The Power of Presence
Sometimes the most powerful support does not come from words or actions, but from simply being there. Knowing someone is in your corner, silently cheering you on, can provide motivation, calm, and reassurance in ways you might not even realize. In birth, this kind of presence can make a remarkable difference.
Researchers first noticed this in a 1970 study on maternal-infant bonding. They observed that when a female research assistant was present during labour, the birthing process was significantly shorter. Although she was not providing medical care, her calm and supportive presence made a meaningful difference. The researchers later described this type of companion as a doula, someone whose steady presence and emotional support can positively influence birth.
In 1986, a larger study called Effects of social support during parturition on maternal and infant morbidity looked at 465 full-term pregnant people in Guatemala. The control group laboured alone, without family or companions, while the experimental group was accompanied by one of three trained female doulas from early labour onward. These doulas provided comfort techniques through handholding, back rubs, and words of encouragement.
The results were striking. Women who had a doula present were more likely to have shorter, safer, and more positive birthing experiences. This research highlights that while medical advances are important, simple human presence, care, and support can be just as powerful in helping people through one of the most intense experiences of their lives.
Being a doula is about holding space, offering calm, and providing encouragement simply by being there. It is a reminder that support does not always have to be loud or active to be life-changing.
Resources:
Klaus, Marshall Henry, John Kennell, Steven Robertson, and Roberto Sosa. "Effects of Social Support during Parturition on Maternal and Infant Morbidity." British Medical Journal 293 (1986): 585–7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1341377/pdf/bmjcred00250-0015.pdf
Darby, Alexis, ""Effects of Social Support During Parturition on Maternal and Infant Morbidity” (1986), by Marshall Klaus, John Kennell, Steven Robertson, and Roberto Sosa". Embryo Project Encyclopedia ( 2018-09-10 ). ISSN: 1940-5030 https://hdl.handle.net/10776/13086
