I am a Doula (non-medical birth support) and student midwife and I support women through their pregnancy, birth and the precious postnatal period (see Services). I don't replace your partner as your birth support, but work with you both in supporting you through this magical time. You can read about Dads & Doulas below.

I believe that every woman should have the chance to experience birth as an enjoyable, satisfying and empowering life event. A birth doula is a trained labor support person who provides informational, emotional and physical support to the pregnant woman and her partner. A doula is not medically trained and works alongside your chosen medical support (midwives and/or obstetrician) whether you choose to birth at home, in a birth centre or in a hospital.

During Pregnancy

There are many options available and choices to make that can effect your birthing experience. I have access to resources and unbiased information that can help you to make the best choices to suit you and your needs and to help you have the best birth experience possible. We meet several times during your pregnancy and I am available by phone or email 24/7. You have access to my library of books, CDs and DVDs and I may also see you for acupuncture or calmbirth® classes if you choose these as extras (see Services below).

During Labor and Birth

If you plan to birth in a Birth Centre or Hospital there may be shift changes during your labor or the medical staff may have significant demands on their time. A doula provides continuous support throughout labor, wherever you chose to birth, and is totally focused on you and your needs during this time. She helps to create a space in which you can feel safe and comfortable and supports you and advocates for your wishes.

Birth with a doula has found to result in:

• 50% reduction in cesarean rates
• 25% shorter labor
• 60% reduction in epidural requests
• 40% reduction in syntocinon use
• 30% reduction in analgesia use
• 40% reduction in forceps delivery

Klaus, M.H., Kennell, J.H. & Klaus, P.H. (1993). Mothering the mother :How a doula can help you have a shorter, easier, and healthier birth . Reading , Mass: Addison-Wesley.

As your doula I am on call from 37 weeks until your baby is born and you can call me whenever you feel you want my support either at home or in the hospital or birth centre. I am there for whatever you need me for which can include massage, emotional support, keeping your partner and support people nourished and rested, looking after other children, providing information or explanations for things, making suggestions for position changes, helping to keep you relaxed and focused or even using acupuncture if there is a need.

After the Birth

I stay after the birth for up to several hours ensuring you and your partner have everything you need. I will then visit you at home in the following week or so when we can have a chat about the birth, breastfeeding, baby care and provide suggestions for any information or resources you might be interested in.

• Experiences of women who had continuous support in labor included:
• Labor better than expected
• A more positive overall experience
• Women more likely to be breastfeeding at 6 weeks
• Less depression at 6 weeks
• Less difficulty mothering

Hodnett, E.D. (2002) Caregiver support for women during childbirth (Cochrane Review). COCHRANE. The Pregnancy and Childbirth Database. The Cochrane Collaboration. CD ROM: Issue 1. Oxford .

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Initial Meeting

This is your opportunity to meet me (over tea and cake is nice), ask questions and get to know each other. It's a good idea to meet with a few doulas before deciding and I can give you some more names and numbers if you need them.
The first meeting is FREE if you come to me and $50 if I come to you although this is taken off the total package price if you hire me.

Doula Packages Include:

• Unlimited phone and email contact
• I am on call from 37 weeks until the birth of your baby
• Access to my lending library of DVDs, CDs, books, the Pink Kit etc.
• Articles and help finding resources and information
• Birth Photography on request
• Acupuncture in early labour if required and requested
• Back up doula available to meet you at your request

Standard Doula Package $1000

• 3 to 4 pre-birth meetings
• labour and birth support
• 2 post-natal visits

• 1 pre-birth meeting
• labour and birth support
• 1 postnatal visit

*I only take on women for the Birth Only package if they are acupuncture clients of mine or have done hypnobirthing, calmbirth ®, gone through the Pink-Kit booklet and DVDs (or would like to) or some other birth preparation course apart from, or aswell as hospital antenatal classes.

Homebirth discount : There is a $200 discount on the Standard Package and $100 on the Birth Only Package if you are planning a homebirth as I am aware you also need to pay your midwife.

Teenage mums : If I am available I offer the Standard Package free to pregnant teenagers.

Payment is flexible: Most couples pay the $150 non-refundable deposit on booking and then stretch the payment over the various meetings with the final payment after the birth.

Private Health Fund rebates are available for any meetings that include pregnancy acupuncture

calmbirth ® classes: There is a $100 discount for private or group classes if you engage me as your doula. This applies only to the Standard Doula Package. If you choose private classes the 3 pre-birth consultations will be worked into the classes. The discounted prices are $395 Private and $295 Class (normally $495 Private and $395 Class).

Pre-birth and postnatal acupuncture & herbs: You are welcome to come for acupuncture as you need it, this is charged at my normal clinic rates or you can buy (or have gifted to you!) a pre-birth acupuncture package which includes 6 acupuncture treatments and postnatal herbs (4 weekly treatments before the birth and 2 postnatally are recommended). This is $480 with the Birth Only Package and $380 with the Standard Package (Private Health Fund Rebates available). The pre-birth treatments are from my clinic in Manly or from your home if we have a pre-birth meeting booked for that week. The postnatal treatments are done in your home. The price includes postnatal herbs for 2 weeks valued at $40 - $55 (they are tailored individually to you and so price varies).

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There was a time when expectant fathers were portrayed as anxious, floor pacing, cigar-smoking 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.

Doula@DONA.org , www.DONA.org , Referrals@DONA.org
©DONA 2001 Permission granted to freely reproduce in whole or in part with complete attribution.

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