Training trainers for doula care in the Dominican Republic: a midwifery project to. mobilize volunteers to humanize hospital birth

Transcription

1 Training trainers for doula care in the Dominican Republic: a midwifery project to mobilize volunteers to humanize hospital birth Jennifer Foster, CNM, PhD and Annemarie Heath, CNM, MSN The University of Massachusetts Amherst School of Nursing Objectives: 1) Cite the evidence for decreased medical intervention with doula care. 2) Discuss the rationale for the implementation of doula care in public hospitals in the developing world. 3) Identify three reasons why midwives training doulas in the Dominican Republic may improve the quality of maternity care. I. Introduction Outline II. Brief history of Project ADAMES (Adelante Asegurando Maders e Infantes Sanos) a. Understanding maternal infant health care at Hospital San Vicente de Paul: How it all began b. Educational program for the nurses i. Creating a grassroots education program ii. Reaching out to the community iii. Labor support and humanization of care 1. Nurse as labor support

2 2. Family member as labor support c. A new look at the midwifery model i. Creation of nurses vision of care ii. Learning to midwife patients iii. Midwifing the nurses 1. Confidence in clinical care 2. Caring for nurses 3. Case Management: Ongoing relationships d. What did our research tell us? III. Emergence of the Comité de Apoyo y Seguimiento a. Dominican ownership of process b. Creation of goals IV. Doula care as an answer to humanization of birth a. Who is a doula at Hospital San Vicente? b. What do they do? c. How to train them? d. Complimentos y Cambios e. Doula graduation V. Implications for maternity care in the future a. Transferability b. Leadership skills c. Midwifery where there are no midwives

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