A birth doula:
- recognizes childbirth 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 birth plans.
- stays with the laboring mother from early labor through delivery and early postpartum.
- provides emotional support, comfort measures, an objective viewpoint and helps the woman get the information she needs to make good decisions.
- facilitates communication between the laboring woman, her partner, and her care providers.
- sees her role as nurturing and protecting the woman's memory of her birth experience.
- aids the partner in supporting the mother.

Research indicates that doulas improve outcomes in childbirth. With the support of a doula, moms and babies are happier and healthier, medical interventions are minimized, and expenses are reduced. A meta-analysis of ten randomized trials of continuous labor support found the presence of a doula to reduce:
- overall cesarean rates by 45 percent;
- length of labor by 25 percent;
- oxytocin use by 50 percent;
- pain medication by 31 percent;
- forceps delivery by 34 percent;
- requests for epidurals by 10 - 50 percent. 1

- greater satisfaction with her childbirth experience;
- a more positive assessment of her baby; and
- less postpartum depression.

- reducing hospital stays and admissions to special care nurseries;
- making breastfeeding easier; and
- making mothers more affectionate toward their babies postpartum.2
1 Klaus, Kennell, and Klaus, "The Doula Book"
2 Doulas of North America
