baltimore homebirth


We are excited to begin providing a new model of care for families in the Baltimore area, which combines the expertise, scope and flexibility of Certified Nurse Midwifery with Certified Professional Midwives who are trained exclusively in out-of-hospital birth. We have 28 years of combined and varied experience as doulas, birth photographer and midwives, having attended over 750 births in hospitals, homes and birth centers around the world.

Our Birth Package Includes:

  • All Prenatal Care – usually 8-12 visits, including one home visit at 36 weeks 
  • Prenatal Visits are 30-60 minutes long on average to ensure all your questions are answered
  • Flexible appointment times, including evenings, so they fit into your schedule with no wait time
  • In-office blood draws so you don’t need to go to a lab
  • Referrals for ultrasounds and genetic testing as desired
  • Attendance during labor and birth by two licensed midwives, or a midwife and trained birth assistant (no additional birth assistant fee)
  • Initial newborn assessment at birth, with Vitamin K and erythromycin administration if desired
  • Newborn Critical Congenital Heart Defect (CCHD) Screening and Newborn Metabolic Screenings performed
  • 3-5 postpartum visits, including two in your home: at 24-48 hours and one week postpartum.  An optional 3-4 week visit and a standard 6-week visit are included. Additional visits available if desired for additional fee.
  • Regular availability from 9am-9pm on a non-emergent basis for questions and concerns
  • 24-hour availability for emergent issues and labor
  • Direct availability by phone, text, and email
  • Birth pool and equipment for waterbirth and hydrotherapy
  • All birth supplies are included
  • Lactation consult after birth – we cover the travel fee and they bill your insurance
  • 2 complementary chiropractic adjustments courtesy of Thrive Chiropractic
Thank you for being so much more than healthcare providers. You gave us knowledge, encouragement, reassurance, validation, respect and warmth along every step of the preparation and birth. I cannot imagine a better experience and will miss seeing you all regularly! - Jillian

Well Woman/Gynecological/Conception and Contraception Care

Our Certified Nurse-Midwives are able to provide annual well-body checkups as well as:

Pediatric Nurse Practitioner

Katie Tolley, Pediatric Nurse Practitioner, is in our office 3 days a month to see children for holistic primary care.

Katie brings years of primary care knowledge, lactation consulting experience, nutrition expertise, parent/child advocacy, and neuro-immune experience, along with personal parenting experience of a child with special health care needs.

Katie spent much of the past decade learning and practicing more holistic health care options, and practices a functional medicine philosophy. Along with her return to primary care with Charm City Midwives, she also continues to offer private Health and Nutrition Consulting. She believes that the body is divinely created, and we have the amazing ability to maintain our health with holistic practices.

Katie does not take insurance but we can give you a superbill to submit for reimbursement and you can use HSA/FSA. 

For more information about Katie, visit her website: 


Placenta Encapsulation

Nikki and occasionally our apprentices are professionally-trained placenta encapsulators and can take care of your placenta in various ways: encapsulation, prints, tinctures, or smoothies.
Click here here to connect with our trusted placenta encapsulators.

Birth Photography

Midwife Nikki’s first love is birth photography and she reserves one space per month for a birth photography client.  She is happy to photograph Charm City Midwives births at a special rate!  

If you are hoping to minimize people at your birth due to COVID-19 precautions but are hoping to have your birth beautifully documented, Nikki is able to act as birth assistant and photographer. 

Her portfolio can be seen at

We also welcome any birth photographer of your choice and can provide several recommendations!