Doulas establish an ongoing relationship with mothers beginning in pregnancy and continuing during the early postpartum period. Doulas conduct home visits, accompany women to prenatal appointments, and are present during labor, delivery, and in the first few postpartum hours to provide physical and emotional support. Community-based doulas use a list of priority topics to plan home visits. During prenatal home visits, doulas assess families’ needs and strengths, help them develop a birth plan, promote positive health behaviors, and facilitate access to prenatal care and other resources. Postpartum visits focus on supporting breastfeeding; fostering positive parent-child interactions; providing information on infant development, care, and safety; and referring mothers to community resources to address other health or environmental concerns. Other services may include telephone calls and center-based classes and parenting groups.