2 .
How would you respond as a nurse if your patient wanted to continue pushing efforts beyond 3 or 4 hours? Compare this to how you would respond if a patient wanted to discontinue pushing efforts and instead have a cesarean birth before 1 or 2 hours.
3 .
Think about the fourth stage of labor, with all the significant changes taking place. What would help the birthing person feel safe and well cared for during this stage?
4 .
Think about patient and staff safety in the event of threatening behavior during labor by a support person. How would you keep the patient, yourself, and other staff safe?
5 .
Should insurance coverage for a doula be required if outcomes are improved by their presence? Reflect on the implications for this.