Role of the Postpartum Doula

The role of a doula is timeless. For generations, women have cared for each other during pregnancy, birth, and postpartum. This support is natural and essential, yet many women today do not receive the care they need. While much attention is given to pregnancy and birth, postpartum care is often overlooked.

Prenatal visits, childbirth education classes, baby showers, and birth plans all prepare for the arrival of a baby. However, what happens after birth? Whether at the hospital, birth centre or at home, new mothers face a whirlwind of changes and challenges—recovering physically, navigating emotional shifts, adjusting to life with a newborn, and possibly integrating older siblings into the family. Despite these demands, postpartum care in the U.S. is minimal, often limited to a six-week check-up. In contrast, many cultures prioritize postpartum care, recognizing this time as sacred and vital for a mother’s well-being.

This gap in care is where postpartum doulas come in. A postpartum doula provides physical, emotional, and informational support to a mother and her family during this critical period. The International Childbirth Education Association (ICEA) identifies the “Eleven Domains of Postpartum Care,” which include:

  • Emotional support

  • Physical comfort

  • Self-care

  • Infant care

  • Informational support

  • Advocacy

  • Referrals

  • Partner/father support

  • Support for parents with the infant

  • Support for parents with siblings

  • Household organization

At its core, the role of a postpartum doula is to “mother the mother.” This means nurturing, educating, assessing needs, and providing referrals when necessary. A postpartum doula prioritizes the well-being of the mother while also supporting the entire family. Education plays a key role, as doulas provide practical guidance tailored to the mother and baby’s unique needs.

A crucial part of a doula’s work is assessment—observing and understanding what the family needs most. While doulas are generalists, they recognize when specialized support is required. This is where referrals come into play, connecting families with chiropractors, physical therapists, mental health professionals, or lactation consultants when necessary.

Research underscores the value of postpartum support. Studies show that families with postpartum doulas experience greater confidence in their new roles, higher satisfaction with breastfeeding, and a lower risk of postpartum depression. The presence of a doula can make the difference between a stressful, overwhelming transition and a supported, empowering postpartum experience.

The postpartum period is one of immense change. It is not just the fourth trimester or the first 6-8 weeks after birth—it is a lifelong transformation. A mother does not return to who she was before; she evolves into someone new. Just as a birth plan is essential, so too is a postpartum plan. Ensuring proper postpartum care and support can make all the difference in a mother’s journey, allowing her to heal, bond with her baby, and step into motherhood with confidence and strength.

For more postpartum information and support, check out Postpartum Support International.