The "DO offering" is a basic VPS and you host/manage the couchdb process yourself. DO does not offer a managed couchdb service. I've found couchdb to be reasonably stable and worry free.
The nature of pouchdb/couchdb and the design philosophy behind it makes it relatively easy to scale to additional servers. Couchdb is master-master, which is a good eventually consistent model that should help in any horizontal scaling. The base process is erlang/elixir which should scale vertically well.
I've been using it a couple of years, but not on any sites that have significant traffic.
They offer VMs, containers, managed DB instance offerings, block storage, multiple regions and datacenters, load balancing, etc. They have an API to control all those things, and modules available in many popular languages. But that's basically what many people consider table stakes for a service like that, and indeed there are competitors like Vultr and Upcloud that offer the same.
Will any of them have quite the same level of offerings that AWS or GCE or Azure offer? Probably not. But for a great many people what they have is all the enterpise level stuff they'll need or use, and it is decidedly easier to just start up a cheap linux VM and take care of it on one of these services compared to AWS or GCE or Azure, so if what you want are somewhat manually managed cloud VMs, I highly recommend one of these services over one of the big names.
I've used all the services named, and I still prefer DO for just throwing up a cheap $5-$10 VM for personal stuff, or to spin up a temporary VM for testing something out. On DO that's a couple second process when you do it manually by clicking around.
Can one run a professional, mid-pack to top-tier SaaS on it, is it consistent, stable, etc
I wouldn't hesitate to run significant sites on any of these providers. Problems and outages happen, I don't think anyone is really providing five 9s whatever they say.
(with regard to systems from Oracle and SAP)
But DO doesn't have any pre-configured droplets to start off with. Be nice if they did.