P ALS Doulas is the original professional association of birth doulas in the Puget Sound region established in 1989. Our doulas are trained and experienced professionals who provide continuous physical, emotional, and informational support to expectant families. Research studies have found that a doula’s presence improves emotional and actual outcomes for laboring families. PALS Doulas has worked to increase education and the acceptance of doulas in labor rooms at area hospitals and with area birth providers. At present, PALS is nearly 200 members strong.