Birth & Postpartum Doula

sTEPHANIE JACKSON

ABOUT <font color="#90B8B0"ME

Stephanie’s interest in postpartum doula work was sparked after her own transformative support experience following her first birth. Her passion lies in holding space for birthing people as they heal and form deep bonds with their babies, and in empowering families to foster mutual growth.
Her holistic approach and commitment to mindfulness contribute to the comprehensive and compassionate support she provides to families during the unparalleled postpartum period.

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

City

State

Zip Code

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?

Do you have a history of ANY breast surgery? (Reduction/implants/biopsy, etc.)

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.

First Name

Last Name

Email

Phone Number

Postpartum 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

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?

Do you have a history of ANY breast surgery? (Reduction/implants/biopsy, etc.)

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?

sTEPHANIE JACKSON

ABOUT <font color="#90B8B0"ME

Lactation Consultation inquiry

Tell us a little bit about yourself.

Let's chat!

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

Postpartum Doula Inquiry

Tell us a little bit about yourself.

Birth Doula Inquiry

Tell us a little bit about yourself.