Midwife Nicki Solomito Pugh, MS, CPM, LM

Midwife Nicki Solomito Pugh, MS, CPM, LM Louisiana licensed midwife. Pregnancy, maternity, prenatal, home birth midwifery services and postpa

Homebirth midwifery services for the Alexandria, Natchez, Monroe, Natchitoches, Leesville, Fort Polk and Opelousas areas.

Love this!
08/11/2025

Love this!

At 35 weeks pregnant, Ilsa Feierabend isn’t slowing down, she’s speeding up!🤰
 
The Oregon Masters swimmer won the 800m free and followed up with a 2nd place finish in the 200m back today.
 
Swimming through pregnancy isn’t new for Ilsa. During her first, she made it to swim practice the morning she went into labor!
 
Fresh off a busy open water season (including the 11-mile Portland Bridge Swim, a 10k in southern OR, and multiple 5k and 1500m races), her win in the 800 felt “pretty easy” in comparison.
 
After stepping away from the sport for 7 years post-college, joining her Masters team reignited her love for swimming. Now, it’s not just about racing, it’s about the friendships, community, and joy of doing what she loves.

I can do all (most) things in motherhood through breastfeeding which simplifies things 🤪
08/02/2025

I can do all (most) things in motherhood through breastfeeding which simplifies things 🤪

This is what it looks like when a parent is fully supported during their feeding journey.

Reposted from original caption below.

*******
In a powerful display of resilience and determination, Stephanie Case (), a Canadian human rights lawyer, won the Ultra-Trail Snowdonia 100K ultramarathon in Wales. Just six months after giving birth, she completed the grueling race in under 17 hours, pausing at aid stations to breastfeed her infant daughter. Case’s victory not only marks a personal achievement but also serves as an inspiring testament to the strength and capabilities of postpartum women.

Image via

Actual text I sent to my kid today:“She may be crying “I girl bossed too close to the sun” before it’s all over. But isn...
08/01/2025

Actual text I sent to my kid today:

“She may be crying “I girl bossed too close to the sun” before it’s all over. But isn’t that what we all say before we succeed?”

😆😆😆😆

💗Everything is like birth💗

Yes!
07/10/2025

Yes!

"Midwifery models of care are models of care in which the main care providers for women and newborns, starting from pre-pregnancy and continuing all the way through the postnatal period, are educated, licensed, regulated midwives who autonomously provide and coordinate respectful, high- quality care across their full scope of practice, using an approach that is aligned with the midwifery philosophy of care, which:

i. promotes a person-centred approach to care;
ii. values the woman–midwife relationship and partnership;
iii. optimizes physiological, biological, psychological, social and cultural processes; and iv. uses interventions only when indicated.
In midwifery models of care, midwives provide integrated care, addressing the needs of each individual woman and newborn, within functional and enabling health systems, equipped with necessary resources and streamlined consultation and referral processes. They collaborate within networks of care as part of interdisciplinary teams characterized by equality, trust and respect. This approach guarantees that every woman and newborn receives personalized care, tailored to their health needs.

Midwifery models of care are adaptable to all levels of care and contexts, including home-, community- and hospital-based settings; the public and private sectors and public–private partnerships; resource-constrained environments; and humanitarian and crisis settings. This ensures wide accessibility, equity and relevance across different cultural contexts for women, newborns, partners, families and communities."

Read More: https://www.who.int/publications/i/item/9789240098268

Telling us more of what midwives have been knowing!
07/04/2025

Telling us more of what midwives have been knowing!

AJOG Expert Review in Labor: Water birth: a systematic review and meta-analysis of maternal and neonatal outcomes https://ow.ly/nr7O50R9Nzi

Love our water babies! I have two of my own, and man, those births were so much easier!!
05/28/2025

Love our water babies! I have two of my own, and man, those births were so much easier!!

04/12/2025

I could literally tell my husband, “By the way, this baby is being born here at home.” 😆😆

If your husband is not supportive of your homebirth, let me have a crack at him ✌️

If you are interested in learning more about tracking your cycle, I might be able to help you!I’m currently seeking cert...
04/09/2025

If you are interested in learning more about tracking your cycle, I might be able to help you!

I’m currently seeking certification from an organization working to help people track their symptoms, understand their fertility and improve women’s ability to make informed choices when it comes to reproductive health.

As part of my teacher training, I will be taking on 5 clients at NO COST!

So…
1. You are an adult, not pregnant, and have a regular cycle, and…🍷😆
2. You are willing to track your cycle for 3 months, and…🗓️
3. You are willing to attend 3 in person trainings with ME ✌️,

Then shoot me a DM📲, if you are interested in learning more!

I can’t wait to learn more with you! 📝

The number of bags I regularly carry in my car when I’m on call 😆😆😆Home visit bag, birth bag, overnight bag, my beloved ...
04/07/2025

The number of bags I regularly carry in my car when I’m on call 😆😆😆

Home visit bag, birth bag, overnight bag, my beloved “plastic bin purse”, my go to town purse, my carhartt work bag, my bog bag for sports and scouts, and my tote with alanis and snackies and random birth stuff.

Came off call just in time to make room to fit a 100lb LGD in the car for a vet appointment 😆😆

Been so much going on around here lately, I’ve decided I need to rehome my dogs. I just don’t like dog as much as I used...
04/01/2025

Been so much going on around here lately, I’ve decided I need to rehome my dogs. I just don’t like dog as much as I used to. If you are interested, let me know 🤪

If you need midwifery care in 9 months, you know who to call 😆😆😆**we should all be ashamed of ourselves**😆😆😆
03/20/2025

If you need midwifery care in 9 months, you know who to call 😆😆😆

**we should all be ashamed of ourselves**😆😆😆

FYI, this map is a little confusing. Just pay attention to the shaded areas. There isn’t a critical risk over southeast Louisiana. This map shows the fire weather outlook for today. There’s an elevated risk for wildfires in the orange region due to wind, and dry air. Recent rains will help mitigate this somewhat, but I figured I’d pass it along if you had some burn pile plans today.

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Jena, LA

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