Training Videos For Labor Doula Certification (continued … for the last time)

YAY!  I finished the last video today.  It was only about two hours long.  If I were able to go, I know I would be able to get so much more from an actual Training.  But, since I am not able to go, I have to say that doing it this way and on my own time has been nice.  I liked that I could pause the video to take notes or rewind to replay something I didn’t understand and I will always have the videos to come back to.

On this video, there was a little bit of discussion about Infection Control and Universal Precautions.  There was some discussion on Birth Options and Preferences.  There was also a section discuing Obstetrical Medications.  We went over analgesics, which can help a tired mother get some rest during early labor to better prepare her for hard labor and delivery.  It is recommended that IF you get an analgesic, you need to enjoy it.  If you’re going to fight the effects of the medications, then don’t even bother.  Also, a baby born with four hours of an analgesic will require the respiratory team to be present at birth.  We went over interventions.  Whether they occur before pregnancy, during pregnancy, or at the hospital.  We discussed what is called The Waterfall Effect or Cascade of Interventions … most likely, if you receive one intervention, you’re going to require more.

We reviewed informed consent.  The caregiver must inform the mother:
– What the procedure is and how it is done
– Why the procedure is being suggested
– Whether it is new or experimental
– What her recover will be like
– How the procedure or treatment will affect her, the baby, and her labor
– What are the alternatives
– What are the benefits
– What are the risks
– Is this being suggested to me for a particular reason or is it universally recommended
– If the procedure can be delayed so the mother can read up on it (prenatally) or think about it further (during labor)

Some common obstetric practices have been proven useless or even harmful, yet some caregivers still do them routinely.  It pays for the mother to educate herself and ask questions.  It is her legal right to get answers and make her own decision.  What I took from this and my best advice is that once a mother has asked all of these questions, that she request the time to make a decision so that she does not feel pressured.  If she chooses not to decide, she still has made a choice.  Whether she likes it, or not … well …

We went over episiotomies and the trauma that a forceps delivery can have not only on a mother, but on anybody in the room watching it. 

There was a mentioning of music … it really does make a difference if you bring your own music to listen to.

We discussed, in length, difficult labors and ways to help things along in each stage and for different scenarios.  There was very brief discussion on the breastfeeding basics and postpartum depression (I imagine I will get most of this information from my Postparum Doula videos).  I liked the “chest to chest – chin to breast” phrase.

We went over cesarean births.  Reasons for cesarean section.  How to cope with the emotional issues.  How to avoid an unnecessary cesarean.  A Mom with a voice who wants something, really wants something, CAN make a difference if she speaks her mind.  Dealing with grief (both after a cesarean and loss of life).  As a doula, you don’t have to fix it, just be a good, reflective listener.

~ by cmb0414 on May 1, 2010.

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