Frequently Asked Questions

A birth doula is trained in pregnancy, labor, and often some postpartum support. Birth doulas provide informational, emotional, and physical support for a pregnant and laboring (and newly postpartum) family. Prenatally, birth doulas form a relationship with their clients, providing information and resources in their prenatal meetings. When families are in labor, birth doulas provide continuous physical, emotional, and informational support from active labor (and sometimes even in early labor) until the baby is born and remain with the family for the first couple of hours after the birth. In the days and weeks following the birth, a birth doula checks in with a family to process the birth and see how the family is doing.

There has been ever-increasing amounts of research being done on the benefits to the birthing person and baby when doulas are involved. People who receive continuous labor support by a professional doula are more likely to give birth without assistance (vacuum/forceps or cesarean) or pain medications. People who have given birth with the assistance of a doula were more likely to report high satisfaction levels, and have shorter labors. Babies with doula assisted births have higher APGAR scores. No adverse effects have been identified.

-Cochrane Review including 22 studies, in 16 countries, involving more than 15,000 women.

Bottom line: we do what families need us to do within our scope as doulas. Things we might do during labor:

• Assist families with laboring at home before it’s time to head to the chosen place of birth

• Keep a timeline of what happens during labor

• Set up the space (diffuser, twinkle lights, music, affirmations, etc.)

• Remind the birthing person & partner of their birth plan wishes (and also remind them it's okay to change their mind!)

• Suggest and assist with position changes and other pain management support

• Check in with partners to make sure they have what they need (water, snacks, a break to get some fresh air, a nap, emotional support, etc.)

• Reassure partners that the birthing person really is doing a great job (and that they are doing great, too)

• Massage, touch, and/or provide pressure

• Be an “encyclopedia” for parents about the process, and about various interventions

• Remind families that the intense process of labor is normal

• Reassure partners that though their birthing partner may not seem like themselves, that they’re doing exactly what they needs to be doing

• Acupressure

• Brainstorm options

• Remind parents that this work is going to birth their babe (birthing folks often get so deep into the work of labor that they forget there’s a baby at the end of it)

• Shut the doors if the staff hasn’t been diligent about it

• Tell them again that they’re doing amazing!

• Speak for a family

• Make decisions for a family

• Judge families for their decisions

• Alienate partners/family members

• Interact antagonistically with staff

• Expect you to worry about them

• Be offended by anything a laboring person says or does

• Cervical checks

• Listen to heartrates

• Perform other medical procedures

There is no way we can replace a partner in the ways in which partners are often the best support to a laboring parent. We didn’t choose to have a baby with our clients, we didn’t work to create the baby (whatever that creation process looked like), and we are not in love with y’all. Birth is hormonal – it takes lots of oxytocin; doulas can help oxytocin levels through reassurance and by helping to keep the laboring space quiet and mellow and partners can use physical touch to reassure the birthing person and keep the oxytocin flowing.

We are able to help partners to be the best labor support they can be. We can make (often very subtle) suggestions and redirections about physical labor support and position changes to help move labor along. We make sure partners are physically supported themselves so that they are able to give mom good support – being hungry (or “hangry”), exhausted, and/or thirsty only increases partners’ stress levels, and a stressed out partner isn’t good for laboring people.

We can double-up with partners if lots of hands-on support is needed, and we can ensure birthing parents are never left alone (there’s no way to get through the average length labor without peeing, and at least eating a snack). Often it is the partner who becomes the doula’s biggest cheerleader after the birth – it’s hormonally appropriate for birthing folks to “checkout” into labor land during childbirth, and it’s often partners and doulas who bond as a team in giving good support.

Doulas won’t make decisions for a family, but we are able to provide information, brainstorm questions to ask, and talk through decision-making – relieving partner of the sole responsibility involved with being the one who has to remember everything ever read or learned in childbirth class.

We can help keep the environment around a laboring couple quiet, mellow, and low-stress so that partners can remain calmly by the birthing parent’s side.

The doulas of MDC meet with clients for a no-obligations virtual call (generally 30-45m). Once you’ve chosen your doula, they will set up 2 prenatals where you will meet directly with them for ~2hrs each. The exact time and number of prenatals varies with each doula and the packages you choose. Doulas are typically 'on call' for their client to text, call or zoom if something comes up outside of the scheduled prenatals.

Once labor gets some momentum and you are needing support, your doula is there until – well, until babe comes. We may take some power naps, and step away for a breath and some food if things are going long but our aim is to be continuous support for a family from active labor until babe arrives. If things truly are getting exhausting, we may consult with a family about having one of the other MDC doulas come for a couple of hours so we can get a solid nap out in the waiting room.

Your birth doula will stay 1-2 hours after baby is born, or until things are calm and it feels like a good time to go. If things are hectic (for any reason) we will generally hang out until we can see you tucked in and things are chill.

In the postpartum period your birth doula will visit you 1-2 more times, spending another 2-4 hours with you, reviewing birth timelines, answering questions, and directing families to any resources they might need. And if a family is needing additional support, your birth doula will talk with you about postpartum doula options.

*since each MDC doula runs their own business exact offerings may vary. Please speak directly with your doula about what to expect in terms of time.

Your care providers and nurses are charged with the birthing person’s and baby’s medical well-being. They are there to make sure that you and your baby are physically and medically healthy and safe. They may love to do labor support (and let’s face it, they may not – and particularly when giving birth in a hospital, there’s no way to know ahead of time whether you will get someone who likes labor support or not), but their first charge is to monitor birthing folks’ and baby’s medical wellbeing, and to chart what they find.

Though doulas they may take notes about when certain things have occurred (so that families have a timeline to use in creating their birth story), they do not need to chart as one of their primary tasks during your birth and so they are able to focus first on being very present for a family.

Hospital staff work in shifts – midwives and nurses alike – which means they are entitled to (and deserve to!) take breaks, take a lunch, and leave at the end of their shift. Doulas are there continuously – perhaps even for hours at home before it’s time to head into the hospital if you are giving birth in the hospital.

Your doula has worked prenatally to form a relationship with you, and to learn about what it is you want and need in order to have the birth that you want. And though this is our work, we take at most 4-5 clients per month, which means though this *is* a day of work for us – we know you and we have worked to learn what is important to you, and you are one of only a few families we know in this way. This is very different than a hospital-based midwifery practice or an L&D nurse.

When working with a midwife (at home or in the hospital), though your emotional wellbeing is a piece of the puzzle of the midwifery model of care, you have hired your midwife first to care for your medical wellbeing. It isn’t good strategy for them to exhaust themselves giving continuous physical support, when their first priority needs to be keeping watch on medical wellbeing, and making decisions about medical care. Many midwives (and L&D nurses as well) report that they enjoy working alongside professional doulas, knowing that the emotional and physical support doulas provide help make for a complete team surrounding a family.

Including extended family at a birth can be an amazing experience if a laboring person feels in their gut that they wants them there. Birth is a vulnerable time. It is hormonal and it is instinctual. We encourage parents to invite people into their laboring space who make them feel safe, strong, powerful, and amazing – and people who understand that birth can be long, and that it takes determination.

We also encourage families to make a thoughtful decision about who they allow to invite themselves to a birth – the presence of extended family and friends at a birth should be a decision a laboring person makes, for it is their hormonal vulnerable state that can be effected. Birthing families may find that family and friends who don't have experience with a laboring person may not behave in a way the birth family OR they themselves expected. Which could lead to a shift in the general vibe of the room or start to make it about them and their feelings. Doulas are experiences and not emotionally connected to birth families. We will not make it about us.

Family and friends who are invited will be able to work with partners to help give hormonal, physical, and emotional support – but they have an emotional tie to the family that means that the work of labor support will likely be more tiring than it would be for a doula.

Often it is the informational support a doula provides that help families to navigate the physical environment of the hospital, and the research knowledge regarding birth, procedures, positions, and interventions that makes the support of a doula priceless to families. And very few family members and friends will have such a skillset.

We are happy to work with extended family and friends to provide labor support, and we are happy to give them information and a reassuring hug too.

It is a misconception that doulas only support or like non-medicated births. All of the doulas of MDC would say that their first priority is a supported birth.

A “good birth” is not measured by choices a family has made around pain relief, but around how families feel about their birth. An empowered birth is a “good birth”; and empowerment looks different for different families. It is not our job to make judgement calls – it is our job to help families connect to information, provide continuous support, and be a noncritical source of emotional comfort.

So yes, if the decision to use pain meds is right for you and your birth experience- we are totally okay with that!

When planning a homebirth, the midwife you’ve been working with through your pregnancy will be your main care provider, which means you do often have a closer relationship to your care provider than you would birthing in a hospital (particularly since each prenatal is ~1hr) but this does not mean that the care of a doula can’t/won’t be appreciated.

Just as in the hospital, you have hired your care provider so that their first priority is the birthing person’s and baby’s medical well-being. This doesn’t mean they are going to ignore your emotional well-being, but they are going to be first and foremost assessing the data they are collecting and working through medical decision making processes. And they are then responsible for charting the data.

Doulas are able to do continuous labor support, often starting before the midwife and the assistant have arrived (sometimes the midwife’s assistant or a midwifery student will be able to provide active physical labor support, but you have likely not formed the same relationship with them as you would have formed with your midwife or a doula) and our main priority as doulas is to give physical and emotional support. Should a hospital transfer need to happen (a high percentage of homebirth transfers occur not because of emergencies, but because of exhaustion) your doula will make that move into the hospital with you (oftentimes along with your midwife), and use the knowledge they have of working within the hospital to continue to support you.

Doulas can also help prep the home for post birth- getting snacks or drinks ready, helping to change sheets, taking care of pets etc.

Lots of people hire birth doulas even with a homebirth!

There is no wrong time. The earlier you hire your doula, the sooner you have access to the support given prenatally – lending library, resources, the MDC group prenatals, and email/phone support.

We’ve been hired as late as “we’re in labor and realized we want support!” and as early as “we just saw our positive pregnancy test”. Many of us do book up for several months before a given month however – so earlier is better if you want maximum choice in who you hire.

Let us know if you’d like to come and meet is at our next Meet YOUR Doula Meet & Greet.

You have a couple of options:

MDC holds a quarterly Doula Info Session and it is a great space to meet some of the doulas at one time, ask questions, and get a sense of what a doula does, how the collective works, and address any concerns you might have. After that you can choose to meet with a few doulas one-on-one. Please reserve your spot for our next Doula Info Session.

You can also contact the doulas you are interested in directly to schedule a free consult, usually conducted virtually. These are generally 30-60m, and allow doulas and potential clients to get a sense of one another, and determine if it is a good fit. These meetings can be as laidback or as interview-like as a family would like to make them – it’s not necessary to prep for the meeting, at the same time, if it’s more your style, feel free to bring questions. See the doula pages on the website to find contact information and learn more about each doula.

From there, once you have made your decision as to who you want to work with, a contract will be signed, a deposit will be paid, and prenatals put on the calendar. Easy peasy.

Because each doula in MDC runs their own business, they also set their own prices. These prices can range from $1200-2500 and many doulas will charge based on their years of experience and services offered. Some doulas offer sliding scale or payment plans.

You will need to reach out to each doula individually to find out their exact pricing. Some doulas have pricing listed on their individual website which can be found under their bio on their doula page on the MDC website.

Whether or not your insurance will cover a birth doula, either fully or partially, is up to each persons individual insurance plan. Please reach out to them directly. Doulas are always happy to provide an invoice to send to your insurance for reimbursement.

Some families are able to use their HSA/FSA account to cover doula services.

If your insurance does not cover doula services we encourage you to reach out to them and tell them they should!

In the first 12(ish) weeks following a birth, a postpartum doula provides physical, informational, and emotional support to a family.

Postpartum doulas offer practical assistance and reassurance in breastfeeding and/or feeding; basic newborn care (diapering, bathing, etc); creating effective home management systems; cooking, cleaning, and laundry; integration of new family roles; and developing safe sleep practices.

Postpartum doulas are also there to “normalize” the postpartum experience and validate the many emotions that come with parenting a newborn. Often families say the most important thing that the doula did for them was to tell “you’re amazing”.

Postpartum doulas offer a calm and reassuring voice in the so-called “fourth trimester”.

We have specialized training and experience to assist the new family to make many transitions and feel empowered and capable at the same time. Postpartum doulas believe in the strength and intuition of parents to make the best choices for their individual family. We are also very connected within the community and can easily refer to tried and trusted services that meet your family’s specific needs.

Postpartum doulas are there to support the entire family.

Again, similar to a birth doula, we are there to create a safe and comfortable newborn parenting environment in which both partners can participate and enjoy the experience.

Postpartum doulas also have specialized training to offer effective communication tools for both partners to use as the family roles transition in caring for a new baby.

Postpartum doulas offer non-biased and nonjudgmental education to empower you as the parents to make your own decisions, and we have zero emotional investment in how you parent.

We are happy to sort through the many and diverse emotions that are normal in newborn parenting. We are up-to-date on current literature and research about newborn parenting.

Unlike family and friends, our relationship to you is that of a caring professional – we do not have intricate or deep emotional ties to you which may cloud our ability to recognize the care and support YOU need. We also do not have long developed expectations to live up to and we do not want to create our own relationship with your baby.

Postpartum doulas are hired at all stages of the game. It’s never too early or too late to hire. We’ve had folks sign a contract at 8 weeks pregnant and at 8 weeks postpartum.

If you hire a postpartum doula prenatally you will benefit from the opportunity to get to know your doula a little better since postpartum doulas will also do a prenatal planning session. But sometimes you don't know that you will need one and therefore you are encouraged to reach out at any time!

Similar to hiring a birth doula you are encouraged to set up consults with more than one postpartum doula. These are about 30 minutes and are held virtually. This is a chance to meet each other and talk through how the doula can best support you postpartum. If you are reaching out after babe has arrived the virtual consults are a good way to talk over how a doula can best support you in your immediate needs.

Once you decide to move forward with a postpartum doula you will sign a contract with them, agree on payment and schedule your first visit!

Come to our quarterly Doula Info Session! Or, if your due date is approaching and you'd like to connect with a doula sooner, you're always welcome to set up as many individual consultations as you wish.

The Doula info session happens quarterly (January, April, July, October), see website for exact dates/times. This event is for prospective clients looking to learn more about doulas, and about the doulas of MDC. We begin with doula introductions and also ask families to share a bit about themselves as well. We discuss what doulas do and do not do, how doulas and partners work together, and discuss any other questions families bring to the meeting. Some questions that often come up include:

• How do MDC members work together?

• How does backup work?

• What if I want to interview several doulas from MDC, is it uncomfortable when I choose one over the others?

• Can I use different doulas for different services?

We are all independent business owners, who have chosen to work together for the good of ourselves professionally, and for the good of our clients. We trust one another, and enjoy one another. We work as professional colleagues.

We utilize each others shared knowledge, experience and resources to better support our clients.

We meet monthly as a collective and do a good amount of email, phone, text, and online communication as well, keeping each other updated about the births we're attending, the back up we might need, and the things going on in our personal lives. We care about each other and help each other do this work effectively without burning out.

Backup. It’s important that any doula you work with has backup. Illness, emergencies, and family funerals are the most common reasons backup is used. Even if a doula only took one birth every 6-8w (the only possible way to try to “guarantee” a family a “spot”) the reality is, as cliche as it sounds, life happens. At MDC, if your doula is unable to be at your birth, for any reason, another doula will be there in their stead.

Should your doula be unavailable, you are more than welcome to nominate a first or second pick – there are no guarantees, but your doula will do her best to first reach out to your preferences. If a doula has a known period of time where they will be unavailable during your pregnancy they will find a backup and discuss it with you. Doulas are proactive about needing backup, rarely, if ever will it be a surprise for you or them.

You will not have to worry about or deal with a change in payment or fee if a backup is used – we take care of that amongst the doulas. If a backup were at your birth, you will work with your original doula and the backup doula to determine the best postpartum followup plan – there are several options for who and how your pp visits will go, and everyone will work together.

A resounding NO! Truly. Hiring a doula is personal. Just as it isn’t our job to judge your choices around your labor and birth, it is not our instinct to judge your choice of doula. Most people report it’s a “gut” choice – who you want seeing you at your most vulnerable. We all enjoy talking about pregnancy, birth, and babes, it is what we are passionate about. We don’t meet potential clients for consults to “close the sale”, so we don’t see it as a waste of time if you hire another doula.

Definitely! The doulas of MDC have different services they provide in addition to being birth doulas. We are always super excited to work together to support a family. We have one (now repeat) family who joked that they used one of the services of every doula in the collective with their first kiddo.

Hire a doula for birth, someone else to encapsulate your placenta, a postpartum doula for more extended postpartum support and more! We love sharing families!