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Ensuring professional standards among doulas

What you can do to promote high professional standards among the doulas you work with

1. Require a high standard of training

See an overview of how doulas are trained, and decide what standard you would like to require.

 

2. Require agreement to a Code of Practice

Ensure the code you use sets high professional standards in defining a doula's role, ethical obligations, and includes a grievance procedure. See the Childbirth International Code of Practice for a benchmark code.

 

3. Require registration with your practice or hospital

Maintain a registry of doulas who work with you: require filing of a curriculum vitae (with photo if desired). Include a signed Code of Practice. Require a brief 5- or 10-minute meeting with a nursing supervisor to sort out the details before a doula works with you for the first time. The administrative time required may be balanced by the benefit of establishing a relationship between nursing staff and doulas, and by having a common set of agreements. The file of CVs and photos can be kept in a binder at the nurses' station for easy identification.

 

4. Use the grievance procedures provided by training organizations

Having a Code of Practice should help set the standards, but it's no good if lapses aren't addressed. The Childbirth International Code of Practice includes a grievance procedure in the final section.

 

 

Is the Doula an advocate?

 
An advocate is usually recognized as a person who speaks on behalf of another person. In this context, no, the Doula is NOT an advocate for the parents.
 
The Doula is able to provide information to the parents in regards to options available that they may like to explore with the caregiver. The Doula can also provide non-medical comfort measures. If there are decisions to be made or issues to be resolved, these are between the hospital caregivers and the parents.
 
 
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