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Sage Midwifery

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United States
Meridian, ID
Sage Midwifery

Katy Rawlins, LM, CPM
Experienced, comprehensive community-based midwifery services in the greater Treasure Valley region (ID). Medicaid accepted.

Home birth with countryside birth suite option for extenuating living circumstances. Inquiries via website. Birth Suite option located in Star, Idaho

03/31/2026

🎗️Endometriosis Awareness Month 2026🎗️
March 29 marks 3 years since my endometriosis excision surgery at Mayo Clinic Arizona with Dr. Megan Wasson, where stage IV deep infiltrating endometriosis was diagnosed and 33 lesions and areas were removed from my peritoneum. I’ve lost, thus far, 13 different organs and structures to this wildly under and misdiagnosed metastatic disease. From every pelvic ligament, vaginal reconstruction, the loss of my womb, an o***y, deep into my bladder and relying on catheters for months, to my kidneys, ureters, bowels and deep into the re**um, I still wouldn’t say that endometriosis has ravaged me - but I will shamelessly say that the over 90 OBGYN and ER visits, and every scan and test done being reported as “normal”, nearly cost me my life.
Endometriosis affects 1 in every 10 women and takes an average of 9 years to diagnose. This is not the patient’s fault. In fact, endometriosis is one of the easiest, quickest, and most accurate diagnoses a provider could make….if the patient is listened to. Yet to this day, there is not a single medication in existence that slows or stops the spread of the disease, nor does pregnancy or breastfeeding. And hysterectomy is the leading treatment offered, yet endometriosis is an extrauterine disease! With the advent of laparoscopy, physicians began burning the top of lesions as treatment, rather than excising lesions deep at the root, like cancer, to negative margins, leaving people torched from the inside with lesions growing deeper and deeper and the endo remaining ever present.
HEARD me. She and her team at .az.surgery meticulously excised deep lesions in my body for hours. I woke from surgery in less pain than I’d had for a decade prior. As a surgeon she has committed her life to evidence-based practice and she restored my life as a mother and as a midwife. I honor her.
I shared the weekend with close friends, including celebrating an Endo warrior’s 90th birthday! Since excision surgery restored my ability to sit on a saddle, I shared an hours long trail ride with another Endo warrior.
Painful periods are NOT normal!🎗️

03/27/2026

🧵🪡Sister Midwife Clinic Quilts: Part 1🪡🧵
To be chosen and trusted to midwife a sister midwife…..

There is a reason I’ve had to say no to accepting more clients into care this year - I’m caring for sister midwives. And they have to come first. You see, if they are not well cared for, and because midwifery is so hard in general, we have to prioritize them so they can be healthy, supported, have empowering births, and nurtured, attentive recoveries….because without such, no midwife could fully return to both the work of midwifery and the purpose it requires from the soul. We would all simply retreat into motherhood forever.

The incessant, daily prayer of my heart for these midwives has been that they have births that turn their hearts right back into the work - and births that flame their calling with a deeper purpose. I think about the day they will return to work, perhaps leaving their babies for the first time, to find the shell of the midwife they left behind sitting in the corner of their office, a shell they no longer fit within.

And thus, I began to quilt - clinic quilts - for the babies of these sister midwives who will grow up on the floors of midwifery practices and birth centers.

So their mamas can glance down while charting and have a clean and soft place to lay their babies for a snooze. So their mamas can return to work with babe in arms and model to their patients that we are not meant to be separated from our little ones. So the babies can lay “in the arms of” Auntie Midwife Katy and hear her whisper, “That’s your mama up there, she loves you. She is so brave and so strong and so fierce and so soft that God chose her to be a guardian of life and birth. She holds the secrets of ages, she witnesses pains you could never imagine, and she mirrors back the power that belongs to the mothers she cares for. She is superhuman. And she’s YOUR mama.”

She’s YOUR mama, baby Elsie. Yes she is. And she loves you more than life itself.

All my love, forever and ever,
Midwife Auntie Katy

03/21/2026

🧬Happy Trisomy 21 Day!🧬
March 21st (3-21) is World Down Syndrome Day, to honor the triplication of the 21st chromosome. In other words: Extra chromosome, extra awesome!
Last summer, we were blessed with two more Sage babies with triplications of their 21st chromosomes. I spent time this morning getting an update from one of our extra awesome 2022 Sage babies, too!
Without further ado, please help me celebrate:
🎉 KNOX - 9mo
🎉 LOUIS (like the prince) - 7mo
🎉 ROCCO - almost 4!
These boys and their mamas and families bring such light and life and learning to our world. The love is unlimited. The progress is joyful. The smiles melt us! Knox’s mama dropped by the clinic this week to be sure I had a set of Knox-Socks to wear for T21 day. I shall wear them proudly today, and as my favorite birth socks until I’ve worn them out!

03/20/2026

Today Gov. Brad Little signed HB639 into law, remodeling the existing midwifery law so LMs may obtain and administer medications indicated for maternal or neonatal care. The drug legend Idaho’s LMs abide by is based on standards of care and medications available 20 years ago. This will allow us to practice to the current standards of care, opening the door to effective medications that may be invented someday.

In 2025, I had my first ever transport for a postpartum hemorrhage. It was the only bleed I was unable to stop in over 15 years of practice. On the ambulance, before we pulled away from the home, the paramedic administered a dose of TXA in the IV line I’d placed. It stopped the bleed before the bus’s wheels rolled, but we still had to transport. The hospital staff stopped her IV line, the labs were normal, the Laborist thanked me for bringing her in in great condition, and the nurses gathered close to support and observe as I did baby’s newborn exam. It was almost as if we didn’t need to be there. Had I been able to practice to the current standards of care, we wouldn’t have been. I vowed to the mother that I would ensure her story had purpose and inspired change.

Due to my role on the Board of Nursing, I cannot take part in legislation. But I can educate about midwifery, our scope, and the limits and gaps we face. I was grateful to receive contacts from change-makers who studied our current legislation, were impressed by LMs, wanted to learn more, and had a goal to make birth safer in ALL locations for mothers in Idaho. I shared your stories, spoke in real examples, and gave visualization to the gaps. I asked for nothing. They knew the mothers were my purpose. That was all the more I could do.

My Sage mothers, become *their* purpose as this bill passed out of House and Senate committees and floors with 100% AYES.

I witnessed Gov. Little sign HB639, while standing behind a photograph of Gabi & Baby Louis - my purpose, and standing beside my 17 year old daughter, born at home when midwifery was still illegal in Idaho, and who has been part of every bit of midwifery legislation since she was 5 weeks old - the baby whose birth “birthed” me as a midwife.

03/09/2026

There’s a hole in my heart in the size of an 11 year old little boy. This little one, my firstborn son, is my purpose, day in and day out. He taught me that stillbirth is still birth. He helped me learn to lean in and love during loss. He taught me how to do this for other families. So, my precious boy, inspired by other grieving families, we will be making a trip to St Luke’s Boise to give your birthday basket to the incredible labor nurses who helped us have a beautiful birth with your baby brother, so they can gift it to a birthday buddy born closest to your time of birth. Blessed birthday, Jesse. We miss you every day. “Rest your head close to my heart, never to part, baby of mine.”

03/02/2026

📖 Her Life Verse 📖
The tradition began with a great-grandmother, then a grandmother & grandfather, then a mother & father, and now, a newborn daughter.
“Will you print her footprints in our Bible?” Yes, of course. Can’t wait to see who this little one becomes. 💗 Congratulations! 🍾 💗

02/27/2026

Neonatal Resuscitation Recertification ✅
How small is this world, you ask?
- walked into the class and into the arms and hugs of two long-time colleagues and friends
- bucket list surprise of getting to learn from Holly
- met a nurse who recently had a baby with a far-away physician colleague who attended clinicals and births with me out of hospital 14 years ago!
- met a nurse who played a special part a Sage family’s life and 1000/10 would love to adopt her as a bff
- second time recertifying alongside Dr. Patterson, the head of Idaho’s American Academy of Pediatrics, whose rural medicine tips, tricks, and experience rival the heart of community-based midwifery, and dare I say, we are all doing the same work with the same passion and the same goals!
- my NRP scenarios being carried out in positions, with equipment, and within the scope of my practice, including using a test chart on my EMR, to practice and demonstrate NRP
- seeing hospital-based providers learn more about midwifery, share concerns, ask genuine questions, and leave with better understanding of community-based birth: priceless

02/23/2026

✨Homebirth After Cesarean✨
She writes,
“This is what it looks like to deeply trust in something other than yourself. To let go of the pressure that you have to hold it together and have the strength within yourself. But rather, to deeply trust in a God who will provide the right people and situation for what you need. Who will give you rest when you need rest, encouragement when you need it, and redemption when you offer it all back to Him.

Tears of gratitude. Gratitude for the ability to surrender to something so so good.

You can’t sell a home birth or midwifery care, but I would pay a lot for the gifts that it brought my faith and marriage.”

📸:

02/21/2026

We were blessed to share another incredible homebirth with a hospital-based maternity care provider. 💗 Unforgettable.
🌟Holly Kifer, CNM
🌟University of Michigan Health, Midwifery Service
“As a CNM I believe in normal physiological birth. In my 8.5 years practicing, I had never been fortunate enough to experience birth outside the hospital. Being a part of my friend’s home birth gave me so much perspective! Not only is it safe, but it is supportive and magical. There was no in and out of a room, beeping machines or loud voices. Instead, there was a calm environment, low supportive voices, and physiologic birth advancing on its own, without constant cervical checks or continuous fetal monitoring. There were fetal heart tone checks, emergency supplies, and a competent midwife with her team assessing the wellbeing of the expectant parents and baby. After birth, there was focus on baby bonding and breastfeeding while still maintaining safety of monitoring for extra bleeding or complications. A repair was done and vitals were taken in the comfort of a personal bed while food was prepared. I am so grateful to have been able to be there for my friend’s homebirth and even more grateful for her birth team.”
At Holly’s hospital, all healthy mothers are discharged within 4-6 hours after birth, and babies are discharged soon after that. Then, her midwifery service rounds on both mother and baby, at home, for their 24 hour visit. They also perform a newborn assessment and all the newborn screenings. How cool is that?! We will never forget this special birth, Holly’s first home birth, and the wonder and awe of seeing her experience birth in a whole new way. She cried. And we cried because she cried. May this birth be forever written on her heart and may the way it changed her forever trickle into all the births she attends for the rest of her blessed career. We love you, Auntie Midwife Holly!

02/18/2026

Your husband holds you in his arms as you birth your baby into the hands of your mother (far left) while your three teenage siblings (on the right), including your little brother, cheer you on. This is family-centered homebirth. This is re-writing birth traditions for generations to come. Welcome to a new little soul who is only a few hours old. You have so many happy people guiding your path with light and love. Congratulations!

01/29/2026

Grateful for the opportunity to serve on the Idaho Board of Nursing. Today was Nurse’s Day at the state capitol and as a board, once our meeting concluded, we shifted to the capitol to support the nurses, talk with them, and even attend a Senate Health & Welfare committee meeting. Though I don’t have a photo, it was extra fun to run into a family friend, Senator Taylor, while there. (He is a long-time midwifery and Medicaid supporter and advocate to boot) I love nurses and how they keep Idaho’s health system functioning. Personally and professionally, there will never be enough thanks. I honor you all for your wonderful work.

01/25/2026

I spoke quietly with one of my student midwives this afternoon. “It all came flooding back. Every second of the birth, drawing cord blood, holding that vial, driving to their home to give the diagnosis in person.” She replied, “I woke up crying. I stood in the sunrise and cried.”
This evening we went to a first birthday party for a baby girl whose photo display showed months one, two, three, four, five, six, and then ended at seven months. Each time I looked at it, I cried.
I watched angel baby Gracie’s mama bravely light her birthday candles. Each time she would pause and take a deep breath, before moving onto the next step in the celebration. The room was shoulder-to-shoulder with support.
I’m home now. And what is flooding back is the miracles….every step of the way in Gracie’s life, many of which were supported and orchestrated by the greater Sage community in huge and quiet ways. Bone marrow registrants, blood donation, food and drinks, moving them into a new home (including their pediatrician helping), no less than one hundred billion prayers, every spare thought of love and concern, t-shirts, keepsakes, and an army of services and labor to celebrate her life exactly how her parents envisioned.
Please remember baby Gracie and her family for forever. Hemophagocytic lymphohistiocytosis (HLH) may have claimed her, but she lives in the hearts of every person who chose to know her story. Happy birthday in heaven, baby Gracie! We miss you.

Address

135 E Calderwood Drive, Suite 100
Meridian, ID
83642

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm

Website

http://thesagemidwife.com/

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