But seriously, what does a labor doula DO?
Have you asked what a doula is, and felt like the response was really…broad? “A birth professional who provides educational, emotional, and physical support before, during, and shortly after labor”. Doesn’t that sound great‽ It might…or maybe it sounds like a nice idea that is hard to really picture.
“Broad” or “vague” is a totally reasonable response to this. Doulas are generalists. Even when we specialize in something, there are always more advanced professionals we refer to in complex cases. Generalists are awesome; they stay by your side and lead you to solutions across many topics. But it can be hard to show the value of generalists (and doulas) in a sound bite.
So here is a list of examples of ways your doula might support you. Each of these represents a different area of support. There are endless examples available in any one of these line items. I hope this helps make the idea of a doula more concrete.
A labor doula can help you… (for example)
Review options: At the 34 week prenatal appointment your doctor mentioned an induction if you don't give birth by 41 weeks. You want to talk it out with someone, so you call me, your doula!
Prepare your birth plan: You know all your preferences but aren't sure how detailed your written birth plan should be, so you share it with me for input.
Monitor labor signs: Are those real contractions or Braxton Hicks? You text me and we figure it out together.
Advocate for yourself: You've told me you don't want any necessary vaginal exams, but in the hospital the nurse comes in, lifts the sheet and says "time to check your dilation". You look at me...not sure what to do. I look at you and say (loudly) "Do you have any questions before the nurse checks your dilation?"
Evaluate options: Your OB suggests breaking your water to help labor progress. You know you have questions but can't figure out what to ask. I help walk you through the "B.R.A.I.N" discussion process to help you make an informed decision.
With comfort care: Contractions are becoming really intense and you're starting to panic. I show your birth partner how to provide counter-pressure to your sacrum and I lead you through some focused breathing. Between contractions I massage your feet.
Your partner: You are starting to make some deep guttural sounds during your contractions. Your partner looks at me with a little panic. I gently let them know this is totally normal and you're doing exactly the right things. I also remind them to eat a snack.
Honor changes: Something doesn't go according to plan and your birth needs to include something you really wanted to avoid. I create space for you to process and grieve. We talk about how you did everything possible and this is not your fault. I affirm you made the right decision and remind you many healthy babies are born like this.
Find credible referrals: A few days after you get home from the hospital I come by to check on you. I make you a cup of tea. During our chat you tell me about something you're struggling with. I introduce you to a birth professional in the area that can help.
Peace & Love,
Laney
