The Economics of a Doula's Fee

Scheduling - When a doula contracts with you for labor and birth, she needs to limit other clients
for that period to avoid conflicts and be reasonably rested when you need her. She may turn
away potential clients to be available for you. Doulas usually commit four weeks of total
availability for each mother, two weeks on either side of her due date. During that time she
should provide you with a way to contact her 24 hours a day and 7 days a week.

Hours - Couples having a first baby may imagine that a doula will only be spending a few hours
with them during the labor and birth. In reality, an eight-hour labor would be considered quick.
The “average” first time mom’s labor is between 12 and 19 hours, so let’s call it 16 hours. There are about another 10 hours in prenatal and postpartum meetings, and at least another hour or two in phone calls. All of this is in addition to being on call for you full time at the end of your pregnancy.

Expenses - Independent doulas must consider their expenses just as you do. Bookkeeping,
advertising, pager service, cell phone service, office supplies, travel expenses, liability insurance,
membership fees, self-employment taxes, a small number of labor support tools, reading, and
continuing education.

No one becomes wealthy doing labor support work. Most independent doulas in this area charge
anywhere from $300 (at the very lowest) to up to $2,000 (in New York City or New Jersey). The
fee charged usually reflects the economy of the area as well as the doula’s experience and
certification status. Some doulas attend their first few births at no charge or at a lower fee when
they are just learning or working towards certification. After they certify (if they choose to certify)
they charge clients as others do.

Adapted from the original written by Karen N. Kilson. Used with permission.