...">
Selects: The Deal With Doulas

Selects: The Deal With Doulas

March 29, 2025 38m

The word doula in Ancient Greek might mean "female servant" but it's really not a great description of the 21st century job. Doulas are birth coaches who help women get through the process of childbirth as efficiently and painlessly as possible. They aren't midwives or nurses, but they can provide an invaluable service as advocates. Learn about the deal with doulas right now in this classic episode!

See omnystudio.com/listener for privacy information.

Listen and Follow Along

Full Transcript

Divorce can be one of the most costly events in life, but it doesn't have to be.

Hello Divorce offers premium support and expert guidance tailored to your needs.

Whether you're managing significant assets or simply want a smarter, more efficient path forward,

we provide the tools and expertise you need without the excessive legal fees,

so you can protect both your future and your finances.

Discover a simpler way forward at hellodivorce.com. This is the soundtrack of the millions undiagnosed with moderate to severe obstructive sleep apnea, or OSA, in adults with obesity.
It's a chronic condition where the airway partially or fully collapses during sleep, which may cause breathing interruptions and oxygen deprivation without your knowing. Don't sleep on the symptoms.
Talk to your doctor about OSA and learn more at don'tsleeponosa.com. This information is provided by Lily USA, LLC.
So what's the deal with doulas, everybody? That's my question to you on this wonderful Saturday morning.

This one goes back to December 12, 2017.

Doulas do great work.

They're wonderful people.

And they bring babies into the world.

So I hope you enjoy The Deal with Doulas.

Welcome to Stuff You Should Know, a production of iHeartRadio. Hey, and welcome to the podcast.
I'm Josh Clark, and there's Charles W. Chuck Bryant, and there's Jerry over there.
And this is Stuff You Should Know, the podcast. Childbirth edition.
Yeah, we are traipsing into more territory. What does that mean? I don't know.
I mean, we've done two on feeding babies. Yeah.
Done female puberty. Yeah.
This will get into childbirth a little bit. So, yeah.
We're not afraid. I don't care.
Yeah. I guess is what I'm trying to say.
You can be a male doula. You can, although this is the only article I ran across that in.
Did you find anything about that anywhere else? No, I mean, it happens. It's just super rare.
It happens. I mean, we'll go ahead and spoil it.
Generally, doulas are, well, let's just get into this. Generally, doulas are women who have already had a baby.
Yes. Not even just women, but women who have had a baby.
So they can really know how to help another lady have a baby. Yeah, yeah.
And this is actually, so this is an ancient thing that's kind of come back around full circle. And even the name doula is a Greek term used way back in the classical Greek days when a woman giving birth would have female servants attending to her during birth, helping her with it, probably feeding her some grapes, waving palm fronds on her, that kind of thing.
So doula means female servant or female slave, depending on who you're talking about. Right.
And after, you know, ancient Greece fell to Rome and the Roman Empire fell and all of civilization took this weird course throughout it all. Women were helped by other women while they were giving birth basically up until about the first third first half of the 20th century in the west where hospitals entered and all of a sudden it was just the mom giving birth surrounded by a bunch of nurses and doctors.
Is that true?

Yeah.

Because I could see scenarios where there were women in the birth room helping along. I think once you started to get into hospitals and the physicians in the hospital starting asserting their authority more and more, especially through drugs.
Like I saw that when hospitals kind of took over the birthing process or took responsibility for it from the family and from midwives and moved it into the hospital, they used to administer a lot of sedatives as part of the birthing process, as part of labor. You know, you can understand why they would, but then there were all sorts of complications from it, problems from it.
So they stopped giving sedatives as much. And about that time, women who were giving birth started to like kind of come out of it and look around and say, whoa, it's just me and you guys in here.
I need some family members in here. Right.
And at the time, like if you were a dad, you were not in there. You were not in the delivery room at all.
You were out in what was called the stork club, handing out cigars, maybe pacing. And the reason why was because to the doctors involved, it was just another medical procedure, right?

So you're not going to have randos who have nothing to do with the actual procedure in the room during a procedure. They treated childbirth the same way.
But women started to say, no, I need more than just you people who I've never met before really attending to the birth of my child. And so dads started to come in and then more family members.
And then now doulas have definitely kind of come back like they were originally. That's my understanding of the whole thing.
Yeah. So doulas, we haven't even said what that is yet.
And that would probably help clear it up if you don't know. Doulas are people, like we said, generally women, but not always, who are childbirth coaches.
They coach you through the process. They will, depending on the service they offer, will come on before, obviously, you give birth and kind of prep you for what's going to happen.
And this, I mean, it kind of depends on when your doula will come aboard in the process. But at the very least, they will help you in the delivery room, and they are your advocate to kind of coach you through this whole thing.
And that term actually started in an article in 1969 by a woman named Dana Raphael, and then later on in a book in 1973 called The Tender Gift, Breastfeeding. And that's when she brought this term back and said, you know, we're going to start calling these women doulas and it's going to be a real job.
Right. And I think at first, what was the name of the woman who brought it back? Dana Raphael.
So she had like a pretty good idea that was actually ahead of its time when doulas really started to come into use and come into their own as a profession was in the 80s. And the reason why they came into wider use was because hospitals were going to C-sections a lot.
C-sections went up from 1970, 4.2% of live births in the U.S. involved C-sections.
16 years later, in 1986, a quarter of live births in the U.S. involved C-sections.
And there were a lot of complications with C-sections. And so you could have your husband in there.
You could have your mom in there. You could have friends.
But they're just there for you. One of the first services that doulas started offering was to say, whoa, whoa, whoa, does she really need that C-section? Are you sure about that? Or are you just doing it because you can charge more money? I think that was overstating exactly the interaction they had, but that was the role they had, was to basically provide a barrier between a doctor who wanted to just give a C-section because he wanted to go home and the mom who really didn't want a C-section.
Yeah, and it's not just C-sections. They're your advocate.
They're your birth advocate to make sure, or at least as best they can, to try to ensure that the birth plan that you feel best about is the one that you end up with. Yeah.
Things always change, of course, and a doula would never put you in danger by insisting on something. In fact, they can't.
But they are there to speak for you on your behalf, because as a mother in labor, you're going through a lot on your own. So it's nice to have someone that is just there to do that job.
Yeah. And is coming from a place of empathy and sympathy and most importantly, experience.
Like you said, most doulas have had children of their own, but they've also, after a while, attended other births too. So they know what they're talking about.
They know what to expect, and they can tell you what to expect, which can make the whole process easier, I would imagine, for any mother giving birth. Yeah, and it's definitely gained popularity in the 2000s.
I think I tried to find more recent statistics than 2012, but I couldn't. But in 2012, there were 6 percent.
And this is in the United States. It's a it's very much I know it does happen all over the world some, but it's sort of an American thing.
6% of people in 2012 used a doula versus 3% in 2006. And in that same survey, 27% of people said they would like to use a doula.
So, you know, at least they're wishing or hopeful that they can. Yeah, that was question eight.
Would you like to use a doula? Yeah. Yeah.
27% said. And so if you get the impression that like a doctor would not really prefer a doula to be in the labor and delivery room, you've kind of read between the lines there, especially at first, the medical community saw doulas as they were starting to really kind of come into use in the 80s as basically meddling busybodies who could potentially put their patient's life in jeopardy, right? But then in 1992, the doulas of North America was founded, DONA.
It's like the first doula licensing body, certification and training and licensing body. And they were founded, it was founded by medical professionals, which kind of created a bridge.
It bridged the gap or kind of got smoothed over the rough feelings between the medical community and the doula community. And it also added a real air of legitimacy to the profession of being a doula.
Yeah. And the impression I get now is that if you have a good doula who is good with people, which is ideally what your doula is, if your doula is not a people person, it's probably not going to be a good thing.
But the idea I get is that doctors and nurses like having doulas there now because they can just concentrate on, they don't have to be the ones providing emotional, empathetic support. Although they can still do what they want, they can just concentrate on the medical aspects of it.
And they know that they have a trained, hopefully licensed doula, and we'll get into that later, on hand to sort of say, you know what, I don't have to deal with that part of things. You're in good hands with this doula, and I can just concentrate on the medical parts.
Yeah. Now all love doula.
That's right. One of the other reasons or functions that doulas provide you kind of hit on is that they provide a service that hospitals used to provide through nurses, right?

Where if you had a nurse in a labor and delivery room,

they wouldn't spend as much time or give you as much attention

as say like your mom would or a friend or your husband even.

But they gave you a lot more early on than they did

as surveillance of patients moved to electronics, right? To where somebody could just kind of sit at the nurse's station and check on everybody and they didn't have to go into the rooms. And now you nurses were charged with watching even more people at once, right? So the personal attention dropped dramatically as electronic surveillance of patients increased and the doulas kind of came in to fill that role as well.
Yeah, like they're sitting in the room with you and hanging out. They don't get called in like 20 minutes before you give birth.
They're with you, you know, sometimes days and weeks beforehand coaching you on what to expect and how you're going to go about this and what your plan is. And then on the day, like even if dad is in there and the husband is in there providing

support, that's great. But the doula is just that extra step and that extra measure of support

that is super knowledgeable about what it's going to be like where the husband might not

exactly, you know,

be able to lend the most insightful ear there. You know what I mean? Yeah.
So you want to take a

break? Yeah, let's take a break and then we'll come back and talk about what to expect when

you're expecting to work with a doula. Thank you.
step-by-step, offering everything from legal advice to financial planning so you can find your way back to solid ground. Start your divorce journey with the support you need at hellodivorce.com because you deserve a better path forward.
We were getting where we couldn't pay the bill. PG&E asked customers about their biggest concerns so we could address them one by one.
That's terrifying. That's fair.
Joe, Regional Vice President, PG&E. We have to run the business in a way that keeps people safe, but it starts driving costs down.
I would love to see that. We're on our way.
I hope so. PG&E electricity rates are now lower than they were last year.
Hear what other customers have to say and what PG&E is doing about it at pge.com slash open dash lines. Save on family favorites at Safeway.
This week at Safeway, get four to six ounce Yoplait yogurt or 5.6 ounce protein yogurt for the member price of just 39 cents each when you buy 10. Plus get two pound containers of strawberries for the member price of $4.97 each.

Also, this week at Safeway, get six to eight-ounce lucerne shredded, sliced, or chunk cheese for $1.97 each. With digital coupon, limit four items.
Visit Safeway.com or head in store for more deals. Do, do, do, do, do, do, do, do

What's that you should know? Do, do, do, do, do, do medical stuff But they need to know what the medical stuff is

So that they can say, well, this is what they're about to do or this is what they're suggesting right now and here are your options. And then also when they're administering the medical stuff, which can be pretty uncomfortable pretty frequently, I would imagine, the doula is there to kind of tell the mom what to expect and to comfort her in all sorts of ways.
Yeah. And maybe not even offer advice.
Like, I think the idea is that a doula will lay it all out there so you can make an informed decision. Right.
And not necessarily say, well, if I were you, this is what I would do. Well, yeah, that's a that's a slippery slope right there, because then all of a sudden, if things go wrong, you can say, well, the doula told me to do that.
And the doula is like, I'm toast. Doulas have to be great listeners.
We already talked about the empathy piece. They have to be very empathetic.
Yeah. And they will, like I said, start meeting before birth to answer any kind of questions, come up with that birth plan, and really listen a lot to the wife and the husband so everybody is on the same page.
And like I said, on the day, things can change. But going in, you generally want to have a pretty good idea of everything from medications you might want to use, if any, to where you want to have the baby.
The doula can come on board and kind of explain if they're knowledgeable, which hopefully they are, about the hospitals around you and maybe even help you pick out where you're going to give birth. Yeah.
And, I mean, if you already have an idea of what you want, the doula can kind of tell you how to make that happen.

Or if you have no idea what you want, the doula can also tell you some other alternatives that you might not have thought of. And I saw a Parents Magazine article about doulas.
They laid out basically what you can expect from the average doula for the doula's fees. one to two in-person prenatal visits

and then access to the doula

for follow-up questions through email or phone calls. They're full attention and presence during your labor.
And then sometimes frequently I get the idea, a follow-up visit at your house after the baby comes home. Typically, if you hire a doula, this is about the average you can expect to them.
There's definitely a lot of differences. Some will give you a little more, some will give you a little less.
Some will charge more, some will do it for free. It's just all over the place as far as what you're actually going to shell out and what you're going to get from a doula.
But for the most part, the doula is going to have met you before you give birth, and then the doula will be there throughout the whole labor and delivery process. Yeah, and it says in this article that there are specialist doulas like antepartum doulas and postpartum doulas and labor doulas that if you want an antepartum doula to be – if you want more than those two meetings, you might want to hire someone who will be with you for several weeks beforehand.
Or if you want someone postpartum to be with you to coach you through breastfeeding or changing diapers know, changing diapers or just any of that kind of coaching.

You can hire someone to do that.

But I get the sense that doulas generally will sort of work with you on whatever kind of plan you want.

Right.

It may cost a little extra, but I get the sense that a doula wouldn't say like, nope, you get two meetings and that's it.

They might be like, no, I'll come in for a third and fourth meeting.

It'll be an extra of this much money.

And I can hang with you for a week or two afterward here and there. I found, I think it was through a BuzzFeed article, I stumbled upon a, there's a huge rift in the doula community, actually, between the typical traditional approach to being a doula,

which is I'll work with you on a sliding scale for how much you can afford, or this is my fee, but I'll throw in an extra visit just to make you feel like you're getting your money's worth, or I'll do it for free. I just want to help you because Dona's mission is a doula for every mother who wants one.
Like every mother should have a doula basically, right? And then there's this other group called ProDoula. And they can't stand doulas who charge less than like a decent amount for their services or do it for free.
They actually call doulas who do this for free oxytocin vampires. Like they're just there to bask in the reflective glow of this amazing experience that the mother just went through, the parents just went through.
And they're really kind of kicking other doulas around and they're kind of bullies in a really weird way.

But there's like this big debate over whether doulas are undervalued or underselling themselves. But I mean, I definitely get the idea that every woman who wants to have a doula should be able to have a doula regardless of her income, you know? Yeah.
That makes sense to me. Like a pro bono for people that don't have as much money? Yeah.
On the other hand, I also get that if you are a doula and you're doing your job really well, that yeah, you should expect to be paid. I think there's a happy medium.
I don't think it has to be like, nope, this is the price and anybody who goes underneath it should be ostracized from the doula community. Yeah.
The other thing about doulas, another misconception a lot of people think is that it's just some hippy dippy thing that if you don't want to, if you only want to have like a natural childbirth, then you get the doula in there and they're not there for anything other than that. And that's not the case.
They are there to support you in whatever kind of birth you want to have, whether it's a home birth or water birth or whether or not you want to get an epidural or be loaded up on every pharmaceutical they offer mothers in labor. They're there just to have knowledge of all that stuff so you know what you're getting into.

Yep. And then so during labor, this is where the doula shines, right? They're there to help with alternatives to pain treatment, right? So again, they can't administer any kind of drugs or anything.
I would guess that they could even get in trouble for giving you an Advil. but they can do other things

like they can massage you

in ways that you had not

ever heard of before. That helps with labor pain.
I came across this one technique where they pull on a couple of toes, specific toes, and it helps actually move the labor along if you have a slow labor.

There's kneading techniques.

There's stroking techniques.

Pressure on the bottom of your feet.

There's all sorts of stuff they can do at various times throughout the labor and delivery process that can help alleviate the pain that you're going through.

And that's one of the big roles that they play during labor.

Yeah.

When my kid was born, I was shocked at how many people were in the room, first of all. How many? Oh, man.
Baker's dozen? I mean... 20? Emily and I, birth mom, obviously.
Our adoption counselor, who was a licensed doula, so she really served that function for the birth mom, which was really a great, great plus. The doctor, I guess the, I'm not even sure what the roles are, what their technical titles are, but the doctor came in when it was go time and basically just checked things out and said, well, I think it's go time.
And then he stepped out of the way and these two nurses came in there and 90 seconds later there was a baby. So it was, and those were, so it was two nurses.
There was probably like, there was probably at least 12 people in that room. Wow.
That's a lot of people. It was crowded and fast and surreal and weird and amazing.
Even weirder, they brought in Carrot Top to cut the cord, right? No, Emily cut the cord. Okay, cool.
Emily actually helped sort of deliver in a way because, you know, they like to bring in, I guess, you know, in a regular biological birth, it would be the husband probably in there saying, hey, do you want to help hold the legs or do whatever? In this case, it was Emily. And I just took a respectful position by the birth mom's head, sort of looking down that way.
I was like, you know, she was like, you can go wherever you want to go. But I was like, you know, I'll just hang right here.
Right.

And Emily's like, that's right.

Yeah.

I just, I wanted to be there.

And, you know, I was helping support her as well.

Holding her hand and patting her on the head and all that nice stuff.

That's cool, man.

Yeah, it was amazing.

Did I ever tell you the story for when my niece Mila was born and my sister-in-law was giving birth and she let everybody in the labor room. I was surprised you can have a party in there.
Yeah. And when she really was going into, she was delivering, I stood back behind this curtain, right? And the doctor comes in and walks past me and kind of gives me a nod and I hear him go to to the crowd.
He's like, you know there's like some guy standing behind that curtain, right?

They're like, yeah, he's supposed to be there.

It was pretty funny.

He's the ward creeper.

Right, exactly.

I'm like, okay, I've heard enough here.

I'm going to the next room.

All right, well, let's take another break now that we've shared our stories.

We'll come back and talk a little bit about how you become a doula right after this. Divorce can leave you feeling isolated, like you're stuck on an island with no direction.

But you don't have to go through it alone. At Hello Divorce, we guide you step by step, offering everything from legal advice to financial planning, so you can find your way back to solid ground.
Start your divorce journey with the support you need at hellodivorce.com, because you deserve a better path forward. We were getting where we couldn't pay the bill.
PG&E asked customers about their biggest concerns so we could address them one by one. That's terrifying.
That's fair. Joe, Regional Vice President, PG&E.
We have to run the business in a way that keeps people safe, but it starts driving costs down. I would love to see that.
We're on our way. I hope so.
PG&E electricity rates are now lower than they were last year. Hear what other customers have to say and what PG&E is doing about it at pge.com slash open dash lines.
At Fairfield Subaru, we believe that cars are not just about safe transportation, but about the people who ride in them.

As a family-owned dealership, we are deeply committed to our community.

From sponsoring local pet adoptions to supporting first responders, we strive to make a positive impact.

We offer transparent pricing on all of our cars and service specials.

No hidden fees, just honest deals you can trust.

Happening now at Fairfield Subaru is the Subaru A Lot To Love event.

Visit us at 2525 Martin Road in Fairfield or at fairfieldsubaru.com. All right, Chuck.
So if you wanted to become a doula, basically you start in training at age three. You're sent off to Europe to apprentice at the one doula school in the world.
And they make you eat a lot of magic cake. And then when you're 60, you get to actually start out on your own.
That's exactly right. Okay.
Well, before you decide to become a doula, you need to get a lot of thought on what you're going to be getting into. You know, the hours are long at birth, childbirth, it's very stressful.
And especially if there are complications, it can be super stressful in a matter of life or death. So you got to be able to deal with that stuff in the moment and hang in there and be the birth coach that mom needs, you know, in the most stressful of situations.
But then, on the plus side, you get to see little BBs coming out on the reg, and what's better than that, you know? I can't think of too many things. Talk about an oxytocin hit.
Maybe magic cake. Magic cake? Mm-hmm.
You do not have to have a college degree. You don't have to have a high school degree.
You don't even have to be certified. It's not law that you have to be certified.
Yeah, you don't. But there are more and more programs now and more certification and licensing programs out there.
So if you want to be a doula, my advice is to go that route. You probably just get more work that way.
Right. So when you're starting out, you would go to, if you wanted to get certified, you would go to one of the certifying bodies like DONA or what are the other two that are mentioned in here? There's one called CAPPA.
CAPA. Sure.
And then the American Pregnancy Association, all three of those certify and train doulas. Donut, from what I could tell, is the oldest, obviously.
It was the first one, and it seems to be the most respected, but I would guess if you get your training from any of those three, you're probably doing pretty good. They'll offer online classes, in-person classes, self-paced study, and you typically need to go take a birthing class, a breastfeeding class.
Because again, you need to know, like you need to be current on all the stuff that's going on with labor and delivery, right? Yeah. If you took these classes 10 years ago and then did it again today, you would probably find some real differences in new stuff that's been discovered in the last 10 years.
So you would need to be pretty current, even if you've had kids of your own before. Sure.
And then you also need to attend at least one. I have the impression that multiple births under the apprenticeship of another doula who's already certified or trained or experienced before you really go off on your own to become certified.
Yeah. And that's, I mean, that's just, I would say, how many births have you been a part of, you know, already before I hired a doula? That's a pretty big question if you ask me.
So they would want to say, well, I've assisted in like three or five or however many, but you're going to be my first solo. Your first solo flight? Yep.
It depends on where you live on how much you're going to pay. If you live in a big fancy city like New York City, you're going to be paying top dollar for your doula.
If you live in Los Angeles, you're going to be paying top dollar for your doula. I saw like $3,500 at least for each of those cities.
Yeah, but that scale can go all the way down to… Zero. Well, sure, all the way to zero.
But if you're paying a doula, that number can go all the way down to $600 to $800,000.

And, you1,000 in the flyover states.

right but again i mean like if if this is the doula's first time on their own you're probably not going to be paying top dollar um and if you say look i really really

really want to have a doula at my child's birth, but I really genuinely don't have this money. I actually got a Lyft once from a doula, and she was talking about having to deal with this family who clearly was very well off but was pleading poverty.
And she was like, I'm the one who's a doula and driving a Lyft here, and these guys are trying to shortchange me. Interesting.
So she told them no. She said she tried to work with them, but they wouldn't budge about whatever they thought her services were worth, so she had to just walk on.
Why would a family that's well-off not pay $800? I don't know. I don't know because I remember thinking like, wow, that's, that's all it costs for a doula.
She might've even been quoting them less than $800. Jeez.
Yeah. So there is definitely like, there seems to be a tension between the desire to have a doula and the, um, the sense of non-obligation to pay a doula a decent wage, which I think

is where that pro-doula group pulls their hair out.

Right.

Yeah.

Well, you may get it covered by insurance.

There are more and more cases in insurance companies that will let something like this

be covered.

But it never hurts to ask. This article points out you can always ask.
You can always file a claim and just see if you'll get a little assistance there. Yeah, if you live in Oregon and Minnesota, though, Medicaid will reimburse your full doula expenses for a certified doula, which is pretty awesome.
Like that's huge and groundbreaking that those two states have that.

For sure.

The reason why they would pay anything for a doula,

rather than just being like, just burn some sage or something and, you know, spend five bucks,

is because there has been studies about doulas,

and they have come out quite positive in some pretty good peer-reviewed studies

and peer-reviewed journals, right? Have you seen any of this? Well, yeah. I saw the one, 15,000 people.
That's a pretty decent study size. And they said in this study size there were some women who had doulas and some women who did not have doulas or any kind of support like that.
And then outcomes for women with continuous support were better than those without, meaning their labors were shorter by about 40 minutes on average. Their babies had higher APGAR scores, which APGAR, these tests they give your baby.
Like the first thing your kid has to do is take a test. I know.
Seconds later, they're giving your kid their first test. Yeah, activity, pulse, grimace, appearance, and respiration.
That's right. Yeah.
And so higher APGAR scores, fewer negative feelings about childbirth, like this is the emotional component. They required less pain medication, fewer uses of forceps or vacuum-assisted interventions, C-sections.

Across the board, doulas helped.

And what was really interesting was there was basically nothing that could point at

that said having a doula was a negative in any way.

Yeah, and even when they looked just at doulas rather than just all types of continuous support,

just at doulas, the doulas, they held up too. There was less use of pitocin, less C-section, more spontaneous vaginal deliveries, less of a risk of being admitted to a special care nursery, four times less likely in one study to have a low birth weight child, two times less likely to have complications, and they were significantly more likely to initiate breastfeeding when cared for by a doula, right? So there's all these like, like demonstrably positive outcomes.
And then you hit upon the other thing too, that they, um, they, they make the harsh hospital environment. There's something called harsh environment theory, um, where the bright lights and the people you don't know coming in and out and treating you like a piece of meat that they need to get this thing out of.
They can actually produce a traumatic experience. I suspect in more women than you would think, having birth or giving birth in a hospital is kind of traumatic.
And for some women, from what I read, it's like deeply traumatic. And that's been a huge reason that doulas have really come into use lately is because they mellow everything out for you a lot more.
And there's actually, I read there's a group of renegade doulas who are acting as midwives out in the pot- country of northern california oh yeah uh what's the relationship there to the pot growing uh i would guess they probably do both they grow the pot and deliver the babies nice i think it's kind of like a whole back to the earth to hell with the the man's establishment hospitals apparently it's illegal to give birth like this without like a certified um someone from the medical community being there to assist in the delivery they're saying they're saying nuts to that which i would guess is pretty dangerous but also illegal and if there's anything that screams northern california more than dangerous and illegal, I don't know. Yeah.
If you want to use a doula, and I'm officially endorsing this, I say, don't say donta, say doula. Sorry, I couldn't resist on that one.
It was worth it. You just get online.
The doulas are easy to find in your area.

Do a little Google searching.

Get a reference, a personal reference if you can.

It would be great.

Get online.

Find a friend who has used a doula.

They can recommend.

I mean, that's really the best way.

I don't know if I'd go on Yelp or anything like that or Angie's List.

Although, maybe.

Who knows?

But it's better if a good friend says, hey, I use this doula, and she's great.

I'm sorry. like that or Angie's list.
Although maybe, who knows, but it's better if a good friend says, hey, I use this doula and she's great. I think also the certifying bodies have directories of certified doulas in areas too.
Yeah. I mean, you want it to be a good personality match too.
So you should talk to your doula on the phone at the very least, but ideally have a little a little in-person meeting to make sure, like, is this someone I want to jump into the foxhole with? Because they're going to be around a lot, you know, and you have to have a good personality match there. Well, yeah, and your husband or co-parent needs to like them, too.
You don't want weird tension between those two in the delivery room. True.
They need to fit into your jam pretty well. Yeah.
Or else it's just going to be, especially if you're one of those people who can't stand conflict, that would be awful to have a doula who your husband or co-parent or wife or whoever doesn't like and butts heads with in the delivery room. That would just be bad.
And then you have to pay them afterward. That would just be terrible.

So, yeah, you want to vet them pretty well ahead of time. Yeah, and while a doula is there to support you,

so while they may have their own opinions on what they might do in a given situation,

their childbirth philosophy is your childbirth philosophy as a mom is what matters. Right.
So a good doula will get on board with that. Or if they aren't on board with that, then they probably shouldn't be working with you.
Yeah, I could see them being like, look, I can recommend a couple of other people who are more in line with what you're looking for than me. Yeah.
Instead of wrong, wrong, wrong. This is all wrong, this is how we're going to do it.
That's right. You got anything else on doulas? Just this little bit on death doulas.
We may have covered this in our dying episode. Yeah, that's what I was thinking.
I feel like we've talked about it, but it is a job. If you want to help a family or a person or both through end-of-life care, there are people you can hire just to do that.
And it's not the same as they can work in concert with hospice care, but it's not like a hospice nurse. It's someone just like a birth doula who is there to really just emotionally kind of coach you through the dying process with a family member.
And also to very concretely hold your hand, make sure you're comfortable, move you around a little bit, listen to you talk, tell you stories, whatever you're looking for to make the whole thing better. That's right.
Pretty neat. Up with doulas.
Yeah, up with doulas, agreed. If you want to know more about Up with doulas, this new organization that Chuck and I just now founded, you can just wait a little while.
We need to get to work on the website. And in the meantime, let's listen to some listener mail.
All right, I'm going to call this flu shot clarification because that's what the subject line says. Okay.
Hey, guys, avid listener. Wanted to comment on the flu episode.
I'm a graduate student and a few months away from completing my degree to becoming a physician's assistant. Well, never mind then, buddy.
I don't want to hear it. No, I'm just kidding.
I spend a lot of time seeing patients answering questions about things like flu shots and who should receive them.

The CDC now recommends that everyone over the age of six months receives a flu shot, even those who are perfectly healthy, even those who are allergic to eggs.

They're cuckoo for flu shots.

The flu shots are now being designed to be egg-free.

So they're egg-free, gluten-free.

What else? Dairy-free.

They contain 10% quinoa.

And there's no evidence

to suggest flu shots in recent years

could cause a reaction in those

allergic to eggs. Alright, that's interesting.

Did not know that.

He said the benefits of the flu shots

far outweighed the risk, in his opinion.

In this guy's opinion. Yeah, and it sounds like it's an informed opinion at the very least.
Sure. So that is from Devin from Philadelphia.
Go Eagles. Do you think so, really? No, I mean, why not? They're doing great.
Okay. Well, thanks a lot, Devin.
I appreciate writing in. That was nice of you.

And if you out there want to be like Devin, you can hang out with us on email at stuffpodcast at howstuffworks.com.

And as always, join us at our home on the web, stuffyoushouldknow.com.

Stuff You Should Know is a production of iHeartRadio.

For more podcasts from iHeartRadio, visit the iHeartRadio app,

Apple Podcasts, or wherever you listen to your favorite shows.