A birth doula is a person trained and experienced in childbirth who provides continuous physical, emotional and informational support to the mother before, during and just after childbirth.
The word “doula” comes from ancient Greek, meaning “Woman’s servant.” Throughout history and in much of the world today, a cadre of women support a woman through labor and birth, giving back rubs and providing continuous emotional support. Like their historical counterparts, DONA International birth doulas know how to help a woman in labor feel better. However, today’s doulas are much more diverse than their predecessors. DONA International membership includes men and women from a wide range of ages and cultural backgrounds.
Numerous clinical studies have found that a doula’s presence at birth:
tends to result in shorter labors with fewer complications
reduces negative feelings about one’s childbirth experience
reduces the need for pitocin (a labor-inducing drug), forceps or vacuum extraction
reduces the requests for pain medication and epidurals, as well as the incidence of cesareans
When a doula is present during and after childbirth, women report greater satisfaction with their birth experience, make more positive assessments of their babies, have fewer cesareans and requests for medical intervention, and less postpartum depression.
Studies have shown that babies born with doulas present tend to have shorter hospital stays with fewer admissions to special care nurseries, breastfeed more easily and have more affectionate mothers in the postpartum period.
Everyone calculates their fees differently. However, in general, factors include number of births attended, certifications, and qualifications, hours spent with client (which can be as much as 24), business expenses, childcare expenses, travel expenses, and continuing education courses.
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