Birth & Postpartum Doula

CLAIRE STIVERS

ABOUT <font color="#90B8B0"ME

Claire is a doula, graduate midwife, and student nurse who has been in birth work for more than five years in both the Austin area and San Francisco Bay Area.
While not a mother herself (yet!), she absolutely adores kids and is very close to her two nephews, Miles (1) and Calvin (4) and many baby cousins. She has worked as a birth and postpartum doula, birth assistant, student midwife, certified nurse’s assistant, and nanny so she has a depth and breadth of experience caring for newborns, infants, and pregnant people. Coming from a base in home birth and birth center birth, she is passionate about birth choice and holistic care.
Currently, she spends time finishing her bachelor’s in nursing, studying for her midwifery licensure exam, and spending nighttimes as a postpartum doula where she specializes in breast/chestfeeding and newborn care. She also loves pets, playing with her nephews, cooking, and training for marathons.

2111 Dickson Drive, Suite 20, Austin, TX 78704 | (737) 999-2336

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Lactation Consultation inquiry

Tell us a little bit about yourself.

First Name

Last Name

Phone Number

Email

Partner's / Spouse's Name

Partner's / Spouse's Phone Number

Street Address

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Neighborhood You Live In

Due or Delivery Date

Are You Experiencing Any Of The Following?
Breast engorgement Plugged ducts or breast infections (like mastitis) Sore, cracked or painful nipples Milk supply concerns Struggling with nursing positions Issues with latching, tongue-tie or sucking Your baby isn't gaining weight Your baby is refusing the breast

Is This Your First Child? If Not, Did You Have Any Issues with Feeding in the Past?

What Concerns Do You Have Involving Feeding or Latch Issues?

Have You Seen a Pediatric Dentist to Diagnose Any Ties?

Are You Pumping or Supplementing with Formula?
No Yes

Let's chat!

Please provide you contact information, and a member of our team will reach out to learn more about your needs.

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Postpartum Doula Inquiry

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First Name

Last Name

Email

Phone Number

Partner's / Spouse's Name

Partner's / Spouse's Phone Number

Street Address

City

State

Zip Code

How Did You Find Us?

Were You Referred By Austin Childbirth?

Care Provider

Estimated Due Date

I Am Looking For Postpartum Support:

Hoping to (Or Have) Delivered At:

If Delivering In A Hospital Or Birth Center, Please Provide The Name Of The Facility.

What # Baby Is This For You?

Do You Have a Doula In Mind?

Is There Anything Else You Would Like to Share With Us?

What Are You Looking For In A Doula?

What type(s) of postpartum care are you interested in?

How many weeks would you like postpartum support?

How many nights per week do you need doula support?

How many days per week do you need doula support?

Do you have pets in your home?

Do you have Carrot Fertility benefits?
yes no

Is there anything additional that you would like to tell us about your needs?

Birth Doula Inquiry

Tell us a little bit about yourself.

First Name

Last Name

Email

Phone Number

Partner's / Spouse's Name

Partner's / Spouse's Phone Number

Street Address

City

State

Zip Code

Neighborhood You Live In

How Did You Find Us?

Were you referred to us by Austin Childbirth?

Care Provider

Estimated Due Date

Hope to Deliver At:

What # Baby Is This For You?

Would you be comfortable having one of our certifying doulas at your labor for silent observation and/or assisting us during your care?

Do You Have a Doula In Mind?

What Are You Looking For In A Doula?

If Delivering In a Hospital Or Birth Center, Please Provide The Name Of The Facility

Is There Anything Else You Would Like to Share With Us?

Would you prefer more or less frequent communication with your doula?
More frequent Less frequent In the middle

Are you planning to have an epidural?
Yes No Maybe Unsure

Are you planning to have any family members other than your partner present?
Yes No Unsure

Do you have a religious preference?

On a scale from 1 to 10 (very religious =1 | Very Spiritual = 10) Would you consider yourself more religious or spiritual?

Have you taken a childbirth class?
Yes No

Are you planning on taking the ABC childbirth Class?
Yes No Unsure

Are You Interested in Postpartum Doula Support As Well?

What type(s) of postpartum care are you interested in?

How many weeks would you like postpartum support?

How many nights per week do you need doula support?

How many days per week do you need doula support?

Do you have Carrot Fertility benefits?
yes no

Are you 40 years old or over?
yes no

Is there anything additional that you would like to tell us about your needs?