Just curiously, why would you waive the fee? I didnt have a doula, we had an IM. We werent charged the full amount either time, we paid for what we were up to, which included births and post natal care. We valued the support and service and wanted to pay for that. I think, for me, having the fee waived may have felt like pity.

I understand not wanting to deal with bills afterwards. Getting things like funeral bills etc just feel like another stab in the heart. So it's a nice idea. Go with what you're comfortable with. Of all the times the added support is needed is when birthing a still baby.

I dont see a problem with having something on the contract. Pregnancy is a hope, not a promise and death is part of life. I'd rather know where I stand. When you're going through the loss, the shock etc can mean you cant think straight. Clear instructions help at a time like that. Maybe have a couple of lines. Eg In the event of a pregnancy loss before 20 weeks, all fees will be waived and I will provide 1-2 hours support as needed. In the event of pregnancy loss after 20 weeks, I will provide support at the birth if the parents would like that and 1-2 post natal visits. Fees will be half- priced or waived or whatever.

A sympathy card is good. I like the range from CarlyMarie as they are specific to loss. I wouldnt mention the fee in it though.