What Is a Doula?

Doula [Doo-la], comes from ancient Greek (doule)

A Doula is a trained woman empowering other women through emotional and practical support during pregnancy, childbirth and motherhood. Doulas work alongside physicians, midwives, nurses, and birth partners, and are endorsed by the Society of Obstetricians and Gynaecologists.

What can a Doula do for you?

The work of a doula begins during pregnancy. On prenatal visits and during phone or email consultations, your doula will get to know you, understand what is your desired birth and what are your concerns. A doula will be able to answer non-medical questions and will help you get prepared for the most memorable event of your life. She will give you reassurance and continuous support along your way to birth.

Once labour has started, a doula can help guide you through the process. She is experienced in comfort techniques and will offer a calm presence. Your doula will stay with you throughout your labour to make sure all your needs are met. Your doula can also help explain medical procedures and assist you in evaluating all your options so you can make decisions that are right for you.

After the birth, a doula can help you caring for your baby, from giving a bath to feeding. A doula can assist you with breastfeeding preparation and beginnings.

How do Doulas differ from midwifes?

Doulas do not provide clinical tasks. Doulas provide a constant nurturing, helpful and objective support as well as first-hand knowledge and understanding of what the labouring mother is going through. This benefits both the mother and father-to-be. Unlike most medical professionals, doulas are with you the entire time of your birth.

What about your partner?

A Doula will never replace your husband/partner. On the contrary! A doula can help your partner enjoy the birth experience more fully. She will be a resource for him. She can guide him and suggest comfort techniques during the birth time. She will also ease his anxiety in this unfamiliar territory, allowing him to be fully present for you.

You are a very private person; won't a doula be distracting?

Doula- supported birth is usually a more intimate experience. Early labour can take place comfortably in your home. Dim lighting, soothing music, warm water, and relaxation: all are encouraged by your doula. The emotional bond and sense of connection between mother and partner is important, and the doula knows when to stay in the background when the couple is doing well, and when to jump in and offer guidance, such as position changes and breathing variations, as labour progresses. Once at the hospital, your doula can help assure your privacy is protected by creating a buffer between you and those entering your room. She will know your preferences and work to make sure they are respected.

Studies show...

50% reduction in caesarean rates

25% reduction in length of labour

40% reduction in the use of forceps

40% reduction in the use of pitocin

30% reduction in the need for pain medication

60% reduction in request for an epidural anesthesia

Kennel, et al, JAMA, May 1, 1991, Vol. 265, No. 17.

"If a doula were a drug, it would be unethical not to use it."

- Dr. Marshall Klaus -