A 2017 systematic Cochrane review showed that having continuous labor support makes one more likely to have a spontaneous vaginal birth and shorter labor, and less likely to have a cesarean delivery, instrument-assisted delivery (vacuum, forceps), regional pain medication, low APGAR scores, or a negative birth experience.
In 2014 the American Congress of Obstetricians and Gynocologists released a statement that the single most important thing someone can do to decrease their change of cesarean is to have "the continuous presence of support personnel, such as a doula".
The US national average for cesarean was 32% in 2019.
My client's statistics look even better than that, 2008-2020 (500 births):
We often have room to fit in late-to-care clients, but that is never a guarantee.
If you are being induced, our preference is to join you at the start of the induction and stay long enough to help you ask questions
about the process and procedures. We then return whenever you need us or anytime a "next step" in the process is being performed. Some inductions can take
several days, our goal is to help you pace yourself, provide as much or as little support as needed in the early labor and first contractions, and then
provide continuous presence as we would normally do during active labor.
Physically you might not feel it with an epidural, but emotionally, you are still laboring. While you rest, we continue with acupressure and massage, body positioning, and more.
The Harmony Doula team makes no judgments about how you choose to manage your labor and what you choose to feel physically or not feel. It's your birth, your way.
A doula compliments the presence of a midwife, there to support you emotionally and physically for however long it takes.
Teri has been invited to train doulas at birth centers throughout the Bay Area and Central Valley for the last several years. We understand the unique role of the doula at a homebirth and are a welcomed presence to the midwives with whom we have worked.
Sometimes it can be quite awhile between the scheduled arrival time and entering the operating room. Our goal is to keep you relaxed and calm while you wait.
If allowed into surgery, we will be there to provide support throughout. We will also stay with you in recovery to help with initial latch and bonding.
Postpartum support for people recovering from a cesarean is especially important. You will usually be discharged after only a few days into the care of family and friends who might not know how best to help some one recovering from major surgery. We want you to be able to rest and heal and know that your needs are taken care of so that you can care for your baby.
Studies show that partners participate more actively during labor when a doula is present. In combination with your doula's professional expertise, the team creates the very best support system.
You can read more about partners and doulas in our article and how we support them too.
It is ok to be flexible in your birth planning, but very difficult to know what would make it your best day if you never consider what would make it your ideal birth. In the classes, we give you the tools to start thinking about and practicing those things.
You wouldn't run a marathon without first making sure you had shoes that fit and taking at least a few practice laps, would you?
We have never had a problem with clients getting reimbursed from their FSA for doula services. We will give you a universal invoice to give them once you have paid in full.
To make this accessible to families for whom the regular doula fee is too high, we offer payment plans and/or a sliding scale. We encourage everyone who can afford the regular fee to start there so we may offer reduced fees to more clients who cannot. Everyone deserves access to respectful, unbiased, loving care.
If you need to use the sliding scale, we ask that you pick whatever number (between $1500-3000 for virtual or homebirth services, or $2200-3000 for planned hospital deliveries) that is right for your budget in accordance with what you feel the services are worth.
We acknowledge that we live and work on the traditional lands of the Tammukan and Yokut people.