Contract/Letter of Agreement and Description of Labor Support

families who have not taken the Peaceful Birthing HypnoBirthing

education
As your labor support, I am working in a non-medical role. I accompany
women/families in labor to ensure a safe and satisfying birth experience. I provide
emotional support, physical comfort, and, as needed, communications with the staff to
make sure that you have the information you need to make informed decisions as they
arise in labor. I will provide reassurance and perspective to you and your partner. I
will provide help with relaxation, visualization, light touch massage, positioning, and
other comfort measures and make suggestions for labor progress. I work with you/for
you, not your caregiver or the hospital.
Services Provided:
Pre-baby visits to discuss clients desires for birth, review of birth plan. We
can set up 2 or 3 meetings matching desire for preparation.
On-call 24/7 starting at 2 weeks before client due time until birthing day.
Phone and e-mail support, as needed, during the pregnancy and immediate
Postpartum.
Emotional, physical, and informational support during pregnancy, labor, birth,
and
postpartum. I do not provide postpartum doula services. I can make
recommendations to other professionals.
Aromatherapy for the use in labor and birth. Aromatherapy will only be used
if given consent by clients.
Extensive referral network for other services desired by your family.
When you are in labor:
It is preferable that you call/text me when you think you might be in labor,
even if you do not need me yet. I can answer questions and make suggestions
over the phone. Except for extraordinary circumstances, I will remain with you
throughout your labor and birth, at the inception of labor, we will decide if you want
me to come to your home or directly to hospital. In the event that I am at another
birth when you are in active labor and unable to attend birth at the start of active
labor, I will send a professional doula back up until I am able to attend. If I am
unavailable at the time of your birth (personal illness, close family death, extreme
weather, etc.) a professional doula back-up will also be sent to attend your labor
and birth.

Labor Support:
Labor support includes emotional encouragement and advocacy, physical comfort
measures (i.e. light touch massage, aromatherapy, hydrotherapy etc.), and
objective viewpoint and assistance in accessing resources and information
necessary for informed decision-making. Each woman/family is unique in support
needs and because of this, clear communication is essential between you, your
birthing companion and I.
After your birth, I will remain with you for a short while after your birth until you are
comfortable and your family is ready for quiet time together.
What I will not provide:

Perform clinical tasks such as blood pressure, fetal heart checks, vaginal
exams, and other. I am there to provide only physical comfort, emotional
support, and advocacy.

Make decisions for you. I will help you get the information necessary for you
to make the informed decision that is right for you.

Speak to the staff regarding matters where decisions are being made. I will
discuss concerns with you and may suggest options, but you and your
partner will speak on your behalf to the clinical staff.

Guarantee any particular outcome for your birth. Though the studies show
the overwhelming health, medical, and emotional benefits gained from
utilizing labor support during birth, I cannot guarantee any particular
outcome.

Failure to provide service:

Every effort will be made to provide the services described here. Sometimes this is
impossible (ex: with a rapid labor.) However, if failure to attend your birth is due to
my scheduling error, payment then will not be expected.
Fee:
$995 for services described above. $300 non-refundable deposit to book services
and $695 payable at birth.
To avoid doing business during the wonderful baby bliss time after your baby is
born, I ask to consider placing an envelope with cash, check or money order
payable to Janice Weaver-Rex in your hospital bag. Thanking you in advance for
this. If you prefer, completing payment in full prior to the birth is also accepted.
Fulfillment of Labor Support includes the following circumstances:
* Elective Cesarean (unless notified prior to 36 weeks - the deposit will be retained)
* Cesarean Birth after trial of labor
* Rapid Labor where doula may or may not have arrived
* Family does not contact me at time of birth

* Induction of labor
Upon acceptance of this contract, the family agrees that the deposit will have been
fully earned if the job is cancelled in its entirety or shortened in length prior to 36
weeks by the family.

Satisfaction Guarantee:
While I will always do my best to help you have the birth you desire, I cannot
guarantee or predict what will happen during your birth. I will not be held
responsible for birth outcomes or the medical indications leading to the choices
made by the family.
I, the undersigned, have read and agree to this contract.
Client Signature: __________________________________________________ Date:
_______________
Client Signature: __________________________________________________ Date:
_______________
Labor Support Signature: _____________________________________________ Date:
_____________
Check payable to Janice Weaver-Rex. Mailing address:
810 Plate St. #207, Rochester MI 48307.
Thank you.

Your birthing will unfold exactly as you see it now. You

have defined your birthing in this way, and your birthing
will happen as you have defined it.
~ Marie Mongan, creator of HypnoBirthing

References from families who have received my

labor companion assistance are available upon
request.