
Becoming a doula is not just about learning how to time contractions or pack a hospital bag. It is about standing beside people in one of the most vulnerable and powerful thresholds of their lives, in a world where racism, sexism, fatphobia, queerphobia and classism all shape how they are treated.
That is why justice-centred doula training is not a nice extra. It is essential.
When you choose a justice-centred doula training, you are not simply asking, “How do I support someone in labour?” You are asking much deeper questions:
Who is more likely to be dismissed, ignored or harmed in this system?
What role will I play in that story?
How can my work contribute to birth justice, rather than simply helping people cope with an unjust system?
This is the shift that makes all the difference.
Justice-centred doula training starts from the reality that not everyone walks into pregnancy and birth on equal ground.
It recognises that:
Black, brown and other marginalised communities experience higher levels of mistreatment and poorer outcomes in maternity care.
LGBTQ+ families, disabled parents, younger parents and those living in poverty often face stigma, disbelief and barriers to care.
Birth takes place inside institutions shaped by colonialism, patriarchy and capitalism, not in a neutral bubble.
A justice-centred training does not look away from that. It names it directly, then asks:
How do we show up beside clients who live at those intersections?
How do we support them without turning them into a project or centring ourselves?
How do we keep our practice rooted in integrity, not performance?
Rather than promising to make you a “perfect” doula, justice-centred learning invites you into lifelong practice: listening, unlearning, repairing and responding with care.
Many standard doula trainings focus on anatomy, comfort measures and some communication skills. Useful, yes. Complete, no.
Without a justice lens, training can:
Present birth as if everyone walks into the room with the same risks, choices and power.
Centre white, cis, straight, middle class families as the default, with everyone else treated as an optional “add-on” module.
Encourage you to be “neutral” in the face of microaggressions or outright mistreatment.
Touch briefly on “cultural awareness” without exploring your own internalised bias, privilege or lived experience.
Leave you with advocacy tools that only feel safe to use when the system is already behaving well.
You might leave feeling technically prepared, yet still unsure how to respond when a midwife ignores your Black client, when a partner makes a racist joke, or when staff talk over a queer parent’s pronouns.
Justice-centred doula training holds those moments at the centre, not as an afterthought.
A justice-centred doula does not only ask “What is happening medically?” They are trained to notice and respond to power.
During pregnancy and birth, that looks like:
Asking, “Whose voice is being heard right now and whose is missing?”
Noticing if staff look at notes more than they look at your client’s face.
Being aware of how race, gender identity, language, body size or disability shape the choices that are offered, or withheld.
Supporting clients to ask, “What are my options?” and “What happens if we do nothing?” without feeling they are being “difficult”.
Knowing the difference between genuine medical urgency and pressure created by convenience, bias or policy.
Justice-centred training gives you frameworks and language for these dynamics, so you are not relying on instinct alone in the moment.
Many people drawn to doula work care deeply about justice but feel unsure, nervous or full of self-doubt. You might worry about:
Saying the wrong thing.
Getting it wrong around race, gender or culture.
Being “too much” or “too outspoken”.
Being an outsider in birth spaces, whether you are a white ally, a Black or brown doula who has been dismissed before, or someone who has never given birth.
Justice-centred doula training makes space for this inner work. You are invited to explore:
Your own lived experience, identities and the stories you carry into the room.
Internalised messages about who is allowed to be confident, outspoken or knowledgeable.
Your relationship with authority figures, institutions and conflict.
Boundaries, capacity and how to care for yourself in work that deals with trauma and inequity.
Because you cannot offer grounded, justice-focused care if you are running on fumes, disconnected from yourself or constantly afraid of taking up space.
When you train in a justice-centred way, your clients feel the difference.
They experience a doula who:
Sees the whole of them, not just their pregnancy.
Does not minimise their experiences of racism, sexism, queerphobia or classism.
Believes their body, their pain and their instincts.
Stands beside them when they say “no”, “not yet” or “I need more information”.
Understands that advocacy is not always loud, yet is always intentional.
Over time, this kind of care does more than support individual births. It helps shift culture:
Families leave birth feeling more informed and respected, which shapes their healing and their parenting.
Communities gain doulas who can sit in hard conversations about injustice without turning away.
Health professionals encounter clients who are better supported, better informed and less alone.
Birth justice grows through each of these encounters.
Not every training that uses words like “inclusive” or “diverse” is actually justice-centred. When you are choosing where to train, look for programmes that:
Are led by people with lived experience of marginalisation in birth, not only academic interest.
Name racism, misogyny and queerphobia directly, not as vague “barriers”.
Teach you how to support Black, brown, LGBTQ+ and other marginalised clients without treating them as case studies or stereotypes.
Invite you to examine your own bias and social location with honesty and care.
Offer practical advocacy tools that can be used in real clinical settings, not just in theory.
Include business teaching that aligns with your values, so you can be both justice-focused and financially stable.
Provide mentorship or community beyond the initial course, so you are not left to navigate complex births and ethical questions alone.
If a training avoids talking about power, race or inequality, it is not justice-centred, no matter how gentle the branding looks.
Justice work without sustainability leads to burnout. Birth work without justice leads to harm. You deserve better than either.
A justice-centred doula training should help you:
Price your services in a way that honours your time, skill and labour.
Consider accessibility in a realistic and ethical way, rather than constantly sacrificing your own needs.
Build a practice that pays your bills, so you are not relying on “love of the work” while running yourself into the ground.
Because when doulas from marginalised communities cannot afford to stay in practice, the very people who most need justice-focused care lose out.
Sustainability is justice too.
Maybe you have witnessed mistreatment in a birth space and felt something ignite in you.
Maybe you have experienced a traumatic birth and promised yourself, “No one I support will feel that alone.”
Maybe you are already a doula, but your current training feels too shallow around justice and you want more depth.
Wherever you are starting from, it is worth asking yourself:
What kind of doula do I want to be known as in ten years’ time?
Whose stories do I want at the centre of my practice?
What am I no longer willing to ignore or minimise in birth spaces?
Justice-centred doula training is not the quickest route or the glossiest one. It asks more of you. It also gives you the foundations to do this work with integrity, courage and long-term impact.
If you are ready to explore that path, seek out training that honours your values and your lived experience, not one that asks you to leave parts of yourself at the door. The birth world does not simply need more doulas. It needs doulas who are ready to stand for justice, one client, one birth, one conversation at a time.
Choosing a doula course isn’t only about convenience or cost. It’s about finding a training that aligns with your values and equips you not just with knowledge, but with the integrity and confidence to walk alongside families.
At Abuela Doulas, we offer UK-based doula training rooted in justice, inclusion, and compassion. If you’re ready to begin your journey, you can find out more here

Mars Lord is the founder of Abuela Doulas, offering inclusive, justice-centred doula training in the UK. With over 20 years’ experience, she guides new doulas to support families with confidence, compassion, and integrity.
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Abuela Doulas recognises that as well as doing the work, they need to support the work of others. With that in mind, here are some links to support not only us, but other organisations that we are involved in.