Congratulations to Our Midwives!!!


Congratulations Rachel and David Kiene!


Rachel Kiene and her husband David started their marriage with many adventures…a wedding at a top of a mountain plus many hiking and backpacking trips! Now they are embarking on a new adventure…Rachel, David, and her daughter Ruhiyyih are excited to announce that they are expecting a new baby Kiene!

After years of hoping and trying, and a lot of help, Rachel is 15 weeks pregnant. The Kiene baby is expected sometime in July!

Rachel is planning to begin maternity leave in May or June and take at least a year off from practicing midwifery to thoroughly enjoy as many baby snuggles as possible!


Congratulations to Rachel Fox-Tierney!

Rachel at the 2018 National Conference of State Legislatures with Trish Doyle, MP, Austrailia who had home births and wanted to tell us how much she supported midwifery!

Rachel at the 2018 National Conference of State Legislatures with Trish Doyle, MP, Austrailia who had home births and wanted to tell us how much she supported midwifery!

Rachel Fox-Tierney has been elected to the North American Registry of Midwives (NARM) board starting January 1, 2019. NARM is one of the national organizations that serves Certified Professional Midwives (i.e. midwives of our type…we are CPM’s who are licensed by the Medical Board of California).

NARM’s mission includes providing accountability for CPM’s so that they may improve their midwifery practices, developing and administering a standardized examination system (which is used in all 32 states that regulate or license their CPM’s) leading to the credential “Certified Professional Midwife”, and working to promote and increase the role of CPMs in the delivery of midwifery care to families and their newborns across the United States.

This is a huge honor and involves travel to two week-long board meetings per year. The next board meeting will be held in late March 2019 and another in October 2019. (I am very grateful for my midwifery partners full support which allows me to serve midwives and promote midwifery nationally. Thank you dear Birthstream Families for your understanding, I hope not to miss many of your births, but I know I leave you in many compassionate and trusted hands ~RFT)


Please join us in congratulating our midwives and celebrate with them as they begin new adventures!

Midwife Musings: Birthstream 2018 Year in Review

Birthstream families were busy in 2018 growing their families!  As the year came to a close we reflected on all the births we attended and all the new feet we met!  Let's look back on our year...the firsts, the lasts and all the in-betweens.


There were 46 Birthstream Babies (45 births…hmmm):  Girls 23, Boys 23

  • First babies: 12

  • Second babies: 16

  • Third babies: 7

  • Fourth babies: 7

  • Fifth babies: 2

  • Seventh baby: 1

Second generation home birthers:  2  (we took care of their mothers, too!)

Smallest baby was 5 lbs 14 oz and the biggest baby was 10 lbs 10 oz!

  • 5 lbs+ 1 baby

  • 6 lbs+ 9 babies

  • 7 lbs+ 14 babies

  • 8 lbs+ 14 babies

  • 9 lbs+ 6 babies

  • 10 lbs+ 2 babies

  • with 20% of all babies over 4000 grams (8 lbs 14 oz)!

Vaginal birth after cesarean:  2

Cesareans:  2 (one for twins and one for breech)

Baby born vaginally when both parents born by c-sec:  1

Repeat Home birthers: 17 (13 had previous baby with Birthstream!)

Thank you all for sharing your year with us!  We are grateful to be part of those moments as you welcomed new little people into your home.

We look forward to a New Year with Joy and Gratitude...and more babies!

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Come visit us @BirthstreamMidwifery on Instagram and see the many sweet moments from 2018 that can’t be captured by numbers alone!

Voices of Our Families: Prenatal Care with a Midwife Vs. OB by Emma K

Comparing my 1st pregnancy with my 2nd:

Less Stress as a Stay-at-Home Mom and Excellent Home-based Prenatal Care

I can honestly say that this pregnancy has been so much easier and better than my first.  It really has been a fantastic pregnancy.  The lack of stress and hours on my feet has honestly made all the difference.  You would think that with a toddler it would be harder, but I can spend hours reading her books, singing, going for walks to the park, and countless other activities that I feel helped my womb baby adjust to the sounds and activities of our daily life, while giving me the exercise I need to stay fit for an un-medicated home birth.  Yes, the budget has been tight, but family time has been plentiful. I have enjoyed almost every moment of it (I have to say “almost” because yes, there are always toddler meltdowns and refusal-to-nap days, and finals week in which my husband has to be MIA all week long).

Another benefit with this pregnancy has been the prenatal home-visits of my midwives.  Unlike seeing an OB or a midwife in a doctor’s office or clinic, my home birth midwives schedule to see me in my own home.  My toddler can play with her own toys, help take my blood pressure, and even gets the chance to listen to the baby with the fetoscope. The midwives also let her lie down and pretend to do what mommy does, such as get her belly listened to. I don’t have to worry about being exposed to icky germs in a doctor’s office.  If my daughter needs a diaper change, I don’t have to lug my cloth diapers around with me and can change her in the middle of a visit, or sit her on the potty to try on her own.  The visits often last over an hour as we chat about questions and concerns and anything else on my mind at a leisurely pace, unlike traditional doctor’s visits in which I get 5 minutes to try to remember all the questions I have while trying to keep my daughter from opening all the drawers, ripping the paper off the exam table, and climbing the furniture.  I can discuss my natural options without being judged, and get advice on tandem nursing for when baby is born.  The midwives keep a prenatal record and provide information packets to read at my leisure, and all records are kept with me so I can browse them at any time (unlike a doctor’s office at which you must request them and often do not get copies until weeks later).  I can honestly say I have been extremely happy with my choice of home birth this time around, and the reassurance and copies of research studies they have given me have helped me feel even more comfortable with my choice of VBAC (vaginal birth after c-section) at home.  Often I am told of the risks and danger of home birth by friends and relatives, but being within a 10-15 minute drive to a hospital and midwives with plenty of experience transporting to hospitals in emergency, I feel perfectly safe.