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Lorena Battistel sums up her work as a doula this way: "It's heart work. You don't really do it for the money. I'd only encourage a person to become a doula if they truly love the work."

Battistel has been a doula for many years -- she became involved while working as a childbirth educator. "I have a love of women and birth. Giving birth was a powerful and life-changing event for me.... I wanted to make the birth experience better for women and couples. When the birth experience is better, it affects them and makes them better parents."

Jo Osberg, a doula, feels it's an honor to support a woman through her pregnancy and birthing experience. "It takes a special kind of person... it's more like a calling. In my view, there's no profession more satisfying."

Osberg became fascinated by pregnancy and labor when she gave birth. She then began supporting her sisters and friends in labor -- well before she'd even heard of doulas.

When not doing full-time postpartum (after birth) work, Osberg does administrative work, makes business or networking calls, handles any required research, attends meetings, visits clients and plans prenatal instruction.

"You need to love working with pregnant, laboring and postpartum women. You won't get rich being a doula. But as the saying goes, 'There's no life like it.'"

Ann Tumblin, Doulas of North America (DONA) representative for North Carolina, has been certified for several years and has 20 years of childbirth education. Becoming a doula was a natural extension of her career.

Tumblin says some doulas work in hospitals and some are private contractors. "But not many are full-time doulas. At this point, I wouldn't recommend this as a full-time profession because it's not a guaranteed means of support," she says.

"Doulas offer support and work with women and their partners by acting as advocates and helping the parents ask the right questions. We try to reduce the chance of Cesarean [birth through surgery] and try to reduce the use of intervention."

Susan Martensen is also a member of DONA, and had a doula during the births of her second and third children. She finds the job fulfilling, but also challenging. "I'm most fulfilled when I work with a couple and facilitate the birth, but the couple themselves did it."

Martensen offers two prenatal visits, which usually means spending about four hours with the mother and partner. "There's a lot of telephone contact when you get closer to the birth. Then, when it's time, I'll meet them for the birth."

After the birth, Martensen stays two hours postpartum. Then she writes a birth story for the parents, which can be cherished for years to come by the mother, partner and child.

Carolyn Ogren, a doula based in Massachusetts, has been working in this field on and off for about 30 years. It gives her "the opportunity to support and empower women and the family, to recognize their strengths, to help with role model communication and to have responsible decision making in their life."

Ogren continues to learn from each woman she helps. Being a doula offers her a mixture of excitement and surprise. "It's exciting to witness a miracle time after time. The feeling of awe and amazement never diminishes. My values are frequently challenged as they differ from those of the women I support and the caregivers with whom I work."

Lisa Sawin, a doula in Connecticut, is on call two days a month with Danbury Hospital. She's been a doula for three years and became involved because she loves babies and enjoys being part of an incredible moment.

"You have to be there 100 percent. Nothing can interfere with the birth. You must be passionate and committed to women. You have to command and lead, but you can't be in charge. You're directive and under control, but ultimately it's what the mother wants when she's in labor."

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