what does birth doula support look like during labor and birth?
In early labor, and before going to the planned birth location, a doula can be instrumental in helping a birthing person relax and preserve as much energy as possible.
A doula helps the birthing person manage through the contractions and relax in between contractions through comfort measures such as breathing, visualization, arranging a shower or bath, applying hot or cold compresses, providing counter-pressure or massage. A doula can encourage hydration and nourishment, as well as changing positions and movement to promote labor progress and enhance comfort. An important aspect of a doula’s role is providing emotional support such as praise, reassurance, and encouragement. A doula can also help create a familiar and calming birth setting.
During the birthing time, a doula can help the birthing person gather the information they need to make informed decisions, flag if something is incompatible with their birth preferences, and encourage them to ask questions of their care provider. A doula can also keep the birthing person and partner abreast of what is going on in the birthing room, who is present, and what course of action care providers are recommending, bridging potential communication gaps between the client and their care provider.
What are Some of the benefits of having a birth doula?
A doula’s nonclinical and continuous care can help improve obstetric and psychosocial outcomes, and reduce complications for the birthing person and baby. Research has shown that not only are birthing persons who are supported by a doula more satisfied with their childbirth experiences, they are also less likely to use drugs to augment labor, less likely to need pain medication, and less likely to have a Cesarean birth.
A doula is also connected to local resources in the birth community, and usually maintains a network of other birth professionals who offer complementary services. If something is outside of the doula’s scope of practice, she can make referrals to other birth professionals such as massage therapists, chiropractors, postpartum doulas, and childbirth educators.
A doula’s continuous presence, praise, encouragement, and reassurance can help anchor, comfort, and empower the birthing person, even when fear, discomfort, and self-doubt are present.