Do you have one or more backup doulas for times when you are not available? May we meet with the backup doula?
You will have a primary doula assigned to you and we always have a back up on call system. You can meet all of the doulas at our monthly meetings and/or read about them here.
What is your fee? What does it include?
Contact us today for current pricing information. You can reach our Director, Beth Nichols at 412-364-3555 or email her at birthdoulasofpgh@verizon.net.
Tell me/us about your philosophy about childbirth and supporting women and their partners through labor.
At your prenatal visit, we like to find out what your needs and desires are for the birth. We are happy to support the woman no matter what she is hoping for, whether she wants medication from the moment she walks into the hospital, wants no medication or is somewhere in between. During labor we help to remind you of your wishes, and try to help you to have your ideal birth. We try to find out what relaxes you so that we can provide these comfort measures during labor. We will help to provide any information that we can when you have questions during labor, and will facilitate communication between you and your caregiver. Basically, our philosophy is to be as supportive as we can of you and your partner.
May we meet to discuss our birth plans and the role you will play in supporting me/us through childbirth? May we call you with questions or concerns before and after the birth?
We prefer at least one prenatal meeting, and are happy to talk to you via phone or email at any time with questions, concerns or just to chat. After the birth we will check in with you to see how you and your new family are doing, as well as to schedule a postpartum visit to talk about the birth, give you your birth story and to discuss your view of the birth.
When do you try to join women in labor? Do you come to our home or meet us at the place of birth?
Whenever you want additional support we will be happy to come to your home or meet you at the hospital.
Do you work with the hospital staff?
If medical decisions need to be made, we will make sure you have the information you need to make knowledgeable choices. We do not perform medical tasks or assessments, but work cooperatively within the birth team to help you follow your birth plan as closely as possible. A doula doesn’t “take over” rather, we are there to support you and your family in whatever you need and want.
Won’t having a doula make my partner feel useless?
In our experience, the best way to answer that is to use the following information from the famous Penny Simkin:
Myth #1 If a woman has her partner, the doula becomes redundant.
Reality: The doula may be the only person at the labor, beside the partner who is there solely for the emotional well being of the woman. The nurse, the doctor, the midwife have other priorities that compete with the emotional care of the woman; for example breaks, shift changes, clinical responsibilities, office hours and hospital policies. The doula has few or no other responsibilities. She stays through shift changes, and until after the baby is born. She is not just another stranger with the couple. She has the woman’s needs as her sole priority.
In some cases the couple will bring several other friends or families into labor with them. Sometimes these people can be uncertain how to help, which leads to confusion and actually adds to the woman’s stress. The doula can direct and coordinate the efforts of a group of people, giving them all something useful to do, so they work as a team on the woman’s behalf.
Myth #2: The doula takes over, displacing the partner and interferes with their intimate experience.
Realities: The doula can actually bring the couple closer together. By making sure that the partner’s needs are met (food, drink and reassurance) the woman and partner can work more closely together.
The doula allows for the partner to participate at his or her comfort level. Some partners prefer to be there only to witness the birth of their child and to share this experience with the woman they love. They may not want to play an active role and do not want to become responsible for the woman’s comfort and emotional security. The doula can fill in and allow the partner to participate as he or she wishes, without leaving the woman’s needs unmet.
When the partner chooses to be the major source of emotional support, the doula can supplement his or her efforts by making errands, making suggestions for comfort measures and offering words of reassurance, and comfort. During a long tiring labor, she can give the partner a break for a brief rest or change of scene.
For the partner who is shy, uncertain, or unversed in his or her role, the doula suggests simple but truly useful tasks, such as timing contractions, holding the woman, supporting her in a particular position, massaging her.
While the doula probably knows more than the partner about birth, hospitals and maternity care, the partner knows more about the woman’s personality, likes, dislikes and needs. Moreover, he or she loves the woman more than anyone else there. The combined contributions of the partner and doula, along with a competent, considerate and caring staff give the woman the best chance of an optimal outcome.
Myth #3: The doula has her own beliefs about how the birth should go, and imposes it on the woman or couple.
Reality: The doula’s true agenda is to help ensure that the woman or couple’s agenda, their birth plan, is acknowledged and followed as much as possible. If the doula is thoroughly familiar with the couple’s wishes and their birth plan, she may actually think more about it than the couple, especially when labor is intense and things are happening rapidly. The doula can remind the staff or the couple of some items on the birth plan that are forgotten, but which later might be important. Sometimes if a birth plan is not followed, the couple later look back with regret or disappointment.
The doula helps with decision-making by asking questions that will ensure the right information is given to the woman or couple so that they can make an informed decision. She may also suggest alternatives, like waiting a while for the couple to have a chance to discuss it. She does not however, make decisions for the couple.
In summary, the doula helps make the birth experience to be as rewarding and satisfying as possible. As one father said, ‘ I heaved a big sigh of relief when she (the doula) walked in. I hadn’t realized how much pressure I had been feeling. She not only calmed my wife, she calmed me down.’
*From: The Doula and the Partner: How they Work Together to Help the Birthing Woman By Penny Simkin, P.T. http://www.pennysimkin.com/