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Comprehensive programs
The most extensive type of education
available for doulas are comprehensive programs, offering a thorough grounding in
anatomy and physiology, communication skills, and support skills.
Comprehensive programs
take at least 4-6 months of study to complete.
There are a small number of comprehensive programs
available.
Childbirth
International has the most extensive program covering:
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effective communication
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active listening
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reflective practice
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evidence-based care
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grief and loss
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physiology of pregnancy, labor, birth,
and postpartum
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health and diet
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pain in labor
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management of labor
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routine practices during labor
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cesarean and VBAC (vaginal birth after
cesarean)
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physical and verbal support skills for
doulas
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perspective and recognition
(understanding the variety of perspectives on and goals for birth
parents and caregivers may have, and how to work effectively with each
of them)
Australian programs Optimum Birth and Birth
Central are also in this category, as is Global Birth Institute in Canada,
and Demestia in the United Kingdom.
Fast-track programs
The most common form of training for doulas
is a "fast-track" program centered around a 2-3 day weekend workshop. The workshop
teaches the basics of support skills (massage, positioning, etc.), as well
as a brief overview of the physiology of birth and medical interventions.
For certification, fast-track programs usually require a trainee to attend 2-3 births,
and submit evaluations of their support role. Other requirements vary, but
may include an examination, book reports, a written essay, and observation
of a community childbirth course.
Fast-track programs are offered in the USA by ALACE,
Birthing From Within, BirthWorks, CAPPA, Childbirth Enhancement Foundation (CEF),
DONA International, Global Birth Institute, and ICEA. Fast-track programs
are also available in the UK and Australia.
Self-taught / apprentice training (no
formal academic training)
As the doula profession has grown out of a
tradition of informal community support for women during pregnancy and
birth, some doulas learn their skills through experience and
apprenticeship, rather than through formal,
structured study. Many of these doulas have superb support skills
and are extremely knowledgeable and self-motivated for continuing
self-education. The downside is that there is no set standard of skills or
knowledge that self-taught doulas have all mastered.
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