Why invest in a doula?

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Doulas play an important role in Agency. Agency is defined as the capacity of individuals to act or to make their own choices. Doulas helped their clients to understand their options and they facilitated communications with care providers, so that clients felt a sense of empowerment or ownership over their care. 

Doulas also contributed to feelings of personal security. When women felt scared by their care providers, they were comforted and reassured by their doulas. There was a consensus in the interviews that a doula’s presence facilitated greater respect and autonomy in decision-making. 

Doulas also played a critical role in transferring knowledge about the pregnancy and birth process. They connected clients with resources and “translated” information received from care providers during clinic visits. 

Finally, doulas helped women with connectedness so that they would not feel socially isolated. Many of the participants described stressful life situations and desired a doula with similar life experiences, someone who shared their culture and background.

• 25% decrease in the risk of Cesarean; the largest effect was seen with a doula (39% decrease)* 
• 8% increase in the likelihood of a spontaneous vaginal birth; the largest effect was seen with a doula (15% increase)* 
• 10% decrease in the use of any medications for pain relief; the type of person providing continuous support did not make a difference 
• 31% decrease in the risk of being dissatisfied with the birth experience; mothers’ risk of being dissatisfied with the birth experience was reduced with continuous support provided by a doula or someone in their social network (family or friend), but not hospital staff

https://evidencebasedbirth.com/the-evidence-for-doulas/ **