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Doula Services

Due to my hours increasing as the Program Coordinator of the Breastfeeding Coalition of Washington, and other responsibilities I am no longer practicing as a doula. If you are pregnant and currently looking for a Doula in the Puget Sound area of Washington State, try contacting the Pacific Association of Labor Support (PALS) at www.pals-doulas.org.

What is a Doula?

Doula is a Greek word that means "woman's servant." A doula is a woman who is willing to serve others through many different kinds of work, most commonly during labor, birth, and afterwards.

Labor Support Doula

A labor support doula gives a woman and her family continuous support through labor and birth. This is done with physical support, a nurturing environment, comfort measures, and assurance that a family's specific wishes and desires for the labor and birth are followed. Doulas also provide emotional support and reassurance to the mother and other family members. Depending on the degree of experience and education your doula has, she may be able to help clarify certain procedures and facilitate communication between you and your care provider. Doulas do not make medical decisions.

Kim talks Krista through a contraction"Scotty and I did our best to prepare ourselves for the birthing experience. I was fairly well read and we studied the Bradley Method of Husband Coached Childbirth. I knew I wanted Scotty to take an active role and therefore was not sure how Kim would fit into the process, I just knew I wanted her there. It turned out she was a great resource of information both prior to the birth and postpartum, but it was during the last hours of a long labor that she became irreplaceable. It's hard to explain the kind of support she offered, it was something none of my friends or family were able to give. I never could have done the last few hours of natural labor without her help."
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Krista, Mother of Annabelle

Why Hire a Doula?

Traditionally, a new mother had her family and women friends nearby to attend her during labor and help with household chores and other children after the birth. Women friends would provide emotional and physical support to aid in a mother's recovery. Today many of us live away from helpful family members. Sometimes family members and friends are too busy in their day-to-day lives to help with the important continuous support that is needed during birth and for a healthy recovery.

"We hired Kim on very short notice (I had already begun labor) and we felt comfortable with her right away. Tahoma and KestrelKim's wealth of experience and knowledge was indispensable to us during a complicated birth process. She helped us to understand our choices (no small feat at the hospital!) and advocated for us powerfully to get our wishes carried out. Kim is warm, sensitive, intuitive, wise, educated, experienced, creative and strong, just to mention a few characteristics."
-
Tahoma

Many mothers feel pressure to heal quickly and resume "life before baby". This pressure is often due to shortened maternity leave, lack of paternity leave, pressure from family members for their needs to continue to be met, and the fast-paced society we live in.

A doula takes on the role of a nurturing, supportive woman friend. She is there to provide reassurance and Doulas can help with breastfeedingguidance during labor and birth. She is there to facilitat bonding of the new family, assist with initiating breastfeeding, and help process the birth experience.

"Kim's constant love and support helped me trust my body allowing me to birth my daughter gently and with confidence."
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Jen, Mother of Isabella

Studies of the benefits of labor support (the presence of a doula) found a:

  • 50% decrease in cesarean sections
  • 25% decrease in the length of labor
  • 40% decrease in the use of oxytocin
  • 60% decrease in the use of epidurals
  • 30% decrease in the use of forceps

Long-term benefits of doula care include:

  • Improved mother-child interaction
  • Decreased postpartum depression
  • Improved breastfeeding

Statistics from: Mothering the Mother by M. Klaus, J. Kennell, and P. Klaus. Addison Wesley Publishing, 1993.

My Philosophy

Even though I am no longer practicing as a doula, I want to share my philosophy with you. My philosophy reflects my reasoning for maintaining this website. Consider asking the doulas and midwives you interview what their philosophy is.

I believe that all people have the right to informed choice and self-determination. When given all the information, options and support the right decisions will be made. I also believe women know how to birth and sometimes all they need is support to discover what they already know. Women remember their birth experiences. If women are fully informed, given options, supported to make their own decisions and play an active role in the process, they will look back on the birth as a positive and empowering event. A doula can help you to be fully informed and supported.

Here are some ways in which doulas do this:

  • Inviting you to use their lending library, providing you with articles, books and videos.
  • Assisting you to write a birth plan. This can be especially helpful for hospital births.
  • Being available to help you work through any unresolved feelings or fears about birth and parenting.
  • Working as your advocate in the hospital to help ensure your wishes and desires are respected. This is important if planning a hospital birth or if transporting from an out of hospital setting becomes necessary.
  • Providing continuous support through your labor and birth. This includes physical support, a nurturing environment, and other comfort measures.
  • Taking special care to help your partner or other family members (as desired) to participate more fully in the birth experience.
This mom is in the position known as the "supported lap squat." I have frequently suggested this position to help bring the baby down and under the pelvic arch. The position always works as mom can't resist. This was the first time I had suggested the position with an epidural. Because the midwife was very open minded and the epidural was "light," we were able to try it. When I took this picture, the midwife was saying, "I feel the head coming down." The success of this position contributed significantly to this mom having a vaginal birth after three days of labor.

What led me on this path?

After completing my Bachelors degree in Social Work at the University of New Hampshire in 1989, I joined the United States Peace Corps and served in Morocco. While there, I attended my very first births. Upon returning to the States, I worked in the field of women's health and became interested in midwifery.

In 1994, I moved to Seattle so I could attend the three year direct-entry midwifery program at the Seattle Midwifery School (SMS). I graduated in March of 1997. While at SMS, I attended over 100 births and worked in a variety of clinical settings. After graduating I realized I felt more comfortable providing emotional and physical support to families rather than giving medical advice and care. I started my doula practice in the summer of 1997. I have now attended over 170 births, completing my last 'official doula birth' in October of 2004.

Some of my experiences

I have experience with birth in the home, birthcenter, and hospital. I have worked with women who have had a variety of experiences including infertility, Wally and Gwen with Kim looking onsexual abuse, prior cesarean birth, post-partum psychosis, and depression. Some of my clients have had a previous traumatic birth and are looking for a healing, intimate subsequent birth experience. About one-quarter of the births I have attended have been water births. I have also attended premature births, breech, multiple births, and still births. For a year, I facilitated a support group for women who had a baby die at term, in labor or soon after birth. The families I have worked with have been from a broad range of cultural and religious backgrounds. Often there are special requests and traditions to be respected.

Since 1998 I have worked for WithinReach as the Program Coordinator of the Breastfeeding Coalition of Washington.

 


I have been given permission from my clients to use the photos,
birth stories and quotes on this web site.
Any misuse of these is prohibited.

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