When you think of a doula, what do you picture? A middle-aged person with long graying hair, birkenstock clad feet, wafting of patchouli as they move through the room? Homemade salves clinging around in their hand woven purse, bought at a local farmers market? You might assume these care workers only support people who have home births, under the stars, on their homesteads, with no drugs or painkillers in sight.