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Writer's pictureChristina Lundy

What Does Doula Mean? The Evolution of "Doula": From Maidservant to Empowered Birth Companion


The word "doula" has become a significant part of the conversation around childbirth and postpartum care in recent years. However, many may not know that it stems from the ancient Greek word "doulē," meaning maidservant or female slave. This etymology may seem an odd starting point for a term that now embodies empowerment, support, and compassionate care during one of life's most profound transitions. Let’s explore how the role of the doula has evolved from its historical roots to its modern-day significance.



In ancient Greek society, the term "doula" referred to women who provided various forms of service, often in a household setting. This could include tasks that ranged from cooking to caregiving. Often, being a postpartum doula is described as “mothering the mother”. While the original meaning carried connotations of servitude, it also hints at a close relationship between the caregiver and the one being cared for—an aspect that is crucial in the modern doula's role.

As society has progressed, the concept of service has transformed dramatically. The modern doula is not merely a caretaker but a supportive ally who advocates for the family’s needs and desires. This shift reflects broader societal changes regarding women’s roles and empowerment, particularly in the context of motherhood.



In more recent years the role of a doula has shifted into a professional who provides emotional, physical, and educational support to new parents before, during, and after childbirth. Doulas are skilled at creating a nurturing and calm atmosphere to encourage peace and empowerment, which are vital when giving birth, or recovering. In regards to physical support, a doula uses various techniques such as massage, positioning, and breath work to hopefully decrease the intensity and give mom tools she needs to be able to give birth. Education is a big piece of how doulas prepare new parents to this new phase in their life.


The modern interpretation of "doula" embodies empowerment rather than servitude. Doulas advocate for the family’s choices and help them feel confident in their decisions. They provide continuity of care and a sense of safety, which can be particularly beneficial in a hospital setting where medical staff may change frequently.

Research indicates that the presence of a doula can lead to shorter labors, reduced need for pain relief, and lower rates of cesarean deliveries. Beyond statistics, the emotional impact of having a doula can be transformative, often resulting in a more positive birth experience.


The evolution of the term "doula" reflects a broader cultural shift towards valuing women’s voices in their own healthcare journeys. While the historical context of servitude may seem at odds with the modern role of the doula, it serves as a reminder of how far we’ve come. Today, doulas are not simply caretakers; they are advocates, educators, and partners in the sacred journey of childbirth.

As we look toward the future, the role of doulas is likely to continue evolving, incorporating new research and adapting to the changing needs of families. By understanding the origins of the word "doula," we can appreciate the profound significance of this role in promoting health, wellbeing, and empowerment during one of life’s most transformative experiences.


From its humble beginnings as a term for maidservant to its current embodiment of support and empowerment, the doula's journey is a testament to the evolving understanding of caregiving and the value of emotional and physical support in childbirth. As more people recognize the importance of this role, the legacy of the doula continues to grow, enriching the experiences of families around the world.


Christina Lundy is a certified birth & postpartum doula, certified childbirth educator, doula trainer, and agency owner. She’s located in East Atlanta and serves all of Metro Atlanta. She has 5 kiddos, whom she loves dearly. When she isn’t busy with a client or newer doula, you can find her outside in her garden, painting, or reading. Check out her instagram here.

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