Beyond holding hands: the modern role of the professional doula.

@article{Gilliland2002BeyondHH,
  title={Beyond holding hands: the modern role of the professional doula.},
  author={Amy L. Gilliland},
  journal={Journal of obstetric, gynecologic, and neonatal nursing : JOGNN},
  year={2002},
  volume={31 6},
  pages={
          762-9
        }
}
  • A. Gilliland
  • Published 1 November 2002
  • Medicine
  • Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
This article illustrates the five main aspects of the doula's role: providing specific labor support skills; offering guidance and encouragement; assisting mothers to cover gaps in their care; building a team relationship; and encouraging communication between patient, nursing staff, and medical caregivers. The roles of both nurses and doulas are discussed, including the complementary nature of their roles, and also strategies for preventing conflict between doulas and nurses. A modern… 

Tables from this paper

Doula Support and Attitudes of Intrapartum Nurses: A Qualitative Study from the Patient’s Perspective
TLDR
The purpose of this pilot qualitative study was to examine the level of acceptance shown by intrapartum nurses for doula support, as perceived by the parturient woman.
Nurses and doulas: complementary roles to provide optimal maternity care.
  • L. Ballen, A. Fulcher
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2006
Staff in maternity-care facilities are seeing an increase in doulas, nonmedical childbirth assistants, who are trained to provide continuous physical, emotional, and informational labor support. The
Defining the doula's role: fostering relational autonomy
  • Sandra L Meadow
  • Psychology
    Health expectations : an international journal of public participation in health care and health policy
  • 2015
Training organizations as well as academic and popular literature provide ambiguous or ethically contentious characterizations of the role of the birth doula, a non‐clinical role assisting women in
How Birth Doulas Help Clients Adapt to Changes in Circumstances, Clinical Care, and Client Preferences During Labor
TLDR
How doulas adapt to challenges in client’s labors is examined, and four themes emerged: giving nonjudgmental support, assisting informed decision making, acting as a facilitator, and issues with advocacy.
North American Nurses' and Doulas' Views of Each Other.
From Innovation to Common Practice: Perinatal Nursing Pre‐1970 to 2005
  • L. Martell
  • Medicine
    The Journal of perinatal & neonatal nursing
  • 2006
The history of perinatal nursing from before 1970 to the present is characterized by innovations that became common practice in later years. These innovations include fetal monitoring, mother/baby
Women supporting women : the role of doulas in South African birth stories
The medical and psychological benefits of birth companions, or doulas have been well documented over the last thirty years. This qualitative investigation provides, through the textured accounts of
Swedish women's experiences of doula support during childbirth.
Doulas as community health workers: lessons learned from a volunteer program.
TLDR
Through the use of focus groups with the program's volunteer doulas, educational needs related to overcoming barriers to being a doula working in the community were identified and recommendations for education and training are made to improve the support doulas offer as community health outreach workers.
...
...

References

SHOWING 1-10 OF 23 REFERENCES
Nursing Support during Labor
TLDR
It is suggested that, regardless of the pain management used, nurses supporting childbearing women must not only be competent but also use a high degree of interpersonal skills in providing nursing care.
Measuring Nursing Support During Childbirth
TLDR
There was an incongruity between what nurses perceived as being supportive care and the amount of support that was actually provided, demonstrated in this study, which highlighted barriers to the provision of supportive care in the practice setting.
From novice to expert : excellence and power in clinical nursing practice
TLDR
This work uncovers the Knowledge Embedded in Clinical Nursing Practice and discusses the Dreyfus Model of Skill Acquisition Applied to Nursing and its implications for Research and Clinical Practice.
Supporting women in labor: a work sampling study of the activities of labor and delivery nurses.
TLDR
A work sampling method was adapted to determine the proportion of time the average intrapartum nurse at a Toronto teaching hospital spends in supportive care activities, and social and political factors that affect the meaning and value of the supportive activities of work by obstetric nurses are discussed.
Empowerment or discouragement: women's experience of caring and uncaring encounters during childbirth.
TLDR
Findings indicate that the nurse-midwife who satisfies a woman's need for professional caring during the birth experience is likely to be more effective in meeting nursing and midwifery care goals than the Nurse-Midwife who does not and is perceived as uncaring.
Caring behaviors by nurses: women's perceptions during childbirth.
TLDR
Identifying nursing behaviors that are perceived as caring will help nurses working in managed care environments where time spent with patients is decreased, and were perceived as the most caring by women during childbirth.
Labor support: nurses' self-efficacy and views about factors influencing implementation.
TLDR
Phase 1 provided beginning evidence of the reliability and validity of the Self-Efficacy Labor Support Scale and found that L&D nurses' self-efficacy or confidence to provide labor support was high; it is recommended that future attention needs to be focused on factors related to the provision of labor support.
Twenty-five years of obstetric patient satisfaction in North America: a review of the literature.
The North American literature on obstetric patient satisfaction of the past 25 years was reviewed using two major computerized databases. The articles identified by these searches were supplemented
Using evidence-based practice to improve intrapartum care.
  • S. Kardong-Edgren
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2001
TLDR
Clinical scholarship in the obstetric setting is one way to begin changing ritualized practices, incorporating evidence-based practice, and improving nursing care.
...
...