* I am currently only taking
on clients who are planning a homebirth.*
What are the typical Doula services provided by Natural Attachment?
Antepartum visit and Consultation: I meet you for the first
time; we talk
and become familiar with each other. I will also collect some history
about you and your pregnancy and past pregnancies. This allows me to:
a) have a good understanding of how much you know and what services you
might need, b) keep a professional record of services rendered for
myself and to release to your insurance company, if they provide
reimbursement for doula services. Any information collected is for
doula and client only, will not be released to anyone without notice;
copies are available for you, your insurance and your
subsequent Antepartum visits: We
will meet and talk about birth options, labor positions, relaxation
techniques and I will help prepare a birth plan for you. If you are
transfered to the hospital or a birthing center you will want
to file a
copy of the birth plan in you chart. If needed, one of these visits can
occur at your physician/midwife’s office, so I can meet and
things with s/he.
and Birth support: During
the duration of your labor and birth, I will support you both
physically and emotionally. I will encourage your partner to help and
show him/her technique to help you.
After the birth I will stay with you and help you get settled. I will
also help you get breastfeeding off to a good start. If there is
anything you need for comfort, I will try to make accommodations for
subsequent Postpartum visits: I
will visit you at home within one week, usually within 48 hours of the
birth. I will make sure you are settling in with your new family and
that breastfeeding is coming along. I will also discuss your birth with
you and your partner and help you remember all the details. During the
second visit, usually two weeks after the birth, I will see if you are
well on your way to recovery and I will check on you progress at
breastfeeding. If you need referrals to a lactation consultant,
nutritionist, doctor/midwife or support group, I will provide you with
What are the Details of Natural
Attachment’s Doula Services?
is my role as a doula? I accompany women in labor to help
ensure a safe and satisfying
birth experience. I draw on my knowledge
and experience to provide physical, emotional, and informational
support to women and partners. As your doula, I am working for you, not
for your physician/midwife. As an independent
doula, my services include antepartum visits, postpartum visits
complete birth support. My visits are tailored to
meet your needs. I am there not only to support the
mother and her desires, but also to enhance the
relationship between the birthing mother and her partner.
a Doula. It is very important that you and your partner are comfortable
with me and with my role in the birth. Thus, I do expect to meet with
clients and have a consultation
before labor to become acquainted, to explore and discuss your
priorities and any fears or concerns, and to plan how we might best
work together. If at any time, you or your partner decide that our
interaction does not feel quite right to you, I encourage you to say
so, and I will happily refer you to a different doula with whom you may
develop a better rapport.
availability. I consider my on-call
period for a birth to be from two weeks before a due date to two weeks
after the due date. I generally will only take a client if I plan to be
in town and available for this
‘on-call’ period. I do have a
cell phone, and in general I can be reached at any time. In the rare
instance where I need to turn it off for some reason during an on-call
period, I try to check it at least every two hours for voice mail.
Pregnancy. I am available for phone consultations
and e-mail questions in late pregnancy, and encourage clients to call
with questions or updates. Once we enter the on-call period, I
encourage clients to check in with me every few
days to let me know how they are doing.
We will discuss in antepartum meetings what you expect to want during
labor, and will also evaluate by phone once your labor has begun, and
you know more what your needs are.
you think labor has begun,
call me and let me know so I can begin making arrangements for
attending the birth. I will then plan to check in every hour by phone,
so I can provide information, ideas for comfort techniques, and
reassurance. It is up to you to decide at what point in your labor you want
me to come
and be with you. Once you make that choice, I will generally be there
within 30 minutes to an hour, and will remain with you until after the
Birth. I expect to remain with a client
for 1-2 hours after birth, until you are comfortable,
and the family is ready for quiet time together. I can also help with
I am available for phone/email contact to answer questions about the
birth of your baby. My services include two postpartum visits. During
these visits, I can provide breastfeeding support, baby care tips,
referrals to community resources, and a chance to discuss the birth
Doulas Do and Do Not Do.
- They do not perform clinical
tasks, such as blood pressure, fetal heart checks, vaginal exams, etc.
- They are there to provide only
physical and emotional support and advocacy.
- They do not make decisions for
- They will help you get the
information you need to make your own informed decisions.
will also remind you if there is a departure from your Birth Plan, and
will verify if this is, in fact, your informed decision.
- They can discuss your concerns
with you and suggest options.
can support you in discussions as your advocate, making sure
you have the opportunity to discuss concerns, but you or your partner
will speak on your behalf to your physician/midwife.
you would like to find out more about our Doula services, please
might also consider hiring Michele as your midwife!
material in this website is provided for information purposes only.
This information is not a substitute for, medical diagnosis, medical
advice, or medical treatment prescription. Consult your health care
provider for more information. If you are in Pittsburgh and
midwife, send email to PghMidwife (at) naturalattachment.com