Midwife Elke Barnes

Midwife Elke Barnes Bespoke midwifery care. Home & birth center, breech & VBAC. Now serving the Eastside & South Puget Sound, WA. DM for a free consult.
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WE are THRILLED to announce that due to a change in State of Washington regulations, I am now able to offer VBAC in a fr...
10/06/2025

WE are THRILLED to announce that due to a change in State of Washington regulations, I am now able to offer VBAC in a freestanding birth center, The Birth Cottage in Enumclaw, WA. After decades of work for freedom in birth choices, this is a HUGE WIN for women and families in WA and beyond.
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Guidelines:
-1 previous cesarean
-Meets criteria for out of hospital delivery
-Self pay for the birth fee but we are able to bill private insurance for prenatal and postpartum care.
-Immediate openings available.
-DM for more info.

YES, you can even come here from another state to deliver.

Let’s keep those OBs reeeaaally bored. :)
09/09/2025

Let’s keep those OBs reeeaaally bored. :)

Drop that b***y and get low. It’s the EASIEST way to prep your body for birth. It helps prevent tearing, leaking and stu...
08/11/2025

Drop that b***y and get low. It’s the EASIEST way to prep your body for birth. It helps prevent tearing, leaking and stuck babies. And nobody wants those things!
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Super easy and FREE. Drop it down when watching TV, playing with kids or whenever you get the chance. (Oh yeah, i guess you could do them at the gym, too) But this is better than exercise. It’s LIFESTYLE. It one of the reasons women in the developing world have an easier time pushing out babies and MUCH lower rates of incontinence.
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Drop it down! Let me see those squats!!

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Too many women fall for the trap of thinking a soaking tub, fairy lights and herbal tinctures will get them a beautiful ...
08/10/2025

Too many women fall for the trap of thinking a soaking tub, fairy lights and herbal tinctures will get them a beautiful birth.
They hire a doula, pick the prettiest birth location and watch a lot of reels thinking that’s all they need.
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So. Far. From. Reality.
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Having a great birth is all in the preparation.

-a well nourished body
-a “right” sized baby
-a strong yet supple core
- a pelvis that can open
-a nervous system that can chill

Some people come into pregnancy already with the skills. Others need help. That’s where I come in.

After 20 years of birth work and I know what makes or breaks it for having an amazing birth.
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Follow and comment here with your questions and I do my best to answer them!

My private practice is now up and running. Now accepting new clients and I have some spots for late transfers.  Home bir...
07/10/2025

My private practice is now up and running. Now accepting new clients and I have some spots for late transfers. Home birth and birth center!

“Elke is an amazing, calming, supportive, knowledgeable and inspiring midwife. She was simply wonderful! We are so thankful for her experience and her guidance. Thank you so much, Elke!”

Too perfect!
05/20/2025

Too perfect!

This is why we test vitamin D in ALL our initial visits. Many OB offices STILL do not. Alaska midwives have been testing...
05/20/2025

This is why we test vitamin D in ALL our initial visits. Many OB offices STILL do not. Alaska midwives have been testing and treating low Vit D since one of our colleagues did her doctoral dissertation on Vit D in 2008. We have been beating the D drum since then. So glad to find more and more research supporting what we have been doing for over a decade.

Babies born with low vitamin D levels are more likely to develop mental disorders like ADHD, schizophrenia, and autism later in life.

Oh, so true! Wear your earplugs and stay safe out there!!
05/05/2025

Oh, so true! Wear your earplugs and stay safe out there!!

Take a little time and enjoy this story.  It’s worth the read.
04/16/2025

Take a little time and enjoy this story. It’s worth the read.

IT HAPPENED LAST NIGHT, IN LAUREL, MONTANA

I hesitate to write about some of the more mysterious aspects of birth. I cringe when other midwives publicly speak of birth as “sacred”. I hate it when well-meaning friends introduce me as the “magical midwife”. I prefer a more professional reputation.

You see, for centuries, midwives have been judged and jailed and even burned at the stake, for their involvement in things that could not be explained (mostly childbirth), and even today, the medical mainstream accuses midwives of practicing less-than-scientific methods of care. Because of this, we midwives have perhaps over-compensated in defending our truly professional and educated selves, relying on evidence-based research to support every move we make.

But if a midwife does this work for very long, she will indeed see things happen that surpass all science and statistics, things that reach far beyond her wildest imagination. And if she witnesses these things with openness and a humble heart, she will eventually come to understand … that she really DOESN’T understand birth at all. Nobody does.

Still, she must be careful describing these experiences, lest she be labeled a quack or accused of telling tales. We don’t get burned at the stake anymore, but we get burned in other ways.

So, with a half dozen credentials in my pocket and 36 years of midwifery practice under my belt, I’m stepping out on a limb here, to tell you one of those amazing birth tales.

It happened last night, in Laurel, Montana.

Having attended several previous births for these folks, I’m practically one of the family by now. I’m comfortable in their home, and their kids know me well. Yesterday evening, I arrived to find the mother soaking in her bathtub, with contractions coming on strong. (She loves water birth). Her dilation was seven centimeters, and fetal heart tones were good. I set up for a delivery, and left her and her husband alone, because this is how they like to have their babies.

I was right outside the door, listening and charting and waiting for them to say my name. That moment came, and I stepped into their space and knelt at the side of the tub, ready to catch. Baby’s head immerged. The cord was around the neck, and I slipped it off quickly and asked the mother to push again. A beautiful black-haired boy came out into the water, and I lifted him into his mother’s arms. There was no cry, but his movements were lively and his color was good. He kept his eyes shut. With my stethoscope, I listened to his breath sounds and his heart beat. Everything checked out fine.

As his little knees moved outward, we saw that this was a boy. The other children were waiting in the next room, and when the dad announced the gender, a giant whoop and holler filled their whole house with joy. I was observing the baby closely then. He didn’t respond to all the hullabaloo. Still in his mother’s arms, with his mother still in the tub, his little feet made ripples in the water as we waited for the cord to stop pulsating. It had been a beautiful birth.

I stood back, watching the parents adore their child, teary-eyed and tired. We would cut the cord soon and help the mom get into bed. I kept my eye on the baby too. Although all things measurable were totally perfect, he seemed to still be in another world. I’m not sure what that means exactly, but there must be some other realm where babies live before they live here. Perhaps it is just the womb. Or perhaps it is some other un-mapped reality. But when people move from that reality into our own world, it’s a conscious move, and they each do it at their own pace. Now, I’m not talking about APGAR scoring or length of second stage. No. Those things are measurable, and this kid was doing fine in those categories. But he wasn’t quite here yet. Other midwives have seen this, I’m sure, but we don’t talk about it very much.

Last night’s baby was hanging out in the other world. There was a blue-ish distance behind the tiny slits that were his eyes. His little lips were pressed shut and he was silent. He appeared closed off, somehow. It was like he was way inside of himself … or maybe somewhere way out in the Cosmos. Yet everything I could assess was totally functional. He was here. But he was somewhere else.

I’ve only said this a few times before, but last night I heard myself saying, “Come be with us, little one. It’s a good place here”. Technically, he was several minutes old by then, so it seemed an odd thing for a midwife to say.

That’s when two of his sisters, ages five and six, quietly slipped into the room. I think they knew. They stood near the tub and one of them reached forward to hold the newborn’s tiny hand. She said softly, “I love you, baby”. The other one leaned over and kissed the infant and told him “We waited so long for you”.

IMMEDIATELY, there was a spark! The baby began to wiggle like most babies do. His eyes opened wide and focused, absolutely beaming at those two little girls. Then he moved his head to look around the room and he let out a cry. It was a powerful cry, as if to say, “OK! I’m here now. I’m home. Hello everybody! It’s me!”

We already knew he was healthy and whole. I’d officially assessed everything about him, and even written it down in the chart. Obviously, we all loved this baby boy. But it took those two little girls to convince him to actually come into our world, to join us here, and to become one of us.

So … what was their magic?

Love. Spoken without fear. Spoken outloud. Pure, innocent, unscientific Love. That’s what lit the spark.

OK. Try analyzing THAT. Try identifying the evidence. Try even talking about it without losing some credibility as a professional. You won’t find this stuff in the text books or on Youtube. But it’s all true. Sometimes Love is what brings babies around. Sometimes Love is what brings all of us around. Love is mysterious and sacred and effective.

Now, I need to say that this doesn’t happen at every birth. In fact, I’ve only seen it a few times. But it does happen. I’ve never been bold enough - or silly enough - to write about it before. But today, it seems like a worthy birth tale to tell, because it all happened last night, before my very own eyes.

Go ahead. Burn me at the stake.

~ by Pat Schwaiger, RN, CPM, Mountain Midwives, Billings, MT (artwork by Catie Atkinson)

We never forget our midwives! 🙂
04/10/2025

We never forget our midwives! 🙂

Frustrated by lack of birth options? Now offering traveling midwifery in Ketchikan for home birth and monthly prenatal v...
04/02/2025

Frustrated by lack of birth options? Now offering traveling midwifery in Ketchikan for home birth and monthly prenatal visits. I’ll be seeing clients this Thursday April 3rd Nutrition & Lactation with Janai Meyer. DM to grab a spot for a free consult or to learn more.

This is the size of your uterus when women are expected to go back to work 1kg or 2 1/2 pounds!  *Fun Fact:  Elon Musk’s...
03/31/2025

This is the size of your uterus when women are expected to go back to work 1kg or 2 1/2 pounds!
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Fun Fact: Elon Musk’s employees at X are expected to be back in two weeks. At two weeks most women are still bleeding and healing a dinner plate sized wound in their uterus.
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Another fun fact: It was formula companies that lobbied to deny maternity leave after having a baby in the US. And they have made themselves rich off of separating mothers and babies.

This muscle doesn't get enough credit.

What are some practical ways to promote rest in those first weeks postpartum?

Posted • Your uterus is a beautiful muscle. She does incredible work throughout your life.
Be kind to her support structures and rest, rest, rest!

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Birth.goals

Hello! I am a community midwife based in Kodiak, Alaska. My mission is to help educate and prepare women to achieve their birth goals.

Many women believe their birth is up to chance, fate or genetics. Too often I hear, “My mom has a small pelvis”. “All my friends ended up with c-sections”. Rest assured that I can help you achieve your best birth possible. With over 20 years experience in maternal child health, I have seen it all. I have seen what works and what doesn’t and can guide you along your way in this exciting journey.

Thanks for stopping by to visit my page. I look forward to hearing from you!