If a doula could be encapsulated into a pill, it would be considered unethical not to use it, reflecting its potential benefits in childbirth. I’ve been privileged to work as a doula countless times across various types of births. Each experience leaves me amazed at the resilience of women in labor and the wonder of birth. Though labor is rarely easy, studies show that having a doula can reduce labor duration and improve birth outcomes. It’s not about having any special powers but recognizing that having a supportive woman who has experienced labor can significantly alleviate fear and anxiety.
The term “doula” originates from the Greek word “doule,” meaning “handmaiden” or “woman who serves.” In essence, that’s what a doula does for a mother in labor: she serves and supports to help achieve the desired birth outcome. A doula can be anything from a massage therapist to a friend, therapist, DJ, or even a joker, depending on what the mother needs. She provides comfort and encouragement when necessary. Before assisting in childbirth, most doulas undergo extensive training.
A doula offers continuous support during labor, focusing on the mother’s needs and the couple’s relationship. They help by being present and supportive but do not provide medical advice or perform medical tasks like checking blood pressure, conducting cervical exams, or monitoring the baby’s heart rate. A doula’s role is to support, not to take over or interfere with medical professionals. Unlike doctors and nurses, doulas remain with the mother throughout labor, staying beside her without taking breaks, regardless of how long the labor lasts.
Reflecting on my first labor, I underestimated its challenges and declined the support of a doula, opting to tough it out with only my husband, based on our Lamaze classes and some books I read. It turned out I wasn’t as prepared as I thought. Back labor, combined with a surprise change in my medical team, left me with an experience far from what I had hoped for. I realized that having a doula could have educated and supported me through the process. I did have a family member present, but instead of being comforting, it made me more reserved and stressed. During my second birth, this was even more apparent, as the presence of this family member contributed to an even longer labor.
Statistics support the benefits of having a doula. In 2012, a Cochrane review highlighted the improved outcomes for mothers who had continuous support from a doula. Women with doula support were less likely to have a cesarean section, as a 2014 report from the American Journal of Managed Care indicates. The presence of a doula significantly reduced the odds of undergoing a non-medically necessary cesarean. Comparatively, mothers supported by doulas fared better than those supported by hospital staff, friends, or partners. The study emphasized that doulas offer additional help, complementing the role of family and partners.
Some birth experiences shared by mothers underscore the value of having a doula. Laurie, who underwent a cesarean after “failure to progress” with her first child, chose a doula for her second and achieved a successful VBAC birth. Her doula provided guidance and support, which made all the difference. Megan had similar experiences, finding her doula instrumental in pain management and emotional support, allowing her husband to focus on her.
Beth appreciated having a doula to provide clarity when she and her husband couldn’t think straight. Laura achieved a drug-free birth with the support of a doula who assisted her at home and accompanied her to the hospital. Lesley attributed her natural birth to the encouragement and strategies provided by her doula during a tough labor. Kristine shared that her doula was a great resource during her first birth, offering support right through pregnancy and delivery.
Doulas are helpful whether you’re planning a natural birth, opting for an epidural, or in any other birthing setting—be it home, hospital, or birth center. It’s crucial to find a doula who is a good match for you and your family. Initial meetings can help gauge compatibility, and it’s wise to seek recommendations from friends or use resources like DONA International’s “Find a Doula” tool. Costs can vary, often between $400-800 in some areas, but some insurance policies may cover this expense. Doulas working towards certification might offer services at a reduced rate, and many are willing to negotiate payment plans to accommodate financial constraints.
Having a doula can prevent costly interventions and enhance the overall birth experience. Over my five pregnancies, I learned how birth experiences linger and profoundly affect you, and I would advise prioritizing them highly. Doulas often earn modest pay for their time and dedication, but many are inspired to support others, sometimes even volunteering in special circumstances.
If you’ve experienced having a doula, what was it like for you?
