Pregnancy & Labor Support

Preparing for labor and providing support

Are you ready to get matched with a Virtual Labor Support Doula?

Call us at 888.506.0607 x720 to do the intake by phone OR Sign up for a time that we can call you OR Complete this online intake

Labor Support Online Intake

Pregnant Person's Name*
First Last
Phone*
Email*
Non-Pregnant Partner's Name
if applicable
First Last
Partner's Phone
Partner's Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
What is parking like around your home?*
Please select all that are within a 2-block area around your home.
- Free street parking
- Permit parking - client to provide permit
- Metered parking
- Garage - free
- Garage - paid
- Driveway
Do you have any pets in your home?*
If yes, please include what type of animal/s and their name/s.
Expected Due Date*
Date Format: MM slash DD slash YYYY
Expected Birth Location*
Name of hospital, birth center or homebirth
Name of Doctor/Midwife*
How do you feel a doula can support you? What are you looking for in a doula?*
There are many established benefits to having labor support. Please share with us what is drawing you to exploring doula support.
What, if any, preferences or priorities may be forming for you around your birth experience?*
Are your wishes in line with your partner?
Childbirth & Parenting Preparations*
Have you taken or plan to take any classes on childbirth, parenting, breastfeeding, newborn care, etc? Are you reading any books on birth and/or parenting?
Health & Wellness*
Please share anything you would like to about your health history that will assist us in matching you with a doula. Please also include anything about your current fitness/movement: prenatal exercise, yoga, meditation/mindfulness, walking, swimming, etc.
Any cultural or family traditions you would like us to be aware of when matching you with a doula?*
I am interested in:*
- Traditional Package including in-person support
- All-Virtual Package
- I'm not sure and want to discuss
What is your budget for Labor Support?*
Traditional Packages range from $800-2000 and include: up to 3 prenatal visits, phone/email support throughout pregnancy, on-call starting at 37 weeks, day-of support with no time limit, 1 postpartum follow-up visit, 30 minutes of warmline support w/lactation team. Please tell us your budget range or maximum - we need this to start the search process. Call the office if you have questions.
Is there anything else you can share about yourself and about your partner that would help us to make a great match?*
Please share anything here that would impact the matchmaking process.

Get the Support, Comfort and Confidence You Deserve!

Let's Explore How We Can Help.

For over 20 years, Birthways has provided expert support for Chicago-area families during the childbearing year with compassionate, knowledgeable, and affirming care. Founded by renowned postpartum expert Karen Laing, our doulas are carefully screened, trained, supported and experienced to meet your unique needs. With expertise ranging from education to lactation to sleep, Birthways is committed to providing compassionate, affirming support for expectant and new families.

MEET BIRTHWAYS

Virtual Services
Labor Support
Postpartum Support
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Classes
About Us

3717 N. Ravenswood Ave. Suite 140 Chicago, IL 60613 888.506.0607