The Issue: Unassisted childbirth
The Madriella Doula program presupposes that the mother the Doula is attending is under the care of a doctor or a midwife regardless of where she chooses to give birth. It is our belief that we, as Doulas, are not suitable replacements for these medical professionals. We are not trained to provide emergency medical intervention should they be needed.
Our position: Madriella Doulas should not attend Unassisted Births.

The Issue: Division in the Industry
The Madriella Doula Network is aware of the philosophical and ideological differences among the Doula training and certifying organizations. There is a very wide variety of beliefs and practices in the Doula community. We believe that this variety is a good thing because we know that all women are different, with different needs and different priorities. It is beneficial that there be a spectrum of birth support professionals that can meet the diverse needs presented.
Our position: The Madriella Doula Network will not engage in criticism of other Doula certification agencies for any reason.

The Issue: Placenta Encapsulation
The Center for Disease Control (CDC) has issued the following statement:
The placenta encapsulation process does not per se eradicate infectious pathogens; thus, placenta capsule ingestion should be avoided.
Our position: The Madriella Doula Network will not teach Placenta Encapsulation.

The Issue: Madriella’s Commitment to Justice and Equality
The Center for Disease Control (CDC) has issued the following statement:
Women in the United States are more likely to die from childbirth or pregnancy-related causes than other women in high-income countries. More evidence is needed to understand the actual causes of death better, but research suggests that half of these deaths may be preventable. Racial disparities persist. The risk of pregnancy-related deaths for black women is three to four times higher than those of white women.
Our position: The Madriella Doula Network recognizes that racial disparities exist and that our members have a moral obligation to see that the mothers they serve are receiving equal care from their attending physicians, nurses, and midwives. Any incidents of discrimination should be reported to the proper authorities or licensing boards immediately.