Spokane Doula & Midwife Support
Spokane Doula & Midwife: Costs, Hospitals & Medicaid
True Joy Birthing is a free birth plan app and doula directory for first-time moms in Spokane. Whether you're looking for a doula or midwife in Spokane, building your birth plan, or figuring out what support even looks like — everything here is free.
Doulas, midwives, hospital policies, and costs, broken down so you can walk in prepared. This guide covers how much doulas cost, whether Medicaid covers a doula, and which hospitals welcome birth partners. New here? Learn what a doula actually does.
Birth doula support in Spokane starts at $800
Free · No account needed · Works on iPhone
Spokane's major birth hospitals cluster along the Maple Street and Division Street corridors. Providence Sacred Heart on West 8th Avenue and MultiCare Deaconess on West 5th Avenue are just minutes apart on the South Hill. Families in Spokane Valley and Liberty Lake drive about 15 to 20 minutes west via I-90 to reach these facilities. Spokane River Birth Center on North Pines Road offers an out-of-hospital option in Spokane Valley.
Free app
Build your birth plan step by step in the app
Nine guided sections. Hospital preferences, pain management, who's in the room — all walked through so nothing gets missed.
- Step-by-step guidance for every section
- Update your plan anytime — not a static PDF
- Share directly with your care team or doula
Coming soon Free · No account needed to start
Free app
What the Free App Offers
9 guided sections
Hospital preferences, pain management options, who's in the room, feeding preferences, postpartum plans — each section walks you through what each choice means so nothing gets missed. Answer a few questions at a time, save your progress, and come back whenever you want. Your plan builds as you go, so it never feels overwhelming.
Find local doulas
Browse and connect with doulas and midwives serving Spokane right inside the app. See their services, cost ranges, and availability without searching elsewhere. Many Spokane parents use the app to message providers directly and find someone who fits their schedule and personality.
Printable PDF birth plan
Export your finished plan as a PDF to share with your provider, doula, or hospital. Easy to update anytime — not a static document you fill out once.
Completely free
No account needed, no credit card, no time limit. Works on iPhone. Download it, build your plan, share it — that's it.
Video guide
Spokane Doula & Birth Plan Guide: Costs, Hospitals & Medicaid (First-Time Mom)
Watch the full city guide — doulas, hospitals, costs, and Washington Apple Health, all in under 3 minutes.
Local support
Doulas & Midwives Serving Spokane
Real people, real support: here are doulas and midwives who serve Spokane families. Every listing is a practicing provider, not an ad.
No doulas match your filters.
Nicki Ament
CD, ILFS
Birth and Beyond Doula Services, LLC
$1,800-$2,000
Certified full-spectrum birth and postpartum doula and integrative lactation and feeding specialist. Co-owner of Birth and Beyond Doula Services with 70+ families served since 2020. Nicki offers emotional support throughout pregnancy, labor, and postpartum, with specialized training in bereavement, TENS unit use, and transmasculine fertility support. Services are offered free of charge to teen parents.
Accepts MedicaidServes Spokane, Greater Spokane Area, Coeur d'Alene
Sarah McDonald
Certified Birth Doula
Sarah McDonald Birth Services
$1,700-$2,500
Compassionate certified birth doula with a strong emphasis on equity for clients of all backgrounds, colors, and cultures. Sarah offers combined birth and postpartum packages with sliding scale options, and also runs the Lilac City Doula Training program for aspiring doulas in Spokane.
Serves Spokane, Greater Spokane Area
Kelly Kathrens
CD, ILFS
Birth and Beyond Doula Services, LLC
$1,300-$2,000
Co-owner of Birth and Beyond Doula Services and certified full-spectrum doula with lactation and feeding specialist credentials. Kelly brings 26 years of fascination with birth work into tailored, client-centered care. She provides weekly check-ins, comprehensive birth prep, and postpartum support including overnight care and meal preparation.
Accepts MedicaidServes Spokane, Greater Spokane Area, Coeur d'Alene
Melanie Shaul Alban
Certified Birth Doula
Precious Star Doula Services
$1,800-$2,000
Certified birth doula with Birthing From Within training and 190+ families served since 2012. Melanie specializes in virtual childbirth education, full-spectrum doula services, and bereavement support. She is a Medicaid provider through Quilted Health and serves the Spokane and Coeur d'Alene areas.
Accepts MedicaidServes Spokane, Coeur d'Alene
Olli Gluskin
Certified Birth Doula
Clover Blossom Doula Care, LLC
$800-$1,200
Certified birth and postpartum doula through Birth Arts International with training in Spinning Babies, trauma-informed perinatal care, and placenta encapsulation. Olli provides inclusive, holistic support for LGBTQIA+ families and offers sliding scale pricing from $800 to $1,200.
Accepts MedicaidServes Spokane, Spokane County, Coeur d'Alene
Lisa Viehouser
CD(DONA), PALS
Doula Mama Bear
$1,200-$1,500
DONA and PALS certified birth doula with 40+ families served since 2020. Lisa is passionate about supporting families experiencing anxiety, depression, past trauma, or medically difficult pregnancies. She is a provider for Quilted Health, Tricare, and Medicaid, with additional training in childbirth education and LGBTQ+ reproductive support.
Accepts MedicaidServes Spokane, Greater Spokane Area, Coeur d'Alene, Pullman, Moscow
Evergreen Valley Doula Services
Birth and Postpartum Doula
Evergreen Valley Doula Services
$1,350-$1,600
Established Spokane doula practice offering tiered birth packages from basic to ultimate, with options including belly mapping, herbal sitz baths, placenta encapsulation, and postpartum family meals. Also provides hourly postpartum and overnight care with a focus on healing, bonding, and postpartum wellness.
Serves Spokane, Greater Spokane Area
Taylor Jaderquist
Birth Doula
Sage and Steele Birthworks
$1,200
Emerging birth doula in Spokane offering personalized support with a fresh perspective. Taylor brings grounded, attentive care to growing Spokane-area families.
Serves Spokane, Greater Spokane Area
Find a doula or midwife near you
The True Joy Birthing app lets you search for doulas, midwives, and birth professionals in your area. Filter by certification, services offered, and insurance coverage, so you can find the right support before your due date.
Try the free app →Listed providers are independent practitioners. True Joy Birthing does not endorse any specific provider.
Are you a doula or midwife serving Spokane?
Get listed on True Joy Birthing and reach expecting families in your area.
Get listed →Hospitals & Birth Centers in Spokane
Here's what you need to know about the hospitals where Spokane moms deliver.
101 W 8th Ave, Spokane, WA 99204
Providence Sacred Heart Medical Center (101 W 8th Ave) is Spokane's largest birth hospital and the Inland Northwest's regional referral center for high-risk pregnancies. The Level IV NICU is the highest available in the region, meaning premature and critically ill newborns from across eastern Washington, north Idaho, and western Montana are transferred here. Sacred Heart delivers over 4,000 babies annually and offers maternal-fetal medicine specialists, an in-house midwifery program, and a dedicated birth center unit called The Birth Place. The hospital is located on the South Hill just off Maple Street, about 10 minutes from downtown and 20 minutes from Spokane Valley via I-90. Doulas are welcomed as support persons, and lactation consultants are available for every postpartum family. Use our free hospital birth plan template to prepare for your Sacred Heart delivery.
VBAC: Allows TOLAC/VBAC with physician approval
Doulas: Doulas welcome as support persons
8003 W 5th Ave, Spokane, WA 99204
MultiCare Deaconess Hospital (8003 W 5th Ave) provides labor and delivery services on Spokane's South Hill, about 5 minutes from Providence Sacred Heart. It features a Level II NICU with neonatology support for moderately complex births, comfortable private L&D suites, and a family-centered approach to maternity care. Deaconess is home to BirthWise, the only in-hospital natural birthing center in Spokane, which offers hydrotherapy, unmedicated labor options, and midwife-led care within the hospital setting. This makes Deaconess a strong choice for families who want a more natural birth experience with the safety net of a hospital NICU just down the hall. Use our free hospital birth plan template to prepare for your delivery here.
VBAC: Allows TOLAC/VBAC with physician approval
Doulas: Doulas welcome as support persons
2003 Kootenai Health Way, Coeur d'Alene, ID 83814
Just across the Idaho border about 35 miles east via I-90, Kootenai Health in Coeur d'Alene serves many Spokane-area families, especially those in Spokane Valley, Liberty Lake, and Post Falls. The hospital has a Level III NICU, meaning it can care for babies born as early as 28 weeks, and offers a full range of maternal-fetal medicine services. Many families choose Kootenai because it is closer than driving into Spokane, and the smaller setting can feel less overwhelming than a major medical center. If you have Washington Apple Health (Medicaid), verify out-of-state coverage with your managed care plan before choosing Kootenai, as cross-border Medicaid billing can require pre-authorization. Grab the free birth plan template if you are considering delivering here.
VBAC: Allows TOLAC/VBAC with physician approval
Doulas: Doulas welcome as support persons
915 N Pines Rd, Spokane Valley, WA 99206
A licensed freestanding birth center in Spokane Valley (915 N Pines Rd) operated by Spokane River Midwives, offering water birth, holistic midwifery care, and a home-like setting with dedicated birth suites and soaking tubs. The practice is led by licensed midwives who attend both birth center and home births, with a two-midwife team present at every delivery for added safety. Spokane River Midwives accepts most major insurance plans including Washington Apple Health (Medicaid), making out-of-hospital birth accessible to families regardless of income. Prenatal visits are typically longer and more personalized than hospital-based care, with 45-60 minute appointments that cover nutrition, emotional wellbeing, and birth preparation alongside clinical checks.
$3,000-$5,000
127 E Euclid Ave, Spokane, WA 99208
A freestanding birth center in north Spokane (127 E Euclid Ave) operated by Spokane Midwives, featuring home-like birth suites with large birthing tubs for labor and water birth. Founded by Victoria Garwood LM, CPM with over 20 years of midwifery experience, the center focuses on individualized, low-intervention prenatal and birth care. The practice offers both birth center and home birth options, and accepts Washington Apple Health (Medicaid) as well as private insurance. Spokane Midwives is known for longer prenatal visits, continuous labor support from a known midwife, and comprehensive postpartum care through six weeks, including lactation support and newborn screening.
$6,500
Hospitals listed for reference only. True Joy Birthing does not endorse any specific provider. Always call ahead to confirm doula and visitor policies during your hospital tour. For more questions, see our doula FAQ or our birth plan checklist.
Reviewed by Shelbi Kohler
How it works
What Doula & Midwife Support Looks Like in Spokane
Not sure what the difference is?
A midwife is your medical provider: she can deliver your baby, write prescriptions, and monitor your health. A doula is your support person: she keeps you comfortable, informed, and emotionally held, but doesn't do medical tasks. You can have both, and many Spokane moms do. Learn more about what a doula actually does →
Spokane is the Inland Northwest's regional birth hub, serving families across eastern Washington, north Idaho, and western Montana. The city has a tight-knit but growing doula and midwife community that is deeply connected and collaborative rather than competitive. Two licensed freestanding birth centers serve the area, both accepting Medicaid, and Washington State's progressive doula and midwifery licensure framework makes out-of-hospital birth more accessible here than in most of the country. Providence Sacred Heart's Level IV NICU draws high-risk referrals from a five-state region, while Deaconess's BirthWise program offers a rare in-hospital natural birth center option. The Spokane Professional Doula Association supports a growing network of birth workers, and the city's proximity to Coeur d'Alene means families often cross state lines for care, since Idaho does not cover doulas through Medicaid while Washington does.
Continuous labor support
A doula provides continuous support from early labor through delivery. No shift changes, no handing you off to someone else.
Evidence-based comfort techniques
Breathing, counter-pressure, position changes, proven to reduce C-section rates and shorten labor.
Advocacy before and during birth
Your doula helps you understand your options and practice saying what you want, before you're in the delivery room.
Postpartum follow-up, too
Most Spokane doula packages include at least one postpartum visit, because birth support doesn't end at delivery.
Whether this is your first baby or you're preparing for a VBAC, understanding what a doula does, and how a doula can change your birth experience, can help you decide what support is right for you. Planning for a specific scenario? Read our VBAC birth plan guide or our C-section birth plan template.
How Much Does a Doula or Midwife Cost in Spokane?
In the Spokane area, birth doula packages typically range from $800 to $3,000. Midwife fees vary by type and setting — home birth midwives usually charge a global fee of $4,000–$8,000, while hospital-based CNM care is billed through insurance like a doctor's visit. Curious what doulas charge in your area? Our cost guide covers typical ranges, what's included, and what to ask about. If you're also thinking about support after baby arrives, learn what a postpartum doula does and how one can help.
If that number feels steep, you're not alone, and there are options:
- Medicaid: Good news: your state covers doula services through Medicaid. See the details below.
- HSA/FSA: Many families don't realize that doula services can often be paid for with HSA or FSA funds, since birth support qualifies as a medical expense under most plans. Check with your plan administrator.
- Sliding-scale doulas: Many Spokane doulas offer payment plans, sliding-scale fees, or reduced packages. Don't be afraid to ask.
- Student doulas: Doulas in training often attend births at reduced rates. It's a great option if budget is tight.
How Much Does a Doula Cost in Spokane?
In Spokane, a birth doula typically costs between $800 and $3,000. This usually includes two prenatal visits, continuous labor support, and at least one postpartum check-in. Prices vary based on experience, the number of visits included, and whether add-ons like childbirth education or placenta encapsulation are bundled in.
Birth Doula
$800–$3,000
Prenatal visits, labor support, and postpartum follow-up.
Postpartum Doula
$25–$45/hr
In-home newborn care, feeding support, and recovery help.
Doula rates in Spokane typically reflect the local cost of living, with experienced doulas charging more as they build their practice. It's not uncommon for doulas with 10 or more years of experience to charge at the higher end of the range, while newer doulas may charge less as they build their client base. The personal connection matters too. Families who chose a more experienced doula often say the investment was worth it.
In markets like this, we've seen birth doula packages ranging widely, with the biggest variables being experience level and what's included in the package. Some doulas offer sliding scale pricing or payment plans, so it's always worth asking, even if the listed rate feels out of reach. We've heard from doulas who volunteered a payment plan before the family even raised cost as a concern.
We've heard from families who successfully used their HSA or FSA to cover doula services with a Letter of Medical Necessity from their doctor. It can take persistence, especially if office staff push back on the paperwork, but many families get it approved. If a nurse or gatekeeper declines to pass the form along, bring it to your next in-person appointment and discuss it directly with your provider. We've also seen families request in-network exceptions from their insurance for doula care, though results vary widely by insurer and even by which representative you speak to.
For a full breakdown of what is included in a doula package and what to ask about during consultations, see our complete doula cost guide.
Does Medicaid or Insurance Cover a Doula or Midwife in WA?
Yes. Washington Apple Health (Medicaid) covers doula services. Under state rules effective 2024, Washington Medicaid reimburses enrolled doulas for prenatal, labor, and postpartum support. Washington also extended postpartum Medicaid coverage to 12 months, and has some of the most robust doula Medicaid coverage in the nation.
Washington State is among the most progressive for birth access. Medicaid covers doula care, and the state requires most insurance plans to cover midwifery and birth center services. Check your specific plan for doula benefits.
Not sure what to look for in a doula or midwife? Here's how to choose a doula who fits your birth preferences, your personality, and your budget. For a full breakdown of which states cover doulas and midwives through Medicaid, see our Medicaid doula coverage guide.
What About a Midwife in Spokane?
Washington licenses Certified Professional Midwives (CPMs) and Licensed Midwives (LMs), making home birth and birth center midwifery legally regulated and accessible in Spokane. That means if you are planning a home birth or birth center birth in Spokane, your midwife operates under a state-issued license. On the hospital side, Certified Nurse-Midwives (CNMs) practice at Providence Sacred Heart and MultiCare Deaconess, so hospital-based midwifery care is available for Spokane families.
In Washington, Licensed Midwives (LMs) are specifically licensed by the state to attend out-of-hospital births, giving
Not sure whether you need a doula, a midwife, or both? Our doula vs. midwife guide breaks it down clearly.
- Certified Nurse-Midwives (CNMs) work in hospitals and birth centers and are covered by Medicaid in all 50 states.
- Midwives vs. OBs: Midwives spend more time with you: longer appointments, more conversation, less rushed. OBs are surgeons trained for complications. Both are valid choices for different situations.
- You can have both: Many Spokane practices pair midwives and OBs so you get midwifery-style care with a doctor backing you up if needed.
- Birth centers: Spokane has freestanding birth centers where midwives attend births in a home-like setting. See the details above.
Planning ahead
When to Start Looking for a Doula or Midwife in Spokane
Start looking around 12 to 20 weeks. That gives you time to meet a few doulas, compare approaches, and lock someone in before their calendar fills up — popular Spokane doulas often book up by the third trimester. Already past 20 weeks? Start now. Most doulas have room in their schedule and would rather work with you late than not at all.
The earlier you connect, the more time your doula has to learn your preferences, understand your hospital's policies, and build trust before labor day. Use the free app to browse doulas serving Spokane and start reaching out today.
What local moms ask
What Spokane moms want to know
How much does a doula or midwife cost in Spokane?
Expect $800 to $3,000 for a birth doula. Washington Medicaid covers doula services.
Can my doula come to the hospital with me?
Most Spokane hospitals allow doulas. Always confirm your hospital's policy ahead of time.
Does Medicaid cover a doula in Spokane?
Yes. Washington Medicaid covers doula services. See the details above.
What does a birth plan actually do?
It helps you think through your preferences before labor, so you can walk in confident instead of overwhelmed. Grab the free template.
Walk Into Your Birth Feeling Prepared: Not Anxious
The #1 thing Spokane moms tell us they wish they'd had? A clear plan they'd actually thought through, not just a form, but a process that helped them understand their options before the contractions started.
The free Joyful Birth Plan app walks you through every decision: who's in the room, what happens if things shift, what matters most to you, so you walk in confident. Prefer paper? Download the free PDF template instead.
Free · iPhone app or printable PDF · No account needed
Keep Reading
Related Resources for Spokane Families
Everything you need to know, from what a doula does to whether Medicaid will pay for one. These guides walk you through each topic so you can make decisions with confidence.
What Is a Doula?
What doulas do, how they help, and why families hire one. Covers the three types of doula support so you can decide what fits your birth.
Read more →
Benefits of a Doula
How doula support improves birth outcomes and satisfaction. Backed by research showing fewer C-sections, less pain medication, and shorter labors.
Read more →
How to Choose a Doula
Interview questions, red flags, and what to look for. A step-by-step approach to finding someone you genuinely trust with your birth.
Read more →
Doula Costs
What doulas charge and how to make it affordable. Covers typical ranges, payment plans, and whether your insurance or Medicaid helps cover the cost.
Read more →
Postpartum Doula
Support after birth: feeding, recovery, and adjusting. Learn how a postpartum doula helps with nighttime support, newborn care, and emotional recovery.
Read more →
Joyful Birth Plan Template
Free template to write down your birth preferences. A simple guided format that covers pain management, labor environment, and postpartum wishes.
Read more →
Doula FAQ
Common questions about hiring and working with a doula. Quick, honest answers to what first-time families ask most often.
Read more →
Doula vs. Midwife
The key differences and why you might want both. Breaks down who does what so you know exactly which provider you need for your birth plan.
Read more →
Medicaid Doula Coverage
Which states cover doulas and how to use your benefit. Step-by-step guide to Medicaid doula reimbursement by state.
Read more →Looking at Nearby Cities?
Your Questions About Doulas & Midwives in Spokane
The things Spokane moms ask us most, answered honestly.
Does Spokane have any freestanding birth centers?
Yes. Spokane has two licensed freestanding birth centers: Spokane River Birth Center in Spokane Valley and Spokane Midwives Birth Center on East Euclid. Both offer water birth, midwifery care, and a home-like setting. Grab the free birth plan template to think through whether a birth center or hospital is right for you.
Which Spokane hospital has the highest-level NICU?
Providence Sacred Heart Medical Center has a Level IV NICU, the highest level available, serving as the regional referral center for the Inland Northwest's most critically ill newborns. Grab the free birth plan template so you walk in knowing exactly what you want.
Does Washington Medicaid cover doula services in Spokane?
Yes! Great news. Medicaid covers doula services in Spokane. Here is your next step: call your Medicaid plan and ask "Do you cover doula services?". they will walk you through it. You deserve support, and now your insurance helps pay for it.
Can I give birth at Kootenai Health if I live in Spokane?
Yes, many Spokane-area families choose Kootenai Health in Coeur d'Alene, Idaho, about 35 miles east. It has a Level III NICU. Some Washington Medicaid plans may cover out-of-state care there, but verify coverage with your insurance first.
Are there home birth midwives in Spokane?
Yes. Spokane has several licensed midwives (LMs and CPMs) offering home birth services, supported by Washington State's licensure framework for out-of-hospital birth providers. Spokane River Midwives and Spokane Midwives both offer home birth options alongside their birth center services.
What is the average cost of a doula in Spokane?
Doulas in Spokane typically charge $800 to $3,000, with most birth packages averaging around $1,500 to $2,000. Postpartum doulas charge $30 to $55 per hour. Medicaid-covered doulas are available at no cost to qualifying families through Apple Health.
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Download PDF directlyExplore Birth Support in Other Cities
More cities with doula costs, hospital info, and Medicaid coverage.
Browse all cities in Washington or explore other states: Arizona · California · Colorado