Hello,

I missed the doula article but get the gist, I think.  I've been a midwife
for 30 years and have never seen a doula.

Research from Hodnett ED. et al, "Continuous support for women during
childbirth (Cochrane Review)
In: The Cochrane Library, Issue 3, 2004, Chichester, UK: John Wiley & Sons,
Ltd.

"In general, labour support was more effective when it was provided by women
who were not part of the hospital staff"

I believe this to be true, and you probably all know that.  Hospitals are
not reflective, nor conducive, to real midwifery care.

regards,

Elizabeth McAlpine
----- Original Message ----- 
From: "Callum & Kirsten" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, September 04, 2004 12:53 AM
Subject: Re: [ozmidwifery] doula article


> I apologise i left NZ in 2002, as of then i should state i knew of no
> doulas, although there could have been.
> I find the whole thing rather confusing, can i ask why you choose to be a
> doula and not a midwife?
> (I'm seriously asking, not being sarcastic either.)
>
> Kirsten
>
>
> ~~~start life with a midwife~~~
> ----- Original Message ----- 
> From: "Vida Rye" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Saturday, September 04, 2004 2:11 PM
> Subject: RE: [ozmidwifery] doula article
>
>
> > Kirsten wrote:
> >>>>>>>>I think i have to agree with you Denise. In NZ where the maternity
> > system is different to here in Australia, and there is more woman
centered
> > midwifery care there are no doulas that i know of. In fact one of my
> > lecturers at Auckland University of Technology, told us one day that
> > Doulas
> > were a threat to midwives and their role. To me (and i may be naive)
> > that's
> > what care/support i expect to give as a midwife....<snip>Certainly also
> > why
> > australia needs them when NZ a different maternity system doesn't. Maybe
> > it
> > does say something about the current system?<<<<<<<<<<<<<<
> >
> > Well just wanted to say "Hi" from a Doula based in NZ.....   I disagree
> > about there not being a need for Doulas in NZ and I find it sad that
this
> > is
> > the attitude of that lecturer of a Midwifery degree in NZ (although it
> > does
> > not surprise me from some of the anti-Doula stuff I have come across
from
> > some sectors of midwifery here).  I have lived here since 2002 and I
came
> > to
> > NZ with the naive and idealistic viewpoint that my Birth Doula role
would
> > not be needed because I had heard such wonderful things about the NZ
> > midwifery system.  This made me happy although I knew I would miss my
> > birth
> > work.... So I have been concentrating on postnatal Doula work and
> > promoting
> > infant massage in the community.  However, whilst the NZ midwifery
system
> > is
> > different to the UK and in many aspects more woman-centred, I still soon
> > started receiving enquiries from women saying that they needed a birth
> > doula.
> >
> > On many occasions I have been contacted because women say they need
extra
> > support because they feel that their birth journey is being too
> > medicalised
> > and, upon talking to them, it transpires that in an ideal world they
> > wanted
> > a home, water birth or something similar and yet they are ending up in
> > hospital because their midwife "doesn't do" water births and has no
> > back-up
> > for "homebirths"...????  These womens' choices are being limited by
their
> > LMC (Lead Materity Carer).  On these occasions what I have thankfully
been
> > able to do is put these women in touch with more woman-centred midwives
> > who
> > I *know* will be able to offer them the options that they are wanting
"in
> > an
> > ideal world".
> >
> > I strongly believe in and support independent midwifery, and women and
> > their
> > partners rights to be fully informed and have access to all the options.
> > I
> > know of possibly one other doula who is/was practising in Palmerston
> > North,
> > but other than that I seem to be on my tod although I'm trying to get
the
> > word "out there" to see if there are any other women passionate about
> > birth
> > who want to offer encouragement and support to parents-to-be and new
> > parents.  I have had to turn down 4 birth doula roles in the last 2
months
> > because there is only 1 of me and no back-up doula support in the area
> > (although a doula in training with DONA has just arrived from Canada
> > recently).
> >
> > I agree too with Sally Westbury that it would be great if more emphasis
> > was
> > placed on the Postnatal Doula role.  This is what I have been
> > concentrating
> > on in Wellington whilst I build up relationships built on *trust of the
> > Doula role* within the local birthing community and, very similar to
> > Honey's
> > story, I am part of a group of "consumers" who, along with local
midwives,
> > are trying to promote the idea of a birthing centre which we hope will
> > encourage, in the long term, more homebirths here.
> >
> > And "Hurrah" for Kylie, for being determined to concentrate on the
> > *positives* in your article.... if we all saw the positives not the
> > negatives and worked together, passing on our common knowledge and
> > experience of natural birth through generations and from culture to
> > culture,
> > what a fantastic worldwide community spirit there would be.  :o)
> >
> > Vida Rye
> > Wellington, NZ
> > www.kiwidoula.com
> > www.nurturenz.com
> >
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