What is the first step a doula should take if a client shows signs of distress during labor?

The first step a doula should take if a client shows signs of distress during labor is to assess the situation. This involves observing the client's physical and emotional state, understanding the signs of distress they are exhibiting, and gathering information about what might be causing their discomfort. By taking a moment to assess the situation, the doula can ensure they are responding appropriately and can provide support tailored to the client's needs. This assessment may include asking the client questions about how they are feeling, checking in with any support people present, and observing for any indicators that may require further action.

Assessing the situation allows the doula to determine whether the distress is something that can be alleviated through comfort measures, such as breathing techniques, positioning, hydration, or continuous emotional support, or whether the situation requires escalation to medical staff. The doula's role is to support the client while being attentive to their needs and the environment in which they are laboring. By thoroughly assessing, the doula can better support the client rather than immediately jumping to interventions or actions that may not be warranted at that moment.