WHAT CAN A DOULA DO FOR YOU? Controlled trials involving 1000 women demonstrate that the presence of a doula results in.... * 50% decrease in cesarean sections * 25% decrease in the length of labor * 30% decrease in the use of forcepts/vacuum extractors * 40% decrease in oxytocin * 60% decrease in epidurals * 30% decrease in pain narcotics. In addition, long term benefits of labor support include; *Improved breastfeeding *Decreased postpartum depression *Greater maternal satisfaction *Better mother-infant interaction

A doula... * Recognizes birth as a key life experience that the mother will remember all her life... * Understands the physiology of birth and the emotional needs of a woman in labor... * Assists the woman and her partner in preparing for and carrying out their plans for the birth... * Stays by the side of the laboring woman throughout the entire labor... * Provides emotional support, physical comfort measures, an objective viewpoint and assistance to the woman in getting the information she needs to make good decisions... * Facilitates communication between the laboring woman, her partner and clinical careproviders... * Perceives her role as one who nutures and protects the woman's memory of her birth experience. The acceptance of doulas in maternity care is growing rapidly with the recognition of their important contribution to the improved physical outcomes and emotional well-being of mothers and infants.

A DOULA DOES.... *support the decisions of the expectant family. *offer constant encouragement. *remind mom to drink and empty bladder. *suggest appropriate positions. *suggest appropriate comfort measures (massage, showers, hot/cold packs, birth ball...) *support the partner. *possess technical knowledge. *act in an appropriate and professional manner throughout the entire birth process. A DOULA DOES NOT... *make decisions for the mom or partner. *argue with the hospital staff. *perform clinical tasks (such as heart tone checks or vaginal exams) *operate or touch medical equipment.