Word: doulas
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Dates: during 2001-2001
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Across many cultures and throughout history, women have assisted births. But in the late 1970s and early '80s, when doulas were rare, obstetricians John Kennell and Marshall Klaus conducted a survey of 128 nonindustrialized, hunting-and-gathering and agricultural societies. All but one featured continuous support by other females for mothers during labor and delivery. As birthing moved to hospital settings, this element of support was lost. Kennell and Klaus found that the presence of doulas not only reinstates support but also is associated with fewer labor complications. In their book, Mothering the Mother, Kennell and Klaus compare labor...
...doula's presence does not guarantee a complication-free birth, but the emotional support she provides can be invaluable. Ann Grauer's doula was with her in Milwaukee, Wis., when doctors told her that the child she was about to deliver would be stillborn. Her doula consoled her throughout the painful ordeal. Says Grauer: "It was amazing the peace of mind my doula was able to give me." The same doula was there later for the birth of her son. "It was such a celebration. We are still very close...
...role of a labor doula varies depending on the needs and desires of the parents. For some people, the support of a doula is more important after the actual labor. Ruth Callahan of New York City owns Doula Care, a service that provides postpartum home services, including help with breast-feeding, new-baby and new-mother care. The doulas might even run errands or baby-sit siblings. "I was much more interested in the transition into motherhood--teaching them about breast-feeding and helping them gather their confidence," says Callahan. Doulas tend to specialize in either labor or postpartum work...
Training and certification for both types of doulas are available through various organizations (see box), though there is some debate among the doulas themselves over the need for certification. "Some people feel very strongly that being certified isn't what makes you a good doula," says Lijah Friedman, a DONA-certified doula based in Brooklyn, N.Y. "It's creating a political and selective situation in the doula world." Most doulas think that while training and certification don't guarantee quality services, the knowledge can't hurt. Says Guralnick: "Your heart and hands are the most important. If someone...
Debra and Ash Suri, a Manhattan couple in their early 30s, are expecting their first child at the end of this month. After reading several childbirth books and attending a Lamaze class, Debra decided she wanted to have a doula present at her baby's birth. She interviewed several women and chose Guralnick. "I really wanted to go with a doula, because Barbara has so much knowledge and experience, and I find it very comforting to have somebody there with us from the beginning to the end, to be able to answer our questions," says Debra...