Our Goal is to..... 

Provide holistic, individualized, dependable and compassionate care for our families.

Respecting each client as an individual with their own culture, history and belief, so they can make informed choices about their care. 

View pregnancy as a normal and healthy stage of life and and doing all we can to ensure that you remain low-risk. 

Make birth normal while honoring our client and their physiological needs. Provide evidence based care centered around our families to welcome new babies into the world as gently as possible.  

Combine skill and knowledge, trusting the process, pay attention to detail, prevent when possible and intervening when needed.

Promote midwives and the practice of midwifery; providing a setting for students to learn the art and science of midwifery.

Continue to work closely and build bridges with the medical community so that our clients and their babies can can have access to both midwifery and advanced specialized care when needed. 

Midwifery Care

Midwifery care, by definition means - with women - implies that we see and nurture each woman as a unique whole combined of physical, emotional, spiritual and social being. Midwifery encompasses understanding and working to preserve the physiological and hormonal balances of pregnancy, labor, birth and postpartum.

Pregnant mothers are seeking personalized care and a place where birth is treated as a normal, natural major life transition rather than a medical event. Over the years it has become clear that a good support system, the absence of intrusions, and one-to-one care help create an atmosphere where interventions are seldom necessary.

At your visits, you will become familiar with the staff and facility, which we have focused on to make you feel comfortable and welcome but overall safe. We will provide you with evidenced based information while respecting your wishes.  

Our Story

AA Midwifery was officially established in 2021. 

 Over the years, Denise, the midwife has provided care to over 400 families. While providing care to women in both home birth and birth center setting, it became evident there was a growing need for birth centers. It is our goal to continue offering individualized care in a safe space to our families for many years to come.

AA Midwifery believes in training future midwives to be able to provide care to more families. In wanting to provide the best care possible to our families, we are working with a collaborating physician   

Out-of-Hospital Birth and Low-risk criteria

The health of the mother, in depth visits, risk screening, referral and/or transfer to the hospital when appropriate, continuous support and care during labor/birth is what makes having a delivery out of the hospital safe.

We cannot accept clients who have conditions such as insulin-dependent diabetes, high blood pressure, epilepsy, drug use, HIV, hepatitis, heart, renal and kidney diseases requiring ongoing treatment or medications, lupus, MS, a BMI greater than 35%, other conditions are considered on a case by case basis. 

Low-risk criteria in pregnancy include not having:

Conditions occurring during pregnancy such as anemia (Hgb < 10.0) that does not respond to supplementation, gestational diabetes not controlled by diet, cholestasis, oligohydramnios, pre-eclampsia or baby in a breech position (bottom or feet first) could also cause you to ‘risk-out,’ although these conditions can often be prevented or even reversed with proper prenatal care and/or nutrition.  The State of CA also limits birth services for midwifery clients ranging from 37 to 42 weeks gestation. 

Some conditions may resolve on their own but not always, placenta previa (the placenta is over the cervix), or a medical problem with the baby (such as heart defect, etc) that will require special care. 

The focus of midwifery is preventative care and to identify the little things before they become complications that would risk you out of care.  If a situation requiring medical attention arises, we will refer you to one of several qualified physicians we work with or you may visit a doctor of your choice.

In working within the 2014 regulations regarding Licensed Midwifery, all clients must have a care plan in place indicating where they would transfer to if the need arose.  Our clients can schedule a visit with one of our consulting OBs to establish a relationship and preregister at the hospital. This way, in the event of transport you have an OB to accept you into care.

If you have a question about your “risk status”, please contact us. 

For more research on the safety of out-of-hospital birth:
Evidence Based Birth on Birthing Centers

Citizens for Midwifery