Dedicated to the Development of Doulas and Our Profession

Doulas are Para-Professionals. Text over image of Doula performing prenatal massage therapy. - png
Doulas Are Paraprofessionals

Encouraging professional behavior by doulas is one of the purposes of this blog, but it needs to be clear that the doula occupation is a paraprofession, not a profession. Community based, hospital employed, and independent practice birth doulas clearly fit dictionary and research interpretations and even the U.S. Department of Labor classification. However postpartum doula work is not such a neat fit. One of the definitions for para…

Birthrape and the Doula. Text over turquoise ribbon image. - png
Birthrape And The Doula

“At many births, while I have my hand on a woman’s arm reminding her to breathe, someone has their hand in her vagina digging around, her eyes are wide, she’s trying to get away, screaming STOP… What do I do? What do I say? How do I help make it right? I hate it. I hate it. I hate it. It seems so wrong.” [excerpt from one email among many I’ve received over the years]

Dear Doula,

I wish I could tell you that these kinds of things only happen to you, t…

Doulaing for Friend's Births. Text on abstract background. - png
Doulaing For Friend’s Births

It’s so thrilling to imagine being a doula for your friend’s pregnancy and birth! For some doulas this is what draws them to the work from the beginning. They want to make sure family members and dear ones have the best experience possible and to help make that happen. But underneath these altruistic desires is the reality of what going to our friend’s births really means. Sometimes it’s a harsh learning.

Ever since I started doulaing, I wondered what was dif…

Busting the Myth of Privacy in the Hospital. Text over picture of fist
Busting The Myth of Privacy in Hospital Birth

One of the craziest misconceptions that first time parents have is that laboring in the hospital will be private.  Where did they ever get that idea?  You’re in a room that isn’t yours, it’s the hospital’s.  You’re a guest in their house – a paying one, yes, but it’s still their space.  In hospital language, the phrase “private room” means that you aren’t sharing it with another patient, not that you will have privacy in it.  A home-like room does not mean the same p…

When the Midwife Doesn't Recommend Doulas. Text over image of prenatal check up.
When Midwives Don’t Recommend Doulas

So your local midwife told a prospective client of yours that she didn’t need a doula.  You feel surprised, even betrayed, at her lack of support.  What’s going on?

First, the midwife is right.  No one is compelled to have a professional doula.  Some women have friends or relatives who can serve in that role.  Some midwives have an assistant or student who s/he prefers to doula her client.  Women and their families have needs in labor that a professional doul…

Women meeting in a park
Want To Change Birth Tomorrow?

Talk to the teens in your life today.  From what I can see, the decision about where to give birth and how to cope with labor is made long before conception.  Unlike previous generations, teens today are exposed to media misrepresentations of labor and birth on multiple television shows (Elson, 2009).  Based on a recent literature search (Toohill, 2014), it seems that more young women and men today are afraid of birth than at any previous time.  While the issue is mu…

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