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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

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"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

Immigrant and Queer for the Holidays

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Many years ago, when I was an undergraduate at the University of Toronto, I was invited to a queer holiday dinner, organized and funded by the University College and the Mark S. Bonham Center for Sexual Diversity Studies. Why a queer holiday dinner? It was for queer students who couldn’t go home, wouldn’t go home, who were not out to their families, and had no one to celebrate with.

I don’t know if they still offer this dinner, but every year around this time I think back to it and wonder what all of us are doing now. Now that we may no longer be in school, that we may have lost university connections, that we may have families of our own, and our relationships with the families we grew up in are still fraught.

Homophobia during the holidays doesn’t have to only mean being kicked out or being ostracized by the family you grew up in - it can be more subtle than that. Maybe it means your partner (or partners) not being invited for holiday dinner (while the family you grew up in may still want to see your kids!),  maybe it means comments here and there about still being with your partner or finding a nice girl/boy, or maybe it means completely ignoring a huge part of your life as it doesn’t even exist (which you accept, because it’s a huge improvement from being insulted and emotionally assaulted).

So many articles and blog posts out there focus on your chosen family - which is amazing! Chosen families can make a world of difference in our lives during the holidays (and the rest of the year). Forming loving and respectful connections outside the families we grew up in is imperative for us as is establishing boundaries with those who still hurt us. So do celebrate with your chosen family (whether it’s one person or 10) and do create new meaningful traditions. Don’t forget to take time to recharge and practice meaningful self care (I’m looking at myself for this one, since self care often means binge watching Grey’s Anatomy while crying on the couch - not ideal). But this season I want to address those of us for whom this doesn’t always work - immigrant queer folks.

Having immigrated to Canada, our relationship to the family we grow up in is already different. We often operate within a scarcity environment - a scarcity of us-ness, or people who look and speak like us, who act like us, who sing our holiday songs, and eat our food. This scarcity sometimes makes us closer to our families and makes our queerness even more queer - not only is it about not being straight (or cisgender, or monogamous, etc) but it’s seen as a rejection of that very scarce and very precious us-ness that our parents desperately try to hold on to. Our parents don’t understand, don’t want to understand, or cannot envision a world where they have a queer child and they keep a semblance of their culture and traditions.

This hurts us, queer immigrants, doubly as well - and please don’t think that I am implying that our hurt runs deeper than non-immigrant queer hurt. It doesn’t, but it does run differently. Sometimes, we too mourn the loss of that us-ness - unable to envision a world where we can be queer and fully part of the families we grew up in. Sometimes, the hurt stings deeper when we visit for the holidays - trying to ignore their behaviours and comments. Why do we do it? Sometimes, Canadian friends will ask us that - and it’s never easy to answer.

We do it because we love our families and that us-ness we cultivated our whole lives, even if we don’t quite fit in anymore. We do it because, often, our families still love us and that love can (for a very little moment) make us forget and make us feel at home. And we do it because our parents are alone, in a foreign country and they too, in a way, are queer.

For all of you feeling like this during the holidays, we see you and we understand you. We know that there are never easy fixes  - or even any fixes. We send you our love and hope that at some point during the holidays you feel free and loved and cherished, because you are wonderful.

Love,

Corina and the Spectrum Doula Team