Doula Commitment Page

COMMITMENT LETTER

As a Doula, I accompany women in labor to be a primary and/or secondary support provider. I have received my education through the “Doula’s Role” from Doulas of North America (DONA). I was originally DONA Certified in 1996, I have received my experience and knowledge from attending several different births, all different and unique. I have also attended many birth related seminars throughout the years. I provide support, emotionally, physically and as needed communication with the hospital staff, to insure that my clients have the support and information needed to make informed decisions, as they may arise during labor and delivery. I will provide reassurance and perspective to you, your partner and family. Make Suggestions for your labor progress, help you with relaxation, massage, positioning and other techniques for comfort during labor.

As your Doula, I prefer to meet with you and your family at least once or twice to become acquainted with you before your delivery.During these meetings I offer childbirth education and labor and body practice, physical & emotional:discuss/help prepare birth plan;baby plan & answer any questions to prepare family for labor/birth day. I am available to attend 1 Dr./Midwife visit with you, and will be available by phone day or night with any questions or concerns that you may have. I prefer you or your partner call me when you think your labor might be starting, even if you feel like you may not need my presence at that time. I will answer any questions and make suggestions over the phone, and we together will decide when I will arrive at your home and or hospital or birthing center. Once we are together for your labor, I will remain with you throughout the duration of your entire labor and delivery. After the birth, I will remain with you until you and your family are comfortable and ready for quiet time. I can also help out with initial breast feeding if so desired. Usually I stay with the family 1-2 hours after the delivery. I will be available for phone contact to answer any questions about your birth and your baby. I then visit with you and your family within 1-2 weeks after the birth of your baby to see how you are doing, to reminisce about the birth, to admire your baby and to see any pictures.

Some of the duties I am UNABLE to perform are:

  • Clinical tasks such as (blood pressure, fetal heart checks, vaginal exams ect.)
  • I cannot make decisions for you, I can only help you obtain information necessary for you to make informed decisions for yourself, and will remind you when or if there is a departure from your original birth plan.
  • I am unable to speak to the medical staff regarding matters where medical decisions are being made. I will discuss your concerns with you and can suggest options, but you and your partner will be responsible to speak on your behalf to the clinical staff.
  • *In the event of an induction I will keep continual phone contact, and will arrive at the hospital when you are experiencing continuous contractions.*
  • If a cesarean birth is necessary I will attend surgery, if the hospital staff will allow me to, if not I will remain at the hospital until you and your baby are taken to a postpartum room.

As a  Doula, I will offer suggestions, present options, but I will NOT make clinical assessments or decisions concerning your labor and birth. Therefore; Professionally and personally I assume NO responsibility for the outcome of your birth. I am committed and dedicated to the DONA Standard Code of Ethics.

My fee for the service described here is $700.00, $350.00 to be paid on the signing of this contract, and the remaining part of $400.00 after the birth, either at the hospital or at the 2 week follow up visit. This meeting does not obligate you to use my services, and there is no fee for this meeting. Once this contract is signed and payment is received, I will be on call for you once you reach your 36 weeks, until your delivery, and always available for any questions anytime 24/7.

I will make every effort possible to provide the services described here, although if I fail to attend your birth due to circumstances beyond any ones control (Ex. A rapid birth) or your failure to contact me in due time, I will be willing to renegotiate and be fair about the remaining fee.

If a personal emergency arises and I will be unable to attend your birth(ex. Illness) although this is a rare occurrence, I will offer the support of another Doula. If you would like to meet with my back–up Doula prior to your delivery, that can be arranged.

Agreement: I/We have read this agreement and agree to the terms and conditions. I/We would like to hire Bobbi Sue Jojola as my/our Doula, to support us during our labor and delivery.

Client:__________________________   Partner: ____________________________

Date:___________________________

Bobbi Sue Jojola : Birth Doula:_____________________________Date:_______________________

14431 N 183rd Ave.

Surprise AZ 85388

623-341-5258 Cell

bobbisuejojola@yahoo.com