Brette Howard

Birth Doula 

Hello & Welcome.

I'm based in San Francisco's Mission District & service the entire Bay Area

as a trained Carriage House Birth Doula.

I weave 20+ years of hospitaltiy and event prodcution into an orgnaized, energetic and grounded blend of both holistic and clinical/evidence based care for my clients births.

Nothing thrills me more than the dynamic families I get to welcome & uplift in this work. 


I hold myself in practice and purpose for the following tenants:


  • ALL birthing people, preferences and family structures deserve to be witnessed, empowered and supported in every decision during pregnancy, delivery and postpartum

  • Birth partners need clarity, confidence + comfort 

  • Illuminating honest communication will create a healthy foundation for your birthing team and newborn


Born at home on the plains of Montana & raised on the Salish Sea of Seattle Sound.

I have called the hills, valleys and rivers of California home for almost 20 years and have a deep connection to community and service in the Bay Area.


My husband, daughter and I call San Francisco's (Ohlone Land) Mission District home and in my free time you can find me listening to or attending live music, taking photos, camping/hiking and soaking in a hot spring any chance I can get. 

I have a deep connection to different earth based skills, storytelling,

cosmology and divine timing.

As a family, every year, we spend Jan/Feb (WON'T BE BOOKING THEN) in Costa Rica and I am working hard to become fluent in Spanish.

When in CR I practice being in relationship with the land + community as a student of Bee Keeping, Birding and Mycology. 


Looking forward to connecting with you. ​

Certifications & Trainings

  • Path of the Doula: 2 part workshop -  Elizabeth Bachner of GraceFull Birth 2016

  • Heart & Hands: 11 week Midwifery Intensive - Beginning Course with Elizabeth Davis 2019

  • Foundational Birth Training: Carriage House Birth LA cohort FALL 2019 

  • Virtual Childbirth Education- Carriage House Birth 2022

  • CPR Certified

  • Twin Experience

  • Apprenticeship w/ Jennifer Darwin - Founder of GGDA Spring 2022

Client Testimonials

My partner Max and I feel so lucky to have had Brette as our birth doula. Beforehand, she helped us prep and consider our preferences for birth, even for things like lighting in the hospital room, which we wouldn't have considered without her mentioning it. She was also helpful to consult with questions or decisions as we approached birth. And then while in labor, she was invaluable. She encouraged walks and trying out various positions to see what was most comfortable, and when it got painful, her pushing on my hips and the TENS unit she brought were lifesavers. She kept her cool as Max and I freaked out, and took care of things like communication with my placenta encapsulation lady after the birth. Additionally, both Max and I are first-time parents, so just having Brette's knowledge and emotional support through this experience was so crucial. Without her, it would have been a much scarier experience for both of us.

~ Sara S.

Doula Brette was phenomenal to work with and I can't imagine the experience without her. My partner and I appreciated how patient she was with every question we had. She was beyond prepared, knowledgeable and most importantly kind and calm. She walked us through every step as we approached birth and was available to talk through all my concerns and fears. When I went into labor she was a super star- the TENS unit and other goodies she brought were so valuable in helping me find some relief when contractions became intense. When we arrived at the hospital she was already outside waiting with a wheel chair. And did I mention that she massaged my hips and back for 8 hours!!!!!!!! She was also a great advocate and made sure our wishes were respected during the labor process in the hospital. We cannot imagine the experience without her and it feels as if she is now an extension of our family. Thank you Brette. We couldn't have done it without you!

~Pier I.

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Brette's Birth Package:
*Additional commute fees may apply​
  •  1 in person and 1 virtual prenatal visit

  • 1 optional prenatal bonding visit

  • Custom Fitted Birth Ball

  • Free TENS Unit Rental

  • Expert Pain Coping techniques

  • First Feeding/Golden Hour Support

  • 1 (2-hour) In home Postpartum Follow Up Meeting 


GGDA's Package includes:

*Immediate On-Call

*Monthly Educational Workshops

*Online Breastfeeding clinics

*Online Pelvic Floor clinics

*Online Movement Classes (Prenatal and Postnatal)

*Monthly Educational Workshops

*Online Prenatal and Postnatal Movement Classes (once a month)

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Phone: (415) 568-5822