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Kayla Soren, C-FSD
Frequently asked questions
Doulas offers steady, non-judgmental support through pregnancy, birth, and postpartum. While medical staff focus on your clinical care, a doula focuses on the parts that often get missed, the physical, mental, emotional, logistical, or informational layers that are so hard to navigate, especially when this is your first time. It can be hard to put into words what we do, and that’s because every experience is so different, which means support looks different for each person. Our job is to meet the moment, meet you where you are, and ease this journey in whatever way feels most supportive to you at that time.While I believe the true value of a doula can’t be fully captured by statistics, research shows that having a doula can significantly improve birth outcomes.One study comparing doula-assisted and non-doula-assisted births found that people who hired doulas were four times less likely to have a low birth weight (LBW) baby, two times less likely to experience a birth complication involving themselves or their baby, more likely to have a higher newborn Apgar score, and much more likely to chestfeed successfully.Another recent meta-analysis found that people who hire a doula are 68 percent less likely to undergo a cesarean delivery. Another study found a 31 percent decrease in dissatisfaction with the birth experience.You can read more on the evidence of doulas here.
We would have two to three prenatal visits together, and my main focus in that time is to build a sense of trust and safety between us. We can talk through your intentions for the birth, your fears, possible interventions, and the coping strategies that feel right to you. I get to be an educator, advocate, listening ear, planner, and companion, whichever you need most in the moment.Here are some of the ways my support can look at the birth (we can shape all of this together at the prenatals!):Physical: soothing touch, massage, counter-pressure, and supporting you in optimal labor positions (one of my favorite parts of the job!), along with pushing techniques and guidanceMental & Logistical: taking things off your mental load, including your basic needs like staying nourished, hydrated, and getting to the bathroom, helping you put together your what-to-bring list for the hospital, and making a postpartum planEmotional: validating and witnessing your experience, talking through your fears, celebrating your wins, being a sounding board for the full spectrum of feelings, and debriefing your birth story afterwardAutonomy: creating pauses so you can make decisions with full understanding and consent (the hospital often moves with urgency), helping you shape a birth plan, and advocating for your choicesInformational: walking you through the stages of labor and what to expect, sharing your full range of options (especially in a hospital setting), and talking through interventions and pain supportEnvironment: dimming the lights, preparing the bathtub, bringing your favorite smells, placing a hot or cold pad, arranging the bed and pillows, and organizing your suppliesPartner support: encouraging them to take breaks and care for themself, guiding them in comfort measures for you (counter-pressure, soothing touch, a cold washcloth on your shoulders), validating their experience, and offering information and comfort (especially for first-time birth partners!)
After the birth, we would meet for a postpartum visit to debrief your birth story, reflect on how things are going, and troubleshoot anything that feels hard. I am happy to refer you to providers who can support you postpartum, depending on your needs (lactation consultants, pelvic floor therapists, family doctors, bodyworkers, and more). I also love working with clients after the birth as a postpartum doula because continuity of care is a beautiful thing.
Postpartum looks a lot like birth in that I adapt to what you need in the moment. Sometimes you’ll know exactly what would help, and other times I’ll gently notice where a little extra care might make a difference. Have you had a shower recently? Would you like me to hold the baby while you rest? How about I change your sheets, make you some tea, or tidy up the kitchen?My postpartum care can include:Infant care: feeding support, diaper changes, soothing, sleep guidance, and moreWhole-person support: physical, emotional, mental, logistical, and informational careA listening ear: room to process your birth journey at your own paceComfort and care: light massage, yoga or meditation, light housekeeping, nourishing food preparation, and help with rituals, ceremonies, or intention-settingCommunity connection: resources and referrals whenever you could use more support
I previously offered coverage under Quartz, but they have recently changed their policies. Some employers offer Carrot Fertility funds as part of their insurance package, and I accept these! You may also be able to use FSA (Flexible Spending Account) or HSA (Health Savings Account) cards.Please let me know if cost is a barrier, and I am happy to find an arrangement that works for both of us.
Both! Most of my births are in the hospital.
I offer non-judgmental care, trusting that you know what’s best for you and your baby. The longer that I do this work, the more I increasingly see there isn't any right way to birth, just like there isn't one right way to live a life or parent. I am here to help you explore your full range of options.
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