Pregnancy is a life-changing journey, but let’s be honest it can also feel overwhelming at times.

Between hospital visits, a changing body, and preparing for postpartum life, there’s a lot to think about before, during, and after your baby arrives.

When it comes to your baby’s birth, one of the big decisions you’ll need to make is whether or not to use a doula.

Unlike a midwife, a doula doesn’t provide medical care but is a trained professional who offers physical, emotional, and informational support during pregnancy, childbirth, and postpartum recovery.

Research suggests that doulas can positively impact birth outcomes.

A 2013 study found that expectant mothers who had a doula were four times less likely to have a low-birth-weight baby, twice as likely to avoid birth complications, and significantly more likely to initiate breastfeeding.

Choosing the right doula transcends mere qualifications; it is about finding a personal connection. Picture: Duda Oliveira/pexels

But how do you know if hiring a doula is the right choice for you?

Experts from Fedhealth recommend reflecting on the following questions to guide your decision:

How does a doula fit in with my medical (birthing) team?

Many people assume that doulas are only for home births, but this is no longer the case. Doulas are increasingly recognised as valuable partners in maternity care, and most private hospitals and birthing clinics allow them to be present during labour and delivery.

In a hospital birth, where medical staff may be juggling multiple patients, a doula can offer continuous care and ensure that your birth preferences are respected.

It’s important to have a conversation with your doctor, midwife, or hospital about their policies regarding doulas to ensure a smooth collaboration.

What kind of support do I need before and during birth?

The choice to include a doula can profoundly impact your birthing experience. Picture: Duda Oliveira/Pexels

Support during pregnancy and birth comes in many forms, and understanding your personal needs can help you decide if a doula is the right fit.

Do you need emotional support to keep you calm and reassured during labour
Would you benefit from physical comfort like massages, counter-pressure, or help finding comfortable labour positions?
Do you want someone to help explain medical procedures or advocate for your

A doula can also assist by taking photos, keeping you hydrated, or helping prepare for a water birth if that’s your choice.

What should I look for when choosing a doula?

Finding the right doula is about more than just credentials it’s about compatibility. In South Africa, doulas are typically trained and certified through organisations such as WOMBS (Women Offering Mothers Birth Support) or Doulas of South Africa.

Here are some key factors to consider:

Training and experience: Ensure they have formal certification and experience.
Experience with your birth plan: Whether it’s a hospital birth, water birth, or home birth, choose a doula who aligns with your vision.
Availability: Check their schedule around your due date and ask if they provide 24/7 on-call support.
Approach to medical staff: Ensure their philosophy fits with your hospital or birthing centre’s policies.
It’s also a good idea to meet with a prospective doula beforehand to see if you “click” on a personal level.

Can I afford a doula?

The cost of hiring a doula in South Africa varies depending on experience, location, and services offered. While some doulas may charge a few thousand rands, others may offer flexible payment options or volunteer services for families in need.

If you’re on a medical aid scheme check whether doula services are covered under your maternity benefits. Some organisations also provide affordable or sliding-scale options for those who may not be able to afford the full cost.

Will I need postpartum support?

The postpartum period often called the “fourth trimester” can be incredibly demanding and emotional. If you don’t have a strong support system, a doula can help ease the transition into motherhood.

Postpartum doulas provide assistance with:

Breastfeeding support.
Newborn care guidance.
Emotional well-being.
Light household tasks.

If you think you’ll need extra support after giving birth, ask your potential doula if they offer postpartum visits and what these include.

Does it feel right?

Ultimately, the decision to hire a doula is deeply personal. Trust your instincts-if the idea of having someone by your side during labor feels comforting, it might be worth pursuing.

A doula can be a source of strength and advocacy, whether you're in a hospital or having a home birth.

The choice to include a doula can profoundly impact your birthing experience, providing continuity of care and emotional support during what can be a daunting time.

For many expecting parents, having a steadfast ally can make all the difference in embracing the beautiful journey of parenthood.