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About Birth Doula Care
A Doula’s primary
responsibility is to help her client have a positive
birth experience, however the mother defines it.
Research has shown that what contributes most to
creating a positive experience are continuous emotional,
physical, and educational support offered by a trained
Doula, or labour support person.
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"Only with trust, faith and
support can the woman allow the
birth experience to enlighten
and empower her."
-Claudia Lowe |
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A Birth Doula
accompanies a woman in labour, provides educational,
emotional and physical support, suggests comfort measures
for labour and provides support and suggestions for the
client’s partner. A Doula plays a crucial
role in helping the client’s partner become involved in the
birth to the
extent he/she feels comfortable.
A
Doula does not replace doctors, midwives, nurses or other
medical staff. The Doula does not perform clinical or
medical tasks such as taking blood pressure or temperature,
monitoring fetal heart rate, doing vaginal examinations or
providing postpartum clinical care. A Doula does not make
decisions for clients or intervene in their clinical care.
Emotional
Support
The encouragement,
assurance and constant presence of a Doula at a birth helps
a woman and her birth partner face their labour confidently.
With confidence comes the calm, relaxed acceptance that is needed for a
labour to progress normally and naturally. Studies have
shown that Doula-supported
labours tend to be shorter, have fewer complications and
require fewer medical interventions.
The birth partner,
who is often inexperienced in birth, also benefits from the
emotional support of a Doula. Partners take cues from a
Doula about how the labour is progressing, how the woman is
coping and how to encourage the labouring woman. With the
support of both her partner and her Doula, a woman feels
safe to do the work she must to bring her baby into the
world.
Physical
Support
A Doula provides
invaluable physical support in labour by offering
suggestions for positions to help a labour progress, comfort
measures to help manage pain and techniques to encourage
relaxation.

Research has shown that labouring women supported by Doulas
are less likely to require Oxytocin/Pitocin (or other labour
inducing and augmenting medications), forceps or vacuum
extractions and cesarean deliveries. By reducing the need
for medical interventions Doulas help women enjoy faster
recovery times and more positive outcomes for both mother
and baby.
Educational Support
Whenever possible, a
Doula provides her client and the client’s partner with
prenatal and post-partum educational support. This may
include explanation and discussion of care practices and
procedures as well as general information about the birth
process, breastfeeding and newborn care.
Helping women take charge of the medical care decisions that
need to be made creates feelings of empowerment and an
overall more positive birth experience. In cases where
medical interventions are necessary or desired by a
labouring woman, a Doula can help her consider the risks,
benefits and possible alternatives to those medical
interventions. A Doula, while not able to communicate with a
care provider on behalf of her clients, can help them get
answers to questions about their labour and birth.

Postpartum Doula Support
A Postpartum Doula
offers education, companionship and non-judgmental support
during the postpartum period. She assists with newborn care
and family adjustment. In her support she offers
evidence-based information on infant feeding, emotional and
physical recovery from birth, infant soothing and coping
skills for new parents. When needed, a postpartum Doula can
make appropriate referrals to community health and support
resources.
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