passed
1. doula - a woman who gives assistance or advice to a new or expectant
mother, either
informally or professionally
- a woman (typically without formal obstetrical training) employed to provide
guidance and continuous support during labor
2. offer -unconditional
support
-nonjudgmental
that is...
3. types of doulas - labor and delivery
-prenatal
-postnatal/child and maternal care
-abortion doulas
-doulas in prisons, hospitals, volunteers
4. do NOT - have an agenda
-do NOT work to encourage someone to have a natural or medical birth
-do NOT counsel people on medical decisions
you are just holding space for them, you CAN make subtle suggestions,
otter more information, or answer questions.
5. first -using suction to remove contents of uterus
trimester
-15 minute procedure
abortion
-sedation of cervix, and also through IV
(suc- tion)
-pain varies from none to excruciating
-hand holding, smiling, distraction convos
,Doula (questions well answered) already
passed
6. - Mifepristone is taken at the doctor's oflce
-some nausea
,Doula (questions well answered) already
passed
first -6 to 72 hours later at home a second Mifepristone is taken bucally
trimester (dissolved in mouth) or vaginally
abortion -heavy bleeding and cramps 1 to 4 hours after second pill, may last
(med- several hours
ication) -follow up appointment a week later
-doula can provoke abortion with herbs, or otherwise otter massage
and heat therapy for cramps and bleeding
-dilation and evacuation
7. second
trimester -quicker, no hospitalization and labor like induction method
abortion (D -sometimes possible to see fetus after an intact D and E
and E) -osmotic dilators are short thin rods made of seaweed (laminaria) or
synthetic Dilapan, they expand, opening the cervix over time
-misoprostol, a prostaglandin that softens the cervix, can also be
used for dilation
-stronger pain meds and sedation than just suction, often general
anesthesia
-pregnancy (placental and fetal tissue) is removed with vacuum
aspiration, forceps, and a curette (spoon like scraper)
-cramps and tugging sensation will occur
8. second -less common than D and E
trimester -similar to labor and delivery, medications that cause the uterus to
abortion contract and expel the pregnancy
(induc- tion) -commonly, prostaglandin suppositories or misoprostol tablets are
inserted into your vagina every few hours, oxytocin (Pitocin) may be
, Doula (questions well answered) already
passed
given through an IV line
-an injection into the
abdomen may be given to
ensure fetal demise
-often occurs in maternity
ward
-sometimes necessary once
the pregnancy has reached
a point where D and E is