Women need the constant support of experienced women when they give birth. Studies have shown that simply having a calm, present woman sitting in the room while labor is happening will reduce the need for interventions and unplanned medical procedures. A doula can be that calm, present woman, and she is trained to provide emotional support for a women experiencing fear, discouragement, and fatigue. Doulas also provide physical support, in the forms of massage, breathing practices, suggestions for change of position, and many other helpful techniques to help mamas relax and release to the flow of birth energy.
Many couples have experienced discomfort at having a doula present, as she may not be a close friend. There is a sense that perhaps the nurses will provide the needed female support. Nurses are indeed wonderful and helpful, but unfortunately, they have many people to care for at once, are in charge of taking diligent notes and may have little experience with natural birth. Some nurses feel more comfortable administering drugs than foot massage. Your doctor will most likely communicate with the hospital staff by telephone until the birth is imminent, unless there is some complication.
A doula will meet with you ahead of time to get to know who you are and what you are comfortable with. She will discuss your fears and plans with you, and she will come to your home when labor begins to help you decide when to go to the hospital. She will remain by your side, offering words of encouragement, suggestions for your partner, loving touch, and whatever you might need.
Some hospitals, like The Ashland Community Hospital in Ashland, OR, provide doulas for their patients upon request, free of charge. Even though she may not be a familiar face when she arrives, the hospital doula provides excellent support and is your friend, advocate and wonderful, calm presence.
These are some statistics for birth with a doula present:
- 50% reduction in the cesarean rate
- 25% shorter labor
- 60% reduction in epidural requests
- 40% reduction in oxytocin use
- 30% reduction in analgesia use
- 40% reduction in forceps delivery
Information was obtained from Mothering the Mother: How a Doula Can HelpYou Have a Shorter Easier and Healthier Birth, Klaus, Kennell, and Klaus (1993).