NOVA's Comprehensive Care approach

NOVA Midwifery is distinct in our comprehensive care, team-based approach.  We offer each family knowledge through evidence-based education, care by Certified Professional Midwives, support from a Labor Doula, a Postpartum Doula, and Lactation Consultant. We even offer Birth Photography and Birth Pools for the most optimal birth experience.

Our Midwives partner closely with a local Nurse Practitioner, Chiropractor and Massage Therapist to ensure that our mamas and babies receive the most holistic care possible in one of the most important seasons of life. Our families benefit from our 30+ years of midwifery experience, as well as the compassion and competence of a group of women working together to see families humanized in pregnancy and birth.

Respecting the woman as an important and valuable human being and making certain that the woman's experience while giving birth is fulfilling and empowering is not just a nice extra, it is absolutely essential as it makes the woman strong and therefore makes society strong. -Marsden Wagner

Carol Gautschi, featured speaker at the Beautiful Midwifery Conference

Carol Gautschi2

Carol Gautschi, CPM, LM (NARM certified) has attended homebirths since 1978 and has worked as a Classical Holistic Midwife on Washington’s Olympic Peninsula since 1979. She's been married since 1974 to Paul (, and has 7 children and 12 grands! Carol trained in California with, among others, Dr. Nial Ettenhausen in the 1970s and early 1980s. She is president and co-founder of the Washington Alliance for Responsible Midwifery(WARM), and chairs Olympic Peninsula Birth Matters.

Carol is an inspiring teacher, having taught on the art of midwifery here in the States, and abroad. Her teaching style is characterized as unique because in addition to the nuts and bolts of the profession, she also emphasizes the unseen (or intuitive) realm of birth. She fosters the importance of the midwife relationship not just with the mom but also with the baby. 

We are thrilled to have her share at the upcoming BEAUTIFUL Conference this Spring. Read more about Carol's story on her website.

3 Travel Tips

By Taylor Broggie, Restorative Exercise Specialist, owner of Anthology Wellness

With each holiday season comes travel. And, those long trips can create challenges for pelvic health. Sitting for long periods of time causes tension, pain, poor circulation and weakness, especially during pregnancy. Here are 3 solutions for more comfortable travel and a healthier pelvic floor, hips, and spine. Arrive at your destination feeling good instead of stiff and sore!

1) Stop sitting on your sacrum (tailbone).

Sometimes during travel you don't really have an option; you have to sit, but you can sit better.  Sitting on your sacrum weakens your pelvic floor muscles, causes back pain, and decreases birth space. Instead, tilt the pelvis forward, so you are sitting on your ischial tuberosities ("sitz bones").  This small shift goes a long way for pelvic health. Car and airplane seats often put your spine in a 'C shape' and force you to sit on a tucked pelvis. You might find it helpful to try the following: sit on a folded sweater/towel, sit forward on the edge of the seat, or roll up a towel/sweater and place it between the seat and your low back.  

2) Take breaks from sitting.

Try to move for 5-10 minutes every hour.   

Car travel: This can be as simple as stopping at a rest stop and taking a 5 minute walk, running around with your kids, or doing a few squats.  In severe winter weather, find an indoor option- a mall, grocery store, or even a gas station mini mart.  (I know when you're traveling with kids, there is no "quick 5 minute stop"! However, you will all feel better mentally and physically if you take the 20 minutes to move around a little.) 

Air Travel: Try to get an aisle seat so you have more freedom to get up regularly. A short walk up and down the aisle will improve circulation and reduce swelling and tension. On larger planes, there is often room in the back to stand and do a few stretches before returning to your seat. 

3) When sitting isn't required, choose movement. 

Car Travel: When you stop to eat at a restaurant, try finding a place out of the way or outside on the grass to sit on the ground. Sitting on the floor has many benefits: it encourages you to move thorough a variety of positions (cross legged, kneeling, squatting); you will end up stretching while you eat; and the act of getting up and down off the floor adds extra movement to your day. At first, floor sitting may feel strange, but this will help relieve soreness and tension that accumulates in the hips. For road trips specifically, we always bring a large blanket to sit on and pack a lunch or order food to-go.

Air Travel: Instead of standing still on the escalator or moving walkway, opt for taking the stairs and walking to your gate. Try standing at a bar or other counter height table (many airports have electronic charging stations) to eat or do computer work.   Once you get to your gate, instead of sitting and waiting to board, walk around the terminal, stretch, and do a few squats.  Walking and squatting are two of the best things you can do for a strong and functional pelvic floor.  

2 exercises you can do while traveling to relieve hip pain, to strengthen the pelvic floor, and to improve circulation for the whole lower body. 

Squats: Keep the pelvis untucked (see the lumbar curve?). Squats strengthen the gluts, hamstrings, and pelvic floor. Wrong way: When you tuck your tailbone, the low back has lost its curve.

'Number 4 Stretch':  Keep pelvis untucked, standing knee is over the ankle. Wrong way: When the tailbone is tucked under, standing knee is coming forward of the ankle.

Taylor Broggie is our go-to pelvic health guru. We're excited to have her joining us for the BEAUTIFUL Midwifery Conference this coming Spring. 

After the birth

postpartum care

It really happened. You gave birth to YOUR baby! And, it's starting to set in that you are needed in a brand new, special way. Your newborn is, in a word: captivating. You live from moment to moment, and sometimes, you forget what YOU need. RECOVERY. Embracing the postpartum period is not selfish, but rather, necessary to the overall health family.  

What can you do before birth to have a smoother postpartum transition? 

  • Get familiar with what your baby's needs will be. 
    • Select a care provider for your baby.
    • Collect immediate necessities for baby (diapers, wipes, clothes) and create a convenient baby care 'station'.  
    • During pregnancy, read a book on infant care and one on breastfeeding.
  • Gather breastfeeding supplies.
    • Nursing bras, breast pads, an ointment (coconut oil, olive oil, etc.) for nipples, and a breast pump
    • Ask your doula or find contact info for local breastfeeding support consultants + groups
  • Organize help for you and your family's needs.
    • In order to reduce standing time in the kitchen- make a few meals before the birth and freeze them; ask extended family and friends to do a postpartum meal train
    • In order to get as much rest as possible-
      • Arrange childcare for older siblings- ask close friends and extended family to help you by having your older children go on special playdates during the week or 2 immediately following birth (or first week or 2 at home from the hospital) 

More Resources for your 'fourth trimester'

Special Announcement

Introducing another option in Midwifery Care to Middle Tennessee families: Licensed Certified Professional Midwives, Heather Munoz and Celesta Bargatze! NOVA’s full-spectrum care paradigm was birthed through the complementary collaboration of midwives, doulas, educators, and lactation counselors working together toward one shared objective: to ensure families receive humanized care during one of the most vulnerable and impactful seasons of life. 
{Accepting clients with April 2016 & later due dates}
For more information please visit our midwifery page here.