Specifically, the presence of a doula reduces
the overall cesarean rate by nearly 50%, length of labor by 25%,
oxytocin/pitocin use by 50%, pain medication by over 30%, the need for
forceps or vacuum extraction by 34%, and requests for epidurals by up
to 60%. Doula-attended mothers
also report less pain during labor and postpartum show significantly
less anxiety, fewer signs of depression,
and a higher level of self-esteem.
(Klaus, Kennell, and Klaus, The Doula Book)
A birth doula:
- Recognizes childbirth as a key experience the mother will remember all her life.
- Understands the physiology of birth and the emotional needs of a woman in labor.
- Assists the woman in preparing for and carrying out her plans for the birth.
- Stays with the woman throughout her labor.
- Provides emotional support, physical comfort measures, and
an objective viewpoint, as well as helping
the woman get the information she needs to make informed decisions.
- Facilitates communication between the laboring woman, her partner, and clinical care providers.
- Perceives her role as nurturing and protecting the woman's memory of the birth experience.
- Allows the woman's partner to participate at comfort level.


