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Doula services 

Terms & conditions of When Push Comes To Shove Doula Services (Nickita Starck) 

What services can I provide for you?
As a doula, I am able to accompany you (and your partner) through the process of preparing for birth and support you during labour, birth and bonding. I can also support you in the first weeks after birth and will visit at least once. I cannot make decisions for you. I can only act as a spokesperson for you (if this has been clearly stated in your birth plan). I am independent and self-employed. I am working for you, not your caregiver or hospital. My role is to be led by you, providing the support that you may need along the way. The kind of support I give is often emotional, practical and informational and will be offered unconditionally and without judgement. Our conversations and all correspondence I keep strictly confidential. I draw on my knowledge and experience to provide you with emotional support and physical comfort measures. If the need arises I can help you communicate with your midwife and medical care givers to ensure that you have all the information you need to make informed decisions during pregnancy, labour, bonding and early parenting. I can provide a continuous friendly face for you (and your partner), make suggestions for planning and preparing your birth and bonding environment and building rapport with your midwives and medical attendants. I am able to make suggestions for labour progress, help with relaxation, positioning and other comfort measures. I can help safeguard your bonding period and am available for consultation after the baby is born. I do not come between you and your partner but rather support both of you. During labour my aim is to 'hold your space' so unless you request my physical support, my role is to 'be', not necessarily 'do'.

How do I provide this service to you?

I prefer to meet with you and (if applicable) your partner at least three times before labour starts and as early in pregnancy as possible. The first meeting is usually used for getting to know each other, to explore and discuss your priorities, any fears or concerns, and to plan how we might best work together. I will keep you informed of the times I am unavailable for consultation but you can call me 24 hours a day. You can phone me and email me as often as you like during pregnancy. During the second meeting we usually look at your birth preparation and I acquaint you with some of the comfort measures I have found helpful in the past. At this time I will emphasise how your partner and you can work together and how you can help your baby to engage well in readiness for birth. I would like to become familiar with your birth plan, including your preferences regarding management options and your views on pain relief. I also would like to know about your natural coping-mechanisms and how your partner and I could help with these.

How can I support you during birth?

It's useful if you could call me immediately (at any hour of the day or night!) when you believe that you may go into or are in labour. I need to know about bowel movements, shows and how you feel physically and emotionally. I also need to know about any sensations you may be feeling. After assessing the situation over the phone we will decide together on the best course of action. Even if you plan to go into hospital I usually meet you at home first, unless the baby comes in a hurry or an emergency situation has occurred. Except for circumstances out of my realm of influence, I will remain with you throughout labour, birth and bonding. If you transfer from home to hospital or within the hospital, I will do my very best to stay with you. (CURRENT COVID GUIDELINES MAY

CHANGE THIS) I will do my best to safeguard those precious first minutes of physiological bonding after birth and can later support you with (breast) feeding if you would like some help. I would like to get together with you within one or two weeks after the birth to see how you are doing, admire your baby and listen to your and your partner’s side of the story. As part of this agreement I am available for consultation by phone (or email) during the first six weeks after birth. If you would like postnatal support from me, we will discuss and arrange that with a separate document. If you want to use natural/complementary remedies during pregnancy, labour and early parenting I suggest you contact a professional therapist. If you’d like me to give you any such remedies please include this in your birth plan.

My agreement with you

I will make every effort to provide the services described in this document. It may be that external circumstances may limit my availability (for example rapid labour). If I am not able to attend due to circumstances beyond anyone’s control (e.g. you call me too late, or you choose to keep vital information from me, or illness) the full fee applies and further payments are up to your discretion. My support extends to unforeseen emergencies or elective C-Section. This means I will stay with you, in theatre if possible, and continue to provide emotional and practical support during the birth and immediately postpartum if required. I do work with a back up Doula if I am unable to transfer with you. You will get several chances to meet her during your pregnancy. If you and your partner choose an elective section late on in your pregnancy or if you decide you no longer require my services less than 3 weeks before your due date, I quite understand but some further fee may apply. This is because I may already have gone on call for you and/or worked with you for some weeks/months. PLEASE NOTE * Due to the current pandemic, It is unlikely I will be able to transfer to hospital with you if the situation arises. *


As per Trading Standards you will have a 14 day cooling off period. If you change your mind you are entitled to a full refund  (or returned deposit) however if you have used my services within this time, this does not apply.

All deposits are non refundable. 

Download your Doula agreement contract here

Download your liability waiver here 

Doula Courses

When Push Comes To Shove understand that occasions arise where cancelling their course is necessary due to unforeseen circumstances and we therefore try to be flexible in our approach to each individual accordingly.


When Push Comes To Shove are financially affected by course. cancellation - Merchandise, paying for speakers, course materials, printing, booking software etc 

Course cancellation

In order for a cancellation to be valid, When Push Comes To Shove must be notified in writing by letter or email 

We can of course provide a full refund as per Trading Standards if the refund is requested within 14 days of booking (this only applies if services/courses have NOT been rendered within those 14 days) 

53 Townsend Hemel Hempstead HP25SP 

The deposit (£400) for our Doula Course is non refundable. 

If you need to cancel a When Push Comes To Shove Course or switch dates, you must do so at least 4 weeks in advance in order to avoid paying a 50% cancellation fee of the remaining fee. If you give less than 4 weeks notice prior to the course date, the cancellation charge will be 100% of the training fee.

If you cancel more than 4 weeks in advance of the course we can offer you a 50% discount (less deposit of £400) for example. If you paid for Doula course in full which is £1000, part of that payment includes the non refundable deposit (£400) we will offer you 50% of the balance (£300) 

If you can cancel after the course commences there will be no refund

If When Push Comes To Shove cancel a course, you will be entitled to a full refund or move your booking to another course date.


Paying in instalments 

We do offer payment plans as follows

£400 (non refundable deposit) the remainder of the balance MUST be paid in full a week before the course commences 

No discounts are applicable with payment plans. 

  • If full payment is not received by the commencement date of the course, When Push Comes To Shove reserves the right to cancel or change your booking without a refund. 

  • It is your responsibility to make sure payments are made. We don't have time to chase you, so please be considerate and honour your payment plan agreement. 

Antenatal course

We only offer refunds according to Trading Standards Policy. If the 'product' is not 'fit for purpose' we can offer your money back within 30 days of purchase. We are entirely confident that our courses are exactly as advertised. If you do have an issue with the content, we will of course try to help you with any concerns

1-1's with Nickita

Payment for 1-1's must be made in full before the time your session starts. If you need to cancel, 48 hours notice is required otherwise full fee will still apply.

The sessions will provide you with information to make an informed decision. No advice is given. By partaking in a 1-1 you are taking responsibility for your decisions.

Four bulk courses, payment must be made in full before sessions commence