Birth Doulas

Flipping the question. If you're a doula, IBCLC, PT or therapist listed here — what would actually help your practice? More visibility, a better profile, a way to show you're taking clients? I've been building for the moms and I want to get this side right too.

Montana, Idaho, Wyoming and eastern Oregon just got a lot less empty — new doulas, two IBCLCs and a pelvic floor PT who covers a genuinely absurd radius. If you're out there, have a look. And if you know someone still missing, you know where to find me.

A thread I want to keep and point people at, because I get this question in my inbox more than any other and I'm tired of answering it one email at a time.

Everyone tells you to "find a doula." Nobody tells you how. You search, you get a directory of names with no prices, you email four of them, one replies, she's booked until August, and you give up and tell yourself you'll manage.

So: if you hired someone — a birth doula, a postpartum doula, an IBCLC, a pelvic floor PT, overnight help, anyone — I want to know the boring parts.

How did you find her? Not "word of mouth" — whose mouth. Your OB? A local Facebook group? A friend? A directory, and if so which one?

What did it cost, actually? A number. I know this is the uncomfortable one and you can be vague about your city if you want, but the silence around price is doing real harm. People assume they can't afford something they've never been quoted.

Did insurance touch any of it? Even partially. Even after a fight.

How far did you travel? I'm collecting this one on purpose.

And one more, because I think it's the thing that actually breaks people: did you know what you were hiring? A birth doula and a postpartum doula are not the same job. A night doula is a different job again. A newborn care specialist is a different job again. An IBCLC is a credential — a "lactation educator" is not the same thing and the words look identical when you're 3 days pp and crying.

I've watched people hire the wrong one and conclude the whole category was useless. That's not a them problem, that's a nobody-explained-it problem.

I'll keep this thread linked from the directory. Be as specific as you're comfortable being — the specifics are the entire value here.

A few people have told me they contacted someone from our directory and got no reply. That's on us as much as anyone. If you're listed and you're full, tell me and I'll mark it — I'd rather show fewer people who answer than more who don't.

We've got new birth and postpartum doulas listed in a lot of new areas this month. If you're due in spring and haven't found anyone, reply with roughly where you are and I'll point you at who's actually taking clients — some of them haven't updated their sites in a year.

Something I didn't expect when we started: a lot of the providers reaching out are working in counties with no hospital birth option at all, driving two hours to a client. I want to start featuring them properly. If you know someone doing this work quietly, send them my way.

We just added a batch of doulas, lactation consultants and pelvic floor PTs across Georgia, the Carolinas and Tennessee — a lot of them in places that had nothing before. If you're in that part of the country, have a look and tell me what's still missing. The gaps are the whole point.