Doulas of the Roundtable

There are many facets to consider when supporting a client through active labor. This stage of labor is often an opportunity to become more physically active and present in client support. However, it is also important to remember to alternate periods of activity with rest during active labor. When supporting clients through this stage of labor, it is essential to remember to match the mood of the...

A common inquiry in many online doula communities is where to find free samples to give to clients.  While it's likely true that most people love a freebie, are they actually free? Many individuals don't consider the cost of their time in requesting, processing, storing, and handing out freebies. Additionally, many companies that give out products for freebies are multimillion-dollar companies wit...

As birth professionals, education surrounding the perinatal period is an ongoing process. While it is impossible to learn everything about pregnancy, birth, and postpartum, countless opportunities are available to expand your knowledge base. But how do you decide which topics to choose? When thinking about continuing education, think out of the box. Postpartum doulas may benefit from a culinary co...

Undoubtedly, social media plays a big role in our lives and how we communicate with the world. Social media platforms have become a big part of marketing products and services. Learning how to navigate social media as a business owner creates unique challenges. One of the challenges is creating and maintaining social media boundaries. As business owners, birth workers must determine how little or...

When we think about the value of doula work, we must consider two perspectives—the perspective of the doula and the client's perspective. Before a doula can successfully market their services, they must understand their value to potential clients. While the hallmark of doula work is providing support, the doula must sell their service before client support can begin. Many doulas struggle to commun...

Supporting early labor is a necessary skill for labor doulas. Yet many doulas may not know how to approach early labor from a mindset of patience vs the instinct to try to move labor along. Early labor can be a time of anxiety and doubt for expecting families. Contractions may come and go, and they often wonder, "Is this labor?" They often look to their doulas for support and advice. The tincture...

One of the more challenging aspects of becoming a doula is navigating doula fees and payments. One of the most common decisions is how to take payment for the services you will provide. There is a tendency for doulas to want to avoid credit card processing fees. They often do this by using peer-to-peer payment options such as Paypal, Venmo or platforms such as Cashapp. Using these payment systems...

Transitional labor is the third phase of the first stage of labor. It is also considered the most challenging phase of labor, especially for those giving birth without pain medication. During the transition phase of labor, contractions occur every 1-2 minutes and last approximately 60-90 seconds. The cervix dilates from 8-10 centimeters. This is the phase of labor where many laboring individuals w...

Professionalism has many definitions, and how one exhibits doula professionalism in their doula work will vary. We believe that professionalism means that we embody integrity and accountability, responsibly conduct ourselves, and always present the best versions of ourselves in our work. This means we have solid systems to navigate prospective clients through our hiring process efficiently. From t...

The poverty mindset is common in doula work. According to Alan Weiss: "A poverty mentality is one that influences behaviors consistent with beliefs that money shouldn't be spent, opportunities are limited, any risk at all is dangerous, any success is temporary and non-replicable, and generally remaining in the back of the pack is safest." Many individuals come to birth work believing their work op...

As doulas supporting client decisions plays a key role in our care. While there are many approaches to this side of our work, there are also many potential barriers. One of the most prominent barriers is the bias that birth workers bring into their work while supporting client decisions. We see this when doulas say, "I support my client in making informed decisions." Or, "As long as my client is m...

When it comes to the ins and outs of how a doula agency works, many myths exist. The truth is, there are many perks to working with a doula agency. For many, the team approach creates a desirable environment where birth workers can find support. Others love being able to focus on the client-facing work and leave the client acquisition process to someone else. Not good at marketing? The agency does...

As doulas, we often give so much of ourselves as we help families navigate labor and the postpartum period. Yet self-care as a doula is often something that falls along the wayside. We often work with clients at their most vulnerable during one of life's biggest transitions. While our work with one client ends, we often step in to support the next client through similar ups and downs. While this n...

Prelabor rupture of membranes or PROM is defined as the spontaneous rupture of the amniotic sac without contractions for an hour or more after the 37th week of pregnancy.  Premature prelabor rupture of membranes or PPROM, is the spontaneous rupture of membranes without contraction for an hour or more before the 37th week of pregnancy. PROM is experienced by approximately 8% of pregnant individuals...

Stripping membranes or membrane sweep is a common intervention performed in the final weeks of pregnancy. While this may seem like a simple intervention, it is important for clients to understand what they may experience. Stripping of the amniotic membranes stimulates the production of oxytocin and prostaglandins. This intervention serves two purposes. The first is to try to hasten the ripening of...

Once again, we have come to the end of another fantastic season. We are honored to share yet another year with you, talking about the work we love. We can feel the love and passion that you have for the topics that we talk about. Your feedback and the number of listeners we have show us every day how much you value Doulas of the Roundtable. This past year has brought us many interesting and exciti...

In the doula community, there is often a line of demarcation between "new" doulas and "seasoned doulas." Yet no clear line exists that determines when one is no longer considered new. So the question is, when does one become an experienced doula, and how is that experience defined? Could it be that a well-rounded doula can enter this work right from the start? The simple fact is that someone just...

One of the most common questions amongst labor doulas surrounds due dates. Should I take two clients due on the same date? What is the optimal spacing between clients? Is it better to take clients due further apart or closer together? The truth is, there's no straightforward answer to these common questions. Experience tells us that EDD is just a number on a calendar and that clients may deliver w...

Becoming a doula means that you are starting a business. Many doulas overlook this first step. Or this information is not a big part of their doula training.  Understanding the ins and outs of starting a business is important. Creating a legal business structure, setting up business accounts for banking, taking payments, and offering services are critical first steps. These steps not only protect...

Doulas new to labor support have a common question; "How will I Know when it's time to go?"   Doula clients often have a version of the same question; "How will we know when to go?" The answers to these questions may seem relatively simple, but in practice, the answer can be pretty complex.  Factors that doulas may consider include: what are the frequency and duration of contractions, how the clie...

On the surface, the difference between a doula consult vs. a doula interview seems virtually nonexistent. However, the intentions behind each can be vastly different. Depending on where a doula trains, an interview may be where a doula decides if they want to work with a particular family. Or an interview is a place where a doula "teases" what they have to offer. But reserves providing information...

As doulas and humans, it is inherent that we bring bias into our work. Yet, at the same time, providing non-biased, non-judgmental support is a hallmark of the support we provide to the families we work with. The first step to setting aside our bias is identifying the types of bias we are subject to. The three basic types of bias that doulas face are: Implicit bias Explicit bias Confirmation bias...

Supporting precipitous labor is a skill that, for many doulas, is learned in real-time. Precipitous labor is labor that ends 3-5 hours after the onset of labor.  On average, 1 in 3 of every 100 birthing people will experience precipitous labor. While certain factors can make a pregnant person more likely to experience precipitous labor, the exact cause is unknown. As doulas, we often wonder what t...

As a birth worker, networking and developing a community referral list are important to your work.  Those new to the field often wonder how to begin. Another common question is what services should be included on a referral list.  No matter the approach, who you add to your referral list is a task that requires careful consideration.  Do the business's beliefs and values align with your own? In th...

Partner support during the postpartum period is one topic we don't see discussed often. Yet, for the partner, having a baby and learning to parent is an equally transformative experience. Partners experience the birth in a different way than the birthing person. They can experience worry, feelings of helplessness, and even experience vicarious trauma. Partners will typically self-sacrifice to supp...