Thrive Midwives LLC

Thrive Midwives LLC Nurse-midwifery practice, providing integrative prenatal, home birth, primary, and gyn care.

Thrive is a nurse-midwife owned full scope service, providing well body, basic primary, gynecologic, prenatal, and home birth services. Kari Michalski APRN CNM is excited to provide you with evidence based, personalized care.

My heart is bursting with joy as the holiday cards from birth families stream in! I muffle my squeals each time I unlock...
12/11/2025

My heart is bursting with joy as the holiday cards from birth families stream in! I muffle my squeals each time I unlock my suite and see these cherished gifts in a pile left by the mail carrier. Watching children bloom from squishy bundles to full fledged humans, can anything be better?! đŸ„č I miss and love you all, wishing you a cozy upcoming solstice and holiday season. (Now the rest of y’all who haven’t sent a card, I’m quietly waiting
)

This is true. All of it. For some reason my counsel on the importance of vitamin K doesn’t have a large impact on parent...
12/11/2025

This is true. All of it. For some reason my counsel on the importance of vitamin K doesn’t have a large impact on parent refusal these days. I wish it did.

If you’re not keen on getting a TDAP vaccine during pregnancy by 36 weeks in order to confer some level of protection fo...
11/26/2025

If you’re not keen on getting a TDAP vaccine during pregnancy by 36 weeks in order to confer some level of protection for your newborn in the first six months of life, please reconsider in the interest of your baby. They have such small airways and do not weather serious upper respiratory infections like adults too. Prevention is key.

LISTEN TO THIS PARENTS!!!! What an incredible hack💃
11/25/2025

LISTEN TO THIS PARENTS!!!! What an incredible hack💃

10/31/2025
As my clients and SM followers would attest, I’m big on talking about evidence based care. But some folks are simply not...
10/20/2025

As my clients and SM followers would attest, I’m big on talking about evidence based care. But some folks are simply not clear on what that actually means. Others may feel like what research tells us about a particular topic isn’t pertinent to them, because it doesn’t jive with their own viewpoint or values around their body/care. Or the evidence conflicts directly with what their past experiences are.

I really love how Rebekah Decker PhD from talks about this topic. One salient piece is figuring out how you approach your own care, or scientific evidence. I’m definitely a skeptic
surprising nobody. What about you? How do you filter health information, and how does that influence your decisions or who you seek for care?

https://youtube.com/shorts/Pm_wgXnAbIM?si=4Yy_cBCR3sD5AJJg

It's national pasta day, and instead of stuffing my leggings (cuz that's where my carbs go) with noodles, I will instead...
10/18/2025

It's national pasta day, and instead of stuffing my leggings (cuz that's where my carbs go) with noodles, I will instead do something healthier...rant MORE about insurance companies. Like UnitedHealthcare. Why? They are by far the craftiest (that is a thin veil for "unethical") and most difficult to work with. Here are some of their tactics:
1. The phone prompts I need to go through to get to a representative take about 3.75 minutes and over 7 different elections. If I fudge it by putting in a wrong #, the call can be terminated.
2. Depending on the plan, instead of sending a check to Thrive Midwives via snailmail or doing direct deposit into my business account, they sometimes send me a paper credit card voucher. In order to cash it, I have to pay a 3.5% "convenience fee," where they (Optum, the evil baby of UHC) get a cut of that. So they send me payment that ends up resulting in a lower payment to a provider or client. In other words, they make money off of my care. If I call and request a paper check, they take another 30 days to send that out. The longer they can hang onto their money, the more $ they make.
3. I have to go into their provider portal every 90 days and "attest" that I am still me and practice in the same location. Can you imagine what a large corporation has to do to complete those "attestations" for thousands of providers every 3 months?! If I forget, I cannot send claims.
4. It takes about 38 minutes to get through a verification of insurance benefits with one of their representatives, where they repeatedly put me on hold to look up a benefit for 4-5 minutes at a time, even if the benefit summary is right in front of them to read. They are likely hoping that the call will be disconnected or I will have to hang up in order to answer another call, have a BM, or God forbid, see a client.

Be under no illusions that all of these are intentional tactics to make providing, billing for care, and getting paid from UHC VERY VERY hard for an out-of-network provider.

Now I'm going to go take a walk in the woods, so that I refrain from spontaneously combusting from frustration (not from eating too much pasta).

I've been thinking a lot lately about how to address concerning trends I am seeing in the alternative health or wellness...
10/15/2025

I've been thinking a lot lately about how to address concerning trends I am seeing in the alternative health or wellness space. I neither want to alienate clients nor do I want to insult a myriad of lovely professionals in the wellness space. So I've been publicly silent on social media about these issues and conspicuously neutral in clinic, with the attitude that "if it doesn't hurt you and you like ___, keep doing it." But as with most women in their 50's, it gets harder to keep my mouth shut ; ) After all, I don't refrain from criticizing conventional, corporate healthcare.

Today, the rock in my shoe is about what is called nutrition response testing (NRT).

People who offer NRT state that it is noninvasive way to determine what may be going awry in the body and "what it may need." They brand it as noninvasive, based on the body's innate wisdom. Well who doesn't love the sounds of that?! Just hearing it makes me feel like the person doing it to me is a bit magical, while simultaneously hearing that my body is wise. Scrumptious! And you get touched in the meantime, which is often therapeutic in and of itself. Unfortunately, there is zero peer reviewed, published research that supports NRT as a diagnostic tool. None. Look for yourself, tapping ChatGPT5.0 to see what it comes up with. You can hold that vial of powdered milk and have someone pump your arm up and down, and it still won't tell you if you are lactose intolerant or have milk protein allergies. I've had people NOT take their iron supplement in pregnancy, based on lab work that indicated their iron stores were low, because their chiro did NRT and told them they don't need it. It was a real bummer when I needed to send them for an IV iron infusion a month prior to birth because they were too anemic to safely qualify for a home birth. An expensive, time consuming, and needless situation, when they could have taken the $12 bottle of ferrous bisglycinate purchased on Amazon.

While some would brand this care as "getting to the root cause" of someone's issues, the only impact may be on your wallet. The bulk of the time, after NRT, people are sold a myriad of supplements by that same professional, that will cure their digestive woes, clear their brain fog, detox their body, etc. The mark up on those supplements is often 40-100%. I have a problem with that and you should too. I don't make money off of the prescriptions I write, and that is the way it should be. No financial incentive likely translates into less biased care. Sometimes what you are paying for in the wellness industry is a feeling, a warm fuzzy, an experience. I would rather get a massage...

Take home message. Be discerning about ALL of the care you receive. Get in touch with whether you are paying for a feeling, or for legitimate care.

My clients with gestational diabetes and PCOS are crushing over FullWell’s new inositol supplement! “I use it as a mockt...
10/07/2025

My clients with gestational diabetes and PCOS are crushing over FullWell’s new inositol supplement! “I use it as a mocktail now and love it,” per one of my savvy GD mamas.

Address

6600 City West Pkwy
Eden Prairie, MN
55344

Opening Hours

Monday 1pm - 7pm
Tuesday 1pm - 7pm
Thursday 8am - 1pm

Telephone

+17633506909

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