A female doula providing emotional and physical support to a laboring mother seated on a birthing ball, with a partner holding her hand in a calm, natural birthing environment

What is a birth doula?

A birth doula is a trained companion who provides continuous physical, emotional, and informational support to women and their partners during childbirth. Their role is to ensure the birthing process is as comfortable and empowering as possible.

 

Types of support doulas provide

Physical Support:
Doulas use massage, gentle touch, and pressure techniques to ease the birthing process. They create a calming environment, utilize water therapy, and provide refreshments like ice chips, food, and drinks to help the mother stay comfortable.

Emotional Support:
Emotional support helps mothers feel proud and empowered after birth. This includes encouragement, reassurance, companionship, and helping them positively frame their birthing experience.

Informational Support:
Doulas provide evidence-based information about breathing techniques, relaxation, movements, and position changes during labor. They also explain medical procedures, helping parents make informed decisions.

Advocacy:
While doulas do not speak on behalf of parents, they support their right to make decisions about their body and baby. They encourage questions and communication with healthcare providers to ensure the mother’s wishes are respected.

 

The evidence behind doulas

Studies show that continuous support during labor, especially by a trained doula, leads to: higher chances of normal vaginal birth, lower use of pain medications and fewer cesareans, shorter labor and fewer complications for the baby.  Research highlights that the best outcomes occur when a doula—not a hospital staff member or relative—provides continuous support.

 

How doulas collaborate with partners

The ideal birthing experience combines the support of a doula and a birth partner (e.g., spouse or family member). Research shows that births with a doula and partner present have significantly lower cesarean rates, especially during induced labor.

 

Conclusion

Of all the ways to improve childbirth outcomes, continuous labor support stands out as one of the most essential needs. The role of a doula is both safe and effective in enhancing the experience and results for mothers and babies.

Reference: https://evidencebasedbirth.com/the-evidence-for-doulas/

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