Doulas - Frequently Asked Questions

What is a Doula?
The word "doula" (pronounced DOO-la) comes from the ancient Greek and referred to the most favored female servant in the ancient Greek household. Today, doula refers to a trained and experienced woman who provides continuous physical, emotional, and informational support to a woman before, during, and immediately following childbirth.

If a woman has here partner there, why does she need a doula?
The doula may be the only person besides the partner present entirely for the emotional support of the woman. The clinical caregivers (doctor, nurses, midwive) 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 she will play, whether she is to serve as primary or secondary support. She can help enhance the experience by offering reassurance 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?
The doula should familarize herself with your wishes for your birth. She should help you understand your options regarding medications, procedures, etc. 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 moms 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!

Should I tip my doula?
Tipping is not required, or even expected, but if you feel that your doula has earned a tip, please don't hesitate to offer one.

What kind of training is involved in becoming a doula?
Training varies little between certifying agencies. The largest, DONA (Doulas of North America), requires a 2 day workshop, required readings, and attendance at 3 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, refer to this list, provided by DONA (Doulas of North America). 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.