Birth and Postpartum Doulas FAQ

Why hire a doula? - One Dad's perspective ...

  For various reasons, my wife and I procrastinated about getting a doula until a week before my wife was due. We were so happy that we went with MotherMe Doulas. They are full of amazing, positive and knowledgeable women who provided much reassurance for first time parents. It is a daunting experience going into a hospital for labor and it can feel out of your control. 

  We felt supported with our doulas Rachel and Danielle there. To have someone in our corner that is looking out for my wife's interests/preferences and the baby's health was invaluable. Otherwise you feel like a backseat passenger in such a special, personal experience. It can feel lonely. We wanted a natural birth and unfortunately we were not able to have one. My wife's labor was difficult. Were there any hard feelings about paying for a doula service and not having a natural birth? Absolutely not. 

  Their service and support is worth every penny. In the end the health and safety of our baby superseded our desires but we learned lessons (which includes doing more prep exercises for labor) for the next time and we would use MotherMe again. Amazing women. 

Thank you Danielle, Rachel and Brenda.  

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Birth Doulas

See FAQ below

  She helps you prepare your birth plan, communicate more effectively with your care provider, works with you and your partner prepare for roles and relaxation for the big day. She may labor with you at home for as long as you wish or meet you directly at your birth center or hospital. Your doulas is there for every contraction and her sole responsibility is mother and partner's emotional well-being and support. 

   Our doulas support births in Fort Worth, Dallas and surrounding areas including Arlington, Irving, Coppell, McKinney, Frisco, Keller. Breastfeeding support and newborn care are also some of our specialties!

We Are Pleased To Present:
Brenda Kirkpatrick, 
Julia Sexton, MMCD
Nikki Beilman, MMCD
Bliss Herron, 
Katy Weeden, MMCD
Danielle Davis, MMCD
Arlene Norman,
MMCD, Placenta Encapsulator

Apprentice Doulas

Apprentice Doulas may be brought in as an assistant to the Certified Doulas or hired in tandems or if they qualify in solo. Should you desire to hire one of our apprentice teams, contact the office for availability.



on hiring your doula

What is unique about a MotherMe birth doula?

   MotherMe is unique in that we are a local Dallas and Fort Worth, Texas group of doulas who not only support our clients, but each other. This sisterhood of support gives us the advantage of almost instant access to shared ideas and experiences.

   If a MotherMe doula is serving a client and needs backup, her sister doulas are there to help in anyway so our clients are fully supported at all times. Our doulas also vigorously pursue regular continuing education so we are always on top of the latest research, evidence, and “tricks of the trade”, ensuring our clients receive the best of care. With MotherMe you can be assured to have not only have your personal, well-educated doula, but also an assistant doula if you desire, as well as at least one back up doula waiting to serve you.

When should I hire a doula?

   A MotherMe doula can be hired at any time during your pregnancy or postpartum. However, to receive the optimum care, we recommend hiring as early in your pregnancy as possible. We love to educate our clients, and earlier in your pregnancy is to your advantage. Our early support can include fitness classes for pregnancy, childbirth classes, education/evidence on subjects of your interest, daily activities to balance your body for birth, and information on other care providers such as chiropractic care and massage.

How do I choose my doula?

   Each month we host our MotherMeet the Doulas Soiree in each of our two locations in Fort Worth or Dallas, Texas. The doulas who are available to serve you during your expected due month will be there to chat and get to know you in a relaxed and fun atmosphere. Once you feel a connection, let the administration office know and we’ll get you all set up with your perfect birth team.

   Some of our doulas are also available to meet you individually at our Studio. If you'd like to schedule this, just give us a call 817-67Doula!

Do I need a doula if I’m planning to have an epidural?

   At MotherMeDoulas we support the birth our clients wish for. Whether you plan on choosing an epidural or later on decide that you want or need one, your doula is by your side completely supportive of your choices. 

   Your birth doula helps you prepare mentally and physically for labor, labor along with you using position changes, smooth the ambiance in the birth room and keeping you grounded and connected to your baby through the experience. If an epidural becomes part of your experience, she is highly skilled at helping you stay connected to your experience and helping minimize some of the more common, annoying side-effects of medication. Pushing with an epidural can be a confusing experience. The calming voice of your doula can help ground you and keep you focused on the muscle memory that helps guide your baby down the birth canal. She also helps you make the best use of the rest periods in between pushes.

   She supports you as a family providing information on what may happen next and helping you navigate your plan as you go. Our Staff Birth Doulas are all Breastfeeding Educators, so they’re marvelously helpful in guiding you to help your baby with the first latch and positioning.

Do I need a doula if I’m planning to have a planned cesarean birth?

   Cesarean birth is still a birth with all the feelings, anxieties and a few more thrown in! Your birth doula helps you relax in the hours prior to surgery, providing massage, calming breathing techniques, and keeping the room light in excitement of the coming new baby, helping both mom and dad know what to expect and how to make the experience more meaningful to them. Her experience in supporting families through surgical birth makes her an ideal team member. 

   Your doula is the only person in the operating room whose sole purpose is to offer you calming ease and providing emotional support for you and your husband or partner.

   Should your partner need to be with the baby, you will no doubt appreciate your doula by your side. With your doula in the room, Daddy gets to be IN the pictures instead of behind the camera. What could be nicer?

   Breastfeeding in the OR or recovery room is a little less challenging with an expert by your side. If, for any reason, your cesarean would be performed under general anesthesia, MotherMe Doulas are well trained in how to help your baby nurse even while you are asleep. Dads are most appreciative of these extra hands and a calm spirit that provides nurturing to him and baby while Mom recuperates. 

Will my doula replace my husband/partner?

   Your husband/partner loves you like no other. The doula does not have this skill. Her duty is to support you as a couple. She provides calming reassurance that all is progressing normally, offers tips and suggestions to make further progress, provides good information & emotional balance to keep your confidence high. We help him perfect his support techniques, make sure his physical needs are cared for and give him a break when he needs it. Supporting your partner means he will feel totally free to do what he does best, loving you and the baby and he enjoys his own experience much more. Doulas are highly respectful of your personal space and honor your loving relationship with one another.

   Often, the partner expresses how much he relaxed once the doula arrives! We can't count the times that we receive a big daddy hug as we leave with his genuine, "I couldn't have done it without you!" and our hearts overflow!

Will my doctor and hospital be okay with my decision to hire a doula?

   MotherMe Doulas are well known for working well within birth teams at all locations. Your doula respects your ability to hire the care provider that you trust the most and choose the hospital location that best serves your needs. We will help you plan to discuss your wishes to have a MotherMe Doula attend you at home and at the hospital as emotional and physical support with your provider. In the rare instance that your provider is resistant to your choice, we can also help you navigate your options so that you are completely satisfied in your decisions.

Is it too late to hire a doula?

   Likely not!! Understandably, we’d love for you to have some time to get to know your doula team and we want to know you as much as possible. In some circumstances, however, this will not be possible. As long as we have the room in our schedules to offer you the high quality assistance that you deserve, we will make you a priority. Even if we only have a few days to get to know one another, we are still able to learn quickly how to best support you in the birth that you want. There have been instances where our doulas have been hired on the same day as the birth.

When will my doula arrive at my labor?

   This will be completely up to you. Some mothers would like to have their doula labor at home with her for a while. In your own private home environment your labor will progress more smoothly and without distractions. In the case that your labor seems to be progressing rapidly, your doula will meet you directly at the birth location.

Can I speak to my doula during my pregnancy, before my labor begins?

   Your doula is most interested in hearing all about your pregnancy, your emotional life and how you deal with normal everyday stress. She is interested in your family and the beliefs that you have come to have about birth in a non-judgmental and compassionate atmosphere.  

   She is available by email and phone calls during business hours to answer any questions that may arise. In the case that you may be in labor or have any other type of emergency, she will provide a number to reach her after hours as well.

   Be sure to register early for our Lamaze Healthy Birth Class, which seamlessly complements your doula's support. These classes provide you with the absolute confidence necessary to have an empowered birth experience. Your doula's guidance is solidly based on the curriculum and will reinforce your classroom and homework with her experience and wisdom. 

What if my labor is very long? Is there a limit to how many hours my doula will stay with me?

   No. A laboring woman cannot control how fast or slowly her labor may progress. We are dedicated to staying by your side, offering continuous support throughout your entire labor and birth with no added fees. Some births are extremely rapid, most first time mothers labor 24 hours or more. 

Should your birth take an unusually long turn, we always offer to have a back up doula step in so that you have a fresh set of eyes, arms and a warm heart to care for you while your doula rests up a bit, although this is rare. You are our priority and we aim to offer the highest quality of care at all times.

What if my doula gets sick or has an emergency?

   In the rare instance of an uncontrollable circumstance, your doula's back up will be able to step in and care for you. Every one of our doulas have gone through the exact same training and have the same experience in supporting women and families. 

   Because you have chosen MotherMe Doulas on Call, each doula on your team is aware of all of the communications that you and your doula have had as well as a record of your appointments. We can easily adapt to your circumstances and wishes.

Do you offer payment plans?

   Absolutely we do! We require 50% of your fee as payment at contract signing. This ensures that your doula will be available to take as many calls or emails as you might desire. She can begin to make prenatal appointments with you and even attend them. You can return to your invoice that we email to you at any time to make incremental payments.

   You may even like to add gift certificates to your baby registry. A person only has to email the office for us to send them an invoice that gets credited to your account. Your final payment must be made in full by 37 weeks so that we have the ability to go “on call” for you, 24/7 until your little one arrives.

Are doula services covered by insurance?

   At this time doula services may be paid for with your Health Care Flexible Spending Account in Texas.

   The following is a partial list of insurance companies who have reimbursed in whole or in part for doula services. (If your insurance company isn’t listed, it’s still worth attempting reimbursement. This list was first published in 1998, so policies may have changed.)

Aetna Healthcare
• AltPro
• Baylor Health Care System/WEB TPA
• Blue Cross/Blue Shield
• Blue Cross/Blue Shield PPO
• Cigna
• Degussa, a German Chemical Company
• Elmcare, LLC, C/O North American Medical Management
• Foundation for Medical Care
• Fortis Insurance
• Glencare Managed Health, Inc.

• Great-West Life & Annunity Ins. Co.

• HNTB (Peoria, IL)

• Houston New England Financial, Employee Benefits (Fort Scott, KS)

• Humana Employers Health

• Lutheran General Physician’s Organization

• Maritime Life

• Medical Mutual

• Oschner HMO, Louisiana

• Professional Benefits Administrators

• Prudential Healthcare

• Qualchoice

• Summit Management Services, Inc.

• Travelers

• United HealthCare of Georgia (San Antonio, TX)

• United Health POS

• Wausau Benefits, Inc.


1. _____ Pay your doula in full.

2. _____ Get an invoice from her which includes the following information:

     a. The doula's name and address

     b. Her social security number, taxpayer ID or NPI number

     c. The date and location services were provided

     d. The CPT code for the services provided (99499 for Labor Support and/or 99502 for Postpartum Care)

     e. A diagnosis code

     f. The doula's signature

3. _____ Submit the invoice with a claim form to your insurance company.

4. _____ Within 4 weeks, you may receive a letter telling you that either:

     a. they need more information before they can process your claim.

     b. this is not a covered expense.

5. _____ Ask your doula to send you the following:

     a. a copy of her certification document

     b. other credentials or relevant training

     c. a letter detailing her training and experience and what she did for you

6. _____ If possible, ask your obstetrician or midwife for a letter explaining why a doula helped you, was necessary, or saved the insurance company money (i.e. Did you have a high-risk pregnancy? Did the doula's suggestions appear to prevent complications or help your labor to progress more quickly? Did the doula's presence decrease your need for expensive pain medications?).

7. _____ Write a letter explaining why you felt the need for a doula and how you believe the doula was beneficial to your health.

8. _____ Submit to your insurance company:

     a. the doula's letter and credentials

     b. the letter from the doctor

     c. your cover letter

     d. abstract of 2012 update to the Cochrane Review study, Continuous support for women during childbirth.

     e. abstract of 2016 Birth study, Modeling the Cost-Effectiveness of Doula Care Associated with Reductions in Preterm Birth and Cesarean Delivery.

9. _____ If they refuse it, write a letter to Health Services requesting that they review the claim, as you feel it was a cost-cutting measure and they should cover the cost. Include the abstract of both the 2012 update to the Cochrane Review study, Continuous support for women during childbirth and the 2016 Birth study, Modeling the Cost-Effectiveness of Doula Care Associated with Reductions in Preterm Birth and Cesarean Delivery.

10. _____ Follow up by telephone if necessary.

11. _____ If they refuse, write a letter to the CEO explaining why you feel that doula care should be a covered expense. Again, include the abstract of both the 2012 update to the Cochrane Review study, Continuous support for women during childbirth and the 2016 Birth study, Modeling the Cost-Effectiveness of Doula Care Associated with Reductions in Preterm Birth and Cesarean Delivery. They may not pay your claim, but they will consider it for the future.

(c) Kelli Way, ICCE, CD(DONA) 1998, Reprinted with permission.

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PH: 817-67DOULA

PH: 817-673-6852