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Including Midwives and Doulas in a Hospital Delivery Room

Will My Hospital Let Me Have a Midwife or Doula in the Delivery Room?

They say it takes a village to raise a child, and sometimes, it takes a village for a mom-to-be to feel her best bringing that child into the world.

There are a variety of birthing professionals skilled in helping moms and babies. Traditionally, a pregnant patient will have an obstetrician — a doctor specializing in women’s health, especially pregnancy. Midwives also are healthcare professionals, trained in women’s reproductive health, and can perform examinations, order tests, prescribe medications, and deliver babies.

Some women may also opt to work with a doula. A doula is a non-medical professional who provides emotional, physical, and informational support to moms and families throughout the pregnancy, labor, and postpartum process. Doulas, however, don’t deliver babies.

A common misconception is that medical facilities will not encourage the use of midwives or doulas, especially not in partnership with a physician. However, hospitals that prioritize the mother’s preferred birth experience will often welcome the presence of a trusted, compassionate professional.

Dr. Kameron Firouzi, an obstetrician-gynecologist (OB-GYN) at Samaritan in Moses Lake, Washington, said he welcomes the presence of midwives or doulas in the delivery room, as they can provide important support for mothers. In his experience, these professionals avoid interfering in emergency situations and are a benefit to the delivery experience. Samaritan has its own midwife on staff who sees patients and partners with Dr. Firouzi.

“They can be great coaches and encouragement to a patient in labor,” he said. “We want moms to have the experience they hope for whenever possible. We’re a medical facility, but there can still be modifications for a more ‘natural’ experience.”

Midwives, including Samaritan’s Lizzy Bonadies, are certified nurses who typically have a Master of Science in Nursing degree. They can provide collaborative and interdisciplinary care alongside your OB/GYN, working together with you to make the best decisions possible for your pregnancy and care.

Doulas are typically not part of a hospital’s staff but can be contracted independently by the patient. While a doula does not provide medical care, they are part of the pregnant woman’s support system and can work alongside your doctor and nurses to ensure your emotional and physical needs are being met before, during, and after labor.

“Patients often assume midwife or doula services are only offered in birthing centers or more holistic facilities, but we do that in hospitals, too,” said Dr. Firouzi. “You’re still in a medical facility, but those types of resources are available to meet your needs.”

No matter the specific birth experience you’re seeking, it is essential to speak up and let your preferences be known. Ask questions, do your research, and, most importantly, trust that your provider is listening to your needs.

Schedule an appointment with Dr. Firouzi to learn more about tailoring a birth experience to your needs. Contact Samaritan at 509.765.5606.

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