Doula Expectations & FAQ’s
Answers. Before You Even Knew What Questions You Had.
What is a Birth Doula?
A Birth Doula is a trained professional who provides continuous physical, emotional and informational support to individuals giving birth before, during and shortly after childbirth to help her achieve the healthiest, most satisfying experience possible.
Why Hire a Birth Doula?
From DONA International: Doulas provide physical support, emotional support, partner support, and evidence-based information and advocacy Research shows that women who use a birth doula are less likely to need Pitocin, less likely to have a cesarean birth, less likely to use any pain medication, more likely to rate their childbirth experience positively. DONA International provides an excellent graphic here.
Why are Birth Doulas / Birth Photographers So Expensive?
Depending on your location, Doulas may charge anywhere from $1,000 - $2,000. That’s a significant investment - so what are you actually paying for? First, rather than a 9-5, Doulas are living an ‘on call’ lifestyle. 3am and it’s time to go to the hospital? Our bags are already packed and ready to go. Second, just like any profession, we are paying taxes, insurance, education, and general business expenses. Finally, birth is unpredictable; that can mean we are with you for a wide range of hours (or days), we are careful not to schedule clients too close together based on due dates limiting our clientele, and we are ready for anything - and I mean anything.
I Think I’m Going to Want an Epidural - Would I Still Hire a Doula?
Doulas are not just for unmedicated births! Many Doulas support a wide range of birth choices. Having an epidural is not a sign of weakness or support; it can still provide a positive birth experience without additional intervention, just as your Doula can do the same. According to The American College of Obstetrics and Gynecologists (ACOG):
I am Anticipating a High-Risk Pregnancy/Birth or Pregnancy/Infant Loss. Would a Doula Help?
The short answer is: Absolutely. In fact, some Doulas (such as myself) specialize or are specifically trained in exceptional pregnancy/birth, so not only are we able to provide the same standard of care but also anticipate how your journey may differ from others.
If you are in need of a specialized Doula, please reach out so that I may be able to connect you with someone best for you.
What if My Hospital Won’t Allow a Doula?
Every hospital has different policies and procedures, so please talk to your provider about your wishes in include a Doula in your birth plan as a method of care. Some providers may be able to provide clearance for your Doula to be present.
Recently, many hospitals have restricted the admittance of Doulas in effort to limit or reduce exposure to COVID-19 due to human contact. However, according to The American College of Obstetrics and Gynecologists (ACOG), having a Doula present actually limits the intervention during labor and birth, therefore reducing the chances of additional contact.
“The presence of a trained doula reduces the odds of cesarean delivery and instrumental vaginal delivery when compared with women receiving standard maternity care.” according to the National Center for Biotechnology Information (NCBI).
The birth community is continuously working to advocate for the families we support…but we also need our families to verbalize their strong desire to have us as an essential part of their birth team.
What’s the Difference Between a Doula and a Midwife?
Doula's and Midwives offer very different services when it comes to supporting birth. Midwives have medical training and during the birth process, focus on delivering a healthy baby. Doulas, on the other hand, focus on the needs of the mother, offering mental, physical, and emotional support. Doulas do not have medical training or experience and cannot be used a substitute for a midwife or doctor. (More questions answered here)
How Do I Know I am Hiring a Good Doula?
Birth is sacred, intimate, and special - it is very important to feel you’ve found the right person for you and encouraged to interview more that one individual. Some Doulas may have certifications but have attended fewer births; some Doulas may not have ‘formal’ certification but have much more experience. Fees, availability, specialty, and general compatibility are all important and should be considered. I encourage you to make a list of what is important to you or find some ideas from this form “Hiring a Doula: A Guide for Parents”
What if I Think I’ll Need More Help Once I’m Home?
Not everyone is able to rely on family and friends for the first several (tender) weeks postpartum, even in the best of circumstances. They may live far away, work full time, or simply not have the emotional energy to help in the capacity needed. Postpartum Doulas offer emotional support, practical support, and information for you, your partner, and siblings. Read more on DONA International’s Position Paper: The Postpartum Doula's Role in Maternity Care. Some Doulas perform services as birth and postpartum support but some specialize in one over the other. The average cost for a Postpartum Doula can range from $25-$45/hr.
I Want My Partner to Be Involved - Should I Still Hire a Doula?
While some people may prefer to have their Doula exclusively present during labor and birth, Doulas do not try to replace the important role of a supporting and loving birth partner(s)! Our goal is to support and enhance the experience for individuals giving birth; that absolutely means ensuring they are surrounded by the people they trust and love most (yes, that can also mean children). As my instructor puts it, “You best know your partner, we best know birth.” Here is a brief article on how Doulas can aide partners in the birth experience.
It’s certainly never to early to begin researching Doulas in your area and interviewing! Based on compatibility, availability, and other factors, getting to know one another sooner rather than later is best for everyone involved.
How Soon Should I Hire a Doula?
And that’s ok! Most Doulas offer a consultation appointment for free and are happy to answer any questions you have. Is there a question you think should be addressed on this page, I would love to hear about it!