Refuge Midwifery

Refuge Midwifery Refuge Midwifery is an inclusive fertility & home birth practice serving Philly & South Jersey

Happy Birthday Ray! Somehow, birthdays seem to become just another day… but regardless, Ray’s mom always calls them at 1...
01/20/2026

Happy Birthday Ray!

Somehow, birthdays seem to become just another day… but regardless, Ray’s mom always calls them at 11:55am on their birthday, the time that they came into the world!

Ray’s mom had an unmedicated birth in the hospital after a high risk pregnancy. At Refuge, we think that birthdays should actually be celebrated as “birthing days” for our parents.

So, happy birthing day!

What is IUI and why do people choose it? IUI is the process of inserting a washed s***m sample directly into the uterus ...
01/17/2026

What is IUI and why do people choose it?

IUI is the process of inserting a washed s***m sample directly into the uterus for the purposes of conception. The way it works is that your provider thaws a washed s***m sample, then draws it into a sterile IUI catheter. Once the s***m is ready, the person receiving the IUI lies down and a speculum is inserted into the vagina/front hole to visualize the cervix. The catheter is then inserted through the cervix into the uterus, where the s***m is deposited at the top or fundus of the uterus, near the fallopian tubes. After the s***m is inside the uterus, the catheter comes out, and then the speculum comes out. It’s typical to stay lying down for fifteen to twenty minutes afterward, because studies have found that this period of rest slightly increases the chance of conception (language pulled directly from my book !).

People may choose IUI because they lack s***m in their relationship and may be using frozen s***m (such as our q***r and trans parents and families); a low-s***m count; unexplained fertility challenges; cervical factors; and especially when done with a midwife, the procedure could be more cost effective than other conception options.

[photo of supplies used in an IUI procedure]

We wanted to reintroduce ourselves: We’re Ray (left) and Victoria (right). We are q***r and non-binary midwives who are ...
01/13/2026

We wanted to reintroduce ourselves: We’re Ray (left) and Victoria (right). We are q***r and non-binary midwives who are committed to community care.

We’re a two midwife practice offering homebirth, fertility care, and education in the Philly area. Ray founded Refuge Midwifery in 2017 as a home for families that are not best served by our current healthcare system - providing trusting relationship-based care with our clients that results in a confident, supported labor and birth. Her dear friend and midwifery school roommate Victoria joined the practice in 2021.

A lot has changed for us in the last year. We are still out here midwifing, making babies, and teaching providers along the way. We’re excited for the year to come despite what’s going on in the world and the ongoing declining political climate. We’re excited to help usher in the future of new babies, new families, and more competent care providers.

Our next Infant Feeding Support Group w/ Steph Brown, IBCLC .b.ibclc is this upcoming Monday January 12th at This group ...
01/07/2026

Our next Infant Feeding Support Group w/ Steph Brown, IBCLC .b.ibclc is this upcoming Monday January 12th at

This group is open to all who are looking for support and community. A scale is available for weighted feeds and check ins.

Office is ADA accessible, masks are not required. Come and be held. 🤲🏻

⏰ Every other Monday from 10am-11:30am
📍 Location: West Philly Wellness, 3641 Lancaster Ave
🗓️ Upcoming Dates: 1/12, 1/26, 2/9

Our practice has gone through a lot of changes and it’s interesting to see that even through all of these changes, our o...
12/31/2025

Our practice has gone through a lot of changes and it’s interesting to see that even through all of these changes, our outcomes have stayed fairly consistent.

That has a lot to do with the balance of the art of midwifery with the science of medicine. It goes to show how important preventitive care is. We are meticulous midwives who value relationship-based and evidence-based care above all else. We continue to value the relationships with the hospitals in our area and we are transferring appropriately and early as needed. Midwifery care is about fully informed consent, which we strive to deliever at every step of the way.

Overall, we had a pretty smooth, slow-ish year that allowed Victoria to settle into solo midwifery life and provide comprehensive care.
There was only one birth this year where the baby was born before we were able to arrive, which feels like a testament to our proactive communication.
This year was full of repeat clients and it’s so nice to go to births where the babies we caught have turned into big siblings!
Our student Natasha has also started catching most of the babies
We’re so proud of how all of the changes have reflected positively on our practice and are looking forward to continuing to catch babies, help make babies, and educate our community 🤲🏻🌀✨

12/30/2025

Here is our ‘2025 Refuge Wrapped,’ including our top clinical and personal stats.

In 2025 we supported 46 families for birth and did 34 IUI’s. We had a 17.6% pregnancy/success rate for IUI (which is higher than the average, and makes sense for the population we serve!).

It was a pretty interesting year for Refuge. Among other things: Ray retired from being on call for births (after being on call for 15 years). Unfortunately, we had two concussions in the practice— both Ray and Ari (our admin, ). You’ll have to watch the video to hear our top snacks and other amusing moments from this year.

We are going to be doing some restructuring for our birth, fertility, and education offerings in 2026 that we’re really excited to share ✨🌀

Stay tuned, and more stats to come tomorrow!

Want to give an easy holiday present to your community midwives? Review us on google! Internet review and word of mouth ...
12/24/2025

Want to give an easy holiday present to your community midwives? Review us on google! Internet review and word of mouth is how families find us, which allows us to keep doing the work we love: midwifing Philly and Jersey families. Link in our b i o

ID: Black and white photo of Victoria weighing a newborn at home with text about reviewing

12/15/2025

I’m currently redefining what midwifery means to me.

I have been converting my live IUI for Midwives Class into a pre-recorded, self-paced course for all kinds of reproductive health care providers, like primary care physicians, OBGYN’s, midwives, and nurse practitioners.

I’m really excited to be offering this training to a wider range of healthcare providers to confidently offer fertility counseling and IUI care to q***r families. ✨ The course is also now CME accredited!

You can pre-order now through January 1st for a reduced enrollment fee and get access to all materials immediately when the course releases (once content is released, the price will increase).

✨ You can find the link to preorder in our b!o.

As community midwives practicing in both a regulated (New Jersey) and unregulated (Pennsylvania) state, we sit at an int...
12/12/2025

As community midwives practicing in both a regulated (New Jersey) and unregulated (Pennsylvania) state, we sit at an interesting intersection of reproductive autonomy and access, and end up navigating the state systems in different ways.

But… Does our care look different in the state we’re licensed? No– We’re following the same clinical care standards. We’re having the same good outcomes and transferring well. We’re providing the same respectful and compassionate care.

Ironically, we find it easier to practice in PA where we’re not licensed vs. NJ where we are licensed because of integration and hostility towards midwives. For example, in NJ it is almost impossible for us to get an ultrasound for someone using Medicaid, but in PA we are able to directly write the script for our clients.

In both states, we’re still providing safe homebirth care.

[ID: Photo of Ray listening to fetal heart tones with a Doppler in a birth tub]

Our next Infant Feeding Support Group w/ Steph Brown, IBCLC .b.ibclc is this upcoming Monday December 15th at This group...
12/10/2025

Our next Infant Feeding Support Group w/ Steph Brown, IBCLC .b.ibclc is this upcoming Monday December 15th at

This group is open to all who are looking for support and community. A scale is available for weighted feeds and check ins.

Office is ADA accessible, masks are not required. Come and be held. 🤲🏻

⏰ Every other Monday from 10am-11:30am
📍 Location: West Philly Wellness, 3641 Lancaster Ave
🗓️ Upcoming Date: 12/15

This article is intense and devastating and it speaks to something we already know well with data from the Oregon Center...
12/08/2025

This article is intense and devastating and it speaks to something we already know well with data from the Oregon Center for Health Statistics (seen on the second slide).

From the data, we know that homebirth with a trained and licensed midwife– a Certified Professional Midwife, CPM, like ourselves, or a Certified Nurse Midwife, CNM– provides equivocal outcomes to hospitals and freebirths does not.

While the predatory and capitalist nature of the Free Birth Society is its own issue, we can really hold that this movement came out of people not feeling heard and not having options.

Would this be as much of a movement if people could access respectful birth care affordably? Would this movement have grown so much? Probably not…

In the Philly area, we just lost Lifecycle, the oldest birth center in Pennsylvania.
The continual lack of access to affordable care out of the hospital system contributes to people feeling like they don’t have helpful alternatives.

As community midwives, it often feels like we are trying to hold up a crumbling care infrastructure. If you feel like you are being failed by your options, it’s because you are.

[ID: 1: Screenshot of the Guardian article titled “Influencers made millions pushing ‘wild’ births - now the Free Birth Society is linked to baby deaths around the world. 2: Graph with data from Oregon Center for Health Statistics]

Please call or write NJ Assembly Speaker Coughlin and Senate President Scutari and insist that they bring the Midwifery ...
12/05/2025

Please call or write NJ Assembly Speaker Coughlin and Senate President Scutari and insist that they bring the Midwifery Licensing Act to the floor for a vote during this Lame Duck session.

This legislation creates an Independent Board of Midwifery, Independent Midwifery Practice, and independent prescriptive authority— expanding access and supporting the midwifery workforce.

Address

3641 Lancaster Avenue
Philadelphia, PA
19104

Opening Hours

Monday 9am - 4pm
Tuesday 10am - 6pm
Wednesday 10am - 6pm
Thursday 11am - 7pm
Friday 10am - 6pm

Telephone

+12677972190

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