pregnancy, breastfeeding, childbirth, homebirth

What About Having a Doula For Your Birth?


having a doula






Have you ever considered having a Doula for your birth?

Then again you may be wondering: "What is a doula?"

We are here to answer your questions and help you determine if a birthing doula would benefit you and your baby.




What is a Doula?

The word Doula comes from the Greek and it means: servant woman or slave.

Birthing 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, has gone through a thorough doula education program and she is knowledgeable about childbirth and the postpartum experience - the time after the birth.




What a Doula Does?

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

A postpartum Doula takes care of your needs after the birth of your baby. She usually comes to your home after the birth and helps you with domestic things as well as with helping you with breastfeeding, taking care of the umbilical cords and any other questions you may have.




Benefits Of Having A Doula at Your Birth

Having a doula for your birth is a wonderful asset for a Doula provides support and suggestions that can enhance your natural childbirth experience.

The skills that Doulas 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:


The Benefits of Having a Doula

In two studies, it was proven that the continuous presence of a supportive companion - a birthing doula - during labor and delivery shortened labor and reduced the need for cesarean sections 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 support group that received the continuous support of a birthing doula or an observed group that was monitored by an inconspicuous observer.

The results?

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

Assisted Deliveries:

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

  • 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 - having a doula - underscore the need for a review of current obstetric practices."




    A growing body of research shows that having 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. Doulas 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 the 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 may need to perform technical and/or 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

    Having a Doula present at your birth has many benefits and no adverse effects.

    Continuous support during labor should be the norm, rather than the exception. Doulas - either birthing 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?

    Doula education is a combination "school work," training and practical experience. Hands on experience is - or should be - part of any good doula education.

    There are various doula programs out there and a good place to start would be by visiting any of these sites:

  • www.dona.org
  • www.alace.org
  • www.icea.org
  • www.birthworks.org
  • www.cappacanada.ca
  • So if you are having a baby, you may want to consider having a doula at your birth. If you cannot afford the services of a birthing doula, you may want to try to find a mom who has given birth naturally, is knowledgeable about birth and passionate about natural childbirth as well. If she is willing to stand up for your rights and is knowledgeable enough to help you then you may want to consider inviting you at your birth.

    A midwifery student could fill the role of a doula as well. Also know that usually all "birthing doulas in training" must attend births as part of their doula programs. They will do it for free to obtain the experience they need.

    So if you really want a doula then there is a solution out there. If you need help visit our free directory or contact us.












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