I used a doula when I had DD and had an unmedicated birth. DH and I are on the fence about getting one this time. It would be a different doula (a coworker who happens to be one), same hospital, different OB practice, will just be the 2 of us in the room otherwise. DH doesn't think we need one and that she was only moderately helpful last time. Obviously things could be different with this L&D but I'm undecided whether we really need one.