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Discussion Starter #1
For those of you who offer both monitrice and doula services, do you charge more for the monitrice package than the doula services alone?
 

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You know...because you haven't had any responses, I will respond that after a lot of thought, I have chosen not to offer services outside of the regular doula labor support stuff, even though I could offer more at this point, skill wise. I think that it's just too much responsibility, frankly. I strongly believe that most people would hire a monitrice to stay home as long as they can "safely" before going to the hospital. When I ask people WHY they want to go to the hospital, it is often because they feel "safer" there. So...why hire a monitrice then, to stay home as long as they can, away from the hospital. If they want to be monitored, as they would be at the hospital, they should probably be at the hospital. Just my thought process.<br><br>
Once I had my CPM, I MIGHT decide to charge more to do the monitoring before we left for the hospital if I was working as a doula...but again, frankly, if they want the homebirth, why not have the homebirth? I can think of a few births I know of where that wouldn't be fair, where a person really is high risk but pretty much just when pushing (one of them has a swelling disorder and pushing <b>can</b> cause major issues where she might need plasma...), but those are pretty rare!<br><br>
That said, I have waffled a few times, because it would give me good practice, especially with vaginal exams. *shrug* Still, I have to say that I just won't go there until I have my certification. If they want an "expert" in the end, I have a feeling if something went wrong, and I'm not yet certified, it could be bad.
 

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Discussion Starter #3
I agree about the extra responsibility. It is the reason that I haven't offered these services until now. I am starting my midwifery practice and feel like from a place of legal liability that it is a bit safer for me to do this now then before.
 

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At one point I was going to offer monitrice services for an add'l fee but never had any monitrice clients and now I'm only taking on mw'ry clients. When I was searching around online, it seemed like most doulas would charge $100-$200 extra to put on their monitrice hat.
 

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I am curious about montrice services, too. I am a L&D nurse, doula at heart, and have brainstormed how to put this all together. I wasn't sure about the legal stuff though. I will be watching this discussion!
 

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<div>Originally Posted by <strong>clovergirl33</strong> <a href="/community/forum/post/14114733"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I am curious about montrice services, too. I am a L&D nurse, doula at heart, and have brainstormed how to put this all together. I wasn't sure about the legal stuff though. I will be watching this discussion!</div>
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Definitely check your local regulations. In Ontario monitrice services would be illegal. I imagine there are some doulas who are offering such services, but if so they're pretty quiet about it. There are also a few TBAs - traditional birth attendants - offering private midwifery services, but they can't call it that if they're not registered midwives. No judging here, just explaining. :)
 

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I rarely take on hospital births now (it can be way too frustrating) but if I agree to work as a monitrice then I do charge $200 more than I used to as a doula. So, $300 as a doula and $500 as a monitrice. It is extra work for me, I take extra equipment (everything I would take to one of my HB's actually, as a precaution), so I charge extra.
 

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Discussion Starter #8
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<div>Originally Posted by <strong>jljeppson</strong> <a href="/community/forum/post/14118322"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I rarely take on hospital births now (it can be way too frustrating) but if I agree to work as a monitrice then I do charge $200 more than I used to as a doula. So, $300 as a doula and $500 as a monitrice. It is extra work for me, I take extra equipment (everything I would take to one of my HB's actually, as a precaution), so I charge extra.</div>
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That makes total sense to me. I guess I will put a higher price tag on it.
 

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<div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">I rarely take on hospital births now (it can be way too frustrating) but if I agree to work as a monitrice then I do charge $200 more than I used to as a doula. So, $300 as a doula and $500 as a monitrice. It is extra work for me, I take extra equipment (everything I would take to one of my HB's actually, as a precaution), so I charge extra.</td>
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I could have written that post. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I do the same.
 
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