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ExpatSingapore Message Board 24 May 2012, 7:15:03 am *
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Author Topic: Doulas  (Read 216 times)
slang
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« on: 09 December 2003, 19:32:00 pm »
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Can anyone tell me what the going rate for Doula's is? I used a Doula who wanted $1,000 for our birth & i have no problem with the amount - seems she was on call for the whole period of the birth..
Problem is we only needed her for 4 hours and she now wants the full amount - i only want a discount as we had the good fortune to have an easy birth!!
Should i be penalised? I could play hard ball as it's only a verbal agreement but that's not productive!
Any thoughts out there?
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« on: 09 December 2003, 19:32:00 pm »
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« Reply #1 on: 09 December 2003, 19:41:00 pm »
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While she made herself available for you 24 hours a day, she presumably couldn't take on another client during a fairly long period, since babies rarely arrive on the date they are due at a specified time. Think you are being very unfair as you are compersating her for a lot more time than the 4 hours she spent with you in labour. She is a professional who had to be available, on call and stone-cold sober during the lead-up to your labour. That's why the fee is high.
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slang
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« Reply #2 on: 09 December 2003, 19:49:00 pm »
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Ok - agree she was on call and professional & could not take another client at the same time.

I am posting this now for all others to avoid the trap.

It is clear that the minimum number of hours or a defined hourly rate should be negotiated BEFORE you use such a service - something i have now been made aware of. If you use less than the prescribed hours - you should not have to pay - if you use more - you will need to pay more..

Much fairer for all involved.

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me too expecting
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« Reply #3 on: 09 December 2003, 20:03:00 pm »
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Hi,

I am expecting and due in Feb next year. I just want to know as to why one would require a doula. What is she expected to do and most importantly is it necessary.  I havent heard of anyone hiring a doula ( or may be I havent really asked any one ).

Should I not expect  my doc to care of me  - 100% ??!!!

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slang
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« Reply #4 on: 09 December 2003, 20:16:00 pm »
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OK - From my experience a Doula is great value during the First/Second transition leading up to the actual birth. During these two stages all the breathing techniques, relaxation/yoga/massaging is going on & your Doctor is not around!!!
The period could take many hours and having a person who knows the ropes & keeps you focused is good value - your birthing partner is ok but first time around it's all new & unfamiliar. They will also offer you to visit you before the time you are due to go to the hospital and time after as a "home" visit to help with lactation/latching for breastfeeding - most important!!!
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Unfair?
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« Reply #5 on: 10 December 2003, 9:32:00 am »
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Not that I have ever used a Doula (I thought it too expensive) but I would if I had a third child. Your theory on a discount seems unfair...put it into perspective, does that mean if she attended a 20 hour second birth (ie, longer than average) she should charge more? Give us and your Doula a break! That kind of service shows its value for the support, not the price.
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« Reply #6 on: 10 December 2003, 9:48:00 am »
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Slang- but wouldn't you be really pi$$ed off if you rang her when you needed her and she was attending another birth? For her to make a living based on your reckoning she would have to take on a number of clients all due around the same time. Remember babies are born on average within a 2 week preiod of the due date. That is how the average gestation time for a human is calculated. The 'due' date is a fallacy and is used as an best estimate.  
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WAHM
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« Reply #7 on: 10 December 2003, 17:26:00 pm »
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I don't know which doula service you used, or what the terms of your contract with them was, but a professional doula package would normally include much more than just the birth support itself - for example, antenatal visits with you and partner, help with putting together your birth plan, comprehensive birth notes, information and support during pregnancy and especially during the on call period,  then there is usually postnatal support including help with breastfeeding. Some doula packages also include antenatal classes. 1000 seems quite high if none of that is included but I am surprised that all of this wasn't clarified before the birth. A professional doula would go through all the arrangements, including the fee, beforehand, and there should usually be a contract outlining all of this including things like what happens if you have a cesarean. As the previous poster said, you wouldn't expect a doula who spent a long time with you to charge you more so it does seem a little harsh to want to deduct money from her fee because you had a quick labour.  

To the poster above who asked if the ob gyn was not going to be helpful at their birth - well most ob gyns only spend a very short time with their clients when they are in labour, most only come in for the very last part of the pushing stage - can be as little as 15 minutes !

To the person who asked why hire a doula - doulas provide continuous support during birth - usually beginning in the earlier stages of labour when you are still at home, and then in the hospital until the baby is born. Unlike the nurses who will be changing shifts and have many different clients to look after, a doula will be focused on you alone. Unlike in the UK or Australia there is no midwifery care here, so it the Dr. who will come in for the delivery - the nurses are basically there just to provide clinical care such as taking your bloodpressure - they don't have the time or even the skills to help with things like going through your options for pain relief etc. And in the event that things don't go exactly according to plan a doula can help by providing information and helping you work through all your choices, something the ob gyn may not have the time or inclination to do.

Incientally, most doulas only take a few clients at a time to avoid "clashes" happening but it can happen as babies can be born early, late, or whenever. But most doulas would have a back-up arrangement in place so that if you call them and they are at another birth you will still be able to get support. If you are thinking of hiring a doula this is definitely something to ask about.

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also..
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« Reply #8 on: 10 December 2003, 19:22:00 pm »
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keep  in mind that  your  birth may have  been so  speedy because  of  your  state  of mind that  was  surely helped by your  confidence  in your Doula.
Pay up, you agreed a fee and to obsess about it now  will only cloud your  memories of your  birth experience
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Grub
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« Reply #9 on: 11 December 2003, 7:20:00 am »
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To slang,
Applying your arguement to the extreme, that if your birth goes longer than 8 hours, shouldn't she charge you more since you went "overtime?"

I used a doula for both my births and both charged $1000.

My first birth was about 13 hours long and my second only lasted 2 hours. I paid up $1000 for both and it was worth every dollar. You are not paying them for the number of hours they hang around; you are paying them for the delivery, plus pre & post followups. They cannot take any other customers as they need to be free around your due date. From what my doulas told me, they only take 2 women a month. What is so unfair about that?


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