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Wed, 7 May 2008 07:48:30 EDT |
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Dear Friends:
As a LC in private practice, I have had contact with doulas.
In the US, doulas evolved to fill a void; laboring women need someone just
for them to provide comfort and solace during labor. Nurses have become unable
to do that, for the most part, once medicine went corporate in the US in the
late 80s-early 90s. Doulas are passionate advocates for women's ability to
birth and breastfeed.
Once in a great while, a doula has been obstructive to lactation management.
I've discovered via my follow-up telephone calls that the doula has changed
or discarded a plan created by the LC and the mother to recover
breastfeeding. I have yet had a doula call me to discuss the care plan, even when I have
brought the doula into the discussion in the mother's home. Collaboration is
an essential part of care, and I am happy to spend as much time and answer as
many questions as the mother or the doula has. I count on the postpartum
doula to help implement the breastfeeding care plan as she is there with the
mother on a regular basis, sometimes for hours a day. It has been a shock to
discover that my efforts have been treated disrespectfully. The poor mother is
caught between two people that she has hired to help her.
This situation has not happened very often; unfortunately several LCs that I
know have encountered it.
At present, I am setting up a 9-week breastfeeding basics course for doulas.
I am excited to hear that a large number have signed up!
warmly,
Nikki Lee RN, BSN, MS, Mother of 2, IBCLC, CCE, CIMI
craniosacral therapy practitioner, Elkins Park, Pennsylvania USA
_www.myspace.com/adonicalee
_ (http://www.myspace/adonicalee)
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