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CNM - No Doula - Pennsylvania

post #1 of 7
Thread Starter 

Has anyone else had a CNM tell you that you do not need a doula and act like it's a silly idea? I was planning to deliver my first at home with a CPM but we had to transfer to the hospital; she highly recommended a doula and I had one and she was great (plus my husband, mother, and two midwives were supporting me at home). However, before I found the CPM I had interviewed a few CNMs who said I didn't need a doula, I would have them (midwives) by my side the entire time. At the time I didn't think to ask them what if they had more than one woman in labor at the same time (in the hospital). How could they support more than one woman at once? But I didn't stick with them, I went to the CPM and didn't give it another thought. Interestingly though, a friend of mine delivered with one of those midwives and THREE women were in labor all at the same time. Only one had planned to go to the hospital but the other two (one being my friend) who had wanted to deliver at the birth center had to go to the hospital as well since that is where the CNM was. I was so glad I didn't stay with them at that point!

 

So fast forward to now. I'm hoping to conceive #2 before the year is out. I have no idea if I want to try homebirth again. I also don't feel I just want to opt for a RCS. I want a VBAC but I am nervous now about a ride to the hospital during labor wondering if everything will be OK again. So I interviewed yet another CNM who only does hospital deliveries and she gave me the same line about not needing a doula. So this time I asked her my question about more than one woman being in labor and she told me that it rarely happens.

 

I guess I'm just so stumped by this. I just loved my doula so much and even DH said she was worth every penny. Maybe I just can't compare to my homebirth midwife/CPM since she was pretty hands-off and these CNMs are more hands-on.

post #2 of 7

I don't know where you are at but I know the CNM's around here are very busy and don't often have only one mom laboring.  My opinion is that it doesn't matter what they say.  It's your birth.  If you want a doula and think that you will benefit from one then you should have one.  I highly doubt that the CNM is going to refuse to attend your birth if you have a doula there.   

post #3 of 7
Thread Starter 

I'm closer to Philly. I just find it so odd they'd be so dismissive of a doula when I know the one had three moms in labor at the same time.

post #4 of 7

As a trained doula seeking certification in the Philly area and as a woman who had a very positive birth experience with a midwifery practice without a doula, I'm not sure why a midwife would think that she fills the role of a doula.

 

A midwife may be able to suggest certain comfort measures and will probably be in the same room with you much of the time, but the paradigm of doula care is continuous attention to the mother's emotional needs and physical comfort. No midwife who is doing her job can possibly fill the same role as a doula. That makes her a good midwife! She has different work to do.

 

I wish I had a doula at the birth of my son. I had mistakenly thought that the midwife would guide our application of the different comfort techniques we had studied during my pregnancy, not realizing that this was not part of her job. Overall, I had a wonderful experience, but I spent much of labor in bed in too much pain and too tired to make the effort to seek other positions for comfort. My husband's emotional support was absolutely invaluable, but he was not familiar with birth and, being a bit overwhelmed himself, was not in a position to help me seek comfort the way a doula would have.

Also, I was transferred from birth center to hospital, and my midwife had to leave because another woman went into labor. It's common enough to be a concern.

 

It's your birth, and I think your desire for a doula in addition to a midwife is very valid!

 

I can imagine, though, that a midwife who only does hospital births may not have had much as much exposure to doula support and may not be sure what a doula provides that she can't.

 

All that to say - You should absolutely have a doula with you if you want one, and her presence will not be superfluous no matter how attentive your midwife is!

post #5 of 7

I agree, this seems odd. I used the Birth Center inb Bryn Mawr, and all midwives there would have been very supportive of me having a doula. I ended up with a situation where I had my midwife in the room with me the entire time, b/c I had to be in the hospital (still able to go natural other than pitocin for induction!), so she ended up being a bit more like a doula than perhaps would have been if she were divided between multiple births at the Birth Center.

 

On a related note....does anyone recommend a doula training program in the area? I'm interested in become certified. Lactation consultant training as well...I'd love to hear experiences rather than choosing online.

 

Peace and light!

 

Beth

post #6 of 7
Quote:
Originally Posted by Oak and Acorn View Post

I agree, this seems odd. I used the Birth Center inb Bryn Mawr, and all midwives there would have been very supportive of me having a doula. I ended up with a situation where I had my midwife in the room with me the entire time, b/c I had to be in the hospital (still able to go natural other than pitocin for induction!), so she ended up being a bit more like a doula than perhaps would have been if she were divided between multiple births at the Birth Center.

 

On a related note....does anyone recommend a doula training program in the area? I'm interested in become certified. Lactation consultant training as well...I'd love to hear experiences rather than choosing online.

 

Peace and light!

 

Beth

I did my doula training with Jackie Kelleher in Media and it was a WONDERFUL experience! She is awesome and the class was really a lot of fun. I highly recommend it. 

 

http://familybirthmark.com/training_doula_schedule.html

post #7 of 7

I've never heard of a MW, whether a CNM, CPM, or DEM ever discourage a doula.

 

In fact I know of at least one home birth CNM in the Lehigh Valley (only a little north of Philly area) that actually stipulates that her clients have a doula.
 

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