Women who plan to use pain medications can still appreciate having a doula for many reasons:
1. Women and their partners need information and emotional support, whether they use pain medication or not; although pain may be removed with an epidural, other questions and concerns remain.
2. Many women do not experience pain-free labor with pain medications and will still welcome comfort measures and mental strategies to help with pain.
3. It is hard to push effectively without sensation in the pelvic area, and an experienced labor support companion can be a helpful guide during the pushing phase of labor if a woman has had an epidural.
4. According to your wishes, a trained or experienced labor companion can also help you avoid, delay, or minimize the use of pain medication, which in turn may help you avoid or limit some of their potential adverse effects.