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Frequently Asked Questions

about our birth & postpartum doula team
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Birth Doula Frequently Asked Questions

What is a birth doula?
A birth doula provides emotional and physical support, along with resources and birth preparation to an expecting family prenatally, during birth and shortly after.

Check out the evidence that shows how doulas can play a role in improving birth outcomes and satisfaction!
What does a birth doula do?
Birth doulas meet with you prenatally, offers support throughout your labor and birth, and is there for you as you transition into your postpartum chapter. Some things that are included in doula work: prenatal visits, telephone/email support, on-call availability, continuity of care, assistance and support during labor and birth, assistance with optimal fetal positioning (which can be discussed prenatally and utilized during the birth process), aromatherapy, massage, photography, breastfeeding support, resources and much more.
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Click here to read what is included if you were to hire a doula on our team as your birth doula.
What is the difference between a doula and a midwife?
A doula is a non-medical support person who focuses on caring for you emotionally and physically, and helps you to feel informed and empowered. While they often have similar approaches, a midwife differs from a doula in a very large way. A midwife is a *medical* professional, meaning that the primary focus of their care is on the health and safety of you and your baby. Both doulas and midwives work with you prenatally, support you throughout the birth and follow up with you postpartum. Specifically at a birth, doulas are often found doing hip squeezes, refilling your water bottle, providing guidance and reassurance (to you and your partner), and repeating affirmations that empower you. At a birth, midwives may be found doing similar things to a doula, but their top priorities include: ensuring that you and baby's vital signs are stable, assessing you and your baby, completing cervical exams when needed, administering medication if necessary, and catching the baby you are birthing.
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Doulas and midwives go together like peanut butter and jelly!
What kinds of birth do birth doulas support?
Whether you want to give birth at home or by scheduled cesarean, birth doulas support ALL kinds of birth. A lot of people imagine doulas supporting home births or think doulas are only for the "crunchy" families. While that may be a stereotype for doulas, a large majority of doulas can be found in hospitals and birth centers. Some doulas have "specialties" or certain styles that they bring to the table, meaning that they might be a better fit for a certain idea you have for your birth. Experience and additional training do come into play here. Doulas support any and all birth, from midwife-supported home births to birth center births to unmedicated hospital births to scheduled cesarean births.
When should I hire a birth doula?
The earlier the better really. Typically, the beginning of your third trimester is a good time to have your doula secured by. We often recommend that you start your search in your second trimester, talk to and interview a couple of doulas, and really determine who is the best fit for you. You deserve someone you feel an easy connection with and someone who you feel fits your personality and needs.
​

*If you consider yourself a planner or someone who experiences anxiety more often, hiring a doula earlier in your pregnancy might be more beneficial. This allows you to really form that trusting relationship and feel unconditionally supported as you navigate the emotional and mental ups and downs.
How does a birth doula work with my partner?
A common question we get is, "Will my partner feel left out?" Honestly, this is a very valid question. Many think that a doula takes the role of the partner when, in fact, our role supports them as well. We firmly believe that our role as your doula is to amplify support, and that goes for your partner too. We have worked with many different birthing partners, yet they all have one thing in common: Your partner knows you better than anyone else. Even if they aren't sure how to support you in labor/birth, they know your fears, preferences and desires. We work with your partner by encouraging them, offering guidance and suggestions when needed, reminding them to also stay hydrated and to take bathroom breaks, and more. If your partner has witnessed birth before, they still deserve support and the comfort in knowing they are supported as well.
Words from a birthing partner: "I love my wife and wanted to be the best support I could be, so for me that meant hiring Allison. From the first time we met with her, and we met with her a lot prior to birth, there was an instant feeling of ease. Our delivery was a long one, and Allison was with my wife and I from the start to long after. She helped my wife in ways that I could not have and had prepared me in a way that allowed me to be there for my wife in a way that I couldn't have dreamed of."
Will a doula be useful if I need medication or if I have a cesarean?
Absolutely! Like mentioned in an earlier question, doulas support all types of birth. While you may not request much physical support, there are emotional and informational ways your doula can support you.
A doula can benefit you and your partner if:
  • You would like pain medication early on in your labor (or perhaps in the parking lot)
  • You plan to use nitrous oxide, an IV narcotic or an epidural
  • You have a cesarean birth, whether it is unplanned or scheduled
A doula can help you find a rhythm and stay informed, and can ensure that you are cared for emotionally and mentally. Some pain medications take the edge off (like nitrous oxide), while others may be more effective with taking the sharpness away (like an epidural). Sometimes there is still a need for other coping techniques, such as counter pressure, that we may need to utilize. Having a doula can provide you with reassurance that you have more tools at your fingertips. Perhaps you feel you are coping well with the discomfort of labor-- wonderful! A doula can ensure that you and your partner's emotions are supported and that you continue to receive any information you would like. The physical support piece does not fully go away too; you and your doula still have things like massage or positioning as options. At cesarean births, whether they are planned or not, doulas are useful to help with cesarean birth preparedness, balancing emotions and thoughts, and keeping you informed of the options you still have in the operating room.
How do I find the right doula for me?
​You deserve the best! Each doula is unique and there are a few things that come into play.
  1. Trust your gut. Does the doula's personality and style fit you and your partner? Do you vibe well with the doula? If a doula rubs you the wrong way, uses certain verbiage or language you don't like, puts off a vibe that doesn't sit well with you, or even has the same name as a crazy ex whose name alone drives you crazy, they may not be the doula for you. Honestly, even the simplest thing that you try to ignore can amplify either over time or on your "birth day."
  2. Determine what it is that you're looking for. Do you have certain preferences or wishes when it comes to pregnancy and birth? Are you planning on using a certain birthing method or other tools? Finding a doula who can unconditionally support you and who may have experience with the things you are planning for can make all the difference. Doulas often acquire additional training and certifications to provide you with a more well-balanced, well-rounded approach to doula support. What additional knowledge would you want your doula to have (ie. acupressure, aromatherapy, belly casting, childbirth/lactation education, massage, optimal fetal positioning, photography, placenta encapsulation, etc.)?
  3. Interview more than one doula. As doulas, we know how important it is for a client-doula relationship to feel connected and trusting. That is why we believe that by researching and considering more than one doula, you will open doors to the choices you have. An internet search or searching DoulaMatch may help.
  4. When the connection feels right, go for it. After the logistics like availability and pricing, more forward if you feel ready to add this person to your birth team.
Tip: If you connect well with more than one doula, consider hiring one as primary and asking the other doula to be the back up doula in the unlikely event that your primary doula is unable to attend your birth. A certified, professional doula is taught to acquire a back up doula. Ask if your hired doula works with specific back up doulas or is open to suggestions/guidance from you.

----> Read our blog post "10 Questions to Ask When Interviewing a Doula" for more inspiration! 
What happens at a prenatal visit with my birth doula?
​The prenatal visit is a time where you, your partner and your doula would meet at a time of your choosing to help you feel better connected, prepared and informed. Often held at your home or out at a public space (eg. coffee shop, over lunch), this is dedicated face-to-face time with your doula can be used...
  • to help you all feel even more comfortable together
  • to review options, scenarios & birth preferences
  • to practice or demo positions or ways your partner can help
  • to overall be on the same page about what your goals and wishes are so everyone feels united and ready to amplify your voice
  • & so much more!
​You can create a loose agenda ahead of time or intuitively move through the 60-90 minute prenatal visit. This is a great time to bring questions that are hard to text/email about so you can have in-depth conversations about concepts, mindset shifts, what to expect, etc. Let your HBB doula know your availability and when you want to schedule it (it's ideal to complete this by 35-36 weeks). 
What happens at a postpartum visit with my birth doula?
The often underrated and overlooked piece of birth is the postpartum chapter!

At a postpartum visit with your birth doula, she would come to your home when *you* determine you are ready for her visit, though we often see this requested within the first 2 weeks postpartum. This time 
with your doula can be used...
  • to review, debrief & process your birth story 
  • to have in-person support with lactation and infant feeding
  • to receive a mental health check with full of emotional support
  • to explore what resources and referrals might be needed for this chapter you're in
  • to answer any questions you have about newborn care (eg. soothing, bathing, sleep)
  • to practice & better understand things like babywearing or pumping 
  • & so much more!
​We often say "we aren't phased by much" and it's in our inherent nature as doulas to meet you in vulnerable and intimate spaces while embodying safety, respect and kindness. This 60ish minute visit can be an incredibly validating and enlightening session, all depending on what you hope to get from the time with your doula. While your HBB doula will still be available for text/phone support for your whole fourth trimester (3 months postpartum), this will also help to provide you with in-person closure with your birth doula. 
What if my birth doula is unavailable at the time of the birth?
First things first: you will NOT BE ALONE. One of the perks of working with our team is that we are just that -- a team! We work hard to assess and manage our time & commitments, and to make ourselves available to support one another. While incredibly rare that a birth doula is unexpectedly unavailable for any period of time during your labor/birth, it's important to us that there is reliable coverage for you.

Our doula agency sticks to the professional standard of always securing a backup doula ahead of time. Whether no potential conflicts are on the horizon or in case of illness or emergency, we wouldn't be doing our due diligence if we didn't secure a backup doula from the HBB team ahead of time. Either you can personally request a backup doula from the team or your primary doula can work with you to determine who would be a good fit. 
 
In the even more unlikely event that the primary and backup are unavailable, our diverse and experienced doula team is well-knit and eager to jump in for the families we serve.

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Postpartum Doula Frequently Asked Questions

What is a postpartum doula?
A postpartum doula comes with endless resources, support and guidance during the transition into parenthood from the first few weeks to a few months postpartum. 
What does a postpartum doula do?
Postpartum doulas work with you during those first moments at home, typically ranging from a couple weeks to a couple months. Postpartum doulas provide unbiased, evidence-based information, and create a safe space for you to feel comfortable and cared for. You will receive assistance with newborn care, light household tidying, food preparation, lactation, laundry and more. Postpartum doulas provide critical support during the often overlooked "fourth trimester."
​
Click here to read what is included if you were to hire a doula on our team as your postpartum doula.
What kind of families do postpartum doulas support?
HBB postpartum doulas support ALL types of families. Regardless of sex, marital status, sexual orientation, race, religion, etc. --- you deserve a postpartum doula. Twins or more? You are covered. Older siblings part of the picture & need help too with the newborn phase? Not a problem.

​There is a postpartum doula out there right now that can fit the needs of you and your family. Schedule a consultation with agency owner Allison to see who would be a good match for you!
When should I hire a postpartum doula?
This depends on you and how you are anticipating your postpartum needs will be met.

Some families hire a postpartum doula while they are still pregnant. Maybe a previous experience has encouraged them to secure a postpartum doula early on.

Other families start their postpartum journey on their own and then recognize that they would benefit from a doula or wanted to wait to see if they would require the support.

The timing of when you hire a postpartum doula is completely up to you! Even if you do not hire one ahead of time, researching and knowing your options while pregnant can be helpful for when you end up searching for one after you give birth.

Note: Our overnight doula team tends to book up faster than our daytime team. Please reach out to secure overnight support as soon as you think you may be ready to explore this option so that we can find the right match for your family. Thanks!
How does a postpartum doula work with my family?
Working with your family means that the doula offers encouragement, advice and guidance as everyone navigates the new transition. Support for the family often looks like suggestions for bottle feeding and bath time, help with preparing dinner, and more. Yes, a professionally trained postpartum doula makes you the priority. This includes your mental and emotional health, your physical healing from birth, and your sleep. Those needs are often met when a postpartum doula supports another aspect of the family/home.

​When you feel your baby is taken care of, the kitchen is organized and your lunch is made, your overall well-being has a chance to feel restful and cared for. 
A postpartum doula tends to what you need, sometimes even without needing direction (as long as it's within their scope of practice).
What does a typical schedule look like with a postpartum doula?
The work you and your postpartum doula do together can look different than someone else's work with them. Each family's needs are unique, therefore your experience and schedule with your postpartum doula will be unique and individualized to fit you and your needs.

​Depending on the doula and their availability, you may have them do day or night shifts, ranging anywhere from 2 hours long to 8 hours long. Some doulas even will do longer if needed!

You can choose to have your doula with you once a week or several days a week; again, it's completely between you and your doula. For example, we have done three 6-hour day shifts a week with one family, and two 4-hour evening shifts a week with another family.

It all depends on your needs, your doulas availability and offerings, and when you need support.
How do I find the right postpartum doula for me and my family?
​You deserve the best! Each doula is unique and there are a few things that come into play.
  1. Trust your gut. Your postpartum experience may be a mixture of good days and bad. On those up or down days, you deserve to have the exact support you need. Your postpartum doula should meet you where you are at. If you are interviewing and meeting with a postpartum doula, listen to your heart and to your gut. Do you think this person would support you in the way you deserve?
  2. Determine what it is that you're looking for. Do you have certain preferences or wishes when it comes to your postpartum journey? Are you planning to breastfeed or bottle feed? Are you looking for support during specific hours or days of the week? Finding a doula who can unconditionally support you and who may have experience with the things you are planning for can make all the difference. Be direct in asking if they fit the schedule or experience you are looking for.
  3. Interview more than one doula. As doulas, we know how important it is for a client-doula relationship to feel connected and trusting. That is why we believe that by researching and considering more than one doula, you will open doors to the choices you have. An internet search or searching DoulaMatch may help.
  4. When the connection feels right, go for it. After the logistics like availability and pricing, more forward if you feel ready to add this person to your postpartum team.
Tip: If you connect well with more than one postpartum doula, consider hiring one as primary and asking the other doula to be the back up doula in the event that your primary postpartum doula cannot be with you for the exact schedule you are looking for. Ask if your hired doula works with specific back up doulas or is open to suggestions/guidance from you. Having a second postpartum doula, even just in case, is a great option if you are in a bind and need some last-minute care!

----> Read our blog post "
10 Questions to Ask When Interviewing a Doula" for more inspiration! 
How do I know what I will need when baby arrives?
Believe it or not, you have more details than you think ready to answer this question! You know yourself and family needs better than anyone.

​Here are some questions to consider:
  • What kind of support do you anticipate from family or friends? (This may help you to determine the frequency of a doula's visits week-to-week or this may help you to see when help may taper off from your village and where you should amp up care with a doula.) 
  • Have you cared for a newborn before? (This may indicate that daytime visits where the doula offers hands-on teaching and demonstration would be a better fit for you.) 
  • Are you a night owl or morning bird? (This may dictate the time of day where support could come in handy most.)
  • How do you do with interrupted or little sleep? (This may indicate that overnights or daytime visits where your own sleep is prioritized.)
  • What is your parental leave like and how soon will baby be enrolled in childcare, if applicable? (This may dictate how brief or long you'd like to work with a doula and may be an opportunity to taper visits towards the end.)

While you may not be 100% sure of what you will need, answering these questions above and reflecting on what kind of schedule & relationship would most benefit you will help you to come up with an idea that will be very close to what you will end up needing. Securing a doula who has matching availability ASAP can bring a lot of reassurance. 

Have questions that were not answered here?

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What Clients are Saying
Samantha was very informative during our prenatal visit. She walked us through all of the options for our birth plan in great detail and offered options to ease stress and encourage healthy labor and delivery, such as medjool dates and red raspberry leaf tea. She spent more time with us than what is typically allotted which was greatly appreciated. 
​~Marika

Jenny was so helpful during my labor and delivery. She provided such great emotional support and made me feel so safe. Could not have had a better experience!
~Isabella
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I was on the fence in the beginning about whether I really needed a doula or not and once I decided to get an epidural I really wasn’t sure I needed the extra support as my original birth plan was to go unmedicated which is why I wanted the extra support to get me through the contractions. However, Melissa was amazing and I’m so glad that we had her there. She’s been a great resource throughout the pregnancy, birth and postpartum and I would 100% be interested in working with her again if we decide to have another.
~Brooke
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I loved that I had options of a few doulas and had zoom meetings to see if we would be the right fit for each other. Thank you so much!!
~Katie

So glad I had a doula! It’s been so helpful both during pregnancy and postpartum. The overnight stays are the best!
~Jess

​Thank you! This service was absolutely essential! You made it all very easy, very comfortable, very secure!
​~Robin

She offered tons of resources for any topics we were curious about and showed us ways that my husband could support me through some pain I was experiencing from the pregnancy. She took the time to build a rapport with both of us before the birth which made us both that much more comfortable that day.

I interviewed a few doulas from other groups and none of them compared to what is offered here, nor did I feel as confident as I did meeting with Allison and Kizzy. I cannot find the words to express my appreciation or gratitude for the two of you. Thank you from the bottom of our hearts!
~Marley
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Phone:  603.851.1595
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Email:  [email protected]
​Address: 660 Mast Road, Manchester, NH 03102
​
Serving Manchester, Nashua, Concord, Seacoast and surrounding areas of New Hampshire and Massachusetts. 
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The mission of Holistic Birth & Beyond is to provide comprehensive and compassionate care during the prenatal, birth and postpartum periods, in which the mind, body and spirit of families served receive the resources and support they need in a safe space of validation and empowerment.
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  • Home
  • Our Team
    • Testimonials
    • Doula FAQ
    • Join the Team
  • Services
    • Birth Doula
    • Postpartum Doula
    • Classes & Groups >
      • Classes
      • Support Groups
    • Placenta Encapsulation
    • Birth Story Medicine®
    • Reiki
  • More
    • Freebies!
    • HBB Academy
    • Blog
    • The Holistic Birth Podcast
    • Client Portal
  • Contact