Birth doulas make a difference.

The doula is emerging as a positive contribution to the care of women in labor. By attending to the woman’s emotional needs, some obstetric outcomes are improved. Just as importantly, the early mother-infant relationships and breastfeeding are enhanced. Women’s satisfaction with their birth experiences and even their self-esteem appears to improve when a doula has assisted them through childbirth.

Women cared for during labor by a birth doula, compared to those receiving usual care were:
- 26% less likely to give birth by cesarean section
- 41% less likely to give birth with a vacuum extractor or forceps
- 28% less likely to use any analgesia or anesthesia
- 33% less likely to be dissatisfied or negatively rate their birth experience
Results of 7 North American Trials of Labor Support including 2259 women from 1988-2000

The Birth Doula’s Contribution to Maternity Care 
Women have complex needs during labor & delivery. In addition to the safety of modern obstetrical care, and the love and companionship provided by their partners, women need consistent, continuous reassurance, comfort, encouragement and respect. They need individualized care based on their circumstances and preferences. The role of the birth doula encompasses the non-clinical aspects of care during childbirth.

Doulas specialize in non-medical skills and do not perform clinical tasks, such as vaginal exams or fetal heart rate monitoring.  Doulas do not diagnose medical conditions, offer second opinions, or give medical advice.  Most importantly, doulas do no make decisions for their clients; they do not project their own values and goals onto the laboring woman.

Goal of a Doula

The doula’s goal is to help the woman have a safe and satisfying childbirth as the woman defines it. When a doula is present, some women feel less need for pain medications, or may postpone them until later in labor; however, many women choose or need pharmacological pain relief. It is not the role of the doula to discourage the mother from her choices. The doula helps her become informed about various options, including the risks, benefits and accompanying precautions or interventions for safety. A labor doula can help maximize the benefits of pain medications while minimizing their undesirable side effects. The comfort and reassurance offered by the doula are beneficial regardless of the use of pain medications. (Taken from the Position papers on Birth Doulas from Dona International)

At the River Wellness Center we offer Birth Doula Services in Watertown NY and surrounding areas. Lori Arnot and Pamela Jones are currently accepting clients.  Call for rates and availability.