidentiality- so all clients can just expect that every doula is going to share whatever with their birth network? I know with my birth professionals they told me who their back ups were- they told me who all might be involved as additional support or in the event that they could not make it- I assumed that these were the only other birth professionals that would be hearing about me and my pregnancy and birth
to say that 'going to a birth' is the same as 'going to work' just does not seem accurate. The professionals that I know put in an amazing amount of hours - for every one hour of actually helping at a birth compared to how many hours of support, education, resource, training etc etc hours - it seems to me that the birth is obviously the coolest part of what they do with any one client, but they do seem to put in so many hours upon hours during that time with each client prior to the actual main event
I wouldn't have a problem posting what limited info I post on my personal FB to my Business FB, "Off to a birth." , "A new baby has arrived earth-side" etc.
When a client hires me, or one of the doulas in the practice they sign a confidentiality release form. This form allows the doula to have full disclosure with her her backup, and allows us to discuss births at our staff meetings without any identifying information. We model our discussion about births around the "Obstetrical Grand Rounds" that our local hospital holds for the OBs and Midwives to discuss births for learning opportunities. We hold to the same confidentiality standards they do when discussing births. That's an accepted and commonly used set of standards, all across the US.
I spend on average 9 hours with my clients prenatally face to face in prenatals. I spend an average of 12 hours per birth with clients. Some being shorter others longer. There are days when I post "Full day of prenatal visits tomorrow, can't wait!" or something to that effect, but it's not often.
I've spent a great amount of time in the past day thinking about this whole topic. I still can't convince myself that saying "Off to a birth, baby born, etc" is a violation of conf. or trust.
However, the deeper question I've been mulling over is, why do I feel inclined to share that I'm going to a birth, specifically instead of "going to work" as a generality.
What I've settled on is "off to work" doesn't convey the power, sanctity, miraculous-ness of what it is I do and bear witness to while I'm at work. This isn't a "job" for me. It's so much more than that. To call it "work" devalues it for me.
I don't "go to work" every day. My "work" isn't something I dread doing."
"Off to a birth" or "A sweet baby just arrived earthside" conveys just a tiny tip of the iceburg of the amazing events that I'm about to participate in the unfolding of. The power, the softness, the flow, the trust, the vulnerability, the empowerment and the victory and miracle that is birth.
I've been a doula for over a decade, and I still have passion, wonder, amazement, stand in awe as life is given wings with which to go forth and fly with. How many people truly feel that kind of passion and awe at their "jobs"? OBs, Midwives, labor nurses, most start out that way, but how many maintain that feeling about their "work"?
So, for me, to say "off to work" isn't to honor the event I'm about to participate in, or have participated in. It's not about "coolness" it's about acknowledging the sacred, the miracle, the power of what it is I am allowed to participate in when I go to a birth. It's so much MORE than a "job" or "work". When it becomes a "job" or I feel like it's just another day at "work" it's long past the time for me to find another path.