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  • in-home comprehensive pregnancy support, prenatal education, birth preparation & newborn care education 

  • transportation & support for pregnancy-related medical & social service appointments 

  • facilitation of pre-birth planning meeting with the client, their supports and providers

  • use of RealCare Baby Simulators to build upon strengths in newborn care, skills assessments and development of customized education plans

  • developing client-centered birthing goals, CAPTA plan of safe care and postpartum support plans 

  • linkage with community parenting supports and providers


  • 24/7 on-call supports around the estimated due date

  • continuous Labor Doula support (emotional, physical, education & advocacy) throughout active labor, birth and into the immediate postpartum period 

  • advocacy of the client’s birth goals, facilitating open communication with medical providers

  • assistance with client & baby's hospital discharge and transportation home


(See the IPS overview page for more details)

  • 6 weeks of intensive in-home comprehensive Postpartum Doula support, education and care 


from 6 wks old until school readiness age:

  • provide parenting education with the use of evidence-based/influenced curricula and practices; modeling & instruction of age-appropriate positive attachment parenting techniques 

  • fostering family and fatherhood engagement 

  • conduct maternal, paternal, infant and child(ren) wellness screenings and assessments with linkage to appropriate providers when indicated

 Parents within the DCF reunification process;

  • attendance, support and parenting education provided during child visitation


Education for Parents & Caregivers

As parents and caregivers, sometimes we need help in understanding our child's needs. Circle of Security International 

provides training that focus on increasing security, attachment and strengthening parent-child relationships. Check out these videos below that can help you to better understand those needs and how to best address them with your child. 

Circle of Security Animation

Circle of Security: Connection


Check out this article by Rebecca Dekker



What the evidence based studies have said:

The use of Doula's for Continuous Support During Childbirth:

A 2017 updated Cochrane Review published by, Bohren et al.

The results of 26 trials that included more than 15,000 people were combined. 

With Doula Support:

  • 31% decrease in the use of Pitocin

  • 28% decrease in the risk of Cesarean

  • 12% increase in the likelihood of a spontaneous vaginal birth

  • 9% decrease in the use of any medications for pain relief

  • 14% decrease in the risk of newborns being admitted to a special care nursery

  • 34% decrease in the risk of being dissatisfied with the birth experience


Impact of Doulas on Healthy Birth Outcomes:                                             

abstract by,  K.GruberS.CupitoC.Dobson, J Perinat Educ. 2013 Winter; 22(1): 49–58.

Birth outcomes of two groups of socially disadvantaged mothers at risk for adverse birth outcomes;  

  1. receiving pre-birth assistance from a certified Doula

  2. representing a sample of birthing mothers who elected to not work with a Doula

All of the mothers were participants in a prenatal health and childbirth education program. Expectant mothers matched with a Doula had better birth outcomes.

Doula-assisted mothers 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

  • Significantly more likely to initiate breastfeeding

  • Communication with and encouragement from a Doula throughout the pregnancy may have increased the mother’s self-efficacy regarding her ability to impact her own pregnancy outcomes.