The Value of a birth DOULA

The Value of a birth DOULA

I have heard varying reactions to what I charge. Everything from “Wow, that seems like a lot of money” to “Really that is it for all that you do?”.

If you are a numbers person you might sit down with your calculator and attach a value to to the tasks that we would do for you when deciding whether or not to hire a doula. I could argue that some ways we support might be impossible to attach a numerical value but you could try. We know that each individual values things differently. One person might feel that their gender reveal party is more important to them than the outcome of their birth and another might feel differently. Here are a few of the ways that we support our clients;

  • On-going availability throughout pregnancy for resources, questions, holding space for your experiences.
  • Personalized birth and postpartum planning. Everything from knowing what to expect at your birthing location, how to advocate, comfort measures, strategies to thrive once baby is here and anything else that YOU need support with. This is VERY different from reading blogs and books. This is for you and your family and addresses your needs and wants. We come to your home and spend roughly 3-4 hours with you. Plus time on calls, answering emails and texts. 
  • Being on-call for you from approximately 37 weeks until you have your baby. This means that we organize our lives so that when labour starts we are there for you virtually and then in-person. This is challenging and requires a lot of effort. In some cases, our lives are put on hold. We don’t know with certainty when we will be needed so we are constantly checking in and ensuring that you feel supported throughout.
  • In-person support for you and your partner from the time that you need us until several hours after birth. This is often the part that people attach value. They wonder “how long do I think I will be in labour for” and divide our fees by this number of hours. But this is not reality. This is when we are completely dedicated to you. All other meetings, visits, family responsibilities are on hold for us and we are there for you. 
  • Since births usually require us to be awake and alert through the night, it can some times take us days to recover. More cancelled events for us in the hopes that we get enough rest before our next client goes into labour or that we are needed for someone else. 
  • During the postpartum time we are there for you to reassure you, answer questions and do follow up visits. There aren’t many alternatives for this type of support and people tend to underestimate how challenging this time is and how important it would be to having someone like a doula on your team. 

Doulas are almost always independent contractions who are self-employed. We have various operating costs like website, insurance, gas, mileage, etc. And we have less obvious costs like certifications, trainings, paying the employer portion of our CPP. If we cannot pay for these items then we can’t continue operating as a doula. 

So, yes you can sit down with your calculator and figure out how much you value birth doula support. OR, you can think about how it would feel to have ALL of this support, feel that you were taken care of throughout the most important time of your life, have someone with you for immediate chest feeding help (very rare!) and then reflect on how much that is worth to you. 

Virtual Doula Services

Virtual Doula Services

Covid-19 has brought challenges to our health care system that are affecting pregnant and birthing people and their families. Stress and anxiety levels are high as due dates near and the uncertainty of the birthing space and new support people policies are taking effect. Doulas have always been a recommended addition to support birthing people and their partners and evidence shows they have only positive outcomes during birth and the postpartum period. Perhaps they are needed the most at this time! However, most hospitals are limiting patients to one support person and for most that is their partner. We are uncertain how long this might last but doulas understand the importance of these limitations to help flatten the curve.

Doulas, like myself, are turning to technology to support their clients. Knowledge is power! And doulas excel at offering their clients the most up-to-date, evidence-based support. Knowing what to expect in labour, comfort measures, options in hospital, your right to consent and the importance of advocating for yourself will give you peace of mind while you birth with your partner at home and in your birthing suite.

What is included in virtual doula support?

I am offering multipe virtual meetings at your convenience to prepare you and your family.

I am available any time via email, text, and video call to help you work through your ideas, thoughts and feelings while providing you with the latest research and policies at your local hospital.

Then while you labour I am available around the clock for messages or video chats to guide you along the way.

Once you are home, I will continue our virtual support to assist you with infant care, feeding and sleeping tips, and to give you more confidence as you navigate life as new parents.

Call, text or email me if you wish to discuss further or receive a copy of my rates. At this time, I am offering my rates on a sliding scale so if you have been financially impacted by this pandemic I am open to considering a lower rate.

I am here to support as many families as I can and ensure that this magical time in your lives stays magical!

Keep well, Angela

cell: 905-465-5924

email: angela.marie.jackson@hotmail.com

How to find the right doula for you!

How to find the right doula for you!

Perhaps you have done some research or spoken to friends and family who have used a doula for their birth and you are now convinced that having doula support is right for you and your partner. Now what?! Maybe you have googled ‘Birth doula near me’ and don’t know where to start. Here are some tips to help you find the doula that is the best fit for you.

Start by making a list of the qualities you are looking for in your doula in order of priority. For example; experience, knowledge, friendly, philosophies, etc. This list should be fluid as you may find once you start interviewing, some of the qualities you initially thought were the most important suddenly are not. 

Ask around for referrals. Ask friends, co-workers, family members or other trusted individuals who have first hand experience with a doula in your community. This is a great place to start, however, the qualities that were most important to them may not be the same for you. Not every doula is right for every person, so know that you will have to make a decision based on who is right for you. 

Save time by searching online. If you have some leads or do not have any leads, the internet can be a massive time saver. Most doulas have websites or social media pages. Check them out. Read their content. Does it resonate with you? If you find their words speak to you then maybe it’s time to follow up with an email. 

Are you price sensitive? If so, it might make sense to ask for rates upfront that way if a doula’s rates are out of reach for you, save your time and theirs by continuing your search. Keep in mind that some doulas offer their rates on a sliding scale which means they are open to negotiating a lower rate (not everyone is comfortable doing this). Depending on the area that you live in you can expect to pay between 700-1300 for a birth doula. Doulas who are still certifying generally charge a bit less than those who have graduated so that could be an option as well. 

Set up some interviews. Most doulas offer a complimentary in person or phone call interview to see if there is a mutual fit. If you have a partner they should also participate in this interview. This is your opportunity to ask the questions that matter to you and get a general feel if there is a good connection. Recently I was asked during one of these interviews which qualities I thought were most important in finding the right doula. My answer was ‘CONNECTION’! Birth is such an intimate time and you want to feel comfortable and supported by your doula. Go with your intuition. You may find that even though a doula may not have a ton of years of experience, she might make you feel warm and taken care of and be the right fit for you. 

Us doulas recognize that we are not always the best fit for each person, do not feel bad if you have to keep looking. It’s best to let those that you interview know as soon as possible that you have decided not to hire them. Once you have found the doula for your unique birth team you will know! Best of luck with your search!

My son’s birth

My son’s birth

Today is my son’s 10th birthday. It feels surreal that ten years has passed so quickly. It seems like just yesterday we welcomed him. I have decided to share his birth story to honour this day.

It was 2009 and I was due on July 9th. It was hot, I was big (baby was estimated to be a full pound bigger than my first) and my midwife kept saying she thought I would go early. So when my due date came and went I was feeling like he was never going to come. I had an active 23 month old daughter so laying around in a cool, air conditioned home wasn’t really an option. At two days overdue we decided to head to a local, outdoor pool to enjoy a sunny, summer day. I remember how wonderful it was to swim and see my child and my husband enjoying themselves. I was cool and weightless in the water and I felt my entire body relax as I surrendered to the fact that this baby was going to come when he was ready to do so. We had a lovely bbq dinner at home and we all crashed in our family bed with that summertime satisfied feeling after being outdoors.

I slept very well that night. At 6am on July 12th I woke up suddenly and noticed that I felt different. I could feel some faint contractions and I thought to myself….my baby boy is coming today. I showered and washed my hair knowing it might be the last time for a while. Then we simply went about our day. We went for a walk on the trails by our home, played in the backyard, I polished my appliances and tidied the house between surges. Then in the heat of the afternoon I closed the curtains and made the house dark. In between rushes I laid on the couch and slept. While my daughter was napping my husband asked if we should call our midwife. I (naively) said “no, I’m good. Let’s wait before we bug her.” I then got into a cool tub of water as the contractions were getting much more intense. My in-laws came to pick up my daughter and in that moment I felt so much sadness. I asked to see her before she left and I hugged her so tight and had a bit of a cry. A feeling I can only describe now as grief of the loss of our family unit as I knew it. Little did I know then how great things would become as a family of four. She was fine and just said, “bye, bye Mommy!”.

I hadn’t yet timed my contractions as I was just in the moment all day. My middle sister arrived at our house as planned because she wanted to be at my birth. She timed them for me and declared that they were less than two minutes apart! Out of the tub I went to dry off and call my midwife. During our phone chat I had a couple of surges and she thought that by the sound of my voice we had time so she would come and see me in an hour. She advised me to hop in the shower. I did, but 2 minutes in I got out and said I could feel his head pressing down on my cervix. We called her back and found out she lived on the east side of the hospital whereas we were on the west side. She gave my husband the option of calling 911 if he saw the head emerge or drive me to the hospital as fast as he could….which he did. So transition phase was in the car, which was not pleasant but only for 10 minutes. He dropped us off at the door and I waddled in holding my hands between my legs and stopping often when things got intense. I was whisked into a room, laid on the bed and was told by a nurse (my midwife hadn’t arrived yet) that I was 9 1/2 cm. Wow, I wasn’t expecting that! When my midwife arrived she told me it would be best to break my water and then baby would be born soon after. Problem was my husband wasn’t back from parking the car and checking me in. So we waited….more contractions…it seemed like forever. Then when he got back (he’s going to kill me for saying this) he needed time to answer nature’s call, so I waited some more. Then waters were ruptured, I pushed about 4-5 times and Oliver was born! He came out so quickly that he wasn’t breathing, no sound, purple baby. His cord was clamped and cut and he was taken to be suctioned. My husband felt uneasy but for some reason I was still calm. Within a few minutes he was crying softly on my chest. He was the most amazing thing to me and I felt so in love. He started to show signs he wanted to nurse, he latched right away and nursed for 30 minutes each side while I ate the most delicious toasted Tim Horton’s bagel with a tea (actually it was just the usual food from Timmie’s but after birth everything tastes amazingly good). We looked at the clock and figured that if we went home right away our daughter could meet her little brother before her 8pm bed time. Everything went well so my midwife discharged me less than an hour and a half after he was born. I was so excited to sleep in my own bed.

It was just such a peaceful and enjoyable day which ended in my little family all being together in our home. I slept with my son that night while my daughter slept with my husband. I had a beautiful breakfast in bed and my midwife was there at 8am to check on me and baby Ollie. I feel so much joy and love thinking back to those days. How is it that my little man is 10?!