What Is a Doula? That’s Like a Midwife, Right?

When you are introduced to someone new, there are a topics that seem to come up. Are you married? Do you have kids? Where do you work? When I first became a doula, this last question gave me anxiety because I would say, “I am a doula,” and it would always be met with, “what is a doula?” or, “a doula? That’s like a midwife, right?” Now, I have been a doula many years. The questions are the same but I know what to say.

So what does a doula do? The best catch all description I have for doulas is, they are the MacGyver’s of the birth world.

During Pregnancy

During pregnancy doulas are like walking birth encyclopedias. We are available to answer questions, make suggestions to be more comfortable and recommend they call their care provider when needed. We offer clients access to our lending library. We meet with pregnant people and their birth partner prior to labor, to explore their birth preferences and create a birth plan if they want one. We might even practice relaxation and comfort measures.

At the end of the pregnancy, doulas are on call to attend the entire labor. She also comes for an unlimited amount of I might be in labors. Some labors last for a few hours. Some, last for a few days. Either way, she stays.

During Labor

During labor, she might have a really hands on role where she applies counter pressure, gives an foot rub, applies a cool cloth. She might have a less hands on role where she makes suggestions to the laboring woman’s partner, and refills water and brings ice. She might suggest labor positions. She might be a source of grounding and aid relaxation. Most likely, she is a combination. Doulas are often able to know exactly what is needed and make suggestions so that the person in labor can keep their focus where it is the most helpful.

She will provide gentle self care reminders to everyone, such as remembering to eat and staying hydrated. Doulas don’t only focus on the person in labor. They try to keep the needs of all present people in mind. At any given moment, I could be walking a hall; holding a hand; or talking through a necessary change to the birth plan.

She will also likely have her doula bag. It reminds me of a Mary Poppins bag. It seems to be bottomless and have anything in it you might need. However, even without her bag, most doulas are very resourceful. Common items in the hospital room can be used to provide comfort.

After Birth

After the baby is born, doulas can assist with feeding. They can take pictures. They can make suggestions to encourage mother baby bonding. If the baby needs taken from the room for any reason, the doula can remain with the mom so her partner is free to stay with the baby. They can also work as a translator of sorts. Medical terms to English.

Doulas typically remain in contact to answer questions after birth and often meet with the new family. During this time, she can also help with housework or cooking. She can hold the baby so the mom can shower and nap. She can lend an ear to any concerns the new mom has or frustrations she is experiencing.  She can troubleshoot breastfeeding issues. She knows when to refer to a doctor, lactation consultant, or counselor.

So, What is a Doula?

You have now heard what a doula does but what is a doula? A doula is a space holder. A doula is an unbiased supporter. They respect decisions. A doula is a source of information. A doula is a comforting presence and touch. A doula is a listener. They really listen to new moms.They make sure she knows her feelings and opinions are important. They boost her confidence so she shares her thoughts, feelings and opinions. They validate when things are hard. Sometimes they can make suggestions to make things easier. Sometimes all they can do is understand. Sometimes, that’s all that’s needed.

If you would like to discuss if one of our doulas is the right fit for your pregnancy, birth or postpartum, schedule your free consultation here. You can learn more about the evidence on doulas at births here. Check out our Facebook page.