Doula/Monitrice Services

Professional Labor Support 

Your pregnancy test came back positive, and your mind is a whirlwind of emotions and details that you will need to think about. What do you do next?


Hire a doula!


A labor doula is a non-medical birth professional who can provide you with information about all your birth options, point you to resources, and provide physical and emotional comfort and support during your birth. A postpartum doula can provide you with information, support, and comfort after your baby arrives. Many doulas provide both birth and postpartum services. 


In February 2017, the American Congress of Obstetricians and Gynecologists released a committee opinion “Approaches to Limit Intervention During Labor and Birth” which affirms the role of doulas at births.


"Evidence suggests that, in addition to regular nursing care, continuous one-on-one emotional support provided by support personnel, such as a doula, is associated with improved outcomes for women in labor. Benefits found in randomized trials include shortened labor, decreased need for analgesia, fewer operative deliveries, and fewer reports of dissatisfaction with the experience of labor."


While doulas can't guarantee the outcome of your birth, they can increase your satisfaction with your birth experience. 

I love working with doulas, and I have a list of fabulous doulas I can recommend! 


Occasionally, I will get an inquiry from someone who really wants to birth at home with a midwife but who has a circumstance, such as a prior cesarean delivery, which falls outside our midwifery regulations. In these instances, I can offer labor support as a monitrice. 


What is the distinction?


A doula provides physical and emotional comfort and support, but most do not perform any medical tasks. Doulas are not licensed or regulated, but many are certified through training organizations who guide the way they practice. 

A monitrice provides the support and comfort of a doula but has additional training and skills. Doulas who have trained as apprentice midwives, have worked as nurses in labor & delivery, or some licensed midwives may also offer monitrice services. 


My monitrice services include providing limited clinical assessments, upon your request, that will provide you with information on how your labor is progressing. These assessments may include listening to fetal heart tones, checking cervical dilation, and checking vital signs. The information provided from these assessments is intended to aid you in your own decision-making (such as when to head to the hospital) and is not intended to be construed as medical advice. 

I do not make any medical decisions for you. You are intelligent, strong, and capable of making decisions that are right for you and your family. I will remind you of this as I support you along the way.


I am not a replacement for an obstetrician or licensed midwife and do not in any way direct your care. While I respect a family's choice in planning an unassisted home birth, I cannot provide labor support for those births. 

Families who benefit from the added reassurance of monitrice support include first-time parents, those planning VBACs, or others who want to be sure labor is actively progressing before going to the hospital.


At our prenatal visits, we will discuss what you want from your birth experience, and I will provide you with the resources to form a birth plan that you'll discuss with your provider. During your labor and birth, I won't take the place of your partner or your mother or your best friend, but rather, I will assist your support person(s) in providing you with comfort and reassurance. I am there for all of you. 


From the moment you hire me until after you deliver your baby, I am always only a phone call or a text away. 


Monitrice services are $900 and include:

  • 2 prenatal visits
  • Being available by text, phone, or email to provide support during pregnancy
  • Being on call 24/7 for your birth
  • A 1 hr postpartum visit


My labor support spaces are limited. If I am unavailable, I will be happy to connect you with another excellent doula. 

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Arkansas Blossoms Birth Services
P.O. Box 550
Sheridan, AR 72150

Paula Ross of Arkansas Blossoms Birth Services is an RN, IBCLC, and apprentice midwife with Deb Phillips, LLM, CPM. She is honored to provide professional service with a warm, nurturing touch to growing families in central and south Arkansas.

Services include home birth, water birth, natural childbirth, lactation consultant, breastfeeding support, childbirth classes, and placenta encapsulation.

Areas served include Sheridan, the Little Rock metro area, Bryant, Benton, Malvern, Hot Springs, Arkadelphia, Pine Bluff, White Hall, Star City, Monticello, Rison, Redfield, Camden, El Dorado.

© 2016-2018 Arkansas Blossoms Birth Services
"Let all you do be done in love." 1 Cor. 16:14