Through communication, both verbal and nonverbal, the birth Doula can help determine what is needed. Emotional support and recommendations for body positions for comfort and to facilitate labor progression undoubtedly involves massage techniques to further support the mother moving through the stages of labor. The Doula assesses where there is tension or difficulty because of many factors including unfocused breathing or the baby needing the mother’s body to assume another position to help it to descend. The Doula helps the mother refocus with suggestions and complementary therapies like labor massage, hot/cold therapy, or words of encouragement.

Doulas provide support for loved ones based on their comfort level. Romantic partners or family members can benefit from a doula’s physical and emotional support. Whether a birth is completely unmedicated or medically very complex, the presence of a professional Doula can make a huge difference for everyone involved.