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Childbirth Services

Prenatal Visit, Continuous Labor & Birth Support, 
Breastfeeding/Chest-Feeding Counseling,
Postpartum Visit, Referral Resources, Prenatal Yoga,
Reproductive Well-Being Counseling

Pregnant belly

Prenatal Visit

I will come to your home for one (3 hour maximum) prenatal visit following a 20 minute contract consultation set up via email. During this time, you and loved ones can discuss your current pregnancy story and any fears or concerns that you have. We will also talk about how I can support your holistic needs and cultural beliefs, in addition to exploring how to consider intervention benefits, risks, and alternatives during labor. I will answer questions and give you childbirth information.

Birthing Room

Labor & Birth Support

I will be on call, so that I can accompany you during your labor and birth. I will provide continuous support. I will be your advocate and facilitate communication. I will also use natural pain management techniques, such as position modification, visualization, aromatherapy, and touch techniques, to help you achieve a faster, more positive labor experience. Above all, I will work to enhance your emotional comfort, wherever you choose to have your baby.  

Nursing Newborn

Breastfeeding/Chest-Feeding Counseling

I will observe and answer breastfeeding questions soon after birth to promote skin to skin benefits & optimal latching. I will also provide comprehensive breastfeeding information as you enter your postpartum period. If you determine that you want the support of a CLC, I may arrange a session with one I recommend. 

Mother and Baby

Postpartum Visit

I will come to your home a couple days after your birth to check on how you, your partner/family, and baby are doing. We will process your birthing experience together. I may also bring food and gifts for you and your family to promote well-being. The visit and our Doula relationship will conclude after I provide a list of referral resources to help your healing. 

Prenatal Yoga with Laptop

Prenatal Yoga 

(Separate service outside Childbirth Doula scope of practice)

As a Yin Yoga Teacher, and Anjali Yoga Academy Trained Prenatal Instructor, I can use my skills to further your mind-body awareness to prepare for labor in a safe, gentle manner. 

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Friendly Conversation

Reproductive Well-Being Counseling

(Separate service outside Childbirth Doula scope of practice)

As a NY State Licensed Psychotherapist (LMHC) with a specialization in Reproductive Mental Health, I can provide individual 45 minute support sessions either bi-weekly or weekly for premenstrual, family planning, loss, prenatal or postpartum emotional concerns. 

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Please visit the below link for therapeutic service information:


*All Childbirth Doula services will begin after receiving a signed Childbirth Doula contract from clients. Said contract details available services & fees, and the Childbirth Doula's scope of practice, expectations & limitations. Said contract is also a release of liability form. 

*Prenatal Yoga is a separate/outside service from Childbirth Doula services & scope of practice. Prenatal Yoga is generally safe, and uses prudent, informed methods to help keep you and your baby well. However, since prenatal yoga is a form of physical activity, prior to partaking in a prenatal yoga session, you must sign an acknowledgement of risk/release of liability form, and you must have clearance from your healthcare provider to engage in exercise.

*Reproductive Well-Being Counseling is a separate/outside service from Childbirth Doula services & scope of practice. Counseling is provided on an ethical basis of refraining from any dual relationships that could compromise therapeutic treatment. Therefore, potential counseling clients must understand that to receive counseling services from Siena Vaccara, Ed.M, M.A, LMHC  - they cannot receive Childbirth Doula services concurrently. If a potential counseling client wishes to also obtain Childbirth Doula services, they will be given a separate doula referral.

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