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What is a doula? And what are the benefits of partnering with one?

The entrance of new life into the world is truly an indescribable experience that is filled with a mix of emotions. It can also be quite nerve racking, especially for new expectant parents which is why a large number of individuals look for the support and guidance of a doula. Whether you’re an expecting parent …

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The entrance of new life into the world is truly an indescribable experience that is filled with a mix of emotions. It can also be quite nerve racking, especially for new expectant parents which is why a large number of individuals look for the support and guidance of a doula. Whether you’re an expecting parent or an individual who simply wants to learn more about doula’s, this blog will provide you with information such as the role and benefits of a doula, and how doula partnership can enhance your birthing experience as you welcome your bundle of joy.


What is a doula?


doula
freepik / Freepik / “Hand drawn flat design childbirth scenes” / FreePik license

A doula is a professionally trained assistant whose main purpose is to provide emotional, physical, and informational support to individuals during pregnancy and childbirth. Doulas offer nonmedical support during labor and these services include:


  • Guidance: Doulas guide pregnant individuals such as breathing techniques and educate the future parents with any questions and/or concerns they may have.
  • Physical comfort: Doula helps relax individuals by offering gentle massages that calm the body and alleviate any pain or discomfort. These services are also provided during childbirth and additionally, doulas assist with specific movements and positions to facilitate labor progress.
  • Emotional support: Throughout the pregnancy journey, Doula offers reassurance, listens to the needs of the individual, and teaches coping strategies that help manage stress and anxiety.

What are the different doula types?


It’s important to note that different types of doulas provide specific services for specific needs.


Birth doula: A birth doula, the most common type, supports mothers during labor and childbirth by providing physical, emotional, and mental support.


Antepartum doula: This doula provides support and service to pregnant individuals during labor who experience a difficult and overwhelming pregnancy.


Postpartum doula: A postpartum doula supports families and individuals after childbirth and assists with emotional support, newborn care, household tasks, and assists with family transition. They guide how to cope with emotional challenges and how to care for an infant such as feeding and lactation support.


End-of-life doula: An End-of-Life doula is different compared to other doulas as it provides solace to individuals who face terminal illness or death. They offer resources to create a supportive environment for the person and their family.


These are just a few of a variety of doulas that serve different nonmedical purposes.


Is a doula the same as a midwife?


A doula and a midwife share similar commonalities such as acting in supportive roles, providing holistic care, and educating pregnant individuals. Due to the similarities, they are sometimes confused and referred to interchangeably. However, a doula is different from a midwife – midwives have authority and extensive qualifications to administer medical procedures, whereas a doula can only perform nonmedical holistic tasks.


A doula doesn’t normally need certification to practice. That said, the majority pursue training and certification to increase their skills and marketability. A doula certification program requires individuals to complete a specific number of training hours, observe births, and oftentimes pass assessments or fulfill other requirements to earn certification. Requirements vary, but most doulas receive similar foundations of education and training, with topics covering childbirth education, postpartum care, labor support techniques, and more. Several organizations offer doula certification programs such as ICEA (International Childbirth Education Association) and DONA International.


Midwives are required to be licensed and undergo extensive training and education to complete certification requirements. These certification requirements vary depending on the country, as well as the type of midwife, the most common in the U.S. being a Certified Nurse-Midwife (CNM). CNMs are registered nurses who have completed training in midwifery and graduate-level education. These licensed professionals provide various women’s health services such as labor and birth support, prenatal care, gynecological care, and primary care services.


Here are a few medical responsibilities midwives can perform that doulas cannot.


Clinical evaluation: Midwives can perform clinical evaluations of pregnant individuals which include fetal development monitoring, prenatal exams, maternal health assessments, and identification of complications or risk factors. Midwives can interpret and order diagnostic tests such as blood tests, urine tests, and ultrasounds.


Medical interventions: Midwives can provide medical interventions during labor, pregnancy, and childbirth if required. Intervention may include administering medications, performing procedures such as cervical exams, and assisting with childbirth delivery.


Intra and postpartum care: Midwives provide care for individuals during labor, childbirth, and after childbirth by facilitating the birth process and monitoring the health of both the individual and newborn baby.


These are just a few of several tasks that midwives can assist individuals with. Individuals may also choose to receive assistance from both a doula and a midwife as they provide different services.


What are the benefits of having a doula?


A doula provides numerous benefits that help support the individual and families during childbirth. Here is a short list of the key benefits:


  • Decreased risk of medical interventions
  • Increased birth satisfaction
  • Postpartum support
  • Partner and family support

The continuous support of a doula can effectively contribute to a successful outcome in childbirth. Pregnant individuals are less likely to experience negative birth outcomes such as low birth weight and preterm birth and are more likely to experience a positive birth outcome through effective comfort measures and emotional support.


Low Birth Weight (<5.5 lb) Babies

Nondoula mothers

Low Birth Weight (<5.5 lb) Babies

Mothers with doulas

8.6%

128

2.1%

97


Is a doula right for you?


macrovector / Freepik / “Childbirth delivery concept with doula helping pregnant woman flat vector illustration” / FreePik license

There are various factors to consider when deciding whether or not a doula is right for you. These factors depend on your preferences, needs, and circumstances surrounding your pregnancy and childbirth.


Here are a few things to consider when determining if a doula is right for you:


  • Budget: Before considering a doula, analyze your budget to determine if it is a financially feasible option. Doulas typically offer a wide range of pricing options such as payment plans or insurance to accommodate different budgets.
  • Support network: If you feel your current support network lacks an extra level of support such as emotional, informational, and physical, you could greatly benefit from the assistance of a doula.
  • Birth preferences: If you have specific preferences such as a natural birth or avoiding unnecessary medical interventions, a doula can help you achieve your birth needs and goals.
  • Previous birth experience: If you’ve previously given birth and felt you did not receive the right support or assistance during childbirth, reflecting on your experience can help you consider whether a doula is suitable and would make a positive difference in any future birth processes you may have.

Several other factors determine whether a doula would be effective for you and everyone has different needs that need to be met.


How can you hire a doula?


freepik / Freepik / “Hand drawn childbirth scenes ” / FreePik license

Hiring a doula is a great choice for expecting individuals and If you’ve decided that a doula would be right for you, the next step would be hiring a doula to support you during your childbirth journey. Here is a short step-by-step guide on hiring a doula:


Research: You can begin your hiring journey by researching potential doulas in your area through directories such as DONA International or DoulaMatch.net. You should also jot down your preferences and what exactly you’re looking for in a doula which may include training, experience, services offered, and more. You should then create a list of possible candidates to interview and seek advice and experience from healthcare providers.


Interview: Once you finalized your research and doula list, you should schedule interviews with them to get an opportunity to know them. A few topics you can ask include the type of training received, the number of births attended, previous experiences, fees and services, and availability around the due date. You should also voice your expectations and needs so that both parties will get a better understanding of the services needed and set any boundaries.


Contract: After you’ve interviewed and selected a doula, you will review and sign a contract that outlines the terms of agreements which include fees, services provided, payment schedule, and cancellation policy.


Maintain contact: You should keep in contact with your doula and provide any updates on your pregnancy and other changes. If offered, you should also attend prenatal meetings with your doula to discuss comfort measures and birth preferences.


Prepare for childbirth: You should start preparing for childbirth by creating a comfortable and supportive environment that aligns with your preferences. Developing a birth plan is also an excellent idea as this will allow you to outline your needs for labor, delivery, and postpartum care.


These simple steps will help you find and hire a doula who can provide the best guidance and personalized support for you.


Conclusion


A doula can play a positive and supportive role to pregnant individuals and families in enhancing childbirth. The various services provided such as physical, emotional, and informational support and guidance will help you navigate your pregnancy journey. Doulas are an important part of childbirth experiences for mothers and continue to evolve.


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