Doula Final Questions & Correct Answers (RATED A)

What are the 5 facets of support? -ANSWER 1. Emotional Support 2. Physical Support 3. Informational Support 4. Partner Reinforcement 5. Self Advocacy According to the Standards of Practice, any position change of the mother during labor should be approved by... -ANSWER the attending physician or midwife. Explaining a medical procedure that is routinely performed during birth in a hospital is.. -ANSWER informational support _________ is a simple skill that is almost never used by people who are not paid to do it. Professional therapists, psychologists and clergy are trained to listen in this way, and that is why they are sought out by people to unburden themselves. -ANSWER Active listening Why is active listening so hard? -ANSWER Your brain works four times the rate that someone can speak, so it is only natural that when we are having a conversation we are thinking ahead about what we want to say rather than actually listening. The act of listening should be tiring; -ANSWER it requires energy to do it right. The Four Steps of Active Listening: -ANSWER 1. Focus on the person 2. Use Receptive Language 3. Listen for Key Words 4. Rephrase In the Houston study, more than ________ of the women without a Doula requested or required epidural anesthesia - compared with only _______ percent in the Doula group. -ANSWER Half; 8% Studies document forceps deliveries are ________ percent less for Doula-supported births, a difference largely due to the more frequent use of epidural anesthesia in the no-doula groups. -ANSWER 40% In one Guatemalan study, only _______ percent of women who had a Doula required ________. -ANSWER 2% ; oxytocin _____________ connect their clients with resources in the community that might be able to meet the specific needs of the mother after the baby is born. The Doula can provide a valuable service by linking her clients with agencies that can help her and her family. -ANSWER Service brokers How many types of birth are there? -ANSWER 4 As a doula it's your job to help your client learn how to prepare her pregnant body to give birth. You have to teach her the ____________of birth, which is essentially that her body is a container that must let out a large object. -ANSWER practical physics ___________ is commonly used to treat in-coordinate uterine activity, but pregnancies complicated by dystocia often end with assisted deliveries, including forceps, ventouse or, commonly, caesarean section. -ANSWER Synthetic Oxytocin (Pitocin) According to the American Pregnancy Association, _______% of women who have undergone cesarean deliveries are candidates for vaginal birth after cesarean. -ANSWER 90% As a doula you are free to offer suggestions to the mother during labor... -ANSWER providing the hospital or birthing center allows her free rein to do so. Changing positions helps to ensure a continuous _________ to the fetus, rather than causing supine hypotension (low maternal blood pressure) by lying on her back or even semi sitting. -ANSWER oxygen supply For first pregnancies, the cervix dilates about __________ during the active phase of labor. However, in subsequent pregnancies it happens faster. -ANSWER 1 cm per hour Many hospitals will use the __________ position in conjunction with epidural anesthesia or other medications. It can also be used to alter positions from semi sitting It may be used for laboring women with blood pressure issues or if her baby is showing signs of fetal distress. It is generally recommended that the mother lie on her left side. -ANSWER Side lying The second stage of labor occurs when.. -ANSWER the baby moves through the birth canal and is delivered into the world. The second stage of labor typically lasts between ____________________. -ANSWER 20 minutes and two hours. ________can be used to widen the pelvic outlet. -ANSWER Squatting-aka midwives forceps Squatting opens the pelvis by up to _____ compared to lying down and is consistently reported to be less painful than lying down. -ANSWER 30% Why do we "nest"? -ANSWER It gives us a psychological means of dealing with the anxiety of waiting. Cramps and pain i