Foundations of Doula Work

A doula is a non-clinical support person who attends a birthing family during the birth process, and may also provide support and informational services during pregnancy and in the early postpartum period.
A doula provides both physical and emotional support not only to the birthing client, but also to the partner or family members who are also present. This can include labor support techniques such as movements, positions, and non-pharmaceutical pain relief techniques, and may also include nurturing such as hydration, giving family members a break from labor support, helping the client with self-care, reassurance and encouragement, and much more.
A doula also provides unbiased informational support such as translating medical terms into lay terms, reminding the client of options and choices, encouraging the client to ask questions and be assertive about needs, emphasizing the importance of informed decision making within the comfort level of the client, and providing evidence based resources and appropriate referrals as needed or desired by the client.
Over twenty years of research focused on doula work has shown conclusively the effectiveness and benefit of doula care. outcomes are improved, risks to mother and baby are reduced, and multiple benefits to the entire family and even the birth team and birth site have been demonstrated.
From Purely Doula By Ana M. Hill
Cochrane Review on Doula Care

​A Cochrane review of 21 studies on doulas was released in 2011, including over 15,000 women in 15 different countries, representing many different settings and circumstances. Attendance by a doula is associated with:
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Significant increase in spontaneous vaginal birth
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Decrease in length oof labor
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Decrease in use of epidural or narcotics
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Decrease in cesareans
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Decrease in instrumental delivery
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Fewer babies with APGAR scores of 5 or less
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27% less likely to feel a loss of control in labor
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Significant decrease in dissatisfaction with the birth experience (which also means a decreased risk of suing the birth site or provider)​
Published in Purely Doula By Ana M. Hill​