Pregnancy & Postnatal Entrepreneurs Collective Podcast

"It's Not a Calling, It's a Career": Birth Workers Talk Pricing

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0:00 | 51:13

Charging and pricing are some of the most loaded topics in the birth worker business — and in this panel episode of the Pregnancy and Postnatal Entrepreneurs Collective, we're finally talking about it out loud, no holds barred. Niamh is joined by three birth workers at different stages of their business journeys: Natalie Abouchai (Natnat Your Doula), Emma Fitzsimons (The Marathon Doula), and Audrey McEntee (Hug and Hold Doula Support) for a raw, honest conversation about what it really takes to build a sustainable birth business, why birth workers and doulas keep undercharging, and what the industry needs to change to make this work financially viable long-term.

Whether you're a doula, IBCLC, antenatal educator, or any kind of birth worker trying to figure out what to charge — this one's for you.

In this episode:

  • How each guest decided what to charge when they started out — and what they'd do differently
  • The burnout that comes directly from undercharging in your doula business (and why it's not just about the money)
  • Emma on female altruism being weaponised against birth workers — and why our industry keeps absorbing it
  • Why "it's a calling" might be the most damaging phrase in birth worker marketing
  • Natalie's moment: the client who said, post-birth, "I can't believe you were so cheap"
  • The pricing visibility debate — should your doula rates be on your website or saved for the discovery call?
  • The societal double standard: €250 for a 15-minute consultant appointment vs. €170 for an hour-and-a-half lactation home visit
  • What happens to the whole doula/IBCLC pricing landscape when experienced birth workers encourage newcomers to work for free
  • Why building a sustainable birth business means pricing like you need to actually live

This is the birthworker business conversation that usually only happens in private. It deserves to be out in the open.


About the guests:

Natalie Abuce — Natnat Your Doula Natalie is a woman-centred birth doula supporting women through pregnancy, birth, and the maternity system with confidence and informed choice. Based in the southeast and southwest of England, she's passionate about reminding women that their voice matters, their instincts matter, and they deserve to birth feeling powerful, heard, and respected. 🌐 www.natnatyourdoula.co.uk | 📧 natnatyourdoula@gmail.com | @natnatyourdoula (all socials)


Emma Fitzsimons — The Marathon Doula Emma is a Birth and Postpartum Doula and Fitness Instructor based in Cavan and Meath. Drawing on her own experiences with maternity services, she qualified as a doula in 2023 and brings over a decade of fitness instruction alongside a deeply personal understanding of what women need in birth and postpartum. She also brings the perspective of 15 years as a single mum. 📱 @emmathemarathondoula on Instagram


Audrey McEntee — Hug and Hold Postpartum Doula Support Audrey is a postpartum doula, maternity night nanny, newborn care specialist, and International Certified Infant Massage Instructor based in Ireland. Founder of Hug and Hold Doula Support, she specialises in supporting families through those precious and sometimes overwhelming early days — creating calm, answering questions, and holding space so parents can thrive (not just survive) postpartum. 🌐 hugandholddoula.com | 📧 audreymcentee@gmail.com | @hugandholddoulasupport on Instagram



Working alone in clients' homes comes with risks most birth workers aren't prepared for. Niamh created this free guide to share the 8 safety protocols she learned over two decade of home visits (first in social care services, then in birth work) from what to ask on your intake form to positioning yourself for safety. It takes 2 minutes to read and might be the one thing that matters.

Download free: yourbirthbiz.com/safet

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