Birth & Postpartum Doula Training

Comprehensive Online Education + Two Days of Hands-On Training

Learn to confidently support families through pregnancy, labor, birth, breastfeeding, postpartum recovery, and the transition into life with a newborn.

DFW Community Birth School's 32 Hour Birth & Postpartum Doula Training combines structured online education with two full days of hands-on training, practical skills, realistic scenarios, and competency evaluation.

This isn't simply a weekend workshop.

Students complete comprehensive education in childbirth, labor support, lactation, postpartum care, trauma-informed care, cultural humility, maternal and newborn warning signs, professional collaboration, and the practical realities of working as a doula.

Carrot Approved

Texas Medicaid/HHSC Curriculum Review Pending


Train for the Work Doulas Actually Do

Birth support is more than learning hip squeezes and breathing techniques.

A professional doula needs to understand normal pregnancy and birth, recognize when something falls outside normal support, communicate effectively with families and healthcare professionals, support feeding and postpartum recovery, work with families whose experiences and beliefs may be very different from their own, and understand exactly where the doula's scope ends.

Our program combines education with practical application so students don't simply learn what doulas do, they practice how to do it!

A Comprehensive 32 Hour Curriculum

Your training includes:

16 Hours Online Education

Complete foundational coursework before attending your hands-on training.

16 Hours In Person

Attend two full days of hands-on skills, demonstrations, simulations, case discussions, and competency evaluations.

Three Birth Experiences

Certification requires documentation of attendance at three births.

Three Professional Recommendations

Students complete the professional-reference requirements before final certification.

HIPAA Training Included

After completing all other certification requirements, students receive access to HIPAA Privacy & Security Training at no additional cost.


What You'll Learn

Pregnancy & Prenatal Support

Learn normal pregnancy physiology, fetal development, common prenatal testing, pregnancy discomforts, birth preparation, birth settings, informed decision-making, community resources, nutrition, and the appropriate role of the doula during pregnancy.

Required Reading

Real Food for Pregnancy, Lily Nichols

Childbirth Education

Understand what is happening physiologically during labor and birth so you can explain it to families in understandable language.

Topics include:

  • Hormonal physiology of labor

  • Signs and stages of labor

  • Normal variations in labor

  • Fetal positioning

  • Rupture of membranes

  • Induction and augmentation

  • Fetal monitoring

  • Pain management options

  • Epidural anesthesia

  • Assisted vaginal birth

  • Cesarean birth

  • VBAC awareness

  • Immediate newborn transition

‍Hands On Labor Support

Knowing a comfort technique and being able to use it effectively during labor are two different things.

During the in-person training, you'll practice:

  • Labor positions

  • Maternal movement

  • Birth-ball techniques

  • Peanut-ball techniques

  • Massage

  • Counter pressure

  • Double hip squeeze

  • Sacral pressure

  • Rebozo techniques

  • Hands-and-knees positioning

  • Lunges and asymmetrical positions

  • Rest positions

  • Heat and cold

  • Breathing and relaxation

  • Environmental support

  • Partner-assisted techniques

You'll also learn how to modify support for back labor, prolonged labor, induction, epidural anesthesia, limited mobility, maternal exhaustion, and changing birth plans. ‍

‍Lactation & Infant Feeding

Doulas are often among the first people families turn to when feeding isn't going as expected.

Learn the foundations of:

  • Lactation physiology

  • Lactogenesis

  • Skin-to-skin

  • Newborn feeding cues

  • Breastfeeding positioning

  • Principles of effective latch

  • Normal feeding frequency

  • Infant intake and output

  • Hand expression

  • Pumping

  • Establishing and protecting milk supply

  • Engorgement

  • Common breast and nipple concerns

  • Supplementation

  • Paced bottle feeding

  • Formula-feeding support

  • Respecting family feeding choices

  • Recognizing concerns

  • Knowing when to refer to a CLC, IBCLC, pediatric provider, midwife, or physician

Hands-on lactation practice is included during the in-person training.

Postpartum & Newborn Support

Birth is not the end of doula care.

Learn to support families through:

  • Normal postpartum recovery

  • Vaginal-birth recovery

  • Cesarean recovery

  • Rest, hydration, and nutrition

  • Normal newborn transition

  • Feeding and elimination

  • Newborn behavior

  • Safe-sleep education

  • Newborn soothing

  • Partner adjustment

  • Sibling adjustment

  • Household transition

  • Practical postpartum support

  • Community resources

  • Appropriate professional referral


Know When Something Needs More Than Doula Support

Doulas don't diagnose or provide medical care. But we do need to recognize when a client or newborn needs additional help. Training includes recognition and appropriate referral or escalation for concerns involving:

  • Hypertensive disorders

  • Preeclampsia

  • Gestational and pre-gestational diabetes

  • Placental complications

  • Preterm labor

  • Rupture of membranes

  • Fetal-growth concerns

  • Cholestasis

  • Maternal infection

  • Postpartum hemorrhage

  • Postpartum preeclampsia

  • Sepsis

  • Thromboembolism

  • Cesarean and wound complications

  • Newborn jaundice

  • Poor feeding

  • Dehydration

  • Respiratory concerns

  • Abnormal newborn behavior

Students practice a simple professional framework:

Recognize → Remain Within Scope → Communicate → Refer or Escalate

Perinatal Mental Health

Learn to recognize and appropriately respond to concerns involving:

  • Baby blues

  • Perinatal depression

  • Anxiety

  • OCD

  • Birth related PTSD

  • Bipolar disorder considerations

  • Postpartum psychosis

  • Substance-use concerns

  • Suicide and self-harm warning signs

  • Mental health crisis

The goal isn't to turn doulas into mental-health clinicians.

It's to prepare doulas to recognize concerns, respond appropriately, maintain professional boundaries, and help families reach qualified care.

Trauma-Informed Doula Care

Pregnancy and birth can involve vulnerability, previous trauma, loss of control, and unexpected triggers.

Students learn principles of trauma-informed maternity support, including:

  • Previous sexual trauma

  • Medical trauma

  • Birth trauma

  • Trauma triggers

  • Consent

  • Touch and physical boundaries

  • Language

  • Maintaining client control

  • Intimate partner violence

  • Reproductive coercion

  • Avoiding re-traumatization

  • Professional boundaries

  • Appropriate referral

Required Reading

When Survivors Give Birth, Penny Simkin & Phyllis Klaus

Students then apply those principles through realistic in-person scenarios.

Pregnancy & Infant Loss

Doulas may find themselves supporting families through some of the most difficult moments of their lives.

Training includes:

  • Miscarriage

  • Stillbirth

  • Neonatal loss

  • Anticipatory grief

  • Principles of companioning

  • Supporting parents

  • Supporting partners and siblings

  • Memory making

  • Cultural and religious considerations

  • Communication following loss

  • Professional boundaries

  • Bereavement resources

Required Reading

Companioning at a Time of Perinatal Loss, Jane Heustis & Marcia Jenkins

Cultural Humility & Respectful Maternity Care

Providing culturally responsive care requires more than memorizing traditions associated with different groups.

Students learn to recognize their own assumptions, ask rather than assume, respect individual and family differences, and support families whose beliefs, backgrounds, resources, identities, or choices may differ significantly from their own.

Training addresses:

  • Cultural humility

  • Implicit bias

  • Avoiding stereotypes

  • Respectful maternity care

  • Racial and ethnic disparities

  • Black maternal-health disparities

  • American Indian and Alaska Native maternal health

  • Hispanic/Latina families

  • Asian and Pacific Islander families

  • Immigrant and refugee families

  • Religion and spirituality

  • Cultural birth and postpartum practices

  • Modesty and gender preferences

  • LGBTQ+ families

  • Diverse family structures

  • Disability and neurodiversity

  • Socioeconomic barriers

  • Health literacy

  • Language access

  • Professional medical interpreters

  • Cultural food and placenta practices

Required HHS Training

Students complete the U.S. Department of Health and Human Services Culturally and Linguistically Appropriate Services (CLAS) in Maternal Health Care training as part of the program.

Students then apply these principles during in-person maternity-care scenarios.

Working With Hospitals, Clinics & Birth Teams

Being a strong advocate does not mean being adversarial.

Students learn how to work professionally with:

  • Hospitals

  • Physicians

  • Nurses

  • Midwives

  • Birth centers

  • Community-birth teams

  • Lactation professionals

  • Mental-health professionals

  • Pediatric providers

  • Community organizations

Training includes helping clients formulate questions, supporting informed decision-making, maintaining doula scope during disagreement, navigating unexpected changes, supporting transfers between settings, and communicating concerns professionally.

Two Full Days of Hands-On TRAINING

Day One

Birth Doula Skills & Labor Support

Practice labor support skills and then put them together through realistic birth scenarios.

Training includes:

  • Labor positioning

  • Comfort measures

  • Birth and peanut balls

  • Rebozo

  • Massage and counterpressure

  • Partner support

  • Back labor

  • Prolonged labor

  • Induction

  • Epidural support

  • Cesarean support

  • Hospital communication

  • Advocacy

  • Changing birth plans

  • Birth simulations

  • Practical competency evaluation

Day Two

Postpartum, Lactation & Professional Doula Practice

Day Two moves beyond birth.

Training includes:

  • Immediate postpartum support

  • Newborn transition

  • Breastfeeding positions

  • Latch support principles

  • Hand expression education

  • Pumping

  • Paced bottle feeding

  • Practical postpartum support

  • Maternal and newborn warning signs

  • Perinatal mental health scenarios

  • Trauma informed scenarios

  • Cultural humility scenarios

  • Professional communication

  • Referral and escalation

  • Client consultations

  • Documentation

  • Professional boundaries

  • Final practical competency evaluation

Certification Requires More Than Attending a Weekend

We want certification through DFW Community Birth School to represent demonstrated preparation, not simply attendance.

Students progress through three phases.

Phase One Education & Skills

Complete:

  • 32-hour curriculum

  • Online education

  • HHS CLAS maternal-health training

  • Required reading and assignments

  • Both in-person training days

  • Labor-support competency evaluation

  • Lactation competency evaluation

  • Cultural-humility and trauma-informed scenarios

  • Written final examination with a minimum score of 80%

  • Practical final evaluation

  • Professional community-resource directory

  • Professional Scope of Practice & Ethics Agreement

Phase Two Birth Experience

Students must document attendance at:

Three Births

Students complete a Birth Experience Verification and reflection for each birth.

Birth experiences may occur in appropriate hospital, birth-center, or planned home-birth settings.

Students also submit:

Three Professional Letters of Recommendation

Professional references should be familiar with the student's professionalism, reliability, communication, boundaries, collaboration, and suitability for professional doula work.

Phase Three HIPAA & Certification

Once all other certification requirements have been completed and verified, students receive access to:

HIPAA Privacy & Security Training

HIPAA training is included in tuition at no additional cost.

After successful HIPAA course completion, the student's final certification is issued.

Texas Medicaid / HHSC Training Pathway

DFW Community Birth School has developed a comprehensive 32-hour curriculum designed to address the core doula competency areas applicable to the Texas Medicaid doula pathway.

The curriculum has been submitted to the Texas Health and Human Services Commission (HHSC) and is currently pending formal review.

The program includes education in childbirth, prenatal and labor support, nonmedical comfort measures, lactation, postpartum support, acute and chronic perinatal health conditions, cultural competency, trauma-informed care, and interprofessional collaboration.

Our certification requirements additionally include three documented birth experiences, three professional letters of recommendation, and HIPAA training.

HHSC review is currently pending. Enrollment in or completion of this program should not be interpreted as HHSC approval of the training program unless and until formal approval is received.

Students pursuing Texas Medicaid enrollment should understand that completion of doula certification is only one component of the state's provider-enrollment process. Additional HHSC/TMHP requirements may apply.

Carrot Approved

DFW Community Birth School's Birth & Postpartum Doula Training is currently Carrot approved.

Eligible students may be able to use Carrot benefits toward training.

Coverage and reimbursement depend upon the individual's employer benefit and Carrot eligibility. Students should confirm their individual benefits before enrollment.

Who Is This Training For?

This program is appropriate for:

  • Aspiring birth doulas

  • Aspiring postpartum doulas

  • Current doulas seeking additional education and insurance reimbursement

  • Birth assistants

  • Childbirth educators

  • Lactation professionals

  • Midwifery students

  • Nurses and other perinatal professionals

  • Individuals interested in professional perinatal support

No previous birth work experience is required.

What You'll Leave With

After completing the educational and hands on portion of the program, you'll have:

  • A structured foundation in birth and postpartum doula care

  • Hands-on labor-support experience

  • Lactation-support practice

  • Experience working through realistic maternity scenarios

  • Trauma-informed-care education

  • Cultural-humility training

  • Maternal and newborn warning-sign education

  • Professional communication skills

  • A community referral network

  • A clear professional scope

  • A pathway for completing your three required birth experiences and final certification

Ready to Begin?

Birth & Postpartum Doula Training

32 Hours of Comprehensive Education
Online Coursework + Two Full Days In Person
Birth + Postpartum + Lactation
Three Birth Experiences Required for Certification
HIPAA Training Included
Carrot Approved
HHSC Curriculum Review Pending

Online Curriculum Opening November 1st

Hands On Training December 5th & 6th, April 10th & 11th

Frequently Asked Questions


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