Doulas for Parents-to-Be | UPMC

The word “doula” comes from the ancient Greek meaning “a woman who serves.” Today, the doula definition refers to a trained professional who provides emotional, physical, and informational support to pregnant clients before, during, and after childbirth. They help support the mother to make the childbirth experience as healthy and comfortable as possible.

A doula can be a helpful addition to your ob-gyn team, but it’s important to understand what a doula can — and can’t — do to enhance your birthing experience.

What Doulas Do: Understanding a Doula’s Role

Unlike doctors and certified nurse-midwives who must have advanced medical training, doulas are not required to receive medical training, nor do they perform medical tasks. Doulas do not perform clinical exams or deliver babies — but they can be very helpful to the mother while she is delivering.

For example, the doula cannot administer pain medication, but she can apply pain management techniques — such as counterpressure, massage, and warm blankets — that may allow the mother to labor without or with less medication. Or she may recommend a different birthing position to help move the labor along or make the mother more comfortable.

The doula may also serve as the birth couple’s advocate in the birthing suite—controlling who they want to allow into the room and offering encouragement, reassurance, and physical and emotional support throughout the delivery.

Doulas also can provide support for other reproductive experiences, such as miscarriages, stillbirths, or abortions.

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Doula Training

Typically, birth doulas need about 10 to 12 hours of childbirth education and 16 hours of birth doula training, and must attend at least two to five births. Birth doulas can assist in the birthing process at home births, in hospital settings, or at birthing centers.

Postpartum doulas usually need about 27 hours of postpartum doula education and must assist two or more women with postpartum support. Postpartum doulas have all of the necessary clearances and training to provide infant care and lactation support. Most doulas are certified and have passed exams.

The Difference Between Doulas and Midwives

While both midwives and doulas assist in the birthing process, there is one big difference between them:

  • Midwives are trained to provide medical care for mothers during pregnancy, birth, and the immediate postpartum period.
  • Doulas provide non-medical comfort and support for mothers and families during that same timeframe.

Because their skills complement each other, midwives and doulas work well together in the birthing suite, and it is not unusual for clients to use the services of both professions.

Visit Our OB Resource Guide from UPMC Magee-Womens Hospital

How a Doula Can Help

There are many benefits to using a doula, but one of the biggest is having a trusted person looking out for your welfare throughout an emotionally and physically intense experience. Here are some other ways a doula can help:

  • Before the baby is born — Pregnancy brings many questions, especially when it’s your first baby. You might call your doula for advice and to answer questions during your pregnancy. Your doula can tell you what issues are normal and counsel you on when to contact your midwife or doctor. Doulas are especially helpful if you are put on bed rest to prevent preterm labor.
  • During labor — Your doula can help suggest positions to help move your labor along or make you more comfortable. She can give your partner a break from childbirth coaching and be a welcome and constant source of guidance and support between medical team visits during a long labor.
  • After the birth — The postpartum period is a time of many adjustments for you, your family, and your new baby. The doula can help you with:
    • Feeding support
    • Breastfeeding support
    • Meal prep
    • Household tasks
    • Newborn care
    • Sleep and self-care

Benefits of Doulas for Pregnancy and Childbirth

Research has found that doulas have a positive effect on the birth experience over and above just making it more comfortable for the mother. Studies have shown that mothers who use birth doula services:

  • Have fewer medical interventions.
  • Have lower incidence of C-sections and forceps deliveries.
  • Require less pain medication.
  • Request fewer epidurals.
  • Try breastfeeding more readily.
  • Feel a higher degree of satisfaction with their birth experience.

Mothers who used postpartum doulas were more likely to:

  • Attend their well-baby appointments.
  • Have longer breastfeeding durations.
  • Bond better with their babies.
  • Have lower rates of postpartum depression.

Editor's Note: This video was originally published on , and was last reviewed on .

https://www.nytimes.com/2020/04/15/parenting/pregnancy/doula.html

https://www.npr.org/sections/babyproject/2011/07/14/137827923/doulas-exploring-a-tradition-of-support

About UPMC Magee-Womens

Built upon our flagship, UPMC Magee-Womens Hospital in Pittsburgh, and its century-plus history of providing high-quality medical care for people at all stages of life, UPMC Magee-Womens is nationally renowned for its outstanding care for women and their families.

Our Magee-Womens network – from women’s imaging centers and specialty care to outpatient and hospital-based services – provides care throughout Pennsylvania, so the help you need is always close to home. More than 25,000 babies are born at our network hospitals each year, with 10,000 of those babies born at UPMC Magee in Pittsburgh, home to one of the largest NICUs in the country. The Department of Health and Human Services recognizes Magee in Pittsburgh as a National Center of Excellence in Women’s Health; U.S. News & World Report ranks Magee nationally in gynecology. The Magee-Womens Research Institute was the first and is the largest research institute in the U.S. devoted exclusively to women’s health and reproductive biology, with locations in Pittsburgh and Erie.