Featured Research

from universities, journals, and other organizations

Doulas may indicate failings in patient care, warns doctor

Date:
December 1, 2009
Source:
BMJ-British Medical Journal
Summary:
The presence of doulas (paid birth assistants) during labor may alter the doctor-patient dynamic and can compromise communication and therefore patient care, warns one doctor.

The presence of doulas (paid birth assistants) during labour may alter the doctor-patient dynamic and can compromise communication and therefore patient care, warns a doctor on bmj.com.

Furthermore, the need for doulas implies a failing of medical and midwifery services and also the support provided by family and friends, says Dr Abhijoy Chakladar who was working at Worthing Hospital in West Sussex when he first encountered a doula.

He describes how his first encounter with a doula on the labour ward compromised his communication during an anaesthetic consultation and therefore compromised the care he delivered. "I found myself disconcerted by the doula's presence as I was unfamiliar with her role," he says. "In retrospect, I should have confirmed everyone's roles and established ground rules acceptable to all involved on entering the situation."

Hired birthing partners are unregulated, not part of clinical obstetric teams, and therefore should not be involved in the making of clinical decisions. There is no nationally recognised certification for doulas and it is possible to work without training. The Nursing and Midwifery Council recognises doulas solely as emotional support for mothers and as unqualified persons they cannot substitute for registered midwives.

There are approximately 1000 doulas working in the UK offering packages including antenatal visits, labour, postnatal visits, and on-call periods, charging between £400 and £900. In 2005, there were an estimated 100,000 doula-supported births in the USA.

As the trend grows here, the author wonders whether the doula business is actually necessary or whether it is exploiting for profit unspoken fears over NHS perinatal care and the seemingly limitless market for birth-related products and services,

Dr Chakladar says he is disappointed by the real or perceived need for doulas. He believes that availability of this commercial service implies that current social structures do not support pregnant couples adequately and that healthcare professionals may not be able to support their patients as they would like to.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Doulas may indicate failings in patient care, warns doctor." ScienceDaily. ScienceDaily, 1 December 2009. <www.sciencedaily.com/releases/2009/12/091201192109.htm>.
BMJ-British Medical Journal. (2009, December 1). Doulas may indicate failings in patient care, warns doctor. ScienceDaily. Retrieved August 21, 2014 from www.sciencedaily.com/releases/2009/12/091201192109.htm
BMJ-British Medical Journal. "Doulas may indicate failings in patient care, warns doctor." ScienceDaily. www.sciencedaily.com/releases/2009/12/091201192109.htm (accessed August 21, 2014).

Share This




More Health & Medicine News

Thursday, August 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) — A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) — A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Do More Wedding Guests Make A Happier Marriage?

Do More Wedding Guests Make A Happier Marriage?

Newsy (Aug. 20, 2014) — A new study found couples who had at least 150 guests at their weddings were more likely to report being happy in their marriages. Video provided by Newsy
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) — Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins