At the first signs of beginning of labor, the doula will be contacted by the client and, once the active phase of labor has begun, the doula will travel to the location chosen by the client and will be present to accompany her during the entire period of labor until the early moments after birth.

The doula will do her best to ensure the mother's safety and to provide a calm, peaceful and respectful environment.

The doula provides emotional support to the birthing person and companion, and works to provide physical comfort and ensure that the needs and choices of the clients are being met.

As needed, she can facilitate communication with healthcare professionals to ensure that their clients are getting the information they need to make informed decisions.

After giving birth, it is very important that the mother receives support and care. The planning of the puerperium can start even during the pregnancy.
As a postrpartum doula I can provide:

• Newborn (non-medical) care.

• Baby massage techniques.

• Support in the mother-baby connection: enhancing a greater understanding of the baby's needs, including in relation to breastfeeding.

• Mother's body care: massage, foot bath, relaxation, stretching, meditation and movement practices.

• Emotional support: listening and comfort.

• Integration of the childbirth experience.

• Small household chores: groceries, laundry, cleaning, cooking.

• Help with family’s other children and animal care.

• Informal accompaniment: company to leave the house, go to medical appointments or other situations outside home.

• Guidance on referral to health professionals and other complementary services, whenever necessary.

In the 1980's, the first study was carried out in Guatemala on the importance of the doula's work through continuous support to women during pregnancy and childbirth. In 2012, a review of these studies was published by the Cochrane Library, in which it was found that the monitoring of a doula:

• reduces the use of Pitocin by 31%;

• reduces the cesarean rate by 20%;

• reduces the use of pain medication by 9%;

• reduces by 14% the risk of the newborn needing intensive neonatal support;

• increases the likelihood of a spontaneous vaginal delivery by 12%;

• increases the rate of satisfaction with the birth experience;

• increases breastfeeding rates;

• contributes to the quality of the mother-baby connection.

This and other studies confirm that the work of a doula (which does not replace that of any health professional or family member) has clear benefits in supporting labor and does not present any risks or contraindications.