Care through this practice begins with a conversation. Community-based midwifery is intentionally personal and intentionally limited, allowing for continuity, responsiveness, and thoughtful care throughout pregnancy, birth, and the postpartum period.
This page offers an overview of how care begins and what to consider when exploring whether this model of care feels like a good fit.
A Small, Relationship-Based Practice
In order to provide consistent, attentive care, this practice serves a limited number of families at a time. This allows for unhurried visits, true on-call availability, and continuity throughout pregnancy, birth, and postpartum.
Because care is intentionally small, not every inquiry can be accommodated — and not every situation will be the right fit. The goal is mutual alignment, not volume.
Timing & Entry Into Care
Families planning a homebirth are encouraged to reach out as early as possible in pregnancy. Early connection allows time to build relationship, establish care thoughtfully, and move through pregnancy without urgency.
That said, first prenatal appointments can be scheduled as early as needed, and late entry into care is considered on a case-by-case basis when space allows.
Location & Visit Structure
Prenatal care is primarily provided at the Dayton office. Home visits are available for families who prefer care in their own space and can be arranged for an additional fee.
A prenatal run-through visit in the home is typically scheduled around 37 weeks for families planning a homebirth.
Scope of Care & Collaboration
Care is centered on physiologic pregnancy, birth, and newborn transition, with an emphasis on informed choice and shared decision-making. This practice offers in-house access to routine laboratory testing, including screening for vitamin and nutrient deficiencies. Genetic screening options include UNITY testing and SneakPeek.
When additional testing, imaging, or consultation is indicated, referrals and coordination are handled as part of care.
If circumstances arise during pregnancy or labor that require a higher level of care, support continues throughout the transition. While a specific birth outcome can never be guaranteed, continuity of care is prioritized.
Is This Care a Good Fit?
This model of care may be a good fit for families who:
value time, continuity, and relationship
are seeking physiologic, evidence-informed care
want shared decision-making rather than directive care
are comfortable with care that is personalized rather than protocol-driven
Families seeking a highly medicalized or strictly standardized model of care may be better served elsewhere.
How to Take the Next Step
The best way to begin is by reaching out to request a consultation. This is a low-pressure opportunity to ask questions, learn more about how care is structured, and explore whether this practice feels like a good fit.
Partners and primary support people are welcome to be part of this conversation.
Please fill out the attached intake form, you are not obligated to include any details that you would rather talk about in person.