"Doula" (pronounced "doola") is a Greek word meaning
"woman servant or caregiver". Nowadays, it refers to a woman
who offers emotional and practical support to a mother (or couple) before,
during and after childbirth. A Doula believes in “mothering the
mother”, enabling a woman to have the most satisfying and empowered
time that she can during pregnancy, birth and the early days as a new
mum. This type of support also helps the whole family to relax and enjoy
the experience.
Research has shown that using a professional Doula will assist in:
• Shorter labours
• Fewer complications
• Reduction in caesarean procedures
• Reduction in oxytocin use
• Reduction in epidural requests
• Reduction in other medical intervention such as forceps and
vacuums
It has been also shown to provide great benefits to the mothers directly
such as:
• Increased satisfaction with her birth experience
• Less postpartum depression
• Shorter hospital stays
• Increased success of breastfeeding
My personal thoughts on
the role of a Doula
I have had a lot of people ask me why anyone would need a Doula as
surely the majority of mothers-to-be will either have a husband / partner
/ friend / mother with them as well as qualified Doctors and Midwives
to look after them through the birth process so why would they want
ANOTHER person with them?
My answer to that is that a mother-to-be has complex needs during her
labour, childbirth and postnatally and if she has someone present who
knows about the birth process and who can be a constant support, she
will be relaxed and be able to focus on herself and her baby.
If you want your husband/partner with you, throughout your labour and
birth, I am most definitely NOT there to take their place. I am there
to work together as a team in giving you the best care and support you
require.
Part of our job is to try and keep the mothers-to-be and their partners
as calm and well informed as possible, as when adrenalin and anxiety
“kick-in”, emotions can run high and can cause unnecessary
stress on everybody present.
Husbands / partners don’t like to see you in pain and want to
do anything and everything to protect you, but sometimes they need somebody
to be able to spend time with them and give them a little help and reassurance.
Everyone always focuses on the mother-to-be and forgets about the husband
/ partner who can find this process incredibly difficult to deal with
and that’s where as a Doula, I feel my role is important to try
to make everyone feel safe and as relaxed as possible and involved as
much as the both of you would like to be.
A Doula’s role is not to “hang over” you and invade
your personal space at all. Labour and birth can be a very private and
intimate experience for you or you and your husband / partner and I
definitely wouldn’t want take those special moments away or you
to feel uncomfortable with my presence. Doula’s can just ‘BE’
and this presence of ours, relaxes mums and dads to a great extent.
I can be involved as much or as little as you want me to be, whether
it is to rub your back and reassure you or to pay the parking meter
and grab you something to eat.
A Doula offers a woman in labour guidance, practical care and loving
kindness. She offers a hand to hold. The Doula is a comforting and reassuring
presence, offering as she does the full and sensitive attention of someone
who knows and understands exactly what the labouring woman is going
through.
There are also a lot of single mothers-to-be, mothers who have family
too far away and who want someone with them or women who have already
given birth but didn’t have the “experience” they
had hoped for with their previous birth and they feel that family members
or friends might not be able to offer the right kind of support that
she feels she needs.
Doulas also most certainly do not take the place of a Midwife / medical
professional at all, even though we might have some medical knowledge,
we have not been medically trained and we do not profess to “know
better” or offer medical advice. Most midwives are usually quite
thankful we are there as we can help wherever required without getting
in their way or ‘treading on their toes’!
Every couple is different and will receive customised care & support
to suit them, based on their individual circumstances and preferences.
There is an old Indian saying: "Two people are born when a baby
arrives – a mother and a child". And this is something that
in our busy overmanaged controlling culture, gets overlooked. New mothers
need mothering too: they need support, encouragement and compassion
as they cross the border into that new and unfamiliar country called
motherhood.
For further information about Doulas, please visit the My
Baby Radio Podcast about doulas, which includes and interview
with Valerie from Nurturing
Birth.