pregnancy, breastfeeding, childbirth, homebirth

Using a Doula


using a doula


Have you ever considered of using a Doula for your birth? Do you know what a doula is and is not?

Have you ever spoken to someone who used a labor Doula?

You are at the right place: we are here to help you determine if using a doula would benefit you and your baby, and we believe that indeed it would.



What is a Doula?

Doulas are advocates and listening ears for you - the birthing mother - as well as a helper to your baby's father.

A Doula, usually a woman, is educated and knowledgeable about childbirth and the postpartum experience - the time after the birth.



What a Doula Does?

A Doula accompanies you in labor and is there to "mother the laboring mother" - you - in order to take care of your emotional and some of your physical needs throughout childbirth.



Benefits Of Using A Doula

A Doula provides support and suggestions that can enhance your experience of birth.

The skills that they develop are medically proven to make a true difference in your experience of birth.

Indeed, in a study published in JAMA - the Journal of the American Medical Association - Doctors J. Kennell, M. Klaus, S. McGrath, S. Robertson and C. Hinkley found that:


In two studies, it was proven that the continuous presence of a supportive companion - a doula - during labor and delivery shortened labor and reduced the need for cesarean section and other interventions.

In a US hospital with modern obstetric practices, 412 healthy nulliparous - never had a baby - women in labor were randomly assigned to a supported group that received the continuous support of a doula or an observed group that was monitored by an inconspicuous observer.

The results?

Two hundred four women were assigned to a control group after delivery. Continuous labor support significantly reduced the rate of cesarean section deliveries and forceps delivery:

  • Supported group, 8%
  • Observed group, 13%
  • Control group, 18%
  • Epidural anesthesia for spontaneous vaginal deliveries varied across the three groups:

  • Supported group, 7.8%
  • Observed group, 22.6%
  • Control group, 55.3%
  • Oxytocin use - aka Pitocin, duration of labor, prolonged infant hospitalization, and maternal fever followed a similar pattern.

    The conclusion: "The beneficial effects of labor support underscore the need for a review of current obstetric practices."



    A growing body of research shows that using a doula has clear benefits for you and your family during childbirth and postpartum, with no known risks.

    The value of providing you with continuous emotional support, physical comfort, and encouragement has been recognized worldwide.

    According to the World Health Organization, a doula provides:

  • Support consisting of praise
  • Reassurance
  • Measures to improve your comfort
  • Physical contact such as rubbing your back and holding your hands
  • Explanation of what is going on during your labor and delivery
  • A constant friendly presence
  • A report from The Medical Leadership Council in Washington D.C. shows that:

    Doulas clearly improve clinical and service quality. They provide an absolutely safe way to reduce cesareans and other invasive birthing interventions.

    The Society of Obstetricians and Gynecologists of Canada says:

    "The continuous availability of a caregiver to provide psychological support and comfort should be a key component of all intrapartum care programs, which should be designed for the effective prevention, and treatment of dystocia - non-progressive labor."

    There are numerous studies on the effects of support during labor.

    Considering outcomes reported in at least 4 studies - involving a minimum of 1,000 women - laboring mothers who received continuous support were less likely than women who did not to:

  • Have regional analgesia
  • Have any analgesia/anesthesia
  • Give birth with vacuum extraction or forceps
  • Give birth by cesarean
  • Report dissatisfaction or a negative rating of their experience
  • Laboring moms receiving continuous support were more likely than those who did not to give birth spontaneously - that is, with neither cesarean nor vacuum extraction nor forceps.



    Midwives And Doulas

    If you are having a birth with a midwife, it is true she will provide you with a lot of support...

    ...but they often need to perform technical/medical procedures that can distract their attention from you during labor and after the birth of your baby.



    Mom Tip For A Natural Pregnancy From Alisha

    Asking Florence to be my support during labor was one of the best choices I made.

    Her continuous support and encouragement helped me more than I can express.

    Since Johnathan was our first baby, neither I nor my husband knew what to expect. Florence was a priceless guide to both of us. I am excited - and quite relieved - that Florence will be there for the next baby as well.

    **UPDATE: Florence attended the birth of Kathleen, as planned... and thank God because the midwife didn't make it in time so Florence ended up "catching" the baby!!




    In Conclusion of Using a Doula

    Using a Doula has many benefits and no adverse effects.

    Continuous support during labor should be the norm, rather than the exception. Doulas - either birth doulas or postpartum doulas - provide that support.

    All laboring moms should be allowed and encouraged to have a supportive team with them continuously during labor and after the birth.

    And that most certainly includes you!



    How Do You Become a Doula?

    Check out these organizations: DONA, ALACE and CAPPA.





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