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Within maternity care, neither continuity of care, doula support in labor, nurse support in labor, nor postnatal debriefing by a midwife can be recommended as strategies for reducing postnatal depression.
The research also examined how doulas added a positive element to the birth experience.
After raising 3 kids, working as a registered nurse, lactation consultant, doula and midwife she founded the company in 1999.
They fulfill tasks similar to those of postpartum doulas.
Occasionally confused with nannies, family life doulas are ongoing, long-term sources of support within a family structure.
Some hospitals have created internal doula training programs to reduce conflict between doulas and medical staff.
Women with less education, lower incomes, less preparation for childbirth and those lacking social support may experience greater benefits from doula care than other groups.
Research also supports the use of female friends or relatives, after minimal training, as a low-cost alternative to professional doulas.
There is no formal or universally recognized certification process or training requirements, and anyone can refer to themselves as a doula.
Most doula-client relationships begin a few months before the baby is due.
Professionals attending home births can be obstetricians, certified or uncertified midwives, and doulas.
She is a certified doula (birth assistant), has been a university lecturer on doula training, and has personally assisted at dozens of births.
Certification and training is offered to doulas, though there is no oversight to their practice and the title can be used by anyone.
A midwife or doula may include preparation for a natural birth as part of the prenatal care services.
This support can be non-medical, as doula care is.