Most doula-client relationships begin a few months before the baby is due, while some clients book services when pregnancy is confirmed. During this period, they develop a relationship in which the mother feels free to ask questions, express her fears and concerns, and take an active role in creating a birth plan.
Most doulas make themselves available to the mother by phone in order to respond to her questions or address any concerns that might arise during the course of the pregnancy. Doulas do not provide any type of medical care. However, they are knowledgeable in many medical aspects of labor and delivery. Therefore, they can help their clients gain a better understanding of the procedures and possible complications in late pregnancy or delivery.
During delivery, doulas are in constant and close proximity to the mother. They have the ability to provide comfort with pain-relief techniques including breathing techniques,relaxation techniques, massage, and laboring positions. Doulas also encourage participation from the partner and offer reassurance for the support people as well.
The goal of a doula is to help the mother experience a positive and safe birth, whether an un-medicated birth or a cesarean. After the birth, many labor doulas will spend time helping mothers begin the breastfeeding process and encouraging bonding between the new baby and other family members.