Certified Labor Doula (CLD)


Introduction

CAPPA is an international certification organization for Doulas, Childbirth Educators and Lactation Educators. Since our foundation in 1998, we have certified thousands of perinatal professionals. As one of the first and most comprehensive perinatal organizations in the world, CAPPA is respected for its longevity and its commitment to excellence in both education and unsurpassed student and member support. Choosing an organization for your education is an important decision. CAPPA offers stability that you can be confident in as you invest in your education and career.

LABOR DOULA SCOPE OF PRACTICE


The Certified Labor Doula


CAPPA Labor Doulas fill an important role in providing emotional, physical, and evidence-based, informational support to the birthing woman and her family before, during, and after birth.


How CAPPA Labor Doulas work with families


The Labor Doula works with families during pregnancy, during labor and in the birth process, and in the immediate postpartum time, offering support, encouragement, information, comfort, and referrals as needed.  Labor Doulas can be found working in the community in private practice, in cooperatives, as part of groups or agencies, as well as serving in various community programs.


How CAPPA Labor Doulas work within the healthcare system


Labor Doulas are skilled support persons who act as consultants and resources, not clinicians. They therefore work with the healthcare system by encouraging and promoting excellent communication between the birthing woman and the health care team, encouraging informed decision making and self-advocacy, supporting the choices of the birthing woman, providing non-clinical comfort techniques, and offering appropriate referrals when their observance or counseling uncovers situations that require healthcare attention or support.


Clinical Limitations of CAPPA Labor Doulas


CAPPA Labor Doulas are non-clinical professionals.  CAPPA Labor Doula courses do not qualify a professional to act as a midwife or midwifery assistant, as any alternative medicine provider, or as any medical care provider.  Labor Doulas do not diagnose medical conditions, perform clinical procedures, prescribe or administer treatment for medical conditions, make medical decisions for the birthing woman, or direct families to act against medical advice.


CAPPA Standards


CAPPA Labor Doulas work within CAPPA’s standards of practice to uphold the following (available to read as individual documents): code of conduct, a grievance policy, mission statement, vision statement, organization philosophy, and social media policy. CAPPA Labor Doulas use current evidence-based knowledge information in their practice. They maintain their knowledge and skills through continuing education. They work within the legal framework of their individual community and region.


CAPPA Labor Doulas:



  • Provide non-biased emotional, physical, and informational support during pregnancy, labor and the birth process, and the immediate postpartum period

  • Work closely with the birthing woman and her family as she explores her values and needs surrounding birth

  • Encourage the birthing woman to seek care and a place of birth that reflects her values and needs

  • Assist in the preparation of birth preferences to facilitate communication with the birth team

  • Model, teach, and encourage effective communication

  • Encourage informed decision making

  • Provide information on birth options and resources

  • Provide the woman with non-medical comfort techniques for labor, such as positions and movement, comforting touch, visualization, breathing techniques, and affirmation

  • Seek to foster a cooperative, respectful, and positive atmosphere with the birth team

  • Provide support to the birthing woman’s partner or family

  • Support and assist initial breastfeeding

  • Assist the mother in processing her birth experience

  • Answer general questions about newborn care and breastfeeding

  • Refer to healthcare professionals when support requires clinical assessment, a need for prescription, or medical diagnosis


The CAPPA Labor Doula is not a clinician and therefore does not:



  • Diagnose medical conditions

  • Perform clinical procedures

  • Interpret medical diagnoses or clinical results

  • Prescribe or administer treatment of medical conditions

  • Perform clinical procedures

  • Make decisions for the birthing woman

  • Speak for the birthing woman

  • Attend births that are intentionally unassisted by qualified medical professionals


POSITION PAPER


Evidence-Based Labor Doula Care


Introduction


Childbirth is not simply a medical event. Having a baby is an experience that is remembered forever by the woman and her family. It is an experience that changes the dynamics of a family as well as the entire life of each family member. It is more than just another day, and the way a birth unfolds will affect a woman’s confidence as a person and mother, her self-esteem, and her relationships with others. This is true for her husband/partner as well.


CAPPA believes that women in labor require the safety of skilled healthcare by a qualified physician or midwife. However, they also require emotional support, information, reassurance, encouragement, respect, and love. Each woman will have different needs, both medically and emotionally due to her individual situations and desires. A labor doula can meet many of these non-medical needs and assist the woman’s caregivers in their goal of a good outcome for mother and baby and a good birth experience for the mother. Doulas provide guidance and encouragement to minimize the pregnant woman’s fears and anxiety. The continuity of care provided by doulas contrasts with the experience of many women who have little contact with the person assisting with their birth. (Koumouitzes, 2006)


Labor Doulas as Part of the Birth Team


Women have complex needs during pregnancy, labor, birth, and immediate postpartum. Doula care represents a return to the tradition of woman-to-woman support during pregnancy, labor, birth, and the immediate postpartum period. (Meyer, 2001) Throughout history women have been surrounded by other women. There was usually a midwife present and then one or more other women to help the mother to remain as comfortable as possible, and to comfort, reassure, and protect her space as she labored. Today, labor doulas continue this tradition of providing support, information, and non-medical comfort measures to assist the laboring mother. Continuous support during labor should be the norm, rather than the exception. Labor doulas are professionals; trained, and experienced in childbirth. The doula has a long term commitment to the woman and through her intimate knowledge of the woman’s needs and expectations; she provides individualized care that includes physical, emotional, and informational support to the mother and those who are attending her. One of the most important roles of the labor doula is to attend to the mother’s emotional needs during labor, birth, and immediate postpartum as positive emotional care can strengthen bonding with her infant. The labor doula will assist the father or other birth partners by giving suggestions of what will be helpful to the mother, giving them a break, and making sure that they eat, drink, and rest to maintain their strength. In addition, the labor doula will assist the family in gathering information and asking the questions necessary to make informed decisions when the need arises, although the doula should never make decisions for them. She will assist the mother and her partner to find the best methods to relax and encourage labor, including helping with maternal position change, breathing, relaxation, imagery, massage, acupressure, and other comfort measures. For middle-class women laboring with the support of their male partner, the presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia. (McGrath, 2008) The labor doula does not leave the laboring woman, maintaining continuity of care throughout the labor and birth. Labor doulas provide and specialize in only non-clinical aspects of care of the laboring woman. A labor doula will not perform any medical tasks, such as fetal or maternal monitoring, vaginal exams, blood pressure, or other vital signs. Medical providers (midwives, doctors, and nurses) must focus on the medical needs of both mother and baby and those needs take precedence over non-medical and psychosocial needs of the woman and her fetus. Thus the labor doula is a perfect addition to the maternity care team as the role of the doula specializes in meeting the non-medical needs of the woman. Adding the role of the labor doula makes for a more well-rounded maternity care team.


A labor doula does not diagnose medical conditions, will not give medical advice or second opinions, and will not project her own agenda and values onto the laboring woman. Doulas encourage and support self-advocacy for the couple. Labor doulas work to help the woman have a safe and satisfying birth experience, according to the mother’s goals she has set for herself. When a doula is present, many women find there is less need for pain medication, while other women may choose to utilize pain medication to assist them as they labor. A labor doula is also very beneficial to a woman who has chosen pain medication as she continues to labor. Doulas can help minimize the undesirable side effects of pain medications by providing emotional care, maternal positioning, reassurance, comfort measures, and information.

Labor doulas do not replace the mother’s partner – her husband, the baby’s father, or other friends or loved ones. They work together with family and friends of the mother’s choosing and many times this support allows those present to be more actively involved. The partner provides love and support that the labor doula can never provide, as he/she knows the mother intimately and possesses a love that can come from no one else. The labor doula can offer unique help to the partner and friends by providing suggestions for him/her, and allow the partner, loved ones, and friends to participate at their comfort level. The labor doula and the partner, in conjunction with the medical caregivers, form the perfect support system for the laboring mother.

The roles of the obstetrical nurse and the professional doula differ markedly, yet they also overlap somewhat and should complement each other. (Gilliland, 2002) Nurses and doulas can establish a working relationship and work effectively together. (Ballen & Fulcher, 2005) The labor doula’s mandate is to work in tandem with health care staff to support a woman in having a safe and satisfying childbirth experience. Having a labor doula present improves medical outcomes. Doulas work in three primary models: private practice, hospital-based programs using volunteers or paid doulas, and community-based programs. Each model of care has advantages and disadvantages. Through utilization of culturally sensitive, community-based doulas pregnant and parenting teens are provided with a comprehensive relationship-based nurturing. (Breedlove, 2005) Young mothers can have quite positive outcomes and the support a doula gives can be a positive behavior change for teens. (Logsdon, 2006) It seems that a key contributor to postpartum depression may be the gap that exists between lack of social support and caring for the woman during the several weeks before and following birth. The doula may be the link to bridging the gap that may exist between medicalized birth, lack of social support, and postpartum depression. (Goldbort, 2002) Research by Hodnett indicates that women who are supported by a doula are more likely to be satisfied with their childbirth experience. (Hodnett, 2003) As doulas and childbirth educators feel and remain centered, they may effectively continue the journey to educate, support, and nurture pregnant women and their partners in times of stress, trauma and grieving. (Pascali-Bonaro, 2003) In order to provide the best care possible, it is essential that the doula and other medical professionals accept and respect each other’s unique roles. Labor doulas can help the medical team meet the laboring woman’s physical and emotional needs. Together doulas and medical professionals can work together for positive birth outcomes and the betterment of all birthing families.


In 2003, a national survey of doulas working as paraprofessionals the following results were found:



  • Doulas were primarily white, well-educated married women with children

  • Majority of certified doulas work in solo practice

  • Few doulas were earning more than $5,000 per year from doula work

  • Only 10% of certified doulas reported receiving third-party reimbursement for their services

  • While almost all doulas found their work emotionally satisfying, only one in three saw their work as financially rewarding

  • Doulas had challenges in getting support/respect from clinicians, balancing doula work and family life. (Lantz, 2005)


Doula Services


There are four types of doula programs: independent doula services, community-based doula services, agencies who offer doula services, and hospital-based doula services. Independent doula practices are employed directly by the expectant parents. The labor doula schedules several meetings to assess the expectations of the couple and establish a working relationship. When the woman is in labor she contacts the labor doula to arrive; the doula stays throughout the labor, birth, and immediate postpartum time. Doula agencies are often communitybased and the doulas may be volunteers or paid employees. Some agencies serve specific populations (i.e. incarcerated women, teens, women in poverty, etc). Some doula programs have an extremely diverse population such as the Cambridge Doula Program. Pregnant women in this program are served by per diem labor doulas who speak a dozen languages. (Brill, 2005) Some programs (i.e. Doulas Care program) offer a model in which doulas provide services without charge. (Low, 2006) In some agencies, the doulas may meet with the couple in pregnancy and in other programs the doula only meets the pregnant woman when she is in labor. Agencies often train and employ their own doula staff. Doulas of hospital-based programs may be volunteers or paid employees. Some hospitals contract with agencies to staff their doula service. Other hospital-based programs are set up as an on-call service. The labor doula may meet the pregnant woman prenatally or may not meet her until labor has begun and establishes a relationship then. In some hospital-based programs, the pregnant woman meets and chooses her doula during pregnancy and that doula is on-call for the birth. In other programs, the labor doula is assigned to the pregnant woman during labor. (Perez, 2010)


Research on Labor Doulas


In 2011, the Cochrane Library reported on 21 clinical studies, from 15 countries, involving more than 15,000 women in a wide range of settings and circumstances. The continuous support was provided either by hospital staff (such as nurses or midwives), women who were not hospital employees and had no personal relationship to the laboring woman (such as doulas or women who were provided with a modest amount of guidance, or companions of the woman’s choice from her social network such as her husband, partner, mother or friend). Women who received continuous labor support were more likely to give birth ‘spontaneously’, i.e. give birth with neither cesarean nor vacuum nor forceps. In addition, women were less likely to use pain medications, were more likely to be satisfied, and had slightly shorter labors. Their babies were less likely to have low 5-minute Apgar scores. We conclude that all women should have continuous support during labor. Continuous support from a person who is present solely to provide support, is not a member of the woman’s social network, is experienced in providing labor support, and has at least a modest amount of training, appears to be most beneficial. Doula support should not exclude other social support. Support from a chosen family member or friend appears to increase women’s satisfaction with their childbearing experience. (Hodnett, 2011)


In Chicago, the Chicago Doula Project was started to assist pregnant teens. The Chicago Doula Project was a collaborative effort of three agencies: Chicago Health Connection; the Ounce of Prevention Fund; and the Illinois Department of Human Services. The teen moms who worked with a labor doula had 43% fewer cesarean sections, 74% fewer epidurals, and 70% higher initial breastfeeding rates. This is a tremendous achievement for a group of already at-risk teen moms.


Having a labor doula has also been studied in regards to breastfeeding initiation and success. In a study done in Mexico and reported in the British Journal of Obstetrics and Gynecology, it was found that significantly more mothers were exclusively breastfeeding at one month past birth. More of the mothers who had labor doulas also felt they had a high degree of control over the birth experience than those mothers not attended by a labor doula. (Langer, Campero, Garcia, Reynoso, 1998) A hospital-based doula support program is strongly related to improved breastfeeding in an urban, multi-cultural setting. (Mott-Santiago, 2008)


A meta-analysis of 11 clinical trials showed that having a labor doula present continuously throughout labor significantly shortened labor, and decreased the need for analgesia, Pitocin, cesarean sections, and forceps. (Scott, Berkowitz, Klaus, 2000) Another meta-analysis again showed shortened labors and decreased use of cesarean births, forceps, and vacuum extraction, Pitocin administration, and analgesia. Mothers who used labor doulas for their births also rated childbirth as less difficult and painful than those mothers not supported by a labor doula. (Scott, Klaus, Klaus (1999) – Langer, Campero, Garcia, Reynoso (1998) and Zhang, Bernasko, Leybovich (1996)

In 2007, a clinical trial was reported that examined the association between doula support and maternal perceptions of the infant, self, and support from others at six to eight weeks. In this study there is a minimally trained close female relative or friend. Overall, when doula-supported mothers were compared with mothers who received standard care they were more likely to report positive prenatal expectations about childbirth and positive perceptions of their infants, support from others, and self-worth. (Campbell, 2007)


A study by Van Zandt, Edwards, and Jordan showed that interventions of baccalaureate nursing students, trained as doulas, were examined for their association with epidural anesthetic use. Doulas, trained to support laboring mothers, are associated with shorter labors and fewer medical interventions. Analysis showed an association of lower epidural use with increased complementary doula interventions and an association of higher epidural use with longer labors. These findings support previous research of decreased analgesia use by doula-supported women and suggest benefits of the interventions by student nurse doulas. Students trained in providing low-tech supportive care may change the environment for intra-partum nursing practice. Institutional changes may be required to allow greater opportunity for intra-partum nurses to provide support to laboring women. (Van Zandt, 2005)


CAPPA Labor Doula Training and Certification


CAPPA believes that all women who want a labor doula should have one and to ensure this, CAPPA encourages labor doulas to become trained and certified. CAPPA provides the highest quality trainings and focuses on teaching non-medical comfort measures such as massage, positioning, breathing, relaxation, how to assist the laboring mother and her partner emotionally, how to provide unbiased and evidence-based information, and how to start and run a labor doula practice. CAPPA offers onsite labor doula seminars as well as distance learning. The onsite seminars and the distance training option use a standardized curriculum, with the distance option providing a way for doulas in remote areas around the world to train using video (DVD or online) to bring the training seminar to the doula. To attain certification as a CAPPA labor doula, the doula must attend an approved childbirth class series, an approved breastfeeding class, read books from the approved reading list, complete additional online learning modules, pass a written exam, and provide positive evaluations from three mothers they have worked with, their physicians or midwives, and their nurses.


Conclusion


Pregnancy, labor, and birth are all part of the pregnant woman’s life continuum. How the woman is supported during that time is vitally important to not only her, but her baby and others in her family unit. Based on the evidence and research available, labor doulas should be an integral part of the woman’s support system during the childbearing year. Labor doulas improve the outcome, both medically and emotionally, for the mother and her partner as well as the baby. One of the most critical roles of the labor doula is providing continuous reassurance, comfort, and emotional support during labor and birth. Doulas make every effort to ensure that the pregnant woman is empowered and respected during the labor and birth process. CAPPA supports the availability of labor doulas to all women who want one.


References



  • Ballen, Lois E. and Fulcher, Ann J. (2005) Nurses and Doulas: Complementary Roles to Provide Optimal Maternity Care. J Obstet Gynecol Neonatal Nurs , Mar-Apr, 35(2):304-11.

  • Breedlove, Ginger. (2205) Perceptions of Social Support from Pregnant and parenting Teens Using Community-Based Doulas. J Perinata Educa , Summer, 14(3):15-22.

  • Campbell, D., Scott, KD, Klaus, MH, Falk, M. (2007) Female relatives or friends trained as labor doulas: outcomes at 6 to 8 weeks, Birth , Sep, 34(3): 220-7.

  • Gilliland, Amy. (2002) Beyond Holding Hands: The Modern Role of the Professional Doula, JOGNN, Nov/Dec, 31(6):762-769.

  • Goldbort, Joanne. ( Dec. 1, 2002 ) Postpartum Depression: Bridging the Gap Between Medicalized Birth and Social Support, IJCE , Vol 17, No. 4, 11-17.

  • Hemminnki, E.; Virta, A.L.; Kopinen, P.; Malin, M.; Kojo-Austin, H.; Tuijmala, R. “A Trial on Continuous Human Support during Labor: Feasibility, Interventions and Mothers’ Satisfaction.: Journal of Psychosomatic Obstetrics and Gynecology (1990): 237-250.

  • Hodnett, E.D., and Abel, S.M. “Person-Environment Interaction as a Determinant of Labor Length Variables.” Health Care for Women International 7 (1986): 341-356.

  • Hodnett, E.D., and Osborn, R. “Effect of Continuous Intrapartum Professional Support on Childbirth Outcomes.” Research in Nursing & Health 12 (1989): 289-297.

  • Hodnett, E.D., Gates S, Hofmeyer, J.G. & Sakala, C. (2003) Continuous support for women during childbirth, Cochrane Database of Systematic Reviews , Issue 3, Art .No.: CD003766.

  • Hodnett, E.D, Gates, S, Hofmeyer, J.G., Sakala, C, Weston, J. (2011) Continuous support for women during childbirth, Cochrane Database of Systematic Reviews 2001, Issue 7.

  • Hofmeyer, G.J.; Nikodem, V.C.; Wolman, W.L. “Companionship to Modify the Clinical Birth Environment: Effects on Progress and Perceptions of Labor and Breastfeeding.: British Journal of Obstetrics and Gynecology 98 (1991): 756-764.

  • Kennell, J.H.; Klaus, M.H., McGrath, S.K.; Robertson, S.S.; Hinkley, C.W. “Continuous Emotional Support during Labor in a U.S. Hospital.” Journal of the American Medical Association 265 (1991): 2197- 2201.

  • Klaus, M.H.; Kennell, J.H.; Berkowitz, G.; Klaus, P. “Maternal Assistance and Support in Labor: Father, Nurse, Midwife or Doula?” Clinical Consultations in Obstetrics and Gynecology 4 (December 1992).

  • Koumouitzes, Douvia, J & Carr, C. A. (2006) Women’s perceptions of their doula support. Journal of Perinatal Education , 15 (4), 34-40.

  • Lantz, PM, Low, LK, Varkey, S & Watson, RL. (2005) Doulas as Childbirth paraprofessionals: Results from a National Survey, Women’s Health Issues , May-Jun, 15(3): 109-116.

  • Low, LK, Moffat, A & Brennan, P. (2006) Doulas as Community Health Workers: Lessons Learned from a Volunteer Program, J Perinata Educa , Vol 15, No 3.

  • McGrath, SK, Kennell, JH. A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. Birth , Vol 35 (2):9297.

  • Meyer, BA, Arnold, JA, & Pascali-Bonaro. (2001) Social Support by Doulas During Labor and the Early Postpartum Period, Hospital Physician , Sept 2001, 57-65. Logsdon, MC, Gagne, P, Hughes, T, Patterson,J & Rakestraw, V. (2004) Social support during adolescent pregnancy: Piecing a quilt, JOGNN, 34, 5, 606-614.

  • Mottl-Santiago, J, Walker, C, Vragovic, O, Stubblefield, P. (2008) A hospitals-based doula program and childbirth outcomes in a urban, multicultural setting, Matern Child Health J , May, 12(3):372-7.

  • Pascali-Bonaro, D. (2003) Childbirth Education and Doula Care During Times of Stress, Trauma and Grieving, Journal Perinatal Education , Fall, 12(4): 1-7. Perez, P., and Snedeker, C. Special Women: The Role of the Professional Labor Assistant. Seattle: Pennypress, Inc., 1990.

  • Perez, Paulina with Thelen, Deaun. (2010) Doula Programs: How to Start and Run a Private or Hospital-Based Program with Success!, Cutting Edge Press, Johnson, Vermont. Brill, Julie. (2005) The Cambridge Doula Program: Helping Women Access Their Deepest Courage, Midwifery Today , Fall.

  • Simkin, P. The Birth Partner. Boston: Harvard Common Press, 1989.

  • Sosa, R.; Kennell, J.H.; Robertson, S.; Urrutia, J. “The Effect of a Supportive Companion on Perinatal Problems, Length of Labor and MotherInfant Interaction.” New England Journal of Medicine 303 (1980): 597-600.

  • Scott K.D., Klaus P.H., Klaus, M.H. (1999) “The Obstetrical and postpartum benefits of continuous support during childbirth”. Journal of Women’s Health and Gender Based Medicine. 8(10): 1257-64.

  • Scott, K.D., Berkowitz, G., Klaus, M. (2000) “A comparison of intermittent and continuous support during labor: a meta-analysis”. American Journal of Obstetrics and Gynecology. 8(17): 16, 19.

  • Langer, A., Campero, L., Garcia, C., Reynoso, S. (1998) “Effects of psychosocial support during labour and childbirth on breastfeeding, medical interventions, and mothers’ wellbeing in a Mexican public hospita: a randomized clinical trial”. British Copyright ã 2002 CAPPA Journal of Obstetrics and Gynecology. 105(10): 1056-63.

  • Gordon, N.P., Walton, D., McAdam, E., et al. (1999) “Effects of providing hospital-based doulas in health maintenance organization hospitals”. Obstetrics and Gynecology. 93(3): 422-6.

  • Campero, L., Garcia, C., Diaz, C., Ortiz, O., et al. (1998) “Alone, I wouldn’t have known what to do: A qualitative study on social support during labor and delivery and Mexico”. Social Science and Medicine. 47(3): 395-403.

  • Van Zandt, SE, Edwards, L, & Jordan, ET. (2005) Lower epidural anesthesia use associated with labor support by student nurse doulas: implications for intrapartal nursing practice. Complement Therapeutic Clinical Practice , Aug, 11(3):153-60.

  • Zhang, J., Bernasko, J., Leybovich, E., et al. (1996) “Continuous labor support from labor attendant for primiparous women: a meta-analysis”. Obstetrics and Gynecology. 88(4) part 2: 739-744.


Paulina (Polly) Perez, RN, BSN, FACCE, LCCE, CD is a CAPPA senior advisor and author of the 2011 updated CAPPA Labor Doula position paper. She is also the author of numerous articles and books which include Special Women: The Role of the Professional Labor Assistant , The Nurturing Touch at Birth: A Labor Support Handb ook , Doula Programs: How to Start and Run a Private or H ospital-Based Program with Success!, Special Women: The Role of the Professional Labor Assistant – the video/DVD, Birth Balls: The Use of Physical Therapy Balls in Maternity Care, and Brain Attack: Danger, Chaos, Opportunity and Empowerment .


TRADITIONAL (IN-PERSON) COURSE


TRADITIONAL (IN-PERSON) COURSEfindtraining


This course is designed for students who choose to take the in-person training class.



CAPPA Academy

CAPPA Academy is the state-of-the-art online portion of your Traditional or Dual/Transfer Course. You will be personally guided by the Course Director as you complete each element within CAPPA Academy.


Course Requirements



  • 2 years to complete your course once you enroll.

  • CAPPA certification candidates must be at least 18 years of age. No person under 18 years of age may attend CAPPA training classes.

  • Be a member of CAPPA.

  • Enroll in the Labor Doula Traditional Course in CAPPA Academy.

  • Attend a CAPPA Labor Doula training class.

  • Read the CAPPA Labor Doula training manual and the required books from the CAPPA required reading list.

  • Complete Part I of the HUG Your Baby Training.

  • Observe a breastfeeding class designed for parents instructed by an IBCLC, CLC, or CLE with proof of attendance. This breastfeeding class must be a minimum of 2 hours. Details/forms are provided within CAPPA Academy. If you are unable to attend a class that qualifies, you may do the online option.

  • Observe a childbirth education class designed for parents at least 10 hours in length. The class must be taught by a childbirth educator currently certified by CAPPA, Lamaze, or ICEA. If you are unable to attend a class that qualifies, you may do the online option.

  • Attend a minimum of three labors/births as a doula. You’ll be required to obtain evaluations from parents and healthcare providers. Details/forms are provided within CAPPA Academy.

  • Create a resource list with information on local support for parents. A guide for creating this list is included within CAPPA Academy.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays in CAPPA Academy. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


ONLINE DISTANCE LEARNING COURSE


enroll_nowONLINE DISTANCE LEARNING COURSE


This course is designed for students who are unable to take the in-person training class.



Course Requirements



  • 2 years to complete your course once you enroll.

  • CAPPA certification candidates must be at least 18 years of age.

  • Be a member of CAPPA.

  • Enroll in the Online Distance Learning Course.

  • Read the CAPPA Labor Doula training manual and the required books from the CAPPA required reading list.

  • Complete Part I of the HUG Your Baby Training.

  • Purchase and watch these additional DVDs: Secrets Shared, Special Women, and Gentle Birth Choices.

  • Attend a minimum of three labors/births as a doula. You’ll be required to obtain evaluations from parents and healthcare providers.

  • Complete one essay and one research paper.

  • Observe a breastfeeding class designed for parents instructed by an IBCLC, CLC, or CLE with proof of attendance. This breastfeeding class must be a minimum of 2 hours. If you are unable to attend a class that qualifies, you may do the online option.

  • Observe a childbirth education class designed for parents at least 10 hours in length. The class must be taught by a childbirth educator currently certified by CAPPA, Lamaze, or ICEA. If you are unable to attend a class that qualifies, you may do the online option.

  • Create a resource list with information on local support for parents.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Pay the processing fee of $75.00.

  • Please view all of CAPPA’s Policies and Procedures.


DUAL/TRANSFER COURSE



enroll_nowDUAL/TRANSFER COURSE


This course is designed for students who have already been certified or have trained with DONA. (Documentation required.)


Consists of two tracks. Track 1 is for doulas already certified with DONA. Track 2 is for doulas who have been trained by DONA but have not yet certified.



CAPPA Academy


CAPPA Academy is the state-of-the-art online portion of your Traditional or Dual/Transfer Course. You will be personally guided by the Course Director as you complete each element within CAPPA Academy.


Track 1 and Track 2 Course Requirements



  • 1 year to complete your course once you enroll.

  • CAPPA certification candidates must be at least 18 years of age.

  • Be a member of CAPPA.

  • Enroll in Labor Doula Dual/Transfer Course in CAPPA Academy.

  • Read the CAPPA Postpartum Doula training manual and the required books from the CAPPA required reading list.

  • Complete Part I of the HUG Your Baby Training.

  • Submit a 300-500 word essay on CAPPA’s Labor Doula Scope of Practice.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


Track 1 – Certified with DONA



  • Submit proof of certification.

  • Submit three letters of recommendation from previous labor doula clients.


Track 2 – Trained with DONA 



  • Submit proof of training within the last 2 years.

  • Submit three parent evaluations and six caregiver evaluations (prior organization forms accepted) from births within the last two years.

  • Observe a breastfeeding class designed for parents instructed by an IBCLC, CLC, or CLE with proof of attendance. This breastfeeding class must be a minimum of 2 hours. Details/forms are provided within CAPPA Academy. If you are unable to attend a class that qualifies, you may do the online option.

  • Observe a childbirth education class designed for parents at least 10 hours in length. The class must be taught by a childbirth educator currently certified by CAPPA, Lamaze, or ICEA. If you cannot locate a class that qualifies, you may do the online option.


 


The Executive Director for the Labor Doula Program is Ana Hill (clddirector@cappa.net).
AnaHill2012

PHONE: 770-965-9777
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