About ParentLink Labour Support
Can you work with my doctor?
|"I'm not sure how my doctor will feel about me having a doula – can you work with him?"
|We're happy to work with any doctor. Many doctors
in Singapore welcome working with doulas, but a few do not. This is a
question to ask your doctor.
Some background. There are two basic approaches to pregnancy and labour
care: "active management" and "expectant management." An active
management approach assumes that the safest way to handle pregnancy and
birth is to take active steps to try to prevent problems. Active
management therefore involves a higher level of routine intervention
(such as continuous electronic monitoring, episiotomy, and sustained
pushing techniques), and usually imposes time limits on labour. An
active management approach assumes that intervention is usually
necessary and is routinely beneficial for all women and will rely on set
protocols, so will not be as open to considering a range of options for
An expectant management approach, on the other hand, takes the view that
birth works best when it happens undisturbed in most
cases. Routine interventions, which were intended to prevent
problems, are recognized to actually increase
your risk of other complications, so routines are avoided. A doctor
practicing expectant management will prefer to watch carefully and
closely, and act promptly when there is specific medical reason to do so
in your individual case. A doctor who practices expectant management
will be more confident about you making various choices that you decide
are right for you.
Under an active management philosophy, because the process of birth is
directed in a more standardized, routine manner, there are fewer options
open to you for your individual circumstances. You may therefore find
that a doula is less free to do the full job you've hired her for, which
includes providing you with options that can help you follow the plans
you have made for your birth. Think through what kind of care you want
and what combination of caregivers – doctors, nurses, doulas – will
provide what you are looking for.
If you are unsure whether or not your doctor would be supportive of the
sort of birth you are planning for, feel free to contact us to discuss
it and to talk over good questions to ask to have a helpful dialogue
with your doctor. Call Diann at +65 6536-4626, or email us.
ParentLink has an
information page for you to find out more about working with different
doctors in Singapore.
Read more about Singapore doctors
is a doula the same as a midwife?
can you support me if I want an epidural?
10 reasons to choose a ParentLink labour supporter (doula)
can I meet you before I decide?