What is Integrated Midwife Care?

Integrated Midwife Care redefines maternity care by honoring the body’s natural intelligence while seamlessly integrating with the broader healthcare system. We know that midwives are experts in healthy and normal physiological pregnancy and birth. We specialize in low-risk pregnancies and offer holistic guidance on nutrition, labor preparation, common discomforts, newborn care, and lactation. We also recognize that each person’s circumstances are unique, yet everyone deserves the type of care that midwives provide. Through our proprietary electronic medical records, we ensure continuous collaboration with OB/GYNs, primary care physicians, and specialists, providing you with uninterrupted, whole-person support. We also perform the same labs and ultrasounds as your OB/GYN, creating a truly integrated experience that bridges the best of both worlds.

What is Comprehensive Midwife Care and Community Birth?

Comprehensive Midwifery Care is a relationship, a reclaiming of how we honor the physiology of reproduction, of birth. It is care that begins with the acknowledgment of pregnancy and extends well beyond the birth, encompassing the emotional, spiritual, and physical aspects of the transformative process of growing a human, birthing, and recovery. The midwife is not just a technician of childbirth but a guardian of its unfolding. Through clinical excellence and deep listening, a midwife offers skilled hands, an unhurried presence, and time-honored knowledge. Blood work, ultrasounds, nutritional counseling, labor preparation, and postpartum healing are provided not as detached procedures but as part of a continuous thread of care that centers on the person, not any specific institution.

Community Birth with a Midwife is the restoration of the physiologic truth that birth belongs to women, gestational parents, to families, to the community, not to systems. However, there are times when systems are required if the birthing process deviates from being healthy and normal. It is the midwife's job to recognize those moments and act with integrity accordingly. Whether at home or in a freestanding birth center, it is a return to safety defined not by machinery but by the intelligence of the relationship to the mother or gestational parent and that of the mother or gestational parent to themselves. In these spaces, the hormonal guides of birth are encouraged and protected. The light is soft. The midwife is known. Here, birth unfolds not as a crisis to be managed, but as a rite to be witnessed, a physiological event that, when undisturbed, reveals the deepest intelligence of the human body.

Are You Accepting New Clients?

Yes, always! I welcome new clients when the circumstances align with care that is relational, intentional, and centered on dignity and respect. While I accept only a limited number of Comprehensive Midwifery Care and Home Birth clients each month, so that I may offer the presence each journey deserves, my postpartum care, pregnancy loss support, early pregnancy confirmation, and virtual midwifery guidance remain ever-expanding. These are sacred thresholds in a person’s life, and I am honored to walk beside those who seek care that is both clinically sound and soulfully attuned.

Where do you see clients?

If you live within an hour and a half of Seattle, you’re within my zone of in-home care. This is the region where I offer hands-on midwifery support. If you live beyond this radius, we can explore Integrated Midwife Care through telehealth, an offering that allows continuity, connection, and clinical excellence, wherever you are. Geography need not be a barrier to deep care.

When should I schedule my Integrated Midwife Care Visits?

I can begin working with you at any point in your pregnancy or postpartum journey, whether it’s the moment you see a second line on a urine test or later, when your body or spirit seeks deeper care. Genetic screening and early blood work may begin at 10 weeks, but it is never too late to receive meaningful, midwifery-led support.

A gentle invitation: You may choose to replace standard OBGYN visits with midwifery care at any interval, every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and weekly until birth. Our approach offers collaborative spaciousness, continuity, and integrity at every milestone through our proprietary electronic health record system, which seamlessly integrates with your OBGYN’s electronic health record system, facilitating seamless communication.

Postpartum care matters deeply. I recommend visits in the first, second, fourth, and sixth weeks after birth, focusing on physical healing, emotional integration, lactation, and newborn milestones, all delivered with attuned, whole-person care.

What is the schedule for Comprehensive Midwife Care and Community Birth?

What is beautiful about this model is that the rhythm of care is created for you. There is no need to chase appointments or wonder what comes next. I come to you.

You will receive home visits every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and every week until birth. Each visit a full 60 minutes of unhurried, attentive care. I will attend your home birth or support you at your chosen birth center and remain by your side throughout the unfolding of your birth to provide clinical and soulful support.

Your postpartum care continues in your home, where you and your baby are meant to rest and recover. I will visit you at 24 hours, 3–5 days, 7–10 days, offer a virtual check-in at 2 weeks, and return in person at 4 weeks and 6 weeks. Each postpartum visit lasts 60 to 90 minutes, allowing time to address healing, lactation, emotional well-being, and newborn needs with the depth they deserve.

Throughout this journey, I offer blood work, ultrasounds, nutritional counsel, labor preparation, and postpartum healing, not as detached procedures, but as part of a continuous thread of care that centers you. This is midwifery in its truest form: relational, reverent, and rooted in the intelligence of your body.

What are telehealth prenatal visits like? 

Each appointment is 60 minutes of unhurried, attentive care, which you can use in its entirety or shorten as needed. This ensures you have ample opportunity to explore your questions, concerns, and any education offered, leaving you with a sense of assurance and joy about your journey. 

I can order ultrasounds, lab work, and most diagnostic tests at your nearest LabCorp or Quest Lab, eliminating the stress of visiting multiple locations. 

Do You Offer Doula Support? 

Please note that we do not offer direct doula services. However, we can certainly provide you with recommendations for experienced doulas in your local community. This personalized support can be invaluable during your labor and delivery experience.

What is the difference between a midwife and a doula?

A midwife is a medically trained primary care provider, licensed by the Medical Board of a Specific State and certified by the National Association of Registered Midwives, with the clinical authority to monitor the health of both mother, gestational parent and baby throughout pregnancy, birth, and postpartum. Midwives are experts in normal physiological birth and are trained to provide comprehensive prenatal care, attend births, perform clinical procedures, and manage emergencies within their scope.

A doula, by contrast, is not a medical provider. Doulas offer non-clinical support, focusing on the emotional, physical, and informational needs of the birthing person. They provide nurturing presence, comfort measures, and advocacy, but they do not deliver babies or assess medical well-being.

Both roles are deeply valuable, yet distinct. When midwives and doulas work together, they create a circle of care that holds the body and spirit with equal regard and centers the person seeking the care and support.

Where will I go to get my lab tests?

I will perform all blood draws in your home for in-home care clients. For virtual care, I collaborate with Labcorp and Quest Diagnostics to meet your lab requirements. These organizations maintain facilities nationwide, ensuring accessibility across the country. If a more complex screen is needed, I will send you to the lab closest to your home. If you need an ultrasound, I will send the order to your preferred location.

Are you reachable outside office hours?

Absolutely! I offer support around the clock, every day of the week, for my clients. Each client is entitled to four complimentary 24/7 triage calls each month; afterward, each additional call incurs a 35$ fee.

Do you offer VBAC services?

Yes, I do support Vaginal Birth After Cesarean (VBAC), when the circumstances are aligned and safety allows.

VBAC is not simply a clinical decision, it is also a reclamation of trust in the body. As a midwife, I hold space for this journey with deep respect and openness. I offer individualized care that honors your history while centering the present moment of your pregnancy, what your body is communicating, what your baby is communicating, and your hopes for birth, with a focus on realistic expectations and a willingness to center safety.

With careful monitoring, collaboration when needed, and reverence for the physiology of labor, VBAC can unfold beautifully, especially in settings where you are seen, heard, and supported without fear. VBACs are some of my favorite births to attend.

Let us explore your options together, with openness, evidence, and trust.

Do you attend to twins?

Yes, as the mother of 24-year-old twin men, I absolutely attend twin pregnancies on a case-by-case basis, with great care and discernment.

Twin birth is a profound variation of normal, and calls for deep experience, thoughtful preparation, and an environment that centers safety and trust. When conditions are right, when both babies are well-positioned, the pregnancy is low-risk, and the birthing person feels drawn to this path, I am honored to support twin pregnancies at home in collaboration with an obstetrician-gynecologist (OBGYN) in your chosen birth setting.

Together, we meet each moment intentionally and wisely. Your body’s intelligence and your babies' bodies' intelligence guide every decision.

Does insurance cover Your Services?

We collaborate with all insurance companies, even those that operate out-of-network.

Here’s how it works: You’ll pay for your visits up front, and then our billing specialist will handle the claim by filing a superbill with your insurance provider. The insurance provider will reimburse you for the out-of-network percentage, which typically ranges from 60% to 80% of the visit's cost. Often, this leads to a more favorable rate than what you might see with in-network providers, benefiting both of us

I work with CareCredit, which can help cover the cost of services. I also accept payments for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). I understand that navigating insurance can be complex, and I am more than happy to address any questions you may have. Feel free to reach out via email at brooke@ovasanctum.com.

Can I use my HSA or FSA for Services?

Yes, you can use your HSA and FSA card to pay for all my services.

What do I need to do before my appointment?

Once you purchase your chosen Curated Care Package, I will send you instructions on preparing for your initial visit with me.

Can I give Integrated Midwife Bundles as a gift?

Of course, I love to be given as a gift, and feel like midwifery care is the best gift you could give a person! Email brooke@ovasanctum with the subject “Gift!”, the care packages you are interested in, and your contact information. I will be in touch to set everything up!