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What Is A Doula?

The word "doula" comes from the ancient Greek term meaning "a woman
caregiver of another woman." A doula is a woman who has an education
and experience assisting women through the childbirth process. Doulas
provide emotional support and physical comfort measures during labor and
delivery. They will also help with positioning and movement which assists in
the descent of the baby and pain management for the mom.

Doulas pay special attention to the woman during labor and will not leave
them during this time. Doulas are also aware of the memories that a woman
will carry with her of the birth and promote a positive birth experience.

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What If I Already Have A Partner?

Partners are becoming more active in the process of labor and delivery than
ever before. They are often attending childbirth classes and are staying with
the laboring mom throughout labor and delivery.

However, even with the childbirth preparation classes and self education,
partners cannot be expected to become "labor experts" overnight. Once the
woman goes into labor, it can be just as scary and confusing for the partner
as it is for the mom. It takes experience to feel comfortable assisting a
woman through childbirth.

The experience and knowledge that a doula brings, frees the partner from
being the sole support to the woman. The partner is then able to nurture the
mom and participate at their own comfort level. The doula will adapt her role
to whatever is needed. Partners who want to be the primary "birth coaches"
are encouraged to do so. The doula will take a secondary role. If, on the other
hand, the partner would rather take a more emotionally supportive position,
the doula can be the main labor assistant. The doula will support the laboring
woman as well as the partner, not replace the partner.

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What Are The Benefits of Using A Doula

Research done in Houston, TX of first-time moms showed dramatic medical
benefits to having doula support during labor and delivery:

bulletCesarean section rates dropped by about 50%
bulletLabors were shortened by an average of 25%
bulletRequests for pain medications were reduced by approximately 40%
bulletRequests for epidurals were reduced by an average of 60%
bulletThe need for oxytocin (Pitocin) augmentation was reduced by over 50%
bulletThe percentage of babies who remained in the hospital over 48 hours
was reduced from 24% to 10% (possibly due to the reduction in
maternal fevers during labor which might be related to the use
of epidurals).

** Source: JAMA, May 1, 1991 -- Vol 265, No. 17:
"Emotional Support During Labor -- Kennell et al"**

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Last modified: October 09, 2003