Doulas: Should you hire a labor coach?

What’s a doula?

A birth doula is a trained labor coach who assists you during labor and delivery. She provides you with continuous emotional support, as well as assistance with other non-medical aspects of your care.

Doulas charge several hundred to a thousand dollars for their services, which are seldom covered by health insurance. Some, however, are willing to work on a sliding scale based on your ability to pay. A few pioneering hospitals even provide doulas to laboring patients who want them.

You can also hire a postpartum doula to come to your home after the birth to help you settle in with your new baby.

What are the advantages of having a birth doula?

A doula helps you before labor and delivery by answering your questions about what to expect, easing your fears, helping you develop a birth plan, and generally getting you ready for the arrival of your baby.

During labor and delivery, a doula provides constant, knowledgeable support. She can make suggestions about positions during labor, help you with breathing through contractions, and provide massage. She can also answer questions you and your partner have about what’s happening.

It’s impossible to predict or control how birth and labor will go. Will you connect emotionally with your labor and delivery nurse, and will she have time for you? How will you react to the pain? Will you have a swift delivery or a long, drawn-out labor? How will your husband or partner hold up under the pressure?

Faced with these uncertainties, many women find enormous reassurance in having a doula by their side. Research has found that women who have continuous one-on-one support during labor tend to use pain medication less often, have slightly shorter labors, and are less likely to have a c-section or a forceps or vacuum-assisted delivery. In fact, if you’re serious about trying to give birth without pain medication, a doula may be your best ally.

Women who have continuous support are also more likely to report being satisfied with their birth experience. One theory is that mothers who have continuous support produce lower levels of stress hormones during labor than women left alone or attended by inexperienced coaches.

If you’re seeing a midwife in a low-volume hospital practice, or planning to give birth at a birth center or at home, you’re likely to have continuous one-on-one support from your midwife.

If you have your baby at a hospital, it’s likely to be a different story — and hiring a doula may be the only way to make sure an experienced coach will be with you throughout labor.

In a typical hospital setting, doctors and some midwives don’t stay in the room with you continuously during labor. Labor-and-delivery nurses often have to split their time between several patients, and they come and go according to their shifts.

What’s it like to have support from a doula during labor?

Everyone’s experience is different, of course, but here’s one woman’s story of a doula-assisted labor:

“Hiring a doula is like hiring somebody who’s there just for you. When I went into labor, our doula met us at the hospital. Eighteen babies were born in the hospital that day, so our labor and delivery nurse was quite happy to have someone else there to provide emotional support and help make me more comfortable.

“Having the doula gave me enormous confidence, plus it took the pressure off my husband. He was able to relax and enjoy the experience. The doula showed him some acupressure techniques he wanted to try.

“She locked eyes with me and helped me breathe through my contractions, making suggestions about moving around and trying different pain management techniques. She could read my body signals perfectly, and knew when I was in transition (when I got sick, a pan magically materialized). She helped me remember to drink fluids and communicate my needs to the nurses.

“When it was time to push, the doula put warm washcloths on my perineum and locked eyes with me again, which was absolutely critical.

“I couldn’t have done it without her. She made me fearless, and the lack of fear is what gets you through the pain without drugs. I had complete confidence in her. If I had been looking at my husband and saying, ‘Help me through this,’ it just wouldn’t have been the same.”

(Article from http://www.babycenter.com/0_doulas-should-you-hire-a-labor-coach_480.bc?page=1 )

How do I find a doula?

If you’re looking for a doula, try these resources:

Dami Akinnusi (Darkling) ~ Client Testimony

Yasmintheresa was a wonderful doula to me and my family. During what is a really intimate time and life changing event you need someone in your corner who understands the transition into motherhood as well as the hospital procedures that you may or may not be aware of and Yasmintheresa was on point in this regard. Her warmth and energy is what made me choose her from the others that I interviewed and she instantly had a good rapor with my family during our first meeting.

I initially decided on going with a doula due to being unfamiliar with the American health care system, having moved here from abroad. She was able to give me sound advice about  the best ways to advocate for the type of birth suited to our needs and was then also on hand to facilitate our requests during labour when my focus was obviously elsewhere. This is no way interfered with my partner’s role allowing him to be as involved as he wanted whilst alleviating some of the anxiety that comes with bringing a new being into this world.

I can honestly say it felt like she was a member of the family or that best friend who holds your hand in times of need. She even showed up to the hospital with healthy snacks and drinks and just surprised us with her generosity and kindness. She also captured our moments on camera for us which ca easily be forgotten in those minutes after giving birth.

When finding a doula you want a person who you feel comfortable with in your space from the get go and Yasmintheresa was that person. In her post natal visit to check up on us her concern for not only our newborns well being but also mine was heart warming beacuse most visitors naturally are so excited to meet the newborn they forget about the new mother and how she might be coping. All was well but it was nice to be reminded that you did a good job. Looking back we are so grateful to have had her as part of this life changing experience. Good luck ladies! ~Dami Akinnusi

Give the Gift of a Doula

Do you know an expectant mother who deserves the service of a Doula?

or

Are your friends or family planning a baby shower for you?

Consider having them all chip in for a gift certificate for doula services.

This thoughtful gift will help you and your partner have a more satisfying, memorable and joyful birth experience.

YtheDoula now offers Gift certificates for services including Prenatal & postnatal Doula, Sex education for females of all ages, Childbirth Education, massage therapy, and health coaching.

Breakdown of services offered: 

Birth Doula: The word “doula” comes from the ancient Greek meaning “a woman who serves” and is now used to refer to a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth; or who provides emotional and practical support during the postpartum period.

Postnatal Doula: A postpartum doula provides evidenced based information on things such as infant feeding, emotional and physical recovery from birth, mother–baby bonding, infant soothing, and basic newborn care. A postpartum doula is there to help a new family in those first days and weeks after bringing home a new baby.

Sex education:  Instruction on issues relating to human sexuality, including emotional, spiritual relations and responsibilities, human sexual anatomy, sexual activity, sexual reproduction, reproductive health, reproductive rights, safe sex, birth control (family planning).

Childbirth Education: class is a great way to prepare for labor and birth. Depending on where you go, classes range from a one-day intensive workshop to weekly sessions lasting a month or more. The typical class consists of lectures, discussions, and exercises, all led by a trained childbirth instructor.

Massage therapy: Is manual manipulation of soft body tissues (muscle, connective tissue, tendons and ligaments) to enhance a person’s health and well-being. *Acupressure inclusive*

Health Coaching: *Emphasis on Vegan health* A wellness authority and supportive mentor who motivates individuals to cultivate positive health choices. Health Coaches educate and support clients to achieve their health goals through lifestyle and behavior adjustments.

Let Your Voice Be Heard Presents: The Dreamer and Doer Series Featuring: Yasmintheresa Garcia

Each month, Let Your Voice Be Heard! Radio presents “The Dreamer and Doer Series,” which spotlights inspirational Millennials who are using their talents and influence to better their community and the world. In July 2016, we spoke to Yasmintheresa Garcia, the founder of YtheGirls “Hang out,” a Midwife in training, Prenatal & Postnatal Doula, Childbirth Educator, Vegan health coach and Acupressurist.

 

A Calling before a Career

 

Being a birth Doula or Midwife consist of two different responsibilities. It is not a hobby or a job you do because it seems easy. It is not a job for the weak minded or selfish hearted.

Being a Doula is a metaphysical calling on your soul to want to be apart of ushering in new life knowing that you will do more Good than harm as a gatekeeper of the cycle of life. What both a Midwife & Doula do have in common is that both roles have a responsibility to educate & empower their clients in order to make evidence based decisions that are best for their family in respect to their culture. We are pretty much the gate keepers of the human life cycle we often witness death and birth at the same time. Perhaps in most cases death of an old life style and birth of a new life and new adventure of a whole family. How we practice in both roles has a major effect on how that family will transition into, and operate in their new life style. 

Be passionate about your calling in life and live it to the fullest. ~YtheDoula

 

 

 

 

 

 

 

 

 

 

A fit pregnancy & a Doula who supports it!

Draya Michele is the star of VH1’s hit series Basketball Wives LA, a mommy of two beautiful boys, two twin stepdaughters, a fiancé, and creator of the beautiful and reputable swimwear line MINTSWIM. Among all that she is an actress and entrepreneur with a business savvy mind.

                     Draya’s Timeless Maternity Shoot                        

by, von_jackson

 

Draya Michele caught my attention when I came across a photo of her at the gym while being pregnant. Immediately I decided to follow her journey throughout her pregnancy to see how she would stay fit during and after birthing her new joy. She recently shared her secrets to getting her body back snatched after giving birth in a recent podcast interview with Tia Mowry in her new show “Mostly Mom wih Tia Mowry.”

 

http://www.podcastone.com/pg/jsp/program/episode.jsp?programID=861&pid=1651158

 

At 36 minutes Draya Michelle begins to talk about her workout regimen and how she committed herself for the first time in her life to stay on a safe and consistent work out routine.

Draya went to the gym religiously, 5 days a week for 8 months and ate well!

This hot mama says, she never got back to her hot body; she never left. She didn’t get snatched back up, she worked her butt off and always stayed fit. Which breaks the stereotypes of the “all woman gain weight and get out of shape during pregnancy” myth. Draya also stated something very important that many of us may over look. I had to meditate on this also; She stated she went to the gym for 5 days consecutively weekly like clockwork. Now that is commitment! Almost as if her gym routine was part of her full time job and many of us could learn something from this. We must admit we don’t always take that much time out of our week to take care of ourselves let alone our personal health.

As a birth coach Doula, I cannot stress how important it is to do this. The nine months that a mum is pregnant should not consist of being so busy getting everything done before baby comes that she forgets to be still and enjoy the journey and evolution of your body. Mum’s can take even 20 minutes out their day at home to do yoga just to keep their body in motion, encourage their blood circulating and muscles reminded to stay active not stagnant so that when baby comes into the world and out of her body, the muscles in her body will remember to snatch back when ready.

 

Many celebrity mums like Ciara and Kelly Rowland seem to understand the importance of staying fit and active during their pregnancy. Some may think they do it to end up in the magazines weeks after giving birth but I believe they understand the more active you are the less risks involved during labor and postnatal recovery.

 

Draya Michele gave birth to her beautiful baby boy Jru all natural and even caught him with her own hands. You can catch the video on her Instagram page. I personally commented for her not to remove it because it is all too inspiring.  https://www.instagram.com/drayamichele/?hl=en

She also shared this beautiful message about her pregnancy and childbirth experience,

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Why not enough media on Celebrity Natural Birth? 

Lets be real, perhaps we didn’t see much coverage about Draya’s fantastic and inspiring birth journey because there were no endorsements involved. She claimed her truth by speaking out on having done it the healthy and simple way, work out, eat clean, stay committed, stay in harmony and birth your own way. Her way was in the hospital in silence with the least amount of hospital staff and a serene atmosphere. You can’t really capitalize off a Warrior mama’s super powers because only she holds her own power. Therefore I needed to share her inspiring journey that many over look. She looks great and is still glowing.

 

Birth Coaches/Doulas & What we do?

I have been fortunate enough to have worked with woman who have been athletes, lead a very active lifestyle or where determined to start. In working with these woman I have calculated why they have had natural and healthy labors and or recoveries after childbirth. Granted, we cannot control the law of the universe and every birth is different. However the mum’s that I have coach throughout their pregnancy have had great experiences based on a few tools that I shared with them.

Meditate : At home, before sleep in bed, while showering, in yoga, while reading. Just find that time for you to be still and conquer your thoughts and questions and concerns then talk to your Doula Birth Coach about them.

Stay Active: If you are not a former athlete I will advise on what the mother of Modern day Midwifery, Ina May Gaskin once said about the importance of doing squats or wall sits. It helps flex your pelvis and sincerely creates much needed blood flow in your abdominal area. (If there are concerns about squats inducing labor? Please do it at the discretion of your medical provider. Plus there is levels to squats. You don’t need to drop it all the way low if you are concerned.) Squats also build up your lower abdominal and lower back muscles which will strongly help when pushing your baby into the world.

Working out when pregnant is as important as working out when your not pregnant! It helps to reduce edema, stress, normalize hormones, stay in shape, increase blood flow, and balance hormones.

 

 

Remember!

Stay hydrated: Drink at least a gallon of water daily plus coconut water which has great vitamins and minerals for your body.

My practice consist of becoming an assistant to mum in whatever she desires her pregnancy and labor journey to be. As a former sports coach and dietetic intern I often encourage mums to take care of themselves as well as help them find the right resources they need. As a Doula I go to the gym or a pregnancy workout class with an expecting mum if she needs company or I educate her about her options for staying healthy and prepared for laboring her baby. After all, laboring is not this unbearable feeling mum’s experience. It truly is a right of passage that woman should celebrate and be excited for. All while, dad and Doula are massaging her or coaching her through contractions of course. Be sure to be open and let your Doula know what you want your labor experience to be like and ask her how to be the best care taker for you. We serve you mums. Its what we’ve been called to do. ~YtheDoula

 

For more info…

Top tips for activity in pregnancy

 

YtheDoula Diaries

Its a moment doulas don’t seem to talk about. Perhaps it is because maybe some of them missed it. Or maybe they are so caught up in the moment that it doesn’t even seem like its happening and once they walk away from the “job” site they forget about it because they don’t take it home with them; the mum does.

Its a moment that I can only equate to that feeling when you just get off  a roller coaster where you almost thought you weren’t going to make it. Or when you swim a few laps almost at the brink of exhaustion and you finally lift your head above water for that quick relief of oxygen. Or when your dribbling down the court with 10 seconds on the clock and its a tied game in 4th quarter and you shoot that buzzer beater, winning 3 pointer. Its pretty much like saying I love you after months of wanting to say it, feeling it but holding it in until you knew they felt the same and you feel the relief after they say it back. As I made sure the room was organized, free with enough moving space available, snacks and plenty of coconut water at mum’s reach, baby latched on to mums boob and daddy floating near his contribution to creation it was time for me to leave. It was a long but exciting 12 hours of work as mum transitioned through her stages of labor. As a doula I always decide to step outside and regroup myself and give my clients a moment to enjoy their sacred space. As I walked out the door I peaked to allow my spirit to give them the reassurance that I am just a room away. It was then when “That moment happend.” The moment where mum is holding her new born baby so close it can hear her heart beat and dad is so close to her face almost as if their spirits where kissing just as much as their lips were. ~YtheG

 

What is a Doula vs. Midwife

[Article below is from   http://www.diffen.com/difference/Doula_vs_Midwife }

Childbirth today has several alternatives to the standard hospital experience with an obstetrician, and doula and midwife are just two of many.

A doula is an assistant who provides physical as well as emotional support during childbirth. She helps women in a non-medical capacity.

A midwife is a qualified professional from an institution of her country, which enables her to help a pregnant woman in delivering a baby. The World Health Organization defines a midwife as: A person who, having been regularly admitted to a midwifery educational program that is duly recognized in the country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery. The educational program may be an apprenticeship, a formal university program, or a combination.

Comparison chart

Doula versus Midwife comparison chart
  Doula Midwife
Definition A doula is an assistant who provides physical as well as emotional support during childbirth. She helps women in a non-medical capacity. A midwife is a qualified professional from an institution of her country, which enables her to help a pregnant woman in delivering a baby.
Duties Prenatal Doula aids with Educating women about their own choices regarding options for their upcoming birth of their child. Childbirth Doula helps the mother during labor and childbirth. Postpartum Doula offers services after the child is born Aids with preventive measures, the promotion of normal birth, the detection of complications in mother and child, accessing of medical or other appropriate assistance and the carrying out of emergency measures.
Types Prenatal, Childbirth and Postpartum Doulas. Certified nurse midwife (CNM), certified professional midwife (CPM), direct-entry midwife (DEM), registered midwife (RM), licensed midwife (LM), depending on availability of state licensure for non-nurse midwives.
Etymology Ancient Greek doulē, meaning female who helps Middle English Mid meaning with & Old English wif meaning woman.
Certification Childbirth International, D.O.N.A (Doulas of North America), and C.A.P.P.A. In Canada: C.A.R.E. (Canadian Association Registry and education) North American Registry of Midwives & American College of Nurse Midwives. In Canada: Registered by the College of Alberta Midvives (AAM) and Canadian Association of MIdwives (CAM)
Salary $300 to $1000 per pregnancy they assisted mother in, depending on factors like cost of living, employer, credentials, experience. $40, 000 – $90, 000 as a base salary respect to change according to the employer, education, experience of the midwife etc.

Types & Duties

A doula can characteristically be classified into three types: prenatal doula,childbirth doula and postpartum doula. Based on the qualification, a doula may assist a pregnant woman before child birth by getting her necessary commodities and preparing her to deliver a baby. A childbirth doula, does just that, i.e. helps a pregnant woman deliver a baby. Her role may include assisting the mother during childbirth by supporting her emotionally etc. However, a postpartum doula can help a mother after child birth with all the essential chores at home, including but not limited to cooking, caring for the child, assisting in breast feeding etc.

Typically, there are two types of midwives: Direct-entry midwives, who usually enter directly into midwifery education programs without a prior professional credential and Certified nurse-midwives who are registered nurses before entering midwifery training. A midwife’s duties include helping child bearing women during labor, childbirth and providing postpartum care until the baby is six weeks old.

Etymology

The word Doula is derived from the Ancient Greek word doulē, meaning female slave.

The term Midwife is derived from Middle English word mid meaning with an Old English word wif meaning woman.

Salary

An experienced doula can earn anywhere from $300 to $1000 a time in the United States of America. These rates are flexible and usually depend on the cost of living of the area where the service is being delivered.

A midwife however, can make up to $40,000 – $90,000 a year in the United States of America. The amount mentioned is the base pay and can differ based on your employer, industry, credentials, experience etc.

Certification

Though it isn’t essential for a doula to be certified by an agency or an institution, many women prefer their doulas to meet some basic requirements. These requirements can be fulfilled from various doula certifying agencies across the country or even by appearing for exams over the internet. Doulas need to attend specific number of births before they can be certified, which varies from agency to agency. A few agencies in the United States are : Childbirth International and Doulas of North America.

Midwives can be certified through North American Registry of Midwives for Certified Professional Midwife, American College of Nurse Midwives for Certified Nurse-Midwife.

References

Meant to be a Doula

Meant to be a Doula

It is no surprise to me that I have ended up here as a protégé of midwifery services. At the age of 14 was when my obsession with the miraculous act of child birth began. I remember watching everything that had to do with child birth on the te-lie-vision (tv) and doing independent research on how my body will one day experience the magic itself. Then was when my journey to becoming a sexual reproduction educator and doula began. I do also recall being a very eager 12 year old wanting to know exactly what was happening to my body the moment I got my first period. Yes, I was that person who googled everything and joined the mailing list on those tween websites to receive free tampons and pads. They also gave cool diagrams and coloring books to know exactly how your uterus functioned! Who wouldn’t want that as keep sake?

Habits create a life style…

Oddly enough I can remember my first science project for my freshman year science fair. My project was based on the reproduction cycles of both men and woman which was followed by a presentation of both female and male contraceptives. How ironic, I know. Today I don’t believe in contraceptives. I have learned there are many different forms of contraceptives that don’t come out of a box. We’ll get to that later.  I was pretty pretentious to go out in front of the whole school, try and teach everyone about sex and contraceptives while being a virgin. I guess you can really say those who don’t do, teach.

Welcoming womanhood…

Now through the coming of a woman journey that I have experienced throughout the few decades of living on this earth, I have finally realized what truly made me happy to wake up each morning and motivated me to live each day. It was the reality of life being born around us every second. Within finding myself as a woman through mile stones, hardships and exploring the greatness in my sexuality I had made a decision to be a part of the Welcoming life Crew. (WLC includes, OBGs, Midwives, Doulas, Nurses, Witch Doctors) whatever you shall call them if they deliver or assist in delivering new life they are a part of that crew that I just made up, Welcoming Life Crew.

Being Proactic

Destiny is not a matter of chance, but of choice. Not something to wish for, but to attain.                          – William Jennings Bryan

A few months ago when I looked at my life and what I was doing; I realized I wasn’t fulfilling something inside of me. I worked for the 9th biggest company in this country and I felt as if I was dying inside. One day after watching a documentary by Rikki Lake and Abby Epstein, “The Business of Being Born”. I instantly knew why I was so passionate about birth and “Welcoming Life” into this world. >>What went through my mind was, Every time a new life is born into this world is another message being told to us by the Universe, by God, by a Higher Power that it hasn’t given up on us. In that moment I knew that I wanted to be a part of that message. I want to be the advocate of New Life being born into this world with a chance of a better tomorrow or at least a better today. This is why I am on my journey to being a DONA certified Doula with emphasis on natural birth because I was born to serve my people, my sisters and empower them to do what they biologically were born to do.  ~YtheG

What is a Doula vs. Midwife

Tanya_Midwife_Doula_Hubby

[Article below is from   http://www.diffen.com/difference/Doula_vs_Midwife }

Childbirth today has several alternatives to the standard hospital experience with an obstetrician, and doula and midwife are just two of many.

A doula is an assistant who provides physical as well as emotional support during childbirth. She helps women in a non-medical capacity.

A midwife is a qualified professional from an institution of her country, which enables her to help a pregnant woman in delivering a baby. The World Health Organization defines a midwife as: A person who, having been regularly admitted to a midwifery educational program that is duly recognized in the country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery. The educational program may be an apprenticeship, a formal university program, or a combination.

Comparison chart

Doula versus Midwife comparison chart
  Doula Midwife
Definition A doula is an assistant who provides physical as well as emotional support during childbirth. She helps women in a non-medical capacity. A midwife is a qualified professional from an institution of her country, which enables her to help a pregnant woman in delivering a baby.
Duties Prenatal Doula aids with Educating women about their own choices regarding options for their upcoming birth of their child. Childbirth Doula helps the mother during labor and childbirth. Postpartum Doula offers services after the child is born Aids with preventive measures, the promotion of normal birth, the detection of complications in mother and child, accessing of medical or other appropriate assistance and the carrying out of emergency measures.
Types Prenatal, Childbirth and Postpartum Doulas. Certified nurse midwife (CNM), certified professional midwife (CPM), direct-entry midwife (DEM), registered midwife (RM), licensed midwife (LM), depending on availability of state licensure for non-nurse midwives.
Etymology Ancient Greek doulē, meaning female who helps Middle English Mid meaning with & Old English wif meaning woman.
Certification Childbirth International, D.O.N.A (Doulas of North America), and C.A.P.P.A. In Canada: C.A.R.E. (Canadian Association Registry and education) North American Registry of Midwives & American College of Nurse Midwives. In Canada: Registered by the College of Alberta Midvives (AAM) and Canadian Association of MIdwives (CAM)
Salary $300 to $1000 per pregnancy they assisted mother in, depending on factors like cost of living, employer, credentials, experience. $40, 000 – $90, 000 as a base salary respect to change according to the employer, education, experience of the midwife etc.

Types & Duties

A doula can characteristically be classified into three types: prenatal doula,childbirth doula and postpartum doula. Based on the qualification, a doula may assist a pregnant woman before child birth by getting her necessary commodities and preparing her to deliver a baby. A childbirth doula, does just that, i.e. helps a pregnant woman deliver a baby. Her role may include assisting the mother during childbirth by supporting her emotionally etc. However, a postpartum doula can help a mother after child birth with all the essential chores at home, including but not limited to cooking, caring for the child, assisting in breast feeding etc.

Typically, there are two types of midwives: Direct-entry midwives, who usually enter directly into midwifery education programs without a prior professional credential and Certified nurse-midwives who are registered nurses before entering midwifery training. A midwife’s duties include helping child bearing women during labor, childbirth and providing postpartum care until the baby is six weeks old.

Etymology

The word Doula is derived from the Ancient Greek word doulē, meaning female slave.

The term Midwife is derived from Middle English word mid meaning with an Old English word wif meaning woman.

Salary

An experienced doula can earn anywhere from $300 to $1000 a time in the United States of America. These rates are flexible and usually depend on the cost of living of the area where the service is being delivered.

A midwife however, can make up to $40,000 – $90,000 a year in the United States of America. The amount mentioned is the base pay and can differ based on your employer, industry, credentials, experience etc.

Certification

Though it isn’t essential for a doula to be certified by an agency or an institution, many women prefer their doulas to meet some basic requirements. These requirements can be fulfilled from various doula certifying agencies across the country or even by appearing for exams over the internet. Doulas need to attend specific number of births before they can be certified, which varies from agency to agency. A few agencies in the United States are : Childbirth International and Doulas of North America.

Midwives can be certified through North American Registry of Midwives for Certified Professional Midwife, American College of Nurse Midwives for Certified Nurse-Midwife.

References