Natural Birth

doula and c-sec?

posted on c-sec board too:

So I had a doula planned for my vag delivery but now that I am scheduled for a c-sec (breech) I dont really need her anymore and the worst part is I work with her.  I dont want to hurt her feelings.

She was asking me today about the plan and she hinted she wanted to be there.  I have my mom and DH so I honestly dont need her assistance anymore but I dont know how to tell her....

this is so awkward.  

Thoughts? 

Re: doula and c-sec?

  • When is your section scheduled for? Babies can flip up to the time labor starts thats the only reason I ask
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  • Well, if you decided to have the c-section then just tell her straight up that since your plans changed you don't need her anymore as a doula.

    Was she hired to help you with trying to go natural? Because you still have time for baby to flip before 40 weeks. and having her might be nice if the baby does decide to flip and a c-section is no longer needed. 

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  • Im at 37.5 weeks, did all the spinningbabies.com recs and Webster technique and even had the ECV this week and nothing worked, yes there is still time but my c-sec date is 11/23
  • My doula won't let you cancel after 36 weeks even if you do have a c-section.  
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  • Did you guys have a written agreement of any kind?  It's hard because she's already held a spot for you, i.e., perhaps she could have taken on another client for this month if she hadn't taken you. 
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  • What is her policy with c-sections?  Most doulas will do several postpartum visits for their planned c/s clients instead of refunding.  Most will still do all the prenatal prep, with a adjusted focus on health and healing post surgery, and will come before the surgery to help keep you calm, and will wait in recovery (if they can't be in the OR) to help with bonding and breastfeeding afterward.

    Acupuncture combined with moxibustion have a 70-80% success rate of turning a breech baby.  It's something to consider if you haven't already. 

  • If it does come down to a c-section, I'd ask the doula if she has ever assisted at one before. Ask her what she does for the mother who is on the table under anesthesia. Ask the OB if she'd even be allowed in the OR, and if so, if that would mean your husband could not. They don't really like a lot of people in OR's, to the best of my knowledge.

    This just seems very strange to me.

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  • I would ask what her policy is. She may still be helpful. She may be able to stay with you while your DH goes with the baby. She may do more pp visits.
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  • I assume you signed a contract with her? If so check the contract to see what her policy is. My doula offers postpartum care of at least 8 hours if I were to end up needing a c-section. Is this your first child? Because postpartum care would be awesome, you are going to be SORE and pospartum care includes things like light housework, meals, and helping with older children.
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