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There are several different organizations that certify Doulas and the requirements vary with each organization. A good resource for comparing the requirements of the certifying organizations is chart comparison available at Mother Care Doula Certification Chart.

Most Doulas must complete a training workshop, read a required reading list of books, and participate in the birthing of 2 to 6 babies. Some Doula Certifiers require Doulas to pass an exam as well.

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How much is the average fee for a Doula?

A doula's fee will depend on many things, and usually ranges from none to $1,000 (the most I've seen charge $300-600). Your location will largely determine how high the fee is. If the cost of living in your hometown is higher than average, then expect to pay upwards of $500 for a certified or experienced doula. The doula's experience and certification will be another significant factor in determining the fee, with experience bearing more weight than certification. The easiest way to find out how much you can expect to pay is to search for doulas near you and check out their websites; and if you don't get a good picture from that, pick a few from your search, and call them. You can get a free doula by searching for doulas that need births for their certification (usually a doula is required to attend three births with positive feedback). The best way to do this is to contact an organization that provides doula certification (DONA International, ALACE, etc.) and ask them for a list of doula trainees in your area.


What do you need to study to become a doula?

Most doulas attend a two or three day workshop with a certification organization (such as DONA, ToLabor, Birth Arts International or CAPPA) and then pursue certification individually. This includes reading A LOT (each group has their own required and recommended reading list, but anything about pregnancy and birth is helpful) and attending births. The number of births depends according to organization. The doula-in-training usually writes about her experience at the birth and has someone (the mom or dad, or one of the healthcare professionals, depending on the organization). Each group has their own exam after these requirements have been completed. Of course, certification is not necessary to attend women in labor. A woman may call herself a doula even if she is not certified. The advantages to certification include potential reimbursement from Medicaid or private insurance, and provides some confidence to the expectant parents that the doula is qualified and knowledgable.


How do you choose a doula?

Interview several and ask detailed questions about the services you want or expect. Also ask about their philosophies of childbirth, pain management, etc., and also ask detailed questions about their training, certification, experience, etc. After checking with at least three references, choose the doula who you feel most comfortable with.


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What does it take to become a Doula?

It takes a lot of patience and self motivation. A person can serve as a Doula without becoming certified, or she can get certified as a Doula which gives her more credibility. To become certified, the doula is required to read about 5 books and to take an approved Doula training course which is usually 3 days long, 8-9 hours a day. The doula is required to take a breastfeeding support class, attend three live births (only one of which can be a C-section); in addition, there are requirements such as the doula's support must begin at or before four centimeters dilation, the doula must get evaluations from at least three clients, and the client's midwife, or the client's doctor and nurse (so three from each birth for which the client employs an obstetrician, two for each birth for which the client uses a midwife). Writing several essays is required as well. Everything must be documented on forms from the certifying organization, and the doula must be a member of that certifying organization. The most widely accepted organization is DONA. (Doulas of North America) International. It would be wise to check out their website for more information on, and complete requirements for, becoming a doula. Once the doula has completed all requirements, and depending on the certifying organization, she will have credentials that she may use after her name. For example, a doula certified through DONA International uses the abbreviation CD(DONA) after her name. The doula may also become listed on the certifying organization's website so potential clients can find her. Other than the classes, reading, and paperwork, it takes a lot of time, dedication & patience. You have to be a nurturing person who doesn't mind getting down in the muck of things and be willing to put out a lot of physical labor for a long period of time. Unlike a nurse, a doula does not get to leave at the end of a shift. You are there for the duration, as well as a few hours afterwards...the first birth that I attended I was present, awake, and alert with the mother and her partner for 27 hours straight with no food breaks and only 3 bathroom breaks.....so this is not something for the light-hearted nor is it for someone who easily gets bored.


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