My heart is troubled as I sort through the myriad of doula organizations which have sprung up throughout the land. The hard part is explaining to inquiring minds why some are legitimately able to grant professional certification status and others are not. Three that can not I hold dear to my heart as they are incredibly excellent organizations and have done so much for doulas... yet have chosen not to become an accredited organization or in one case, a true non-profit which they claim to be. Yet for this reason I have chosen to align myself with an accredited one, the Global Birth Institute.