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Doula's Scope Of Practice
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My name is Cynthia Maloney. I am a professionally trained Doula. A doula is a woman, specially trained to provide non-medical support to expectant families. I provide physical, emotional and evidence-based informational support. It is my desire to work with the birth team to enhance my client's birth experience. Below is an outline of my scope of practice, My role is to foster self determination and confidence, thus empowering the families I serve. Though it is not common for moms to encounter difficulties in labor and birth, I am aware complications can happen making certain interventions necessary. I would like to acknowledge that Doulas practice in a variety of different ways and not always in a professional manner. I am committed to providing the highest degree of professionalism possible and look forward to demonstrating to you how a truly professional doula provides care to the families she serves.
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A DOULA DOES....
*support the decisions of the expectant family.
*offer constant encouragement.
*remind mom to drink and empty bladder.
*suggest appropriate positions.
*suggest appropriate comfort measures (massage, showers, hot/cold packs, birth ball...)
*support the partner.
*possess technical knowledge.
*act in an appropriate and professional manner throughout the entire birth process.
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A DOULA DOES NOT...
*make decisions for the mom or partner.
*argue with the hospital staff.
*perform clinical tasks (such as heart tone checks or vaginal exams)
*operate or touch medical equipment.
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Code of Ethics for Birth Doulas DONA International’s Code of Ethics sets high standards Our Code of Ethics helps us to practice with integrity by clearly defining our ethical responsibilities to clients, colleagues, the profession and society. It requires us to maintain high standards of personal integrity and professional competence and practice. I. RULES OF CONDUCT A. Propriety The doula should maintain high standards of personal conduct in the capacity or identity as a labor support provider. B. Competence and Professional Development The doula should strive to become and remain proficient in the professional practice and the performance of professional functions through continuing education, affiliation with related organizations, and associations with other Labor Support Providers C. Integrity The doula should act in accordance with the highest standards of professional integrity. II. ETHICAL RESPONSIBILITY TO CLIENTS A. Primacy of Client’s Interests The doula’s primary responsibility is to her clients. B. Rights and Prerogatives of Clients The doula should make every effort to foster maximum selfdetermination on the part of her clients. C. Confidentiality and Privacy The doula should respect the privacy of clients and hold in confidence all information obtained in the course of professional service. D. Obligation to Serve The doula should assist each client seeking labor support either by providing services or making appropriate referrals. E. Reliability When the doula agrees to work with a particular client, her obligation is to do so reliably, without fail, for the term of the agreement. F. Fees When setting fees, the doula should ensure that they are fair, reasonable, considerate, and commensurate with services performed and with due regard for the client’s ability to pay. The doula must clearly state her fees to the client, and describe the services provided, terms of payment and refund policies. III. ETHICAL RESPONSIBILITY TO COLLEAGUES A. Respect, Fairness, and Courtesy The doula should treat colleagues with respect, courtesy, fairness, and good faith. B. Dealing with Colleagues’ Clients The doula has the responsibility to relate to the clients of colleagues with full professional consideration. IV. ETHICAL RESPONSIBILITY TO THE LABOR SUPPORT PROFESSION A. Maintaining the Integrity of the Profession The doula should uphold and advance the values, ethics, knowledge and mission of the profession. B. Community Service The doula is encouraged to assist the DONA International vision of “A Doula For Every Woman Who Wants One” by making reduced cost or no cost labor support services available when possible. V. ETHICAL RESPONSIBILITY TO SOCIETY A. Promoting Maternal and Child Welfare The doula should promote the general health of women and their babies, and whenever possible, that of their family and friends as well.
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What a beautiful site! You are inspirational. Beth Thomas on October 18, 2006 Cynthia, I love your beautiful, informative, and touching website. It is an inspiration to other doulas. I feel fortunate to have connected with you. Best, Lisa Lisa Berman on January 25, 2005
• Best wishes...blessings to you and your passion for helping women empower themselves during the birthing process... With love, Prema Prema on January 25, 2005
• Cyn- your website is beautiful! You are a wonderful mother and a wonderful doula, and I wish you many years of happiness in your profession. Your clients will be happy to have you as a guide. Congratulations! Kat Lally on February 2, 2005
• Your work is very inspiring, and I just love the way, the title of your practise came about. Your line of work is very rewarding and to me a deep sense of specialness. Bless you Msterious on February 27, 2005
• mumma, i love your site and i love what you have accomplished. (i also love that you told everyone i was born in march of 1984). best of luck! love, caty caty on March 13, 2005
• What an awesome job you have! I wish you could've been there with me for the birth of my daughter! If I ever have another one, do you make house calls in Las Vegas?! Ginger aka "RawVeganMom" on March 15, 2005 •
great site good luck with everything . sheila p on April 19, 2005
Cynthia, Congratulations on this new phase of your life. Rick and I will always be grateful for the mothering years we shared. I love that you included his picture in your album. When I have my next baby I'll expect you to be there!! Judy on May 3, 2005 •
Cynthia, I really enjoyed reading about you and your gifts on your website! You have truly been chosen to be an angel to women on their journey to bring their children into the world in peace and love and joy! My best to you always Namaste Debbie on August 15, 2005 •
You're going to be a great midwife Cynthia! Thank you for all of the change you are helping to create around birth! Kelley Faulkner on September 9, 2005 •
Looks great Cynthia. I knew you were special. Best of luck. David Bonfiglio on January 29, 2006
Kaltes Doula Services on February 22, 2007
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