Hello Tina,

Thank you for your feedback on my Diary entry.  This is a complex issues 
and rather than take up a lot of ozmidwifery space, I have written another 
Diary entry to explore some associated issues in more detail, especially 
the research related to the presences of a doula, and differences between 
developed and developing countries and their respective maternity care 
systems. Check it out at:
http://www.birthinternational.com/diary/index.html

In response to your comment:


>I see the very argument used here against the "doula craze" …could also 
>be employed to that of lactation consultants….childbirth educators (with 
>all due respect Andrea) parenting educators etc.. The proliferation of all 
>these 'professionals' has only served to create layer upon layer of 
>'professional' who all seem to have assumed such knowledge that was once 
>considered to be midwifery knowledge and women's innate "ways of 
>knowing"…….only to be slowly eroded away with the medicalisation of 
>pregnancy and birth and the advancement of all these so called 'experts'.
>
>In an ideal world…the professional doula…CBE's and LC's, parenting 
>educators etc etc…..would all be redundant. Women would live and birth 
>locally within their own communities with the local midwife/wise woman in 
>attendance…All this education and support…would be done informally as 
>part of the woman's preparation for birth…a community 
>responsibly…integrated throughout her life informed from life 
>experiences….all normalizing the work of labour, birth and 
>motherhood….Sadly however…as we all know to well….this is very much 
>a romantic notion….as in today's society….birth like death has been 
>removed from our homes…our communities. We tend not to live by the seat 
>of our pants anymore…or follow our instincts or intuition…we live 
>quite removed from Mother Nature and all her splendors….

I agree with this wholeheartedly and wrote about this as long ago as 1987, 
in the first edition of my book Teaching Active Birth. I would say, 
however, that I see the most important role for the childbirth educator as 
that of encouraging the social networks of parents in the community - 
something that midwives working with women in one-to-one care (as I hope 
will become the norm one day) may have difficulty in doing. The need for 
pregnant women to feel part of a social group is very strong and this is 
one thing that a childbirth educator can facilitate with appropriate groups.

It is all thought provoking stuff.....

Regards,

Andrea



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Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education

e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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