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[quote=Anonymous]if you really strongly have a preference for a birth without a lot of unnecessary intervention, sibley may not be your best bet.  they have a very high cesarean rate.  i've worked there as a doula, as well as at other hospitals in this area, and i would not pick sibley as my hospital if i were attempting to avoid intervention.  it's certainly possible to have a 'natural' birth there, but i don't think you'd be stacking the deck in your favor.  i don't feel that in general, there seems to be much interest or commitment to avoiding cesarean births, nor do the providers seem to have the skills to help a birth be vaginal if challenges arise.   of all the hospitals in the area, i'd honestly rate them last place as far as their "support" for natural birth.   no midwives attend births at sibley.

there are various hospital midwifery practices.  if you had a midwife, that would be in place of an OB (though in all hospital midwifery practices, there are always OBs available if their services become necessary during pregnancy, or during the labor/birth).  so you'd have to switch from your OB practice to a midwifery practice if you wanted midwifery care for your pregnancy and birth.  PP is correct that the midwifery practice at GW hospital is very popular and books up very fast (some women call when they are 8 weeks pregnant and cannot get a slot).   there's also the family health and birth center, and their midwives can attend you at either the birth center or at washington hospital center. shady grove hospital also has a midwifery practice, midwifery care associates.

there are other hospital based midwifery practices. you can explore those here:
http://www.birthoptionsalliance.org/midwives.htmlhttp://www.birthoptionsalliance.org/midwives.html

where do you live?  people may be able to offer recommendations for you based on your location.

for doulas (who can come with you to whatever your birth setting is, and offer emotional support, physical comfort, and information), you can browse local doulas here:
http://www.birthoptionsalliance.org/birth-doulas.html

if you go to sibley, i would recommend a doula.  not just because i am one, but because i really don't think that they are set up all that well to facilitate 'natural' birth. having additional support may be really useful there.

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