Get Certified as a Labour Doula
Overview
In order for candidates to be eligible for CAPPA certification they must sign and agree to the CAPPA philosophy, code of conduct, scope of practice, and grievance policy. We reserve the right to withhold certification to those candidates that do not meet the requirements set forth. We also reserve the right to withhold certification based on all contact with candidates for certification, including, but not limited to phone calls, e-mails, and certification materials. An understanding of CAPPA standards of professionalism, our scope of practice, and code of conduct must be demonstrated by candidates at all times and in all communications. Failure to demonstrate an understanding of the aforementioned may result in CAPPA withholding certification. This is rare.
While 92% of candidates do obtain certification, CAPPA cannot guarantee certification will be obtained by entering our program. In the event a candidate fails to pass certification requirements, the candidate has up to one year to complete the failed portions of the certification requirements. There will be no further processing fees. The candidate who exceeds one year to complete the aforementioned portions of certification may be asked to re-enter the certification program and may incur additional fees.
Please allow approximately six weeks for CAPPA to grade and process your certification materials* once we receive them. CAPPA receives a high volume of certification requests, and each certification request is given individual attention. Upon successful completion of any of the CAPPA certification programs, you will receive a CAPPA name tag and a certificate. CAPPA certified labour doulas may use the letters "CLD" after their names.
You must be at least 18 years old to certify with CAPPA.
* When submitting your certification materials, please do not send originals.
What is a Labour Doula?
A doula is a person who attends the birthing family before, during, and just after the birth of the baby. The certified doula is trained to deliver emotional support from home to hospital, ease the transition into the hospital environment, and be there through changing hospital shifts and alternating provider schedules. The doula serves as an advocate, labour coach, and information source to give the mother and her partner the added comfort of additional support throughout the entire labour. There are a variety of titles used by women offering these kinds of services such as "birth assistant," "labour support specialist" and "doula".
What Does a Doula Do?
The following is a general description of what you might expect from a CAPPA certified labour doula. Typically, doulas meet with the parents in the second or third trimester of the pregnancy to get acquainted and to learn about prior birth experiences and the history of this pregnancy. She may help you develop a birth plan, teach relaxation, visualization, and breathing skills useful for labour. Most importantly, the doula will provide comfort, support, and information about birth options.
A doula can help the woman to determine pre-labour from true labour and early labour from active labour. At a point determined by the woman in labour, the doula will come to her and assist her by:
- Helping her to rest and relax
- Providing support for the woman's partner
- Encouraging nutrition and fluids in early labour
- Assisting her in using a variety of helpful positions and comfort measures
- Constantly focus on the comfort of both the woman and her partner
- Helping the environment to be one in which the woman feels secure and confident
- Providing her with information on birth options
A doula works cooperatively with the health care team. In the event of a complication, a doula can be a great help in understanding what is happening and what options the family may have. The doula may also help with the initial breastfeeding and in preserving the privacy of the new family during the first hour after birth.
Traditional Certification
- You must be at least 18 years old.
- Be a Member of CAPPA. All CAPPA certified professionals are required to maintain continuous membership. A lapse in your CAPPA membership will result in a $50.00 reinstatement fee and all overdue membership dues must be paid. CAPPA certified professionals who let their membership lapse more than 120 days must pay a $100.00 reinstatement fee plus all past due membership dues. In order for CAPPA to issue a certificate of certification or recertification you must have a minimum of 120 days remaining on your current CAPPA membership. If you have less than 120 days remaining on your membership you will need to renew prior to your certificate being issued.
- Enter certification program by purchasing the labour doula certification packet, available in our shop. You can also purchase your certification packet at the training.
- Read five books from the Required Reading List.
- Attend a local breastfeeding class. Proof of attendance is required. Include a detailed outline of what was taught and a summary of what you learned.
- Attend a CAPPA-approved Labour Doula Training Workshop
- Complete the pre-workshop study guide and bring it to the training.
- Pass a test on basic labour doula skills and knowledge. The test is an open book test and the answer sheet must be submitted with your final certification. An 85% passing grade is required.
- Attend a childbirth education class. The class must be taught by a certified childbirth educator (proof required), and you must write a short synopsis of what you learned.
- Attend three labours/births as a doula. Submit copies of good evaluations from the parents, from a doctor or midwife, and from a nurse from each birth. (There should be a total of 3 evaluations for each birth.) These births must be attended after the CAPPA labour doula training.
Distance Certification
This program was designed for the many women who are unable to attend a doula training. The program offers in-home training with the use of a professionally produced DVD series version of a CAPPA labour doula training workshop. The DVD series is approximately 9 hours in length. Each participant will also receive the labour doula training manual and the certification packet.
- You must be at least 18 years old.
- Be a Member of CAPPA. All CAPPA certified professionals are required to maintain continuous membership. A lapse in your CAPPA membership will result in a $50.00 reinstatement fee and all overdue membership dues must be paid. CAPPA certified professionals who let their membership lapse more than 120 days must pay a $100.00 reinstatement fee plus all past due membership dues. In order for CAPPA to issue a certificate of certification or recertification you must have a minimum of 120 days remaining on your current CAPPA membership. If you have less than 120 days remaining on your membership you will need to renew prior to your certificate being issued.
- Read five books from the Required Reading List.
- Attend a local breastfeeding class. Proof of attendance is required. Include a detailed outline of what was taught and a summary of what you learned.
- Purchase the doula training DVD series, labour doula manual, and certification packet from CAPPA, all of which are available in our shop. The DVDs were professionally taped at a real labour doula workshop and are approximately 9 hours long. Participants will have their manual with them while watching and page numbers will be on the DVD screen.
- View the DVDs which includes Labour Support: A Comfort Guide (included with Distance Package) and Gentle Birth Choices (This DVD can be purchased here in our shop).
- Pass the test on basic labour doula skills and knowledge included in your packet. The test is an open book test and the answer sheet must be submitted with your final certification. An 85% passing grade is required.
- Attend three labours/births as a doula. Submit copies of good evaluations from the parents, from a doctor or midwife, and from a nurse from each birth. (There should be a total of 3 evaluations for each birth.) These births must be attended after the CAPPA labour doula training. Include a summary of the births that includes what happened, what you did, what you would do differently and what you learned.
- Submit two letters of recommendation from a certified labour doula, certified childbirth educator, certified lactation educator, certified postpartum doula, certified antepartum doula, midwife, obstetrician, or lactation consultant (IBCLC).
- Complete one essay and one research paper on two of the topics included in the certification packet. Each should be a minimum of six pages double spaced, typed with 1" margins.
- Attend and observe a CAPPA approved local childbirth education series. Series must be taught by a certified childbirth educator and must be at least 10 hours in length. Proof of attendance and a summary of what you learned are required.
Dual Certification
- You must be at least 18 years old.
- Be a Member of CAPPA. All CAPPA certified professionals are required to maintain continuous membership. A lapse in your CAPPA membership will result in a $50.00 reinstatement fee and all overdue membership dues must be paid. CAPPA certified professionals who let their membership lapse more than 120 days must pay a $100.00 reinstatement fee plus all past due membership dues. In order for CAPPA to issue a certificate of certification or recertification you must have a minimum of 120 days remaining on your current CAPPA membership. If you have less than 120 days remaining on your membership you will need to renew prior to your certificate being issued.
- Purchase the labour doula dual certification/certification transfer program (Track 1 or Track 2), available in our shop.
- Submit proof of current certification from an approved labour doula certification program.
- Read 3 books from the Required Reading List.
- Pass a test on basic labour doula skills and knowledge. The test is an open book test and the answer sheet must be submitted with your final certification. An 85% passing grade is required.
- Submit a 300-500 word essay on CAPPA's labour doula scope of practice.
- Submit two letters of recommendation or evaluation forms from previous labour doula clients. Evaluations and letters must be within the last two years.
Not everyone is “doula material”. Many women love birth and have the knowledge required, but are still unable to be a good doula. Some people believe that to be a good doula you must have given birth yourself. There are many childless doulas with wonderful skills and very kind and caring hearts. Sometimes they find doula work easier than others as they have fewer commitments than women with children.
What, then, makes a good doula? One of the most important qualities of a good doula is the ability to put aside her own feelings about what is a "good birth" and support the mother and her partner in their decisions. This is not always easy, especially when we see women making choices that we know will lead to a highly interventive birth. It is essential that doulas do not push their own feelings on expectant parents.
Another important quality is a caring and compassionate heart. It is also important that the doula have physical strength, good listening skills, a calm demeanor, and a good knowledge of childbirth. A person who has too many personal problems does not make a good doula. It is important when supporting a woman during labour and birth that the doula is not distracted by her own problems. A good doula must be able to tolerate long periods with no sleep, she must be able to live an on-call lifestyle, and if she has children, she will need on-call childcare. She must also be able to handle conflict with a level head and a professional demeanor.
Birth is fascinating and the concept of having a job that puts one around it on a regular basis is intriguing to many. Unfortunately, there is a price that comes with living the life of a doula, and a good doula must be willing to “count the cost” to her lifestyle, emotions, and family.
Labour Doula Studies And Statistics
Studies have shown that women supported by a doula during labour have:
50% reduction in the cesarean rate
25% shorter labour
60% reduction in epidural requests
40% reduction in oxytocin use
30% reduction in analgesia use
40% reduction in forceps delivery
WOMEN FIND DOULAS HELPFUL DURING LABOUR
WASHINGTON, DC --
Women who had doulas present during labour had significantly less epidural use and were more likely to rate the birth experience as positive than women who did not, according to a study in the March issue of Obstetrics & Gynecology. Doulas provide praise, reassurance, comfort, and companionship to women in labour. Researchers at Kaiser Permanente Medical Care Program in Northern California followed 314 randomly selected patients aged 18 years and older between May 1994 and December 1996. Of these patients, 149 had doulas and 145 did not.
Women were randomly assigned to either the doula group or the usual-care group. Women assigned to the usual-care group received no special treatment. Telephone interviews were conducted with the women four to six weeks postpartum.
Of the women with doulas, 54% had an epidural compared to 66% of those in the usual-care group. Regarding their perceptions of the birth experience, a greater percentage of the doula group had a more positive view: 82% rated the birth experience as positive compared to only 67% of the usual-care group. Nearly 47% felt they coped very well compared to 28%; 58% felt labour had a very positive effect on their feelings as women compared to 44%; and 58% felt labour had a very positive effect on their perception of their bodies' strength and performance compared to 41%. The study found no significant difference in rates of cesarean, vaginal forcep or vacuum delivery, oxytocin use, and postpartum depression. During the follow-up interview, 96% of the women who had doulas and 66% of those in the usual-care group were interested in having a doula for their next birth.


