Do I need a Doula? Here’s what expecting moms should know
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So, you’re pregnant (or trying to be), and someone casually drops the word “doula” into the conversation—as if you already know what that is.
But honestly… what does a doula actually do?
Are they like a midwife? Are they just for “natural births”? Do I really need one if I already have an OB? Or the bigger question that’s probably buzzing in your head: Do I need a doula at all?
Let’s slow things down and have a real talk about what doulas are, what they’re not, and how they can make a huge difference during pregnancy, birth, and postpartum—whether this is your first baby or your third.
In this article
Wait, what is a doula again? I’ve got a doctor and a partner. Isn’t that enough? Okay but...what does a doula actually do? What about postpartum? Is a doula still useful then? But is it worth the money? “I think I want one. How do I find a doula I trust?” Pro tip: Pack a doula-approved hospital bag Final thoughts: Should you get a doula? Common questions about Doulas Related articles
Wait, what is a doula again?
In short, a doula is a trained professional who provides emotional, physical, and informational support during pregnancy, labor, and the postpartum period. They don’t deliver babies (that’s your OB or midwife’s job), but they’re the ones holding your hand, reminding you to breathe, and making sure you feel heard, seen, and supported.
Think of a doula as a birth bestie with experience, knowledge, and an uncanny ability to read a room—especially when things get intense.
I’ve got a doctor and a partner. Isn’t that enough?
Here’s the thing: your OB or midwife is there to make sure you and your baby are safe, medically speaking. But they can’t stay in the room with you for hours on end. And your partner—bless their heart—might be amazing, but also a little panicked, confused, or unsure how to help when labor kicks in.
A doula fills the space between medical care and emotional support. She’s like your personal translator, cheerleader, and advocate all rolled into one.
Okay but...what does a doula actually do?
Let’s break it down. And spoiler alert—it’s more than rubbing your back during contractions.
1. She’s your voice when you’re too tired to speak
Labor is intense. And in the thick of it, articulating what you need (or don’t want) can feel impossible. A doula learns your birth preferences ahead of time—how you feel about pain meds, C-sections, skin-to-skin, and more—and gently reminds the birth team what youwanted, when you might forget.
She doesn’t speak over your doctor. She helps translate the jargon and supports you in speaking up when decisions need to be made fast. Think of her as your steady compass when everything feels like a whirlwind.
2. She knows the vibe—and how to shift it
Hospitals can feel sterile and tense. But a doula knows how to bring the calm. Dimming the lights, playing your favorite music, helping you find positions that ease the pain, using massage or pressure techniques, even helping your partner feel useful instead of helpless—it’s all in her toolkit.
It’s not just about coping with pain. It’s about creating a space where you feel safe, centered, and empowered.
3. She’s a walking birth encyclopedia (without the overwhelm)
Let’s be real: Google is a terrifying place when you’re pregnant. Every cramp becomes a deep dive into WebMD horror stories.
A doula answers questions with real context—without freaking you out. Whether it’s explaining what “effacement” means, decoding your birth plan options, or walking you through your body’s changes, she’s there for the in-between moments when no one else is available.
What about postpartum? Is a doula still useful then?
Absolutely. In fact, that’s when many parents say the doula magic really kicks in.
Newborn life is beautiful—but brutal. A postpartum doula can help you breastfeed (and troubleshoot if it’s not going well), make sure you’re eating and resting, do light housework, and remind you that you’re not failing—this is just hard.
You don’t have to do it all alone. And let’s face it: a supportive adult who knows what they’re doing is worth their weight in gold during those first few hazy weeks.
But is it worth the money?
That’s a fair question. And yes, doulas are a financial investment—usually between $800 and $2,500 depending on your area, how much support you want, and whether it includes postpartum care.
But for many, it’s one of the most worthwhile expenses of the whole journey. Doulas have been shown to:
- Reduce the risk of C-sections
- Shorten labor times
- Decrease the need for pain medication
- Improve birth satisfaction
- Lower rates of postpartum depression
And emotionally? That kind of steady, personalized care is hard to put a price on.
If budget is a concern, ask about payment plans or sliding scale options. Some health savings accounts (HSA/FSA) will even reimburse doula services, so check with your provider.
“I think I want one. How do I find a doula I trust?”
Start by asking your OB or midwife for referrals—they often know the best doulas in the area. Or you can check out:
- DONA International’s Doula Directory
Local Facebook mom groups (seriously, they’re gold)
Your hospital’s childbirth education classes
When interviewing doulas, ask about their experience, how many births they’ve attended, their availability, and their approach to support. Most offer a free initial consult—go with your gut. You’ll know when you click with someone.
Pro tip: Pack a doula-approved hospital bag
If you decide to work with a doula, ask her what she recommends packing for labor. Some popular doula-approved Amazon finds include:
Lavender essential oil
PURA D'OR Organic Lavender Essential Oil
A favorite among doulas for creating a calming environment. Just a few drops on a cloth or diffuser can instantly ease tension.
Handheld massager
Hangsun Handheld Neck & Back Massager
Great for lower back pain during contractions. Your partner or doula can use it between surges to keep you relaxed.
Electrolyte drink mix
Liquid I.V. Hydration Multiplier
Labor is a marathon, not a sprint. Staying hydrated during labor can help with energy and endurance. This one tastes good and works fast.
Lip balm
Burt’s Bees 100% Natural Lip Balm
Your lips can get seriously parched during labor. This one’s nourishing, non-greasy, and safe to use as often as needed. The cooling eucalyptus gives soothing relief for dry lips.
Comfy socks or non-slip slippers
Hospitals can be chilly, and you’ll want traction if you’re walking or changing positions. These are warm, cute, and won’t slip.
Final thoughts: Should you get a doula?
Here’s the thing. You deserve to feel supported, informed, and respected in your pregnancy, your birth, and your early postpartum days. A doula can’t promise a perfect experience (no one can), but she can help you feel more in control, less alone, and more emotionally grounded—no matter how your story unfolds.
So if you’re asking, “Should I get a doula?”
Maybe flip the question: Would it feel good to have someone in your corner who’s just there for you?
If that answer is yes, it might be time to start making a few calls.
Common questions about Doulas
What is the difference between a doula and a midwife?
A doula provides emotional and physical support during labor and postpartum, but they do not perform medical procedures. A midwife is a trained healthcare professional who can deliver babies and manage prenatal care. You can have both!
Do doulas only support natural births?
Nope. Doulas support all types of births—epidurals, C-sections, home births, hospital births, VBACs—you name it. Their role is to support your birth plan, not push a specific agenda.
How much does a doula cost?
The cost of a doula ranges from $800 to $2,500, depending on location, experience, and services offered. Some offer postpartum visits, while others include prenatal classes or 24/7 text support. You can also ask about payment plans or sliding scale fees.
Can I use my HSA or FSA to pay for a doula?
Yes, in many cases! Doulas may be eligible for reimbursement through your Health Savings Account (HSA) or Flexible Spending Account (FSA). Check with your plan provider and ask the doula for an itemized invoice.
Does insurance cover doulas?
Most insurance plans don’t cover doula services yet, but some Medicaid programs and employer wellness benefits are starting to include them. It's worth calling your insurer to ask.
Are doulas worth it for second or third pregnancies?
Absolutely. Even experienced moms say each birth is different—and having a doula can help reduce anxiety, support your partner, and ensure continuity of care during labor, regardless of how many times you’ve done this.
References
DONA International: What is a Doula?
Cochrane Database of Systematic Reviews: Continuous support for women during childbirth
American College of Obstetricians and Gynecologists (ACOG): Support for Laboring Women
Evidence Based Birth®: The Evidence on Doulas
NIH National Library of Medicine: The Impact of Doulas on Birth Outcomes
The content on Awaiting the Stork™ is for informational purposes only and is not intended as medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare professional to address your unique health needs and circumstances.
Content contribution & expert reviewed by
Mindy Motta, FNP-C
Mindy is a seasoned OB-GYN Nurse Practitioner and co-founder of Awaiting the Stork™. After overcoming her own years-long fertility journey, she now blends clinical expertise with heartfelt empathy to offer new mom advice and evidence-based support for every stage of motherhood. Mindy’s mission is to nurture confidence, connection, and clarity for women stepping into motherhood’s many joys and challenges.
