The Evidence

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A doula is a trained professional who provides continuous physical, emotional, and informational support during pregnancy, childbirth, and postpartum. Doulas focus on non-clinical care, offering personalized attention that enhances patient outcomes and experiences.

Research shows that doula support reduces cesarean rates by about 2/5, shortens labor by 1/4, and decreases the need for pain medication. Patients report higher satisfaction and feel more empowered during birth with doula involvement. The American College of Obstetricians and Gynecologists (ACOG) endorses continuous doula support, recognizing its role in improving labor and delivery outcomes.

Doctors can support their patients by understanding the doula’s role as a collaborative, non-medical partner who advocates for patient preferences, provides comfort measures, and facilitates communication within the care team. For referrals or more information, contact the Kansas Doula Alliance.

Frequently Asked Questions

You or your medical provider may have questions, you are more than welcome to use these answers to inspire your discussion and educate those around you on the benefits of including a doula in your birth journey.

How does doula support benefit clinical outcomes?

Research shows that doula support is associated with:
Reduced cesarean rates (by about 2/5).
Shortened labor duration (by 1/4).
Decreased use of pain medication.
Improved patient satisfaction and empowerment.
These outcomes contribute to better overall experiences for birthing individuals.

How does a doula’s role differ from that of a nurse or midwife?

Doulas do not provide medical care, administer medications, or perform clinical assessments. Instead, they focus on providing continuous emotional support, comfort measures, and education to help the birthing person navigate their experience. Nurses and midwives perform clinical duties, while doulas complement this care with non-medical support.

Can having a doula complicate the medical team’s work?

No. Doulas are trained to work collaboratively with medical teams, respecting the boundaries of clinical care. Their role is to advocate for the patient’s preferences, which can actually enhance communication between the patient and healthcare providers.

How can doulas support pain management strategies?

Doulas are skilled in non-pharmacological pain relief techniques, such as:
Massage and counter-pressure.
Breathing exercises.
Position changes and mobility.
Use of tools like birthing balls and warm compresses.
These methods can complement medical pain relief options and reduce the need for interventions.

What kind of training do doulas have?

Doulas undergo specialized training through certified organizations such as Kansas Birth Justice Society, DONA International, CAPPA, or similar entities. Training typically includes childbirth education, communication skills, and comfort techniques. Some doulas may have additional certifications in areas like lactation support or trauma-informed care.

Does doula support extend to postpartum care?

Yes. Postpartum doulas help new parents with:
Emotional support and adjustment to parenthood.
Breastfeeding guidance.
Infant care tips.
Household assistance during recovery.

Are doulas only for natural or unmedicated births?

No. Doulas support all types of births, including medicated births, cesarean deliveries, and high-risk pregnancies. Their role is to help individuals feel informed, empowered, and supported, regardless of the type of birth.

How can doctors and doulas collaborate effectively?

Doctors can: Foster open communication with doulas to understand their role.
Recognize that doulas act as patient advocates and provide emotional care.
Encourage patients to include doulas in birth planning discussions.

Where can I refer patients who are interested in doula services?

Direct patients to local organizations, such as the Kansas Doula Alliance

For more information

Email our community organizer at Alex@ksbirthjustice.org or visit https://ksdoulaalliance.org/