Homebirth Midwifery in Utah & Salt Lake Counties
Pregnancy, Birth, and Postpartum as Initiation
Pregnancy is not just about creating a baby.
It’s also about becoming someone new.
The childbearing journey is an ancient rite of passage. It asks us to shed old identities, face our shadow selves, and hold ourselves through the messy re-molding of discomfort.
The reproductive path is one of inhabiting a deep inner world and emerging more embodied, present, and aligned with your core self.
The midwifery care I offer bridges worlds — integrating supportive modern care with the ancestral journey of becoming a mother and a more deeply embodied woman.
This care honors childbearing as a rite of passage — one that is often raw, gritty, beautiful, and confronting. Rather than smoothing over the edges, we work with them.
The goal is not perfection or control, but integration — so you emerge from this season more rooted, resilient, and fully belonging to yourself.
What it feels like to be in my care
Prenatal care with me is unhurried. Visits are long enough to cover your labs, your questions, your fears, and whatever else is alive for you that day. My goal is for you to finish each appointment feeling more resourced than when you arrived — more connected to your body, more confident in your instincts, more certain that you are not navigating this alone.
I will learn you. Not just your history and your bloodwork, but how you think, what you're carrying, where you need steadiness and where you need space. By the time labor begins, nothing about the process should feel foreign or frightening — because we will have walked through it together, slowly and honestly, many times before.
At your birth, I bring stillness. Not absence — presence. The kind that gives you room to do your own work while knowing someone steady is holding the edges. I don't perform calm. I am calm. And in the rare moments when something requires my full clinical attention, you will see that too — clear, composed, and completely oriented toward you and your baby.
Postpartum, I show up for the full picture. The tenderness of those first hours. The hard days that follow. The moments when your body and your baby and your nervous system are all adjusting at once. I don't disappear after the birth. I stay — with resources, with presence, and with genuine care for the woman and the mother you are becoming.
You're here because something in you already knows.
Maybe you've felt it for a long time — that birth is more than a medical event to be managed. That your body is not a problem to be solved. That you want to be held, not handled.
You want to be supported through the transformation, not protected from it. You want a midwife who trusts your body as much as you're learning to.
We’re a good fit if…
You know yourself well enough to be honest about what you need
You're ready to do the work — nutritionally, emotionally, spiritually — and you can show up for it without needing it to be perfect
You want a guide and a mentor, not someone to make decisions for you
You hold your beliefs with curiosity and openness, even when birth surprises you
You already trust, somewhere deep down, that your body and your baby are not problems to be solved
I offer a steady presence as you move through the unknown — not to soften the transformation, but to support you as you meet it fully.
Welcome — I’m Sarah!
I came to this work through my own body and my own births. I had my first homebirth with traditional midwives at just 19 years old — and my second baby was born intentionally unassisted. I was raised by a mother who trusted herbs, food, and the body's innate intelligence before it was a wellness trend. Nourishment and body trust aren't frameworks I learned in a classroom. They're the water I grew up in.
I'm also a midwife with a master's degree in nutrition, offering physiology-informed care rooted in female biology and the well-being of mothers and babies.
My work is grounded in nourishment as a foundation for pregnancy, birth, and postpartum, and anchored in both the biological and the spiritual.
My training allows me to assess nutrition and female physiology not as lifestyle advice, but as a core determinant of resilience, hormonal health, and a body’s capacity to meet the demands of childbearing. I support women in eating enough — enough to feel strong, vital, and resourced as they move into motherhood, and enough to support babies in entering the world well-nourished and resilient through the intensity of labor and early life.
To me, nourishment is both practical and generational. When women are deeply fed and supported, they carry that sense of “enough” into their families. This work is about breaking inherited patterns of depletion and modeling a way of caring for the body that creates resilience — for mothers, babies, and the generations that follow.
What homebirth midwifery care includes
This is what care looks like when it's built around you rather than around an assembly line. Every visit is long enough for real conversation. Every decision is made together. The structure below is a rhythm, not a rigid prescription — it exists to support you, not to manage you.
Investment: $5,500
Prenatal Care
Prenatal visits are an hour long to allow both clinical assessment and meaningful conversation. Our initial visit can run 90+ minutes as we review your history and get to know each other.
Appointments generally follow this rhythm:
Every 4 weeks until 28 weeks
Every 2 weeks from 28–36 weeks
Weekly visits from 36 weeks until birth
Around 36 weeks, we’ll schedule an in-home visit to ground into your birth space, and prepare practically and emotionally for the weeks ahead.
If pregnancy continues beyond 41 weeks, visits shift to every three days to support both physical monitoring and emotional check-ins.
Medical Screening & Assessments
Medical screening is optional, and may be recommended on a case-by-case basis.
I generally recommend initial prenatal blood work to evaluate overall health and nutritional status, and to guide our work together in supporting optimal nourishment.
Additionally, the following screenings are available to you:
28-week lab panel to assess nutritional status mid-pregnancy (this also helps us to see if your blood volume has properly expanded)
Glucose screening (various alternatives available in addition to the standard glucose drink, including access to a blood glucose monitor and affordable CGM options) — we will also work nutritionally to prevent glucose issues during pregnancy from 1st trimester and throughout
GBS testing in later pregnancy
20-week anatomy ultrasound
These screenings are billed through insurance when possible and are not included in the global fee. They are offered with clear intent and through client–midwife educational conversations that center autonomy and safety.
Birth Support
You will have continuous midwifery support during labor and birth, with additional assistance as needed to ensure attentive, grounded care.
All necessary supplies for prenatal visits, birth, and immediate postpartum care are included.
From 37 weeks onward, I am on call for you and available by phone or text. When labor begins, I come when you need me – something we determine together both before labor and as labor unfolds.
Postpartum Care
Postpartum care begins between 24 - 48 hours of birth and continues through the early weeks as your body, baby, and nervous system settle.
This includes:
A 24-hour postpartum visit with maternal and newborn assessments, space to check in on your well-being, and time to process your birth experience if you’re ready
State newborn screening (including metabolic screening, hearing, and CCHD testing, all of which may be declined)
Assistance with birth certificate filing, which includes filing for a Social Security number
Follow-up postpartum visits are typically scheduled at:
1 week (at your home)
2 weeks (at my office)
4 weeks (at my office)
6 weeks (at my office)
Additional visits are available if more support is needed.
Availability & Logistics
Midwifery care payments are completed by 36 weeks of pregnancy (we will chart out a payment plan during our initial visit).
From 37 weeks onward, I remain on-call and fully available to you as you approach birth. Ongoing communication is part of care — you are not navigating this season alone.
What Clients Say About Their Homebirth Experience
“Sarah is the midwife I longed for in my first pregnancy and birth, but didn’t find until my second. She is the calm, wise, skilled, and collaborative support so many of us need when we know what we want, know our own bodies, and desire guidance, companionship, and skilled backup for challenges or emergencies on the journey of gestation and birth-giving. Sarah gave me so much space and yet held the edges of my birthing experience so that I could truly trust she had me. In this way, I could lean into my own knowing that all was well and surrender to the process - and work - of bringing my baby through. More than a practitioner or provider, Sarah’s presence felt like a balm, like family, like reciprocal relationship. And that made the birth of my daughter even more of an everyday miracle. We love Sarah!”
—Kesia N.
“Sarah is everything you could want in a midwife. She offered gentle guidance while fully honoring my autonomy, and helped us understand and trust the physiology of birth without ever taking control. Her knowledge of pregnancy and birth is deep and evidence-informed, and she always met our questions with clarity and care. In my birth space, her presence was calm, quiet, and deeply supportive — she simply held space as my body and baby did their work. We felt profoundly supported, respected, and confident throughout the experience. I couldn’t recommend Sarah more.”
—Shelly S.
“I can’t really put into words how I feel about Sarah — she’s kind of magic. I can’t imagine anyone else I would have wanted there. It was incredible knowing she wasn’t going to intervene unless absolutely necessary. To the men: let go of your ego, trust your partner’s body to do what it needs to do, and hire Sarah — she knows her shit. I trust her completely.”
—Tibet S.
“Sarah’s care throughout my pregnancy, birth, and postpartum was everything I hoped for and more. She gently supported my mindset, guided me with nutrition, and encouraged me to trust my intuition while beautifully protecting my autonomy. Her deep knowledge of physiological birth empowered me to make choices that felt right for me, and I had the birth of my dreams — staying deeply in tune with my body, catching my own baby, and experiencing birth as powerful, spiritual, and emotionally profound. Postpartum, she supported us quietly and attentively, ensuring my baby and I felt comfortable, cared for, and well supported. I would wholeheartedly recommend her care to anyone seeking a transformative, connected, and autonomous birth experience.”
—Carlee B.
“When we met Sarah for our first appointment, I was very anxious after the loss of our first pregnancy. She met us with so much kindness and care that I was able to relax and feel truly supported. Sarah took the time to listen, get to know us, and create a space where I felt safe and heard throughout pregnancy. She helped me navigate anxiety, supported me with nutrition and morning sickness, and always made herself available with thoughtful, evidence-based guidance. She never pushed me beyond my comfort, but instead helped me trust my body and my baby. By the time of birth, I felt confident and empowered, and Sarah supported not only the birth itself but also the immediate postpartum period with the same care and attention. With Sarah as your midwife, you don’t just get a provider—you get someone who genuinely lifts you up. I would recommend her to anyone.”
—Breia H.
“Sarah held the calm, steady space I needed to process past birth trauma and prepare for my first home birth and third baby. She was deeply attentive to my concerns and incredibly supportive of my desires for my birth plan. During labor, her grounded presence helped me feel safe and supported, but what stood out most was the care she offered postpartum. Those early days are so tender, and she showed up with immense love in exactly the ways I needed. I trusted her so much that I recommended her to my sister, who also went on to have a successful home birth. I highly recommend Sarah.”
—Brianna S.
Frequently Asked Questions
About Homebirth Midwifery in Utah
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My care is best suited for people seeking relationship-centered, physiology-informed midwifery who value autonomy, education, and collaboration. If you are looking for continuous support, informed choice, and care that honors both the physical and transformational aspects of pregnancy and birth, we are likely a good fit.
This care may not be the right match if you are seeking a highly directive or hierarchical model, or if you prefer all decisions to be made for you rather than with you. It also might not be a good fit if you are unwilling to engage with support around discomfort, or if you hold rigid, black-and-white views about pregnancy and birth.
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Pregnancy and postpartum place significant demands on the body, and nourishment directly impacts energy levels, hormonal balance, blood volume, tissue repair, and recovery. Adequate nutrition supports not only day-to-day well-being, but also a body’s capacity for labor, birth, and postpartum healing – for both mother and baby.
In my care, nutrition is practical and individualized. I use lab work, nutritional physical assessment, and ongoing conversation to identify areas of depletion or increased need. We work together to support your body with enough food and appropriate nourishment throughout pregnancy and postpartum.
This means nutrition is not optional or peripheral in my care. Clients who work with me are expected to engage actively in nourishing themselves as part of supporting both their own health and their baby’s development.
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You are not alone. Many people come into pregnancy carrying complex histories with food, body trust, or nourishment. These experiences are welcomed into care with respect and compassion.
What matters most is not where you’re starting, but your willingness to engage honestly and actively in nourishing your body now. My role is to offer education, clinical insight, and steady support as we build nourishment in a way that feels grounded and sustainable — not punitive or rigid.
This care isn’t about perfectionism or restriction. We focus on adding in nutrient-dense foods and building nourishment through abundance, not deprivation.
That said, this care does require a commitment to eating enough and to addressing nourishment directly. If you are currently unable or unwilling to engage with food as a central part of care, this model may not be the right fit at this time.
We can talk together about readiness during a consultation.
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I hold both. My care integrates modern clinical knowledge with a deep respect for physiology and the body’s innate intelligence. Medical screening and interventions are available when appropriate, recommended thoughtfully, and always discussed in the context of your individual needs, values, and circumstances.
Safety is not opposed to autonomy — it is strengthened by informed, collaborative decision-making.
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No. All screening and testing is optional, and based on collaborative conversations. My role is to offer education, explain options clearly, and discuss the benefits, limitations, and alternatives so you can make decisions that feel aligned and informed. I ensure that you have access to as much information as you would like to have in order to make a truly informed decision.
Consent is ongoing, and your choices are respected throughout care.
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First births ask something profound of a woman — and preparation matters. In my care, we build toward birth slowly and honestly. We cover physiology, nourishment, pelvic floor health, and body awareness — not as a checklist, but as a deepening understanding of how your body and your baby work together.
We also talk about the emotional landscape. The vulnerability of birth. The identity shift of becoming a mother. I want you to arrive at your birth feeling genuinely prepared — not just informed, but grounded.
First time mothers, first time home birthers, and VBAC clients often need a little more time and conversation in some of these areas. That space is always available.
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If concerns arise that require consultation, referral, or transfer of care, this is approached early, transparently, and collaboratively. My goal is always to support continuity, clarity, and dignity while prioritizing your safety and well-being. The goal of community-based midwifery care is to utilize our community resources, as needed, in all its forms – holistic, medical, integrated. Each has a place in certain circumstances and can provide useful tools in supporting you holistically.
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While emergencies are not a common experience in home births, they do occasionally arise in a certain percentage of births. Midwives are trained to handle common variations of normal and some emergencies that can arise during the labor, birth, and postpartum process. These issues and minor emergencies can be calmly and safely handled in your home. For emergencies that require care in a hospital, we will arrange transport with local EMS and collaborate with the hospital care team to ensure that you get the safest and best care possible. We will stay with you throughout the process, and help to integrate the experience with you after you are back home again.
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I attend births in the home setting throughout Utah County, Salt Lake County, and sometimes further afield on a case-by-case basis. My clients also have access to a birth suite located in my shared midwifery office located in Orem, if they prefer this over their own home. During prenatal care, we spend time preparing practically and emotionally for your chosen environment so that it feels grounded, supported, and familiar.
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Yes. I provide continuous midwifery support throughout labor and birth, with additional assistance when needed. From 37 weeks onward, I am on call for you, and when labor begins, we decide together when I join you based on your needs and the unfolding of labor. I will have a birth team with me that will assist throughout the process, and you will get to meet them during pregnancy so that everyone feels familiar and safe during your labor and birth. In the event that I am ill or otherwise unavailable, we will discuss a backup midwife who can attend your birth in the same caring way that I would.
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Postpartum care begins within 24 hours of birth and continues through the early weeks as your body, baby, and nervous system adjust. Visits are designed to support physical recovery, emotional integration, newborn well-being, and your transition into motherhood. Nutritional support is woven throughout this care to ensure that you emerge from your early postpartum months feeling recovered, nourished, and capable in motherhood.
Additional visits are always available if more support is needed.
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You are welcome to invite family and friends who are loving, supportive, and who bring an optimistic energy to your birth space. If you feel entirely safe with them, they are deeply supportive of your birth plans, and they will add to your experience, then they are absolutely welcome. This can include your partner, mother, grandmother, father, children, friend, etc. You are also welcome to hire a doula and/or birth photographer (I have some I can recommend, as well). During our prenatal visits we will discuss ways to integrate people that are physiology-supportive and don’t disrupt the hormones of labor and birth. It can be useful for these individuals to be involved in your prenatal care so that they also understand what physiologic birth at home looks like, and how to support in the best way possible.
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Utah does not allow out-of-hospital midwives to bill standard insurance at this time. I am able to process HSA cards, and I can often accept health sharing plans, such as Christian Health Ministries (see their website for further details).
Midwifery care is offered as a global fee of $5500, which includes all prenatal, birth, and postpartum care, including birth kit and birth team. A deposit of $1,000 is due by your first prenatal appointment, and we will plan out the rest of your payments at that appointment. Payments need to be completed by 36 weeks of pregnancy. Labs, imaging, and screenings may be billed through insurance when possible and are not included in the global fee.
Full financial details are reviewed during the consultation process.
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The first step is scheduling a consultation. This is a chance for us to meet, explore whether we’re aligned, and see how it feels to be in conversation together. Choosing a midwife is relational — trust and resonance matter. The consultation is a supportive, low-pressure space focused on discerning alignment. If we aren’t a good fit, I’m happy to recommend other excellent midwives in the area who may be better aligned with your needs.
This is Where We Start
If you’re seeking midwifery care that honors physiology, autonomy, and the transformational nature of this season, a consultation is the place to begin.
Completing the consultation form below helps me understand your pregnancy, priorities, and the kind of support you’re looking for, so we can enter the conversation with clarity and care.