A doula (sometimes referred to as a birth assistant) is someone who provides practical and emotional support to a woman or couple before, during and after their baby is born. Doulas are not the same as midwives. They are knowledgeable about female physiology; however, the services they provide are non-medical. Doulas often inform their clients about alternatives to mainstream prenatal care and options regarding childbirth, so that they can make informed decisions.

The following is a list of common tasks a doula performs:

• Doulas often meet with the woman (or the couple) a few times before childbirth
  
• During labour, the doula is there to support and care for the woman/couple, and may make suggestions regarding breathing techniques, relaxation, and/or positioning.
  
• When working with a couple, a doula may help the partner who is not pregnant to care for and support the pregnant woman by giving suggestions, providing encouragement, and ensuring that the partner is taking care of his/her self. A doula can help the partner to be more involved and more effective as a birthing partner or coach.
  
• A doula usually acts as an educator about labour and delivery.
  
• After childbirth the doula may work with the woman or couple to help her/them to adjust to having a new baby.

Why is there a need for doulas?

Before childbirth, some women find it helpful to have a doula so that they can learn more about pregnancy and the birthing process and ask questions where necessary. If the woman gives birth in a hospital, there are a few things to consider. The nurses are often very supportive during childbirth; however, it is likely that they will have other patients. They may be focused on the physical aspects of the birthing process as opposed to being an emotional support. They may change shifts throughout the course of the labour. As such, many women find that having a doula is helpful because the doula remains with them throughout the entire process. Having a doula available after the baby is born can also be helpful when the woman or couple has questions.

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