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Can You Make a Living as a Doula? How to Build a Sustainable Doula Business

  • Oct 28, 2023
  • 7 min read

Updated: Aug 12

How to make a living as a doula

Becoming a doula is deeply meaningful work. You get to support families through one of the biggest transitions of their lives while building a career that can offer flexibility, independence and a strong connection to your community.


But if you are thinking about becoming a professional doula, you may also be wondering:


Can I actually make a living as a doula?


The answer is yes, many doulas build successful businesses and make a meaningful income from their work. But it does not happen simply because you complete a doula training course.


A sustainable doula business requires more than being passionate about birth. You need to understand your numbers, set realistic prices, build a steady stream of clients, create good systems, develop a strong community and learn how to balance being available to families with taking care of yourself.


Being a doula is both a helping profession and a small business.


Here are some of the things we think are important when building a sustainable doula practice.


1. Treat Your Doula Work Like a Business


It is easy to think of doula work as a calling, and for many of us it absolutely is.

But passion alone does not pay your bills.


If you want doula work to provide a sustainable income, you need to approach it like a small business.



That means:

  • Setting prices that reflect the time and energy your work actually requires

  • Having written contracts and clear expectations with clients

  • Tracking your income and business expenses

  • Understanding your tax responsibilities

  • Creating systems for inquiries, consultations and payments

  • Planning for time off

  • Building a backup network

  • Protecting your personal time and energy

  • Reviewing your business regularly to see what is working


Remember that a birth package is not simply the number of hours you spend at the birth.

Your time may also include prenatal meetings, phone calls, emails, travel, preparation, being on call, postpartum follow-up and administrative work.


When you price your services, you need to account for all of it.


Think about the lifestyle, too


Birth doula work can offer flexibility, but it is not always predictable.


If you are a birth doula, you may be on call for weeks at a time. A client may call you in the middle of the night. A birth may last three hours or thirty hours. Two clients may go into labour at the same time.


Building a sustainable business means thinking about how you want your doula work to fit into your actual life.


2. Decide What Services You Want to Offer


There are many ways to build a doula business.


You might focus primarily on:


  • Birth doula support

  • Postpartum doula support

  • Childbirth education

  • Private birth preparation sessions

  • Prenatal education

  • Birth photography

  • Newborn education

  • Other services for which you have appropriate training


You do not need to offer everything.


In fact, when you are starting out, it can be helpful to keep your services simple.


Start with the work you are most interested in and feel confident offering. You can always expand your services as your experience and interests develop.


Think about how your services work together


Some doulas create a business around birth support and add childbirth education. Others combine birth and postpartum support. Some eventually move into education, photography or other areas of the birth industry. There is no single right way to build a doula career. The goal is to create a business that works for you while providing valuable support to the families you serve.


3. Set Prices That Make Your Business Sustainable


One of the hardest things for new doulas is deciding what to charge. It can be tempting to look at established doulas in your community and simply charge less because you are new.

But being new does not mean your time has no value.


Before setting your prices, think about everything that goes into serving a client:


  • Initial consultation

  • Prenatal meetings

  • On-call availability

  • Phone and email support

  • Travel

  • Birth support

  • Postpartum follow-up

  • Administrative time

  • Business expenses

  • Insurance

  • Continuing education

  • Taxes


Then look at what doulas in your local community are charging.


Your pricing should allow you to provide excellent care without constantly feeling like you are working for free.


It is okay for your prices to change as your experience, demand and services develop.


4. Build a Strong Online Presence


Your website is often the first place a potential client will learn about you.


Your online presence does not need to be complicated. It needs to clearly communicate:


Who are you?

Who do you support?

Where do you work?

What do you offer?

What does it cost?

How can someone contact you?


A professional website should make it easy for a family to decide whether you might be the right doula for them.


Think locally


Most families are looking for a doula who can actually come to them.


If you live and work in the Lower Mainland, for example, you might want your website to clearly communicate whether you serve Vancouver, Burnaby, New Westminster, Surrey, White Rock, South Surrey, Richmond or other nearby communities.


Useful pages and articles can help families find you through Google.


Consider writing about questions your potential clients are actually asking, such as:


  • How much does a doula cost in Vancouver?

  • What does a birth doula do?

  • When should I hire a doula?

  • What is the difference between a doula and a midwife?

  • Do I need a doula if I have a midwife?

  • What happens during a prenatal doula visit?

  • What should I look for when choosing a birth doula?


Your website should be useful to families first. Good SEO follows from creating genuinely helpful content and making it easy for search engines to understand what your business offers.


5. Build Relationships Within Your Birth Community


You do not have to build your business alone.


In fact, some of the strongest doula businesses are built through relationships and community.


Get to know:


  • Other doulas

  • Midwives

  • Doctors and nurses

  • Childbirth educators

  • Lactation professionals

  • Pelvic health professionals

  • Birth photographers

  • Prenatal instructors

  • Local family and parenting organizations


Attend community events.

Meet other doulas.

Find backup doulas you trust.

Get involved in your local birth community.


And remember that networking is not just about finding clients. The people you meet may become your colleagues, your backup support, your sounding boards and the people you turn to when you have a difficult client situation.


Community over competition is an important part of building a sustainable doula career.


6. Create a Reliable Backup Network


If you are a birth doula, you cannot control when your clients will give birth.

This means having reliable backup doulas is essential.


Your clients deserve to know that someone will be there for them if you are sick, attending another birth or dealing with an emergency.


Start building these relationships early.


Other doulas are not simply competitors. They can become an important part of your professional support system.


7. Keep Investing in Your Education


Your initial doula training is just the beginning.


Every birth will teach you something.


As you gain experience, you will discover areas where you want to learn more and develop new skills.


Continuing education might include:


  • Breastfeeding education

  • Childbirth education

  • Newborn care

  • Caesarean birth support

  • Home birth

  • Comfort measures and positioning

  • Trauma-informed care

  • Loss and bereavement support

  • Birth photography

  • Communication and client care

  • Business development


Choose education that makes sense for the type of doula you want to become.

You do not need to take every course available.


8. Find Mentorship and Community Support


One of the biggest challenges for new doulas can be figuring everything out on their own.

Your training can teach you the foundations of birth work, but once you start working with real families, you will inevitably have questions.


What do you do when a client calls at 2 a.m.?

How do you handle a difficult prenatal conversation?

What happens when a birth takes an unexpected turn?

How do you balance being supportive without taking over?

How do you build confidence after your first few births?


Having experienced doulas around you can make a huge difference.


Birth by Bloom Doula Mentorship


At Birth by Bloom, we offer a year-long mentorship for doulas who are ready for additional support as they build their businesses and begin working with families.


Our mentorship includes:


  • 1:1 support

  • Access to our large doula community

  • Extensive podcast-style Doula Chats covering everything from client care and birth experiences to business, boundaries and the realities of doula work

  • Live weekly Doula Chats where you can ask questions, talk through client situations and connect with other doulas

  • Access to prenatal session recordings

  • Business support

  • Client referrals as opportunities become available

  • Join our Speed Dating for Doulas events for free!

  • Options for continuing your education with Bloom, including childbirth education teacher training


The goal is to give doulas a place to ask questions, learn from experience and feel connected to a community rather than trying to figure everything out alone.


9. Give Yourself Time to Build Your Business


A sustainable doula business rarely happens overnight. Your first year may look very different from your fifth year.


You may start with one or two clients while you learn how everything works. You may gradually increase your prices, improve your website, build your referral network and become more confident in consultations.


You will learn which services you enjoy.

You will learn what type of clients are the best fit for you.

You will learn how much work you actually want to take on.

And you will learn what kind of business allows you to do this work without burning out.

Give yourself time.


Your first year is not just about making money. It is about building the foundation for the kind of doula career you want long term.


Can You Really Make a Living as a Doula?


Yes, it is possible to build a sustainable income as a doula. But there is no magic number of clients or guaranteed income. Your income will depend on your pricing, the number of clients you take, the services you offer, your location, your business expenses and how you structure your work.


The doulas who build sustainable careers generally understand that their work has two sides:


The doula.

And:

The business owner.


You need both.


You can be deeply compassionate and highly professional. You can care enormously about the families you support while still charging appropriately for your time. You can build a business that is meaningful without making every decision based solely on passion.


Build a Doula Career That Works for You


There is no single formula for building a successful doula business.


Some doulas want to attend several births every month.


Others want to take only a few clients while raising their families or working another job.

Some eventually move into childbirth education, postpartum support, photography or mentorship.


The goal is not to build someone else's version of a successful doula business.


The goal is to build one that works for you.


At Birth by Bloom, we believe that good doula education should prepare you for both sides of the work: supporting families and building a sustainable business.


Our Foundational Birth Doula Training gives new doulas a practical foundation in birth support, client care and business development.


For doulas who want additional support as they begin working with families, our year-long mentorship provides 1:1 support, community, business guidance, referrals and ongoing education.


You do not have to figure it all out alone.


Ready to start your doula journey?




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Copyright © Morag Hastings Birth By Bloom, Apple Blossom Families, Dancing Star Birth, and Bloom Community Midwives. All Rights Reserved.

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