Now in-network with UHC, Cigna, BCBS

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Coyote collaborative care

community midwifery for planned hospital births

community midwifery for planned hospital births


There are many reasons why a birthing person may plan to have their baby in the hospital but choose prenatal and postpartum care outside of the medical model...


Do you feel safest giving birth in the hospital but want longer appointments focusing on emotional support and education in addition to your medical well-being?

Does your insurance cover prenatal and postpartum care but will not cover a home birth?

Do you want an epidural during labor?

Are you carrying twins?

Is there an indication that a hospital birth will be the safest for you or your baby?

If so, we've got you.  

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During our hour-long appointments, we provide space for trauma-informed care; a place to ask the difficult questions and receive in-depth responses. We want to ensure you have all the information you need to be the expert in your care.

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What does collaborative prenatal care look like?

We have years of experience collaborating with hospital-based midwives, obstetricians, and perinatologists while ensuring continuity of care for our clients. We are able to draw routine labs in office and refer out for standard ultrasounds and genetics testing.

Any screening information outside the normal range prompts us to immediately call an expert in their field for recommendations on how to proceed. 

Your safety and the safety of your baby are our highest priorities.

You can expect to spend time talking about the growth of your baby and the changes in your body, thoroughly reviewing screening results and have your questions answered, discuss your birth plan and labor doula support, and feel emotionally supported as you welcome a new being into your life.

Home-based Postpartum care after a hospital Birth 

At Coyote Midwifery we believe that all birthing people should be granted access to comprehensive, personalized postpartum care, regardless of where they choose to give birth. Our home-based postpartum care package is designed for those birthing in the hospital but who desire postpartum care tailored to the unique needs of the postpartum family. 

The postpartum period is a special time of healing and growth. As midwives, we do our best to assist families in protecting this sacred space. During our visits, we spend time honoring both the parent and child as individuals and as a dyad. We are often the only care providers baby sees until their two-months check-up with a pediatrician.

Benefits of being seen by a care provider postpartum include thorough examination and assessment of parent and baby. As care providers, we are attuned to recognizing and addressing postpartum complications. We are equipped to screen for common postpartum struggles and provide peace of mind that both parent and baby appear well. In the time spent with your care provider postpartum, you will be able to ask questions, voice any concerns, and be an active part in learning the signs and appearance of healthy, healing, happy bodies.

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Medical Support for Parent and Baby

Our hour-long appointments provide space for thoroughly assessing physical and emotional well-being. At each visit, we perform vitals and wellness checks on both parent and baby. We will provide anticipatory guidance and answer any questions that arise.​ When indicated we will offer lab testing in your home, confirm bleeding is normal, monitor for signs of infection, and assess for postpartum depression. During our newborn exams, we assess for various newborn complications including jaundice, congenital heart defects, and signs of infection. We also provide newborn screening (PKU test) and monitor weight gain. In the case of complications, we work collaboratively with hospital staff to ensure optimal care. When appropriate we may treat complications out of hospital, including in-home lab testing and/or bilirubin lights to treat jaundice.

Stay Home

Our postpartum care package is designed to protect the 4th trimester, which includes the initial three months after birth. This is a special time when parent and baby are adjusting to life separated while still relying on each other in so many ways. We come to you in your home to provide care in your nesting space. Remaining in this safe space can increase oxytocin while mitigating stress, allows for skin-to-skin and feeding on demand, promotes sleep and rest for healing bodies. 

Feeding Support

Comprehensive support for newborn feeding includes nursing, bottle feeding, chestfeeding, and inducing or suppressing lactation. We provide assistance with latch, troubleshooting, weight checks, ​and creating a rhythm. If needed we can broaden your care team to include IBCLC, chiropractors specializing in newborn craniosacral adjustments, acupuncturists, and ENT experts.

Emotional Support

Emotional and logistical support through the transition of welcoming a new baby into your family. Your emotional and mental well-being is important, and we will provide care and assist with game-planning.​ We monitor for signs of baby blues, postpartum depression and/or anxiety and will connect you to outside resources as appropriate. We strive for a community-based approach to postpartum care. 

See what our clients are saying...


"Looking to laugh your way through pregnancy with the most fun, caring, smart birth team in Portland? This is it. I’d follow them to the moon and back"


"The care I received from Coyote Midwifery was exceptional."


"When you yourself are a midwife, it can be very difficult to choose midwives for your own pregnancies. When I found out I was pregnant with my second baby, there was not a question in my mind as to who I wanted by my side, it was always Joni and Caitlin. They will fill any room with the best laughter. They will provide comprehensive evidence based information to help you make the best choices for you, your baby and your family. They will calmly and compassionately listen to your every worry and discomfort along the way and I know they can confidently and safely handle any complications that may arise because I have seen them do it many times. They were amazing with my partner and older child and always found ways to incorporate them both into our care along the way. I love them both so much more than I could ever put into words and am eternally and so deeply grateful for the care they provided myself and my family throughout my pregnancy, birth and postpartum. They have my highest recommendations."



  • Appointments every 4 weeks from conception through 32 weeks
  • Every 2 weeks from 32–36 weeks
  • Weekly from 36 weeks until birth
  • Vitals and wellness checks of both parent and baby at each visit
  • Nutrition & lifestyle counseling 
  • Herbal consultations
  • Emotional and mental support
  • Lab services
  • Option of home visits beginning at 36 weeks
  • Unlimited phone and texting availability


  • Six 1-hour postpartum home visits lasting through the first 6 weeks postpartum

  • Vitals and wellness checks of both parent and baby at each visit
  • Comprehensive feeding support

  • ​Weight checks for baby

  • Babywearing support and education

  • Emotional and mental support

  • Unlimited phone and texting availability through 6 weeks postpartum

Frequently Asked Questions