Doula

Category - Labor & Birth

A doula is supporting a woman who is having contractions 2-3 minutes apart, with each one lasting 90 seconds. Mom is shaking, and nauseous, and feels very overwhelmed by the labor. Which of the following support techniques is NOT helpful in dealing with panic during transition?
  1. Make eye contact.
  2. Use firm touch on her hands, shoulders or face to help her focus her attention.
  3. Leave her alone so she can refocus.
  4. Breathe with her.
Explanation
Answer: C - A woman at risk of panicking during transition needs support. Leaving her to cope on her own can increase her feelings of losing control, and can lead to many labor interventions in an effort to calm her. The best strategies to help this mother include making eye contact, using firm touch, breathing with her to help her focus, and reassuring her that all is progressing smoothly. Talking quietly, stroking away pain with touch and massage, and encouraging the use of preplanned relaxation techniques are also strategies for the doula and labor partner.
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