When doulas do their job properly they’re great, when they act in the supportive friend / sister role they’re supposed to. The problem is that some of them overstep the mark into giving out medical advice which they aren’t trained to give, and then there’s no accountability. They need to be registered with a central body and there should be a way of reporting the ones who cause harm. I’ve worked with lots of doulas, most have been lovely, but I’ve met some who have given worrying advice, which women have followed, and in some of those cases babies have died. The doulas just disappear when that happens.
And they’re not wrong when they say you don’t have to have antibiotics, or a test for GDM or anything else you don’t want in pregnancy, we’re all free to make our own choices, but deciding to decline care should be a result of a balanced conversation with a senior midwife or obstetrician and with full understanding of all the benefits and risks of choosing to accept or decline that treatment. Not just being told “no you’ll be fine, doctors and midwives are just evil and bored and want to hurt you and your baby for no reason lol”. Controversial as it may be, every doctor and midwife I’ve worked with actually wants the best for the women we look after. It’s just that sometimes the medical idea of best is different from the woman’s idea of best, and that’s why we need to forge good relationships. Doulas who perpetuate the idea that they are good and we are bad are doing women a huge disservice and actually putting them at greater risk, since they’re less likely to trust us when things go wrong or interventions become necessary.
Whoops that was a bit of a lengthy tangent, can you tell this is something that really bothers me?!
TL;DR, the naked doula is a knob.