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Printed on the ob/gyn practice's letterhead and included in the grip of papers they give new patients:<br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div style="text-align:center;">DOULAS</div>
<br>
In the last few years, doulas have been gaining in popularity as support persons for women in labor. Their function and role in the labor and delivery process has generally been positive in other communities and, indeed, our response has always been positive for any aspect of care that assists the laboring mother, and we would hope to continue in our support of such persons. Not surprisingly though, there have been some conflicts reported between doulas and the nursing as well as medical staff of other hospitals. This has occurred when doulas have exceeded their function of emotional and physical support (back rubbing, assistance into the tub, etc.) and begun to give medical advice on labor management.<br><br>
Therefore, if you plan on hiring a doula, we ask that you be sure you know of their training and philosophy. If your desire is to have a person there for moral support because there is no one in your circle of family or friends who can supply this need, then please feel free to arrange for a doula. However, if you feel that you need such a person to help you decide whether to accept medical procedures, such as i.v. hydration, labor induction/augmentation, cesarean section and other procedures or medications that may directly affect the health of your baby, and that you would be at all likely to follow their advice <i>against the advice of your physician or the nursing staff at the hospital</i>, then we will ask you to find another obstetrician or midwife.<br><br>
If you have any questions whatsoever about this policy, please discuss this with any of us sooner rather than later.<br><br>
Sincerely,<br><br>
and signatures</td>
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is this seeming snarky to anyone else here, or just to me?<br><br>
-anj119
 

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<div>Originally Posted by <strong>anj119</strong> <a href="/community/forum/post/6494195"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Printed on the ob/gyn practice's letterhead and included in the grip of papers they give new patients:<br><br><br>
is this seeming snarky to anyone else here, or just to me?<br><br>
-anj119</div>
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Sounds like the OBs have thier speculums in a twist !
 

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A Doula is not a substitute for someone who has "<i><b>no one in your circle of family or friends.</b></i>" A doula is very different support than DH, sister.... And yes, she can run a bit of blockade between you and medical staff. This is part of her purpose. So you don't have to be telling a nurse every five minutes "NO, I do not want the epidural. Get it out of my face." Or whatever your wishes are.<br><br>
This seems very, very anti-doula to me.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
Ugh. That's ridiculous...
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>anj119</strong> <a href="/community/forum/post/6494195"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Printed on the ob/gyn practice's letterhead and included in the grip of papers they give new patients:<br><br><br>
is this seeming snarky to anyone else here, or just to me?<br><br>
-anj119</div>
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I personally see nothing wrong with it. It is my understanding that doulas are not to give medical advice but to offer support. Talking things over with your doula in a hospital setting is one thing, taking medical advice is another. There role should be labor support to the mother, moral support to the mother, and providing techniques, massage, etc to help manage labor.<br><br>
Sadly there are people who overstep their bounds. Being in labor is a vulnerable position to be in. Unfortunately I have heard of doulas overstepping these bounds, and giving poor advice to moms who do need medical intervention.<br><br>
I think letters like this are straight forward and let you know up front that yes, doulas are welcomed and useful but they need to know there place when it comes to medical decisions.<br><br>
Kim
 

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I would not use this practice. A doula does not give medical advice, but a doula can help motivate mom to stick with a birth plan, avoid unneccessary interventions, and have a more positive and rewarding birth outcome when a mom is seeking as natural a birth as possible in a medical hospital environment. When you're in labor, and in pain, you (and your partner) are likely to lose sight of any pre-existing desires to go without meds, and a doula can help with things like that. Now, as some doulas may overstep their bounds and recommend things that could be dangerous to the baby (such as in situations where the fetal heartrate is dropping, problems present, etc), it would be a good idea to really research and get references from others about who your doula will be.<br><br>
But a completely anti-doula, undies-in-a-snitch attitude about women supporting women in childbirth-- that I wouldn't stand for. Very patriarchal and manipulative.
 

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Wow!<br><br>
I asked the OB group I use what they felt about Doulas or anyone else in the delivery room. They said I could invite the entire city there if I wanted, so long as nobody got physically in the way of the Drs trying to do their jobs. I thought that was very reasonable.<br><br>
(This group is also good at respecting your choices, and discussing your options with you. I've used them before, and I got to choose a lot of things that were important to me. They will let you know if it is a bad idea, but they'll stay out of it provided neither mom or baby are in severe distress. I know, for example, that they wouldn't just decide to cut an episiotomy even if I'd already said no to it. )
 

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I would not be going there again. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shake.gif" style="border:0px solid;" title="shake">
 

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Sounds like they are afraid to be questioned about their practices, and doulas are typically very knowledgeable about interventions. I'm sure it's much easier for them to have a laboring mom go with whatever the Dr. wants if she doesn't have a doula.<br>
I'd either ignore it altogether or find another care provider.<br>
Either way, I think the letter itself is ridiculous.
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>OnTheFence</strong> <a href="/community/forum/post/6494759"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I personally see nothing wrong with it. It is my understanding that doulas are not to give medical advice but to offer support. Talking things over with your doula in a hospital setting is one thing, taking medical advice is another. There role should be labor support to the mother, moral support to the mother, and providing techniques, massage, etc to help manage labor.<br><br>
Sadly there are people who overstep their bounds. Being in labor is a vulnerable position to be in. Unfortunately I have heard of doulas overstepping these bounds, and giving poor advice to moms who do need medical intervention.<br><br>
I think letters like this are straight forward and let you know up front that yes, doulas are welcomed and useful but they need to know there place when it comes to medical decisions.<br><br>
Kim</div>
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Yeah, I have known a few doulas who really didn't know their place (were trying to act more like the midwife). I realize that they are the minority, but I think that would be incredibly frustrating for everyone involved. But the same could be said for some of the nurses out there.<br>
It's still kind of sucky that they are giving out this letter because of a few bad apples <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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I would RUN from there...<br>
Why??<br>
The doula's job as I SEE IT is to be my advocate...that we would've talked for MONTHS in advance of the birth and she would KNOW what I wanted/needed and she would be my advocate to ensure I am not 'pushed around' or 'talked into' or even 'tricked into' getting something or having something done ya know?<br><br>
I would NEVER birth in a hospital without a doula after knowing some of the things I now know..........<br><br>
Yep--get away from those people...they are forgetting that We hire them, and that WE have the choice to how we want our births to go regardless of if it is good or bad for us.<br>
Remember some people (for religious reasons or whatever) can refuse a blood transfusion, or cancer treatment, etc...and it can affect them negatively...but don't allow a woman to refuse PIT--I mean, her labor may take even MORE time! ugh...
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>Mrs_Hos</strong> <a href="/community/forum/post/6498019"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I would RUN from there...<br>
Why??<br>
The doula's job as I SEE IT is to be my advocate...that we would've talked for MONTHS in advance of the birth and she would KNOW what I wanted/needed and she would be my advocate to ensure I am not 'pushed around' or 'talked into' or even 'tricked into' getting something or having something done ya know?<br><br>
I would NEVER birth in a hospital without a doula after knowing some of the things I now know..........<br><br>
Yep--get away from those people...they are forgetting that We hire them, and that WE have the choice to how we want our births to go regardless of if it is good or bad for us.<br>
Remember some people (for religious reasons or whatever) can refuse a blood transfusion, or cancer treatment, etc...and it can affect them negatively...but don't allow a woman to refuse PIT--I mean, her labor may take even MORE time! ugh...</div>
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I agree! that is why I HIRED A DOULA!!!<br><br>
Run fast, run far!
 

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I wish every over-bearing OB would be so kind as to give new patients a letter informing them that he will be an arse <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> What a gentleman!<br><br>
~Valarie~
 

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omg..i would tell that OB where to stick it!!! the audacity of them. i just cant believe it (well, im naive then, arent i?)<br><br>
thats just over the top!
 

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“First they ignore you, then they laugh at you, then they fight you, then you win.”<br><br>
Mahatma Gandhi<br><br>
Based on this letter, I think doulas are gaining some ground. . . .and yet. . . .<br><br>
Yesterday I ran into a couple who had heard of doulas, but were not at all educated about birth. I'm not sure if the letter would convince them not to investigate doulas, but if they are like most, they don't question what the doctors are telling them, and are quick to silence their own voices. . . .<br><br>
In my doula training, it was suggested to me that I don't "intervene" with the care providers. Talk to them sure, but don't tell them what to do. That is my doula client's job. Or even her husband's. And I've heard of doulas on MDC talk about their doulas intervening, but I don't think that is the doulas job. At the same time, being human it is very difficult and to see what doulas see, and not want to resist. . . .
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>alegna</strong> <a href="/community/forum/post/6494311"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I would RUN from any practice with that in their paperwork.<br><br>
-Angela</div>
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Holy Moly! Me, too! Not only is it anti-doula, it is anti-woman/anti-patient's rights. Yuck!
 

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According to DONA, Doulas of North America, a doulas job is to not intervene directly with the care provider, but to give the couple alternative ideas and research. A good doula would have educated her clients beforehand with research tools and empowered them to research issues for themselves. Doula's are just like anyone else, as a whole some are biased some aren't. I have known several doulas who are great at helping women achieve the birth that each woman wants, not the birth that the doula wants for that woman. As for this practice it is obvious that they are anti doula, probably because of a few experiences. A doula should never refuse a service for her client but it is a doulas job to remind a woman of her prior wishes, but also to go with the flow of labor, being to strong willed doesn't usually get you were you want to go in the hospital surroundings, being felxible, not with your values and wishes, but with how labor unfolds leads to a good experience. This practice doesn't think, for some reason, that a woman has researched her options and is therefore at this practice because she is impressed with their whatever! Telling a woman to find a credible douls is great idea, maybe they could have worded the letter better, or offered you the links to finding said credible doula. If you like this provider for some reason, ask their personal feelings about this letter and talk with them about putting it in a less scare tactic more informative light. OR if you are non-confrintational just seek care elsewhere. If you are concerned about finding a good doula, please check with DONA, ALACE, or Lamaze international, all of which can give you good information and great references. Also please read the book, The Doula book, (can;t remember the exact name, but it is by Kennel and Klaus, or look up Penny Simkin, for great books on doulas, along with statistics of why doulas are good, then bring these into your provider and ask if this upsets him/her or if it is something else. Good luck and remember you can never have too much information, but you can have too little, be empowered by your pregannacy and birth!
 
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