Thrive Midwives LLC

Thrive Midwives LLC Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Thrive Midwives LLC, Women's Health Clinic, 1619 Dayton Avenue, Suite 109, Saint Paul, MN.

Excited to be stocking one of the most high quality, third-party tested prenatal vitamins, made by FullWell. As a care p...
07/25/2025

Excited to be stocking one of the most high quality, third-party tested prenatal vitamins, made by FullWell. As a care provider that advises clients on supplements daily, I appreciate FullWell’s transparency around the ingredients and heavy metals testing. This insures that you are paying for and taking exactly what is listed on the bottle. The beauty of purchasing your prenatal vitamin through Thrive Midwives is that you do not have to pay for shipping and handling, and are given a 10% discount off of the price. vitamin

First, Kate is simply one of my favorite people! Second, what a cool opportunity to be in community at a time when postp...
07/17/2025

First, Kate is simply one of my favorite people! Second, what a cool opportunity to be in community at a time when postpartum can feel so isolating. Love it!

Summer is such a sticky season for new parents. All of that delicious skin to skin or chest to chest time can be tricky ...
07/17/2025

Summer is such a sticky season for new parents. All of that delicious skin to skin or chest to chest time can be tricky on hot days, leading to a cranky baby with heat rash, a dripping parent. Here's a timely post from Hallie at Better Beginnings, a comprehensive doula and lactation resource here in our metro. Enjoy!

Ready or not, summer is here! But just because our Minnesota summer is bringing the heat (and humidity) it doesn’t mean you have to forego being outdoors with your little one. It does, however, mean that you might have to adapt some of your babywearing strategies to keep your baby (and yourself) c...

As pertussis or whooping cough cases continue to rise in the U.S., and on the heels of two unvaccinated infant deaths in...
06/17/2025

As pertussis or whooping cough cases continue to rise in the U.S., and on the heels of two unvaccinated infant deaths in Kentucky from pertussis, I highly encourage all pregnant people to get a Tdap vaccine in 3rd trimester at your local pharmacy. This year, apart from 2012, we may be poised to have one of the largest spikes since the 1950's when a vaccine for pertussis was first made available. This is largely due in part to the decrease in vaccination of school age children in the past 10+ years as well as a change in the formulation for Tdap in 1997, making the vaccine a little less durable at the cost of reducing side effects caused by the vaccine. The airways in infants until about the age of 6 months are quite small. A highly contagious respiratory infection like pertussis can compromise their airway quickly.

I'm the sort of provider who may nudge folks a bit more when risks are higher. So here's the nudge. The risks this year may be historically higher than the last 70 years. Please consider getting the Tdap vaccine in 3rd trimester, by 36wks. The antibodies you produce will go across your placenta and live in your baby's blood stream for up to 6 months after, thereby providing some protection against pertussis. This is not the same as giving the baby a vaccine, if you are not fond of vaccines. It is also not a replacement for the 3 DTap vaccines recommended to babies at 2, 4, and 6 months of age. Protecting your family can be easy and is extra prudent this year.

Shut the front door…
06/13/2025

Shut the front door…

During pregnancy, fetal cells migrate out of the womb and into a mother’s heart, liver, lung, kidney, brain, and more. They could shape moms’ health for a lifetime, Katherine J. Wu reported in 2024:⁠ https://theatln.tc/qozjIdje

The presence of these cells, known as microchimerism, is thought to affect every person who has carried an embryo, even if briefly, and anyone who has ever inhabited a womb. The cross-generational transfers are bidirectional—as fetal cells cross the placenta into maternal tissues, a small number of maternal cells migrate into fetal tissues, where they can persist into adulthood. ⁠

Genetic swaps, then, might occur several times throughout a life. Some researchers believe that people may be miniature mosaics of many of their relatives, via chains of pregnancy: their older siblings, perhaps, or their maternal grandmother, or any aunts and uncles their grandmother might have conceived before their mother was born. “It’s like you carry your entire family inside of you,” Francisco Úbeda de Torres, an evolutionary biologist at the Royal Holloway University of London, told Wu.⁠

Some scientists have argued that cells so sparse and inconsistent couldn’t possibly have meaningful effects. Even among microchimerism researchers, hypotheses about what these cells do—if anything at all—remain “highly controversial,” Sing Sing Way, an immunologist and a pediatrician at Cincinnati Children’s Hospital, told Wu. But many experts contend that microchimeric cells aren’t just passive passengers. They are genetically distinct entities. And they might hold sway over many aspects of health: our susceptibility to infectious or autoimmune disease, the success of pregnancies, maybe even behavior. ⁠

If these cells turn out to be as important as some scientists believe they are, they might be one of the most underappreciated architects of human life, Wu writes.

People who have had a 3rd or 4th degree laceration with a prior birth are often scared to attempt a vaginal birth again....
06/05/2025

People who have had a 3rd or 4th degree laceration with a prior birth are often scared to attempt a vaginal birth again. The recovery is very tough. They are understandably fearful that f***l incontinence will be an issue in the future. And sometimes they are counseled that they should choose a cesarean section in the future, to avoid recurrence.

Well I'm here to put a pin in the topic, give it some air. Based on several research studies in the last 15+ years, midwifery attendance at a birth decreases one's risk of an OASIS (Obstetric A**l Sphincter Injury) tear significantly. Here's a lovely study from 2024 that speaks to this finding. Risk of Obstetric A**l Sphincter Injury by Delivering Provider. Med. 2024, 5(2), 57-64; https://doi.org/10.3390/reprodmed 5020007.

Some of the practice differences that may help prevent such severe tears:
Midwives often catch babies with the birthing person in different positions, not just lying flat on their backs. Side lying, hands and knees in a birth pool, unilateral lunge, standing/squatting. For years as a labor and delivery nurse, I saw doctors aggressively slamming a baby's posterior shoulder into the perineum, not waiting for the next contraction to provide the power to push the baby out, forcing the rapid birth of a baby in one contraction, fearful of a shoulder dystocia. In all fairness, it's often how they are trained. If birthing people have a dense epidural, are not great pushers, or if the baby's heart tones are in the toilet, sometimes it takes a lot of monkeying around to get a baby out. But I'll say, in my 19 years of practice, I've only had 2 clients with an OASIS tear, where one of them was as a student. With and without epidurals. Damned big babies. It is possible.

So if you've had a significant tear in a prior birth, consider partnering with an experienced, level headed midwife for your next birth, perhaps in a birthing pool, community setting (home or birth center). Let go of your fear and invite Thrive to your next birth.

Photo credit to and an amazingly powerful mom.

Yaaaaaaaaaas! One of my absolute favorite midwives on the planet, Corinne Westing, created a fantastic video about what ...
05/29/2025

Yaaaaaaaaaas! One of my absolute favorite midwives on the planet, Corinne Westing, created a fantastic video about what informed consent or refusal can look like in a midwifery practice.

I’m a real firecracker, so keeping my thoughts to myself as the current national administration assaults science, resear...
05/29/2025

I’m a real firecracker, so keeping my thoughts to myself as the current national administration assaults science, research, and public health, well, it’s been something. Despite the fact that the majority of my clients are skeptical or not fans of routine vaccination for themselves or their families, I will always follow the evidence when recommending vaccines that help keep pregnant people and newborns as healthy as possible. And I won’t judge people who don’t. My practice and heart can lovingly hold people who have varying opinions and politics. Thank you to my national professional organization, the ACNM, for taking a stand for science and safety today.

ACNM recommends that all midwives counsel pregnant people about getting these vaccines during pregnancy.

As members of the Maternal Immunization Task Force, we work to build partnerships and improve collaboration between healthcare professionals, community-based organizations, administrators, and researchers. As professional organizations whose members care for pregnant people, we affirm the importance of recommending and advocating that pregnant people receive all recommended vaccines at the appropriate time during each pregnancy. The current increase in hesitancy about the safety and efficacy of vaccines has created an environment that calls for our urgent commitment to discussing the evidence-based benefits of vaccination with pregnant people.

For more information please visit our Immunization Resources for Providers Page ---> https://bit.ly/4dFWfdB

At the wise encouragement of one of my long beloved home birth clients, I'm simply going to post this unabashedly sweet ...
05/23/2025

At the wise encouragement of one of my long beloved home birth clients, I'm simply going to post this unabashedly sweet pic of me holding their latest and last freshie. No research to share. No gushing over my favorite epidemiologists. People, I'm not exaggerating when I say that it's tough wrapping up care at 4-6 weeks with families. We know things about one another. We want the best for one another. We (I) want holiday cards. We wonder when/if we'll ever share space again. After 19 years as a midwife, I'm still an absolute goofball about this work!

Hugs and kisses to the infamous Hoffers...

While many who read my posts are the home birthy types, I always hope the content I share serves the greater good, no ma...
05/22/2025

While many who read my posts are the home birthy types, I always hope the content I share serves the greater good, no matter who people partner with for their pregnancy journey or where they choose to birth. So let me shine a spotlight on the nonprofit Partner To Decide, trying to help pregnant folks, particularly brown and black communities, navigate the topic of inducing labor at the end of pregnancy. This has become so important since the Arrive Trial results were published in 2018. Since that time, it is commonplace for hospital based providers to offer and even recommend inducing labor at 39 weeks. Often times, without truly informed consent. Partner To Decide has created a decision making tool, coupled with accessible and poignant graphics, to help people figure out what is best for them. Please share this tool with pregnant people in your life or work. And kudos to Dr. Anne Peralta for your work. Check it out! https://www.inductiondecisionaid.org/

Photo credit to Emiliana Hall

Circling back to a post earlier this week, I wanted to share a research article that grabbed my interest recently. It lo...
05/12/2025

Circling back to a post earlier this week, I wanted to share a research article that grabbed my interest recently. It looks at cabergoline, a medication that in my world can be prescribed to suppress lactation. In some instances, this is an option that people may want...after 2nd trimester pregnancy loss, for trans and nonbinary people who don't want to lactate after birth, and for those who need or want to abruptly stop lactating for whatever reason but want to avoid painful engorgement and leaking. It's so cool to be able to provide options, no matter the scenario.

https://pubmed.ncbi.nlm.nih.gov/37486652/

In homage to Maternal Mental Health Awareness Month, I'll continue posting on musings that one may find helpful. One of ...
05/11/2025

In homage to Maternal Mental Health Awareness Month, I'll continue posting on musings that one may find helpful. One of the most common questions I get in the midst of teary eyes and warm, long hugs at the end of someone's final postpartum visit. "Do you provide care outside of pregnancy, like primary care?" Yes, yes, and yes! For clients who have intermittent or persistent mental health issues to attend to, many see me annually for refills on medications, to discuss restarting a medication, or create a plan for tapering off of meds. And I review non pharmaceutical options (supplements, movement, herbs, mindfulness), supported by robust research, that may help them get through a tough season. It makes so much sense, because I know their story and we've already done hard things together (pregnancy+birth). Virtual visits make this a breeze. If this sounds like a good fit, go to https//:thrivemidwives.com and schedule a visit with me. It's like a home away from home.

*This pic was shared by a family who I journeyed with, through unexpected challenges and ultimately a hard earned VBAC. What an honor it was to take this circle tour together : )

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1619 Dayton Avenue, Suite 109
Saint Paul, MN
55104

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