Hello Maria...and welcome!
Vicki
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]] On Behalf Of Maria Helena
Sent: Tuesday, November 05, 2002 7:52 PM
To: ozmidwifery
Subject: [ozmidwifery] Friends in Light


I have just joined the list and the first e-mail I get is Ricardo`s! Ric
is a dear friend and a knight in shining armour that fights galently in
favour of all women giving birth in Brazil. He was telling you about our
project `Amigas na Luz` which could  be translated to Friends in Light,
but in Brazil the popular term to describe a woman who gives birth is
`to be shedding light`... Well, the idea of making this project with
doulas is because in urban centers, like Ric said, the birthing process
is the domain of doctors and very seldomly nurse-midwives. This scenario
is very hostile to women, specially because in the big cities the
quality of healthcare has become not at all woman centered as shown in
our high cesarean rates. The humanization of birth has to start with the
woman at the center of the birthing choices, and most women are not
informed of her options. Doctors simply have no time to explain what is
going on with pregnancy during pre natal visits, nor do they care what
kind of assistance a woman receives during labor and birth. What is
important is to deliver the baby the best way he thinks possible,
usually disregarding the needs and fears of the mother, less to say
disregard evidence based medicine!. And from a cultural point of view,
very much intertwined with our colonial past, women become passive and
accept that doctors decisions and any complications as God`s will. Since
we urge to take actions to change this, as NGO we started working the
idea to make a program with volunteers, from the comunity where the
Hospital is based, so they can act as an interface between the Hospital
and the woman. There will be a minimal training for them to be
considered doulas, since this is a very intuitive knowledge, but most of
all they will be prepared to shed the woman with confort and
information. Our intention is that the doulas will not substitute
neither the nurse-midwife (if there is any available) nor any family
members chosen by the woman herself. She will be there mostly for
emotional support and to make the woman feel respected. Like a friend!
We hope that we can sensibilize society and policy makers and help shed
some light in the hospitals and doctors. Maybe I am a dreamer in
thinking this way...who knows?

Maria Helena


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