We Care about our Statistics

We like transparency! 2023 was a weird year.

I like numbers, even though I’m really not that great at math to be honest. One of my favorite things to do every year is to look at how we as doulas are doing. Are we making difference for our clients? Does that difference show up in our outcomes in addition to what our clients say to us? Numbers don’t tell the whole story, but they certainly tell part of it. Here is part of our story from 2023.

Primiparas rule!

Whether expecting their 1st or 6th, we served all kinds of clients, but 2023 was full of MANY 1st time parents (primapara). Maybe it is the fact that we offer access to a full online childbirth education and partner support class. Maybe it is the fact that our clients all recommend us to their friends? Maybe our group is the first to come up in a Google search and then we wow potential clients in the interview? Whatever it is, we’re here for it and look forward to continuing to serve as many families as will have us!

Inductions GALORE!

We go all kinds of places, but The Women’s Hospital in Newburgh seems to be the most common. Maybe because we’re all on the approved list of doulas there, so we don’t count as visitors? Maybe because many providers there recommend us to their patients? Maybe because 2/3 of people who give birth in our area, give birth there? We’re happy to serve our clients in all kinds of places, including in their homes with a qualified midwife in attendance too by the way. That induction percentage blew me away when I saw that come through too. So many thoughts on that, but still ruminating on it a bit.

Transparency

Did you know that your provider can find out ALL of their numbers and share them with you too? I think transparency would be a great way to possibly change the way things are done. Transparency in statistics like primary NSTV cesarean rate, episiotomy, VBAC, and so much more would help not only patients make informed decisions about choosing a provider, but would also help providers to hold themselves accountable with DATA rather than just feeling their way through the dark about how they actually practice not just how they feel that they probably practice. Accountability is key in reducing unnecessary interventions, as supported by reams of scientific literature.

I digress…just show us the provider specific numbers! I’ll be looking at the hospital specific ones and posting about those too soon.

As doulas, we don’t promise any outcomes, but we know from the scientific evidence that having a doula does improve some outcomes and definitely patient experiences! Our job is to support our clients no matter what their choices are for themselves. We make sure they have the best information possible and support your unconditionally and without judgement. Everyone deserves to have someone in their corner!

Cheers to 2024 and being able to continue to serve families as they move from expecting to beginning.

3 Things I Wish I Knew

Learning the hard way has always kinda been my thing. I have a kid who takes the same approach to life, and it is soo incredibly frustrating to witness. Looking back, there are several things I really wish I knew going into my first pregnancy, birth, and postpartum. I really tried to inform myself as much as possible, and honestly I maybe read too much–partly reflected in the B I got in one of my grad school classes the semester I found out I was pregnant–though all the vomiting & napping surely didn’t help that either. Some of these hindsight observations might surprise you! 

Approach Matters

I wish I knew the difference between the obstetric & midwifery approaches to prenatal care. While my friends were getting 5-10 minutes with their OBs, I was getting 30 minute talks with my midwife about all of my worries so that they had a whole picture of my life and not just some measurements and numbers in a chart. My friends who had family practice doctors for their care had much more similar experiences to mine with the midwives too, and for low-risk pregnancies some family practice doctors are amazing. Finding a provider that you’re comfortable with and who you don’t dread seeing is probably the most important part though, regardless of what model of care they practice. 

Expectations?

I wish I knew that giving birth inside a hospital could be an amazing experience. I read and heard ALL the horror stories about getting run over by the system. I walked into my birth fully armed with all the information and ready for a fight to get the birth I wanted. I ended up having the most supportive team around me including my amazing nurse, my midwife, my doula, and even the supervising OB who stopped by for my whole pushing stage and whose words frankly got me through to the end. I will fully own my privilege and say that being a middle class presenting, white, fairly attractive & fit person (at the time anyway)–all of those things signaled different things to the people in the room on how to treat me. But I didn’t expect everyone to be so kind and supportive of my plan to give birth without medication or intervention in a hospital whose reputation is a “baby factory” known for high intervention rates in the area. The support afterwards with lactation was also so great. I wish more people would talk about their GREAT experiences too. 

Right Way?

I wish I knew that there was no one right way to do all of this. My first time around, I was searching for what the RIGHT way to do things was. The lesson I continually come back to with parenting and birth and all of it, is that there is no one right way. I would have spent so much more time thinking about what was right for me and my family and my baby and the situation we were in at the time regarding finances, location, information, ability, capacity, etc. I stressed myself out to the point of exhaustion trying to find the “right” way, when I truly wish I had spent more time focusing inward and figuring out where & who to ask the questions when they came up later. 

When you look back on your pregnancy, birth, & postpartum, what did you learn through hindsight? Are there things that you would do differently? If this is your first time, I urge you to take the 20 years perspective and think about how important some things that you might be fighting for right now, might actually be in the grand scheme of things too. As a doula, I can say that how you remember this will stay with you for the rest of your life. Your experience matters, so find what is important to you and surround yourself with people who share your values and approach to things. What would you add? 

If you are wondering where to get started in your journey through pregnancy, birth, and postpartum, we have a resource just for you! Grab our free EBook written to help take the worry out of the beginning. Ready to talk about adding a doula to your team? Book a FREE 30 minute call to talk about who on our team might be the right fit for you. We also offer a FREE Biweekly newsletter with ideas, news, & resources open to anyone. We truly do want our experience to help improve yours!

Meet Birth Doula Eliza Brock

Eliza is trained & ready to help you have your best birth!

My first impression of Eliza was a recognition of a kindred spirit. She is incredibly genuine and earnest, and smiles easily. She didn’t balk at all when I mentioned our non-negotiables and came to our first meeting with well thought-out questions, especially for someone who was brand new to doula stuff. She is thoughtful and observant, and all of these traits will serve her greatly in her new role as a birth doula on our team at Doula Group of Evansville.

Eliza has spent the last nine years growing up with her big family in Newburgh, Indiana. She currently still lives in Newburgh with her fiance and two cats. She has worked as a patient care technician in pediatrics and has a passion for working with families and their children. Working as a doula is a career that she knew she wanted to pursue when she took child development in high school. Learning about the intricacy of families and their birth experiences inspired her to apply her knowledge to help others in her community as a doula. With a little experience, she’s going to have even more insider information to share with the families in her care too!

Eliza Brock, birth doula

Why did you want to become a doula?

When I started babysitting at a young age I realized I wanted a career working with families and their children. When I took a child development class in high school that solidified my choice to be a birth doula!

What do you love about living in Evansville?

I love all the local events that happen here and bring the community together for a fun time!

Where can we find you on a regular Saturday?

When it’s warm outside I love being outdoors with my fiancé!

Eliza has completed her training and is now working toward her certification. To that end, she is offering 1/2 off her birth doula services for her first 3 clients! Don’t wait; these will surely go fast.

Welcome to the team Eliza! We’re so excited to help you get started on your doula journey. The best part of working on a team of doulas: you’re never alone just winging it trying to figure out all the things yourself. Eliza has the most experienced team of doulas behind her helping every step of the way. I know she’s going to be an AMAZING doula for every family she serves!!

Something Stinks!

Do you have a super sniffer during pregnancy? Why? How do you cope with it?

Pregnancy can be really challenging when all of a sudden your sense of smell seems to be supercharged. For many people, super-smell is one of the first symptoms that they notice in their first trimester. When I was pregnant with my first child, I had an immediate reaction if anyone in my midwife’s waiting room was wearing perfume. YUCK! All of a sudden my husband smelled like he was a bathing in sausage water and walking into our pantry would instantly make me run to the sink. When my husband brought me a beautiful bouquet of stargazer lilies that I used to LOVE, I couldn’t even walk into the house with them there. Your sense of smell makes a huge difference in what you eat and how well you can keep the contents of your stomach inside of you too.

Why??

I found this article that reviewed all the scientific evidence about pregnancy and the sense of smell. What we know from science is that most people (90%) report having a sudden repulsion to certain smells, while only 10% find any smells better than when they weren’t pregnant. There are several theories as to why, the leading one which seems to be that it possibly helps you avoid toxins to protect the growing baby inside of you. They even gave people pregnancy hormones to try to see if it was hormonally related, and the results weren’t very conclusive. Another study summarized there didn’t find any heightened sense of smell in their participants between first trimester and postpartum. The author of course also adamantly notes that an abundance of anecdotal evidence exists to support increased olfactory senses during pregnancy, and suggests further research into the phenomenon. There are plenty of other theories, but no true abundance of evidence points to one simple explanation why 2/3 of people report super-smellers during pregnancy.

What Can You Do?

Stink happens, but how can you really deal with ALL the smells that make you want to hold your nose? I personally took a page out of the Victorian era playbook: I kept something good smelling in my pocket. This could be a favorite lip balm, a handkerchief with some essential oils on it, or even a vapor inhaler if that menthol smell is still appealing to you. Wearing a tight fitting N95 mask is another option that we should all be familiar with now too. I knew one friend who suffered so much with Hyperemesis Gravidarum that she actually kept alcohol wipes in her pocket in case a wave of nausea overtook her. Trying to keep track of all the smells that are terrible isn’t honestly worth your time though, because they could change and you’re sure to encounter some unexpectedly. Be prepared, and don’t be shy about keeping emesis bags in your car and purse in case you need them. Maybe your super sniffer would feel better going to somewhere that will 100% smell good, like a spa?

Rest assured, most people report that their super sniffer skills fade when they aren’t pregnant anymore. I promise you that my husband doesn’t still smell like he’s sweating sausage water and grandma perfume doesn’t make me instantly hurl anymore. Some aversions might stick with you, like I still can’t smell stargazer lilies, despite the fact that I really do think they are beautiful. I also can’t eat saltines anymore, but that has nothing to do with smell and more to do with the memory associated with eating far too many in my first trimester. You may be too busy changing diapers to even notice when your sense of smell goes back to normal, but you will 100% appreciate that fact when your baby starts eating solids and their poo changes smells again.

Know Better, Do Better

When I was pregnant the first time, I was completely overwhelmed by the process that seemed to be shrouded in mystery. No, not the birth part, that I could find good information about. The great unknowns of how to find a provider, navigating where to go, what to ask, & evaluating my options were the real frustration for me. I did seriously look at the person doing my intake forms with me and say, “this is really confusing, and I’m a graduate student! I can’t even imagine how confusing this system would be for someone with less resources!” No, a doula can’t help you figure out your insurance, BUT here are 3 ways that doulas help demystify things for you:

We’ve Been There!

Yes, most of us have kids and have been there personally, but we’ve ALL been there professionally. As a team, if someone hasn’t been to a birthing location before, we fill each other in on all the details. It’s important to know which door to go to in the middle of the night or if you as the doula are going to be allowed into the triage room with your client. Our experience helps demystify the specifics with each other, but also with our clients. One thing that we focus on during our 2nd prenatal visit with our birth doula clients is discussing logistics. When should you call your doula? Where will we meet up when you’re in labor? All our birth doula clients also get postpartum planning sessions, to try to get your brain thinking about life with a newborn. Having been there, we know how important it is to have a roadmap for when things get foggy. We also know that talking about options and preferences helps take away the mystery and get you started thinking about resources and questions.

Resources Galore

Even if you have great questions, that doesn’t always mean you know where to ask them. Sharing local resources and connections are things that doulas do. I remember being a first time parent and struggling with lactation and not knowing who was knowledgeable enough to help me. Feeding resources are just one place that doulas can help point you in the right direction. This may not sound like a big deal, but doulas make having those resource lists for you a priority so that you don’t have to go searching. We don’t have an opinion about how you do things either, which as a new parent is pretty priceless really.

We hold YOU!

As you’re navigating your life that’s shifted 30 different ways since you got pregnant, your doula holds you. We remind you that shifting is normal and help you find your way forward. This is the kind of demystifying that you don’t often appreciate until it happens to you. Validating your feelings and helping you know that you’re not alone is what having a doula on your team does for you. We remind you that you don’t have to have it all figured out and that pausing in the unknown is ok too. My doula held me as I wrestled with all the options, my doula not only gave me the information to come to my own understanding and decisions, but also the space to do so without pressure. That was so helpful for me, and I know our clients really appreciate it.

How we work

If you’re interested in talking about having a doula for your birth or postpartum team (or both), we’d love to talk to you. You can use this link to schedule a FREE 30 minute call to talk about your needs and who on our team might be a good fit to work with you. We’d love to demystify the doula process for you too.

I <3 This Community

11 days ago my family, including our sweet dog Buzz was safely outside staring at our house burning down. We lost almost everyTHING in that fire, including our cars. Everyone is ok, and honestly as quickly as it happened, I’m so very grateful for that. That is a picture of my living room the next day. I’ve met with clients in that living room. There is an antique birth stool on the table in the center of the picture that was a gift to me from my mother in law. I do NOT recommend losing your home and everything in it, including your cars, in a house fire, but I want to share a few lessons with you about it here:

Our Community is Amazing!

There were 7 fire trucks at my house in less than 15 minutes. That was impressive. They were all so incredibly kind, and I even got to see a familiar face who took a selfie with me…yes, seriously. Our neighbors came out to put clothes and shoes and blankets on us immediately. We sat in one neighbors’ house when it started to rain. We have had an endless stream of kindness coming our way ever since, and honestly have never felt so surrounded in love.

My doula community both here and around the world has also come together to help us feel the love. My doula mentor Robin Elise Weiss, who many moons ago also had a house fire, has been indispensable! She seriously ran a board meeting for me y’all. I’ve gotten messages from Australia, Germany, California, Canada, Mexico, and sooo many other places, and my heart is so full right now because of them.

2 Small Things

We had a small fire-proof box with all our important documents inside it like our marriage certificate, passports, etc. Get one if you don’t already have one and go make sure all your important documents are actually in it if you do. Change the batteries in your smoke detectors. Seriously, go check them! They can save you. If you don’t have one in your garage already, do that too!

Choose Kindness

There have been incredibly kind people that we’ve interacted with, and then there have been the outlier jerks. When in doubt, choose kindness every single time. I have learned so much about trauma and recognized much of it in myself and my family these past 11 days. We will continue to focus on the goodness and laugh about the ridiculous people, but seriously, choose to be kind to everyone you meet. You never truly know what someone else is dealing with in their life.

Pieces are starting to fall into place for what our life is going to look like for now. We’ve rented a house already where we can stay for the next year if we need to. Life goes on, and we are so thankful for all the kindnesses and for each other more than ever before really. Thank you to everyone who has reached out to us. Doula life continues, and I’m so grateful for the awesome team here that has provided seamless services as I’ve worked to get back to my managerial role. They have continually amazed me as I asked them to step into some roles that I typically have filled. I seriously LOVE this community more now than I even probably could have before this fire. Thank you.

Becoming a Doula

Way back in 2014, a mere month after walking the stage to receive my PhD in Medical Anthropology, I traveled to Louisville, KY to attend a birth doula training with the brilliant Robin Elise Weiss. Since then I’ve attended more than 200 doula client births and learned so much along the way. This is the story of how I became a doula.

When I got pregnant during graduate school (not something I recommend btw), I voraciously read everything I could about pregnancy, birth, and postpartum. I could not get enough, and I even had professors sending me articles about how babies learn language before they are born. Naturally I scheduled my German conversation course for the spring semester while I was pregnant. By the time I neared the end graduate school I’d had 2 children and wasn’t sure I wanted to be an academic. That was when the idea to become a doula really started to take hold.

I started in 2013 by networking with other doulas in Evansville, and oh my goodness they were all soo nice to me. They invited me to a “doula night” at one of their houses where they talked business, trainings, & all things doula. One of them even had a placenta in their freezer, and I knew these were my people. I was hooked. I went to the training in June 2014, and have been taking clients ever since then. None of those doulas I met that night are still taking clients, which speaks so much to how challenging this job can be, especially the unexpected bits of it.

The Unexpected Bits

I didn’t expect to need to run my own business. I know that sounds naïve, even to me now, but it is the truth. I wanted to help birthing families sure, but finding clients, building & maintaining a website, setting up the proper legal paperwork, social media, paying taxes, networking, and all that jazz were not part of the thought process of getting started. I may have had a PhD, but I had much to learn about business. I’m happy to say that I feel much more confident now, though the imposter syndrome does sneak in occasionally.

The challenge of life on call was not something I was wholly prepared for in the beginning. As a birth doula, I have to be ready to leave my life for a couple days with sometimes not much warning. I have to be willing to miss holidays and plays and family events to go be with my clients. When my kids were little, the biggest challenge was having childcare ready at any moment of the day for possibly an entire month of 24/7 on-call time. This is the part that I always talk to people thinking about becoming a doula about, because not everyone has the resources to be able to do that. The reality of how much energy being a doula takes also almost always has new doulas re-thinking how much they charge for their services, though that is a topic for another time.

The best unexpected bits have been the amazing connections that I’ve been able to make with clients and their families. I’m forever grateful to be a part of some of the most memorable moments of their lives. There are so many families that I’ve had the chance to meet and be part of that I would never have met otherwise. That is something so beautiful about this job and I’ll never take it for granted. Though it does sometimes make it challenging to walk through a crowd without someone yelling my name and getting random hugs. (BONUS!!)

Learning

I’ve continued learning from some of the best doulas around the world, and I’m going to keep learning probably forever, because that’s just my style. I’ve gotten amazing doula agency business advice from Jessica English. I took a brilliant postpartum doula training from Jen Chandlee. I continue to learn from Ann Grauer, who also trained the 2 other postpartum doulas on my team. I am learning about leadership in the doula world from Melissa Harley & Nikia Lawson all the time too. I’m sure this year will be a huge one of learning, as I step into the role of President at DONA International.

I’m asked all the time about how to become a doula. This is my story. I started with DONA International, and have worked hard to keep learning and growing as a doula. I have an abundance mindset, and I honestly feel like that has helped bridge so much learning and connection for me. It is also why I’m passionate that more people in Evansville should learn to be doulas too! I love talking to new doulas and am HAPPY when more doulas are trained here. I started Doula Group of Evansville so that more families could be supported by doulas and more doulas could feel supported by each other.

Ever thought of becoming a doula?

Becoming a doula has been one of the best decisions that I’ve ever made. It hasn’t been easy, but it has honestly been more rewarding that I ever could have imagined. If you’re thinking about becoming a doula, please feel free to reach out to talk to me. I will continue to pass on the kindness shown to me by the doulas here back in 2014 by always being willing to share my experience with others who might be interested in traveling this path too.

The Latest Local Maternity Statistics

Statistics reflect the culture of a hospital and the institutional priorities. What has changed here since 2017?

Anyone who has met me can tell you that I’m a huge fan of data! Words and images can hide a multitude of things, and opinions can be influenced by those too. But basing ideas and approaches to things on DATA is honestly my jam. Seriously, I get very excited about this stuff. Every year, Leapfrog Group publishes data they collect from hospital surveys about standards of practice. They measure all kinds of things, but naturally as a doula I’m the most excited to learn about the maternity care statistics. I’ve been collecting this information for our area hospitals since 2017, which is exciting because we’re definitely seeing some changes in the data. If you’d like to read my previous posts, you can do so here, here, and here. Please note, I did not collect the 2019 statistics because they were published in April 2020, and well, you all remember that year right? Without further fanfare, here are the 3 data points I’m always interested in seeing for our local hospitals.

Episiotomy

data from https://ratings.leapfroggroup.org/

I’m REALLY excited to see the episiotomy rate in serious decline because the evidence has been telling us they aren’t an evidence based routine procedure since the late 1980s!! It shouldn’t take this long to change, but at least it is changing. Don’t take my word for it, this paper concluded that, “Our systematic review finds no health benefits from episiotomy,” in 2005. Despite that scientific fact that has been repeatedly proven, as a doula in 2021 I heard a provider at a local hospital say that cutting an episiotomy would help prevent my client from “tearing too much.” I’m not naming names here, but I will if you call me. I have heard that the hospital this doctor works at requires all their physicians to provide explanation for every episiotomy they cut, so this particular doctor must be quite busy with those reports.

Early Elective Induction

Defined as scheduled cesarean sections or induction of labor prior to 39 weeks gestation without a medical reason, early elective induction can happen for a lot of reasons, but there are definite consequences to it. Here is what the picture looks like in our local facilities:

Hospital Goal: 5% or less2017201820202021
The Women’s Hospital Newburgh, IN1.4%1.7%6.8%4.1%
Ascension St. Vincent Evansville2.1%.8%0%0%
Owensboro Health2.1%1.4%.7%1.6%
Memorial Hospital & Healthcare Center Jasper, IN0%5.9%6.3%
Daviess Community Hospital Washington, IN1.9%0%Declined 
Deaconess Henderson Hospital2.4%0%0.0%
Good Samaritan Hospital Vincennes, IN4%0%
Local Statistics for Early Elective Induction

Cesarean Rates: what everyone really wants to know

Before you look at this chart, I want you to know what the data is telling us. An NSTV Cesarean is defined as first-time low-risk mothers giving birth to a single baby at full-term in the head-down position delivering their baby by C-section. Hospitals should have a rate of C-sections of 23.6% or less according to Leapfrog Group. Some people will argue that this rate should be 10% according to the WHO, but honestly that isn’t true. So what does this data tell you then? This chart shows you how many people pregnant for the first time with a low-risk pregnancy with one head down baby delivered their baby via cesarean surgery. This is also retrospective data, so it really isn’t predictive of the future or exactly what will happen to you either, but it does at least give you an idea of the culture of a place and what their staff sees.
The actual NSTV Cesarean Rates for 2021 are as follows:
  • 36.6% Ascension St. Vincent
  • 30.5% Deaconess Henderson
  • 28.9% Owensboro Regional Health
  • 24.5% Deaconess The Women’s Hospital
  • 17.6% Good Samaritan
  • 17.5% Memorial Hospital in Jasper
  • Daviess Community Hospital declined the survey this year.

What I Wish We Knew

As a doula, I always try to make sure my clients have the best most up-to-date information about their decisions. There is of course such a thing as having too much information, but I don’t think we’re anywhere near that right now with regards to choosing providers and birthing locations. These numbers honestly hide sooo much in the aggregated hospital data. How do I know what my provider’s rates specifically are for these things? They know them, but I have yet to find any providers willing to share that information readily with us. In fact, I’ve encountered a bunch of providers willing to say they don’t know them, when they get monthly reports from the hospital about their own statistics. What are they hiding & why? Why isn’t that information made public so that we can make more informed choices? I’d love to know about VBAC rates, induction rates, & percentage of high-risk vs low-risk deliveries. What about NICU admissions percentages and average length of stay in the NICU? Are there numbers you wish you could see when deciding on a provider and birthing location?

I’m going to keep watching to see how and if things change. I’m going to keep asking questions, as annoying as they might be. I’m a data geek after all. Transparency helps build accountability. Accountability can help push change and improvements. We’re all about improving the way things are done in our area, because seriously it is past time.

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One Size Fits None?

Hospital Gowns are terrible. First there is the fact that they leave your bum hanging out for the whole world to see, but they are also one-size-fits-none! Putting on a hospital gown is symbolic. It strips away your normal role of the clothes that you put on that morning and magically transforms you into a “patient” without any form of individuality or expression. Putting on that gown also visually communicates to anyone in the room what your “role” is there, and honestly strips away more than just your dignity. Studies have shown that when you put on that gown, you also strip away some of your perceived control and feel more vulnerable. What you wear affects how you feel, and it turns out that hospital gowns aren’t likely to make anyone feel powerful or better. 

Standard Operating Policies & Procedures 

Similar to those gowns, many other policies and procedures in the hospital make people feel bad unnecessarily. Standards are put in place for a reason, but many people have argued that hospital birthing policies and procedures are more often than not written primarily to protect the hospital from liability. That subject is a whole can of worms that I’m not opening right now, but my point to you is this: just because something is standard, doesn’t mean that it is required, evidence based, or that it fits with your plans/desires/wishes. Standard is the mold and you don’t have to try to force yourself into it. You can decline things and say, “no thank you.” Maybe you aren’t planning a “standard” birth or approach to your birth. Maybe your  postpartum and parenting plans and priorities are different from your pediatrician’s approach. That’s ok! One size honestly fits NONE and even as a parent with older kids, I still have to be a different parent to each kid. 

This is not to say that all Standard Operating Procedures (SOPs) are the exact same at every hospital or birthing location. In fact, we KNOW they aren’t and have seen that in action. A great example is the SOP for eating and drinking during labor. One local hospital doesn’t allow anything other than ice chips during labor, a practice not at all supported by evidence by the way. At another hospital where we attend a births, the labor and delivery nurses there taught me how they make “slushies” for laboring parents out of popsicles. At a 3rd hospital, they have a standard laboring mom tray of snacks and drinks that they bring. What are the policies and procedures where you are delivering? Are they followed all the time?  

What size fits you? 

There are so many lies that are told to us about pregnancy, birth, and postpartum, and one of those is that the standards are in place to protect everyone, evidence based, and enforced equally. I can tell you that is definitely not the case from what I have observed as a doula. In a medical system that is forced to treat patients as consumers though, you do have some power if you decide to hold onto it. If it helps, bring your own gown to wear during labor or go buck naked to remind yourself (and signal to the staff too) that you are not sick and are indeed powerful. It also sends a visual signal that you want something other than the SOP, whether you choose to say anything about it or not. Spend some time finding out what the policy is where you are planning to deliver and what aligns with your approach. Humans are not all the same, and figuring out what size fits your needs and wants is helpful to do before the big day. That is one of the things that doulas do too, help you find what works for you and your family. Keep asking questions and demanding the individualized care that you deserve just for being an awesome human being with a new one in your care.

Hiring a Doula

We know that the decision to hire a doula can be a BIG one for many families. Maybe you’ve been thinking about it for a long time and trying to decide if adding a doula to your team is something you want to do. Maybe hiring a doula for your birth isn’t really that important to you, but planning to have help around the house and someone to ask all the questions postpartum would be nice. We know hiring a doula is a big investment, but we also know that doulas help not only improve outcomes, but also improve parental stress levels, mental health, & overall confidence.

How does it work?

We have 2 types of doulas on our team: Birth doulas & Postpartum doulas. (One of our doulas does both, for those families that want that continuity of care too.) Our manager, Hillary, talks to every person who inquires about doula services to see what they are looking for and match them with a doula on our team who will be a good fit for that family. She’s kind of like a doula match maker that way. The family then gets to interview the doula to decide if they’d like to work with that doula. Once you make the decision to hire your doula, then we send you a digital contract & invoice. You pay a deposit to reserve your time on your doula’s calendar, sign the contract, & then get access to our online client classroom filled with resources and information for you.

Every doula in the group is mentored by Hillary, who has been a doula here in Evansville, IN since 2014. She’s served at more than 200 births and has been invited to speak about doulas at both our local Evansville hospitals. At this point, she takes less clients so that she can run the business side of things for our group including all the emails, contracts, invoices, website, social media, bookkeeping, outreach, etc. Clients interact with her as the primary point of contact, but then move to interacting with their specific doula for birth and postpartum services.

Birth Doulas

8 birth doulas of Doula Group of Evansville

Our birth doulas are phenomenal! Their experience ranges from brand new to very experienced, and they set their own prices. Each and every birth doula client gets two prenatal meetings to get to know their doula, to talk about birth planning & logistics, to practice comfort techniques, & more. Birth doulas are there with you for the big birthing day to help with all the things like movement, deciding when to go to the hospital, handing you things you didn’t ask for yet, suggesting positions, offering information about options, and so much more. After baby is born, birth doulas typically stay for 1-2 hours to help with the initial feeding and bonding time before they skedaddle out of there to give you time alone as a family. Your birth doula will come visit you once more after baby is born to check on you, talk about how things went, and offer any resources that you might need at that time. We might even bring you a little present too. Hiring a doula means you not only have someone to text with random questions throughout your pregnancy, but you also have someone to walk with you for the journey from expecting to beginning. All of our birth doula clients will also be getting a postpartum planning session with one of our postpartum doulas.

Postpartum Doulas

Christina Renock postpartum doula, green leaf on white background, Kristyn Tromley Postpartum Doula

If everyone knew about postpartum doulas, then honestly EVERYONE would hire one! Postpartum doulas come for 3-4 hour daytime shifts to help you with light housework that might be piling up because you’re busy taking care of your new human. They answer questions without any judgement & help with resources if you’re concerned that something isn’t normal. They hold the baby while you shower and help with meal planning too. Postpartum doulas help the family as a whole to transition to having a new baby in the house, because postpartum can be challenging for everyone. So whether you would like an in-home postpartum massage, help with meal planning & grocery orders, someone to look at your surgical scar or help you off the couch, then one of our postpartum doulas would be happy to help. We currently have one postpartum doula who is also able to do overnight shifts for families that would like help throughout the night for feedings & baby care too, so feel free to inquire if that is something you are interested in learning more about. Postpartum doulas are a little big magic and also *ahem* one of the BEST gifts you can get for your friend who already has everything they need for baby and could just use some extra TLC in those first weeks at home.

Don’t Wait

If you’re thinking about hiring a doula, don’t wait! We have an awesome team that is pretty flexible in being able to accommodate all schedules, but sometimes we really do ALL get booked up. July-October are the most busy times of year for us, so definitely reach out early if your due date falls in that range. (In case you’re wondering, September is the most popular birth month in the United States for several reasons.) As I write this, it is June 2022, & we’ve started booking clients into February 2023 already!

Hiring a doula takes some courage, and we know that. We also know that hiring a doula can help the entire process of bringing a new baby into the world feel much more personal and cozy when you have a doula by your side. We’re here to help you navigate it all like a tour guide who’s been down this path many times before. If that sounds like something you’d be interested in exploring, then hiring a doula might be right for you. Reach out to us if you’re interested. You can even see some great videos of our doulas on our YouTube channel before you reach out too!

AND, if hiring a doula isn’t in your comfort zone, we really do try to put out a lot of FREE content on our Instagram & Facebook pages too. Find us there! We have a FREE e-book available here on our website, as well as lots of free blog posts, including this perennial favorite about how to have a good conversation about induction with your provider. Oh yeah, and we do placenta encapsulation too if that is something you want to explore. We want to be a one stop shop for helping expecting families in the tri-state area.