Categories
Anti-Oppression birth Canada community Equity fear intersectionality LGBTQ2S+ pride reducing stigma sexual health shame

The Importance of Being Seen: Trans Day of Visibility & Pink Shirt Day

[vc_row][vc_column][vc_column_text title=”The Importance of Being Seen: Trans Day of Visibility & Pink Shirt Day” css=”.vc_custom_1714091548194{margin-bottom: 0px !important;}”]

 

When I was a kid, we were taught that not seeing differences, or being “colour-blind” was the right way to be “tolerant” and “accepting” of diversity. We hear echoes of this sentiment when we hear “They can do whatever they want behind closed doors, but why do they have to flaunt it in our faces?”

March 31 was Trans Day of Visibility and April 10 was International Day of Pink. Both observances attest to the importance of being seen as an integral dimension of human rights and inclusion. People who can only be their authentic selves behind closed doors can’t hold their same-sex partner’s hand during the anatomy ultrasound, or tell their care team that they want to be called “Papa” after they give birth. People who are forced to hide their identity behind closed doors are at risk of getting beaten up in bathrooms and dying by suicide behind closed doors. Trans people need to be seen so that kids like Nex Bennedict can go to school safely. Behind closed doors is exactly where abuse and violence hide.

Having safety to be seen means being able to fully participate in society. It boils down to countless everyday things that people take for granted when their identities are not contested. Being able to use public washrooms without risking confrontation or violence. Accessing information on reproductive health that normalizes your body and healthcare experiences. Not being asked to explain where your partner is at prenatal appointments when they are in the exam room with you. Being able to find pregnancy attire that aligns with your usual style.

Trans and queer people need to call for visibility and wear pink to get noticed so that we can lead normal lives.

As birth workers, here are some things we can do to help queer and trans folks feel seen in the reproductive and perinatal wellness sphere:

  • State explicitly in your promotional materials that you welcome and affirm queer and trans people
  • Use gender-neutral language in your promotional materials and handouts
  • Have open conversations with clients about their preferred pronouns and terms for their parenting roles and body parts.
  • Become familiar with resources in your community that support queer and trans families so you can make great referrals.
  • Educate yourself on health inequities faced by queer and trans birthers
  • Challenge queer and transphobia in yourself and others

You can find out more about Trans VisibilityVisibilty Day here

You can find out more about International Day of Pink here

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
About Us Anti-Oppression Anti-racism work birth Canada

EDI Year in Review 2023

[vc_row][vc_column][vc_column_text css=”.vc_custom_1709738042033{margin-bottom: 0px !important;}”]A river may be so still that you can see your reflection, but its current is always in motion. This year has been a time of great change for Doula Canada as we have welcomed renewal in the form of new leadership. We have taken advantage of this transition to reflect on revitalizing our commitment to equity, diversity, and inclusion at DC and in the birth sphere. Our goal is to ensure that Doula Canada alumni have the necessary tools and frameworks to meet the diverse spectrum of birthing people, families, and communities with compassion, affirmation, and allyship. In the coming year, we will continue to apply the lessons learned from all of your insights to realize policy, curricula, and continuing education that sets doulas, reproductive health educators, and birthworkers up for long-term success in an ever-changing world. 

Here are some of the highlights of our actions in 2023 and our plans to advance our journey towards achieving social justice in our learning community and perinatal social systems in 2024.

 

Content & Communications

One of our goals is to ensure that DC alumni have access to a wealth of information that offers insight into the experiences of equity-seeking birthers and families, and tools to empower effective support. This year, we accomplished this by creating and publishing original articles, position statements, downloadable resources, and live-streamed discussions.  

Articles and Position Statements 

Our blog provides ongoing equity, diversity, and inclusion content that situates reproductive justice in the context of social issues, and that supports our learners to cultivate a deeper understanding of the social determinants of reproductive health. In 2023, our blog offered articles on trans inclusion, domestic and gender-based violence, truth and reconciliation, poverty, black maternal health, and many other essential perinatal health equity topics. 

We also endeavoured to be responsive to the impact of current events on community well-being by providing a statement on the Israel-Hamas conflict that offered comfort to our members and practical strategies for preserving emotional stability and community connectedness.

Downloadable Resources 

In 2023, we created three downloadable resources to provide practical guidance for birth workers. The first was our Advocacy Toolkit. The toolkit continues the work done in 2022 to develop an advocacy framework for Doula Canada. The Toolkit works through examples of the ingenious strategies that birthworkers use to promote client self-advocacy and advocate on behalf of clients in a manner that affirms their autonomy and right to informed consent.

Additionally, we created two resources to support human milk feeding. One is an infographic on human milk sharing that provides information on the risks and benefits of milk sharing, as well as safety guidelines that support families to make informed choices about their feeding options. The second is a curated Lactation Recipe Box with meal and snack ideas that are packed with ingredients that gently encourage milk production. 

Live Streams

We continued our tradition of hosting great conversations with experts and thought leaders from within Doula Canada and the broader birth world. Our guests offer insight into how they’ve applied their training and lived experience to facilitate clients’ access to equitable care. In 2023, topics included empowering teen birthers, debunking fatphobic reproductive health myths, barriers to fertility care, what we need to know about birthers who use testosterone, and the experiences of black families with more than “2.5 kids”. Content ideas were generated from discussions with our members at live events and online and from suggestions made using our anonymous feedback form. Our audience can access this content at any time from our Facebook page or our YouTube Channel.

In 2024, live streaming content will shift to a virtual, guest speaker Q&A series, opening with Support Men’s Lactation Like a Boss on February 29. 

Programming 

Doulas for Reconcili-ACTION

Committing to our Truth and Reconciliation Action Plan, we launched the Doulas for Reconcili-ACTION program. The Doulas for Reconcili-ACTION program aims to include non-Indigenous doulas in important conversations about the impacts of settler-colonialism, and build cultural humility skills in an applied workshop format. Our first workshop was held for National Day for Truth and Reconciliation, and focused on the historical traumas imposed on Indigenous communities, and the role of doulas in mitigating risk factors for Indigenous families.

In 2024, the Doulas for Reconcili-ACTION program will be running on a monthly basis. 

Webinars

Recognizing a need for community healing and dialogues in the aftermath of the disturbing events culminating in the arrest of Kaitlyn Braun in March of 2023, we hosted a session aimed at providing a safe container for community members to unpack the feelings arising from this distressing incident. The session was facilitated by Elizabeth Evans, RSW, and Psychotherapist and generated a presentation for community members on collective healing after traumatic events.

In order to provide practical support to our members regarding the implementation of ethical practice as defined by the law, we also hosted a webinar on understanding the legalities of your doula biz facilitated by Ane Posno, LLB, an expert in health and contract law at Lenczner Slaght. The first webinar of its kind at DTC, the live session provided vital information on documentation, confidentiality, and reporting obligations for doulas. 

Organizational Development 

Census

For the first time in its over 20-year history, DTC undertook a demographic census of its student and alumni population to learn more about how we can ensure that our content is responsive to our existing population and target our recruitment efforts to attract equity-seeking communities that may be underrepresented at DTC or in the birth work field. 

154 members completed the survey and the findings were illuminating. DTC’s population is highly diverse, with DTC members being more likely to be equity-seeking than the general population across several categories including Queer people, and some racial groups (e.g. Black, Indigenous). Other equity-seeking populations, such as disabled people have representation that is similar to the Canadian population.

One challenge with analyzing this data is that 6.5% of our sample are international but Canadian data has been used for comparison. Other limitations of this data set include categories not always being exactly aligned with the categories used by Statistics Canada, and questions that should be further segmented to create clarity, most notably education. 

On the whole, it appears that organizational efforts to ensure that equity-seeking members feel included and represented have been effective at attracting diverse students to our programs. In 2024 we should conduct an evaluation of the EDI climate to learn more about the quality of the learning experience for equity-seeking students, focusing on learning more about the experiences of underrepresented groups. In the case of underrepresented groups, DTC could also consider key informant interviews with individuals external to DTC to learn more about their needs in a birth worker training program and successful recruitment and retention strategies for their community.

Roll out of advocacy framework 

In addition to sharing the toolkit mentioned above, we are in the process of ensuring that the lessons learned from the advocacy initiative are incorporated into the anti-oppression module in our courses. The revised curriculum was piloted during the live session on anti-oppression for the fall 2023 cohort of the holistic doula program. The new content includes introducing learners to the 3 soft-advocacy techniques used by doulas as codified by S.S. Yam, namely 1) creating deliberative space, 2) culture and knowledge brokering, and 3) Spatial maneuvering. Live session attendees have the opportunity to discuss examples of how doulas use these advocacy techniques to benefit clients.

TRAP module

In 2023 we launched our truth and reconciliation module, which focuses on educating students about colonial violence toward Indigenous communities. This module was inspired by various universities that have mandated Indigenous Credit Requirements (ICR) to show respect to Indigenous communities, and foster reconciliation between settler and Indigenous groups. In 2024, applications will be open to students and alumni wanting to participate in a review of the Truth and Reconciliation Action Plan, including the module. This committee will also focus on creating a template for a wider five year TRAP outline.

 

What’s Next

In 2024, we will continue to grow equity, diversity, and inclusion within DTC by undertaking a review of our policies and curricula, developing original video content and offering a mix of new and remounted webinars that build reproductive justice facilitation capacity within our birth work community. 

 

We’re grateful to our alumni community for always inspiring us to continue this important work. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1709738266702{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
birth Business Newsletters rebranding

10 Ways to Improve Your Emails to Doula Clients

[vc_row][vc_column][vc_column_text css=”.vc_custom_1707508805916{margin-bottom: 0px !important;}”]

Doula School alumni will often ask “what’s the best way to get new clients?” and our answer is almost always the same – email. It’s the most effective way to connect with people and become a regular part of their lives. On a social media platforms like Instagram or Tik Tok, you’re competing with hundreds if not thousands of accounts – all vying for someone’s limited attention. Conversely, once you get into an email inbox, you go right to the top each time .

There are several ways to build your email list. It can include past clients, freebies (like guides or offers), advertising on Google or Facebook, opt-in forms on your website, and so much more. Today we aren’t talking about BUILDING your list, we’re looking at how to get the most out of the list you do have. Whether you have 20 people or 2000, having an email list that is working for you can make all the difference in your doula career. Below are 10 ways to optimize your emails and improve your sales.

Use an Email Platform

There are SO many different platforms out there for managing your email list. Some of our favourites are ConvertKitMail Chimp, and Constant Contact. Even if you have a small list, it’s important to be using a professional email platform. This allows you to set up automations, send emails in bulk, manage unsubscribes, and so much more. The good news is that most of these services offer a free version you can start with. Perfect for doulas starting out with a small marketing budget.

Add Personalization

Most email providers will offer the ability to “personalize” messages. So when you get someone’s email address, you can make sure to get their first name as well. That way when sending out an email it will start with “Hi Marie” instead of more robotic or impersonal openings. Research has shown that adding personalization can help improve results from emails and make readers feel more connected.

Ask for Reviews

As birth workers we sometimes feel uncomfortable asking for support or feedback from clients. But we’re here to tell you it’s ok! Clients will be excited to share their testimonials, especially if they had a great experience working with you. Reviews on your website, social channels, google, and in emails can make a huge difference to sales. Future clients are always looking for “social proof” that you’re a trustworthy person and a doula they want to work with.

Use Images of Yourself

You know when you’re on a website or Instagram page, you can always tell when someone is using a lot of stock images. There is nothing wrong with using images you bought online now and then, but you’ll find that your emails and social content does better when it feels personal and real. Don’t be afraid to use photos of yourself in action. Maybe have a friend take some nice pictures of you at the park, or snap a couple of you working with a client (with their consent of course). Over time you can create a catalogue of images to use in a bunch of places.

Improve Your Subject Lines

The average email is only going to have an open rate of 30 or 40%. That means most people on your list may never even read the content! That’s why the subject line is so important. It’s your one chance to make an impression and get the reader interested. The best lines tend to be short and punchy, creating a sense of urgency for the reader. For example, something like “5 Baby Proofing TIPs from a Doula.” Most email platforms will let you test multiple subject lines per message, so you can start to understand what works best for your followers.

Only use ONE Call-to-Action

Have you ever gotten one of those BUSY emails with like 7 different places to click? They can be overwhelming and hard to understand. The key to a good email is keeping it simple. Don’t be afraid of white space and making it easy for a reader to follow. You do this by having only ONE call to action. If the email is about your overnight doula services, then make sure that’s the only thing you’re asking people to click on.

Don’t always SELL

Having someone’s email address is a big deal. They’re letting you send them information that goes directly to the top of their inbox. That’s a privilege. And it’s a privilege you can lose quickly if you abuse it. Every email you send can’t be a sale or a product or a doula service. Make sure you’re adding VALUE to your readers. This could be through tips and tricks, personal anecdotes, birth stories, interesting videos, or anything. By providing value, your readers will be more open to receiving the odd sale or product offering.

Have a Plan

We talk to some birth workers who feel overwhelmed by creating content and email newsletters. I don’t know when to send it? How many should I do a month? What kind of content? It can be a lot to manage, especially when your focus is working with clients. One way to simplify this is to have a plan. If you’re going to send a newsletter every 3 weeks, then set that schedule and stick to it. It will also help your readers start to expect your content on a regular basis.

Consistency

Designing things is fun. It’s especially fun if you have a bit of design know-how in photoshop, or adobe, or just got your new CANVA account. You might feel the urge to constantly be creating NEW and innovative designs to use in emails (and on social media, the website…etc). However, new designs can be confusing for readers and clients. They want to know what to expect. And seeing a consistent color, font type, and design will allow them to start recognizing your doula or birth brand. Where possible, try to pick a standard look and feel that you can maintain.

Automate Where Possible

You might be reading all this and thinking “I barely have time to reply to clients, when am I going to write additional emails?” That’s ok, it’s a lot! The good news is that you can automate a lot of things through email platforms. For example, maybe when someone provides their email address, they are automatically sent 2-3 emails that explain your doula services, what they cost, your availability, and more! It will take a bit of time in the early going to set up automatic email funnels, but these can save you a TON of time in the long run.

Make sure to check back with the blog next month, as we’ll be sharing more doula marketing and sales tips.

[/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression Anti-racism work birth community

Respecting All Life: Reflections on International Holocaust Remembrance Day and National Day of Remembrance and Action Against Islamophobia

[vc_row][vc_column][vc_column_text css=”.vc_custom_1706563078413{margin-bottom: 0px !important;}”]That horrible day in 2017 when for no reason other than hate a 6 Muslim Canadians were killed at a Mosque in Quebec is still haunting. In a society that claims to love peace, equality, and freedom, the level of hate that spawned this horrific attack should never have been able to arise. What’s almost as haunting is that in the intervening 7 years, we’ve learned very little about the thinly veiled hate that is clearly pervasive in this country because we haven’t learned how to have an ongoing, brave discussion about it.

This year, Holocaust Remembrance Day (Jan. 25) and National Day of Action Against Islamophobia fall as a very deadly conflict in Israel-Palestine has raged on for over 100 days. While Jewish and Muslim Canadians are no more complicit in the conflict than any other Canadians, they have been forced to endure an unprecedented increase in hate-motivated attacks against them. I wish I was more surprised.

We’re too polite to talk about hate until people are getting killed, and by then it’s too late. We hold the guilty party accountable when the van attack and similar crimes happen, but we don’t hear the call to examine the society that created the van attack.

As birthworkers, we see and snuggle many brand-new babies. Every single one is special and they all deserve to grow up and live the lives they create for themselves based on the values that were cultivated in childhood. The presence of hate in the world makes this right impossible to realize for all children, so hate must be eradicated.

To our Israeli, Jewish, Muslim, and Palestinian alumni and audience, we know this has been an unbearably distressing last few months within your communities here in Canada and internationally. As birthworkers in your communities, you have had to process your own feelings while supporting birthers in your community who are under incredible strain. We know that extreme stress can contribute to complicated pregnancies and challenging outcomes. We see the vital work you are doing in your communities at this time and we are continuing to extend our compassion and support.

As doulas, we will continue to shine a light on hate in the healthcare system, institutions, communities, and ourselves. Only when hate is diligently brought out into the open and swept away can we have communities where all life is truly respected and it is safe for all children to grow. 

If you are looking for guidance on how you can support your community and access support for yourself at this difficult time, please visit our blog post “Our Hearts Are With You” from November 10, 2023. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][vc_column_text css=”.vc_custom_1706554746991{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression birth community

Facilitating Accountability

[vc_row][vc_column][vc_column_text css=”.vc_custom_1706107261056{margin-bottom: 0px !important;}”]As birth workers, we often see things or hear things from our clients that should not have happened. It could be an ultrasound tech sharing an interpretation that is later contradicted by their primary care provider, causing the patient confusion and anxiety. It could be membrane sweeps, AROMs, or episiotomies performed without the client’s consent. Or nurses disclosing information to family members while the client is unconscious, leaving the patient to receive a broken telephone story from their family later. 

 

These incidents range from irritations to serious breaches of practice standards, and things are more likely to “just go wrong” for systemically marginalized people. Clients are usually at a loss as to how to seek accountability or believe they can do nothing to address the harm they’ve experienced. 

 

Some may be aware of complaints processes that exist, but concerns about outcomes on either end of the spectrum – nothing will happen, or the worker will get fired – are often a deterrent. And of course, our clients who have just had babies or experienced a loss may simply not have the time and energy to engage with a complaints process.

 

In truth, there are far more opportunities to address what happened than most people think. Speaking up can lead to many positive outcomes, including a faster return to well-being for the client, and learning and improved practice on the part of the care provider. The processes focus on restorative justice, learning, and growth, rather than punishing the provider.  There is an understanding that the vast majority of workers in the healthcare system care about people and want to help. The options outlined below are suitable depending on the context and seriousness of what happened.

 

Speaking with the Care provider directly

For my clients who decide to speak up about their experience, this is usually the option they go with. This is especially true of midwifery clients who have an ongoing relationship with their care provider. 

 

We can support clients in this process by clarifying the concerns and rehearsing the conversation to make sure key points are captured and that the client feels empowered to self-advocate. 

 

I’ve seen improved treatment relationships and greater client well-being arise from these conversations. Especially in the case of complex births, creating a safe environment to debrief the experience with the provider is essential. Debriefing a traumatic birth with the care provider is a protective factor against birth trauma.

 

Engaging the Care Team

If multiple people are involved in a client’s care, sometimes a care provider with whom the client has a positive relationship can be a liaison between them and a provider with whom the client is having challenges. For example, in the case of the oversharing ultrasound tech mentioned above, it might be appropriate for the midwife or OB’s clinic to reach out to the ultrasound clinic to let them know about the impact this had on a client. This leverages the clinics’ mutually supportive relationship that should incorporate giving and receiving constructive feedback. 

 

Patient Relations and other “in-house” processes

Talking with the provider directly isn’t always the right option. This is especially likely to be true in a dynamic where the client felt intimidated or belittled by the provider, such as a discriminatory incident. Our debriefs with clients can explore their level of comfort with the various options.

 

Depending on the setting in which the care took place, there is usually an internal process for raising concerns. For example, most hospitals have a patient relations department that can work with you to resolve issues. There is often a mechanism for the hospital to anonymize information raised with the provider. Staff within patient relations will investigate the complaint and decide on the best way to address it. This could include seeking an apology from the care provider, supporting them to learn from what happened, or more serious action depending on the nature of the complaint.

 

Regulatory Body

Suppose a client has a serious concern about someone involved in their care who is a member of a regulated health profession. In that case, they have the option of filing a complaint with the care provider’s regulatory body. In Ontario, these regulatory bodies are called “Colleges”. They may be called “Boards” or “Associations” in other places.  If you’re unsure of the system where you live, I recommend searching for “regulated health profession [your province/state]” and finding out more about health professional regulation where you live, especially for the professions providing perinatal healthcare, such as nursing, midwifery, medicine, pharmacy, and diagnostic imaging.  

 

Professional regulatory bodies fulfill a range of functions including setting educational requirements, registering members, setting professional standards, and investigating complaints and reports. 

 

Anyone can go to the College with a complaint about one of their members. When health professionals work in settings where they have oversight, such as a hospital or clinic, management is legally required to report certain types of information to the regulator. It’s one of the reasons why it’s always best to take the complaint somewhere internal first. 

 

A range of things can happen, such as a letter with recommendations, reflection exercises and activities to support professional development, and a meeting with an expert in an area where more learning is needed. In some instances, the regulator may take no action. In some situations, the College can pursue an internal prosecution of the member. Again, a range of outcomes is possible, including having their license to practice their profession removed. This outcome is very infrequent.

 

Complaints Commissioner, Ombudsman, etc.

Provinces in Canada have arms-length government bodies that ensure the quality of public services such as healthcare. In Ontario, complaints regarding healthcare can be taken to the patient ombudsman. In Quebec, complaints can be made with the Complaints Commissioner. This 2022 case study explored the advocacy potential of many individuals accessing this complaints process. In 2019, “Obstetric violence” became a focus of media attention in Quebec due to a series of articles published in La Presse about experiences during childbirth, including inappropriate comments, procedures performed without consent, and being separated from babies. In the weeks following these publications, the Complaints Commissioner received an influx of complaints that spoke to a systemic pattern. The Commissioner is well placed to liaise with government policymakers and she produced a report with recommendations aimed at improving perinatal care. This led to several outcomes, including workshops for service providers on communication, information sharing, and consent.

 

“It’s me, hi! I’m the problem. It’s me”

Transparency with our clients about accountability includes making sure they know what their options are if they have concerns about us! Keeping the lines of communication open so they feel comfortable coming to us with concerns is ideal. If a client has a concern about a certified doula or perinatal educator that can’t be worked out, the client can go to their certification organization. In Ontario, If clients have concerns about how their personal information was used or shared, they can file a complaint with the privacy commissioner.

 

Seeking accountability has the potential to be healing and empowering for clients, while providing a learning opportunity for the client. When working with diverse humans at a sensitive time, hearing critical feedback compassionately and receptively is integral to our ability to grow in our practice. It may not always feel great in the moment, but if we reflect honestly on constructive feedback, it can be a wonderful catalyst for deepening our practice.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][vc_column_text css=”.vc_custom_1706107304539{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
birth Business Canada Childbirth Educator

Insurance Announcement

[vc_row][vc_column][vc_column_text css=”.vc_custom_1707147428773{margin-bottom: 0px !important;}”]We are thrilled to announce a huge win in our movement for better access to doula care in Canada. Effective immediately, Sun Life has approved that Doula Training Canada certified doulas are on the list of approved providers whose clients can use their benefits for coverage IF they have that coverage in their plan!

This will make it easier for thousands of people to afford the cost of this life-changing support. Doula Canada is so proud to be considered a leading certification organization for doulas in Canada and find itself listed alongside the two other largest organizations internationally (DONA and CAPPA). As we continue our strategic growth initiatives, we will continue to expand the work we do to advocate for families’ access to doula care in Canada and around the world. 

How to Help Your Clients Get Reimbursement

For your clients to be able to submit receipts for reimbursement from Sun Life, invoices must contain the following information:

  • Your Full Legal Name and company name
  • Address
  • Services provided
  • Service dates

Price (if you collect tax, your tax number is legally required to be on all your receipts/invoices)

The certification/graduation number that was included in your graduation letter from DTC.

Please also keep in mind that not everyone that has SunLife coverage will be able to use their benefits for doula reimbursement. Insurance and benefit plans are complex and vary from person to pereson. Clients should confirm their coverage to be sure of what might be covered.

If you would like us to send you an updated certification document with your certification number please email us at info@doulatraining.ca and we’ll be happy to email you a new certificate.

While this is undoubtedly a huge win for DTC doulas and our clients, we don’t intend to rest on our laurels. We will use what we have learned from our success with Sun Life to continue to advocate for more insurance companies to cover doula care! A reminder that each person’s plan is different and not all customers will qualify. They should check with Sunlife for their specific coverage. 

If you have any questions please feel free to email us anytime at info@doulatraining.ca

Doula Training Canada

www.DoulaTraining.ca[/vc_column_text][/vc_column][/vc_row]

Categories
birth community Equity Trauma

National Day of Remembrance & Action on Violence Against Women

[vc_row][vc_column][vc_column_text css=”.vc_custom_1701888370897{margin-bottom: 0px !important;}”]National Day of Remembrance and Action on Violence Against Women (December 6) hits a bit different for me this year. On December 6, 1989, 14 young women were murdered at Polytechnique Montreal. The women were pursuing degrees in engineering. Their murderer felt that by entering into a male profession these women were usurping a place in society that rightfully belonged to him. He ordered their male peers from the room at gunpoint to make sure we knew this was about hating women.

Earlier this year, doulas were targeted for gender-based violence because of their career choices. In this instance for choosing a feminized profession, the intimate and sexualized nature of which could be exploited by a fraudulent predator. As a result of the persistent efforts of the fraudster’s victims, she was arrested in March of this year and the situation did not escalate to worse violence. Still, I’m left with many questions about the climate of fear, suspicion, and infighting that existed within the doula community for months while police and other organizations that are supposed to protect the public did nothing to stop this person’s malicious, harmful behaviour. This despite so many incidents where woman-hating behaviour has escalated to femicide.

In Sault Ste. Marie in October, a known perpetrator of intimate partner violence murdered 5 people, including 3 children, adding momentum to a national call for gender-based violence to be declared an epidemic. We at Doula Canada wholeheartedly support this call, and add our voices to it. As birth workers, we know that pregnancy and postpartum are vulnerable times. Existing IPV often worsens, and in many instances, this is when it starts.  

Our own safety also matters in doing this work. We are often behind closed doors, in people’s homes, providing intimate care one-on-one. It’s not constructive to approach care work from a place of fear. Statistically, our clients are more likely to be victims of violence rather than perpetrators. However, one of the most disturbing things I learned from events earlier this year is that there is a casual normalization of sexual harassment in this field. Several people posted about having their time wasted by solicitation from fetishists posing as birth clients, as though this was simply par for the course. Privately, I’ve heard stories of doulas being sexually harassed by a client’s partner in the client’s home, and not knowing of any options for recourse. Earlier this year, when birth workers were being targeted, many birth workers focused on the perpetrator’s well-being rather than the well-being of a growing number of victims.

The reason for this attitude is the same as the reason why some jurisdictions (such as the province of Ontario) have refused to declare GBV an epidemic. And it’s the same reason why opportunities to stop the perpetrator in the Sue before he killed were missed. GBV occurs in the context of normalized systemic misogyny. Even in a profession aimed at reducing reproductive violence for our clients, we’ve forgotten to expect more for ourselves.

Alongside growing our conversation about GBV in relationships, we need to shine a light on occupational GBV. In other fields where home visits are carried out by a largely feminized workforce (e.g. nurses, social workers), trainees are given guidance on spotting red flags, mitigating risk, and acting to effect accountability. We’re going to start doing that here at Doula Canada. On Jan. 23 we will open this much-needed conversation by hosting a webinar on GBV in birthwork and how we can take charge of our community’s safety. We owe this to ourselves and each other. 

Webinar Details Here: https://stefanie-techops.wisdmlabs.net/training/webinar-gender-based-violence-in-support-work/

It is fitting that Women’s Remembrance Day falls within UN Women’s 16 Days of Activism Against Gender-Based Violence campaign. For ideas for actions you can take against GBV check on this resource on Canadian Women Foundation’s #ActTogether Campaign. https://canadianwomen.org/acttogether-campaign/

*If you are unfamiliar with the events of earlier this year that I reference in this article, you can learn more about that here: https://www.cosmopolitan.com/lifestyle/a44866427/kaitlyn-braun-doula-pregnancy-accused-fraud-harassment/

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1701888381111{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
birth community Trauma

Domestic Violence Awareness Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1698759996931{margin-bottom: 0px !important;}”]Let Clients Know You are a Safe Person to Disclose to about Intimate Partner Violence

For one-quarter of women who experience DFV [Domestic and family violence], the violence begins during pregnancy. Where violence was previously occurring, it escalates in frequency and severity during pregnancy and early motherhood.” (Baird et. al., 2021)

Based on this disturbing truth, Baird and many other researchers recommend that all pregnant women be screened for intimate partner and domestic violence. There is a fair amount of controversy and debate within international healthcare systems and among individual providers regarding whether or not to implement this recommendation. 

Unfortunately, vulnerable pregnant people and children are caught in the middle of that debate. In Sault. Ste. Marie on Oct 24, 2023, 5 people including 3 children were killed due to domestic violence, renewing calls for intimate partner violence to be declared an epidemic.

We can avoid getting bogged down by debate and discomfort and put the well-being of birthers and families first by being a safe zone for clients to disclose IPV and other trauma. Here are some strategies I’ve used universally to let clients know they can tell me about domestic abuse. I can’t go into details for obvious reasons, but suffice it to say, these strategies work.

I’d love to hear from you in the comments about what you’re doing to support clients to open up about abuse and violence.

Create a Cone of Silence

When couples retain my services, my welcome email explains how each individual can communicate with me confidentially. The email is clearly a template, so it’s obvious that I’m not putting that out there for personal reasons. 

Then I initiate a chat with the birther via a communication channel that is obviously exclusive to them and me, usually a chat with a cell phone number that I know is theirs. This strategy isn’t perfect since many abusive partners closely monitor the victim’s communication channels. Still, including this in the welcome email normalizes situations where information should not be shared between partners.

Ask Everyone About Stressors

I ask clients to complete my intake questionnaire individually rather than as a team. The questionnaire invites the client to share about stressors in their home environment. I’m aware that not everyone might answer a question as blunt as “Are you being abused by your partner?” candidly, especially with someone they are still getting to know. Additionally, abuse can take many shapes and often goes unrecognized. Clients disclose a range of domestic issues in response to this question. Even if nothing is shared at that time, it sends a clear message that I am open to talking about practical, social, and emotional aspects of their pregnancy journey.

Leverage One-on-One Moments

Some things come out much more easily face-to-face than they do in other ways. Unfortunately, our work prenatally and postpartum often occurs while both members of a couple are present. I take advantage of times when the birther and I happen to be one-on-one to initiate conversations about the birth and postpartum life. I let all of my birthers know that while I’m here to support them as a team, the buck stops with them. If I have to make a choice, I’m ride or die for the birther. 

Have Resources at the Ready if Someone Discloses Abuse 

However the birther decides to handle the situation, I make sure I know about local resources that can support them in that choice. This encompasses therapists, organizations that support women to develop safety and escape plans, community legal clinics, and food security resources. 

 

For folks in Ontario, contacting the Assaulted Women’s Help Line is a great way to start figuring out your options to address intimate partner violence. 1.866.863.0511

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1698759879666{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”520952″][/vc_column][/vc_row]

Categories
Anti-Oppression birth Canada community Equity Trauma

International Day for the Eradication of Poverty

[vc_row][vc_column][vc_column_text css=”.vc_custom_1698093869318{margin-bottom: 0px !important;}”]The rising cost of food and collective grocery store anxiety rest on a bed of other precarious conditions. The price of everything has gone up. We are still seeing empty shelves in stores “post” pandemic as we head to the mall in shorts on a 33-degree October day. There are numerous causes for feeling uncertainty.

When society gets taken for a ride, children come right along with us. As someone who works with babies and families, on International Day for the Eradication of Poverty I’m reflecting on the fact that 50% of the world’s children are affected by poverty

Most of these children are not where I am sitting, in a high-cost-of-living, high-standard-of-living urban centre in Canada. However, people where I am are still afraid of not having enough, and it’s making many people afraid to start a family.

These fears are justified. Raising children is expensive, and we are facing a food crisis, a housing crisis, a climate crisis, and a healthcare crisis. People and families live in a lot of isolation which makes feeling secure challenging. Poverty has a significantly adverse impact on outcomes during pregnancy and childbirth, and on how all aspects of your life go from there.

Support from a doula reduces the risk of many of the adverse outcomes that poverty increases the risk of. Sadly, individuals who can benefit the most from improved outcomes are those who are least able to pay the cost of hiring a doula. 

Doulas and birth workers are a compassionate bunch. No one in this profession is here to get rich, and we want to provide our services to people who can benefit from them the most. However, we also have ourselves and our families to care for, and doing this work well takes time. Far too many kind-hearted people who have trained long and hard and love this work leave after a few years, turning to less rewarding work that pays the bills. When this happens, the doula’s skills go to waste and their community loses out on the transformative care they could have received.

Advocates within the doula sphere are exploring options to improve community access to doula support while making a long-term career in this field more sustainable. At Doula Canada, we are doing our part by developing a briefing note that will elucidate opportunities and challenges in the current perinatal care landscape, the potential for doulas and childbirth educators to leverage these opportunities and solve these challenges, and models whereby doula care could be cost-effectively funded by a mix of social partners including different levels of government, insurance companies, and foundations. This initiative is directed by the Advocacy Working Group, comprised of Doula Canada members and staff. The Advocacy Working Group is part of our commitment to manifest a culture of equity, diversity, and inclusion (EDI) action within our school. Stay tuned for more on the Doula Access Initiative in the coming months.

To connect with the Advocacy Working Group at Doula Canada, email Keira Grant, EDI Co-Lead at keira@doulatraining.ca.

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.

 [/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression birth Equity

Women’s History Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1696691842834{margin-bottom: 0px !important;}”]For much of human history and in a myriad of cultures, the ability to create life was revered and seen as a source of power. When Rachel from friends, overdue with Emma famously says “No uterus, no opinion” – she’s describing an attitude that used to be a given. Things started to change in the mid-19th century as the then-exclusively male profession of medicine and the burgeoning specialty of gynecology gained legitimacy and brought reproductive health under its control.

When you control the uterus, you quite literally control the social order. You assume control of the means of producing the next generation, who gets to have a “legitimate” family, and who does not. 

For as long as patriarchy has sought to control women and people with uteri by controlling reproduction, we have resisted and fought relentlessly to bring reproduction back under our control and keep it there. 

October is Women’s History Month and this year’s theme is “Through Her Lens: Celebrating the Diversity of Women”. 

The diverse, heroic people who have fought for reproductive justice, access to choice, and humanized birth are countless, spanning time, place, age, race, gender, sexuality, ability, class, religion, and the full array of human experiences. By sharing a few of their stories, we begin to tell the story of our ongoing struggle for reproductive freedom through their lens. 

The work of these pioneers and modern-day heroes is part of the fabric of all we do as doulas, childbirth educators, and birth keepers to ensure that pregnancy, birth, mothering, and parenthood are empowered, affirming choices and experiences.

The featured figures in women’s history offer a lens through which can explore the movements that have shaped the context of birth work in the 21st century.

Dr. Elizabeth Bagshaw & Nurse Dorothea Palmer

Elizabeth Bagshaw started her medical studies at the University of Toronto in 1901 at the age of 19 and began practicing medicine in Hamilton, Ontario in 1905. The medical profession was overwhelmingly dominated by men at the time. The limited number of women in the profession were excluded from specialties such as surgery and steered toward obstetrics or pediatrics. As a result, maternal health quickly became the primary focus of Dr. Bagshaw’s practice. In 1932 she was asked to become the medical director of Canada first birth control clinic, which was illegal at the time. Despite the legal risks, Dr. Bagshaw accepted the role because she “understood that neglecting health care that only women need contributes to their subordination.” Bradshaw’s practice at the clinic consisted largely of fitting women for diaphragms and conducting follow-ups. The clinic served 400 women in its first year of operation.

At the time that she assumed the role, the Great Depression was ravaging society. Men were out of work, children were hungry, and maternal mortality was high. Women were dying from botched abortions. Family planning options were urgently needed. Despite these conditions, sharing birth control information was illegal and considered immoral by many. Bagshaw and her collaborators were called “devils” and “heretics”. 

The controversy came to a head in 1936 with the trial of Ottawa-based reproductive health nurse Dorothea Palmer. Palmer was charged with advertising birth control during home visits to discuss family planning. Palmer’s defence successfully argued that she had acted in the public good and she was acquitted. This defense was successful again on appeal, making things easier for Bagshaw’s clinic and other early family planning pioneers, although the law making advertising birth control illegal was not reppealed until 1969..

June Callwood 

June Callwood was a Canadian activist, journalist and writer who co-founded the Canadian Abortion Rights Action League in 1973, along with Kay Macpherson, Lorna Grant, Eleanor Wright Pelrine, Esther Greenglass, and Henry Morgentaler. Over the course of the 1970s and 1980s the organization played a pivotal role in the journey to full decriminalization of inducing an abortion in 1988.  After this milestone, CARAL continued its work to ensure equitable and safe access to medical termination of pregnancy.

June Callwood was also known for her journalism in support of social justice and women’s rights. Over the course of her journalistic career she wrote for the Globe & Mail, Chatelaine, McLeans, and other major Canadian publications.

As an activist, she was involved in co-founding over 50 social service organizations, including Casey House a hospice for people with AIDS and Jessies: The June Callwood Centre for Young Women, which provides a range of social services to young women and trans people experiencing pregnancy.

Dr. Galba Araujo

The Humanizing Childbirth movement began in Fortaleza, Brazil in 1975 when Obstetrician Galba Araujo pioneered a program to train traditional midwives and partner them with hospitals. His project gained international recognition, and acted as a catalyst for the World Health Organization to host a conference on technology and childbirth in Brazil in 1985. 

In 2000, the first annual conference on humanizing childbirth was held in Fortaleza Brazil, revitalizing interest in the Humanized Birth movement for the 21st century. This movement aims to de-medicalize birth and create a process wherein relationships and communication are centred and where personal and spiritual transformation are possible. 

While Dr. Araujo’s contribution was undoubtedly central to this movement garnering international recognition in mainstream medicine, the principles of this movement are drawn from woman-led traditional Indigenous midwifery in Brazil and other part of the Americas. 

Reverend Alma Faith Crawford

Reverend Alma Faith Crawford is one of 12 Black women who coined the term “reproductive justice” in 1994 and founded an anti-racist feminist movement aimed at equipping women of all races, classes, and sexual and gender identities with the option to choose to have family, whether through accessing adequate support to childrear, or by accessing options to prevent or terminate pregnancy. The organizing framework they developed for Women of African Descent for Reproductive Justice recognizes that the rage of choices available to a person are impacted by a person’s social experience, with people experiencing injustice and marginalization having diminished access to choice. Maintaining each individuals human right to reproductive justice involves dismantling all forms of social injustice at the deepest level of the system. In addition to equitable abortion access, reproductive justice advocates call for access to social services that would make is possible for more people to raise families with well-being.

Reverend Crawford also organizes with interfaith pro-choice advocacy organization Religious Coalition for Reproductive Choice. She continues her intersectional social justice work as a senior coach for Pastors Without Borders. As clergy in the United Church, she and her partner Karen Hutt create welcoming and loving spaces for members of the Black, LGBTQ+ community. 

Nurse Courtney Penell

Courtney Penell is an Indigenous labour and delivery nurse in Nova Scotia who performed the first smudge ceremony in a Halifax hospital in June 2023. Her ability to perform the ceremony in the hospital came at the end of 10 years of advocacy, that included collaboration with the hospital and the fire department to resolve safety concerns. The long-fought-for policy was implemented just days before her nephew’s birth, allowing her sister to become the first person to receive the ceremony in the hospital. Smudging is an important Indigenous ceremonial and medicinal practice that involves burning sacred herbs such as sage, cedar, sweetgrass, and tobacco. The specifics of the ceremony vary from Nation to Nation. Penell performed the ceremony according to her family’s Mi’kmaw traditions. 

Courtney Penell’s advocacy is part of a Canada-wide Indigenous movement to decolonize birth by reclaiming traditional practices and ceremonies, bringing birth back onto ancestral lands, introducing traditional first foods, and other liberatory actions. 

 

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1696691935455{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_single_image image=”520907″][/vc_column][/vc_row]