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Birth Doula Agreement

Standard Package

Client(s):

I. …………………………………………………………………………………………………….

II. …………………………………………………………………………………………………….


Estimated Due Date:

On-Call Period:

Package Includes

  • Continuous support via phone, text, or email from the signing of this agreement until our final postpartum visit.
  • Two 2-hour sessions for birth and postpartum preparation.
  • A 3-week on-call period surrounding your estimated due date.
  • Continuous support during labour and birth. I will remain with you until your baby is born and you feel comfortable with my departure.
  • One 2-hour postpartum visit

Availability & Travel

General Contact:

From the time this agreement is signed, I am available for communication via phone, text, or email to respond to any questions or concerns, or simply to offer a listening ear. While I aim to respond promptly, I am generally most available during the day and between 8 PM and 11 PM.

On-Call Period:

During the agreed-upon on-call period, I am available 24/7 and will come to you when you request support during labour.

Travel:

If you reside more than 30 km from Åsa (Ringerike municipality), a travel fee of 5 NOK per additional kilometre applies. Maximum travel distance: 100 km from Åsa.

Preparation Sessions

All preparation sessions and classes will be held in your home or at another mutually agreed-upon location.

Topics we may cover include:

  • The natural physiological birth process, medical interventions, and hospital protocols (including your rights and informed consent).
  • Clarifying expectations of birth, yourself, your birth partner, doula, and medical staff.
  • Creating your birth and postpartum plan.
  • Breath and body awareness work, connecting with your intuition, and guided relaxation
  • Partner support during labour, including emotional presence and physical comfort techniques.
  • Labour and birthing positions.
  • Handling the unforeseen
  • Strengthening emotional connection to your unborn/newborn baby.

Support During Birth

Please notify me as soon as you believe labour may be starting so I can prepare, even if you don’t yet need my presence. I can meet you at your home or at the hospital. Once you are in active labour, I will remain with you until the baby is born and when you feel ready for me to leave.

Support may include:

  • The calm, continuous presence of someone focused solely on you and your needs.
  • Breathing support and guided relaxation during and between contractions.
  • Massage, acupressure, and other comfort measures (also supporting your partner to use them).
  • Suggestions for favourable labour and birthing positions.
  • Spinning Babies techniques for optimal fetal positioning.
  • Handling practical things like making sure you’re eating and drinking enough, playing music, and taking pictures along the way.
  • Support in communication with hospital staff/care providers.

Postpartum Support

This package includes 2 hours of in-home postpartum support. You decide when to use this time, though I recommend scheduling it within the first 4 weeks after birth.

Support may include:

  • Emotional check-in and adjustment to new parenthood.
  • Birth debrief and reflection on your birthing experience.
  • Breastfeeding support.
  • Postpartum massage.
  • Light household support, meal prep, or caring for the baby or siblings while you rest, shower etc.

Terms & Conditions

Payment

Total Package Price: 16,000 NOK

Pay via Vipps: 923 29 568 (Dina Skirbekk Heiberg)

Or bank account: 9722.10.60648

Please include your full name in the payment note.


Choose one payment option:

☐ Full payment at the first preparation session

☐ 50% at the first session, 50% one week before due date

☐ Payment in 4 or 6 instalments (25% due at first session)

Back-Up Doula (if applicable)

If needed, my back-up doula [Name] will be on call from [Start Date] to [End Date]. She will provide equivalent services. Both doulas will stay informed through shared communication. I will remain available for phone/text/email support during this time.

Confidentiality

Your identity and personal information will remain fully confidential. Should I wish to share your story publicly (e.g., on Instagram or my website), I will request your permission in advance.

Signatures

I have read and understood this agreement and consent to the terms and conditions.

Client(s):  _____________________________

Doula:  _____________________________

Back-up doula: _____________________________