To mrsandmrs...great question! Most doulas have a clause in their contract about c-sections. Just ask your potential doula what her policy is, and don't be afraid to bargain with her if she doesn't have a policy. In the event of an emergency c-section your doula will have been with you for the duration of labour up to that point, and she will wait until your are in recovery and then will stay with you still for a couple of hours afterwards...so she has still supported you even though not at the actual moment of birth. Some hospitals will allow the doula into the OR with you. In the case of a planned c-section after signing on with a doula, I for example, offer a reduced fee if I have enough notice of the change in birth plan (two weeks), and I still do prenatal visits to help prepare for the birth, attend pre-op and wait for mom after surgery, or I offer twelve hours of postpartum support as opposed to the standard 1-2 hours follow up visit, in lieu of not being present at the birth but still receive the full fee. So my point is I am flexible, and many other doulas are as well......just ask ;)
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