Pregnancy and childbirth are often difficult experiences for women who have experienced trauma. Exposure to interpersonal trauma is common in the United States and women experience high lifetime rates of child abuse, sexual assault, and intimate partner violence. These past traumas often impact reproductive health.

This course provides practical recommendations for implementing trauma-informed care (TIC) in Doula practice and discusses examples and principles of TIC.

Course Prerequisite: Madriella Birth Doula Certification, Madriella Postpartum Doula Certification, and the Madriella Professional Development Course.

Course Requirements:
There is no textbook required for this course.

Module 1 Trauma-informed care Defined
Unit 1 What is Trauma Informed Care?  
Unit 2 Research Assignment 1  
Unit 3 The Need for Trauma Informed Care  
Unit 4 Responding to Trauma  
Unit 5 Birth Trauma Prevalence  
Unit 6 Causes of Birth Trauma  
Module 2 Effects of Trauma on Expectant Mothers
Unit 1 PTSD related issues in pregnancy  
Unit 2 Maternal Responses to Prenatal Stress  
Module 3 Past Birth Related Trauma
Unit 1 Fear of Sex and Childbirth  
Unit 2 Research Assignment 2  
Unit 3 Postnatal isolation  
Unit 4 Aversion to healthcare and difficulty bonding with the baby  
Unit 5 The Risks of Undiagnosed PTSD  
Module 4 Different Types of Trauma: Interpersonal and External
Unit 1 Interpersonal trauma  
Unit 2 External trauma  
Unit 3 Developmental trauma  
Unit 4 The Prevalence of Trauma in Pregnancy  
Unit 5 Research Assignment 3  
Module 5 The Effects of Trauma
Unit 1 Adverse Childhood Experiences (ACE)  
Unit 2 The Neurobiology of Trauma  
Unit 3 Childhood Sexual Trauma in the Doula Client  
Unit 4 Complex Post-Traumatic Stress Disorder (Complex PTSD)  
Module 6 Implementing a Trauma Informed Doula Practice
Unit 1 Opening doors long shut  
Unit 2 Fundamentals of a Trauma-Informed Doula Practice  
Unit 3 Characteristics Required for Working with People Affected by Trauma  
Unit 4 The Strengths-Based Approach and Post-Traumatic Growth  
Unit 5 Talking With People Who Have Experienced Trauma  
Module 7 Self-care for Doulas working with Traumatized Clients
Unit 1 Burnout  
Unit 2 Compassion Fatigue  
Unit 3 Vicarious Trauma  
Unit 4 The Trauma Exposure Response  
Module 8 Course Summary and Final Exam
Unit 1 Course Summary