You’ve got your hospital bag packed, your birth plan ready, and you’re feeling as prepared as you can be for your baby’s arrival. But have you considered adding a labor doula to your birth team? Before you dismiss the idea, thinking, “I’ve already got my partner and the hospital staff, do I really need another person?” let’s dive into why a labor doula might just be the secret ingredient to your ideal hospital birth experience.
What Exactly Does a Labor Doula Do?
Think of a labor doula as your personal birth cheerleader, advocate, and support system all rolled into one. During labor, they’re there to:
- Provide continuous emotional support for you AND your partner (because let’s face it, labor can be intense for everyone involved!)
- Offer physical comfort measures like massage, position suggestions, and breathing techniques to make labor easier
- Help you understand the birth process, and explain your options so you can make well-informed decisions along the way
- Communicate your wishes to the medical staff and make sure everyone is on the same page as to what you want
- Support your partner so they can better support you
But a doula’s role starts long before labor begins. They can help you prepare for birth, answer questions, and even assist in creating a birth plan that aligns with your wishes.
But Are Doulas Worth the Money?
Short answer? Absolutely. Long answer? Let’s break it down:
- Reduced chance of a C-section (by up to 39%!)
- Lower rates of interventions like epidurals and Pitocin
- Decrease in the risk of being dissatisfied with the birth experience
- Higher rates of successful breastfeeding
- Decreased postpartum depression [source: Evidence Based Birth]
When you consider the potential long-term benefits, both physically and emotionally, the cost of a doula starts to look like a pretty smart investment. Plus, many doulas offer payment plans or sliding scale fees to make their services more accessible.
Doula vs. Midwife: What’s the Difference?
While both are valuable members of your birth team, they play different roles. Midwives are medical professionals who can catch babies during delivery and provide prenatal care. Doulas, on the other hand, offer non-medical support before, during, and after birth.
Think of it this way: your midwife or OB is there to ensure a safe delivery, while your doula is there to support you through the process. They work together to form the perfect birth team, each with their own unique and important role.
(If you’re in the process of looking for an OB or Midwife, check out my blog post for the best questions to ask during the interview process to make sure they’re the right provider for you!)
How is a Doula Helpful During a Hospital Birth?
I hear all the time that people assume doulas are really only for home births. Quite the contrary! I would even dare to say that doulas are most beneficial for births in a hospital setting. Hospital births can sometimes feel a bit impersonal or overwhelming. Your doula can:
- Help create a calm, positive environment in your hospital room and hold that space for you no matter who comes in the room
- Remind you of your birth preferences when things get intense and help communicate those wishes with the nurses and doctors
- Provide continuity of care (unlike hospital staff who work in shifts)
- Offer evidence-based information to help you make informed decisions
- Be an extra set of hands for both you and your partner
Having a doula doesn’t mean you don’t trust your medical team. Instead, it means you’re adding another layer of support to ensure you have the best possible experience.
What a Labor Doula Won’t Do
To set realistic expectations, it’s important to know that a doula:
- Doesn’t perform clinical tasks like cervical checks or fetal monitoring
- Won’t make decisions for you or speak to the staff on your behalf without your permission
- Isn’t there to replace your partner’s role, but rather to enhance it
A doula’s role is to support and empower you, not to take over or make choices for you. They’re there to help you have the birth experience you want, whatever that looks like for you.
The Numbers Don’t Lie: Doulas Improve Birth Outcomes
Let’s talk stats for a moment. In a 2017 updated Cochran review, it showed that with the support of a doula, there was:
- 10% decrease in the use of pain medications like an epidural
- Up to 39% decrease in the risk of C-section
- 8% increase in the likelihood of a spontaneous vaginal birth
- 38% decrease in the baby’s risk of a low five-minute Apgar score
- 31% decrease in the risk of being dissatisfied with the birth experience [source: Evidence Based Birth]
These numbers paint a pretty compelling picture, don’t they? But remember, statistics are just part of the story. The real value of a doula comes from the personalized support they provide.
Finding the Right Doula for You
With so many doulas out there, how can you find the right fit for you? Birth is the most intimate, personal experience and you should only allow the presence of people who make you feel 100% comfortable.
If you’re considering hiring a doula, here are a few tips:
- Interview several doulas to find the right fit
- Ask about their training and experience
- Discuss their philosophy on birth and make sure it aligns with yours
- Consider your partner’s comfort level – a good doula will support both of you
Check out my blog post “10 Questions to Ask When Interviewing a Doula” to see my favorite questions that will give you a well-rounded image of the doula you’re interviewing. It’s important that they align with your birth plan and ideals, and that you’re hiring someone you feel confident in their abilities to support you in the ways you’ll need.
Remember, the right doula for you is someone you trust to support you during one of life’s most transformative experiences. Every birth is unique, and there’s no one-size-fits-all approach. But if you’re looking for ways to potentially improve your hospital birth experience and outcomes, hiring a labor doula is definitely worth considering. After all, who couldn’t use an extra dose of support, knowledge, and advocacy during such an important moment?
So, as you’re packing that hospital bag and finalizing your birth plan, why not consider adding a doula to your birth team? It might just be the best decision you make for your birth experience.
To read more about my labor doula services or get referrals to doulas in your area, check out my website and reach out anytime!
Denise Curtis
Denise is a Certified Labor & Postpartum Doula, Childbirth Educator, and Lactation Educator based in Los Angeles, CA. She has helped thousands of families prepare for pregnancy, birth, postpartum, baby feeding, and infant care.

