Calm and Confident Doula Care, LLC

Calm and Confident Doula Care, LLC Birth and Postpartum Doula Support. Helping new and expectant parents move from confused and overwhelmed to Calm and Confident.

Serving Seattle, Everett and the Eastside, including Kirkland, Edmonds, Lynnwood, Bellevue, Redmond, Bothell and Mill Creek.

Breastmilk is so cool! Thank you Katie Hinde for giving us so much insight!
11/29/2025

Breastmilk is so cool! Thank you Katie Hinde for giving us so much insight!

In 2008, Katie Hinde stood in a California primate lab staring at hundreds of milk samples. Male babies got richer milk. Females got more volume. Science had missed half the conversation.
She was a postdoctoral researcher at the California National Primate Research Center, analyzing milk from rhesus macaque mothers. For months, she'd been measuring fat content, protein levels, mineral concentrations. The data showed something she hadn't expected: monkey mothers were producing completely different milk depending on whether they'd given birth to sons or daughters.
Sons received milk with higher concentrations of fat and protein—more energy per ounce. Daughters received more milk overall, with higher calcium levels. The biological recipe wasn't universal. It was customized.
Hinde ran the numbers again. The pattern held across dozens of mother-infant pairs. This wasn't random variation. This was systematic.
She thought about what she'd been taught in graduate school. Milk was nutrition. Calories, proteins, fats. A delivery system for energy. But if milk was just fuel, why would it differ based on the baby's s*x? Why would mothers unconsciously adjust the formula?
The answer shifted everything: milk wasn't passive. It was a message.
Hinde had arrived at this question through an unusual path. She'd earned her bachelor's degree in anthropology from the University of Washington, then completed her PhD at UCLA in 2008. While most lactation research focused on dairy cattle or developing infant formulas, Hinde wanted to understand what milk actually did in primate mothers and babies.
At UC Davis, she had access to the largest primate research center in the United States. She could collect milk samples at different stages of lactation, track infant development, measure maternal characteristics. She could ask questions that had never been systematically studied.
Like: why do young mothers produce milk with more stress hormones?
Hinde discovered that first-time monkey mothers produced milk with fewer calories but higher concentrations of cortisol than experienced mothers. Babies who consumed this high-cortisol milk grew faster but were more nervous and less confident. The milk wasn't just feeding the baby's body—it was programming the baby's temperament.
Or: how does milk respond when babies get sick?
Working with researchers who studied infant illness, Hinde found that when babies developed infections, their mothers' milk changed within hours. The white blood cell count in the milk increased dramatically—from around 2,000 cells per milliliter to over 5,000 during acute illness. Macrophage counts quadrupled. The levels returned to normal once the baby recovered.
The mechanism was remarkable: when a baby nurses, small amounts of the baby's saliva travel back through the ni**le into the mother's breast tissue. That saliva contains information about the baby's immune status. If the baby is fighting an infection, the mother's body detects the antigens and begins producing specific antibodies, which then flow back to the baby through the milk.
It was a dialogue. The baby's body communicated its needs. The mother's body responded.
Hinde started documenting everything. She collected milk from over 250 rhesus macaque mothers across more than 700 sampling events. She measured cortisol, adiponectin, epidermal growth factor, transforming growth factors. She tracked which babies gained weight faster, which were more exploratory, which were more cautious.
She realized she was mapping a language that had been invisible.
In 2011, Hinde joined Harvard as an assistant professor. She began writing about her findings, but she also noticed something troubling: almost nobody was studying human breast milk with the same rigor applied to other biological systems. When she searched publication databases, she found twice as many studies on erectile dysfunction as on breast milk composition.
The world's first food—the substance that had nourished every human who ever lived—was scientifically neglected.
She started a blog: "Mammals Suck...Milk!" The title was deliberately provocative. Within a year, it had over a million views. Parents, clinicians, researchers started asking questions. What bioactive compounds are in human milk? How does milk from mothers of premature babies differ from milk produced for full-term infants? Can we use this knowledge to improve formulas or help babies in NICUs?
Hinde's research expanded. She studied how milk changes across the day (fat concentration peaks mid-morning). She investigated how foremilk differs from hindmilk (babies with bigger appetites who nurse longer get higher-fat milk at the end of feeding). She examined how maternal characteristics—age, parity, health status, social rank—shaped milk composition.
In 2013, she created March Mammal Madness, a science outreach event that became an annual tradition in hundreds of classrooms. In 2014, she co-authored "Building Babies." In 2016, she received the Ehrlich-Koldovsky Early Career Award from the International Society for Research in Human Milk and Lactation for making outstanding contributions to the field.
By 2017, when she delivered her TED talk, she could articulate what she'd discovered across a decade of research: breast milk is food, medicine, and signal. It builds the baby's body and fuels the baby's behavior. It carries bacteria that colonize the infant gut, hormones that influence metabolism, oligosaccharides that feed beneficial microbes, immune factors that protect against pathogens.
More than 200 varieties of oligosaccharides alone. The baby can't even digest them—they exist to nourish the right community of gut bacteria, preventing harmful pathogens from establishing.
The composition is as unique as a fingerprint. No two mothers produce identical milk. No two babies receive identical nutrition.
In 2020, Hinde appeared in the Netflix docuseries "Babies," explaining her findings to a mass audience. She'd moved to Arizona State University, where she now directs the Comparative Lactation Lab. Her research continues to reveal new dimensions of how milk shapes infant outcomes from the first hours of life through childhood.
She works on precision medicine applications—using knowledge of milk bioactives to help the most fragile infants in neonatal intensive care units. She consults on formula development, helping companies create products that better replicate the functional properties of human milk for mothers who face obstacles to breastfeeding.
The implications extend beyond individual families. Understanding milk informs public health policy, workplace lactation support, clinical recommendations. It reveals how maternal characteristics, environmental conditions, and infant needs interact in real time through a biological messaging system that's been evolving for 200 million years—longer than dinosaurs.
Katie Hinde didn't just study milk. She revealed that the most ancient form of nourishment was also the most sophisticated. What science had treated as simple nutrition was actually a dynamic, responsive communication between two bodies—a conversation that shapes human development one feeding at a time.

Tierra Walker should have never died from complications related to her pregnancy. Our healthcare systems are in crisis. ...
11/19/2025

Tierra Walker should have never died from complications related to her pregnancy. Our healthcare systems are in crisis. As doulas we can help our clients navigate their care, but we can't fix a broken system. This family did everything they could to advocate for care that could've saved Tierra's life. This is a terrible tragedy that could've been avoided.

Walker is one of several women ProPublica found with underlying health conditions who died when they couldn’t access abortions.

According to the FDA it can take several weeks for symptoms to appear
11/11/2025

According to the FDA it can take several weeks for symptoms to appear

Health agencies asked caregivers to stop using two batches of ByHeart Whole Nutrition Infant Formula after they found an increase in cases of infant botulism.

We commonly see doctors carefully observing the fetal heart rate monitor and discussing concerns with our clients. Havin...
11/07/2025

We commonly see doctors carefully observing the fetal heart rate monitor and discussing concerns with our clients. Having a well informed discussion is so incredibly difficult! As doulas we work to help our clients ask questions and find what feels right for them moving forward. Then, and this is critical to our work, we support our clients in whatever decision is right for them. Everyone has their own risk tolerance- docs, midwives, nurses, laboring parents.

Decades of research have shown that round-the-clock fetal monitoring does not reliably predict fetal distress, and experts say it leads to many unnecessary surgeries. But it’s still used in nearly every birth in the U.S. because of business and legal concerns, a New York Times investigation found. https://nyti.ms/3WF7yLx

Many thanks to Katya for sharing her thoughts about our support. We have been so honored to be by your side in welcoming...
09/17/2025

Many thanks to Katya for sharing her thoughts about our support. We have been so honored to be by your side in welcoming your baby into your family!

I can’t recommend Milla and Melinda enough! My husband was skeptical about hiring a doula, but after the birth he was the first to say how grateful he was they were there for us and that the inv...

06/17/2025

The words “failed” do not belong anywhere in conversation about pregnancy, birth or postpartum 🙅🏽‍♀️

We have midwives, hospitals, birth centers, OBGYN’s and MFMs for good reason! In a percentage of cases, they are all very much needed 🧑🏼‍⚕️👩🏽‍⚕️👨🏾‍⚕️ we as birth workers and families are GRATEFUL for these resources being readily available to families when they are truly needed.

The #1 cause of home birth transfers is maternal exhaustion. This is why it is essential to rest, hydrate and nourish your body during early labor. A hospital transfer from a homebirth is by no means a failure. It is the responsible, proper use of the resources that are available to keep families safe. Please don’t place this in a negative light.💜💡





06/13/2025
06/06/2025

This! Melinda is preparing to take even more continuing ed on positions that help make space in labor for an easier birth. This move right here is a solid way to finish off labor and help get that baby in their parents’ arms 😊

06/06/2025

Here are 5️⃣ interesting facts about breastfeeding 👇

05/29/2025

The COVID-19 pandemic provided a unique situation for studying the effect of deprivation of supportive care and companionship during labor. Not surprisingly, study participants reported high levels of stress, levels comparable to those experienced when undergoing cesarean surgery. The study’s lead author observes that lower stress hormones and increased oxytocin levels when people feel emotionally supported during labor is a likely explanation for research finding that emotional support during childbirth shortens labor, decreases use of pain medication, and lowers cesarean rates.

What are the implications of this study?

Access to supportive care and companionship during labor has been restored, but nonetheless, hospital staff consider it a nonessential element of labor care, to be permitted or withdrawn at their discretion as, for example, when administering an epidural or during cesarean surgery. This study, along with others, shows that supportive care is not a frill. Failure to provide supportive care and free access to companions of choice can have adverse effects on labor outcomes.

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Our Story

It is our mission to provide non-judgmental physical, emotional, and physical support to parents prenatally, during labor and birth, as well as during the postpartum period. We help new and expectant parents move from confused and overwhelmed to Calm and Confident.

Melinda Ferguson, a seasoned doula, and postpartum doula trainer, heads up the agency, and provides mentorship to our team. All the doulas are trained and either certified, or working toward certification. This ensures that they are highly qualified when they come to your home and your birth.

We serve Seattle, Everett and the Eastside, including Kirkland, Edmonds, Lynnwood, Bellevue, Redmond, Bothell and Mill Creek.