Doula





Doula is a support for the pregnant woman and in the giving birth time. And she is there afterwards to sustain even further if needed the start of the new family.
Doula is a birth companion that is non medical.

I have taken the course with ODIS (Swedish Doula Organisation); my teacher were Liisa Svensson (midwife and doula) and Susanna Heli (physiotherapist, doula and writer of the book "Confident Birth"). 

I am happy to be with you, contact me for more info.
I speak english, swedish, italian and spanish.

It works like that:

  • we will have a meeting during your pregnancy, when you feel is the right time, to decide if we want to work together.
  •  we will have another meeting to talk deeply about your previous experiences, if you have, and/or about fears, needs, desires and how you want to be supported.
  • we can have more meeting if you need before the birth (maybe to train some techniques like the breath or the sound or meditation).
  • I will be on call two weeks before your due date and two weeks after. whenever labour starts and when you feel you need my support I will come. (there is always a back up doula in case needed)
  • we will meet 7-10 days after the birth to see how you and the family are doing. 




    What doulas DO:

    Doulas “mother the mother.” While performing her role, a doula

  • Provides emotional support
  • Uses comfort measures: breathing, relaxation, movement, positioning
  • Gives information
  • Continuously reassures and comforts the mother (the key word is continuous—a doula never leaves the mother’s side)
  • Helps a mother become informed about various birth choices
  • Advocates for the mother and helps facilitate communication between the mother and care provider
  • Looks after your partner as well (gives them bathroom breaks!), but their primary responsibility is to the mother.


What doulas do NOT do:


  • Doulas are NOT medical professionals
  • They do not perform clinical tasks such as vaginal exams or fetal heart monitoring
  • They do not give medical advice or diagnose conditions
  • They do not judge you for decisions that you make
  • They do not let their personal values or biases get in the way of caring for you (for example, they should not pressure you into making any decisions just because that’s what they prefer)
  • They do not take over the role of your husband or partner
  • They do not deliver the baby
  • They do not change shifts                                


WHY doulas are so effective?

There are 2 main reasons why we think doulas are so effective. The first reason is the “harsh environment” theory. In most developed countries, ever since birth moved out of the home and into the hospital, women have been giving birth in conditions that can often be described as harsh. In the hospital, laboring women are frequently submitted to institutional routines, high intervention rates, personnel who are strangers, lack of privacy, bright lighting, and needles. Most of us would have a hard time dealing with these conditions when we’re feeling our best. But women in labor to deal with these harsh conditions when they are in their most vulnerable state. These harsh conditions may slow down a woman’s labor and decrease the woman’s self-confidence. It is thought that a doula “buffers” this harsh environment by providing continuous support and companionship which promotes the mother’s self-esteem (Hofmeyr, Nikodem et al. 1991).

The second reason that doulas are effective is because doulas are a form of pain relief (Hofmeyr, 1991). With continuous support, women are less likely to request epidurals or pain medication (Hodnett, 2011). Why are women with doulas less likely to request pain medications? Well, women are less likely to request pain medications when they have a doula because they just don’t need an epidural as much! Women who have a doula are statistically more likely to feel less pain when a doula is present. Furthermore, by avoiding epidural anesthesia, women may avoid many medical interventions that often go along with an epidural, including Pitocin augmentation and continuous electronic fetal monitoring (Caton, Corry et al. 2002).

Doula-conceptual-model1




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