Thank you for enlightening me.  I forget that not all parts of the world are
as fortunate as we are.  So is your idea is to have volunteer doulas help
out in labor?  That's a great idea, are there enough doulas to help?  There
are not too many doulas around this part of the country, the concept really
hasn't taken off.  Again, sorry I wasn't being culturally sensitive to your
situation.

Sheena Carnes

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]]On Behalf Of EDG
Sent: Monday, December 27, 2004 9:31 PM
To: [log in to unmask]
Subject: speaking of hospitals

Good point, Sheena, but:
"Safe staff to patient ratios" is not even a concept here in Israel
where the medical system is overtaxed by patient overload due to
terrorist attacks and constant state of war for the last 56 years,  to
name a few reasons.  This is a public health system.  Not enough money
to pay enough staff members.  Understaffing is a major problem.  Can't
change that for the moment.  I have to work with 2 night nurses in a
ward with as many as 50 moms.  In one of the maternity wards you also
have moms before birth.   I have convinced the nurses to think about
taking women from doula courses to do their clinical hours helping these
moms labor so that will free the nurses to do other things.  So far, the
midwives here are not in favor of allowing doulas to enter their
territory, but don't forget, that is how everyone felt about non-nurse
lactation consultants several years ago, and yet I am still here!! This
might be a way to get doulas into the system.
Esther Grunis, IBCLC

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