When a couple first learns about the possibility of having a doula present at their birth, questions often arise about the role of a doula, and the reasons why having a doula would be beneficial to them.

A doula is a trained professional with experience in many types of birth situations. Her role is varied depending on the needs of each mother, and can include prenatal education and preparation for various comfort measures during the labor. She also serves as an information source as the mother is making decisions about what type of birth she wants to have and what interventions she will accept. A doula is with the mother continuously throughout her labor, as opposed to the doctors and nurses who come and go and may be total strangers to her. She will give the mother emotional and physical support as needed, and has many suggestions to help in dealing with labor contractions. A doula’s role is not to replace the father, but to assist him and enable him to be the best supporter of his partner. A doula will also stay with the mother for a few hours after the birth, helping with initiating breastfeeding if needed, and making sure that the mother is comfortable. Postpartum visits are also included, which can include helping out with a few things at home, more informational support, and discussing and working through the details of the birth.

Studies have been done to determine the benefits of having a doula present with a mother throughout her labor. Listed below are some of the statistics from the studies:

• 50% reduction in the cesarean rate
• 25% shorter labor
• 60% reduction in epidural requests
• 40% reduction in oxytocin use
• 30% reduction in analgesia use
• 40% reduction in forceps delivery

These figures are taken from the book “Mothering the Mother, How a Doula Can Help You Have a Shorter, Easier and Healthier Birth” by Marshall H. Klaus, John H. Kennell, Phyllis H. Klaus.

Having a doula at your birth can be a wonderful experience for the whole family. Mothers report a higher satisfaction level with their births after having a doula, and the statistics show that risks of intervention are lower with a doula’s presence.

About the Author: Brenda Minica, CD (CBI) is a certified birth doula in San Antonio, TX.