Doulas of the Roundtable

As doulas consider expanding into other birth-related services, birth photography is often a common consideration. It seems like the perfect mesh, doula skills paired with photography skills equals the perfect match. But can a doula be both at the same time? While it seems like a simple answer, there are many factors that doulas often fail to consider. Will doula support or photography take priori...

What do you wish you knew before becoming a doula? This is a question that we see frequently from those considering birth work or those who have just entered the field. Working with growing families is the part of the work that most have at least a loose idea about. But it's the practicalities that many often fail to consider. Living the on-call life. Pacing yourself when supporting families. What...

As a birth worker, your personal mental health is just as important as your physical health. The very nature of our role often places us in stressful situations that can cause or exacerbate our own mental health issues.  Anxiety, depression, and other conditions can all factor into our ability to care not only for our clients. These conditions can also heavily influence our ability to care for our...

As a birth worker working with repeat clients is always an exciting and humbling experience. For many, the repeat client is like working with an old friend. Someone you've developed trust, a deep bond with, and a healthy mutual respect for. Yet at the same time we as birth workers have to be careful not to make assumptions about what the client will need in this birth or postpartum experience base...

Providing daytime postpartum care often comes with helping families find a routine. A routine that works best for them. However, navigating postpartum overnight care can be a much more challenging type of care.  Some doulas struggle with setting boundaries for how frequently or how long they will work overnight postpartum shifts. Others will experience challenges in feeling like they need to "do s...

One skill set that many doulas express a lack of confidence in is supporting clients with an epidural. Many doula workshops overemphasize how to support an unmedicated birth. As a result, doulas may feel uncertain and often unprepared to support the client who has chosen an epidural. Supporting the client with an epidural is multi-faceted. Many clients and even doulas may assume that a doula's job...

Newborn soothing can sometimes seem like a mysterious, magical, art, especially to new parents. The phone rings, it's a new parent who needs help. Sometimes they need more sleep. Others need help with learning how to settle or soothe their newborns. They are feeling panicked, helpless, desperate, and oftentimes as if they are not doing it right. Some also express that they feel as if their baby do...

Navigating family challenges surrounding our clients and their support systems can be challenging for many doulas. The relationships between our clients and their support systems are nuanced and built over time. As with all relationships, there is often a deep history that we as doulas are not privy to. Helping clients navigate the challenges that family and friends can present is often a huge par...

While there are many reasons for dilation during labor to take time or pause, one reason is often overlooked—cervical scar tissue.  Cervical scar tissue can come from many sources. Biopsies, cryosurgery, LEEP procedures, to name a few. For some, the scar tissue caused by these procedures may pose no problem at all during labor. But for others, cervical scar tissue can impact the progression of dil...

As doulas, it's easy to let the what-ifs that surround our lives take control. Unlike many other professions, a doula's entire life can center around our work. Being a doula may become a bit of a lived identity if you will. For some, the philosophies of doula work will apply to everyone they encounter. Non-judgmental support, reflective listening, the desire to help in any way possible. For others...

When it comes to advocacy, there is more than one definition. Ask a handful of doulas what it means to advocate for a client and you're like to get a handful of answers. We believe that it is not our place to speak for our clients. This belief can ruffle some doula feathers. While we can achieve the same goals, we tend to define advocate and advocacy a bit differently. We believe that as doulas, w...

Teaching childbirth education classes is one way to support pregnant individuals and their families. It is also a great way to enter birth work. Especially when labor or postpartum doula work just isn't something that you can make work for your current circumstances. Adding childbirth education when you're already an established doula or birth worker is also a great way to expand your knowledge, s...

There is no doubt that for clients, back labor can present a major challenge. Some experience intermittent pain, while for others it will be continuous. As doulas, it can feel intimidating and frustrating when presented with the challenge of supporting a client with back labor. There are many approaches available for doulas to help our clients cope with back labor. Yet the cause of back labor is o...

We often hear doulas ask "When should I stop working with clients postpartum? While some doula training organizations seem to limit the work of a postpartum doula to a few weeks or the first few months, we have a different approach.  Long-term postpartum care is a highly beneficial service to both doulas and families. It has many benefits, but at the same time, there are also drawbacks. Mostly for...

When we look into what the future might hold for doula work in the next 5-10 years, one topic keeps turning up again & again. Doula licensure. But what is it & what does it mean for doulas? Some doulas are very pro licensure. Others are against licensure due to what they feel are the imposition of restrictions that they think are too limiting. There's no doubt there is much discussion to be hand o...

As the year comes to a close there are many important tasks to complete in order to close out the current year and anticipate and plan for how to proceed into the new year. As doulas, it's important to review every aspect of our business with a critical eye. It's critical to take a look at systems, processes, website, marketing and so much more. Come join us as we discuss our end-of-year business...

November is National Adoption Month and so we continue the second part of our Supporting Adoption series. In this episode, we take a look at how to support adoptive parents who will welcome a new baby to their family in the days or weeks after birth. As doulas, it is important to understand that there may be different psychology at play for adoptive parents. Come join us as we take a look at the i...

When you mention adoption, for most individuals it brings to mind a solution. A solution for infants and children who are in need of homes and loving families. Yet what rarely comes to mind is the psychological and physical impact of adoption on adoptees. Adoption, specifically the separation of an infant or child from their biological mother creates what is called the primal wound. Come join us a...

Like most topics we discuss, there is a lot of nuance surrounding how to support adoption. There are many choices that are available to the birthing parent. Will the adoptive parents be present for the birth?  During the immediate postpartum period will they want to hold and/or feed the baby? Do they desire no contact with the baby? Come join us as we take a deep dive into the ins and outs of supp...

A question we see often in doula forums is about sliding scales. How do you determine the low & high end of the scale? How do you make sure that those who can afford to pay, are honest about their ability to pay? Many doulas underestimate the amount of time involved in setting up a sliding scale. Then there is the maintenance & moving prospective clients through the application & verification proc...

As birth workers, one of the most common concerns families face is the health and well-being of their babies. Understanding SIDS is a topic of great importance to doulas & parents alike. SIDS is the sudden death of an infant under one year of age. The death is unexpected and has no known cause. Come join us as we discuss the difference between SIDS and SUIDS and learn how to discuss how to reduce...

The term Rainbow Baby is to define a pregnancy that happens after a miscarriage or infant loss. All too often the communities that supporting clients after loss comes with many variables and nuances. It is critical that doulas prepare themselves to support a client through, or following loss well before the opportunity actually arises. Come join us as we discuss how to support clients who are walk...

When an individual sets out to become a doula the focus is often on workshops, birth bags, postpartum gadgets, and supplies that clients may need. However, many individuals often leave out the most essential tool that a doula will ever have. The backup doula. Come join us as we discuss important considerations for choosing a backup doula and explore why the backup doula is so essential.

One question we see asked often in doula discussion groups is which organization an individual should pick to train and certify with. For some people making this choice is simple, while for others they need more information. In this episode, we discuss how to find an organization that feels right for you & how they can support you through your doula career. We also discuss the things you may want...

After the whirlwind of labor and delivery has passed, parents find themselves sinking into the routine of taking care of their baby. Now imagine there are two or more newborns to navigate. This is where you as a postpartum doula can provide invaluable support. Supporting multiples is more than just being a second set of hands, although that part is important too! In this episode, we talk about wha...