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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.
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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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