Training manual
A complete training manual for birth doulas. Second edition.
965 pages. Five units. Twenty-one chapters. The cleanest evidence base in doula education, paired with the warmth of a mentor who has actually done the work.
The training manual that takes the work seriously.
Written by a registered nurse, lactation consultant, and ICEA-approved doula trainer with more than fifteen years of maternal-newborn experience. This guide moves through the full arc of perinatal care — from the first prenatal visit through the postpartum year — with the clarity of a clinical textbook and the warmth of a mentor who has actually done this work.
It names the racial disparities in maternal mortality. It teaches what to say when a baby has died. It gives you the language for every difficult moment and the structure to stay in this work for years.
Passion brought you here. This book will prepare you to stay.
Paperback · 965 pages · First-class evidence base · Where evidence meets heart.
If you’re working through a doula certification — ICEA, DONA, ProDoula, community-based, or independent — this is the textbook the program assumes you have. It’s the manual that makes the rest of the curriculum click.
For the doula who has been to twenty births and wants the deeper why. The chapter on the second stage will change what you do at a bedside. The chapter on grief will change what you do when there is no birth at the end.
Labor and delivery nurses cross-training as doulas. NICU and postpartum nurses who want the full perinatal arc. Midwifery students looking for a non-academic companion to clinical training.
Trainers building a curriculum. Programs looking for a primary text. Universities offering perinatal electives. The book is structured for classroom use with chapter objectives, summaries, and review questions.
Unit One · Foundations
The role of the doula. Scope of practice. The history of birth work in the United States. Racial disparities in maternal mortality named clearly. The ethical and legal frame for everything that follows.
Unit Two · Pregnancy
Anatomy and physiology of pregnancy. Common discomforts and red flags. Prenatal visits, screening, and decision points. Mental health across pregnancy. Building the prenatal relationship.
Unit Three · Labor & Birth
The mechanics and emotional landscape of every stage of labor. Comfort techniques with evidence behind them. Cesarean birth as a normal birth. Interventions, complications, and how to advocate without overstepping.
Unit Four · Postpartum & Newborn
The fourth trimester. Newborn assessment and care. Lactation, supplementation, and feeding without dogma. Postpartum mood disorders. The slow return to wholeness.
Unit Five · The Doula in the System
Building a sustainable practice. Working with hospitals, providers, and other birth workers. Bereavement and pregnancy loss. Trauma-informed care. Staying in the work for the long haul without burning out.
“Sick until proven healthy — or healthy until proven sick. The mindset you bring to the room shapes the room. Every chapter teaches you which mindset to walk in with.”
— from Chapter 9, on intervention thresholds
Intro Boxes, Clinical Notes, Doula Scripts, Case Files, and Key Takeaways — the same scaffolding throughout the whole book, so you can scan a chapter and find what you need.
Every term defined where you first meet it. A master glossary in the back. No assumed vocabulary, no reader left behind.
End-of-chapter review with a full answer key in the back of the book. Designed for self-study, classroom use, or board-style preparation.
Real language for hard moments. What to say to a partner. What to say to a provider. What to say in a room where a baby has died. Ready to use, never canned.
Available now from books.by. Paperback, 965 pages. Highest royalty goes directly to the work.

For doula training and certification, visit Mary’s Hands Network — an ICEA-approved community doula program providing free and reduced-cost doula services to Louisiana families.
Visit MHN →