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Labor Support: an In Depth Pregnancy Topic



What is labor support?

Why is support in labor important to consider?

Would I still benefit from having a labor support companion if I think I will want an epidural or other pain medication?

Who might provide me with supportive care during labor and birth?



What is labor support?

Throughout the ages, in nearly all societies for which we have records, women have been helped and comforted in labor by other women. These women stayed throughout labor providing physical comfort, emotional reassurance, and information. Essentially, labor support is "mothering the mother." Today, labor support professionals called doulas (DOO-lah; Greek for "woman who serves") are trained to provide the comfort and care women need during labor.

Why is support in labor important to consider?

Your memories of labor, including the full intensity of your feelings, will stay with you for the rest of your life. Of course you want your experience to be as positive as possible. Research shows that the availability of support in labor can affect how you feel about your labor, yourself, your baby, and your partner. It can even affect your chances of having a cesarean, vacuum extraction, or forceps delivery; the likelihood that you will need pain medications; and your baby's condition at birth. Labor support can help you avoid or reduce risks associated with these interventions. (For more details about labor support's remarkable benefits — and lack of any known risks — follow through this section to the Best Evidence: Labor Support page.)

Would I still benefit from having a labor support companion if I think I will want an epidural or other pain medication?

Women who plan to use pain medications could also appreciate having a labor support companion for many reasons:
  • women and their partners need information and emotional support, whether they use pain medication or not; although pain may be removed with an epidural, other questions and concerns remain
  • many women do not experience pain-free labor with pain medications and will still welcome comfort measures and mental strategies to help with pain
  • it is hard to push effectively without sensation in the pelvic area, and an experienced labor support companion can be a helpful guide during the pushing phase of labor if a woman has had an epidural
  • according to your wishes, a trained or experienced labor companion can also help you avoid, delay, or minimize the use of pain medication, which in turn may help you avoid or limit some of their potential adverse effects.

Who might provide me with supportive care during labor and birth?

Your partner and your clinical caregivers are possible sources of support. These options are likely to have important strengths and limitations. You may wish to ensure that additional support is available. A large body of research supports including an experienced or trained woman on your labor and birth team. This can be a doula (trained labor support specialist), or it can be a relative or friend who is knowledgeable and comfortable around birth.

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Options: Labor Support

Most recent page update: 6/30/2008


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