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DOULA From-Novice-To-Expert PDF
DOULA From-Novice-To-Expert PDF
International Doula
From
Novice to
Expert Doula Development
The Five Stages of
Stage Two:
The Advanced
Beginner Doula
PAGE 8
Stage Three:
The Seasoned
(Competent) Doula
PAGE 12
Stage Four:
The Proficient Doula
PAGE 18
Stage Five:
The Expert Doula
PAGE 22
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to happen)
Abundant supply of energy
The key issues in doula care are the
•
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Feeling of rightness about her path
Familiar with strategies and support
techniques from her training and is
empowerment of mothers,
eager to use them non-judgmental acceptance of their
How you can help choices and support for their actions.
Novice doulas have a great deal to offer
their communities. They often bring
new energy and different perspectives to
meetings and discussions. Often times
2
For others, this is much harder. They of birth and what it means to be a doula.
feel responsible, guilty or angry at some The change comes out of an important
aspects of their client’s experience and feel period of dissatisfaction and self-reflection.
they ought to have been able to change In the old way, the birth is about what
it. More experienced doulas tell them that the doula thinks is best for the mother so
their caring presence made a difference that the mother can achieve this vision.
and that was enough. However, as the The new way is for the doula to realize
AB doula grows in her communication that the mother decides her own journey
skills, she may find that there are ways while she is in labor. The doula empowers
she can influence her client’s experience the mother and clears the way for her. It’s
positively and avoid some of the not about an ideal vision any longer; it is
situations that frustrate her now. about accompanying each mother on this
Some doulas have approached this mystical journey as a knowledgeable guide.
profession hoping to change birth. They One of my interview participants,
want to make a difference in the system and Allison (not her real name), illustrated this
show people how birth can be. They have part of the process very clearly. She had
an idealistic way of thinking about things. been to approximately 25 births. Allison
Sometimes they only choose clients who was very candid about her personal journey
share that vision (e.g. planning unmedicated from a place of what she thought was best
births). They believe that if everything is set for the mother to a place of allowing the
up a certain way, then the idealized birth mother to do what she needed to do for
can happen and will happen if they are a herself. As a new doula, Allison valued
good enough doula. The birth experience drug-free, intervention-free birth. She felt
is less about the mother than it is about she knew what was best for mothers and
birth being a certain way. While the AB that part of her role was to inform them of
doula may not articulate it out loud or even the “best” choices. She shared freely about
consciously to herself, her doula work is being inwardly judgmental when mothers
about her skill in helping mothers to create made choices that were taking them away
this ideal birth experience. When it doesn’t from what she thought was best. This was
happen, she judges mothers and herself. dissatisfying for her as an individual as well
The challenge for this doula is to shift as a doula, and she came to a personal
and expand her vision about the meaning crossroads where she changed her
Community based (CB) doulas work for How do doulas from the different
an organization that offers doula services practice models compare on the
as part of its health care mission. They are Dreyfus Model for Doulas continuum?
usually recruited from the local community The majority of the participants in my
and share the same values, experiences study are independent practice doulas,
and spoken language as the clients they although nine of them (22.5 percent) are
serve. CB doulas usually have expanded hospital based. Hospital based doulas
duties beyond pregnancy education and follow the same path in terms of gaining
labor support. They may also teach life confidence, when to give information,
skills training, parenting education and advocacy skills, personal challenges and
may do some case management. The CB changing relationships with others. The
doula works with others in the organization growth path of HB doulas is more similar
to coordinate services for each mother than different to IP doulas. Where HB
and family. doulas primarily differ is that they do
Volunteer doulas are usually unpaid or not have the challenges of marketing,
receive a small stipend for their expenses. obtaining clients or running a business.
Some organizations have a call schedule They also have to develop a separate set
and a mother or health care representative of skills to get to know a woman in labor
calls when a mother in labor would like a and her family very quickly. Another
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