For centuries, women have been depending on other women for support during childbirth. Historically the word “doula” was used to refer to the female servant to the childbearing woman. In the 21^st century, the word Doula has come to mean a trusted birthing companion who provides physical, emotional, information and often spiritual support to a woman before, during and just after childbirth. As a doula, you draw upon your knowledge and experience to help provide the information necessary for your client to make informed choices throughout the birth process. Understand that as doulas we are priviliged to be in attendance at one of the most sacred events in a woman's life. More important than your knowledge, you will use both your hands and your heart as the birth unfolds.

Generally a woman or couple employs the services of a doula during the last 6 weeks of pregnancy. During that time you should meet with the family at least twice to become acquainted, to explore and discuss priorities, fears, concerns and expectations surrounding the birth.

As a doula you will also discuss a woman’s thoughts around pain management (natural and pharmacological) and may help to prepare a birth plan. You will also discuss unexpected outcomes.

As a doula you will work with your client throughout the labour with comfort techniques such as massage, relaxation, positioning and encouragement. If a supporting partner or partners are present, it is important to support them as well. You can provide them with the knowledge, guidance and encouragement that they need to participate fully in the labour and birth. A partner has a very special and unique role. As doulas we are there to enhance that role, not take away from it.

Following the birth you will generally stay with the woman to make sure that she is settled and that early breastfeeding is established successfully (if possible).

A doula then generally returns for two more postnatal visits where she can discuss the labour, any postnatal questions and provide support as necessary.

It is important to note that doulas do not provide clinical tasks. This includes but is not exclusive to blood pressure checks, listening to fetal heart tones or providing vaginal exams. A doula does not diagnose or administer medications. Doulas are there to provide comfort and woman-to-woman support.

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