A midwife is a woman trained to assist another woman in childbirth.
And their presence is being requested by more and more expectant moms in the U.S. today.
Katie McBride doesn't have fond memories of the birthing experience with her first child ten years ago.
So when she delivered her 9-week-old daughter Presley, she used a midwife.
"I was a lot younger then. I didn't understand that you do have options and that you can make your own decisions about things, so," she said.
Covenant Medical Center's Prenatal Clinic in Waterloo has two certified nurse midwives on staff.
"I'm educated to take care of women who follow kind of a normal, healthy pregnancy. An ob physician is who I would refer a patient to if they fell outside of normal," said Jaclyn Roman, a certified nurse midwife who helped Katie.
"And we try to develop a really close relationship with our patients and we try to be there for them during the whole labor process so that they have a constant support system," said Covenant's other certified nurse midwife, Erin Lavin.
Katie is happy with her decision this time.
"You can deliver just the same that you would with a doctor. You can do it in a hospital with a midwife. Jaci was there from the moment I got into the hospital to the moment that she was delivered. That just made it more comfortable and just easier and it was a lot more of a personal experience than it was the first time around," said Katie.
"Katie did a fantastic job. Toughed it out naturally, so," said Jaclyn.
Like doctors, the midwives at Covenant are on-call 24 hours. They also offer wellness care for patients.