There are several ways to pay the fee. You can pay by cash, check or even credit card through my Pay Pal account (with a small fee). Some insurance companies are starting to see the value of doulas and providing part of the fee. It never hurts to ask!

Also, many grandmothers of the baby have paid my fee, aunts-to-be, great-aunts, and even good friends. One person said she knew the mom had plenty of outfits — but to support her birth in this way was a greater gift. Out-of-town friends and family can do a gift certificate. I will also accept reasonable payments if it is agreed to by both parties and in writing.

Lastly, never let fee be the issue to having doula support. With new women taking up the work each year, there are many looking for experience who will do the birth for a small fee or even pro bono.

Will insurance cover the cost? There are currently organizations and individuals working on this problem. Since doulas have been proven to cut down on the medical costs, I'm convinced that third-party funding will come through in time. In fact, there are currently a few doulas around the country who have been reimbursed their expenses through an insurance company. Some families I have worked with have been reimbursed by their pre-tax medical funds for my services and others have been told that their insurance company does cover doulas. It is worth a call to check on your plan.