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What is the most important thing a doula does for a woman who is expecting?
What a doula does varies from individual to individual.
For some, doulas are a strong foundation that gives strength to a birthing woman and her partner to achieve the birth they want; for others, a doula is an extra pair of hands to give physical support through a long or trying labor, and for others still a doula is a wealth of knowledge that assists by providing her expertise and training.
So for me the most important thing a labor doula does is to be aware at all times of their clients needs and to provide individual care to address them.
Does your job change from client to client? Do some women want to focus more on certain things than others?
In the broad sense my job does not vary from client to client. I offer the same level of care to each woman and her partner. I will give each client the same number of prenatal and postnatal visits, continuous informational, emotional and physical support throughout labor, unlimited support through phone and email, on-call starting at 38 weeks through 3 weeks postpartum, a written birth story and photographs, and referrals and resources given as needed. Doulas are trained to work with the whole spectrum. Every woman and her family deserve a doula no matter where they are emotionally or how they plan to birth their baby.