Doula

Category - Psychology & Philosophy

Which of the following does NOT factor into how the continuity of care by a doula contributes the psychological well-being of a laboring mother?
  1. A physician other than the mother's primary caregiver may need to deliver the baby.
  2. The labor nurse may meet the end of her work shift mid-labor.
  3. The doula is present before, during, and after the birth.
  4. The doula is the only support needed so that the partner does not need to be involved.
Explanation
Answer: D - The doula does not usurp the partner's role, but adds to it. If the mother's primary maternity care provider is not present at the delivery of the baby, the laboring woman may become unnerved and her labor may suffer. The nursing staff does change, especially if the labor is long, and if a mother becomes accustomed to a particular nurse, this change may cause her labor to falter. The one constant in labor can be the doula, who knows the parents wishes, who can advocate for their birth plan, who can explain proposed procedures, and who serves as the physical and emotional support for both partners during labor.
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