During a prenatal visit with Ann and Roger, a first-time mom and dad, the pediatrician asked about their childbirth education experiences. Ann said the classes were like a lecture, and there was little time to get questions answered. “As we went through the meetings and learned about things that might happen, we began to feel really nervous. The educator said it was best for the baby if the mother received no medication, so she suggested natural childbirth. I'm willing to try going without pain medication, but Roger doesn't want to see me in pain. Could I ask your opinion about a doula?”

Dr Wagner followed the mother's question with her own: “That sounds like an interesting idea. Tell me what you know about doulas.” Ann replied, “Not much. I've only heard the name. You know, we recently moved here.” Dr Wagner responded, “Well, Roger, let me tell you something that...

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