What is a doula?

The word "doula" comes from the ancient Greek term meaning “a woman who serves”, reflecting the supportive role doulas have played for centuries. Historically, doulas have been women in the community who helped mothers during birth, offering comfort, reassurance, and practical assistance.

Today, a doula is there to support you through pregnancy, birth and the postnatal period by providing information, advocacy, and offering practical and emotional support to you and your family. Wherever and however you want to give birth, a doula is there to discuss your options and preferences, and will help you find the evidence-based information you need to feel informed, empowered and confident in your decisions.

A doula will work alongside other medical professionals such as midwives and doctors, but focuses on the needs of the mother and family in a non-medical way. The doula will advocate for you and support you to feel heard and understood along the way.

Doulas provide personalised continuity of care, tailored to your needs, creating a nurturing and warm environment where you feel comfortable sharing your hopes and fears.

Why should I get a doula?

Studies have shown a variety of benefits of using a doula, including the following:

  • 39% reduced risk of caesarean birth *

  • Reduced risk of instrumental birth *†

  • 10% decrease in the need for painkillers or epidural during birth *

  • Reduced rate of induction of labour *†

  • Shorter labour by 41 minutes on average*

  • 31% increase in parental satisfaction with the birth experience*

  • Increased likelihood of successfully establishing breastfeeding & continuing breastfeeding at 6 weeks *

  • Lower incidence of parental depressive symptomatology †

  • Lower likelihood of a low birth weight baby *

  • Improved culturally responsive care #

“Communication with and encouragement from a doula throughout the pregnancy increases the mother’s self-efficacy regarding her ability to impact her own pregnancy outcomes.”

*Dekker, 2019

#Meghan A Bohren and Sarah Chapman Cochrane review
† Hodnett ED, Gates S, Hofmeyr G, Sakala C. Continuous support for women during childbirth. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD003766. DOI: 10.1002/14651858.CD003766.pub5 and Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. Cochrane Database of Systematic Reviews 2017, Issue 7. Art. No.: CD003766. DOI: 0.1002/14651858.CD003766.pub6.

 What does a doula do?

Below you can find some of the main ways a doula can support you through each stage of your pregnancy…

  • During the antenatal period, a doula provides valuable support by meeting with you to discuss your birth preferences, answer questions, and offer guidance on preparing for childbirth.

    They help you explore and understand your birth options, and develop a birth plan that aligns with your wishes, however and wherever you want to give birth. A doula will signpost you to evidence-based information on topics such as prenatal health, pain management techniques, birthing locations and so much more.

    Most importantly, a doula offers amazing emotional support, helping to reduce anxiety and build confidence as you approach your due date. By establishing a trusting relationship and creating a safe space for open communication, a doula ensures that you feel informed, empowered, and well-prepared (and excited!) for the birth of your baby.

  • During birth the doula will be by your side, offering unwavering emotional support, soothing techniques, and calming reassurance for both you and your partner.

    Your doula will offer a variety of comfort measures, including massage, aromatherapy, and breathing exercises, to help you navigate your birth with confidence. They'll also offer reassurance and encouragement, creating a calm and supportive environment.

    The doula will help you understand what is happening, advocate for you and assist with communication between the you and the medical staff, ensuring that your preferences and needs are respected.

    By offering this personalised support, a doula helps parents feel empowered, focused, and confident throughout the birth process.

  • During the postnatal period, a doula continues to support you by assisting with the transition to life with your newborn.

    Many other cultures have a real focus on 'mothering the mother' after birth, ensuring she is rested and taken care of while she regains her strength after birth, which is such a huge physical and emotional thing for the body to go through. In the Western world we encourage mothers to get back to normal life as soon as they can, which can take a toll on both their physical and mental health. Doulas bring back the care and support for the mother, allowing her to thoroughly enjoy her postpartum period, spend time bonding with her newborn and not have to worry about anything else, knowing she has support around until she feels strong and confident in her new role as a mother.

    Your doula will offer emotional support as you adjust to your new roles, providing a listening ear and reassurance, helping you navigate any feelings of overwhelm or anxiety. They can discuss and debrief your birth with you, allowing you to explore and talk through your birth experience.

    By visiting you at home, a doula ensures that you have the support and resources you need to feel confident and comfortable in the early weeks after birth. This could be anything from assisting with breastfeeding and newborn care, giving a helping hand around the house, cooking light meals, watching the baby while you sleep, or keeping older siblings entertained while you have some one on one time with your newest addition.

  • A doula can support you at any stage after you've given birth, which could be up to a few years later.

    If you feel the need for more practical or emotional support anywhere down the line, a doula is there to support you through any stage you're going through. They can be there to chat through your worries, provide support during a period you're struggling with, or help you practically around the house for a period of time while your kids are starting a new school, moving house, or dealing with any family difficulties. Whether it's for a few weeks or months, doulas are still that 'village' of community you need.

“If a doula were a drug, it would be unethical not to use it.”

— Dr. John Kennell