Dads and Doulas

Dads and Doulas: Key Players on Mother's Labor Support Team
There was a time when expectant fathers were portrayed as anxious, floor-pacing, cigarsmoking
men who were tolerated in hospital corridors until the long-awaited moment when a
nurse or doctor would announce they were the proud father of a daughter or a son. Today's
expectant fathers are different.
When it comes to pregnancy, birth, and parenting, today's father wants to share
everything with his partner. He wants to be actively involved; ease his partner’s labor pain,
welcome his baby at the moment of birth and help care for his newborn at home. A labor doula
can help a father experience this special time with confidence.
The word "doula" which comes from ancient Greek, today refers to a woman trained
and experienced in childbirth. A doula provides continuous physical, emotional, and
informational support to the expectant mother and her partner during labor, delivery and in the
immediate postpartum period. The wisdom and emotional support of experienced women at
birth is an ancient tradition.
Studies show that when doulas are present at birth, women have shorter labors, fewer
medical interventions, fewer cesareans and healthier babies. Recent evidence also suggests that
when a doula provides labor support, women are more satisfied with their experience and the
mother-infant interaction is enhanced as long as two months after the birth. With doula support,
fathers tend to stay more involved with their partner rather than pull away in times of stress.
Today, a father's participation in birth preparation classes or his presence at prenatal
visits and in the delivery suite is a familiar occurrence. Yet, we sometimes forget that the
expectations of his role as a "labor coach" may be difficult to fulfill. Sometimes it is also
culturally inappropriate for an expectant father to be so intimately involved in the process of
labor and birth.
The father-to-be is expected among other things to become familiar with the process and
language of birth, to understand medical procedures and hospital protocols and advocate for his
partner in an environment and culture he is usually unfamiliar with. A doula can provide the
information to help parents make appropriate decisions and facilitate communication between
the laboring woman, her partner and medical care providers.
. At times a father may not understand a woman’s instinctive behavior during childbirth
and may react anxiously to what a doula knows to be the normal process of birth. He may
witness his partner in pain and understandably become distressed. The doula can be reassuring
and skillfully help the mother to cope with labor pain in her unique way. The father-to-be may
need to accompany his partner during surgery should a cesarean becomes necessary. Not all
fathers can realistically be expected to "coach" at this intense level.
Many fathers are eager to be involved during labor and birth. Others, no less loving or
committed to their partner's well being find it difficult to navigate in uncharted waters. With a
doula, a father can share in the birth at a level he feels most comfortable with. The doula’s skills
and knowledge can help him to feel more relaxed. If the father wants to provide physical
comfort such as back massage, change of positions, and help his partner to stay focused during
contractions, the doula can provide that guidance and make suggestions for what may work
best.
Physicians, midwives and nurses are responsible for monitoring labor, assessing the
medical condition of the mother and baby, and treating complications when they arise. But
childbirth is also an emotional and spiritual experience with long-term impact on a woman's
personal well being. A doula is constantly aware that the mother and her partner will remember
this experience throughout their lives. By “mothering the mother” during childbirth the doula
supports the parents in having a positive and memorable birth experience.
The benefits of doula care have been recognized worldwide. The Medical Leadership
Council of Washington, D.C, the Society of Obstetricians and Gynaecologists of Canada and
the World Health Organization are among the many healthcare organizations that value the
benefits that doulas provide to women in labor.
The father's presence and loving support in childbirth is comforting and reassuring.
The love he shares with the mother and his child, his needs to nurture and protect his family are
priceless gifts that only he can provide. With her partner and a doula at birth a mother can have
the best of both worlds: her partner’s loving care and attention and the doula's expertise and
guidance in childbirth.
 
(Borrowed from DONA.org)

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