Frequently Asked Questions: DOULAS
What is a Doula?
The word "doula" (pronounced DOO-la) comes from the ancient Greek, and it referred to the most favored female servant in the ancient Greek household. Today, doula refers to a trained and experienced birth professional who provides continuous physical, emotional, and informational support to a woman before, during, and immediately following childbirth.
If a woman has her partner there, why does she need a doula?
The doula may be the only person besides the partner who is entirely devoted to the emotional support of the woman. The clinical caregivers (doctor, nurses, midwife) have other priorities that compete with the emotional care of the mother.
Will the doula "take over", displacing the partner and interfering with the couple's intimate experience?
The doula's role is not to replace the partner. The couple dictates what role their doula will play, whether she is to serve as primary or secondary support. Your doula can help enhance the birth experience by offering reassurance, perspective and providing the partner with a well deserved break.
Will the doula try to impose her beliefs about pain medication, natural childbirth, etc. on us?
No. Your doula should familiarize herself with your preferences for your birth. She should help you understand your options regarding medications and procedures so that you can make an informed decision regarding their use.
A friend recommended that I hire a doula, but I'm pretty sure I want pain medication. What good will a doula be for me?
Doulas can be valuable members of your birth support team regardless of the type of birth you are having. If you are planning on having pain medication or even a scheduled c-section, a doula can still be a calm, reassuring presence and help you and your partner understand the interventions and hospital procedures that all laboring women face, no matter what type of birth they are planning.
How much do doulas charge?
Doula fees vary according to training, affiliation, and experience. In most areas, doulas-in-training sometimes charge a nominal fee to cover their expenses. Some doulas offer sliding fee scales or payment plans to accommodate special situations. Every woman deserves a doula!
What kind of training is involved in becoming a doula?
The largest organization, DONA International, requires a 2-day workshop, required readings, and attendance at three births with evaluations by the mother, nurse, and doctor or midwife. In addition, attendance at a childbirth education series (not as a parent) and evaluation of the births as well as an extensive essay are required to apply for certification. Other certifying agencies such as CAPPA, ICEA, Birthing From Within, and ALACE have very similar requirements. Some doulas chose to forgo certification for a variety of reasons. It is important to select a doula you feel comfortable with regardless of training, experience, or certification.
What questions should I ask when hiring a doula?
For a sample list of questions, please refer to the list provided by DONA International. Additionally, you should ask questions that help you determine if the doula is a good match for you and can provide the support you desire for your labor.
Photography courtesy of Natural Element Photography
