Tuesday, January 4, 2011

it is easier to love when you are loved

In "The Doula Book" and in "Birthing Within", a study was cited that took place in Johannesburg, South Africa.  They took 189 women having their first babies, and assigned doulas to half of them.  These doulas were to "remain with the laboring women constantly and use touch and verbal communication to focus on comfort, reassurance, and praise." The purpose was to study the long-term effects a doula has on the first several weeks after the birth of a baby.  Their findings were amazing.

To quote from "The Doula Book":
"Fewer doula-supported mothers considered the labor and delivery to have been difficult, fewer thought it was much worse than they imagined, and more believed they had coped well during this experience.  When the mothers were asked about their experiences with their babies, the doula-group mothers spent less time away from their infants.  These results suggest that doula support during labor has effects similar to those of mother-infant contact directly after delivery; both appear to increase the mother's interest in her baby and her interaction with the newborn."
Here is a graph I pieced together from numbers found in "The Doula Book":

Johannesburg Study

CONTROL GROUP
WITH DOULA SUPPORT
Feeding Behavior at Six Weeks

Breast-feeding only
29%
51%
Demand feeding
47%
81%
Feeding food other than milk
53 %
18%
Feeding problem
63%
16%
Average number of days breast-feeding only
24 days
32 days
Infant Health Problems at Six Weeks

Vomiting
28%
4%
Cold or runny nose
69%
39%
Cough
64%
39%
Poor appetite
25%
0%
Diarrhea
33%
19%
Maternal Outcome at Six Weeks

Mother brought baby to postnatal visit
47%
64%
Mother always picks up baby when crying
40%
80%

Hours away from baby/week
6.6
1.7
Emotional State of Mothers at Six Weeks

Reported anxiety
40%
28%
Reported high self-esteem
59%
74%
Reported depression
23%
10%
Satisfaction with Partner

Before pregnancy
63%
65%
During pregnancy
48%
49%
Since the baby was born
49%
85%
Reported their relationship being better right after the birth
30%
71%
Maternal Perceptions at Six Weeks

Perception of baby


Cries less than others
17%
55%
Special
71%
91%
Easy to manage
27%
65%
Clever
47%
78%
Beautiful
67%
89%
Regards baby as a separate, sociable person by 6 weeks
80%
100%
Perception of self


Feels close to baby
80%
97%
Pleased to have baby
65%
97%
Managing well
65%
91%
Communicates well
68%
91%
Becoming a mother was easy
11%
45%
Can look after the baby better than anyone else
31%
72%

The differences here really are amazing.  If you are able to find a doula that you connect with, please use their trained services. 

But most importantly, make sure you surround yourself with people at your birth who will be supportive, loving, positive, and completely on your side.  Find a doctor you agree with.  Ask if you can trade nurses if the ones assigned to you aren't fitting.  Talk with your husband about the hopes the two of you have for this experience.  And find an experienced mother or doula to help the two of you bring about those hopes. 

Our thoughts and emotions are tied to our health just as much as the food we put inside our bodies.

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