Well, the average first labor is 24 hours. That's an average. its not unusual for labor to be longer.I don't see why a refund would be called for because the family a) sent me home and b) didn't request me back after I offered to come back in the morning when she was pushing ?? I wouldn't call it "abandoning" either, and I would never intentionally do that-again- the DAD sent me home!
I'm fine with homebirth transfers.... it's just that I can't do these births that are planned to be at the hospital knowing all the interventions and standards that they follow. I would be very motivated to attend a woman transferring from home because I transferred from home and I have personal experience with that.
also- I do have an experienced doula (and a midwife) who are my mentors... as well as a peer review group. I do need to put situations like long induction/long labor into my contract so it's clear. What do other doulas do? I've heard of clauses in contracts that say anything over 18 hours reserves the right to call in backup for a break. The first birth I attended as a doula was at home and I was there 22 out of 27 hours and I managed just fine- being at someone's home makes it a lot easier to take breaks and nap than being at the hospital where there is literally nowhere!! WHAT do doulas do at loooooooonnnggg hospital births where the labor goes overnight and mom has an epidural and mom and dad are sleeping?? In this case they went to bed at 12:30 or so and didn't wake up til 8- so what was I expected to do in that situation professionally? sleep in my car? sleep in a chair in the waiting room? drive home and come back in the morning (hospital was hour and a half, longer with traffic, away). I was exhausted and had no idea what to do in the situation- so when he told me to go home- I did. WHAT would YOU have done??
I KNOW that women deserve support regardless of what kind of birth they are having, I wholeheartedly agree with that AND I Know that I am not the doula to give support in planned hospital births with interventions after this experience. I know birth can't be planned and things happen, but I know I can provide more "present" support to a mama laboring at home or in a birth center because the presence of interventions and the very environment is more conducive to natural birth. That said... the first birth I attended where the mama got an epidural was great- I supported her through 15 hours of natural labor and the 3 hours after she got the epidural and 2 after she had the baby and she says she loved her birth experience and felt very supported. The triggering part of that birth was how they handled the baby after it was born- a perfectly healthy baby being separated from mom and put on a warmer for an exam and a bath and all that crap... ugh. Very hard to watch.
I love knowing a Bishop score, and if I was a doula whose client was considering induction I would definitely want that information. But doulas don't decide when to induce. Moms and doctors make that decision. Evidently, this woman and her doctor had a reason to induce. maybe they were concerned about IUGR. Maybe she was quite a bit post-dates. maybe her Bishop score was actually great, but the induction didn't really take anyway. Regardless, this mom and her partner are ROCK STARS. I think it's really important to keep that in mind. They did four days of labor, without the support they had been counting on, and wound up with a vaginal delivery. If I was a doula, I would want to know what they did. I mean, wow. Plus, how exhausting!Any mother or doula whose client is considering an induction should know what their Bishop's score is. I suggest a score of 11 or more.
I am sorry that you feel this way, but I agree with you about inductions and other interventions when birth takes place in a hospital setting. Many years ago, I was on a consumers' committee to put an ABC in the local and largest medical center in the area, and the staff ob/gyns always found a way to risk prospective parents out of using this ABC. So I too gave up trying to change things. I understand your frustration.