Doula services for Fetal Demise, Miscarriage, Stillbirth - page 2

A friend of mine and I (both OB RN's with over 15 years of experience together) are thinking about offering doula/labor support for women who are going to labor (or D&C) with a known demise,... Read More

  1. by   goats'r'us
    that is a wonderful idea, and i really hope you can pull it off. there's a real need, and you sound like just the people to fill it.
  2. by   BSNtobe2009
    To market yourself, I would suggest finding out if in your state if you have to have a counseling certificate or any other credentials besides an RN.

    Then get a business license and come up with a flyer or brochure and set up appointments with area OB-GYN's...that would be your referral source.
  3. by   SuzieQ_Scrapper
    Quote from BSNtobe2009
    To market yourself, I would suggest finding out if in your state if you have to have a counseling certificate or any other credentials besides an RN.

    Then get a business license and come up with a flyer or brochure and set up appointments with area OB-GYN's...that would be your referral source.
    I guess what we want to figure out first is how we will get paid for this service. I know that sounds harsh, but we do have families we need to provide for.

    My friend is a trained doula, and I want to get the same. We plan to take some courses in grief counseling as well.

    Thanks for your marketing ideas.

    Susan
  4. by   CEG
    I think it's a great idea. Remember that the woman also doesn't know the nurse she is getting and probably doesn't know her doctor really well. Having someone who's sole goal is to take care of her emotional needs, stranger or not, would usually be very welcome I would think.
  5. by   SuzieQ_Scrapper
    Quote from CEG
    I think it's a great idea. Remember that the woman also doesn't know the nurse she is getting and probably doesn't know her doctor really well. Having someone who's sole goal is to take care of her emotional needs, stranger or not, would usually be very welcome I would think.
    That is a good thought--most of the people are strangers to her at that point already. My friend and I were kind of thinking along those lines as well. My friend and I both seem to be able to warm up to people quickly and there are very few people I would say that we have a hard time connecting with on some level. I think the family (husband, grandparents, etc) would appreciate the relief from being the support person (that we usually expect to be there during a normal delivery) since they will have their own issues to be dealing with as well.

    Thanks for the encouragement.

    Susan
  6. by   BonnieSc
    Quite a few doulas out there work with women they haven't built a relationship with--they're "on call" for whoever needs one, or they're backup doulas if the mother's original doula suddenly can't make it. You can definitely be an effective doula without knowing the family ahead of time.

    Some hospitals do hire doulas already, so I would definitely approach them with this plan, especially as you need to charge money. I do think it would be hard to find clients who would be willing to spend the $400 (or whatever) doula fee if they weren't already planning to hire a doula.
  7. by   SuzieQ_Scrapper
    Quote from Wendy79
    Quite a few doulas out there work with women they haven't built a relationship with--they're "on call" for whoever needs one, or they're backup doulas if the mother's original doula suddenly can't make it. You can definitely be an effective doula without knowing the family ahead of time.

    Some hospitals do hire doulas already, so I would definitely approach them with this plan, especially as you need to charge money. I do think it would be hard to find clients who would be willing to spend the $400 (or whatever) doula fee if they weren't already planning to hire a doula.
    I agree that I would not want to add another fee to an already hurting family. That's why I am looking at other funding options. I didn't, until recently, know that some hospitals hire doulas. That will be a good way to approach the nurse managers. Not sure that any hosptials in my area already hire them--so may be something I need to investigate.

    I also agree that an effective doula doesn't have to know the family ahead of time. I feel that I do this all the time when patients walk through the door. You quickly assess their needs and build a relationship from there.

    Thanks for your insight.

    Susan
  8. by   veggiegarden
    I do think it would be hard to find clients who would be willing to spend the $400 (or whatever) doula fee if they weren't already planning to hire a doula.
    As someone who has personally gone through a fetal demise in the hospital, I came to post something similar--but now will just reiterate this point. After the devestation of what happened, I would not have been happy to have had to pay for yet another service if it were not covered by insurance. I'm remembering the mountains of bills I had to pay after the experience. I think the service is a great idea, but would hope that the hospital would foot the bill or that funding would somehow otherwise be covered. Best of luck.
  9. by   SuzieQ_Scrapper
    Quote from veggiegarden
    As someone who has personally gone through a fetal demise in the hospital, I came to post something similar--but now will just reiterate this point. After the devestation of what happened, I would not have been happy to have had to pay for yet another service if it were not covered by insurance. I'm remembering the mountains of bills I had to pay after the experience. I think the service is a great idea, but would hope that the hospital would foot the bill or that funding would somehow otherwise be covered. Best of luck.
    Thanks for your insight. I certainly would not offer this service if the reinbursment would come from the family's pocket! I am hoping to find hospitals willing to foot the bill in order for families to recieve the best care possible at their facility. It will take some marketing of the idea, but I pray that hospitals will see the benefit.

    Susan
  10. by   CEG
    There are some organizations that offer services like bereavement photography. I don't know if their services are volunteer or if they are paid for their time, but it might be worthwhile to find out how their services are provided. Unfortunately I can't think of any of the names of the groups You could probably google it and get some info.
  11. by   preemieRNkate
    Where I work (in NICU) we have a group founded by a family who had lost a baby in our unit about 20 years ago. They have fundraisers (dinners, golf outings, raffles, etc) throughout the year to raise money and then with the money they purchase memory boxes for families who lose a baby, put together welcome kits for every baby admitted and also serve as a support group for all families with babies in NICU. They also buy us things when we need them (copy machine, refridgerator for break room, etc.). Maybe you could find out if any of your local hospitals have anything similar that could help pay for doula services for these moms.
  12. by   land64shark
    This is a rather timely post for me. I just went to an in-service at the hospital on Thursday that was being offered to the OB nurses about exactly what you are talking about. The woman who spoke was a fetal demise doula. She works for a non-profit outfit and they are all volunteers. The service is completely free. The hospital and/or doctors make the referrel. There is no need for a prior relationship. It is apparently very successful (for lack of a better word).
  13. by   traumaRUs
    Not sure this will be be helpful but looking at it from a strictly business side (and I am in no way negating the huge loss of a pregnancy), hospitals want patients in and out. Marketing this from a case management standpoint might be the way to go. Also - if you are advanced practice nurses you can get reimbursed via insurance. Another option would be to get credentialled in your local hospitals and then work with Pastoral Care and/or social workers and case managers to get your foot in the door.

close