doula team

What should you ask during a doula interview?

doula interview

This is one of the most frequent questions we get asked during doula interviews. If you google it you'll find a lot of questions to ask your potential doula - sometimes too many. Getting information is important but we suggest that getting a feel for the person you're interviewing is also important. Someone may look fantastic on paper and be a nice person but it doesn't necessarily mean that they're the best fit for you. 

During your perinatal journey you have a limited choice (if any) of health care providers. Maybe you like them, maybe you don't. Maybe you chose them for their particular skill set or location. In choosing a doula you can go with your gut feeling. Here are our tips on what to ask and do during a doula interview:

1) Think about what's important to you before the interview or even before contacting a doula. 

A while back we wrote two blog posts about what to consider when thinking about hiring a doula.  Do you want a certified doula trained with a specific organisation for insurance purposes? If you answered yes to this question than this is something you can easily find out before meeting the person - saving yourself a whole lot of time and emotional and mental energy. 

While we are on the topic of saving time and energy we highly recommend figuring out the doula is available and around for your estimate due date (if you're hiring a birth doula) before meeting them. Why meet with someone who may be unavailable or potentially away?

2) Pick a place where you feel comfortable. 

We can't stress this enough - you should feel comfortable chatting about yourself and your perinatal journey. No super public noisy rushed cafes! 

3) Ask about relevant experience and perinatal philosophy. 

A new doula might be as good as an experienced doula - there is no way to really know unless you hire them. That doesn't mean you can't ask a doula about their experience and take them into consideration. Some great questions are:

  • How many births have you attended?
  • How long have you been a doula?
  • Have you worked at X hospital/birth centre?
  • Why and how did you become a doula?
  • How do you see your role in this experience? How would you describe your support? 
  • What is your birth philosophy? 
  • Do you have additional training?

4) Ask about logistics. 

  • How would you work with my partner(s)?
  • How many births do you take a month? 
  • Do you work with a back-up? Could I/we meet them?
  • What's covered in your pricing? Does your pricing change if you are at my labour for a prolonged period of time? 
  • When do I call you if I'm in labour? What if I just have a questions?
  • When do you join me in labour? How long do you stay postpartum? 

5) Get to know the person. 

We think finding a doula so much more than asking doula related questions. Make small talk! Get a feel for their personality! Notice if they're receptive to that - mindfully listening and asking engaging questions in return. Have a meaningful conversation - this person may part of an important time in your life. 

6) Check in with yourself. 

This is the most important piece. Did you feel comfortable with the doula? Did they seem interested in you and what you want beyond answering questions? Does it "feel right"?

We know "feel right" is a hard feeling to quantify, sometimes though some people just click. If it doesn't happen, that's OK. It may build over time. 

7) Don't interview too many or too few doulas. 

Take it one at a time and sit with it a little while - unless you really clicked or you really didn't. Some people find their doula after the first interview, some find them after 2-3. We wouldn't recommend interviewing more than though as people will blend into each other. We suggest figuring out what's important to you and filtering doulas before contacting them. 

These are all our tips! Hope they help!

Love, 

The Spectrum Team

 

Hiring a doula? Some things to know - part 2

Hiring a Doula
the core value of a doula practice is based on a holistic approach to reproduction and its continuum as a function of healthy sexuality and decision making
— Willie Parker, MD, MPH

Last week we published a blog post outlining five things to know when considering hiring a doula. This week we go a little deeper. While full spectrum doulas who offer a variety of services, today we focus primarily on birth work. 

Below we outline five more questions to consider when looking for a doula:

1) What's important to you?

We sometimes say that there are as many way to give birth as there are people. The same is true for doulas. Two people can be trained by the same organisation and the same instructor and have different approaches to their practice. Sometimes these approaches can be minute; sometimes they can be disparate. 

What matter is what is important to you! Do you want someone who is also a yoga teacher, or a childbirth educator, or a fitness specialist? Do you want someone who speaks your language? Is spirituality important to you? 

Sometimes we don't know what's important to us, which is why meeting doulas is vital - you learn about them and their approach and you see if it's a good fit. Learn more about this in your FAQ.

2) A doula does not replace taking childbirth education classes.

Most of the time, you will have 1 or 2 prenatal visits with your doula and there is a lot to cover! Generally during the meetings you get more familiar with your doula, talk about your birth and postpartum wishes, and practice a variety of different coping techniques.

To give ample time for that, taking a childbirth education class before your doula appointments (or at least one of them) is ideal. During a childbirth education class you would cover information such as the stages of labour, coping with inductions, interventions, both medicated and unmedicated coping methods, coping with cesarean deliveries, immediate postpartum, planning for the postpartum period, etc. While your doula may cover some of these topics, they won't have to go as well in-depth as a childbirth educator would.

3) What about price differences?

Doulas are definitely an investment! If you've been looking for doulas you've probably noticed some price discrepancies - some doulas charge as little as 200 - some as much as 2200! Some doulas work pro-bono.

When charging, a lot of doulas (but not all) base their prices on experience. Some doulas who are just starting out may not feel confident in charging full price; however, many doulas (regardless) of experience are starting to charge a standard price. For Toronto, currently that is between $1000 to $1300 for a base package. There are some doulas that also offer some reduced rates spots in their practice. 

There are also doulas who work pro-bono (for free) but their clients are usually low-income folks vetted by an independent organisation. 

If you'd like to learn more about the factors that play into our fees, check out our FAQ.

4) What if a doula hasn't had a baby?

What if a midwife or doctor hasn't had a baby? What if a dentist never had a root canal? What if a therapist never had depression/anxiety/etc? It doesn't matter. 

We are trained professionals who can perform our job very well, regardless of whatever personal experiences we might have had. 

5) What's the process of hiring a doula? 

Once you contact a doula/agency/collective you set up a time to meet the prospective doula for an introduction/informal interview, which lasts between 30min to an hour and is free (most of the time). This can take place at a coffee shop where you feel comfortable or your home! 

During the introduction/interview you get to know the prospective doula, they get to know you, and you get to ask them questions about themselves and their practice! Stay tuned for a blog post on what questions to ask during a doula interview! 

After this meeting, take some time to sit with how you feel about the doula and let me know if you'd like to work with them (or not). Most doulas will hold the spot open for you for a couple of weeks. 

 

We hope you found these helpful, and if you have any more questions, drop us a line.

Love, 

The Spectrum Team

Thinking about hiring a doula? Here are some things to know - part 1

Hiring a Doula_1.png

 

"Having a person who unconditionally nurtures you during a major life experience is a privilege too few enjoy. Doulas provide this exquisite nonjudgemental support to others - often strangers - and touch people's lives in profound ways."                                                                 - Loretta Ross, The Doulas Radical Care for Pregnant People

You may have heard the word doula before - perhaps in a pregnancy, birth, and postpartum context; perhaps in a reproductive justice context. Or maybe you've never heard it before. 

A doula is a person (often woman-identified, but not always) who helps people during their perinatal journey - most often during their pregnancy, birth, and postpartum (but, again, not always). Depending on where are you during your perinatal journey doulas are an investment - both financially and emotionally (your doula may be with you between 4 to 100+ hours, holding space for you, and guiding you through vulnerable and emotional times). Below we touch on some questing to consider before deciding on a doula. 

1) What do you want a doula for?

While most doulas attend only births and/or offer postpartum support, fulls spectrum doulas are slowly emerging. Perhaps full spectrum doulas have always existed, but doula work began moving past only birth/postpartum support more significantly in 2008 when the Doula Project in NYC began training volunteer abortion doulas. 

Today, full spectrum care encompasses even more - doulas offer fertility, miscarriage, abortion, birth, postpartum, adoption, and surrogacy support. You can absolutely get a doula for any or all of these life's events - if you'd like to learn more about it, drop us a line. All of us at Spectrum Doula Collective are full spectrum doulas. 

2) What's the difference between midwives and doulas?

We get asked this question a lot. A midwife is a healthcare practitioner who studied midwifery in a university and a clinical setting. In Ontario, midwives are regulated by the College of Midwives of Ontario (CMO) and they are paid for by government under the Ministry of Health and Long Term Care, meaning that residents of Ontario not covered by OHIP can still receive midwifery care for free. 

A doula is not a healthcare practitioner and as such does not do any clinical duties. A doula is trained by a doula organisation (although there are those who had been nurses or midwives and now solely practicing as doulas without specific training). Doulas not currently a regulated profession and are paid for out of pocket although some private insurances are starting to cover doula care (see below). 

While midwives are concerned with the health of you and the baby, doulas are concerned with your mental, physical, emotional, and sometimes spiritual well being. Doulas hold space for you and provide you with support, caring, and encouragement. 

3) What about certification?

Some doulas are certified, some doulas are not. There are many certifying organisations for doulas with different prerequisites. Most of them have a course section and a practical section. Some prospective doulas take only the course section and start practicing, some doulas do the practical as well but don't certify, some doulas do both and certify and some don't do either. 

There is no regulatory body for doulas. At the end of the day, you have to ask yourself if certification is important to you. 

4) Can your insurance cover it?

Sometimes. Some people can claim doula care under their health spending account with "flex dollars" built in; however, some insurance companies require that the doulas are certified through specific organisations (usually either DONA* or CAPPA). Some doulas are also RMTs or Naturopaths and may be covered through those designations (though this limits your choice of doula). 

*our doulas DONA-certified 

5) What about your partner(s)? (if applicable)

If you currently have a partner (or more) they (or you) may wonder if their role may change when hiring a doula. The short answer is yes. 

The longer answer answer is that your partner(s) role is amplified. Doulas provide partners with both the skills and confidence to support you. Doulas work with partners during all stages of your perinatal journey. 

 

We hope you found this useful - stay tuned for our part 2! If you have any questions, drop us a line

Love, 

The Spectrum Team

Beyond the Bio: Meet Megan . . .

When Megan started work as a doula, she felt that there was a gap in the Toronto birth community. And so Spectrum Doula Collective was born. Megan hopes that no matter how or when you choose to grow your family that Spectrum Doula Collective can be a safe space to find support. Pretty cool, hey? We think Megan is pretty cool too . . .

What drew you to doula work?

After a career break and travelling for a couple of years I came back to Toronto with a new perspective and was keen to work in an inclusive, and progressive environment where I would feel like I'm making a positive impact. When I returned from my travels my very pregnant friend was telling me about her doula, and with my previous work in maternal and LGBTQ health, a light bulb went off. A week later I signed up for the Birthing From Within Doula and Mentor Training, and the rest is history.

If you weren't a doula what would your alternate dream job be?

If I weren't in birth work, I would love to be working with penguins (I'm being very serious! I went to the Antarctic a couple years back and was in awe), OR I've often day dreamed about owning a Bed & Breakfast on Vancouver Island while bee keeping and making honey (pipe dreams?).

What did you want to be when you were in elementary school?

There were so many things I wanted to be, but it ranged between being an artist, a doctor, a firefighter, to an architect. I had no idea what any of the above entailed but they all sounded good at the time.

If you could go anywhere in the world where would you go?

This is such a hard question for me, I've been to so many countries that I would love to go back to (Norway, Mongolia and Nepal to name a few) and many more I would like to visit! I have never been to New Zealand though and it's top on my list!

What would the perfect off-call day look like for you?

Because off-call days are so rare, I usually like to spend them doing something away from my phone. I imagine paddle boarding on Toronto island with a good friend or two followed by a picnic in the summer would be lovely, or brunch followed by Body Blitz with some friends in the winter would be perfection!

Favourite vice (or two) that you have no guilt about?

Please don't judge me. I am a sucker for Survivor and the Bachelor/Bachelorette (I promise I won't bring either up unless you ask me first). I love playing bad pop music while I'm driving. And I love chocolate, and cake, and cookies, and sour cream glazed timbits. . . and well anything sweet.

 

Name One Thing . . .

. . . you learned the hard way about birth early in your career:

My first client hired me late in her third trimester and the day she confirmed, she found out she was 4 cm dilated and 60% effaced. I thought she was going to go in to labour that night. After a week of anticipation, and not much sleep she finally called with contractions. I had no idea that someone could be 4 cm dilated walking around the city like nothing is happening for a whole week!

. . . you look back on in your life that makes you feel proud:

I cycled across Canada the summer of 2014. When I started in Vancouver, my cousin asked 'what the heck are you doing??' I said, "I don't know, but I'm here and have to make my way back home". I had told myself that at anytime, I can hop on a bus or a plane if I don't want to finish. But I biked every inch, solo, and self supported from Vancouver to Halifax. Whenever I'm struggling or think something isn't possible I say to myself "Megan! You biked across Canada, you can surely do this".

. . . that usually surprises people about you:

That I use to play Rugby. I actually started the girls rugby team at my high school eons ago, and played Varsity at the University of Waterloo. Even when I was playing rugby people were surprised to find out. It's like they imagined me in the 'end' zone picking daisies or something? (To be fair there were some days where I would have preferred picking daisies).

. . . that's always in your fridge or pantry:

Almond milk, cheese, and hummus.

 

What's your favourite . . .

Colour

Green

Animal

Elephant

Season

Spring

Toronto Cafe

Boxcar Social Riverdale

Birth Book

Labyrinth of Birth by Pam England

 

Beyond the Bio: Meet Taylor . . .

It's hard not to love Taylor at first meeting. She is warm, approachable and has a great sense of humour. Passionate about movement, and pelvic floor health Taylor has a unique approach to preparing her clients for labour and delivery, while also building positive birth memories! We are excited for you to get to know her better (and to find out a bit more about why we fell in love with her).

What drew you to doula work?

The combinations of working with people in a therapeutic/helping profession and working with the mind/body connection to help others create meaning during one of the biggest transitions we can go through physically, mentally and emotionally as people.

If you weren't a doula what would your alternate dream job be?

Probably something in fashion, collecting or curating vintage fashion shows. I have always loved fashion and design since I was little. I would have loved to link cultural/historical significance and fashion trends in the 20th Century. How one influenced the other.

What did you want to be when you were in elementary school?

Everything! a pilot, crossing guard, nun, witch, nurse, captain of a ship.

If you could go anywhere in the world where would you go?

Spain!

What would the perfect off-call day look like for you?

Waking up and checking my emails in bed (no earlier than 10:00AM !) having a coffee with my sister at The Common. Walking to a Pilates class in Bloor West. Then checking out the Value Village and picking up a great find. Get home to read an article or chapter out of Taking Charge of Your Fertility. Nap in the afternoon, before catching a ferry ride to Toronto Island. Swimming in the lake, sitting by the shore to share a bottle of wine with great company and then eat dinner in the garden!

favourite vice (or two) that you have no guilt about?

I have way more than two so here goes, I love a good Netflix binge watch. Although not on Netflix, I have watched The Wire 5 times through each SEASON! I love Spanish wine and baked sweet potato fries. I will always order Pad Thai for noodles. My desktop background is a picture of Audrey Hepburn. I am a sucker for Julia Robert's movies. I am addicted to my girl friends and would hang out with them every night to gab and talk about feminism. I will ferociously check Instagram when I am on the TTC. I have always loved big coffee mug/bowls. I will happily eat a tub of Haagen Dazs while watching any one of the things mentioned above :P

 

Name One Thing . . .

 

. . . you learned the hard way about birth early in your career:

I learned the hard way that it is important to take care of myself at a birth. I almost fainted and hit the floor while my first client ever was pushing (and making great progress). I hid in the bathroom to gulp back some sugar and thought I would maybe miss the birth.

. . . you look back on in your life that makes you feel proud:

I am proud of pursuing the career that I love! I look back and I see how all the pages I turned in my life were really leading me here. I grew up a bit all over Canada and felt very scattered at times in my life but somehow it all culminated to doing exactly what I think I should be doing. Entrepreneurship is not easy but I am so proud of what I have made out of it.

. . . that usually surprises people about you:

If they ask about my names people are usually surprised to learn that my middle name Stevie comes from my mother's name which is Stevelen. A combination of her father's names Steven and Lennox.

. . . that's always in your fridge or pantry:

Cheddar Cheese

 

What's your favourite . . .

 

Colour

Purple

Animal

Cats

Season

Fall

Toronto Cafe

The Common!

Birth Book

Labour Progress Handbook by Penny Simkin