Nurses In Telehealth and Why It is Important

Our technology through the years has been advancing to provide patients with nurses that can manage their care through the telephone and through field visits in their homes.  With the recent pandemic that has spread throughout the globe, more than ever the field of nursing doing telehealth has become important.

Through my job as an independent nurse consultant, I am able to provide much needed and sought after medical information to my patients and their family caregivers via telephone and telehealth.  In order for me to do this, I must be able to have good communication skills and if I am providing telemedicine a good eye for what may be concerning my patient.  In the past few years, telehealth has grown.  According to the American Academy of Ambulatory Care Nusring (AACN).  “Telehealth practice originally began when registered nurses (RNs) were available to patients by telephone to ensure they had access to health care. The RNs triaged patients to appropriate levels of care. ”

Many people lately since the pandemic occurred ask me what do you do for work?  My answer is, as a nurse consultant, I educate and assess my patients about their medications, symptoms, and chronic disease processes.  I ensure that they are making follow up appointments with their primary care doctors or their specialist.  Together we develop a plan of care that will best suit their current situation.  Now I also have injured workers that are seeing their doctors and anxious to get back to work.  They sometimes have chronic conditions that through my assessment they may or may not know about.  These are the moments when as a nurse consultant, I can educate them, provide best practices, and refer them to their primary care doctor to get the help that they need.  As for their injuries, I help them to get the right treatment ordered and coordinate their visits to another specialist that can help them when a referral is needed.  My job does not end there though, coordinating light duty work for the,m with their employing agency is another aspect of what I do.

Having a telehealth nurse allows doctors the ability to follow up with patients that are not able to come to the office as frequently by carefully monitoring the medications that they are on after they are reconciled with their pharmacist.  It also allows for a team approach in managing their healthcare with their caregiver and the patient to provide autonomy, a willingness to participate, and be involved in their own healthcare.

One important time that my patients benefit from is pre and post-surgery.  These are scary times for patients and knowing that they have a nurse to contact them and review their instructions before surgery, plan for their needs after surgery, and contact them afterward, assures them that they can manage their needs while waiting for the follow up with their doctor.

This year with Hurricane Dorian almost hitting Florida, there was preparation to plan ahead for patients especially those that were in need of a special needs shelter due to compromised health.  It takes preparation at the beginning of the hurricane season to assess all your patient’s needs and plans for disaster.  I usually start this around June 1st right when hurricane season starts so that if one should happen, we are prepared with the patient’s plan of care.  Once the warning is issued that we need to prepare, then I contact each one of my patients and put their emergency plan into place.  I visit each patient and make certain that they are prepared.  Once the danger is over, I follow up with each patient by phone and when it is safe to go out, I will visit them in their homes to ensure that they are safe.

Most all my patients receive an in-person visit from me at their home or doctor’s office but they also receive phone calls to maintain the communication lines open about their care.  Usually, I have flexibility in my schedule to take time off to spend it with my husband and my son or catch up on housework to free up my weekends.  However, during this pandemic of COVID-19, my short days have turned into 16 plus hour days almost 6 days a week and somedays 7 ( although I try to not let that 7th day happen).  Many ask what happened to your comfortable hours?  Well COVID-19 changed that !!  My patients are scared, they have more questions, I have more telehealth visits at doctor’s offices with patients because I am not able to go per my contracted client accounts; it is for their protection and mine.  So although tiring, I am grateful that I can still provide the care that they need through telehealth.

So today someone dropped off a sign at my door that says they are praying for healthcare heroes and first responders.  I am honored to be among the professions that help support our patients at home to keep them safe during this pandemic.  Every telehealth visit that I make with each patient has a COVID-19 question and answer session and they know that if they have a question, they can contact me.

So today, find a healthcare worker and honor them with a kind word of encouragement.  We are here working for the health of our country.

This is the sign that was left on our front yard today( Pardon the garden we were going to start planting flowers in it until COVID-19…times are too busy for gardening)

Rosie Moore, DNP, RN

Follow Rosie’s Nurse Corner

Website:  Windermere Baby and Family





COVID-19 Should I Be Concerned

There is a lot of stress and fear globally regarding the COVID-19 and what we are supposed to be doing to protect ourselves.  The media, friends and family, popular theme parks, businesses including airlines, cruises, and places of attractions, all have something to share about the COVID-19.  This is a household word that gets used in households on a daily basis probably more times than we want it to be.  Should we be concerned? That is an outstanding yes!! Why?  Well, first of all, let’s dissect what is happening, fear ( false evidence appearing real).

There is a lot of things that we are uncertain of and many times people will provide us information that may not be accurate.  They are not telling us to be mean, but they themselves are scared because they do not have all the facts.  Our healthcare professionals are leaning on the Center for Disease Control (CDC) and the World Health Organization ( WHO) to provide them the latest facts.  I am sure there are doctors who specialize in microbiology ( that famous petri dish that I hated in college) to do a battery of tests on this organism.  They learn something new each day.  There is not a specific cure as the virus has not been here long enough to develop a vaccine against it.  This is what causes the fear of not having a cure, not knowing if you contract it what will happen to you, your family, and your job, not to mention your friends.  So now that we dissected what the real issue here is fear, let’s see if we can put your mind at ease while we let the professionals figure out how to eradicate this virus.

“First of all Coronavirus disease 2019 (COVID-19) is a respiratory illness
that can spread from person to person. The virus that causes
COVID-19 is a novel coronavirus that was first identified during
an investigation into an outbreak in Wuhan, China.”

“The virus is thought to spread mainly between people who
are in close contact with one another (within about 6 feet)
through respiratory droplets produced when an infected
person coughs or sneezes. It also may be possible that a person
can get COVID-19 by touching a surface or object that has
the virus on it and then touching their own mouth, nose, or
possibly their eyes, but this is not thought to be the main
way the virus spreads.”

The symptoms are Fever, Cough, and Shortness of breath.  Pretty common symptoms that can be overlooked for many upper respiratory infections.  These symptoms can manifest themselves at any time in the 2-week window after becoming infected.

The way to protect yourself and others from catching the COVID-19 is to practice washing your hands for 20 seconds with antibacterial soap before eating, after eating, after using the bathroom, after touching your nose, eyes, or mouth.  You should also wash your hands after coming from the grocery store or any other public place that is not your home.  If you do not have access to soap and water right away uses the antibacterial right away.  If you shake hands with someone, do not be afraid to use your antibacterial.  I know people may frown at that and think you are germophobic, but really it is okay if questioned a simple explanation stating that you want to practice good infection control and want to be certain that you do not compromise them or your family is enough stated.

Always wash your hands after preparing food and serving or taking care of others ( no matter age).  Avoid contact with people that are sick and if you feel sick, stay home.  do not try to go to church, restaurants, activities, school, or any public spaces with multiple crowds and pawn it off on allergies. Everyone knows allergies are not contagious so many people who cannot afford to stay home because they do not get paid for being out, tell everyone that they have allergies.  Yes someone may have allergies but until this is verified by a doctor or nurse practitioner, stay home!

Be sure to clean surfaces with antibacterial wipes or household disinfectants as the virus can live on surfaces and if touched it can cause someone to get the virus.  When you come home from the outside, take your shoes off outside clean the bottom of the shoe and do take a shower at night before bed or if possible as soon as you come home from work.

I know this all may sound excessive, but if you follow good infection control, it will help decrease the stress that the media is causing you by playing the news 24/7.  Limit the times that you watch the news so that you are able to function on a day to day basis.  Have a cup of chamomile tea for bed to allow your mind to relax and get rest.  Start your day with something positive such as a daily devotion, prayer, or if you do not do any of the latter, watch a tv show that brings laughter to you.  Listen to the news midday or afternoon, this will give you at least what happened in the evening and the morning and not bombard you.

Sick Woman Cold


I hope that this has brought you some comfort.  For specific updated information go directly to one of these sites:

CDC/Center for disease control

WHO/World Health Organization

OSHA/Occupational and Safety Health Administration

As a nurse, I have to practice above and beyond the CDC, WHO, and OSHA rules so that I can protect myself and my patients.  So I understand and get everyone’s concerns right away.

Be blessed and be safe.


Comparison of Theories in the NICU

The Roy Adaptation Model was known to focus on spiritual matters and promoting health amongst a family-centered type of care.  In the Neonatal Intensive Care Unit (NICU), this especially holds true, because of the situation of critical illness faced daily, The Roy Adaptation Model helps families adapt to a changing environment and deal with the quality of life or in some instances death.  In the NICU, Roy’s model would work well as the nurses acclimate to the parents and what is happening to their baby. With Roy’s model, she indicates that health and illness are part of a person’s everyday life, this, in turn, will cause the environment to change in which they live. If the parents are to respond in a positive way and come out of it stronger, they will need to adapt to the change (DeNisco & Barker, 2012).

People will often adapt to a change in their life when they can respond positively to the changes that are happening around them.  An example would be the early premature birth of a baby, unexpected changes in the life of a mother and those immediately around her in the family are affected.  This will include other children, spouse and anyone else part of the family’s nuclear family, which in some cultures can be a very extensive family. That mother and father will use whatever coping mechanisms they learned in life to cope with the stress and the changes that they are facing.

There are three kinds of stimuli considered in Roy’s Adaptation Model, these will all affect the subgroup of premature parents in the NICU, because of the type of unit it is, a unit of uncertainty running high with emotions that go up and down.  In a different culture, the role of the nurse will differ.  For example, think about a mother that speaks a different language and is unable to get clear communication to and from the nurse.  A translator would have to be used to explain what was happening to her as a mother and then what is happening to her baby in the NICU.  For example in one article, there was a baby born early, with a mother that did not speak the language and the family did not fully understand what was happening in the NICU.  The family asked for their “Curandero” a community healer in their culture to clean the baby with an egg (Peterson-Iyer, 2008). The nurse needs to be able to use cultural sensitivity in explaining why this cannot be done, without offending the family but still including them in the baby’s care.

Jean Watson’s theory on caring can also be applied to the NICU because it is nurturing and will be needed in a critical location like the NICU. Jean Watson’s theory of human caring focuses on giving as an extension of self.  It is about instilling faith and hope in a person.  When a person is sensitive to another person’s feelings, it helps to build a trusting relationship.  It is important to acknowledge the positive and negative feelings that a person puts out to another person.  Jean Watson believes in her theory that we experience personal growth through teaching and learning as well as spiritual and socio-cultural well-being.  Jean Watson’s theory emphasizes spiritual and nursing practice, which in turn will promote caring and love to the patient.  This will then develop into a caring relationship.  The theory allows the nurse to understand the other person’s perspectives on things and form a mutual bond.  It also promotes growth when a caring environment is formed allowing the patient to be who they are and be accepted for it (Alligood, 2013).

The role of the nurse in Jean Watson’s theory is to instill faith and hope as well as build a trusting relationship.  In the article about the Mexican Indian family, Jean Watson’s theory would apply.  The mother in this instance speaks a different language that may be unique to the translation company that the NICU uses causing a barrier.  The mother, as in the article may be young and not have received prenatal care.  Their faith is going to be different from our own, as when the father of the child, wanted to use a “Curandero”, but as nurses, we must be able to provide culturally competent care.


Alligood, M. (2013). Adaptation model. In Nursing theorists and their work (8th ed., pp. 303-327). [Vital Source Bookshelf]. Retrieved from

DeNisco, S. M., & Barker, A. M. (2012). Theory-based advanced nursing practice. In Advanced practice nursing: Evolving roles for the transformation of the profession (2nd ed., pp. 361-377). [Vital Source Bookshelf]. Retrieved from

Peterson-Iyer, K. (2008). A difficult birth: Language and cultural differences. Retrieved from


A Theory for Post Partum Moms

Betty Neuman’s theory will work well with visiting post-partum moms in their homes after they have had their babies.  One of the things that I have seen while working in labor and delivery, is that the mothers come in with preconceived ideas on what breastfeeding is or is not, based on what their mothers and grandmothers know.  The family will say that back in the day, there was not any teaching on breastfeeding, you just did it. This can cause stress with the newly delivered mother and the family.    However, I most recently read an article and it spoke about a 17-year-old girl that came in with a complicated pregnancy and she delivered early sending her baby to the Neonatal Intensive Care Unit.  She was from Mexico but spoke a language called Mixtec.  This would make explaining about breastfeeding difficult and frustrating to the family and the nurse (Peterson-Iyer, 2008).

However through Betty Neuman’s model, if the nurse takes out a book that talks about breastfeeding, even if it is not in her language, she can point to the pictures and demonstrate what she needs to do.  Initially, this mother will be pumping her milk, since the baby may be too sick to drink at the breast, however, once the discharge is planned, she will need assistance breastfeeding and bonding with the baby.  It is through home visiting nurses, that these cases of mothers that are learning and have language barriers can have support for proper breastfeeding.

Betty Neuman believes that nursing should be approached from a holistic standpoint; physical, psychological, mental, social, cultural, developmental, and spiritual well-being.  As a person, Neuman’s theory considers the patient as an individual family member, community or society. The environment that the patient lives in can be external or internal.  Stressors that Jean Watson speaks of in her theory, produces tension in a person’s life (Alligood, 2013).



Alligood, M. (2013). Systems model. In Nursing theorists and their work (8th ed., pp. 281-301). [Vital Source Bookshelf]. Retrieved from

Peterson-Iyer, K. (2008). A difficult birth: Language and cultural differences. Retrieved from

When You Love Unconditionally

Do you ever wonder why people help a total stranger?  Do you ask yourself why is it that some people have babies and some who want them cannot? It is sad when these circumstances of infertility happen and a couple feels that they do not have anywhere to turn.  Rosie Moore founder of The Gift of Life a nonprofit that supports premature babies and nurse consultant for Windermere Baby and Family knows all too well the struggles that parents who cannot conceive face.  Sometimes when the parents are able to conceive, the baby may be born prematurely or the baby is miscarried, these are the heart-wrenching stories that led Rosie to start helping intended parents find a surrogate to carry a baby for them. Miracles do indeed happen, all it takes is unconditional love.

A few weeks ago Becky Kammes, a doula in Wisconsin, shared her moving story about how she gave a couple the gift of a lifetime, the gift of birth!

Read Becky’s touching story as she shares her journey

“I have two children of my own and have been a gestational surrogate twice (working on a third journey currently). Surrogacy is my heart and soul, truly.  My intended parents( IP’s) resided on the West Coast and I live in  SW Wisconsin. My IPs were quite active during my prenatal appointments through FaceTime.  When I turned 20 weeks, they traveled to WI for my 20-week appointment and ultrasound.  When it was time for the baby to be delivered, they flew back for the glorious day, the birth of their baby.   We had a doula present at the birth to support all of us during the birth process. My IP’s were elated with the idea, so my Doula and Hubby were a sensational birth duo for both of my IPs and myself. The experience went so well, that I am currently working on a sibling journey with them. They have since become our extended family and that makes my heart soar!

This was their first baby and they entrusted me with the entire pregnancy and birth; they continuously told me that I was “the birth baby professional” and they wanted me to be most at ease and comfortable. I reminded them that although I had birthed three babies prior, one of which is a surrogate delivery, THIS moment was THEIRS. This special time was THEIRS. I’m just along for the ride! Everything we discussed, every idea mentioned every suggestion made, was crucial to the process because we all had to agree on it.  The five of us were a wonderful team! There was an insatiable cohesive bond that was built without really even trying-it was innate, as silly as that sounds.

Part of the doula’s job is to learn your client’s ‘love language’ as I call it and that was done, to a T! But also, our doula managed to learn my IPs love language in such a short amount of time and didn’t overstep any support boundary in the least bit. There was a strong, energetic bond and everyone, including our nurses and OB, respected that and we ALL conquered the birth as a rockstar unit!

I would love to one day Doula for a surrogate and her IPs. It’s such a profoundly intimate moment-in every aspect of the word and to offer my own experiences and insight to help a fellow surrogate and her family have an exceptional birth experience would be a CHERRY ON MY BIRTH SUNDAE!”


Thank you, Becky, for sharing such a special and personal experience with Windermere Baby and Family

Visit Windermere Baby and Family to learn more about becoming a surrogate and what it entails.  We can walk you through the entire process of being someone’s miracle.





Nursing Diversity

Nurses need to be culturally sensitive to patients, just because it is something that we do not do in our day to day lives, does not mean that someone else does not do it for religious or cultural beliefs (Alligood, 2010).  We cannot assume that because someone looks homeless that they are. If a patient is arriving by ambulance, he should be seen by someone.  It is understood that the other patients also need help, but the nurse needs to prioritize.   As a nurse, we have to observe the body language and see what the patient is feeling.

I had a friend who was an anesthesiologist and stopped at an expensive diamond store to get his wife an anniversary gift.  He was dressed down in jeans and a t-shirt and a hat nothing special said he was a doctor by his dress code.  He inquired in the most expensive jewelry and the salesperson said to him, oh let me show you this section here this may be more affordable and we can offer you payment plans.  She naturally assumed because he looked like an ordinary Joe in jeans, that he did not have the money to pay outright for his gift.  He asked for a manager and she complied, to which he stated, I am Dr. so and so head of anesthesiology at ABC hospital.  He proceeded to explain that he came in to look for a gift for his wife and was not allowed to select from the section he was looking at because his salesperson assumed that he did not have the income to afford those items.  He provided his card and stated that he would take his business elsewhere where he is not judged on his appearance. We as nurses have to be careful that we do not do the same to our patients and treat them equally the same.


Alligood, M. (2010). Madeleine M. Leininger: Culture Care Theory of Diversity and Universality. In Alligood Introduction to the Nursing Theory 7th ed. (pp. 417-434). Retrieved from Vital Source Bookshelf


Strategies on Cultural Competence

In my own nursing career as a supervisor for field case managers, I have encountered patients and staff that come from diverse cultures. Every two weeks, our entire region would participate in Grand Rounds and during those rounds, our medical director reviewed four cases that had been submitted prior to the meeting in order to evaluate them for a better plan of care to help the patient.  My team consisted of a mixture of different cultures.  I had some wonderful nurses from different Caribbean Islands, some of them had a very strong accent, but that did not stop them from providing good care.

During our grand rounds, the medical director selected two of my case managers to present their case.  The case was presented in our own team meeting and as a team, we thought it would be a great case to present.  The one case manager we will call her Ms. R. presented a case about a member that had too many cats in the home and she was having difficulty staffing the case with home health aides because no one wanted to go in the home with so many cats. The medical director gave his evaluation of the case and the case was closed with the new information for the nurse case manager to implement.

During a manager meeting with about six other managers, the topic of case presentations came up and how each team needed to submit two cases per week, even if they were not selected for grand rounds.  A manager from England, who spoke with an English accent, stated that my team presented a lot of cases all the time.  I confirmed and stated that our strategy was that in our team meeting as an exercise we would bring two every week so that everyone had a chance to comment and it helped the presenting nurse in case her member was selected for grand rounds.  The English nurse manager asked me how I even understood Ms. R. and a few other staff from the islands that I had.  I politely let her know that I did have a diverse team and every one of them was a great nurse or social worker and did their jobs quite well.  As for understanding them, I listen to what they were saying intently and I did not multitask when they were speaking so that I could capture every word they said. Her response was “I am glad that they are on your team (Clark et al., 2011).”

A week later, I resigned from that position and unfortunately for my staff four of the team went to this one manager and the other nine went to someone else.  But of the four there was one from Haiti, one from Grenada, one from Puerto Rico and the other one was African American.  I  heard from all four about the poor treatment they were receiving from this manager. I, of course, could only listen, since I was no longer working there, but this is a perfect example of how not all nurses follow the code of respect of others cultures.

With patients, it is the same thing,  as nurses, we are not always going to understand what someone is saying whether it be a language barrier, dysphagia from a stroke, or dementia, but as nurses, we need to be able to read the body language.  We need to fine-tune our ears to try and understand what the person is saying. Living in Florida I am exposed to many cultures.  I myself am of Hispanic descent and although born in the states, I understand the diverse cultures that there are here.

In integrating health teachings, many materials are available in Spanish and Creole, However for the ones that are not, the use of translation companies are available through hospitals or managed care companies to help with the teaching that we are offering the patients.


Clark, L., Calvillo, E., De La Cruz, F., Fongwa, M., Kools, S., Lowe, J., & Mastel-Smith, B. (2011, May-June). Cultural Competencies for Graduate Nursing Education. Journal of Professional Nursing, 27(3), 133-139.

What is a Father’s Role When the Doula is There?

The doula never takes the father’s role in the birthing process.  The doula enhances and compliments the father’s role during the entire birth.  In this generation, more fathers are becoming involved in the process of birth.  However many fathers still want to be there for their partner, but maybe not in the coaching aspect for fear that they may do something wrong.  Have no fear dads, you cannot do anything wrong.  When the doula is there, she will guide you through the process of being your partner’s support system.  With the doula there it gives the father flexibility to rest, has a bathroom break, eat, and most importantly learn the techniques that will be needed during the difficult time of labor.


Case Study on Continuous Support During Birth

Most recently I was contacted by a mother to be who was interested in having a doula at her birth.  She was very excited to have a natural childbirth because she had heard about horror stories when women went into labor and their doctor rushed them through the delivery.  Much to her disatisfaction, she was told that she could not have a doula and her family in the room at the time of delivery, she had to make a choice because the doctor did not want that many people watching.  I let her know that the choice was ultimately hers as we are not friends or family but we are part of the medical team helping the moms to be through labor and delivery.  She decided that she would go with her family in the room and hope for the best.

Delivery day came and she was very excited to give birth, what she did not anticipate was being in labor for almost 2 days with a failure to progress.  She received her epidural the minute that she arrived there and she thought surely she would deliver within a few short hours.  Well, she notes that was not the case after she failed to progress.  The Epidural slowed the labor down and because she was bed bound, she was not able to put all the labor tips into action to help herself along.  She ended up with a C-section for failure to progress.  The good part is that both mom and baby are doing great, the sad part as she put it was that she was never given an opportunity to try to birth her baby naturally before she was offered an epidural the minute she walked in the door.

The benefits of having a doula documented by the 2017 Cochrane Review indicated that having continuous support for women during childbirth, showed positive outcomes when a doula was part of the birth team.  When a doula is present, it decreases the chances of having pain medications, c sections, and it helps the mother have a positive birth experience that she will remember for life.

Here is the study that was done by the Cochrane Review

  • Review: 26 studies on the effectiveness of continuous support during labor, which can include doula assistance. The studies included more than 15,000 women from a variety of backgrounds and circumstances.
  • Results: “Continuous support during labor may improve outcomes for women and infants, including increased spontaneous vaginal birth, shorter duration of labor, and decreased cesarean birth, instrumental vaginal birth, use of any analgesia, use of regional analgesia, low five-minute Apgar score, and negative feelings about childbirth experiences. We found no evidence of harms of continuous labor support.”
  • Quick birth terminology lesson: “Analgesia” refers to pain medication and “Apgar score” is how babies’ health is assessed at birth and shortly afterward — the higher the score, the better.The researchers also looked to see if the type of support made a difference. They wanted to know—does it matter who birthing persons choose for continuous support? Does it matter if they choose a midwife, doula, or partner for continuous support? The researchers were able to look at this question for six outcomes: use of any pain medication, use of Pitocin during labor, spontaneous vaginal birth, Cesarean, admission to special care nursery after birth, and negative birth experiences.For two of these outcomes (designated with asterisks*), the best results occurred when a birthing person had continuous labor support from a doula– someone who was NOT a staff member at the hospital and who was NOT part of their social network. The researchers found that overall, people who have continuous support during childbirth experience a:
    • 25% decrease in the risk of Cesarean; the largest effect was seen with a doula (39% decrease)*
    • 8% increase in the likelihood of a spontaneous vaginal birth; the largest effect was seen with a doula (15% increase)*
    • 10% decrease in the use of any medications for pain relief; the type of person providing continuous support did not make a difference
    • Shorter labors by 41 minutes on average; there is no data on if the type of person providing continuous support makes a difference
    • 38% decrease in the baby’s risk of a low five minute Apgar score; there is no data on if the type of person providing continuous support makes a difference
    • 31% decrease in the risk of being dissatisfied with the birth experience; mothers’ risk of being dissatisfied with the birth experience was reduced with continuous support provided by a doula or someone in their social network (family or friend), but not hospital staff

    The rate of special care nursery admissions was no different between people who received continuous support and those who received usual care. The rate of Pitocin was also no different but there was a trend towards more Pitocin with continuous support from hospital staff and less Pitocin with continuous support from a doula.

If you have questions about your birthing plan, contact us for a complimentary 20 minute call to discuss your concerns 407-760-1662 or email us at

The Benefits of Hiring A Doula

Doulas provide emotional, physical, and educational support to expectant mothers during the labor process and postpartum.  The doula is professionally trained in childbirth with the purpose of helping women have safe, memorable experiences and empowering a birth the way the mother desires. The doula services begin typically a few months before the birth in order to establish a relationship with the expectant mother.  Having the relationship early allows the doula to answer any questions that the mother and father have prior to delivery, ease any anxiety, and assist in developing a birth plan. During labor, the doula will provide the mother with comfort measures, position changes, breathing techniques, and partner involvement in the birthing process.  A doula leads to a better birth outcome and helps to reduce complications for both mother and baby.    Doulas use touch and massage as a means to decrease stress and anxiety during labor.  They use the sound of their voice to have the mother focus during the difficult stages of labor allowing this moment to engage the birth partner on the focal point.

After the delivery, the doula will help the mother start the breastfeeding process and to enjoy “the golden hour” of bonding.