OHMI Midwives

OHMI Midwives Homebirth midwives, Shelly Varelli, and Lisa Baldwin, serving Toledo, Ohio and surrounding areas.

04/23/2026

Midwives wear a lot of hats… and not all of them involve catching babies.

Today’s skills practice: CPR and choking response. Because emergencies don’t wait for the “right” setting, and neither do we.

Whether it’s a pregnant client, a newborn, a partner, a toddler, or someone in the community… being prepared to respond in those critical first moments matters.

We’re not just supporting home birth families… we show up as trained first-responders when it counts most.

Huge thanks to our fellow community midwife, friend, and traveling CPR instructor 💜💜💜

04/22/2026

POV: You’re a midwife and your phone rings at what ever time (am) 😴📞 One second you’re dead asleep… the next you’re bra optional, pajamas, sliding into Crocs (yes, WITH socks), and racing out the door like it’s an Olympic sport. Hair? From the pillow.
Matching outfit? Never heard of her.
I will say I brushed my teeth.
Because babies don’t care about your sleep schedule, your outfit, or what time it is… they just decide “today’s the day” and that’s that.
And honestly? You show up anyway, fresh from sleepy land, fully committed, and ready to catch a whole human like it’s just another Monday. Anyone else had to do it yet?

Yes. You can, and should, still create your birth plan with a planned homebirth.  💕
04/20/2026

Yes. You can, and should, still create your birth plan with a planned homebirth. 💕

Birth plans work! The Role of Birth Plan in Shaping Maternal and Neonatal Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials..... "Birth plans were associated with a higher likelihood of normal vaginal delivery (RR 3.22; 95% CI 1.49–6.95; p = 0.003) and increased odds of early breastfeeding (RR 3.68; 95% CI 1.48–9.15; p = 0.005)... Conclusions: Birth plans may be associated with improved maternal outcomes, including increased rates of vaginal delivery, and early breastfeeding. The overall evidence suggests birth plans as a strategy to promote a more respectful childbirth."
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2849-7990
(Full text not yet available)

04/17/2026

Let’s talk about what “The Pitt” got wrong about unassisted pregnancy.

The HBO show’s finale featured a woman without prenatal care who came in with eclampsia and nearly died. The show villainized her choice, painting “wild pregnancy” (freebirth) as reckless and dangerous.
And yes, eclampsia without medical intervention can be deadly. That part is true.

But here’s what the show didn’t explore: WHY women choose freebirth in the first place.

I don’t advocate for unassisted birth. But I understand why women are so traumatized, so dismissed, so violated by the medical system that they’d rather birth alone than submit to it again.

The system has stolen birth from women. It’s turned a normal physiologic process into a medical event requiring management and control. It’s normalized routine inductions, unnecessary interventions that cascade into C-sections, dismissal of women’s concerns, and coercion disguised as “recommendations.”

Women are traumatized. They’re terrified of returning to hospitals. So some choose to birth alone, because it feels safer than the alternative.

This is a failure of the system, not the women. Here’s what the show missed:

Licensed midwifery is the solution.

We ARE the middle ground between a broken medical system and the fear that drives women to freebirth.
Licensed midwives provide comprehensive prenatal care with the same labs, ultrasounds, and testing as OBs. We screen for serious complications like preeclampsia, HELLP syndrome, and gestational diabetes. But we do it through relationship-based care that builds trust instead of fear, with informed consent instead of coercion. We support physiologic birth for low-risk pregnancies and provide appropriate referral and transfer when complications arise.​​​​​​​​​​​​​​​​

This is what midwifery care does. We monitor closely. We catch problems early. We know when hospital care is needed. And we refer appropriately.

We bridge the gap between fear of medicine and fear of birth.

Women shouldn’t have to choose between a traumatic, over-medicalized hospital experience or birthing alone without any medical oversight.

We need MORE midwifery care, not less.
If every woman had access to licensed midwifery care, if prenatal appointments weren’t rushed 10-minute checkups, if women felt heard and respected instead of managed and dismissed, freebirth wouldn’t be so appealing.

The solution isn’t to shame women who are so afraid of the medical system that they’d rather go it alone.
The solution is to fix the system that broke their trust in the first place.

Midwifery is part of that solution. We provide the medical oversight women need with the respect and autonomy they deserve.

We ARE the middle ground. And we desperately need more of us.

🔥More Hot Legislation News🔥This one is in Ohio🔥See call to action below ⬇️
04/16/2026

🔥More Hot Legislation News🔥This one is in Ohio🔥See call to action below ⬇️

Dear Families,
On behalf of the Community Midwives of Ohio (CMO), we are reaching out to you with a critical request.
House Bill 537 is currently being considered in the Children and Human Services Committee and is important legislation for midwives, birth centers and families in the State of Ohio. As a family who may have experienced both hospital birth and midwifery-led homebirth, your voice carries a unique and powerful perspective—one that the legislative members of the Committee need to hear. Please consider sharing your truth in writing regarding your provider choices and satisfaction with midwifery care for home birth with the Committee. Your experiences—the care you received, how you were treated, how decisions were made, how you were respected both physically and emotionally, and how your overall satisfaction with the outcome may have differed in other birth settings.
HB 537 is beneficial for Ohio childbearing families and upholds these important key points:
1. Offers an expanded scope of practice for Certified Nurse Midwives and provides a licensing mechanism for Certified Midwives with the same scope of practice as CNM's, to be regulated under the Ohio Board of Nursing;
2. Provides a licensing mechanism for Certified Professional Midwives and Certified International Midwives under the Ohio Board of Commerce with the creation of the Licensed Midwifery Advisory Council to establish rules/regulations/oversight of licensure;
3. Upholds the practice of Traditional Midwives as practitioners and directs the obtaining of a written/signed informed consent document which protects consumers bottom-line rights in all birth decisions;
4. Eliminates the written transfer agreement between a freestanding birth center and a hospital which opens the opportunity for birth centers to thrive in Ohio;
5. Establishes in the law, the rights of parents to have full decision making with regard to the type of maternity care provider they work with, as well as the place they choose to give birth at;
Please promote midwifery by sharing your story and desire for HB 537 to be enacted. There is no need for perfect wording, only honesty. Whether your story is brief or detailed, it has impact. By sharing your experience, you are not only honoring your own journey but also helping protect and expand access to midwifery care for families across Ohio. Personalize your letter with drawings by your children and/or family photos as an impactful addition.
1. Email or regular mail your letter to Chair White and the following representatives:
Rep36@ohiohouse.gov (Andrea White, Chair)
Rep51@ohiohouse.gov (Jodi Salvo, Vice Chair)
Rep11@ohiohouse.gov (Crystal Lett, Ranking Member)
Rep22@ohiohouse.gov (Darnell Brewer)
Rep28@ohiohouse.gov (Karen Brownlee)
Rep26@ohiohouse.gov (Ashley Bryant Bailey)
Rep88@ohiohouse.gov (Gary Click)
Rep54@ohiohouse.gov (Kellie Deeter)
Rep99@ohiohouse.gov (Sarah Fowler Arthur)
Rep30@ohiohouse.gov (Mike Odioso)
Rep66@ohiohouse.gov (Sharon Ray)
Rep86@ohiohouse.gov (Tracy Richardson)
Letters should be received by May 5th to commemorate International Midwives Day! Please help CMO archive consumer letters by sending a copy of your email/letter to ohpam@juno.com.
Here’s a template you might want to use:
(Date)
Representative _________
1 Capitol Square
Columbus, OH 43215
Dear Representative _______:
I am writing to you today in support of HB 537.
(State what you want to say) You could briefly include your birth history, your satisfaction with midwifery care and/or dissatisfaction of any previous care you might have received or just stand up for rights to choose where and with whom to give birth.
I request that the Ohio Legislature quickly move this bill through the steps to passage this year!
Your name,
Address
Contact information

04/16/2026
04/16/2026

🔥Hot News!!! Information Regarding the Coverage of Licensed Midwives and Homebirth Medicaid Coverage🔥

Subject: Fee-for-Service Coverage for Licensed Midwives in the State of Michigan

The policy change being submitted to cover Licensed Midwifery services and Homebirth is open for public comment.

Comments can be sent to Janell Troutman, MSN, RN (she/her). The public comment period ends on May 13.

Below are direct links to each policy for ease of access:

Fee-for-Service Coverage of Licensed Midwifery Services: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/Public-Comment/2026/2609-Maternal-P.pdf?rev=00063b412d60415eb93d10ad54d2cbfc&hash=215751900467FCAA78C8D45111861937

Coverage of Planned Homebirth Services and update to Medicaid Covered Doula Services: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/Public-Comment/2026/2608-Maternal-P.pdf?rev=9d064f0b957c4d9f95977c88111c2df2&hash=FF15CE03AE91CFCC561D07AD6BD9F58E


Janell Troutman, MSN, RN (she/her)
Policy Specialist- Maternal Infant Health
Medicaid Program Policy Division
Bureau of Policy and Strategic Engagement
Health Services Administration
Michigan Department of Health and Human Services

Email: troutmanj2@michigan.gov

Things are blooming at OHMI Midwives 🌸 Exciting news… we’re expanding our team! ✨We’ve added a per diem midwife to suppo...
04/15/2026

Things are blooming at OHMI Midwives 🌸 Exciting news… we’re expanding our team! ✨

We’ve added a per diem midwife to support our internal team of midwives and our growing community of families. This means more availability, more flexibility, and continued high-quality, personalized care. 💕💕💕

We’re so intentional about who joins our team, and we can’t wait to introduce you soon 👀

Stay tuned for a proper introduction!

04/11/2026

Black Maternal Health Week (BMHW), held annually from April 11–17, is a nationwide campaign founded by the Black Mamas Matter Alliance (BMMA) to raise awareness, accelerate policy change, and improve care for Black mothers. The 2026 campaign, themed "Rooted in Justice & Joy," highlights the disproportionately high rates of preventable maternal mortality and morbidity among Black women, aiming to advance reproductive justice and health equity.

04/09/2026

We sure do love our little office and hope you feel cozy, comfortable, and safe here too!

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4231 Monroe Street, 1B
Toledo, OH
43606

Opening Hours

Monday 9am - 6pm
Tuesday 3pm - 6pm
Friday 2pm - 5pm

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