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The Role of a Doula

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In nearly every culture of the world, women have traditionally surrounded themselves with other women to care for them during childbirth. Artistic depictions of childbirth usually display two or more women supporting the birthing mother. Usually, one of these women is a midwife, who is the person responsible for creating a safe passage for baby. The other women, usually on either side of the mother to comfort and soothe her, are doulas.

‘Doula’ is a Greek word meaning ‘woman’s servant.’ Doulas are trained and experienced in childbirth, although they may never have given birth themselves. The Doula's role is to provide physical, emotional, and informational support to women and their partners during labor and childbirth. Doulas offer help and advice on comfort measures such as breathing, relaxation techniques, movement, and positioning. Perhaps the most crucial role for doulas is to provide continuous emotional reassurance and comfort to the laboring mother.

Doulas are not medically skilled and don’t perform clinical tasks. A doula’s goal is to help the woman have a safe and satisfying childbirth, as defined by the woman. When a doula is present, some birthing women feel less need for pain medications or may postpone the need until later in labor . However, many women do need pain relief, and the doula’s role is not to judge or discourage her from receiving it. The comfort and reassurance offered by the doula are beneficial, regardless of the use of pain medication.

A birth doula: a woman trained and experienced in childbirth who provides continuous physical, emotional, and informational support to a woman during labor, birth, and the immediate postpartum period.

A postpartum doula: a woman trained to care for new families in the first few weeks after birth, providing household help, advice with newborn care and infant feeding, and emotional support.

Questions to Ask a Doula
The following questions will help you determine if a particular doula is right for you.

For any Doula:
What training have you had? (If a doula is certified, you might consider checking with the organization to verify.)
Do you have one or more backup doulas for times when you are not available? May we meet with the backup doula?
What is your fee? What does it include? What are your refund policies?

When interviewing a Birth Doula:
Tell me/us about your philosophy about childbirth and supporting women and their partners through labor.
May we meet to discuss our birth plans and the role you will play in supporting me/us through childbirth?
May we call you with questions or concerns before and after the birth?
When do you try to join women in labor? Do you come to our home or meet us at the place of birth?
Do you meet with me/us after the birth to review the labor and answer questions?

When interviewing a Postpartum Doula:
Tell me about your experience as a postpartum doula.
What is your philosophy about parenting and supporting women and their families during postpartum?
May we meet to discuss our needs and the role you will play?
What different types of services do you offer?
When do your services begin postpartum?
What is your experience in breastfeeding support?
Have you had a criminal background check and a recent TB test? Do you have current CPR certification?

You may want to interview more than one doula to find the right one for you