By no means are doulas new, but the way we’ve come to view them is for sure evolving on the regular. And what I mean to say is that for so long we’ve viewed them through this narrow scope as birth workers only. However, as the world progresses there has become an expansion in the types of doulas readily available to serve the community.
Typically, doulas are defined as “a trained professional who provides continuous physical, emotional, and informational support to their client before, during, and shortly after childbirth to help them achieve the healthiest, most satisfying experience possible.” This is according to DONA International or Doulas of North America. Allow me to also point out that while doulas can also double as health professionals, the role of a doula alone is not that of a health professional.
However, similar professionals are using the label doula to provide the “healthiest, most satisfying” experience in various life events or activities that deserve minimal trauma and maximum joy (and a reframe that allows for it in even the bleakest circumstances).
In this day and age, there are at least 9 different types of doulas you can seek out and while many of them are in regards to bearing children, you might be surprised to find what the other types of doulas’ work consist of.
1. Labor and Birth Doula
The type of doula we most commonly recognize is a labor and birth doula. They are the OG doula in the game and their work aligns most with the aforementioned definition – their specialty lies in providing prenatal, labor, and delivery care which includes advocating for patients. This makes them especially appealing to Black women who have an alarmingly high maternal mortality rate.
Doulas are a reminder that advocacy comes in so many forms including education, which is part of the prenatal doula service offered. They provide the tools and guidance sometimes necessary to create a birth plan; show you positions that most OBs won’t bother mentioning that help make all stages of labor easier; and so much more.
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2. Sensuality/Sexuality Doula
While the concept is rather new and seems to be carried by self-proclaimed sensualist and sexuality doula Ev’Yan Whitney, I believe this is one of the most necessary types of soul experiences. On their website, Ev’Yan states that their duties include the following: “[To] educate, facilitate, support, guide, and hold space for folks who are ready to step out of shame, confusion, and fear within their sexuality and want to come into authentic expression of their sexual, sensual selves—whatever that looks like for them.”
For me, a sexuality expert could potentially be helpful to people wanting to be pregnant because the way we view sex and our bodies during and after pregnancy can be largely associated with the shame we’ve been taught—this is why I stand by it being one of the most imperative, overarching categories of service offered by a doula.
3. Death Doula
4. Antepartum Doula
While birth doulas come in during the labor and postpartum doulas come in afterward, antepartum doulas come in at any point for moms-to-be who need mental health support. Because yes, pregnancy blues is a thing, and no, not everyone enjoys the transition that is pregnancy. They also help out with moms who have medical restrictions, such as bed rest for those who simply need help due to having multiple children.
5. Postpartum Doula
Postpartum doulas sweep in after you’ve delivered your baby and support you in the 4th trimester, where both you and the baby are finding a new identity—yours more intertwined with your little bundle of joy. These doulas will come over to the house and hold the baby while you shower, clean the house, or take a nap.
Some might even bring you meals to be sure you’re eating, which is just one way that they provide breastfeeding support. This is a service they offer regardless of whether you have a spouse or not, whether you have multiple children or not.
6. Abortion Doula
Abortion doulas pick up the slack and possibly are even more helpful than abortion clinic counselors who are required to read a state-mandated checklist, legally. They answer questions (often debunking bullshit myths) before and after abortion, and help arrange childcare and nutritious meals for their clients seeking abortion care.
They also offer calming touch and massage with their clients' consent to minimize pain, discomfort, or anxiety. I do, however, wonder how the scope of their role will shift in a post-Roe society.
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7. Fertility Doula
More and more people trying to get pregnant are seeking fertility treatments. However, even if you have never sought out fertility treatment, one thing the mainstream dialogue around the topic has taught us is that it’s not an easy process. With that in mind, fertility doulas offer support to clients individually and with their families. Similar to every other type of doula, they provide resources, knowledge, and in some cases physical support.
8. Indigenous Doula
This is another all-encompassing type of doula here! An indigenous doula is here to accomplish advocacy that ensures indigenous people's cultural practices are carried out in every trimester of childbearing, including the fourth. They also make sure they have a positive overall experience, given the fact that so many minority pregnant people do not have the most positive birthing experiences.
9. Transition Doula
“Transition” doula is a very vague term, meaning it can be tricky figuring out just what it means. With a quick Google search, you might find death doulas also referring to themselves as transition doulas and even birth doulas who offer all the mommy services, from labor to postpartum (because it’s…well…transitional). But it can best be understood as a gender doula, or a doula who provides companionship and such to the growing spectrum (queer, non-binary, trans, etc.). They are mainly there to support various transitions including but not limited to medical, non-surgical, and herbal.
Doulas are there to provide comfort and support during major life events. In a world of capitalism, they are as person-centered as possible with goals that prioritize helping underserved communities. In fact, during my pregnancy I’ve had the help of three doulas splitting the work of one—they’ve provided me with resources, meals when I couldn’t find it in me to cook nutritiously, and will be by my side in labor and delivery.
And in some cases, you might be able to find a doula who offers a combination of these services, whether it be postpartum and antepartum, sexuality and postpartum, abortion and transition. Doulas are here to help and support the collective, not a capitalistic agenda and that’s what makes them so great!
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In a xoNecoleexclusive, the iconic actress opens up about embracing this season of her life, new projects, and overall being a “bad motherfucker.” Gabrielle reveals that she was 37 years old when she was diagnosed with perimenopause and is still going through it at 51 years old. Mayo Clinic says perimenopause “refers to the time during which your body makes the natural transition to menopause, marking the end of the reproductive years.”
“I haven't crossed over the next phase just yet, but I think part of it is when you hear any form of menopause, you automatically think of your mother or grandmother. It feels like an old-person thing, but for me, I was 37 and like not understanding what that really meant for me. And I don't think we focus so much on the word menopause without understanding that perimenopause is just the time before menopause,” she tells us.
Gabrielle Union
Photo by Brian Thomas
"But you can experience a lot of the same things during that period that people talk about, that they experienced during menopause. So you could get a hot flash, you could get the weight gain, the hair loss, depression, anxiety, like all of it, mental health challenges, all of that can come, you know, at any stage of the menopausal journey and like for me, I've been in perimenopause like 13, 14 years. When you know, most doctors are like, ‘Oh, but it's usually about ten years, and I'm like, ‘Uhh, I’m still going (laughs).’”
Conversations about perimenopause, fibroids, and all the things that are associated with women’s bodies have often been considered taboo and thus not discussed publicly. However, times are changing, and thanks to the Gabrielle’s and the Tia Mowry’s, more women are having an authentic discourse about women’s health. These open discussions lead to the creation of more safe spaces and support for one another.
“I want to be in community with folks. I don't ever want to feel like I'm on an island about anything. So, if I can help create community where we are lacking, I want to be a part of that,” she says. “So, it's like there's no harm in talking about it. You know what I mean? Like, I was a bad motherfucker before perimenopause. I’m a bad motherfucker now, and I'll be a bad motherfucker after menopause. Know what I’m saying? None of that has to change. How I’m a bad motherfucker, I welcome that part of the change. I'm just getting better and stronger and more intelligent, more wise, more patient, more compassionate, more empathetic. All of that is very, very welcomed, and none of it should be scary.”
The Being Mary Jane star hasn’t been shy about her stance on therapy. If you don’t know, here’s a hint: she’s all for it, and she encourages others to try it as well. She likens therapy to dating by suggesting that you keep looking for the right therapist to match your needs. Two other essential keys to her growth are radical transparency and radical acceptance (though she admits she is still working on the latter).
"I was a bad motherfucker before perimenopause. I’m a bad motherfucker now, and I'll be a bad motherfucker after menopause. Know what I’m saying? None of that has to change. How I’m a bad motherfucker, I welcome that part of the change."
Gabrielle Union and Kaavia Union-Wade
Photo by Monica Schipper/Getty Images
“I hope that a.) you recognize that you're not alone. Seek out help and know that it's okay to be honest about what the hell is happening in your life. That's the only way that you know you can get help, and that's also the only other way that people know that you are in need if there's something going on,” she says, “because we have all these big, very wild, high expectations of people, but if they don't know what they're actually dealing with, they're always going to be failing, and you will always be disappointed. So how about just tell the truth, be transparent, and let people know where you are. So they can be of service, they can be compassionate.”
Gabrielle’s transparency is what makes her so relatable, and has so many people root for her. Whether through her TV and film projects, her memoirs, or her social media, the actress has a knack for making you feel like she’s your homegirl. Scrolling through her Instagram, you see the special moments with her family, exciting new business ventures, and jaw-dropping fashion moments. Throughout her life and career, we’ve seen her evolve in a multitude of ways. From producing films to starting a haircare line to marriage and motherhood, her journey is a story of courage and triumph. And right now, in this season, she’s asking, “What’s next?”
“This is a season of discovery and change. In a billion ways,” says the NAACP Image Award winner. “The notion of like, ‘Oh, so and so changed. They got brand new.’ I want you to be brand new. I want me to be brand new. I want us to be always constantly growing, evolving. Having more clarity, moving with different purpose, like, and all of that is for me very, very welcomed."
"I want you to be brand new. I want me to be brand new. I want us to be always constantly growing, evolving. Having more clarity, moving with different purpose, like, and all of that is for me very, very welcomed."
She continues, “So I'm just trying to figure out what's next. You know what I mean? I'm jumping into what's next. I'm excited going into what's next and new. I'm just sort of embracing all of what life has to offer.”
Look out for Gabrielle in the upcoming indie film Riff Raff, which is a crime comedy starring her and Jennifer Coolidge, and she will also produce The Idea of You, which stars Anne Hathaway.
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