<P> Most doula - client relationships begin a few months before the baby is due . Before the labor, the doula and the family can develop a relationship where the mother and her partner feel free to ask questions and express fears and concerns, and where the mother can take an active role in creating a birth plan . Continuity of support by the same person is thought to be an important aspect of the relationship between doula and mother . Doulas may be found in hospital, community - based programs as well as private practice, doula agencies and may be reimbursed by insurance companies or out - of - pocket by clients . Because insurance companies typically do not cover the cost of hiring a doula, they are more popular among middle - and upper - class parents . </P> <P> Postpartum doulas provide educational support and practical support in the home in the first weeks and months after childbirth or after adding an infant to the family . The same doula often provides both birth and postpartum services . They provide emotional support and companionship by encouraging a mother when she might be feeling overwhelmed . Other workers providing similar services are maternity nurses, newborn care specialists, and, historically, monthly nurses . </P> <P> An antepartum doula provides help and support to a mother who has been put on bed rest or is experiencing a high risk - pregnancy . Emotional, physical and practical support can be provided by an antepartum doula in these circumstances . </P> <P> The term "death doula" has also been used for practitioners caring for critically ill adults in geriatric care, and during death . </P>

Where does the term doula come from and what does it originally mean