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Current Events: Pregnancy, Birth and COVID-19

What if I don't want to go to the hospital?

Hey Family. I know that this is a scary and uncertain time for lots of us, possibly even more so when we have a little one that's about to make their as-yet-unscheduled appearance. I wanted to let you know that Your Community Midwife is thinking of you.

  • If you are concerned about getting your regular prenatal check ups, I am more than happy to do a prenatal visit for you, in your home, for the reduced cost of $100. I am available by appointment and can be available on short notice.

  • If you are now considering a homebirth and have questions, I'm happy to do a phone consultation with you or come to your home to do one in person. 

  • If you have decided that you DO NOT want to have a hospital birth in light of the potential for COVID-19 transmission or changes in hospital policies, please contact me directly and as soon as possible. You will need to have your full medical records and ultrasound reports available.

I know we are in uncharted territory these days and I am here to provide guidance, support and help. Please reach out.​

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Your Community Midwife

Reproductive Health, Birth and Postpartum Services and Support

Did you know you didn't need to have a baby to have a Midwife? Midwives are well-trained in all aspects of reproductive health: birth, pregnancy, postpartum care, in-home insemination, preconception planning, STI testing, uterine and cervical care.

Every body is unique. Whether care takes place at the hospital, birth center or at home, each is beautiful and deserving of celebration. Let's connect to learn more about my services, and how I can help you get more holistic, fully informed and evidence-based care.

Upcoming Events
Countdown to Baby: Resource Event
Sun, Mar 29
San Diego Breastfeeding Center, LLC
Mar 29, 11:00 AM – 1:00 PM PDT
San Diego Breastfeeding Center, LLC, 8325 University Ave, La Mesa, CA 91942, USA
Pregnant? Adopting? Navigating the 4th trimester? Looking for some professionals and friends to round out your circle of support during the expectant and postpartum periods?

Let's work together!

How can I help? What would you like?

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Complete Midwifery Care: Birthing Guidance and Support

Home birth isn't the a new trend, it's a time-honored tradition. 

Would you like the comfort of delivering your child in your home? Would you like your family, other children or friends to be in attendance at your birth? Would you like a different experience than your last birth? Have you considered a home birth?

The Home Birth package includes a free consultation, all prenatal visits, nutrition and supplement counseling, birth tub rental (if desired), labor and delivery, water birth, a thorough newborn exam, breastfeeding help, 3 postpartum home visits (and more, if necessary or desired), a 6 week postpartum visit and all relevant paperwork for obtaining a birth certificate and social security card. I also have privileges at a local community birth center if your preference is a birth center birth.

I only take 2-3 clients per month. Keeping my client load small allows for more attentive, personalized care, decreases my chance of having two clients in labor at once and gives you a more rested and alert midwife on the day of your birth!


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Prenatal Care Services and Monitrice Support

You know what you want. You appreciate not being treated like a number at an office that you just found in your insurance brochure. Maybe you would like midwife-provided prenatal care, but you'd like to continue with your planned hospital birth. You like having autonomy in your healthcare and you appreciate being fully informed about the choices you have available to you. You'd like a natural approach to this amazing time of pregnancy. My Holistic Prenatal Care package is designed for you.

Our prenatal visits together take 45 - 60 minutes wherein we will discuss normal developmental pregnancy milestones, using food as medicine and discuss standard testings during the course of your normal, low risk pregnancy. Ask your questions, get your answers and make your decisions about the care you deserve. The Prenatal Care Service includes an option for me to attend your planned hospital birth as your Monitrice.


Expectant Couple

Labor and Birth: Monitrice Support

Do you want to labor at home as long as possible before going to the hospital, birth center or calling your midwife? The Monitrice Support package may be just what you're looking for.

The Monitrice Support Package consists of 2-3 prenatal visits in your home or at my office, discussion of your labor support needs, birth plan preparation and preferences based on birth location of your choice.

​I will be available on-call, 24/7 for two weeks before and two weeks after your due date and provide compassionate, dedicated, experienced labor support at home or in the hospital during your active labor period.

As a Licensed Midwife, I am able to provide clinical care in the home before your Home Birth team arrives or you depart for the hospital or birth center. As your Monitrice, you get the best of both worlds. Care may include mother and baby monitoring, cervical exams, as determined/desired between midwife and mother. 1-2 postpartum visits that include breastfeeding support round out your full Monitrice Care support plan.​ I also use another fully qualified, experienced Licensed Midwife as a backup support Monitrice.


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Postpartum Midwife

Would you like a bit of additional support during your postpartum period? Are you away from your family and your tribe? Are you first time parents who don't know what you don't know?

Allow me to help! I will come to you on an as-needed basis to support your family and new baby. Light laundry, small meal preparation, light cleaning, breastfeeding and newborn care support will be provided for a 3 hour minimum.


Female Couple at Home

Reproductive Healthcare

Did you know you don't need to have a baby to have a midwife? Midwives are fully qualified to help you with your reproductive healthcare needs.  Do you need a Pap test?  STI testing? Would you like to talk about the best ways to prepare your body for pregnancy? Are you interested in becoming pregnant via IUI? Let's connect.  I'd like to help.


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Placenta Encapsulation

I am happy to prepare your placenta for you after your birth and deliver it to you within 48 hours.  

Preparation Options: 

Raw Preparation $300

Steamed Preparation $350

Tincture +$50

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Education: Childbirth and Newborn Care

Are you pressed for time? Is your spouse about to be deployed, leaving no time for a 6 week childbirth education class? Is your schedule already impacted? Let's make a 2 hour class just for you.

I offer one-on-one, in home childbirth and newborn care education for families on a tight schedule or for whom time has simply gotten away. Let's answer all your questions, dispel your fears and get you ready to meet the newest member of your tribe!


If we want to find safe alternatives to obstetrics, we must rediscover midwifery. To rediscover midwifery is the same as giving back childbirth to women.

Michel Odent


Meet Nikki, Your Community Midwife

Midwifery is a calling.

I'm Nikki and am the proud mother of two girls 9 and 15 years old, a Licensed Midwife, Doula Monitrice and Perinatal educator.

Birth work found me when a friend asked if I was willing to be her doula in 2003. After serving families in the Bay Area, I got pregnant with my first child in 2004. We relocated to be closer to family in San Diego that next year and were warmly welcomed into the birth community in San Diego. My dedication to providing caring, nurturing postpartum support grew.

Facilitating the "Maiden to Mother" new mother support group at Nature’s Whisper School of Yoga and monthly Newborn Care classes at The Birth Education Center of San Diego allowed my skills and experience to develop. This included a postpartum discussion group as well as Getting Ready for Baby and Breastfeeding classes through Scripps Perinatal Education.  I offer the Practically Postpartum in home class which provides customized, in-home Childbirth Education and Newborn Care classes. I also provide reproductive health care such as Pap tests, STI and pregnancy testing, IUI and IVI services.

There is a great need for caring, sensitive, inclusive and knowledgeable support in today’s world. Every pregnancy and birth is a miracle and as a Licensed Midwife, I feel honored to be able to practice this time-honored profession and serve all families in San Diego.


We were grateful for her ability to listen deeply and to offer her perspective from her significant experience as a doula and a student of midwifery. My husband and I feel that her support was invaluable, especially during what was a very challenging birth.

Rev. Kristen Kuriga

Her flexibility, knowledge and approach were invaluable...I am not sure where we would be without her. From Lulu's first bath to my first bottle feeding, from constipation medicine to all the late-night text messages. Funny story, when Lulu first slept for 5 hours straight we had no idea what to do. Luckily, Nikki texted us back and told us to do nothing."

Jason Carr

Without my birthing team, without [my husband] Joe's guidance and redirection of my energy, without Etta and I connecting...without Nikki coaching me in how to vocalize my surges, fanning, ice, and hip counter pressure... Etta's birth would not be what it was.

Lisa Jones Maroevich

Image by Heather Ford