For the most part there are really no disadvantages to having a doula attend the labor and delivery of your child. However, as in all professions, some doulas are better than others. Possible problems that may arise include:
The doula participating in a specific part of the delivery that your partner should be doing, such as cutting the umbilical cord.
Judging whether or not you need pain medication or an epidural.
Causing problems with medical staff.
High costs for services.
Health care professionals who are hostile toward the doula for no reason.
The Doula's Affect on Pregnancy and Birth
Provided you take special care to hire the right doula and that health care professionals aren’t hostile toward her or resentful of her presence on “their turf,” you have much to benefit with a doula at your side. She can help prevent the need for medications and procedures that may cause problems for you and your baby and provide a great birthing experience for you and your partner.
Questions to Ask a Prospective Doula
When you are choosing a doula, the first thing you should find out is if she is certified. Though certification doesn’t necessarily mean the doula gives excellent care, it does indicate that she has met certain standards in her field. However, lack of certification doesn’t mean the doula isn’t qualified to provide excellent care for both you and your baby.
Certification wasn’t an option for doulas a decade ago. If the doula you interview isn’t certified, ask her to provide you with her experience and background for labor support and delivery. She may have letters of recommendation or be able to provide you with names and phone numbers of references.