Defining the doula's role: fostering relational autonomy
Sandra L Meadow1,2,3
1London School of Hygiene and Tropical Medicine, London, UK.
Summary
The birth doula
Area of Science:
- Reproductive Health
- Sociology of Health
- Midwifery Studies
Background:
- The role of birth doulas is often ambiguously or ethically controversially defined in literature.
- Doulas face criticism for potentially imposing agendas and interfering with patient-provider relationships.
Purpose of the Study:
- To establish a theoretically grounded model for the birth doula's role.
- To promote constructive practice and counter inappropriate 'advocacy' roles adopted by some doulas.
Main Methods:
- Utilized the theoretical framework of relational autonomy.
- Applied this framework to analyze the components of doula-client interactions.
Main Results:
- Relational autonomy acknowledges the social context of women's healthcare choices.
- Emphasizes skill development, self-confidence, and social context recognition for informed decision-making.
Conclusions:
- A relational model of doula support minimizes undue influence on clients.
- Reframes the doula's role as facilitating patient engagement and shared decision-making in childbirth.
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