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FREQUENTLY ASKED QUESTIONS

What is a Doula?

What is the difference between a Birth Doula and a Postpartum Doula?

What does a doula do?

What are the benefits of having a doula?

How much does a doula cost?

How do I find a doula near me?

Questions to Ask a Prospective Birth Doula

What is a Doula?

The term doula is Greek for slave or servant. Doulas provide emotional and physical support during pregnancy, labor, birth and postpartum. A doula may also go by the title Childbirth Assistant, Labor Support Professional, Birth Assistant, Birth Companion, etc.

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What is a the difference between a Birth Doula and a Postpartum Doula?

A birth doula is a woman trained and experienced in childbirth who provides continuous physical, emotional, and informational support to a woman during labor, birth and the immediate postpartum period. A postpartum doula is a woman trained to care for new families in the first weeks after birth providing household help, advice with newborn care and infant feeding, and emotional support.

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What does a doula do?

A doula provides: 

bulletone-on-one emotional support

bulletadvice during pregnancy (within scope of practice - I cannot offer medical advice)

bulletsuggestions to make pregnancy more comfortable

bullethelp with preparation of a birth plan

bulletencouragement for the mother (family) to make informed decisions about their care

bulletsupports the mother in having the birth that she desires

bulletmassage and other non-pharmacological pain relief measures

bulletpositioning suggestions during labor and birth

bulletsupport to the partner so that they can support and encourage their loved one

bulletexplanations of medical procedures

bullethelps the birthing couple avoid unnecessary interventions

bullethelp with breastfeeding preparation and initial feeding/s following birth,

bulletwritten record of the birth

bulletmany other possibilities that vary from doula to doula

A doula does not :

bulletMake decisions or speak  for a couple,

bulletProvide medical or clinical skills (assess fetal heart tones, blood pressure checks, and vaginal exams. I do not deliver babies!)

bulletReplace the partner or any clinical care providers

bulletImpose her own ideals on the pregnant woman and her partner

 
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What are the benefits of having a doula?

 

According to Mothering the Mother, How a Doula Can Help You Have a Shorter, Easier and Healthier Birth, by Kennell, Klaus, and Kennell (1993), having a doula can give you a:

bullet50% reduction in cesarean rates

bullet25% shorter labor

bullet60% reduction in epidural requests

bullet40% reduction in oxytocin (pitocin) use

bullet30% reduction in analgesia use

bullet40% reduction in forceps delivery

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How much does a doula cost ?

The amount a doula charges for her services varies from area to area and doula to doula. Some of this is based on the experience your doula has, some is based on the going rate in your area and sometimes will depend on what your doula's services include. Most doulas will barter, have a sliding scale, or set up payment plans so that cost alone will not keep you from hiring a doula.

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How do I find a Doula near me ?

Locally, you may find a doula by inquiring at  your birth place (hospital), your Midwives or Doctors office (check for a bulletin board), your Childbirth Education Class, Lactation Consultants, La Leche League members, Massage Therapist, Chiropractor, anyone who has recently had a baby or works in birthing field.

Contact any of  the Doula Organizations below - many of them maintain a listing of doulas that are available in your area

DONA International

1-888-788-DONA

Fax:  (812)634-1491

Doula@DONA.org

 

CAPPA (Childbirth and Postpartum Professional Association)

1-888-MY-CAPPA (Monday- Friday 9AM-3PM eastern time)
 Fax (770)932-7281

 info@cappa.net
 

CAPPA Canada

1-866-CDN-BIRTH
 Fax (
613)968-5358

info@cappacanada.ca

 

DoulaCARE, Inc. (Canadian Association Registry and Education Birth and Postpartum Doula Services)

Call 905-842-3385 (for the Greater Toronto Area), or

    1-888-879-3199 (for all other areas) and we will return your call promptly.

info@doulacare.ca

 

CDA (Canadian Doula Association)

Phone/Fax (780)962-1846

info@canadiandoulas.com

 

There are also many free internet listings for doulas. You can find them by entering 'doula' in any search engine.

(There are several listed on my links page)

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Questions to Ask a Prospective Doula

The following questions will help you decide if a particular doula is right for you.

 

For any doula:

bullet

  What training have you had? (If a doula is certified, you might consider checking with the organization.)

bullet

  Do you have one or more backup doulas for times when you are not available? May we meet her/them?

bullet

  What is your fee, what does it include, and what are your refund policies?

 

When interviewing a birth doula:

bullet

Tell me/us about your philosophy about childbirth and supporting women and their partners through labor.

bullet

May we meet to discuss our birth plans and the role you will play in supporting me/us through childbirth?

bullet

May we call you with questions or concerns before and after the birth?

bullet

When do you try to join women in labor? Do you come to our home or meet us at the place of birth?

bullet

Do you meet with me/us after the birth to review the labor and answer questions?

 

When interviewing a postpartum doula:

bullet

 Tell me about your experience as a postpartum doula.

bullet

 What is your philosophy about parenting and supporting women and their families during postpartum?

bullet

 May we meet to discuss our needs and the role you will play?

bullet

 What different types of services do you offer?

bullet

When do your services begin postpartum?

bullet

What is your experience in breast-feeding support?

bullet

Have you had a criminal background check, a recent TB test? Do you have current CPR certification?

When you meet the doula (and it is a good idea for both of you and your partner to meet her), pay particular attention to your personal perceptions of the doula. Is she kind, warm, enthusiastic? Is she knowledgeable? Does she communicate well? Is she a good listener? Is she comfortable with your choices or does she seem to have her own agenda? Do you feel comfortable with her? The way you feel with her may be more important than the number of births she has attended or postpartum clients she has had.

 

You may want to interview more than one doula and make a comparison to help you find the doula who is right for you.

©DONA  Permission granted to freely reproduce in whole or in part with complete attribution.

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Robyn Lampman
Copyright © 2005  Everyday Miracles Doula Services. All rights reserved.
Revised: 09/09/06.