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International Childbirth Education Association
Postpartum Doula Program
ICEA Copyright 2015
Individual Introductions Instructor Introductions
Bathrooms, Cell Phones, Breaks, Q&A
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Part 1: ICEA and Postpartum Doula Certification
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� Define the role and the scope of practice for the postpartum doula.
� Recall a brief history of ICEA. � Recall four levels of support for the ICEA
professional postpartum doula.
OObjectives
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“The period after childbirth in which the family system goes though a physiological, psychological and social adaptive process. Successful mastery of the tasks of postpartum creates the foundation for healthy family relationships that endure across time.”
~ ICEA Position Paper
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� 1930’s - Grantly Dick-Read writes Natural Childbirth.
� 1944 – Dick-Read writes Childbirth Without Fear.
� 1947 – Dick-Read invited to US by Maternity Center Association. His visit spurred parents and professionals forming community groups – the first was Milwaukee Natural Childbirth Association.
TThe History of ICEA
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� 1955 – 13 community groups joined with MCA to lay the groundwork for the formation of a national childbirth education association.
� 1960 – At the first National Convention for Childbirth Education held in Milwaukee, the name International Childbirth Education Association was adopted.
� 1970’s – ICEA membership grew to over 3000 and the motto was adopted.
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� 1980’s – ICEA develops the Teacher Training Program. Position Papers, and in 1985 the International Journal of Childbirth Education began.
� 1996 – ICEA began their Postnatal Education and Doula Programs.
� 1999 – ICEA endorsed the Mother-Friendly Childbirth Initiative from the Coalition of Improving Maternity Services.
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� 2002 – became a member of MOD Prematurity Alliance.
� 2008 – hired First Point Resources, a management company who also has CIMS and ILCA.
� 2015…..
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� ICEA has a 55 year history of being a top international perinatal organization.
� ICEA maintains a web site listing for all ICEA members.
� ICEA provides a website listing all ICEA Certified Postpartum Doulas.
� ICEA published a Journal for members. � ICEA offers continuing education programs. � Candidate mentoring program.
UUnique Benefits of ICEA
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� 18 yrs old � Membership in ICEA � Proof of attendance at an approved ICEA
Postpartum Doula Workshop or completion of the approved online ICEA Postpartum Doula Workshop.
� CPR – infant/child/adult certification
PPostpartum Doula Certification Requirements
ICEA Copyright 2015
� Proof of completion of Part 1 of the Hug Your Baby program.
� Proof of attendance at a Breastfeeding class (at least 4 hours), taught by a CLC or IBCLS or Certificate of Completion of the Lactation Management Self Study Modules Level 1 from Wellstart International or proof of attendance at an ICEA approved Early Lactation Workshop.
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� 3 good client evaluations for a total of 12 hours of postpartum doula care.
� Signed Scope of Practice Form. � Completed Birth and Postpartum Community
Resource List. � Application must be completed within 2 yrs
of the original date of enrollment. � Successful completion with a passing grade –
Postpartum Doula Exam.
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� Postpartum normal, healthy time � A time to create a healthy family � Learning is important to becoming good
parents � Adequate support is both a right and a
strength
WWellness Model for Postpartum Support
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� Lack of support ◦ Nation of transplants, working families
� Lack of public awareness of postpartum
◦ Not as much focus as pregnancy
� Nature of the postpartum experience ◦ Mothers and families need “mothering”
WWhy Postpartum Doulas?
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� DDefines normal, healthy work of postpartum � Clarifies needs parents may encounter � Helps identify resources for support � Provides concrete approaches for accessing
help � Distinguishes between normal adjustments
and warning signs
Barriers broken by support and education
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� Lack of knowledge of postpartum � Fear of appearing inadequate or incompetent � Fear of “helpers” that will make matters worse � Extreme levels of deprivation and dysfunction
BBarriers to Accessing Postpartum Needs
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� Educates mother on postpartum care and comfort measures
� Encourages healthy nourishment and fluids � Encourages rest and self care � Helps avoid discomforts of postpartum
(engorgement)
PPhysical Support
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� LListens to birth story � Supports the entire family � Validates the emotional challenges � Encourages and reassures the family
Emotional Support
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� Guides family in infant care techniques � Provides information on infant development � Provides evidence based information on
feeding their baby � Informs parents on children’s illness and
injury prevention � Assists families with bonding and attachment
issues
PPostpartum Informational Support
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� Stop, look and listen to the parent and baby before offering your advice
� Gather information � Offer guidance � Build on the parent’s strengths � Provide assistance in navigating multiple
points of view
GGuiding Parents Learning
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� What are the possible choices? � What does the best available research tell us
about beneficial and harmful effects of each of these choices?
� What are her own needs and preferences and those of her partner (if she has one)?
IInformed Consent
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� What choices are available and supported in her care setting and through her caregivers?
� If she wants an option that will not or may not be available would she consider switching to a care setting or caregiver that does offer the preferred care?
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� BBenefit � Risk � Alternative � Intuition � Now or nothing
B.R.A.I.N
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� Meals and snacks � Cares for baby � Phone calls � Answers the door
PPractical Help� Errands � Help care for siblings � Laundry � Light house cleaning
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PPractical HelpImmediately after birth PLUS
Organizing Family Life
Time management
New family member
Maternal – Physical Maternal – Emotional
Recoupling
Integrating
Baby – Physical Baby – Emotional
Feeding
Growth and Development
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� Perform medical procedures � Provide a medical diagnosis � Offer medical treatment for an illness � Give one sided advice
PPostpartum Doulas – Do NOT
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“This is out of my scope” “This is out of my scope” “This is out of my scope” “That is out of my scope, however as a nurse…” “That is out of my scope, however as a childbirth educator…”
SScope of Practice
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CCultural Diversity
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