A doula provides emotional, physical, and informational support before, during, and after childbirth. Research consistently shows that having a doula present during labor leads to better experiences and improved outcomes for both the birthing individual and baby. Below are some of the key reasons why doulas are highly recommended.
1. Shorter Labor
While some may believe doulas dramatically reduce labor time, the reality is more nuanced—but still significant. A systematic review of 26 studies found that people who received continuous labor support, such as that provided by a doula, experienced an average 25% reduction in labor duration (Bohren et al., 2017). The presence of a doula is also associated with fewer medical interventions, which may contribute to a smoother and more efficient labor process.
2. Continuous, Uninterrupted Support
Unlike clinical staff, who often change shifts, or partners, who may need rest or breaks, doulas offer uninterrupted support throughout the entire labor and birth experience. This continuous presence is one of the key reasons for lower levels of stress and anxiety among those in labor (Dekker, 2019). A doula remains by your side, adapting to your needs in real time.
3. Hands-On Comfort and Physical Support
Doulas are trained in a variety of non-pharmacologic comfort techniques, including:
- Counterpressure and back massage
- Gentle foot or hand massage
- Labor positions to encourage progression
- Encouragement of hydration and nutrition
- Helping create a calming birth environment
This extra support allows the birthing partner to focus on providing emotional reassurance, making the experience more intimate and collaborative.
4. Reduced Need for Pain Medication
Doulas help reduce the likelihood of needing pain medications and interventions by offering natural coping techniques, such as:
- Breathing and visualization strategies
- Massage and acupressure
- Position changes to relieve discomfort
- Emotional coaching and reassurance
In an early but influential study, only 8% of participants who had a doula used an epidural, compared to 55% of those without a doula (Klaus et al., 1993). More recent studies support these findings, showing that people supported by doulas are less likely to require epidurals, Pitocin, or cesarean delivery (Bohren et al., 2017). These reductions often lead to improved postpartum recovery and easier bonding with the baby.
5. Informational Support Throughout Pregnancy and Birth
Doulas are trained to support a wide range of birth experiences, from unmedicated vaginal births to cesarean sections and medically complex deliveries. While doulas do not provide clinical care or medical advice, they offer:
- Explanations of procedures in clear, easy-to-understand language
- Guidance on exploring birth options and interventions
- Referrals to trusted sources and professionals
- Ongoing support for informed decision-making
This informational role empowers parents to make choices that align with their values and birth preferences.
Still Unsure About Hiring a Doula?
If you’re unsure whether a doula is right for you, talk to someone who has had a doula-supported birth. Hearing about their experience can offer valuable insight and help you decide what kind of support would benefit you most.
References
Bohren, M. A., Hofmeyr, G. J., Sakala, C., Fukuzawa, R. K., & Cuthbert, A. (2017). Continuous support for women during childbirth. Cochrane Database of Systematic Reviews, 7, CD003766. https://doi.org/10.1002/14651858.CD003766.pub6
Dekker, R. (2019). Evidence on: Doulas. Evidence Based Birth. https://evidencebasedbirth.com
Klaus, M. H., Kennell, J. H., & Klaus, P. H. (1993). Mothering the mother: How a doula can help you have a shorter, easier, and healthier birth. Addison-Wesley.
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