birth & postpartum support

Text that reads 'with Sarah Kovas' in white, handwritten-style font on a black background.

Photo by Melinda Roth

Providing individualized, trauma-informed pregnancy, birth, postpartum support and perinatal patient advocacy for all birthing families.

Photo by Melinda Roth

Perinatal Patient Advocacy

In addition to my work as a doula, I am a certified Perinatal Patient Advocate which means I have special training to speak to your care providers in the birth space on your behalf (with your prior permission). My role is to help families gather all the meaningful information they need to make a values-based, informed decision. Once you have all the information you need, I help you get safe to make the choice that is right for you - not the system, not the provider.

Advocacy and doula work is closely interwoven. My goal is to help families identify their values and clarify what they want and how to move toward it. I help them understand their rights and how to navigate the medical system while communicating and upholding their values and vision for their birth.

My job as a perinatal patient advocate is to safeguard parents’ right to choose, not the specific choices themselves.

"Giving birth should be your greatest achievement, not your greatest fear."

— Jane Weideman

I Offer

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My Philosphy

Birth is one of life’s most transformational experiences that has a lasting impact on both you and your baby. How a baby is born can influence many aspects of their long-term health, including their immune system, nervous system, and gut health. These early beginnings help shape how they respond to stress, form attachments, and grow and develop over time.

For the birthing person, the care and treatment you receive can leave a lasting mark not only on your physical well-being, but on your emotional and psychological health as well. That’s why my support is rooted in extensive prenatal preparation, helping parents build confidence, tune in and trust their intuition and understand their options.

I believe in un-bias, individualized, trauma-informed care. Helping parents understand their nervous system health is a crucial part of the preparation. I am deeply passionate about guiding parents with a history of trauma through their journey, where birth can become a profoundly healing and joy-filled experience. My hope is for families to feel empowered, not afraid, during this vulnerable and sacred time.

Learn more about me

The foundation for birth is laid well before labor begins. Intentional preparation matters—and so does meaningful support during birth and in the tender days that follow. Of course a healthy baby is important, but families deserve more than that alone. They deserve trust, autonomy, safety, and wholeness.

Kind Words

I am deeply grateful for the trust my families have placed with me.

It’s an honor to hold and witness them on their journey.

Hiring Sarah was one of the best decisions we made as first-time parents! I was overwhelmed by the amount of information and opinions around birth and wanted an expert by our side who knew me, understood what mattered to us, and could help my husband feel prepared to advocate for me. She was incredibly knowledgeable and nonjudgmental, giving us information about our options without ever pushing us toward a particular choice. Both my husband and my mom commented afterward on how calm I was throughout the entire experience. Her support didn't stop at birth. With no family living nearby, her postpartum visits—helping me process the birth, talking through feeding, making food, washing baby things, and just being there, made me feel like I had a real village around me. I went from overwhelmed to informed, anxious to calm, and uncertain to confident.

-- Leanne

“Sarah's presence during the birth as a patient advocate and doula diffused and redirected many elements of the birthing process that easily could have been traumatic. I felt empowered, informed, and in control during the most memorable and intense moment of my life. Not only do my husband and I have powerful and positive memories, Sarah took incredible photographs of the birth and wrote exhaustive notes so that she could help us process it and so she could explain certain components of the birth after the fact.”

-- Corrie

“When baby number two comes, I won’t hesitate to call Sarah again. She was instrumental in supporting me through late pregnancy and labor, and she even made a postpartum visit. My only regret is not finding her sooner — she’s a wealth of knowledge and warmth, and her help made all the difference.”

-- Lisette

“Sarah’s innate wisdom, grounding presence, unwavering support, and fierce advocacy carried me through both the darkest and most transformative moments of my life. Each of my births has marked a powerful transition into a different version of motherhood, and Sarah has been there for every step of that evolution. Her passion, deep knowledge, and confidence are truly invaluable—whether you’re pregnant, giving birth, or finding your way through the early postpartum experience.”

-- Amber

“The moments I’ll always be most grateful for Sarah is in the delivery room. She was a comfort, a coach and a strong advocate for me throughout. She guided me and my husband through it all, every question, every decision, every crisis- she was supporting us through it all. Then to top it all off she made the most delicious nurturing home made meals postpartum! And with her Mary Poppins bag of everything self care she helped me in my healing. Sarah was a blessing for my family during this beautiful life changing time!”

-- Kaylee

I truly feel like she cares about myself and our little family. Although I had prepped for a natural birth Sarah also suggested making plans just in case things change and I'm so glad we did. I had to get induced at 39 weeks and luckily I was knowledgeable about what that could look like and how I could go about it that still made my birth feel like it was mine. And that was thanks to Sarah. I felt so empowered, much more than I thought I would, and so much of that was because Sarah helped me so much with my confidence going into birth. It can be so daunting having never experienced giving birth to your child and having a doula, especially having Sarah, made such a positive impact on my journey.

-- Lilli

My wife and I used Sarah as our birth doula and she has been a tremendous help!! Sarah is very knowledgeable, easy to work with, and has a very calming motherly demeanor which helped my wife get through a quite stressful delivery. We also liked that Sarah made herself available to us at any time whereas other doulas had an approach that felt like they were nickel and diming us (ie charging by the hour) and it generally felt more transactional. We would use Sarah again and would definitely recommend her!

-- Tony

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Questions

Its common to have questions before hiring a doula. What does a doula actually do? Do I really need one? What’s the difference between a midwife & a doula? What is a patient advocate?

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