Sego Lily Midwifery

01/04/2026

Having fun pulling the stats people tell me they’re the most interested in over the years. Was a really nice year. Very impressed with our small team of midwives and birth assistants.

12/28/2025

Every year I look forward to publishing our stats, namely transfer stats.

This year the two surprising and rare emergent transfers in labor were for cord prolapse & non-reassuring fetal heart tones. Both women had histories of normal homebirths. Both had happy outcomes. This is what you hire us for.

While around 1/3 of our population has elevating normal blood pressures in late pregnancy, we had 2 risk out this year ahead of active labor for wandering into PreEclampsia territory. Our regs and care for safe outcomes do not permit us to continue on with these cases. One woman risked out for breech at term, electing surgical birth. Some women with histories of PreE return to us in future pregnancies with a resolve to overhaul nutrition & lifestyle to prevent adverse health and birth outcomes and we have pulled off future births with no issues. This is a pesky clinical picture with 1-2 women risking out annually for metabolic dysfunction in the practice.

We had 5 (not 4) first time birthers elect hospital transfer in early or non-active labor for clinical exhaustion, pain management, labor augmentation by docs. This was typically in the 0-5cm space over 12-30 hours of labor which is considered ‘early’ labor. As midwives we want to be sure we are preparing women prenatally for the mental and physical demands of labor and eduction on the normal phases of labor to reduce these numbers. Compared to the North American stat on this from a BMJ study in 2005 that suggested 1:4 (25%) first time women planning OOH birth will wind up in hospital anyway, we are doing very well at 10% with this stat. Experienced professional Doulas, childbirth education courses, self education & RADICAL PRIVACY tend to keep first time birthers out of this territory.

We are grateful for a fun and incredible year with most of our client base elated with their experiences and turning into life long friendships. We sacrifice normal lives to take call and offer this work. We are in it for the women and the transformations. And for what we offer outside institutional maternity, for women who choose to show up for themselves. 🎊🥂🌸♥️

11/13/2025

Crazy quote of a hospital birth cost. After posting this story, another DM came in that a current client’s normal vaginal birth two years ago was $20,000!!! You are subsidizing their medical mal practice policies and keeping the lights on in the entire hospital! L&D is the biggest revenue generator of most hospitals. 🛑 paying this crazy fee for a highly invasive institutional birth unless you know you want a surgery! The evidence shows out of hospital birth in North America is a safe option for low risk women - which you should presume you are until you are not. This economy is crazy challenging right now, but we have the most women on our books than ever. This is a smart prudent economic decision. We give highly individualized care. There is also something to fully feeling this experience.

10/02/2025

⭐️⭐️⭐️⭐️⭐️

So fun to read feedback like this from a young woman I caught three babies with. My women become surrogate daughters and friends. Thank you for filling my cup and my heart with your kind sentiment. So meaningful. ♥️🌸

09/27/2025

I love every opportunity for birth and midwife-assisted birth to reach women, especially in places with poor legislation like New York State. We think more New York women should destination birth in Utah. Did you know that more Utah women choose midwife-assisted births at home or birthing centers than any other state in the U.S.? Why? Because our legislation is generous and medical providers at the large hospitals are collaborative and respectful. Come to Utah!, she said. Let us show you how we normalize birth here.

09/24/2025

It’s been almost a year with midwife Nicole Moemai, CPM,LDEM, and I realize I haven’t properly introduced her here, yet!

Nicole joins us highly regarded from a high volume community birth center in southern California. She is committed to providing exceptional care to every mother with respect, dignity and kindness. She empowers families to make informed, evidence-based decisions about their health while maintaining autonomy throughout their birthing journey. Nicole believes in addressing the physical, emotional and spiritual needs of mothers, infants and families, creating a safe supportive environment for a positive empowering birthing experience. Nicole’s training was under mentorship of experienced midwives in her California community. She is in pursuit of a Bachelors of Science in Midwifery from National College of Midwifery to round out her education. Nicole is married to her high school sweetheart of 20 years and is mother to eight children. She enjoys time outdoors and cherishing moments with her family. Nicole is honored to be a part of each family’s birth story, ensuring every mother feels supported and respected.

Nicole currently holds Sego office visits Mondays and Fridays, and makes field rounds at the end of her clinic days. She’s caught a bunch of our little babies this year!

We love her skills, and laid back- yet conscientious demeanor.

09/15/2025

We are midwifing in Wyoming! Handled a birth in Lander and a visit in Jackson. What a cool retreat to a place I lived almost 30 years ago. I feel pulled to search out a cabin with a babbling brook to use as retreat and Wyoming base.

08/20/2025

What a gorgeous storyboard of a woman using all the fun tools with midwives Nicole, Isabelle and Heather at Sego Birth Suite, to bring forth her second baby with midwife Heather.. including the Yoga Hammock And Birth Stool combo! Posted with permission - thank you for these images. Such a joy to tend. This mama and fun dad had us chuckling with them all the way to the finish line. We love this cute fam and tending them means a lot to us. ♥️ They have now had both homebirth and birth suite experiences with us.

*Gentle reminder to carefully invite into your birth space women totally at ease, highly experienced with and/or in awe of non-institutional birth. Lest they bring their fears, projections and unfounded judgements into your sacred space. Don’t let inexperienced witnesses practice on you to build a portfolio.*

07/10/2025

05/23/2025

If we could show you “before and afters” of women’s yonis with some of these 30 minute sessions, Utah women would be banging our doors down! I can’t publish images here but you can ask and I will share, with blessing and permission.

Standard of care in many European urology offices, acoustic sound wave treatments getting a lot of attention for urinary incontinence, sexual function / lubrication and sensitivity and aesthetic components. This is a once weekly for 3 weeks protocol. Currently pricing discounted at $900 total for 3 weekly sessions. Typical recommended pricing from distributor is $1800 total. DM to book. Currently looking to fill a Friday May 30 1pm spot.

Must come without babies in arms.

05/14/2025

Sego Midwife Heather now licensed in WYOMING 🤠🧲. We have booked home births in Lander and Jackson Hole, so we are going DEEP into wild cowgirl country!

12/25/2024

Merry Christmas from the midwives of Sego Midwifery. We are grateful for safe outcomes and our expanding beautiful families.