FAQs - Birth Doula Support
You likely have a lot of questions about how this all works. From payment to logistics, we've got the answers for you here. We support your family with whatever choices feel right for you. 0% judgement. 100% commitment.
Approach
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First, let’s clarify that birth preferences is a much better descriptor than birth plan. We like to think of it like crafting a road map - we’ll talk through all various pathways that your birth might unfold.
In our prenatal appointments, we’ll talk about your options and what we can – and can’t – plan for, so that you’re fully informed. We will guide you through exercises and specific questions to help identify your feelings – and ensure all of us are on the same page – as it relates to things like interventions. From there, we’ll identify the key areas you feel strongly about and we’ll help you craft your birth preferences.
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So long as you’re informed, we support whatever feels right for you and that includes pain medication. In our prenatal meetings, we’ll talk about your options as it relates to pain relief, as well as the advantages and any risks associated with them so you can make a fully informed decision.
We’ll also talk about how we can support you in your choices, and your pain relief options, should you choose to forego an epidural.
At the end of the day, how you feel about your birth will depend less on how it unfolded (ie: epidural vs. not) than on whether you felt informed and supported in your decisions. So that’s what we aim to provide for you, no matter what your preferences.
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We’ll talk A LOT about this in our prenatal visits. There is no way to know for sure what you’ll like during labour, so we will offer you a giant tool kit of options! We’ll explain how different active and passive postures can help, and how items in your home can also help.
Our team is experienced in using the Rebozo method, which uses a long scarf for support, as well as a TENS machine. Some of us also have training in Hypnobabies, yoga and meditation, and we all make use of practices such as affirmations and breathing.
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A lot of it boils down to making sure you and your partner are on the same page, which is one of the reasons prenatal appointments are so valuable. Your partner will participate in our discussions, learn what you learn, and understand your preferences.
At the birth itself, we’re there to support your partner as well as the birthing parent – because even the most attentive partner will need to go to the washroom or have a bite to eat eventually!
The bottom line is that we’re not – in any way – there to replace your partner; rather we’re there to guide and support both of you.
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Very well! Doctors and nurses at Toronto hospitals are generally pretty used to doulas, and understand our role. There isn’t any extreme overlap in terms of what we provide vs. them – they are responsible for your medical care, and we are there to support you physically and emotionally.
You can expect there to be a solid level of understanding and respect, and that everyone will work together to support you. We can promise you that, even if there’s a shift change at the hospital, we’ll be with you the whole time – which often provides a welcome continuity of care for families.
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It’s a common misconception that a doula is ‘no longer needed’ in the case of a c-section – but in reality, you need just as much support; but of a slightly different kind.
If you’re having a scheduled c-section, we will spend lots of time planning, we will be at the hospital before and after (some hospitals have even let us into the delivery room, but this isn’t a guarantee), and will be there to provide the support you need as you heal and recuperate.
In the event of an emergency c-section, there’s a good chance you’ll have been in labour for quite some time already, with our support. When the decision to move to a c-section gets made, we can help you understand your choices and what’s going on, and provide support afterwards.
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We have worked with 100s of families, each with their own unique story. Chances are, we’ve supported a family in a similar situation to you, facing similar challenges.
While each story is unique, you can rest assured that we have the experience to support your birth and baby journey fully.
Here's some experiences we've worked with before:
Home births, hospital births and birth centre births
Transfers of care from one location and/or care provider to another (i.e. birth centre to hospital, midwife to OB)
High risk pregnancies
Twins and triplets
Gestational diabetes or pre-existing diabetes
Blood clotting disorders
Maternal and baby heart conditions
Pregnancy and birth after previous loss
Perinatal mood conditions
Higher maternal age during pregnancy
Solo pregnancy and parenting by choice and based on life circumstances
IVF and IUI pregnancies
History of eating disorders
History of previous sexual assault
and more.
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Yes! While masking rules are now relaxed, we are happy to wear a mask, upon request.
We will wear a mask during heavy transmission times or cold, flu or Covid-19. We will also wear a mask if someone in our household is sick.
We will reschedule our visit if we are sick.
We also wash our hands as soon as entering any home and regularly during birth support.
About Doulas
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A doula is a non-medical care provider, that supports families through pregnancy, birth and postpartum.
Your doula will not replace your midwife or OB, but will work alongside them. While they take care of the medical aspects, your doula can focus on helping you use coping tools (i.e. hands on massage or heat packs, baths), suggest position changes, offer water or food and help coach you to breathe.
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All the doulas on our team are certified by a reputable doula training organization (i.e. DONA, CAPPA, Doula Training Canada, bebo mia). Training involves theoretical work, both in class and via readings and assignments. It also involves accruing experience in at least 3 births and a vast number of postpartum hours.
At this point in time, doulas are not a regulated health profession. Some doulas in Ontario choose to join the Ontario Association of Doulas, but it is not a requirement.
All the doulas on our team do have professional liability insurance.
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No! Doulas support families in any chosen birth place - home, hospital or the Toronto Birth Centre.
Every doula on our team has experience with all of these birth places.
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Absolutely, yes! We have all worked with many different families and birthing people. Every body has a different approach in what support tools feel right for them.
We recommend meeting with 1-3 doulas, so that you can find the doula who has a style that feels like the best fit for you.
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Why, yes! We are able to help you set up your birth space and re-affirm your prenatal affirmation crafting, during birth.
We recommend meeting with 1-3 doulas, so that you can find the doula who has a style that feels like the best fit for you.
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Yes. As doulas are non medical care providers, you will need a midwife or an OB to support you as well.
Logistics - prenatal
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Prenatal visits generally last for 2 hours. These can take place online or in your own home.
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Once you’ve chosen a package and submitted your first payment, we’ll ask you to complete e-intake and e-consent forms.
Then you’ll select the dates for your sessions, and text and email support begins immediately. You’ll also be given access to your own private Client Portal, which will be loaded up with documents, videos and links!
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Between 30-37 weeks is the ideal time frame to schedule your sessions. Ideally, there should be at least week between your sessions.
Once you sign on, we’ll look at our schedules and find out what works best. Daytime, evening and some weekends can be accommodated, depending on your doula's availability. .
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Yes! We highly recommend that your partner join into our sessions. We want to make sure that you and your partner are on the same page, which is one of the reasons Prenatal Education is so valuable.
Your partner will participate in our discussions, learn what you learn, and understand your preferences. If you are a solo parent, we do advise that the person you intended to be your primary birth support join into our sessions.
Our sessions can also be semi private - I’ve created classes with 2 or 3 pregnant couples!
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Yes! Having a back up doula in place, is vital to our support. Calling on a back up doula is rare but it has happened - life is unpredictable and this is why we have you covered. Generally, our back up doulas are doulas on the team.
However, sometimes we do contract back up doulas outside of the team. Any back up doula will share similar doula philosophies and training - we know that we can count on them for support.
We always ensure that you have your back up doula’s contact information, if you need to reach them. You do not ever have to exchange money with your back up doula, as we have contracted them to be a backup for you.
We can always set up a phone or video call for you, with your back up doula, so that you can get to know them a bit, on the off chance they attend your birth - just let us know!
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All of the doulas on our team take on between 2-4 births per month and we do our best to ensure that due dates are spread out. That said, nobody knows when a baby will arrive! In the unlikely event that two births take place at the exact same time, your back-up would step in, as needed.
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Once you sign on with us, we’ll further discuss when and how to get in touch. But in a nutshell, we’re available between the hours of 9am and 9pm every day for text and email support. These times may vary based on the doula you’re working with, so please talk it through with them.
Phone and video calls can be scheduled on an as-needed basis.
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We do offer a couple models of care. Kate will be your primary contact and she will connect with your doula(s). For some of our doulas, payment will be processed through Kate and others take care of payment on their end - we will clearly communicate this with you once you’re set up with your doula.
Once you are set up with your doula or doulas, communication will primarily be through them. Kate is always available for any questions and she always welcomes feedback.
Logistics - birth
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By the time you’re full term, we will have a solid ‘game plan’ for when you go into labour.
Generally, we ask the birthing couple to check in with their doula after every OB/midwife appointment from 36 weeks onward, and notify them when signs of labour begin to appear.
You will remain in contact, with your doula, via text/phone, when labour begins, until the point where you feel you need them. At that time, your doula will come to your home to support you there (if desired or if your planning a home birth), and help you decide when it makes sense to go to the hospital or Birth Centre. There are other times where it just makes the most sense to meet at the hospital - i.e. an induction or things are moving a bit fast.
The main thing to remember is to communicate with your doula, every step of the way.
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In the vast majority of case, we will stay as long as your birth lasts. In the unlikely event of illness or exhaustion (if a labour were to last multiple days, for example), a back up doula would step in and take over. That’s extremely unlikely (and hasn’t happened yet!) since we only take on a limited number of births each month.
As for after birth, we stay for around 2-3 hours – until you’re settled, have tried feeding, and we’ve answered all your questions. We can also take photos for you, on your device, and help with the transfer to the recovery/postpartum ward.
Post Birth Support
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All our birth support packages include one or two postpartum visits, where you can ask any questions you have and we’ll help you ‘digest’ your birth. Regardless of what happens, even in positive experience, it’s useful to debrief and process the experience.
We can also answer baby care questions, help with breast/feeding, and are available by text for the first month postpartum for anything that comes up. It is our goal that you feel well-supported in the days and weeks following the birth of your baby.
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Yes! We offer private pre- or post-natal yoga and pilates (by request), private childbirth education, birth support, infant sleep education, babywearing education, breastfeeding education and lactation consultancy, in addition to birth and postpartum support.
That said, we do share a lot of knowledge related to these areas as part of our doula support packages.
For example, we always discuss – and provide practical strategies related to infant sleep at postnatal appointments, and breast/feeding support and babywearing education is always available to existing clients postpartum.
Payments
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50% of your package price is payable upon signing to reserve your space – unless you’d prefer to pay for the entire package at once, which is fine too. The final payment is due by our first session.
Payments are easy to complete via your invoice. We accept e-transfer, PayPal and all major credit cards. HST will be added to your invoice.
We highly recommend that you check with your insurance to see if our services are covered.
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Unless there are extenuating circumstances (ie: a loss or Covid-19 restrictions), we are not able to offer refunds.
I’d love to hear from you!