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The use of a doula for child birth is becoming increasingly popular! It should be. Research has shown time and again that mothers benefit from doula-supported births in many ways.
Today let’s chat about…
- My experience with a doula
- What exactly a doula does
- How doulas help your partner
- What the research says about the mother’s health and birth experience when a doula is involved
- Where you can find one
PREGNANCY DURING COVID
First, let’s back up. I was about 5 months pregnant in the thick of the COVID-19 pandemic… when it first started, when it was entirely unknown. Suddenly, my local hospital was no longer offering labor and delivery classes due to prevention measures surrounding social distancing and inability to host groups. Instead, we were told to sign-out a clear plastic tub full of hospital paraphernalia such as a fake baby doll, swaddle blanket, a DVD that explained the stages of labor, a DVD that briefly talked about breast feeding, forceps, and a vacuum. We were instructed to call if we had any questions about what to expect.
If you know me then you know I am a very organized and prepared person. I was mortified.
I had fully expected an in-person class with labor and delivery hospital staff to talk to me about all of the birth things and help me get ready for my first baby. Instead I had a box of random items and Google.
One day we were in one of our favorite baby shops when we discovered that the store had a list of classes, among them a labor and delivery class. We promptly signed up. I was absolutely thrilled to have found a real labor and delivery class, and I waited excitedly for months until it was time to attend.
The class was taught by Tara Nichols at Colorado Baby in Grand Junction, CO. It was 3 hours long on a Saturday morning, and I was enraptured with her approach to labor and delivery, how she incorporated the mother’s partners into the birth plan, and her overall passion for helping mothers plan for the most epic moment of their lives. We didn’t know she was a doula until the end of the day when I noticed her water cup had “doula” written on it. She was warm, kind, knowledgeable, and I had never heard anyone talk about the birth experience the way that she did.
It was more than just the stages of labor and hospital expectations. It was more than dilation numbers and statistics. It was about the mother as an individual person, the involvement of her partner in the process and specifically what one could expect emotionally, mentally, spiritually, and physically. It was revolutionary.
I asked her immediately after class if she would be my doula. Fortunately, she was available for our due date, and the rest is history.
WHAT IS A DOULA
A doula is a person who is professionally trained to work with mothers throughout their whole experience of pregnancy, birth, and postpartum. They are knowledgeable about the birth process and act as an advocate for the mother. Your doula represents you and your wishes… not the hospital or birthing center, not your mother, not even your partner. Your doula is present for you.
Mothers benefit from doula-supported births, because doulas are able to help provide support and guidance for the mothers and their partners during the birth experience. Typically, they are very familiar with the birth process, and the many ways that can look different depending on how the mother’s labor is progressing.
When the mother and her partner are faced with decisions that need to be made either to progress their birth or regarding the involvement of medical decisions for procedures, a doula is able help interpret what those options mean, how they will affect the birth, and support the mother and her partner in those decision-making processes. A doula is able to bridge the gap of communication between the mother and her healthcare team.
In the heat of the moment, when the mother is the most vulnerable she can be as she labors to bring her baby earth-side, the presence of a doula can be incredibly helpful. Often times, you will hear partners state that they “didn’t know what to do to help” or “I just stayed out of the way.” Keep reading below to see how a doula may help involve your partner.
PARTNER SUPPORT
A doula will act as an advocate for the mother, and in that way they also support the whole family as well. One of the most influential and epic ways that we were assisted by our doula, Tara, was her involvement of Eric. I felt like my heart would explode in the labor and delivery class where we first met her as she addressed all of the mothers’ partners in the room and explained the importance of their presence.
While we often hear that babies recognize and know the voice and smells of their mothers, our doula emphasizes that the babies also know the voice and presence of the mother’s partner. She describes all of the ways that a partner can help the mother while she labors tirelessly, and how that person can be the protector of the mother’s environment and supporter of the mother’s wishes.
The mother’s partner plays a tremendous role in the birth experience. A doula will be able to help your partner know how to help you in the crucial moments of labor. She is a safe place for your partner to go to with questions, and she is always available. While your partner flounders for what to do as the mother struggles, the doula is the calm and reliable source of information and can instruct your partner on how to help the mother manage her pain naturally, interpret where she is emotionally, act as a sounding board when the couple needs help with decision-making, and more.
In this way, again mothers benefit from doula-supported births because of the ways in which they support the mother’s partner as well.
Some of the ways that a partner can and should support the mother include:
- Participating in developing the birth plan so that he/she can manage and maintain that as appropriate
- Assisting with pain management techniques
- Protecting the birth environment
- Staying calm and helping the mother regulate her calm and peace
- Representing encouragement and support with positive affirmations
- Massage
- Physically support her during the pushing stage by applying cool compresses to her forehead, words of encouragement, and holding her body as needed
WHAT THE RESEARCH SAYS
Doulas are becoming more and more important in recent years. In fact, the World Health Organization actually recognizes and recommends that mothers give birth with the support of doula for best outcomes.
It was revolutionary when researchers began studying the impact that doulas have on the birth experience for mothers. It is clear now that doulas provide unique services to mothers during child birth that has a positive impact on the mothers, their partners, and their babies. Mothers benefit from doula-supported births.
While doctors and nurses are certainly there to help delivery the baby, often times they are in and out of the room during the majority of the labor process. Many women won’t actually see their doctor until it’s time to push. Especially for women giving birth in a hospital, nurses and doctors are often busy managing other tasks and interventions related to the birth, that they are unable to provide sufficient support for the mother and her partner. This is why a doula is so important! A doula is wholly present for the mother for the duration of labor and delivery, supporting her emotionally and physically.
According to the research…
- Women have a lower chance of needing to have a c-section when they have a doula on their birth team. Specifically, one study cites 40% decrease in the odds of a mother needing a c-section if she is supported by a doula during her birth experience.
- Women have improved outcomes with their birth experience such as shorter labor times, lower rates of c-section, lower rates of the use of a vaginal instrument, lower rates of analgesia, less negative feelings about child birth, and higher rates of vaginal births.
- Babies have improved Apgar scores, and mothers report improved bonding experiences with their babies when supported by doulas during birth.
- Women who have doulas for birth companions are significantly more likely to initiate breastfeeding than women who do not.
- Mothers who have doulas involved in the postpartum period have increased likelihood of still breastfeeding 6 weeks later.
IS A DOULA THE SAME THING AS A MIDWIFE?
Nope! A doula and a midwife are different, and it is common to have both on a birth team.
A doula focuses mainly on supporting the mother during her birth process, and a doula does not provide medical interventions such as exams, checking dilation, fetal monitoring, etc. But a doula is able to empower the mother during her birth experience to be supported and help implement physical and emotional support for the mother and her partner.
A midwife has medical training to implement medical interventions as deemed appropriate and is able to deliver babies. They are considered healthcare professionals, and they have a formal education.
WHERE YOU CAN FIND A DOULA
Head over to Dona International and search their database to find a doula near you!
Related articles:
Read my post all about The Fourth Trimester to prepare for your upcoming birth experience!
Read my post that covers Helpful Breastfeeding Tips to prepare for your breastfeeding journey!
I think this is a post every woman needs to read! I loved the research statistics.
Thank you so much!!!
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