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What Does a Doula Do? Understanding the Role of Birth Support Professionals

Imagine having a knowledgeable, calm advocate by your side throughout your birth journey—someone dedicated solely to your emotional and physical needs. This is the essence of a birth doula. At Luna Rise Birth, we believe every birthing person deserves personalized, continuous support that empowers them to navigate childbirth with confidence.


Doulas fill the gaps in modern maternity care by providing evidence-based education,
Doulas fill the gaps in modern maternity care by providing evidence-based education,


What does a doula do? Contrary to popular myths, doulas aren’t medical professionals. Instead, we fill the gaps in modern maternity care by providing evidence-based education, unwavering emotional support, and physiological comfort techniques—transforming birth from a clinical event into a sacred, human experience.


By the end of this guide, you’ll discover:

  • The 3 core pillars of doula support (before, during, and after birth)

  • How doulas partner with medical teams (OBs, midwives, nurses)

  • Why doula-supported births have better outcomes (backed by research!)

  • How doulas involve partners to strengthen your support system

  • FAQs about doula services

Ready to experience doula care? Book Our Doula Services | Schedule a Consultation


What Does a Doula Do? The 3 Pillars of Support


Doulas lay the foundation for an empowered birth
Doulas lay the foundation for an empowered birth

1. Prenatal Preparation: Building Your Birth Toolkit

What does a doula do before labor? We lay the foundation for an empowered birth through:

  • Personalized Education: Debunking myths, explaining stages of labor, and discussing interventions without bias.

  • Birth Planning: Helping you articulate preferences (e.g., pain management, delayed cord clamping) in a birth plan.

  • Emotional Prep: Addressing fears, practicing mindfulness, and building confidence.

  • Partner Integration: Teaching your partner hands-on techniques (massage, positions, advocacy).

"Our Portland doulas meet you 2-3 times prenatally—we become your trusted confidants long before labor begins."

2. Continuous Labor Support: Your Anchor in the Storm

What does a doula do during birth? This is where our presence shines:

  • Early Labor: Guiding you through contractions at home (hydration, movement, rest techniques).

  • Active Labor:

    • ✨ Physical Support: Hip squeezes, counter-pressure, position changes, massage.

    • 💬 Emotional Support: Affirmations, breathwork guidance, creating a calm environment.

    • 🛡️ Advocacy: Ensuring your voice is heard (e.g., "She’d like to discuss options before that intervention").

  • Transition/Pushing: Helping you stay focused and instinct-led.

  • Immediate Postpartum: Supporting first feeding, protecting the "golden hour," and debriefing the birth.

Doulas never leave your side—unlike nurses or OBs, who rotate shifts or manage multiple patients.

3. Postpartum Nurturing: The Fourth Trimester Lifeline

What does a doula do after birth? We ensure your transition to parenthood feels supported:

  • Feeding Support: Troubleshooting breastfeeding or bottle-feeding challenges.

  • Emotional Processing: Discussing the birth experience and normalizing feelings.

  • Practical Care: Light meal prep, sibling support, referrals to specialists (IBCLCs, therapists).

  • Partner Inclusion: Helping partners navigate their new role.



Doula vs. Medical Team: How Roles Complement Each Other

Birth Doulas

OBs/Midwives/Nurses

Focus on emotional wellness

Focus on clinical safety

Provide continuous support

Provide intermittent care

Non-medical comfort measures

Perform medical procedures

Advocate for your preferences

Monitor fetal/maternal health

Key Takeaway: Doulas enhance medical care—we don’t replace it. Studies confirm that with doula support:

  • 🎯 39% reduction in C-sections (Cochrane Review)

  • 🎯 15% increase in spontaneous vaginal births

  • 🎯 31% decrease in negative birth experiences


The Luna Rise Difference: Partner-Integrated Doula Care

Many ask, "What does a doula do that my partner can’t?"  Our answer: We empower your partner to support you better!

  • 🤝 Coaching Partners: Teaching massage, positioning, and advocacy skills.

  • 🧘 Tag-Teaming Support: Allowing partners to rest/eat without leaving you alone.

  • 💡 Demystifying Birth: Helping partners understand the process so they feel confident.

"Doulas don’t take the partner’s place—we equip them to be your rock."


5 Myths About What Doulas Do (Debunked!)

  1. ❌ Myth: Doulas only support home births. ✅ Truth: We work in hospitals, birth centers, AND homes!

  2. ❌ Myth: Doulas push "natural birth." ✅ Truth: We support YOUR choices—medicated, unmedicated, or surgical.

  3. ❌ Myth: Doulas replace partners. ✅ Truth: We make partners more effective (see above!).

  4. ❌ Myth: Doulas are expensive luxuries. ✅ Truth: Many insurance plans now reimburse doula care—plus, we offer sliding scales!

  5. ❌ Myth: Doulas make decisions for you. ✅ Truth: We provide information—YOU remain in control.





FAQs About What Doulas Do

1. When should I hire a doula?

Ideally by 20-30 weeks. This allows time to build rapport and prepare!

2. Can I have a doula if I want an epidural?

Absolutely! Doulas support all births. We’ll help you time the epidural, manage side effects, and push effectively.

3. Do doulas attend C-sections?

Yes! We provide pre-op calming techniques and post-op recovery support (and often join you in the OR if allowed).

4. Are doulas covered by insurance?

Oregon’s Medicaid (OHP) covers doula care, and many private plans offer reimbursement. We provide superbills!

5. What’s the difference between a doula and a midwife?

Midwives provide clinical care (checking vitals, catching babies). Doulas provide non-medical emotional, physical, and informational support.

6. How do doulas handle emergencies?

We stay calm, explain situations clearly, and help you ask informed questions—but medical decisions are between you and your provider.



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Ready to Experience the Doula Difference?

Now that you know what a doula does, imagine your birth with

  • 🕊️ Less anxiety, more confidence

  • 💞 Deeper connection with your partner

  • 📚 Evidence-based guidance at every turn

  • ✨ A birth story you feel proud of

At Luna Rise Birth, our doulas are

  • 🤝 Certified & trauma-informed

  • 🔬 Evidence-focused

  • ❤️ Passionate about your empowerment

Don’t navigate birth alone: 👉 Secure Your Doula Today👉 Ask Questions in a Consultation

"A doula doesn’t just support birth—she helps you reclaim it."


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