Benefits of a Doula
Numerous studies have revealed the benefits of having a doula present during labor. A recent Cochrane Review, Continuous Support for Women During Childbirth, revealed a very high number of positive birth outcomes when a doula was present. When a doula was present, women were less likely to have pain relief medications administered, less likely to have a cesarean birth, and reported having a more positive childbirth experience1.
Other studies have shown that having a doula as part of the birth team decreases the overall cesarean rate by 50%, the length of labor by 25%, the use of oxytocin by 40% and the request for an epidural by 60%2.
Doulas often use the power of touch and massage to reduce stress and anxiety during labor. According to physicians Marshal Klaus and John Kennell, massage helps stimulate the production of natural oxytocin. The pituitary gland secretes natural oxytocin to the bloodstream which causes uterine contractions and also secretes it to the brain, which results in a feeling of well being, drowsiness and a raised pain threshold. Synthetic IV oxytocin can not cross into the blood stream and brain, so it increases contractions without the positive psychological effects of natural oxytocin.
Definition of a Doula
What is a Doula?
The word "doula" is Greek in origin, and has come to mean "woman helping woman" in childbirth. A doula is a non-medical labor support assistant. She provides a birthing/laboring woman with physical, emotional and informational support at childbirth, whether the birth takes place in a home, hospitial, or childbirth center. Her main concern is the mom, although she may also support other members of the family who are present. Doctors, nurses and midwives usually are not in a position to provide this continual support. As medical professionals who may be caring for more than one patient at a time, they cannot stay in the room with the mother. They also need to concentrate on the more clinical aspects of childbirth.
A doula's presence does not make a birth partner's presence unnecessary. A doula's presence frees the partner from certain aspects of concern and allows the partner to interact more closely with the birthing woman. A doula's purpose is to aid the mother in labor and help her have the birth experience she wants, thereby leaving her with a sense of empowerment and a beautiful, positive birth memory.©Karen N. Kilson
The word "doula" is Greek in origin, and has come to mean "woman helping woman" in childbirth. A doula is a non-medical labor support assistant. She provides a birthing/laboring woman with physical, emotional and informational support at childbirth, whether the birth takes place in a home, hospitial, or childbirth center. Her main concern is the mom, although she may also support other members of the family who are present. Doctors, nurses and midwives usually are not in a position to provide this continual support. As medical professionals who may be caring for more than one patient at a time, they cannot stay in the room with the mother. They also need to concentrate on the more clinical aspects of childbirth.
A doula's presence does not make a birth partner's presence unnecessary. A doula's presence frees the partner from certain aspects of concern and allows the partner to interact more closely with the birthing woman. A doula's purpose is to aid the mother in labor and help her have the birth experience she wants, thereby leaving her with a sense of empowerment and a beautiful, positive birth memory.©Karen N. Kilson
What does a Doula do?
Most doula and client relationships begin a few months before the baby is due. During this time, they establish a relationship that gives the mother complete freedom to ask questions, express fears and concerns, and take an active role in creating a birth plan. Most doulas make themselves available to the mother by phone to answer questions or explain any developments that may arise in pregnancy. Doulas do not provide any type of medical care. However, they are knowledgeable in the medical aspect of labor and delivery so they can help their clients get a better understanding of procedures and complications that may arise in late pregnancy or during delivery.
During delivery, doulas are in constant, close proximity to the mother at all times. They can provide comfort with pain relief techniques, such as breathing, relaxing, massage and laboring positions. Doulas also encourage participation from the partner and offer reassurance. A doula acts as a silent advocate for the mother, encouraging her in her desires for her birth. The goal of a doula is to help the mother have a positive and safe birth experience, whether the mother wants an un-medicated birth or is having a planned cesarean birth.
After the birth, many labor doulas will spend a short time helping mothers begin the breastfeeding process and enoucourage bonding between the new baby and family members.
During delivery, doulas are in constant, close proximity to the mother at all times. They can provide comfort with pain relief techniques, such as breathing, relaxing, massage and laboring positions. Doulas also encourage participation from the partner and offer reassurance. A doula acts as a silent advocate for the mother, encouraging her in her desires for her birth. The goal of a doula is to help the mother have a positive and safe birth experience, whether the mother wants an un-medicated birth or is having a planned cesarean birth.
After the birth, many labor doulas will spend a short time helping mothers begin the breastfeeding process and enoucourage bonding between the new baby and family members.
Partners/Fathers role:
The role of the doula is never to take the place of the father or partner in labor, but to compliment and enhance their experience. Today, many fathers are taking a more active role in the birth process, but some partners feel that this is a huge expectation, and would rather be able to enjoy the delivery without having to stand in as labor coach. With a doula as a part of the birth team, a father can do whatever he feels comfortable with at each moment. Doulas can encourage the father to use comfort measures, and can step in when he needs a break. Having a doula allows the father to be able to support his partner emotionally during labor and birth and also enjoy it himself without the pressure to remember everything he learned in childbirth class!