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Religious Discrimination in Doula Work

December 5, 2021 By Deena Leave a Comment

I received an email the other day through my professional site inquiring about my birth doula services. The pregnant person told me about about herself and then asked if I was Christian and could support her spiritually during her birth. This is not the first time someone has asked such a question of me. I also see it with some frequency on social media, “so and so is looking for a ‘Christian doula’ can anyone help?” Most commonly, it is a “Christian doula” that someone is seeking or advertising themselves. I’m sure there are Jewish, Muslim, Hindu, etc. doulas out there who advertise as such, but Christian is the most common one in my experience.

As a non-Christian, I am always taken aback by these requests. I question the ethics of both seeking a doula based on religion and of being a doula and advertising your religious affiliation.

As a pregnant person, is seeking a Christian (or other religion) Doula religious discrimination or is it preference?

If a person’s religion is part of their core foundation of who they are, it may be appropriate to seek someone who shares their belief system. However, this is question of employment. The doula client employs the doula. Generally, we don’t ask or care if the plumber is of a certain religion… or the accountant, or the house painter, or the lawn care service, etc. Those are people we hire to do a job based on their qualifications, skill set, experience, etc. Their religion has not impact on their ability to fix my toilet, do my taxes, or mow my lawn.

The doula client may argue that they want someone to pray with them or perform a ceremony during birth, so they need a (religion) doula. However, that’s not a doula’s job. It is a fundamental misunderstanding of what a doula does. Doulas provide physical support (massage, change positions, offering food and drink), emotional support (a listening ear), and informational support (side effects of medications, communication skills with medical staff). Nowhere in a doula’s training or job description is “religious support.” So, the client is seeking a service for which the doula isn’t trained or qualified to perform.

At the core of this is that as an employer, one cannot discriminate based on an employee’s religion. So, not hiring a person because they don’t meet religious criteria is discrimination. No employer in the US can decline to hire you based on your religion. As a doula client, hiring or not hiring a doula with the doula’s religion being criteria for employment is unethical and, in some cases, illegal.

Ok, but what about those people who want or need to have some sort of spiritual support during birth? That is what friends, family, or a religious leader is for. That’s not a doula’s job and that person can attend a birth in their appropriate capacity. The doula’s job in the scenario is to make space for the prayer or other religious aspects so that it can take place safely and uninterrupted.

Is advertising yourself as a Christian (or other religion) Doula discriminating against those of other religions?

On the surface, this one appears to be a bit more of a grey area. It isn’t explicit, “I don’t want to work with people who aren’t of (religion).” However, by saying “I’m a (religion) doula” you are both describing yourself and implicitly telling the person who is not of that religion that you don’t really want to work with them no matter how “inclusive” you say you are. By categorizing yourself as a (religion) doula you tell the reader who you want to be working with. Bible quotes on your doula site tell people of other religions, or people who have no religion, that you are a member of a group to which they do not belong and you turn away those people. You turn away LGBTQIA+ by advertising your religion because of existing discrimination by many religions. Maybe that’s what you want to do as a (religion) doula but understand that you are excluding other from your services. That is religious discrimination, even if it is not intentional.

OK, so the (religion) doula client finds the (religion) doula and they work well together. Isn’t that why the (religion) doula advertises their religion and the (religion) client asks about religion? Is there a problem with that?

No, there isn’t a problem with that, per se. Every client needs the right doula for them. I am not the right doula for everyone. The problem arises when someone of another religion is seeking doula services or is a doula. That is where the discrimination comes in. Simply by stating your religion, as either client or doula, you implicitly tell the other person that you are not for them.

Oh, and there’s one more question you should never ask a doula because it also doesn’t impact their ability to do a good job. You’ll have to visit my other site to find out what that question is, however.

Do share this article with your friends.

Filed Under: Advisement, All Topics Tagged With: Childbirth, Christian, discrimination, doula, Pregnancy, Religion

Rethinking Faith vs. Medicine to become, Faith and Medicine, Part 10

March 7, 2019 By Deena Leave a Comment

At first glance, faith and medicine seem to be two separate spheres. However, when, as suggested by Levin, Vanderpool, Mann and Messikomer, when there is the integration of faith and medicine, faith can become a powerful tool that motivates patients to act and for physicians to practice better medicine. Natural Childbirth, as created by Read and cultivated by pregnant mothers since, is a movement rooted in both faith and medicine, as inseparable as sperm and egg once joined to create a new human. The line between one and the other blurs to create a new being, which is to be defined on its own terms, not by that of an outsider who only uses the one familiar perspective.

Read’s critics, using their singular perspective as medical doctors, claimed that because of his lack of scientific evidence and his reliance on “his own eyes” that his method lacked credibility and validity. Yet, the testimony of the mothers who used his method tells us otherwise. Read’s preacher-like storytelling engaged his readers and listeners such that he created a fervent set of believers. Childbirth without Fear, still in publication seventy-six years later, illustrates the strength of Read’s teachings and the faith people have in him and his method.

It is the combination of both Read the self-proclaimed prophet and Read the method that created his success. When we look to the models of clergyman and physician, we not only see the corresponding personal callings, but we also see distinct expressions of faith in both fields. It is these parallels and similarities, rather than the superficial differences in outlook on specific topics within medicine that scholarship could be applied.

Read viewed pregnancy and birth as a fulfillment of a woman’s highest calling and that far from being pathological and something to be feared, birth can be pain free through proper preparation with adherence to Read’s method. Read believes that birth is normal and that it is a woman’s God given duty to produce children and raise them. By doing so, she is introducing and creating “motherlove”, which in turn will save the world.

Read, as the preacher of his gospel, views himself as a savior of women and of all mankind. Women have found faith in Read and his method for generations. It is through this faith that they can have births that create feelings of empowerment and strength as opposed to fear and weakness. Although Read’s prophecy of saving the world through “motherlove” did not come to fruition, his prophetic insights in to childbirth education, relaxation techniques and labor support from fathers have endured.

Next Up: Where do we go from here? Implications for modern childbirth education.


Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload
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Filed Under: All Topics, History Tagged With: Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medical Anthropology, Medicine, Physician, Religion

A Calling – Parallels Between Clergy and Physicians, Part 9

February 28, 2019 By Deena Leave a Comment

The similarities between how Read, and physicians in general, interact with and are perceived by patients and clergy and their interactions with believers of the faith are notable. Levin says that “physicians have been compared to a secular priesthood.”[1] This I find to be true in the case of Read in the way he positions himself as a prophet, preaching his “gospel of natural childbirth”. Read’s patients, the mothers, seek him out for his guidance and his unwavering faith in his method and in the idea of painless childbirth. The repetition and the allegorical storytelling Read uses to engage his readers and listeners mimics that of a preacher or priest on the pulpit.

Raphael, St Paul Preaching in Athens

Louw, in a commentary on preaching says, “Words and communication are attempts to transcend the immediacy of the experience – its aim is to take human life further than merely the phenomenology of facts and observation of mundane entities. Its aim is to give language and vocabulary to life events and spiritual experiences.”[2] Birth is therefore viewed as a life event that is both medical and spiritual.

This association between medical and spiritual can be seen in Messikomer’s ethnographic study on the spirituality of modern physicians. She found that her sample group all agreed that their desire to become physicians was a calling, not unlike a calling to the ministry.[3] One of her subjects stated, “Apart from being called to ministry, I think it’s (medicine) the highest calling.”[4] It becomes the highest calling one can have because of the duty to serve, protect and heal the sick. Though Messikomer doesn’t use the term moral theology I will choose to use it in the context of physicians and their practice. Given that physicians tackle the issues of pain, suffering, accidents, depression, anxiety, birth and death, and religion does the same then physicians are practicing a variant of moral theology.

This goes beyond the traditional definition of the term relating to Christian ethics. We can look at moral theology through the broader perspective of decision making which is relative not only to one’s own actions and how that relates to God or to any one specific religious doctrine. Moral theology can be applied to any religion, philosophy or model of behaviors. In this case, with physicians relating their calling to medicine as to that of the ministry, and with physicians having to adhere to specific codes of ethics such as: the Hippocratic Oath, HIPPA regulations, privacy guidelines, informed consent rules, and so on, they are provided with a moral framework within which they must work. This moral framework for physicians mirrors that of organized religion.  Authority from on high, within a hierarchical structure, creates and enforces these moral and ethical guidelines for physicians.

Vanderpool suggests that “religious and medical professionals rely upon certain common dynamics”.[5] He lists six shared functions between faith and medicine: postulating, prescribing and proscribing, establishing, alleviating, managing and enhancing and that each of these reflects both religion and medicine.[6] These shared axioms regard the interplay between body and mind, the meaning of suffering, sexuality, death, strives to understand or manipulate the body and mind, and define personhood.[7] These six shared functions allow for a mapping of faith based, or religious thinking and ritual to be replaced, in part, with medical thinking and ritual.

Vanderpool states, “Religious beliefs thus sustain and shape the practice of medicine, whether or not religion is overtly recognized or practiced within medical institutions.”[8] This is especially recognizable when it comes to the nature and care of a gravid woman. Her beliefs will influence everything from whether she chooses to give birth in a hospital, a free-standing birth center or at home. Her faith in the process, herself and her care providers will inform her sense of safety when making the choice as to where she births and with whom. This is the intangible aspect of pregnancy and birth which Read so successfully tapped into with the mothers who held him in reverence. Vanderpool notes that, “religion and medicine are widely used as ethical gatekeepers for the daily decisions of ordinary persons. In concert with law, religion and medicine specific normative and deviant action for many areas of human life.”[9]

Ethics are moral principles which provide guidance in how people are to live and interact. Religion and medicine both have a framework of ethical precepts and behaviors. Both attempt to define a universal truth about life and how things function. Wardlaw claims that, “science was a particularly appealing tool for an intellectual climate that focused on a search for universalizable truths, and medicine was the ideal conduit for the application of these truths to the human body.”[10] She says that “medical thinking began to function religiously.”[11] Like Vanderpool and Levin, Wardlaw sees doctors as a new type of priesthood, she uses Foucault’s term, “therapeutic clergy.” This is an apt way to describe both Read and his method. Like those entering the clergy, Read felt a calling for medicine. This calling, along with Read’s revelation of natural childbirth and preacher-like style embody this idea of the inseparability of faith and medicine. He, whether intentionally or not, set himself up as a leader of a movement among women, akin to a new religious movement in is fervency and dogmatic structure.

Next up: Rethinking Faith vs. Medicine to become, Faith and Medicine


[1] Levin, J. (2018), The discourse on faith and medicine, a tale of two literatures, p. 275

[2] Louw, D. (2016), Preaching as art (imaging the unseen) and art as homiletics (verbalizing the unseen): Towards the aesthetics if iconic thinking and poetic communication in homiletics, p. 2

[3] Messikomer, C. (2002), The Spirituality of Academic Physicians: An Ethnography of a Scripture-based Group in an Academic Medical Center, p. 562

[4] Messikomer, C. (2002), The Spirituality of Academic Physicians: An Ethnography of a Scripture-based Group in an Academic Medical Center, p. 572

[5] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 10-11

[6] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 14

[7] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 11-12

[8] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 12

[9] Vanderpool, H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 12-13

[10] Wardlaw, M. P., (2010), America medicine as religious practice: care of sick as a sacred obligation and the decent into secularization, p 64

[11] ibid

Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload

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Filed Under: All Topics, History Tagged With: Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medical Anthropology, Medicine, Preaching, Pregnancy, Religion

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