Birthing With Gnomie
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In person around San Antonio, farther with a travel fee, and virtual anywhere

Birth doula support

A steady, informed person beside you from late pregnancy through labor, birth, and your first days as a family.

A woman in labor at home leaning forward while a support person steadies her from behind

Who this is for

  • You feel nervous about birth and want extra support and a friendly face
  • You are planning an epidural, an induction, a cesarean, or an unmedicated birth
  • Your partner wants to know exactly how to help
  • You want honest insight into how hospitals tend to work during labor and delivery

What a doula doesn’t do

  • Clinical tasks like cervical exams, fetal heart rate checks, or blood pressure monitoring
  • Medical diagnoses or medical advice
  • Decisions on your behalf
  • Replace your OB, midwife, or medical team
See the full scope of doula support

What’s included in every birth package

Prenatal visits to prepare, continuous support through labor and birth, and postpartum visits after, in three packages from $550.

  • Prenatal visits

    One or two, depending on your package, in person or virtual. We plan your birth preferences, practice comfort measures, and prepare your partner.

  • On call as your due date nears

    From about two weeks before your due date through about two weeks after, call me day or night.

  • Continuous labor and birth support

    Physical, emotional, and informational support in person, once you’re in established active labor.

  • Postpartum visits

    One or two, depending on your package. The first comes within 1 to 2 weeks of birth, to talk through your birth, help with newborn care, and check in on you.

Birth support packages

Three packages. You choose the one that fits your household.

  • Supported Birth

    $550

    For families facing financial hardship, single-income households with many dependents, or anyone who couldn’t otherwise afford doula support.

    • 1 prenatal visit
    • Continuous labor and birth support
    • 1 postpartum visit

    $250 retainer holds your date

    Book a consultation
  • Standard Birth Support

    $850

    The true baseline cost of my services, for households with steady income and some flexibility in the budget.

    • 2 prenatal visits
    • Continuous labor and birth support
    • 1 postpartum visit

    $300 retainer holds your date

    Book a consultation
  • Pay-It-Forward Birth

    $1,200

    For families with financial security who want to help keep lower-cost support available to other families in our community.

    • 2 prenatal visits
    • Continuous labor and birth support
    • 2 postpartum visits
    • A childbirth series, or extra prenatal or postpartum support instead, chosen together when you pick this rate

    $500 retainer holds your date

    Book a consultation

Every birth package includes

  • Prenatal visits
  • On call as your due date nears
  • Continuous labor and birth support
  • Postpartum visits

You choose the package that fits your household. The balance is due in the payment window in your agreement.

Compare packages, payments, and add-on visits

What we prepare together

  • Birth preferences
  • Comfort measures
  • Labor positions
  • TENS for labor
  • Partner coaching
  • Hospital routines
  • Self-advocacy
  • Golden hour

Every family is different, so we start with what matters most to you.

Once labor starts

See the full process
  1. When I join you

    In-person support begins once you’re in established active labor, usually strong, regular contractions every 3 to 5 minutes, or sooner if we agree it’s time.

  2. Early or long labors

    Support can be split into shorter segments, like an early labor check-in, a rest, and then active labor together.

  3. Very long labors

    A single continuous shift is capped at 16 to 18 hours. Beyond 18 hours I may take a 2 to 4 hour rest while you’re cared for by your medical team and family, then come back.

  4. Staying in touch

    Non-urgent messages get a reply within 24 hours. For anything urgent, and for everything labor-related, call.

If plans change

  • If you cancel before birth

    The retainer is kept, and everything else you’ve paid is refunded.

  • If I can’t attend

    If illness, an emergency, severe weather, or travel restrictions keep me away, the remaining birth balance is waived or refunded. Arranging backup doula support would be up to you.

  • If birth happens very fast

    If labor is too quick or I’m not called in time, fees aren’t refunded, and I’ll add an extra postpartum visit instead.

Service area and travel

In-home visits and hospital support cover San Antonio and about 50 miles around, including Boerne and New Braunfels. Beyond that, a round-trip travel fee applies, or we can meet virtually.

San Antonio, Boerne, New Braunfels

Service areas and travel details
Flat round-trip travel fee by distance from San Antonio
Distance from San AntonioFlat round-trip fee
Up to about 50 miles, including Boerne and New Braunfels No charge
51 to 65 miles $35 to $50
66 to 80 miles $55 to $75
81 miles or more Custom quote or $100 or more per visit, or virtual support instead

Questions families ask

When do you join me in labor?

In-person support begins once you’re in established active labor, usually strong, regular contractions every 3 to 5 minutes, or sooner if we agree it’s time. For early or long labors, support can be split into shorter segments.

What happens if labor goes really long?

A single continuous shift is capped at 16 to 18 hours. If labor goes beyond that, I may take a 2 to 4 hour rest while you’re cared for by your medical team and family, and then come back.

Can you support me if I have a cesarean?

Yes. Hospitals decide who can be in the operating room, but support before and after birth still matters, and immediate postpartum hospital support is available within 12 hours of birth.

What’s the difference between the three birth packages?

Supported Birth ($550) includes 1 prenatal visit and 1 postpartum visit. Standard Birth Support ($850) includes 2 prenatal visits and 1 postpartum visit. Pay-It-Forward Birth ($1,200) includes 2 prenatal visits and 2 postpartum visits, plus a childbirth series or extra support we choose together. Every package includes continuous labor and birth support.

How do payments work?

A retainer holds your date on my calendar. The balance is due in the payment window in your agreement, around 37 to 39 weeks for Standard Birth Support. If you cancel before birth, the retainer is kept and everything else is refunded.

Will a doula replace my partner?

No. Partner coaching is part of the plan, so the person beside you knows how to help, and you both get support.

More answers

Not sure what you need yet?

Tell me a little about your due date and what’s on your mind. We’ll figure out the right support together.