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- Quick Links:
• What is a Doula?
• Studies on the Presence of a Doula
• Long-term Benefits of Labor Support
• What Doulas Do
• Doulas and Partners
• Doulas and Massage
• Doulas and Epidurals
• Difference between Doula and Midwife
What is a doula?
A doula is a woman who provides emotional and informational support, physical comfort, and an outside perspective during childbirth. Doulas are knowledgable about the physiological processes of birth and are informed about the various technologies presently being used in hospitals.A doula's job is to support expectant parents in prenatal preparations for their birth so parents can make their own best decisions. She provides continuous support throughout labor, nurturing, protecting and comforting the woman and her partner through their experience. She serves as an advocate by facilitating communication between the laboring woman, her partner and their careprovider(s). Read about our Doula service here.
Studies on the presence of a doula throughout labor have shown
50% decrease in cesarean sections
25% decrease in the length of labor
30% decrease in use of forceps
40% decrease in use of oxytocin (pitocin)
60% decrease in use of epidurals
30% decrease in use of pain medications (narcotics)Long term benefits of labor support include:
Improved Breastfeeding
Decreased Postpartum Depression
Greater Maternal SatisfactionStatistics from Mothering the Mother, Marshall H. Klaus, M.D., John H. Kennell, M.D., and Phyllis H. Klaus, M.Ed., C.S.W., 1993
What Doulas Do
- Offer guidance for communicating with your doctor or midwife
- Provide guidance and support for the father or partner
- Offer knowledge on positions that are helpful for coping with labor and supporting ideal positioning for baby's birth
- Is a single, consistent person who will be with your throughout your labor, birth, and immediate postpartum
- Assists you in understanding medical terminology
My husband/partner is very supportive and we want to share the childbirth experience with each other;
won't a doula interfere with that?Not at all. In fact, couples usually feel that the presence of a doula allowed the partner to be even more involved. Doulas are there to support both of you through the birth of your child. A doula can help your partner with how to touch you during labor, or may make sure that he or she is staying hydrated and well fed while he or she supports you. Partners often find that watching their loved one in the midst of an intense experience can be overwhelming and the presence of a doula can help to remind them what is normal and when there is no need for concern. Oftentimes a doula can massage the mother-to-be's back while her partner holds her hand and looks her in the eye. And when privacy is needed, a doula is happy to step out of the room and give you both some time alone together.
I have hired a doula, why would I need labor massage?
While most doulas do offer comforting touch during labor, many are not extensively trained as massage therapists. Jessica's extensive training and practice in massage, combined with her years of experience as a doula, allow her to fully understand what is happening in your body and how to best use therapeutic touch to evoke relaxation or comfort.
Additionally, many women begin labor in the evening/night after a long day without sleep. Early labor massage can help the mother get some needed rest before what may be long hours of hard work, before her doula arrives.Are doulas for women who want to have a natural birth, because I may want an epidural?
Doulas are for any woman having a baby, whether it is a natural homebirth or a scheduled cesarean or anything in between. A doula is there to support you in the birth that you want. If you are wanting to have an epidural, among other things, a doula may be helpful for you prenatally for discussing when might be the best time for you to get an epidural and how you want to make that decision.
What is the difference between a doula and a midwife?
While a midwife provides clinical and diagnostic care of both mother and baby, a doula is a support person for the mother and her partner. Doulas do not diagnose or give medical advice; they do not listen to the baby's heart rate or do vaginal exams. A doula is an outside person who is available for emotional, physical and informational support of the mother and her partner. While always interested in the well being of both mother and baby, she does not determine what will create that, but rather informs you of your choices, ensures you understand what is happening, and supports you through the experience you want.