The doula is an old concept of a support person for a woman in labor. The word doula is ancient Greek for "woman care giver" - this was usually the most favored female servant in the ancient Greek household and the servant most likely to accompany the lady of the house during birth.

Today, doulas are women experienced in childbirth, who provide continuous physical, emotional and informational support to women. Trainings may be affiliated with DONA, the Doulas of North America. One of the founders of DONA, Dr. Marshall Klaus describes the combined results of six randomized trials of 1500 women, comparing groups of women who had a doula with groups who did not. The results for women who had a doula present may include the following amazing results:

• a 50% reduction in the cesarean section rate
• a 25% reduction in length of labor
• a 40% reduction in the use of oxytocin
• a 30% reduction in the use of analgesics
• a 40% reduction in the use of forceps
• a 60% reduction in the request for epidural anesthesia

What do doulas do that produce such amazing results?
Many doulas are hired by clients early in their pregnancy, about the 5th or 6th month. They begin building a trusting relationship with the client and her coach. They may discuss a birthing plan or the doula may reinforce many concepts learned in childbirth class. The doula is also the familiar face in a sea of strangers when the clients are in labor and go to the hospital. There is a closeness and a trusting relationship that builds.

Doulas also are training in nonpharmacological methods of pain relief and labor enhancement. This means, that while they do no clinical tasks, they are skilled at massage, upright positioning, counterpressure techniques, and relaxation techniques. Their most valuable tools are their hands and their loving patience.

How do you hire a doula?
Check in your community to see if there are doulas practicing. You may see a brochure at your care provider's office or the childbirth education office at the local hospital may be able to refer you. If you still are unable to find a doula, e-mail the Doulas of North America for a referral.

How do you become a doula?
Perinatal Education Associates, Inc. offers DONA Interantional approved trainings. These trainings are the initial step in the certification process. E-mail Perinatal Education Associates, Inc. for a list of upcoming trainings.