Start / Down to Birth / 329 doula confessions bearing witness to birth and broken systems

#329 | Doula Confessions: Bearing Witness to Birth and Broken Systems

46 min • 13 augusti 2025

Doulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by profit and control. Still, many doulas are called to this work—and despite everything, they continue with resilience, purpose, and unwavering commitment.

Doulas are indispensable. The evidence is clear: When a doula is present, C-section rates drop -- as do all other routine interventions. Physiologic birth is more likely. Breastfeeding is more successful. And most important, mothers walk away feeling more satisfied and supported. Doulas are, and always have been, the original birth keepers. Their presence makes birth safer, more humane, and more aligned with what women actually want and need.

In today’s episode, we hear directly from doulas about what they’re up against—and why, despite it all, they keep showing up. We also share our reflections on what it means to support doulas as they continue this vital work.

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Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

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