Lea Azeltine - Birth Doula

Q: What if I'm not looking for an "unmedicated" or "natural" birth?

You deserve support regardless of how your birth unfolds. My role isn't to push an agenda or promote a specific type of birth. My goal is to help you feel informed, supported, and empowered in making the decisions that are right for you and your family.

Q: Do you support home, hospital births, and birth center births?

Yes. I support families planning hospital births, birth center births, and home births.

Q: Do you take insurance?

I do not bill insurance directly. This allows me to provide care that is personalized, flexible, and centered on your needs rather than insurance requirements. Upon request, I can provide a superbill that you may submit to your insurance provider for possible reimbursement.

Q: What does "Threshold" mean? What is your philosophy?

A threshold is a point of transition, the space between what was and what comes next. To me, birth is one of life's most profound thresholds. While a baby is being born, a mother is being born too. Regardless of how your birth unfolds, whether it's unmedicated, medicated, induced, cesarean, at home, or in a hospital, you are crossing into a new version of yourself. My passion is supporting women through that transformation. I don't believe there is one "right" way to give birth, and I don't measure the value of a birth by how closely it follows a particular plan. Instead, I believe every woman deserves compassionate, evidence-informed support as she navigates her own path. My goal is not to guide you toward a specific type of birth. My goal is to help you feel informed, supported, and deeply cared for as you move through one of the most significant transitions of your life.

Q: Why hire a doula?

Your doctor or midwife plays an essential role in keeping you and your baby safe, but they are responsible for your medical care and often caring for multiple patients at once. A doula fills a different role by providing continuous emotional, physical, and informational support throughout your labor and birth. While partners, family members, and friends can be incredible sources of support, they are experiencing the birth alongside you. They may need breaks, rest, reassurance, or guidance themselves. A doula helps support both you and your loved ones, offering a steady, experienced presence throughout the process. Research has consistently shown that continuous labor support can improve birth outcomes and the overall birth experience. A doula's role is simple but powerful: to help you feel informed, supported, and cared for as you navigate one of life's most significant transitions.

Q: How much does Lea charge?

Lea's Prenatal Birth Prep package is $550 USD, flat rate. Lea lists 3 packages in all.

About Lea

I’m Lea. A wife, mother, and birth doula (DONA trained). Long before I found birth work, I found myself drawn to supporting women through transformation. I began my career as a fitness coach after spending years healing my own relationship with my body and food. As I learned and grew, it became deeply meaningful to help other women navigate their own journeys with confidence and self-trust. Over time, I felt called to go deeper. I continued my education and began working with women through mindset and trauma-informed healing. My passion became helping women reconnect with themselves, uncover who they truly were beneath the noise, and step into the next chapter of their lives with intention. That work eventually led me to host transformational retreats in Costa Rica, guiding women through some of the most meaningful seasons of growth and change. Then came my own transformation: motherhood. After experiencing pregnancy, birth, and postpartum for myself, everything clicked into place. My doula played such an important role in my journey, and becoming a mother changed me in ways I never could have anticipated. Looking back, I can see that every chapter of my work had been preparing me for this one. Birth is about so much more than having a baby. It is a threshold. A crossing-over. A moment that asks something of you and leaves you forever changed. Supporting women through that transformation feels like the most natural expression of everything I’ve ever cared about. It is an incredible privilege to walk alongside families during one of the most vulnerable, powerful, and life-changing experiences they will ever have. My hope is that I can be the doula who helps you cross the threshold into the next version of yourself.

Birth Doula packages and pricing

Prenatal Birth Prep

Perfect for families who want guidance, education, and personalized support throughout pregnancy, but prefer not to have a doula attend their birth. - Two in-person prenatal sessions tailored to your needs and priorities - Lamaze Childbirth Education Course - Live on Zoom ($150 value). Lead by a certified Lamaze instructor. - Evidence-based education and resources for pregnancy, labor, birth, and early postpartum - for both mom and partner. - Birth preferences planning - Labor preparation - Unlimited text and email support throughout pregnancy for questions, concerns, and encouragement

$550 USD · Flat rate

Labor & Birth Only

Designed for parents who already feel confident in their understanding of birth but would love some additional support and a steady presence throughout labor & birth. - Continuous on-call availability beginning at 36 weeks - (1) Zoom call prior to birth to review birth preferences, align, and answer any questions - In-person emotional, physical, and informational support throughout labor and birth - Support for partners in navigating the birth experience - Immediate postpartum support following delivery (1-2 hours). - Evidence-based education and resources for pregnancy, labor, birth, and early postpartum - for both mom and partner.

$1,000 USD · Flat rate

Comprehensive Pregnancy and Birth

First time parents or parents looking for extra support and education: comprehensive support through pregnancy, birth, and the transition into parenthood. - Two in-person prenatal sessions tailored to your needs and priorities - Lamaze Childbirth Education Course - Live on Zoom ($150 value). Lead by a certified Lamaze instructor. - Evidence-based education and resources for pregnancy, labor, birth, and early postpartum - for both mom and partner. - Birth preferences planning - Labor preparation - Unlimited text and email support throughout pregnancy for questions, concerns, and encouragement - Continuous on-call availability beginning at 36 weeks - In-person emotional, physical, and informational support throughout labor and birth - Immediate postpartum support following delivery (1-2 hours). - One in-home postpartum visit to process your birth experience, answer questions, and support your transition into early parenthood - Unlimited postpartum text support

$1,650 USD · Flat rate

What to expect

Threshold Birth Co. offers three packages designed to meet you wherever you are. Whether you're looking for: - prenatal education and planning - a steady presence throughout labor and birth - or comprehensive support from pregnancy through those first postpartum days there is an option for you. Every package is built around one thing: making sure you feel informed, supported, and confident through all of it.

Reviews for Lea Azeltine

5.0 3 reviews

5.0

June 24, 2026

Working with Lea was absolutely life changing for me. She is so talented, wise, calm, and will always help you reach new heights within your mind. She helped me step outside of my thoughts / internal chatter and view them from a 3rd person perspective, creating such a breath of fresh air for my mental health. She will change your life i promise! <3

— Gracen VanDyke

5.0

June 21, 2026

Lea is very intentional in her own life and that transfers beautifully in the work she does with her clients. If there’s someone you want on your side it’s her! No questions are off limits, she responds quickly, she will gives options rather than just one fix and she truly cares about others. ❤️

— Alyssa Eldridge

5.0

June 18, 2026

Lea is what I would consider love in human form. If you're looking for support through a massive life change (like having a baby!) from someone who knows how to package it with nothing but love, intention, passion, and truth, she is just what you are looking for. I don't know how she does it, but Lea knows how to provide guidance and education and a glimmer of hope and a way to see through your challenges and worries (when you may not see that as possible at the time) with such gentle love, openness, and validation for what you are going through. I can't imagine a better woman to support women's birth experiences throughout pregnancy and postpartum. Truly, if you have the chance to be a client of Lea's, please do yourself a favor and take full advantage of it!

— Sara Tadevich

Ready to talk with Lea?

Free to send. Lea usually responds within an hour.

Certifications, training, and specialties

Certification and training

DONA Trained (2026)

Education

Bachelor's of Science in Biology (2019)

Languages

English

Credentials

BS

Specialties

Birth Doula

Frequently asked questions

What if I'm not looking for an "unmedicated" or "natural" birth?

You deserve support regardless of how your birth unfolds. My role isn't to push an agenda or promote a specific type of birth. My goal is to help you feel informed, supported, and empowered in making the decisions that are right for you and your family.

Do you support home, hospital births, and birth center births?

Yes. I support families planning hospital births, birth center births, and home births.

Do you take insurance?

I do not bill insurance directly. This allows me to provide care that is personalized, flexible, and centered on your needs rather than insurance requirements. Upon request, I can provide a superbill that you may submit to your insurance provider for possible reimbursement.

What does "Threshold" mean? What is your philosophy?

A threshold is a point of transition, the space between what was and what comes next. To me, birth is one of life's most profound thresholds. While a baby is being born, a mother is being born too. Regardless of how your birth unfolds, whether it's unmedicated, medicated, induced, cesarean, at home, or in a hospital, you are crossing into a new version of yourself. My passion is supporting women through that transformation. I don't believe there is one "right" way to give birth, and I don't measure the value of a birth by how closely it follows a particular plan. Instead, I believe every woman deserves compassionate, evidence-informed support as she navigates her own path. My goal is not to guide you toward a specific type of birth. My goal is to help you feel informed, supported, and deeply cared for as you move through one of the most significant transitions of your life.

Why hire a doula?

Your doctor or midwife plays an essential role in keeping you and your baby safe, but they are responsible for your medical care and often caring for multiple patients at once. A doula fills a different role by providing continuous emotional, physical, and informational support throughout your labor and birth. While partners, family members, and friends can be incredible sources of support, they are experiencing the birth alongside you. They may need breaks, rest, reassurance, or guidance themselves. A doula helps support both you and your loved ones, offering a steady, experienced presence throughout the process. Research has consistently shown that continuous labor support can improve birth outcomes and the overall birth experience. A doula's role is simple but powerful: to help you feel informed, supported, and cared for as you navigate one of life's most significant transitions.