What is a doula?

What is a doula?

A birth doula is a professional labor assistant who is trained to support you physically and emotionally, encourage your to be an active member of your decision making team, help and your partner(s) to become a stronger team together through pregnancy, birth, and the first weeks postpartum.

A doula works to create a positive birth experience by providing a continuous presence during your birth, nurturing you, helping your partner to be involved and pace themselves, and offering physical comfort measures through breathing, relaxation, positioning, and movements, as well as emotional support and encouragement. A postpartum doula continues that support through the first months of postpartum, helping your to learn your baby's language and cues, helping to keep your household stocked and supplied, and supporting your physical and emotional recovery as you adjust to new parenthood.

A doula is knowledgeable about the labor process, lactation, and newborn and postpartum recovery care. They are available to provide research-based information and support you and your partner(s) as you make informed decisions about the your care. Doulas are well versed in helping you to communicate your needs to family and care providers, ensuring that you are being heard and listened to.

Doulas can be strong health care advocates when needed, there to ensure informed consent or nonconsent requirements are met, helping to prevent or lessen birth trauma, and human rights violations for birthing people in all communities, but especially for birthing people who are more likely to experience the negative effects of inherent bias.

What does a doula do?

What a doula is not

A doula is not a replacement for medical staff, neither nursing staff nor a midwife or obstetrician. A doula can not offer medical advice or diagnoses, or perform clinical tasks, such as vaginal exams or fetal heart-rate monitoring.

While a doula may assist in gathering information, they do not make decisions for you or your partner(s). They also do not impose their own goals or ideals on you or your partner(s). Only you can decide what your best birth will be. The do not take over the role of your partner(s), except to give them a break. You can read more about doulas and partners here.

The roles of a doula and medical staff are vastly different. The main role of a doula is to ensure you feel safe, encouraged, listened to, and supported. The main role of a medical staff is to ensure the safest outcome for you and your baby. Your comfort level with risk might be different than some medical staff, such as in the case of vaginal birth vs repeat cesarean for example. Opening that dialog is important so that you all understand one another's plans and goals. The work a doula and the medical staff do should compliment each other. Ideally, they will work together to help ensure a safe and positive journey along with a safe and positive outcome for all. Together, we can help lift the bar higher than just surviving birth, but to also thrive in the experience.

Why should I hire a doula?

Why hire a doula?

A doula strives to reduce tension and fear and increase feelings of safety and confidence during labor and postpartum. A 2017 systematic Cochrane review showed that having continuous labor support makes one more likely to have a spontaneous vaginal birth and shorter labor, and less likely to have a cesarean delivery, instrument-assisted delivery (vacuum, forceps), regional pain medication, low APGAR scores, or a negative birth experience.

In 2014 the American Congress of Obstetricians and Gynocologists (ACOG) released a study findings that the single most important thing someone can do to decrease their change of cesarean is to have "the continuous presence of support personnel, such as a doula".

The US national average for cesarean is 32%.

( “Impact of Doulas on Healthy Birth Outcomes,” Journal of Perinatal Education, Winter 2013; The Evidence for Doulas")

Teri's Client's Statistics, 2008-2020 (500 births)

  • Vaginal delivery: 94%
  • Cesarean delivery: 6%* (excluding planned cesareans)
  • Instrument-assisted delivery: 3%
  • Low 5-minute APGAR score: < 0.006%