Doula by Design SD
San Marcos, CA
Service range 50 miles
https://www.doulabydesignsd.com/
//instagram.com/doulabydesignsd
Birth Fee
$2000 to $2500
Postpartum Rate
$50 to $65
Birth Fee
$2000 to $2500
Postpartum Rate
$50 to $65
Currently approved to receive payments from the following programs:
7 years and 118 births attended
2 years and 11 families served
Type of practice: Solo practice
Clients per month: 1 to 3 births and 1 to 2 postpartum families
Attends hospital births? All Hospitals
Attends birth center births? All Birth Centers
Attends home births? Any Home Birth

I have been a volunteer for the Hearts and Hands Doula program at UCSD since 2016. I fully believe that all pregnant persons have an innate inner-knowing that is a powerful guide through pregnancy, birth, and postpartum. Our time together will emphasize self-discovery as we listen to your intuition, practice mindfulness & breathwork, energetic healing & support, and prepare for a birth as unique as you.
I believe that everyone deserves access to quality doula care, regardless of financial situation. To make my services accessible, I offer a sliding scale payment model based on household income. This allows me to support families with varying financial capacities while ensuring I can continue to provide high-quality care." I am very passionate about childbirth and I work incredibly hard to ensure that my clients have a positive and memorable birth experience however they may envision that to look. My goal is for you to feel informed, respected and for your voice to be heard by your birthing team in your chosen birth environment.
San Marcos, CA
Service range 50 miles
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Post a testimonial for Angela Lien CD(DONA)
11/14/2025
Angie was absolutely instrumental in the delivery of our son. Her guidance and support were a true game-changer for our birthing experience. She ensured we were always fully informed, clearly explaining all the options that arose during labor and those concerning our newborn, which empowered us to make decisions with confidence. What truly impressed us was her ability to strike the perfect balance: she was incredibly gentle when comfort was needed, yet firmly assertive during key moments that required decisive action. We wholeheartedly recommend Angie; we simply couldn't have imagined this journey without her expert care.
8/17/2025
I cannot recommend Angela enough. I gave birth unmedicated and truly could not have done it without her unwavering support. She was by my side the entire time, offering calm guidance and encouragement, and even went with me into the operating room to hold my hand while I was being stitched. She not only supported me, but also coached my husband on how to best help me through each stage, which made all the difference for both of us. Her presence, care, and expertise brought me so much strength and peace throughout the process. She is an amazing human being and an incredible doula. I am beyond grateful to have had her with me on this journey.
8/11/2025
I am beyond grateful for the support and expertise that Angela provided throughout my pregnancy, labor, and postpartum experience. Achieving my goal of a natural, unmedicated birth would not have been possible without her unwavering encouragement and genuine care.
From our very first prenatal visit, Angela took time to get to know me, offering insightful guidance and helping me craft a tailored birth plan. Her thoughtful tips for natural induction—including supplements and exercises—helped me feel confident and prepared as my due date approached.
On the day of my child’s birth, Angela was truly indispensable. She is 100% hands-on during labor, providing constant comfort measures like counter pressure, massage, and more. Her duffel bag of supportive tools—including a birth sling, birthing comb, and other aids—helped me through my 11 hours of active labor, making every contraction manageable. She also coached my partner, empowering him to support me and feel included.
Her guidance with visualization techniques and reminders to rest between contractions made all the difference, allowing me to conserve energy and labor as long as needed, always feeling supported.
During our postpartum visit, Angela taught me belly binding and how to wear my baby—skills that nurtured my recovery and strengthened my bond with my newborn. Her genuine care extended beyond birth, making my family feel valued and celebrated.
If you’re seeking a compassionate, knowledgeable, and truly supportive doula who advocates for your wishes, offers constant comfort measures, and is an unwavering presence through pregnancy, birth, and postpartum, I cannot recommend Angela enough. I truly don’t believe I could have accomplished my natural birth without her, and I will absolutely ask her to join us for any future children. She is one in a million!
7/15/2025
I can't recommend Angie enough! She was the perfect mix of encouraging while also assertive throughout our pregnancy, labor and delivery, and postpartum experience. She didn't hesitate to step in and support or advocate for us. Working with her was one of the best decisions that my husband and I made!!!
6/30/2025
We are beyond grateful for Angie. As a longtime doula myself, I stepped back to simply be “mom” while Angie supported my daughter through the birth of her first baby—a 9½-pounder, born naturally! Her calm, intuitive, and loving presence was exactly what my daughter needed. Angie knew just what to do at every moment. She was the perfect match and made this life-changing experience so empowering and beautiful.
5/6/2025
I truly don’t have enough words to express how grateful I am for Angie. She was everything someone could ever wish for, and more. From the very beginning, she brought such calm, thoughtful energy into every interaction. She came prepared for everything and supported me in ways I didn’t even know I needed.
Her presence made me feel confident, informed, and empowered throughout my entire journey. She was there every step of the way, offering guidance, reassurance, and genuine care. Her dedication and heart made all the difference. I can honestly say I couldn’t have done it without her. She is simply the best. Everyone needs Angie, I promise you it will make all the difference. ????
3/7/2025
where do i begin? i could not have had a better experience with angela. from the start, upon meeting her, i felt so comfortable sharing my birth desires and fears. she met me with compassion, hope, and so much confidence. during delivery, her presence was steadfast, physically and emotionally supporting me and my husband in unimaginable ways. we could have not done it without her support. highly recommend angela! she truly is the best of the best.
12/19/2024
How do we even begin to express our gratitude??
Angela is simply the best doula we could have ever hoped for. She is truly an angel. She made her self available to us in the days leading up to the birth whenever we needed her. When our daughter was born, Angela spent many sleepless hours with us at our home and at the hospital, providing unwavering support, care, and kindness.
Her dedication and warmth made all the difference during such an emotional and life-changing time for our family. We are beyond grateful, deeply loved, and incredibly thankful for her.
Angela didn’t just help bring our baby into the world—she became a part of our family. If you’re looking for someone who truly goes above and beyond, Angela is it.
11/13/2024
Review of Angie, Our Amazing Birth Doula
I can’t recommend Angie enough! She was a complete game changer during the birth of my first baby. From our initial meetings to postpartum support, she exceeded every expectation. Her services included two prenatal visits where we went over birthing options, crafted a birth plan, and she patiently answered every question my husband and I had. She even came to our house, which gave us the opportunity to make sure she was the perfect fit. Angie also walked us through various labor and delivery techniques and methods for managing pain during contractions.
Once I went into labor, Angie became essential. She coached me through breath work and guided me in changing positions to help ease the process. I am convinced that without her expertise, my delivery would have taken much longer. Her presence was calming and empowering, and I truly felt that she had my back every step of the way. After I delivered my baby girl, Angie was there for Sofia’s first feeding, making sure we had all the support we needed before she left the hospital.
Her postpartum visits have been an absolute gift, and the recovery soup she brings with her is just one of the many thoughtful touches she includes in her care. I am 100% planning on using Angie again when we decide to have another child and have encouraged my circle of friends to consider a doula in order to make their birth experience as positive as mine was with Angie.
Thank you my dear friend!
8/5/2024
Let me start by saying that without Angie by my side, I might have faced a C-section. Angie was not just a guide; she was my rock throughout the entire labor. Her unwavering support and kindness turned what could have been a stressful experience into a journey of empowerment and understanding. Even when things didn’t go as planned, she was there, helping me navigate every twist and turn at the hospital.
Angie continuously reassured me that I had control over my choices and my induction process, which gave me immense confidence and peace of mind. Her presence was a true blessing, and I couldn’t have asked for a more compassionate and knowledgeable doula. Angie was my saving grace, and I am forever grateful for her incredible care and support.
7/26/2024
Angie was a godsend. She came during a desperate time when my husband and I needed sleep and relief. Not only were we able to get a full night's rest but she provided guidance, encouragement, and comfort during an overnight shift and we look forward to continuing seeking her help and guidance as we navigate the postpartum period
= Available. Calendar last updated: 02-11-2026
= Available. Calendar last updated: 02-11-2026