Dedicated to the Development of Doulas and Our Profession

Please use Back Door, painted on sign.
Back Door or Front Door?

In Jennifer Torres’ article, “Breast milk and labour support: lactation consultants’ and doulas’ strategies for navigating the medical context of maternity care”, the author makes a declarative statement.  She says that both professions have filled a niche in maternity care practice that is not covered by nurses or physicians.  However, lactation consultants have been able to influence medical practice directly.  They entered through the “ front door” and have been w…

Doulaing at Midlife
Doulaing At Midlife

“When my 60 year old mother insisted she was middle aged and I wasn’t, I replied, “Mom, how many 120 year old women do you know?”    -paraphrased from Postcards From The Edge by Carrie Fisher

I went to my first birth when I was 20 and my first birth as a professional at 24.  Most of my clients were older than I was, some by more than a decade.  As I aged it seemed that my clientele youthed.  At first I was their hip, knowledgeable young friend.  Then a sister…

Black and white image of 2 people holding hands.
A World Where We Didn’t Need Doulas

Maybe it comes from being weaned on Star Trek reruns but I’ve often contemplated alternate universes.  The kind where if a different decision had been made the whole future course of humanity would be altered.  Recently I’ve contemplated what if we had a birth culture today where professional doulas weren’t necessary?  Going back in time, the critical point seems to be a little over one hundred years ago with women deciding to give birth in hospitals.

Like mo…

Amy Gilliand Portrait
How Doulas Undermine Our Own Value (it’s not free births)

Anytime I read a “doula” writing online that she knows everything she needs to know already, I want to burst. You know what? You don’t. When you say that, you devalue the entire process of skill development in labor support. What you imply is you already know everything you need to and that anyone can do labor support effectively with only a few days of training (or a few months in a correspondence course). I have never interviewed an expert doula or one who had been…

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Not Any Woman Can

One of my most hated myths about doula care is the idea that any woman can be a doula.  Just put a person born with a uterus in a labor room and she’ll be able to help effectively – with no preparation.  This is a myth that devalues what doulas do, and gets in the way of us being perceived as professionals. It also devalues the men who offer good doula care.  The myth that “any woman can” is even perpetuated by doulas, who may not realize the damage this idea does.…

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When A Past Client Dies

In my 30 years of doulaing, I have faced the death of a past client a half dozen times. Doulaing is intimate work and caring for mothers and partners creates a unique bond between us.  Each of the situations I faced was different but each time I started out feeling sad, uncertain and confused. I took the time to figure out the right course of action, one that I could feel good about long term. My hope is to guide you to the same peace.

This is not a time for…

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