The word doula comes from the Greek word meaning "female slave". These women were the most highly regarded servants and supported the mistress during her births. From the beginning of mankind women have been surrounded and cared for by other women during childbirth. Today the word refers to a professional labor assistant.
What does a doula do?
Most doulas meet their clients a few months before baby is due. This gives the doula and client time to establish a trusting relationship. Typically during this time the doula: meets with the client, answers questions, helps mom work through any fears or concerns she has, explains what her role will be during labor, makes herself available by email or phone. Some doulas will help families with writing a birth plan. While doulas never perform medical procedures or give medical advice, they are trained in the knowledge of the medical aspect of birth and can give their clients a better understanding of the procedures, interventions, and problems that may arise in late pregnancy and labor.
During labor and delivery doulas provide continuous care to the mother at all times. They help provide comfort through pain relief techniques such as massage, position changes, aromatherapy, etc. Doulas also encourage dads/partners to get involved and offer reassurance. Doulas are advocates for mom during labor. She understands what mom wants (because they have discussed it prior to delivery) and while she does not speak for mom, she helps encourage mom to ask questions and be fully informed before making decisions. Some doulas offer to take pictures during labor and delivery if families so desire.
Doulas normally stay for a short while after birth to help begin breastfeeding and to encourage the bond between baby and family.
The main goal of a doula is to help families have a positive, safe, empowering birth experience, whether the mother wants an un-medicated birth or plans to have a ceserean section. Whatever birth you decide is best for you, a doula can help to make that reality.
Why use a doula?
Studies have shown that women supported by a doula during labor not only have a more positive birth experience, but they also experience:
- 50% reduction in c-section rate
- 25% shorter labor
- 60% reduction in epidural requests
- 40% reduction in Pitocin use
- 30% reduction in analgesia use
- 40% reduction in instrumental deliveries
What about dad?
Dads are becoming much more involved in the birthing process and it's often a fear that the doula will take dad's place. The truth is that doulas make it easier for dad to be involved exactly how he wants, rather than having to play "labor coach". Doulas help give dad the freedom to support mom in whatever way he feels comfortable. Doulas give suggestions for comfort measures, a break when he gets tired, etc. Doulas are a compliment to dads and help to enhance their experience. With a doula there, dad can support moms emotionally without feeling the pressure of having to remember everything they learned in childbirth class!
