MAIA offers comprehensive midwifery services throughout the greater Seattle-Tacoma area. Our office is in the Columbia City neighborhood. Kristin Kali, LM CPM provides full prenatal care complete with lab tests and ultrasounds. Kristin attends planned home births as well as births in a freestanding birth center. Postpartum services include care for the birthing parent through six weeks after birth and well-newborn care for the first two weeks of life, as well as outstanding lactation support. Kristin is in-network with most major insurance plans, including Apple Health.
Scheduling an Appointment
Come in for a free consultation to meet Kristin and learn more about how a midwife can help you have a safe and satisfying birth experience!
Prenatal care is available for clients living in the greater Seattle-Tacoma area. MAIA offices are located in the Columbia City neighborhood of Seattle. Access to our offices requires use of stairs – home visits are provided when accommodation is needed.
Kristin attends planned home births throughout the greater Seattle-Tacoma area and birth center deliveries at Center for Birth in Eastlake and Seattle Home Maternity in Columbia City.
Understanding the Midwifery Model of Care
Midwives offer the same schedule of visits and same options for lab tests and ultrasounds as any obstetrical provider. Licensed Midwives in Washington state are independent health care providers, serving as part of the larger healthcare community that also includes obstetricians, family practice physicians, naturopathic doctors, and other allied health care providers. Midwives carry oxygen and neonatal resuscitation equipment, medications to stop bleeding, and other medications to keep you and your baby safe in the event of an emergency. If you choose a hospital setting for your birth, a licensed midwife can still provide your prenatal and postpartum care. As a midwifery client, you have access to the full range of health care options throughout your care.
To meet Kristin and learn more about midwifery care, schedule a Free Consultation for Midwifery Care.
Receiving Care at MAIA Midwifery
We value the midwife-client relationship. Care with a solo practice midwife means that you will receive the highest level of personalized attention throughout preconception, pregnancy, labor and birth, and the first 6 weeks postpartum. The midwifery model of care includes longer appointments so you can get your questions answered, and individualized care tailored to your unique needs.
Home Birth, Birth Center or Hospital Birth
Kristin attends births at home throughout the Greater Seattle-Tacoma Area and birth center deliveries at Seattle’s Center for Birth in Eastlake and Seattle Home Maternity in Columbia City.
If you choose to give birth in a hospital, or if hospital birth becomes necessary due to complications during pregnancy, Kristin can still provide you with comprehensive prenatal care and resume postpartum care after birth. Regardless of your place of birth, postpartum care with MAIA surpasses the conventional model of care and includes attentive and proactive lactation support.
Availability and Backup During Labor
As your due date approaches, Kristin is on-call for you 24 hours a day and is committed to attending your birth. Our client volume is kept at a manageable level so that the chance of two births happening at the same time is very low. If there is ever a need to call on a back up midwife, rest assured that Kristin has relationships with many midwives throughout the Seattle community, and you will never be without care.
MAIA Midwifery is with you every step of the way:
- Preconception Care
- Prenatal Care
- Care During Birth
- Postpartum and Newborn Care
- Breastfeeding, Chestfeeding and Co-Nursing
- Safety of Out-of-Hospital Birth
If variations from normal arise, we do not hesitate to consult with a physician and/or refer you for a higher level of obstetrical care. You can read more about indications for consultation and referral on the Midwives Association of Washington State website.
Prenatal visits are scheduled every 4 weeks during first and second trimester, every 2 weeks from 30 to 36 weeks, and weekly from 36 weeks until birth. Kristin is available by phone for emergent concerns 24/7 throughout the course of your care.
Care During Birth:
Your midwife is on-call to attend your birth 24 hours a day, 7 days a week starting at 37 weeks of pregnancy. Your midwife remains with you from the onset of active labor through the duration of your birth, monitoring your vital signs, assessing fetal well-being, and watching over the progression of your labor.
Give birth the way you want to. You are encouraged to move about freely during labor, and the midwife will suggest positions to help your labor progress. You may choose to give birth in water, on a bed, kneeling against a sofa, squatting on the floor, sitting on a birth stool, standing up, or any other position that feels right to you. Eating and drinking throughout labor is encouraged, to keep up your energy for the hard work of bringing a baby into the world. Kristin upholds the emotional and spiritual aspects of giving birth, assisting you and your loved ones to stay connected to one another throughout the process of bringing your baby into your arms.
Your midwife has the skills and equipment to keep you and your baby safe during labor. Whether we are at home or at the birth center, emergency medications are available and a hospital transport plan is in place should it become necessary. Your midwife carries oxygen and resuscitation equipment, IV fluids, medications for postpartum hemorrhage, and other medications for use in emergent situations. Kristin is certified in CPR and neonatal resuscitation, as is the second midwife who assists at every birth.
After your baby is born, Kristin performs a full newborn exam, offers newborn procedures such as vitamin K injection, and assists you in feeding your baby. For breastfeeding or chestfeeding parents, your midwife helps make sure your baby has a good latch and teaches you the skills you need to be successful in feeding your baby. We continue to assess your vital signs, monitor your bleeding, and suture the perineum if needed. Your midwife stays with you until you and your baby are stable and ready for some much needed rest, which is usually about 3 hours.
Postpartum and Newborn Care:
At MAIA Midwifery, we place a high degree of importance on the postpartum transition and provide a superior level of attention and care to you and your baby during the days following birth.
The postpartum visit schedule consists of home visits on days 1 and 3, additional lactation visits as needed, and office visits at weeks 1, 3 and 6. Your final visit will include a physical exam and pap if needed. In addition to home visits during the first week, your midwife continues to be available by phone 24/7 for urgent concerns throughout the remainder of your care.
Postpartum visits include checking your vital signs, making sure you are healing normally and getting the support you need, and checking in about your emotional well-being. Years of experience lend insight and understanding about many aspects of becoming a parent or adding another child to your family. Your midwife has the wisdom to know that there is no one right way of doing things, and we support each client in making the parenting choices that are best for them.
Your midwife provides care for your well newborn during the first two weeks of life. Care includes physical assessment, weight checks, newborn metabolic screening and congenital heart defect screening. At 2 weeks, your baby will enter pediatric care with the provider of your choice.
Breastfeeding, Chestfeeding and Co-Nursing
Kristin provides proactive, attentive lactation support as part of postpartum care. Skilled support in the early days of breastfeeding/chestfeeding can prevent common difficulties such as nipple soreness and engorgement, while ensuring your continued milk supply. Your midwife will help you make sure your baby has a good latch and teach you how to position your baby for ample milk transfer. For lactating parents, the postpartum transition revolves around feeding the baby. When we ensure that lactation is going well, we support the entirety of the postpartum transition.
Kristin provides lactation support for nongestational parents who choose to induce lactation so that they can breastfeed or chestfeed their babies. We refer to the Newman/Goldfarb protocol for induced lactation, supporting you in making informed choices about medications and herbs to assist with the development of lactiferous tissue and the production of milk. Your midwife will help you with latching your baby and assist you in the use of a breast pump or supplemental nursing system until your milk comes in. If you and your partner are co-nursing, Krsitin will help make sure the gestational parent establishes and maintains their milk supply as you begin to develop yours. We use a collaborative model of care to assist you in reaching your breastfeeding or chestfeeding goals, utilizing the expertise of lactation consultants and the prescriptive authority of your primary care provider, along with the management, ongoing support and hands-on assistance of your midwife.
Safety of Out-of-Hospital Birth
Around the world, midwifery care is the gold standard for care during pregnancy and birth. Countries that have the highest rates of midwifery care have the lowest rates of complications and adverse outcomes. Numerous studies have documented the safety of out-of-hospital birth and the appropriateness of midwifery care for normal pregnancy and birth.
Check out these resources for more information:
- A large-scale study of midwife-led home birth in the United States
- A comprehensive list of current research on out-of-hospital birth provided by the Midwives Association of Washington State
- An annotated guide to the scientific literature regarding home birth from October 2013
- The Transforming Maternity Care Data Center
Insurance Coverage for Midwifery Care
Midwifery care, home birth and birth center facility fees are covered by insurance. We are in-network with the following insurance providers:
- Amerigroup (Marketplace and Apple Health)
- Community Health Plan of Washington (Marketplace and Apple Health)
- Coordinated Care (pending)
- First Choice
- Group Health (Access PPO)
- Lifewise (Marketplace and Apple Health)
- Molina (Marketplace and Apple Health)
Insurance plans can vary widely, and your plan may provide out-of-network benefits for services even if it isn’t listed above. For a free benefit check to determine your coverage, do not hesitate to contact our fabulous billing specialist Victoria Malloy.