Sage Midwifery

Sage Midwifery Katy Rawlins, LM, CPM
Experienced, comprehensive community-based midwifery services in the greater Treasure Valley region (ID). Medicaid accepted.

Home birth with countryside birth suite option for extenuating living circumstances. Inquiries via website. Birth Suite option located in Star, Idaho

The Bereavement BestowalsPerhaps I will never get over the loss of Lainey. In a senseless, uncontrollable act of nature,...
04/20/2026

The Bereavement Bestowals
Perhaps I will never get over the loss of Lainey. In a senseless, uncontrollable act of nature, a knot in her cord pulled tight the week before we anticipated her birth. When her mother paged, unable to get her to move, there was an onset of 18 sleepless hours of chart review, what-ifs, and searching for answers, none of which made sense until the doctor laid Lainey’s still body on her mother’s stomach and, crying, held up the cord, rich with blood to the knot, and drained and white on the other side. Stillbirth strips a soul to the bone and tests the very marrow to its weakest immunities. In the days following, the paths were cleared and all that had to be done was to walk that dark path of survival. Her parents brought her home and I supported her Dad in keeping her cool and maintained for 6 days. The funeral home happened to have a casket and vault that was too small for another infant, which fit her perfectly. The coroner gave the blessing for burial in Lainey’s own backyard, the quiet countryside. The printers did a no-charge rush printing when they saw her footprints on the program. Her labor & postpartum nurse, Sarah Bennett, arrived for the viewing and funeral at nearly the same time she’d met them 7 days prior in L&D. Four weeks ago, some honeybee fabric caught my eye and I began to sew what would become Lainey’s 2nd birthday gift, in a deeply therapeutic journey of my midwife mind. I would do anything and give everything to bring Lainey back. Her death was the death of the *Illusion of Control* I still held onto in midwifery. Her death aligned my practice with truth and light, a light that shone brightly upon deceit and deception which had been deeply hidden from me. Because of Lainey, I counsel, listen, manage, and live differently. And mark my words: NOT in fear, in humility to the work and to the illusion of control as a maternity care provider. On Friday, Lainey’s Mom asked me to stand beside her as, this afternoon, she took a gift basket to the L&D unit where Lainey was born, to be gifted to a family who gives birth to a baby girl on April 20th, in memory of Lainey. They told her story, shared their gratitude, and cried. Tonight, my family met Lainey’s family at her grave, where this quilt was gifted, a bereavement bestowal, in honor of Lainey. Bees for Lainey, the backing to match the clothing I was honored to dress her in, the daisies which she was buried with, and the herons - said to carry messages to and from heaven - who remind us that Lainey is near. We watched the sunset, all together. Blessed 2nd birthday, Lainey. You will always be my why.

Welcome to the world, baby Smoke. Your mama’s heart burned with great purpose as she birthed you on Good Friday, every l...
04/09/2026

Welcome to the world, baby Smoke.
Your mama’s heart burned with great purpose as she birthed you on Good Friday, every laborious moment symbolic of the Atonement - from washing of water, pain and agony, to bloodshed, all for you. Your name was first spoken aloud after pause, through falling tears of sacred love. And there you were, the beautiful, gentle, perfect wispy plume of Smoke to follow the fiery blaze of a swift, perfect, and all-consuming labor.
“The most powerful weapon on earth is the human soul on fire.” —Ferdinand Foch

We were so fortunate to host midwife Vicki Penwell, founder of  and Mercy in Action College of Midwifery for an all-too-...
04/01/2026

We were so fortunate to host midwife Vicki Penwell, founder of and Mercy in Action College of Midwifery for an all-too-short visit with new-mama-midwives and new-mama-student-midwives. I asked Vicki to bless the babies, to which she shared a story about how mothers can be both Mothers & Ballerinas……or more so, both Mothers & Midwives. As usual, I reminded Vicki that at every birth, to this day, I practice in the ways she taught me as a new grad midwife. And we shared a quiet conversation about the circumstances that make our souls grow. I will cling to her words, and hear her voice in my head, until I get to see her again. But for me, this was the day that little Jesse and Fritzy-Mae met their mamas’ version/generation of Ina May. And this is part of taking care of the mama midwives, so Idaho’s mothers can be best cared for. Thank you, Vicki, for the precious and priceless gift of your time and wisdom.

04/01/2026

Great visit with students and our recent graduate and their beautiful babies today at Sage Midwifery in Meridian!

🎗️Endometriosis Awareness Month 2026🎗️March 29 marks 3 years since my endometriosis excision surgery at Mayo Clinic Ariz...
03/31/2026

🎗️Endometriosis Awareness Month 2026🎗️
March 29 marks 3 years since my endometriosis excision surgery at Mayo Clinic Arizona with Dr. Megan Wasson, where stage IV deep infiltrating endometriosis was diagnosed and 33 lesions and areas were removed from my peritoneum. I’ve lost, thus far, 13 different organs and structures to this wildly under and misdiagnosed metastatic disease. From every pelvic ligament, vaginal reconstruction, the loss of my womb, an o***y, deep into my bladder and relying on catheters for months, to my kidneys, ureters, bowels and deep into the re**um, I still wouldn’t say that endometriosis has ravaged me - but I will shamelessly say that the over 90 OBGYN and ER visits, and every scan and test done being reported as “normal”, nearly cost me my life.
Endometriosis affects 1 in every 10 women and takes an average of 9 years to diagnose. This is not the patient’s fault. In fact, endometriosis is one of the easiest, quickest, and most accurate diagnoses a provider could make….if the patient is listened to. Yet to this day, there is not a single medication in existence that slows or stops the spread of the disease, nor does pregnancy or breastfeeding. And hysterectomy is the leading treatment offered, yet endometriosis is an extrauterine disease! With the advent of laparoscopy, physicians began burning the top of lesions as treatment, rather than excising lesions deep at the root, like cancer, to negative margins, leaving people torched from the inside with lesions growing deeper and deeper and the endo remaining ever present.
HEARD me. She and her team at .az.surgery meticulously excised deep lesions in my body for hours. I woke from surgery in less pain than I’d had for a decade prior. As a surgeon she has committed her life to evidence-based practice and she restored my life as a mother and as a midwife. I honor her.
I shared the weekend with close friends, including celebrating an Endo warrior’s 90th birthday! Since excision surgery restored my ability to sit on a saddle, I shared an hours long trail ride with another Endo warrior.
Painful periods are NOT normal!🎗️

🧵🪡Sister Midwife Clinic Quilts: Part 1🪡🧵To be chosen and trusted to midwife a sister midwife…..There is a reason I’ve ha...
03/27/2026

🧵🪡Sister Midwife Clinic Quilts: Part 1🪡🧵
To be chosen and trusted to midwife a sister midwife…..

There is a reason I’ve had to say no to accepting more clients into care this year - I’m caring for sister midwives. And they have to come first. You see, if they are not well cared for, and because midwifery is so hard in general, we have to prioritize them so they can be healthy, supported, have empowering births, and nurtured, attentive recoveries….because without such, no midwife could fully return to both the work of midwifery and the purpose it requires from the soul. We would all simply retreat into motherhood forever.

The incessant, daily prayer of my heart for these midwives has been that they have births that turn their hearts right back into the work - and births that flame their calling with a deeper purpose. I think about the day they will return to work, perhaps leaving their babies for the first time, to find the shell of the midwife they left behind sitting in the corner of their office, a shell they no longer fit within.

And thus, I began to quilt - clinic quilts - for the babies of these sister midwives who will grow up on the floors of midwifery practices and birth centers.

So their mamas can glance down while charting and have a clean and soft place to lay their babies for a snooze. So their mamas can return to work with babe in arms and model to their patients that we are not meant to be separated from our little ones. So the babies can lay “in the arms of” Auntie Midwife Katy and hear her whisper, “That’s your mama up there, she loves you. She is so brave and so strong and so fierce and so soft that God chose her to be a guardian of life and birth. She holds the secrets of ages, she witnesses pains you could never imagine, and she mirrors back the power that belongs to the mothers she cares for. She is superhuman. And she’s YOUR mama.”

She’s YOUR mama, baby Elsie. Yes she is. And she loves you more than life itself.

All my love, forever and ever,
Midwife Auntie Katy

🧬Happy Trisomy 21 Day!🧬March 21st (3-21) is World Down Syndrome Day, to honor the triplication of the 21st chromosome. I...
03/21/2026

🧬Happy Trisomy 21 Day!🧬
March 21st (3-21) is World Down Syndrome Day, to honor the triplication of the 21st chromosome. In other words: Extra chromosome, extra awesome!
Last summer, we were blessed with two more Sage babies with triplications of their 21st chromosomes. I spent time this morning getting an update from one of our extra awesome 2022 Sage babies, too!
Without further ado, please help me celebrate:
🎉 KNOX - 9mo
🎉 LOUIS (like the prince) - 7mo
🎉 ROCCO - almost 4!
These boys and their mamas and families bring such light and life and learning to our world. The love is unlimited. The progress is joyful. The smiles melt us! Knox’s mama dropped by the clinic this week to be sure I had a set of Knox-Socks to wear for T21 day. I shall wear them proudly today, and as my favorite birth socks until I’ve worn them out!

Today Gov. Brad Little signed HB639 into law, remodeling the existing midwifery law so LMs may obtain and administer med...
03/20/2026

Today Gov. Brad Little signed HB639 into law, remodeling the existing midwifery law so LMs may obtain and administer medications indicated for maternal or neonatal care. The drug legend Idaho’s LMs abide by is based on standards of care and medications available 20 years ago. This will allow us to practice to the current standards of care, opening the door to effective medications that may be invented someday.

In 2025, I had my first ever transport for a postpartum hemorrhage. It was the only bleed I was unable to stop in over 15 years of practice. On the ambulance, before we pulled away from the home, the paramedic administered a dose of TXA in the IV line I’d placed. It stopped the bleed before the bus’s wheels rolled, but we still had to transport. The hospital staff stopped her IV line, the labs were normal, the Laborist thanked me for bringing her in in great condition, and the nurses gathered close to support and observe as I did baby’s newborn exam. It was almost as if we didn’t need to be there. Had I been able to practice to the current standards of care, we wouldn’t have been. I vowed to the mother that I would ensure her story had purpose and inspired change.

Due to my role on the Board of Nursing, I cannot take part in legislation. But I can educate about midwifery, our scope, and the limits and gaps we face. I was grateful to receive contacts from change-makers who studied our current legislation, were impressed by LMs, wanted to learn more, and had a goal to make birth safer in ALL locations for mothers in Idaho. I shared your stories, spoke in real examples, and gave visualization to the gaps. I asked for nothing. They knew the mothers were my purpose. That was all the more I could do.

My Sage mothers, become *their* purpose as this bill passed out of House and Senate committees and floors with 100% AYES.

I witnessed Gov. Little sign HB639, while standing behind a photograph of Gabi & Baby Louis - my purpose, and standing beside my 17 year old daughter, born at home when midwifery was still illegal in Idaho, and who has been part of every bit of midwifery legislation since she was 5 weeks old - the baby whose birth “birthed” me as a midwife.

There’s a hole in my heart in the size of an 11 year old little boy. This little one, my firstborn son, is my purpose, d...
03/09/2026

There’s a hole in my heart in the size of an 11 year old little boy. This little one, my firstborn son, is my purpose, day in and day out. He taught me that stillbirth is still birth. He helped me learn to lean in and love during loss. He taught me how to do this for other families. So, my precious boy, inspired by other grieving families, we will be making a trip to St Luke’s Boise to give your birthday basket to the incredible labor nurses who helped us have a beautiful birth with your baby brother, so they can gift it to a birthday buddy born closest to your time of birth. Blessed birthday, Jesse. We miss you every day. “Rest your head close to my heart, never to part, baby of mine.”

📖 Her Life Verse 📖The tradition began with a great-grandmother, then a grandmother & grandfather, then a mother & father...
03/02/2026

📖 Her Life Verse 📖
The tradition began with a great-grandmother, then a grandmother & grandfather, then a mother & father, and now, a newborn daughter.
“Will you print her footprints in our Bible?” Yes, of course. Can’t wait to see who this little one becomes. 💗 Congratulations! 🍾 💗

Neonatal Resuscitation Recertification ✅How small is this world, you ask?- walked into the class and into the arms and h...
02/27/2026

Neonatal Resuscitation Recertification ✅
How small is this world, you ask?
- walked into the class and into the arms and hugs of two long-time colleagues and friends
- bucket list surprise of getting to learn from Holly
- met a nurse who recently had a baby with a far-away physician colleague who attended clinicals and births with me out of hospital 14 years ago!
- met a nurse who played a special part a Sage family’s life and 1000/10 would love to adopt her as a bff
- second time recertifying alongside Dr. Patterson, the head of Idaho’s American Academy of Pediatrics, whose rural medicine tips, tricks, and experience rival the heart of community-based midwifery, and dare I say, we are all doing the same work with the same passion and the same goals!
- my NRP scenarios being carried out in positions, with equipment, and within the scope of my practice, including using a test chart on my EMR, to practice and demonstrate NRP
- seeing hospital-based providers learn more about midwifery, share concerns, ask genuine questions, and leave with better understanding of community-based birth: priceless

Address

135 E Calderwood Drive, Suite 100
Meridian, ID
83642

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm

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