Twenty Great Reasons to Have A Doula

1.    The benefit of uninterrupted personal care
2.    Fewer cesarean sections, by up to 50%
3.    Shorter labors by up to 25%
4.    Fewer requests for epidurals by up to 60%
5.    Fewer requests for IV pain killers by up to 40%
6.    Pitocin augmentation reduction by 30%
7.    Need for forceps reduced by 40%
8.    Reduced maternal fevers
9.    Reduced pain at 24 hours postpartum
10.    Reduced postpartum hemorrhage
11.    Greater success with breast feeding
12.    Greater satisfaction with the birth process, the hospital, and staff
13.    Greater satisfaction with their partner
14.    Better bonding with the baby immediately after birth
15.    More affectionate interactions with baby
16.    Shorter hospital stays for the baby
17.    Fewer admissions to the neonatal intensive care unit
18.    Decreased incidence of postpartum depression
19.    Decreased health problems with the infant at six weeks
20.    Dramatically reduced medical costs

    Why not just have a friend or relative act as your doula?  This is a valid question, and has been explored by medical researchers recently.  The question is posed, looking for a reason as to why the professional doula would be needed on the obstetrical team.  Surprisingly, there are two solid and scientific reasons why doula care exceeds the benefits of acquaintance care at the birth.

1.    Although the presence of the family and friends at the birth was shown to be valued, the outcome of the birth was unaffected.2  
2.    Nurses were shown to have a positive effect for the mother, however the uninterrupted doula quality support given by nurses was reluctantly rare or non-existent.3

It is true that having a doula with you and your partner during delivery can enhance your experience greatly, as research has firmly shown.  You may enjoy even greater benefit if the personality of the doula is a good match with yours.  A recent
Study4 has suggested that the selection of a compatible supporter is an important aspect of receiving the maximum benefit from doula care.  
    Because personalities and beliefs of each person are different, it is important to interview several doula candidates to ensure the best match.  There are many approaches to doula care, and it is important to understand them so that you can ask the doula how she performs her duties during the interview.  In an attempt to outline the various styles, the nuances of the profession have been separated into different categories for you and your doula to examine.  
You can learn about each style so that you will have an idea of what you are looking for before the first visit, and she can describe to you which of these styles fit her the most accurately.  Keep in mind, each doula is unique and she may oscillate from one characteristic to another depending on the circumstances of the birth.  Additionally, the best doula is the one who can adapt to the needs of her client, and adopt them as her own for the duration of that birth.  You can use the following form with various styles during the interviewing process with your doula to determine if she is the best match for you.