MAIA offers comprehensive midwifery services in the greater Seattle-Tacoma area, with offices in Columbia City and Fremont. Our licensed midwives provide full prenatal care complete with lab tests and ultrasounds. We attend planned home births as well as births in a freestanding birth center. Our 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. As a Washington state Licensed Midwife, Kristin Kali LM CPM is an in-network provider 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 and Fremont neighborhoods 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 Vashon Island, and she has privileges at Center for Birth in Eastlake and Seattle Home Maternity in Columbia City.
Understanding the Midwifery Model of Care
Pregnancy and birth are normal, healthy physiological events. The midwife’s role is to safeguard your passage through each stage of pregnancy, birth and postpartum recovery, acknowledging that the process of bringing a baby into your life is not just a physiological process; it happens within a social, emotional and spiritual context. This holistic model of care focuses on health promotion and preventive care, shared decision-making, and clinical checkpoints to ensure that you and your baby thrive. Midwives invite your full and active participation in the health of your pregnancy and the transition to life with your new baby. Education is woven throughout all care provided at MAIA, because knowing how your body works enables you to play a central role in your care and leaves you feeling empowered in the process.
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
Home Birth, Birth Center or Hospital Birth
Kristin attends births at home throughout the Greater Seattle-Tacoma Area, including home births on Vashon Island. Kristin also attends births at Seattle’s Center for Birth in Eastlake and Seattle Home Maternity in Columbia City.
If you choose a hospital provider for your birth, Kristin can still provide you with comprehensive prenatal care and resume postpartum care after birth. Regardless of your place of birth, postpartum care with Kristin 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. Kristin prioritizes the needs of her prenatal clients by arranging speaking and travel commitments around upcoming due dates. MAIA Midwifery collaborates closely within a trusted network of local midwives to ensure backup providers are always ready to provide our clients with outstanding 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
Your initial prenatal visit includes a full health history, physical exam, lab tests and a pap if you need one. Each routine prenatal visit lasts up to one hour, allowing ample time to ask questions and discuss upcoming tests or procedures so that you can make informed decisions about your care. Kristin listens to fetal heart tones with a handheld doppler or fetoscope, measures your fundal height, and checks your vital signs at each appointment. She also performs blood draws for routine lab work in office.
If variations from normal arise, Kristin does 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:
Kristin is on-call to attend your birth 24 hours a day, 7 days a week starting at 37 weeks of pregnancy. She 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, and she will assist you and your loved ones to stay connected to one another throughout the process of bringing your baby into your arms.
Kristin 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. Kristin carries oxygen and resuscitation equipment, IV fluids, medications for postpartum hemorrhage, and other medications for use in emergent situations. She is certified in CPR and neonatal resuscitation, as is the second midwife who assists her at every birth.
After your baby is born, the midwife 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, Kristin helps make sure your baby has a good latch and teaches you the skills you need to be successful in feeding your baby. She continues to assess your vital signs, monitors your bleeding, and sutures the perineum if needed. Kristin 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, Kristin 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. Kristin’s years of experience lend insight and understanding about many aspects of becoming a parent or adding another child to your family. She has the wisdom to know that there is no one right way of doing things, and she supports each client in making the parenting choices that are best for them.
Kristin 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. Kristin 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. She refers 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. Kristin will help you with latching your baby and assist you in the use of a breastpump or supplemental nursing system until your milk comes in. If you and your partner are co-nursing, we will help make sure the gestational parent establishes and maintains their milk supply as you begin to develop yours. Kristin uses 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. Kristin Kali, LM CPM, is an in-network provider 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.