If you spend time reading about pregnancy and child birth, you will eventually hear about doulas. Maybe you have a friend or family member who has used a doula. They are becoming more common and accepted at birthing centers and hospitals across the country. The word doula is the Greek word for female servant. In ancient Greek homes, this person was most likely the one who assisted in the birth of babies.
A doula is not a midwife. She has been trained in supporting women both physically and emotionally in labor. Doulas help with comfort measures, such as massage, reassurance and aromatherapy. They help women in coping with pain through labor without the help of medications.
Doulas understand the physiology of child birth and help the laboring woman focus in labor. They help couples develop birth plans and carry out the plan. She will keep track of your plan and help you stick to it. The doula will communicate your wishes to the doctor and other medical staff, if you can’t or don’t want to during labor. She will stay by your side and help you have the birth experience you want.
Many couples feel they don’t need anyone else present at the birth. Others want additional support. Some first time moms choose a doula because they are nervous about delivery and want an experienced coach. Others, feeling unsatisfied by a prior birth experience, seek out a doula in subsequent pregnancies. They like having someone there the whole time, concentrating on the birthing woman. Busy nurses can’t do this and the doctor often shows up only when it’s time to push.
The fees charged by a doula are generally not covered by health insurance. The cost is several hundred dollars. This includes meetings prior to the birth and follow up visits after. Many offer breastfeeding support at home after the birth. This is a great bonus for moms breastfeeding for the first time.
If you are interested in having a doula, your midwife, child birth instructor, doctor or friends may be able to help you find one. If not, contact the Doulas of North America (DONA). This organization can refer you to a certified doula in your area.