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Doula Exam - Questions & Solutions
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Doula Exam - Questions & SolutionsDoula ✔️Ans - - a woman who gives assistance or advice to a new or
expectant mother, either informally or professionally
- a woman (typically without formal obstetrical training) employed to provide
guidance and continuous support during labor
Offer support that is... ✔️Ans - - unconditional
- nonjudgmental
Types of doulas ✔️Ans - - labor and delivery
- prenatal
- postnatal/child and maternal care
- abortion doulas
- doulas in prisons, hospitals, volunteers
Do NOT ✔️Ans - - have an agenda
- do NOT work to encourage someone to have a natural or medical birth
- do NOT counsel people on medical decisions
You are just holding space for them, you CAN make subtle suggestions, offer
more information, or answer questions.
First trimester abortion (suction) ✔️Ans - - using suction to remove
contents of uterus
- 15 minute procedure
- sedation of cervix, and also through IV
- pain varies from none to excruciating
- hand holding, smiling, distraction convos
First trimester abortion (medication) ✔️Ans - - Mifepristone is taken at the
doctor's office
- some nausea
- 6 to 72 hours later at home a second Mifepristone is taken bucally (dissolved
in mouth) or vaginally
- heavy bleeding and cramps 1 to 4 hours after second pill, may last several
hours
- follow up appointment a week later
, - doula can provoke abortion with herbs, or otherwise offer massage and heat
therapy for cramps and bleeding
second trimester abortion (D and E) ✔️Ans - - dilation and evacuation
- quicker, no hospitalization and labor like induction method
- sometimes possible to see fetus after an intact D and E
- osmotic dilators are short thin rods made of seaweed (laminaria) or
synthetic Dilapan, they expand, opening the cervix over time
- misoprostol, a prostaglandin that softens the cervix, can also be used for
dilation
- stronger pain meds and sedation than just suction, often general anesthesia
- pregnancy (placental and fetal tissue) is removed with vacuum aspiration,
forceps, and a curette (spoon like scraper)
- cramps and tugging sensation will occur
second trimester abortion (induction) ✔️Ans - - less common than D and E
- similar to labor and delivery, medications that cause the uterus to contract
and expel the pregnancy
- commonly, prostaglandin suppositories or misoprostol tablets are inserted
into your vagina every few hours, oxytocin (Pitocin) may be given through an
IV line
- an injection into the abdomen may be given to ensure fetal demise
- often occurs in maternity ward
- sometimes necessary once the pregnancy has reached a point where D and E
is no longer an option
- often used by those terminating pregnancies they did not wish to terminate,
so they can say goodbye to their child
miscarriage ✔️Ans - - many people have manual or vacuum aspirations
and D and E to deal with incomplete miscarriages
- 15-20% of people miscarry in the first 7 weeks
- those miscarrying often need support as well
adoption ✔️Ans - - pregnancy and birth are a different experience when
they are not leading to parenting
- may want or not want time with baby, bonding, breastfeeding
- sometimes plan may be kept private from hospital staff to ensure it is not
interrupted
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