DOULA SERVICES

 BIRTH DOULA SUPPORT SERVICES:

  • Complimentary meeting to see if we are a good fit as a birth team

  • 1-2 prenatal visits in your home

  • Phone/text/email support from the time of hiring

  • Informational support to ensure your care providers, birth plan and preparation provide the best birth experience.

  • On-call support starting at your 37th gestational week

  • Continuous emotional and physical support throughout the duration of your labor (and for your partner, if applicable)

  • Breastfeeding support for first latch (if applicable)

  • 1 postpartum visit within two weeks after birth

  • Postpartum Cooking: For an additional fee ($450/week + the cost of groceries) I am available to cook organic, healthy meals to be frozen in advance or scheduled to be cooked fresh for nourishing your postpartum period.

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WHY HIRE A DOULA?

There are many studies that have show doula support leads to a more satisfying birth experience with less interventions. A doula is at your birth specifically to care for your emotional and mental wellbeing, and your partner’s. We do not play a medical role, and thus are able to offer support that is non-medical, including during early labor and continuously at times when a nurse, doctor or midwife may not be present. Many people are surprised to discover how little time they will actually spend with their care providers during their labor. A doula will offer continuous support to ensure that you are comfortable, as well as emotionally and mentally cared for. For partners, this can mean being able to take a rest, grab some food or much needed nap. A doula can also protect the space of a couple who wants privacy. We are an extra set of hands, a calming presence, and an empathic and knowledgeable guide through the phases of labor. For the birthing person it means someone will always be there to fully support you, asses your needs and do everything in their power to make this experience joyous and deeply empowering.

The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) joint statement says this about the effect of labor support:

Published data indicate that one of the most effective tools to improve labor and delivery outcomes is the continuous presence of support personnel, such as a doula.”

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“…the presence of continuous one-on-one support during labor and delivery was associated with improved patient satisfaction and a statistically significant reduction in the rate of cesarean delivery.”

“Evidence suggests that, in addition to regular nursing care, continuous one-to-one emotional support provided by support personnel, such as a doula, is associated with improved outcomes for women in labor. Benefits described in randomized trials include shortened labor, decreased need for analgesia, fewer operative deliveries, and fewer reports of dissatisfaction with the experience of labor (1, 17). As summarized in a Cochrane evidence review, a woman who received continuous support was less likely to have a cesarean birth (RR, 0.75; 95% CI, 0.64–0.88) or a newborn with a low 5-minute Apgar score.”

Evidence Based Birth states: “Importantly, the doula’s role and agenda are tied solely to the birthing person’s agenda. This is also known as primacy of interest. In other words, a doula’s primary responsibility is to the birthing person—not to a hospital administrator, nurse, midwife, or doctor….Physical support is important because it helps the birthing person maintain a sense of control, comfort, and confidence….Emotional support helps the birthing person feel cared for and feel a sense of pride and empowerment after birth. One of the doula’s primary goals is to care for the mother’s emotional health and enhance her ability to have positive birth memories (Gilland, 2010b)” -

“ … Doula mothers reported a great increase in satisfaction with their partner since the birth of the baby and a much greater percentage of mothers reported their relationship was better right after the birth-more than double the percentage of that in the non doula group.” *

Satisfied with partner since baby was born: with doula 85%, without doula: 49%

Relationship better right after birth: with doula 71%, without doula : 30%

*(statistics as reported in The Doula Book)




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