I was very lucky to have had a relatively uncomplicated natural birth with my son. I went into it hoping to avoid interventions and pain meds, but to be honest, I didn’t do much to prepare. Mr. Chalk and I took the one-day childbirth crash course at our hospital, but other than that? I basically just closed my eyes and hoped for the best. (Literally – I fell asleep in between each contraction, so spent most of the labor with my eyes closed.)
When I was pregnant this past year with my daughter, I was aiming for another natural birth, but tried to be more proactive about it. I read Ina May Gaskin’s Guide to Childbirth and used the Hypnobabies home study program. I also switched from an OB to a group of midwives.
But despite all of these decisions and preparations, there was one big topic that I was undecided on up until the very end. When you’re talking natural birth, I feel like having one-on-one support is one of the best ways to help make it through. And yet, I was on the fence about hiring a doula, and stayed on that fence for a ridiculously long time.
With my son, labor went quickly – five hours from start to finish. I had no reason to believe that my daughter’s birth wouldn’t be just as short, if not shorter. As one doula I spoke with oh-so-cringe-inducingly phrased it, “The slide has already been greased!” With that in mind, the frugal side of me winced at the idea of paying hundreds (and hundreds and hundreds – doulas in our area do not come cheap) for something that could be over in a matter of just a few hours.
My second hesitation came about due to where we were planning on delivering. Owen was born in a small community hospital, and even though we now lived over an hour away, I had decided I wanted my daughter to be born there as well. When I was in labor the first time, our nurse did not leave my side for those entire five hours, even staying past the end of her shift so that she could stay until the baby was born. The rooms were comfortable, and the hospital had recently been certified as Baby-Friendly. Because I had had such a positive experience the first time, and had felt so supported by our nurse, I just wasn’t sure what another person would be able to provide that I wouldn’t already be getting.
But, at the same time, I had been lucky. I was lucky that I had been assigned a nurse who had the time to spend with me, and who was supportive of natural birth. I know that’s not always necessarily going to be the case. I was also lucky to have had a short labor. Even though I felt like the odds were in my favor for that to happen again, we all know that there are no promises with birth.
Also – and I say the following with apologies to Mr. Chalk – I was worried that if I weren’t assigned a great nurse, I would be relying only on my husband for support. This idea did not make me happy. Don’t get me wrong; he did what he could during labor with my son. He said all the right things, and used all of the techniques that we had learned from our class. I wanted a washcloth on my forehead? He was on it. Reminder of breathing techniques? Mr. Chalk was on the scene. But despite all of his efforts, I needed more. He would say something encouraging to me, and I wouldn’t care at all. Two seconds later, the nurse would say the exact same thing, and it would be exactly what I needed to hear to help me get through the next few minutes.
I asked the midwives what they thought. One of them felt that having a doula was one of the best things a mom could do. Another said she didn’t feel it was necessary, since the midwife on call would be staying there as well and would be able to lend that kind of one-on-one support. I appreciated hearing their viewpoints, but having two totally different answers was not so helpful.
I am not exaggerating when I say that this debate went on for months. Mr. Chalk was supportive of whatever I wanted to do. (So nice! So not helpful!) For a few brief days, I thought I could use the remaining funds in my flex spending account to cover the cost, and had decided to go for it. But that rug was yanked out from us at the last minute, when I found out that it was not an eligible cost. I would meet with one midwife and want to do it. Meet with another one the following week and change my mind again.
In the end, we did not hire a doula. Up until I was in labor, I second-guessed whether this was the right decision. And, again, I was lucky. Things went even more quickly than they had with Owen, and Eloise was born just about three hours after we got to the hospital, and only an hour after things actually started getting intense. My nurse was kind and helpful and psyched that I was going for a natural birth. And the midwife on call did everything that I could have asked for from a doula. She was there wiping my face when I got sick; she held my hand when a contraction stopped me in my tracks in the hallway; she was the one who took my socks off when I was ready to get into the tub.
If I had had a difficult labor the first time, or if I was planning on delivering at a larger hospital with an OB, I may have made a different decision. If we had hired a doula for this birth, I’m also sure that she would have been wonderful and that I would have appreciated all the extra support. But for us, for our budget, and given where we were and who we had attending the birth, we were fine without one. (Also, did I mention that I was lucky?)
If we go for a third baby in a few years, I will most likely have this debate all over again – much to Mr. Chalk’s delight, I’m sure.
Did you hire a doula?
blogger / kiwi / 699 posts
I have a good friend who is a doula, and she has offered her services free of charge to our birth mom. I thought for sure that our birth mom would decline, but she was extremely interested, and the three of us have met to discuss how this will all work. Personally, I don’t think I will use a doula if I get pregnant, but we will be using one this time.
blogger / persimmon / 1234 posts
Hands-down the absolute best decision I have made in my life. I am not exaggerating and mean no disrespect to my husband with this statement, but hiring a doula trumps the decision to marry my husband. And it’s the best money I ever spent. I would do it again in a heartbeat.
Most first labors are in the tens of hours long, not the single digits. I mentally planned on 36. It was 34. The doula helped my husband figure out what I needed, because after so many hours, there’s no way I could vocalize anything at all.
If it were not for the doula, I would not have had a vaginal birth. I am sure of it.
pea / 10 posts
I have a friend coming as backup. She has no experience with childbirth but she is 1) a friend rather than a stranger and 2) free. Research has shown (http://www.who.int/rhl/reviews/CD003766.pdf) that merely having another woman in the room even if she doesn’t do anything but sit there) results in quicker births with fewer complications. I wonder if that accounts for some of the doula effect? Your anecdote about the nurse seems to back that up.
Glad to read that you had two smooth natural births. I’ve read the Ina May and have been listening to a lot of Hypnobirthing to prep. My due date is tomorrow and I’m planning for a good natural experience too!
blogger / apricot / 317 posts
@Mrs. Stroller: I love your comment about how the doula trumps marrying your husband. That’s awesome that she was so helpful; it sounds like you absolutely did the right thing in having her there. I feel like my situation could easily have gone the other way, and I would have been regretting not having hired a doula. I’ve never spoken to anyone who actually did regret having one at their birth.
@ Mrs. Polish: That’s great – both that your friend is willing to offer her services and that the birth mom is taking her up on it!
blogger / apricot / 317 posts
@bklynmama: Good luck with your birth! Both friend and free are pros in my book as well. :)
clementine / 938 posts
I had a similar situation. With my first I considered a doula and my midwife encouraged it, but I decided against it. I figured since DH is a doctor (radiologist) he’d be able to handle it. When I got to the hospital everyone kept asking where my doula was and then were upset when I didn’t have one and we hadn’t taken a birth class. I popped that kid out an hour and a half after arriving, so luckily I didn’t need one! This time around, I’m hoping my labor is just as fast, and am considering a home birth.
GOLD / cantaloupe / 5510 posts
I had a doula, and honestly, probably would have been find without her, as I ended up with an epidural. But we said from the beginning that we would rather hire her, and not really need her, rather than not have her and really wish we did. My labor was also short (9 hours), and pretty smooth. Here’s hoping the next one is even shorter!
hostess / honeydew / 7855 posts
Our doula was the best investment I made during out entire pregnancy. She was ah-may-zing and I think every woman should have a doula regardless of their birth preferences. She was so calming and reassuring. Love her :)
hostess / papaya / 10353 posts
I’m interested in natural birth and will consider hiring a doula. I tend to be cheap so it won’t be an easy decision!
blogger / pear / 1637 posts
We hired a doula – although the plan was natural childbirth, the 36+ hours of back labor were just too much, and I ended up getting an epidural – she was clutch as we navigated these decisions that we didnt think we’d have to make. Well worth the money.
GOLD / nectarine / 2514 posts
i absolutely needed my doula and my labor was short (water broke without contractions and she was born less than 7 hours later). she was amazing with verbalizing encouragement, where DH was great with the physical aspect of things. i needed both of them there and i’m so so glad we hired her! she also supported us during the pregnancy with encouragement and answering any questions we had. i may have been able to go natural without her, but i don’t know if i would have been able to do it without getting upset at DH for not having the right words to say or feeling so empowered by the process! i would recommend a doula to [almost] anyone!
guest
I was lucky to have a doula with all my three kids. The first time she was still in training and needed practise and even with the two other ones she did not wanted to get paid (so the financial question was never a point of discussion). I found it very helpful, supporting and ensuring- especially since we never could be sure how the situation in the hospital would be. Many babies are born there everyday and if there are a lot of births no one will have the time for real one-to-one support. If financially it is possible- I would recommend a doula to everyone.
olive / 82 posts
I was induced on a Monday evening. Things moved slowly. Some time Wednesday morning, the midwife asked if I’d like them to call the volunteer doula on duty. DH and I said, “sure.” She’s a volunteer; if we didn’t click with her, we could just thank her and send her home.
She was AMAZING. She clicked with us immediately, she suggested all kinds of labor positions, she backed up DH so he could actually do things like eat or go to the bathroom, she acted as liaison with my worried family in the waiting room. She showed up at around 11am and stayed until after midnight, when they were prepping me for a c-section. Because of her, my “disappointing” birth story is still one that I find empowering.
If we go for kid #2, I will probably consider hiring a doula, because I just don’t think lightning like “the totally perfect free doula” can strike twice (and I’m gonna need support for a VBAC!). But if money is tight, check out volunteer doula networks.
guest
My husband and I hired a doula for the birth of our daughter in October (our first), and it was so helpful. Obviously, we don’t know how the birth would have gone without her, but I know she helped calm my husband’s nerves when he wasn’t sure if how I was acting was normal (it was), and she was unwaveringly supportive of all the decisions we had to make during my 24-hour labor. I probably would have ended up with a C-section if she hadn’t been there to labor at home with us in the beginning, and again after they sent us home from the hospital once when I wasn’t dilated enough to stay. She provided us with unbiased information regarding the interventions the midwives proposed (most of which I was able to avoid), and when she visited us postpartum, her encouragement helped me barrel through those horrible first days of breastfeeding. We will always have a doula at our births.
guest
@Schmei, I don’t know where you live, but the fact that you had access to volunteer doulas is amazing. What a triumph for your community.