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Doula Business Chat #7 - Client Services

 

 

 

 

IDoula Bag Client Servicesn this seventh edition of the Doula Business Chat (#doulabizchat) we discuss client services.  Many doulas offer services that are complementary to their doula services.  We discuss the different services that doulas are currently being offered, brainstorm on other possible complementary services and discuss how and why we would want to add to our current practice. 

 

Advantages of adding additional services
  • Provide quality services to our clients
  • Increase the earning potential of each client interaction

Most Common Complementary Services Offered

  • Childbirth Education
  • Lactation Consulting
  • Placenta Encapsulation (this one is the most talked about right now!)

 

One of the doulas on video with me, Erin, brought up a great question. How does offering additional services have an impact on our Doula Code of Ethics? This is an excellent question!  Each of us must evaluate this process and make sure that we are working within our scope.  One thought that came from the chat box, was to create separate contracts for each of the services we offer.  I also think that we need to make sure that our clients are aware of our training and certifications for all services that we offer.

   Get Worksheet with 40 service ideas

Services Discussed on Video with links to training

What services do you offer?  Are there trainings that you recommend?  Please share in the comments! 

Doula Business Chat - Session #6 - Hot Topics

Doula Business Chat March 15th we hosted our 6th Doula Business Chat (#doulabizchat).  The Doula Business Chat is a discussion open to anyone who is interested in talking about doula work.  The discussion takes place as a Google Hangout on Air and is completely free to participants.   

The Our 6th Doula Business Chat (#doulabizchat) was a free form chat where we opened the discussion up to any hot topic that the participants wanted to talk about.  It turned out to be a lively discussion about everything from doula rates to how to be a doula when you have small children.  There were several doulas that joined on the video and loads that joined in the chat box. 

What hot topics did we miss?  Please enter your ideas for a Doula Business Chat Topic in the comments of this post.

Mark your calendar for the next Doula Book Club Chat featuring the book Natural Hospital Birth. The Chat will take place on May 14th at 9pm ET. 

 

 

 

 

 

What is bloody show and why doulas love it!

Bloody show is a term that makes most people cringe.  It isn’t something that is commonly discussed at a cocktail party.  However, these two words are music to our ears!

Just what is bloody show anyway?

Just inside the cervix lies a mass of mucous.  The role of the mucous is to keep bacteria out of the uterus thereby keeping the fetus safe from infection.  The mucous stays inside the body as long as the cervix stays closed and hard.  As the cervix begins to thin and open the mucus can start to come out.  If the mucus comes out in a mass it is called the mucus plug.  If capillaries located around the cervix brake during this process the mucous can be tinged with blood.  Blood tinged mucus is called BLOODY SHOW.   Bloody show can vary from brown tinged (blood that is a bit older) to quite red. 

Bloody show

When it comes out and what it means

As the cervix opens and thins bloody show often appears and will also increase in quantity.  If the cervix opens quickly we can also see an increase in bloody show.  For these reasons, doulas love to hear their client’s report that they have bloody show.   Doulas don’t check cervical dilation, but if we hear that our client has had bloody show we have a good idea that the cervix is making some change.

Why I love bloody show

From my experience, when there is a significant amount of bloody show that usually means good cervical dilation is happening.  The opposite can also be true, if a woman has no show then her cervix might be slower to dilate.  Each woman is unique in the amount of bloody show that appears in labor.  I'll go ahead and admit to often asking my clients as they leave the restroom "any bloody show?" or "how'd it go in there, anything interesting?"  

{All women should contact their healthcare providers with any questions or concerns about bloody show or any other bleeding or discharge.}

What's your experience with bloody show?

Did you have bloody show in labor?  Are you a doula that loves bloody show just like me?  Please leave a comment and share your experiences!

 

Doula Book Club - Mindful Birthing

Doula Book Club

In our first doula book club we featured Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond.  Published in 2012 and written by Nancy Bardacke, CNM this book focuses on using mindful techniques for working through labor, birth and early parenting. 

I chose this book after hearing about it from a few of my doula clients.  I have had a little practice in mindfulness and thought that using this technique for childbirth could be such a useful technique. 

On February 24th I hosted a book club to discuss this book.  Below is the recording from that discussion.

 

  

The author, Nancy Bardacke, CNM is the founding director of the Mindfulness-Based Childbirth and Parenting (MBCP) program and leads a MBCP class.  In the book, she gives a lot of real quotes from her students about using the practice for childbirth. 

Here are a few pieces of the book that I really enjoyed:

Chapter 1 - Nancy describes the conversation that she has with all of her students before the class starts.  She makes sure they are aware of the concept and style of class.  This is an excellent idea.  We all want to fill our classes, but isn't it more important that our students get to the class that is right for them.

p 24.  The way in which Nancy describes labor is really unique and thought prvoking.

p 69.  Horticultural Time vs. Industrial time is an excellent concept!

p 130-131 Nancy describes how NOT to stimulate the thinking mind of a woman in labor and why that is important.  This section is a must read for all birth partners and doulas.

I really enjoyed the book and would definitely recommend it to parents interested in mindfulness and looking for more techniques to manage the challenges of pregnancy, labor, birth and parenting.  I think couples that practice mindful birthing techniques will have a powerful set of tools for labor, especially those interested in natural childbirth or avoid intervention. 

Thank you Nancy for putting a great resource out in the world.

 

 

Epidural? 6 Ways a Doula Can Support

There is a myth out there that doulas only support unmedicated birth.  Doulas support all types of birth and moms planning to use an epidural for pain management absolutely can benefit from the services of a doula.  I have put together 6 ways that doulas can provide support to moms using an epidural. 

Epidural? 6 ways that a doula can support.

These are just 6 of the ways that doulas can support with an epidural, but there are so many more!  A doula supports her clients even before labor begins with birth planning.  She often meets a client at home in early labor and helps her decide when to leave for the hospital.  There are so many ways in which a doula can support a mom planning an epidural.  I hope the myth about doula and unmedicated births can finally be dis proven!

 

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Confidently Setting Your Doula Fees Webinar Replay

If you missed the webinar you can watch it now!  Don't forget to get your worksheet.  Click on the red 'Get Worksheet' button below the video.

 

 

 

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Setting Your Doula Fees With Confidence

As a doula, the process of fee setting is one of the first challenges that we face.  New doulas are given a wide range of advice on this topic.  Some trainers recommend doing their first few births for free, others say charge enough to cover expenses and some even suggest charging the same as what seasoned doulas are charging.  The question is what is right?

Once a doula has experience the question of 'what to charge' never seems to go away.  It is a topic that gets a lot of mentions at doula conferences and doula networking events.  Do other professions have this struggle?  

I have created a fee setting method that will allow you to set your fee with confidence.  Join this free webinar on Sunday February 8th at 8PM ET.  While I won't give you a magic number, I will give you the tools to help you determine what is right for you. 

 Participants will discover:

  • How to research your current market
  • What to consider when setting your rate
  • How to talk about your rate with confidence

 The webinar will be recorded if you can't attend, but live participants will have the ability to ask questions and get real answers!

 

 

Doula Business Chat #4 - Staying Current

 Doula Business Chat

To stay current is to keep yourself up to date or informed on a particular topic.  Staying current in the field of childbirth is essential for doulas and childbirth professionals.  The concept of staying current could also include being informed on current trends for our customers, latest news and options for our local birth community and trends in the childbirth field.  Continuing education is also important for professionals that carry a certification as those usually need to be renewed on a regular basis.  

For the Doula Business Chat #4 we covered this topic and were thrilled to have Rebecca Dekker from Evidence Based Birth as our special guest.  Rebecca shares how the frustration surrounding current research being hidden behind a pay wall lead her to the creation of her site. 

 Ways to Stay Current

From in person events to childbirth journals, there are a variety of ways to stay current.  I have compiled a list (with links) below with my ideas along with those that came up in the chat.  If you have ideas to add please leave a comment on the blog. 

Reading Medical Research

Rebecca Dekker, shared a few ways to access research articles.  Research can be expensive and difficult to access and hard to sift through as well.  

Blogs

If you enjoy research, but find it hard to process you will probably love both of these blogs.  They take the research and present it in a way that makes it easy to understand. 

Attending Conferences

I love attending conferences and find them to be an excellent way to keep up to date.  While they can be expensive, the experience is so worth it.  Attendees are able to learn by attending sessions as well as learn by connecting with other attendees.

Continuing Education

There are so many continuing education opportunities I won't even try to list them all.  They range from in person events to online classes.  I have chosen a few that I have personally attended or were suggested on the chat.

Online

In person

 

Reading Journals

Birth Journals are another excellent resource.  Journal articles require a small investment of time but can be packed with good information.

Reading Books

Books have always been a staple of staying current.  There are so many wonderful books that I couldn't name them all.  Brief Coaching for Lasting Solutions (Norton Professional Books) was recommended by Michelle Beaulieu during our chat.  This sounds like a wonderful resource for sharpening our skills of interviewing and working with clients in their decision making process. 

Announcing our Book Club

I'm super excited to announce a Doula Business Chat Book Club!  The 1st Book Club Title is Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond   We will discuss this book at Doula Business Chat #6 scheduled for Tuesday February 24th, 2015 at 10pm ET. I would love to hear suggestions for future book clubs.  Please give your input in the comments of this blog. 

   

Networking with your local birth community

Staying current with local birthing practices is another way to keep our practice up to date.  In person networking events with your peer in your community is a wonderful way to do this.  Connecting with doulas over coffee or a meal and discussing the latest practice at local hospitals, options available to the community and more is really invaluable.  I have made it a goal for 2015 to do more networking in my community. 

We have put together lots of ideas for way to stay current in our field.  What ways do you enjoy?  Is there something we should add to our list?  Please submit a comment and give your input.  Let's learn from each other!

Doula Business Chat #3 - Life on Call

Doulas often will list the challenges of life on call as the primary reason for doula burnout or leaving the profession altogether. It is difficult to live a life on call, but being available for our clients is something that makes the doula role unique. Traditionally doulas did not practice in a group that shares call, but more and more doulas are finding that a shared call relationship is their preference. 

How is "on call" defined?

For many doulas, the on call period is between 1-2 weeks before and after a client's due date.  During this period the doula makes themselves available 24/7.  

 Limitations of an on call life include

  • Having to keep a cell phone always on and close by
  • Staying relatively close to home 
  • Limit drinking of alcohol (maybe one glass of wine, but usually no more!)
  • Getting enough sleep (no late nights)
  • No last minute travel (spontaneous trips aren't really possible)
  • Limit commitments (don't want people to count on you and then you aren't available)
  • Have a backup for your own life (need to have one of more people to fill your shoes)
  • Appointments are delayed in fear that you might miss them (putting off dentist, hair cuts etc.)

Strain on friends and family

Being on call can often put a strain on family and friends.  How many times can our village hear the words "As long as I'm not at a birth?" before it becomes an overused phrase?  This "up in the air" approach to life and not being able to give firm commitments can be difficult to deal with.  I know that my village of support gets tired of always making contingency plans.

Ideas on how to make on call life easier

1) Client Communication

I think a great place to start is my really sharing with our clients what being on call means.  Let them know that it means you won't be far from home or drinking a second glass of wine.  Make sure they know of pockets of time that you won't be available (example: long run, yoga class, child's school performance).  I think clients appreciate the honesty and like to know more about our lives and commitments.  Also, set the expectations with clients upfront.  Let them know realistically how quickly you can get to them.  

2) Respite Days/Nights 

Talk to your backup doula about taking a day off call. [view our Backup Doula Contract]  Schedule it on your calendar and do something for yourself on that day.  This might be an important family event, date night or special occasion.  Instead of crossing your fingers and hoping you don't have a client in labor on this special day, schedule yourself to have a backup cover you and let your client know.   This is a concept that I plan on adding to my practice this year. 

3) Sharing Call

Working with another doula (or doulas) to share a call schedule is definitely an answer to making life on call more manageable.  This certainly makes things easier to schedule and takes away the uncertainty of work.  I see the negative aspect of this arrangement to be a client/doula relationship that more like an OB/midwife practice where the client gets whoever is on call for that day.  One could argue that clients can't guarantee her doula will be there, but there is more of a chance when call isn't shared. 

Doulas, what are your thoughts on this topic?  Am I missing anything?  Please post a comment and let's learn from each other!

 

January 06, 2015

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YourDoulaBag Wins of 2014

Top Blog Posts of 2014

BIRTH BALL FOR LABOR

 

5 MUST HAVES FOR THE DOULA BAG

5 PRIVATE CHILDBIRTH CLASS ESSENTIALS

LIMP AND LOOSE FOR LABOR

 

DOULA BUSINESS CHAT - 2015 PLANNING

HOW I PLAN FOR 2015

 New in 2014

#DoulaBizChat

At the end of 2014 we took advantage of Google Hangouts On Air to connect with other doulas.  This was super exciting and I must say a little scary to get started.  With any new technology there is a learning curve, but the first two chats went well.  We had doulas interacting on live with me on the Google Hangout and others asking questions and chatting in the chat box.  The #DoulaBizChats were recorded through YouTube and are both available to watch. Each is featured on a blog with the replay and notes.  For 2015 we plan to continue regular chats and have posted a calendar so that you plan to join in the fun.

Backup Doula Service Agreement

Also occurring at the 2014, we created and released the Backup Doula Service Agreement which is our first digital product available for purchase and immediate download.  This is a contract that a doula can edit and use in their business.  The purpose of having a backup doula service agreement is to get the relationship between doula and backup doula defined.  Both parties should be clear about their role and how the backup doula will be compensated.  We have had many requests for more digital products and are working on more for 2015.

What were your wins of 2014? Please share in the comments!

 

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