Most of Kayoko Nakajima’s work takes place at night at the bedside of Japanese women giving birth. Nakajima, who operates out of Kenmore, is believed to be the only Japanese-speaking doula in the Seattle area. Many clients call her during the night—whether that’s 10 p.m. or 3 a.m.—and she sticks with the mothers and fathers until they meet their babies. “Labor takes as long as it takes,” Nakajima said. “Once labor starts, there’s no day or night, for me, for the doula.” At a birth, it’s