Quote:
Originally Posted by sapphire_chan 
To spin off a bit from this spin off, can doulas do "in progress" education of dps? Like "The doctor said she's not progressing quickly enough, if we supported her in a different position that could help." or something?
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YES!!! This is exactly what a doula does! I am responsive to everyone inteacting with mom and if appropriate, I explain, reaffirm and make suggestions to some or all. If an opinion like "not progressing fast enough" came from the doctor, I would definitely suggest position changes and movement to everyone and remind everyone how well mom is doing and quell dad's fear after the doc left. This kind of talk can be demoralizing for mom, so I would take extra care to get mom back into a good headspace, talk to her baby, trust her body, etc. I would also find out when the doc was planning to come back and make sure we were sequestered in the bathroom to avoid more VEs.
At a recent birth, the mom had a cervical lip that won't go away and after 2 VEs within a 2-3hr span, I started to see a "look" on the attending resident's face & could tell she wasn't happy about this. She went aways saying something about calling the mom's practice OB... I knew mom's prolonged resting phase had been good for her but it was making her labor stall out and now it was time to be reactive to the ansy attending. I suggested the mom do a modified
hands and knee on the birth ball and the next thing we know mom is pushing. The attending couldn't believe it!
I guess what I am trying to convey is I really try to read the situation and hope to circumvent "stuff" before inane stuff comes out of the staff's mouths while trying to protect the mom's birthing space.