Welcome to Birthstream


Birthstream is a homebirth practice of licensed midwives providing care to families in Yolo, Solano, and Sacramento counties since 1977. We believe that pregnancy, birth and breastfeeding are natural, normal functions of a woman's body. Of equal importance, we believe that attending to a woman's mind, emotions and spirit is an essential part of midwifery care. We recognize pregnancy and birth as defining parts of a woman's life. Integrating birth into the whole of family life empowers the woman and strengthens family bonds.

Our services include comprehensive prenatal, labor and birth, and postpartum care for mother and baby both immediately after the birth and extending to 6 weeks postpartum. In addition, we offer Waterbirth, placenta encapsulation, Well Woman visits including pap test, STI screening, and family planning counseling.  Postpartum Care packages coming soon!


Our Midwives: Rachel Kiene, LM, CPM,  Tosi Marceline, LM, CPM, Lesley Nelson, LM, CPM, and Rachel Fox-Tierney, LM, CPM

“We were always given very thorough, well explained information on anything we had questions about but appreciate that we never once felt bombarded with information...You always made a point of asking [my husband] if he had any questions at appointments...you helped us achieve an excellent balance of family time and alone time during the birth.”
— Birthstream Client
“The experience exceeded expectations. The care was completely responsive to our needs and I always knew that my health and the health of my baby were of the utmost importance. I felt listened to and validated”
— Birthstream Client