Midwifery Care

Midwifery Care in Salem, New Hampshire

Midwifery care is about relationship, conversation, and clinical attention, caring for you as a whole person throughout pregnancy, birth, and recovery.

  • Salem, New Hampshire
  • Midwifery Care
  • Prenatal Care
  • Labor & Birth Care
  • Postpartum Care
  • Serving Southern NH + Northern MA

Understanding the Model

What Does Midwifery Care Mean?

Midwifery care is about more than appointments. It is about relationship, conversation, clinical attention, and being cared for as a whole woman throughout pregnancy, birth, and the weeks that follow.

Midwifery care is a model of maternity care that can include prenatal care, education, clinical assessment, birth planning, labor support, birth care, and postpartum care within the provider's scope. It tends to emphasize relationship, communication, and shared decision-making alongside clinical attention.

At its best, midwifery care treats a woman as a whole person, not only a set of clinical details. That means time for questions, room for preferences, and care that follows you through pregnancy, birth, and the weeks of recovery that come after.

Midwifery care is not anti-medical. Midwives observe, assess, and recommend when a different level of care or an intervention becomes appropriate. Intervention has an important and sometimes necessary role, and using it well is part of good care.

We do not describe services beyond Birth Haven's verified scope here. The best way to understand what care includes is to ask the team directly during a visit.

What midwifery care can include

  • Prenatal care and ongoing clinical assessment
  • Education and birth planning
  • Labor support and birth care
  • Postpartum care for your recovery
  • Clear communication and shared decision-making

Relationship Matters

Care Feels Different When You Feel Known

Being known by your care team is not a luxury. It changes how questions get asked, how decisions get made, and how supported a woman feels throughout pregnancy and birth.

When you have space to ask questions and build trust over time, pregnancy can feel less like a series of brief appointments and more like a relationship. You may feel more comfortable speaking honestly, sharing what matters to you, and raising concerns early instead of holding them back.

Continuity, where it is available, matters too. Seeing familiar faces through your care can help you feel less like you are explaining yourself over and over, and more like the people caring for you already understand who you are.

Birth Haven does not claim perfect continuity, and we will not promise that you will always know exactly which midwife attends your birth until that is something we can confirm. What we can tell you is how care is intended to feel, and why relationship sits at the center of it.

A Birth Haven midwife in conversation with a client

The Birth Haven Approach

Clinical Care and Tenderness Can Exist Together

Some women are told, directly or indirectly, that they must choose between care that feels warm and care that is clinically sound. Birth Haven does not believe those two things are in conflict. Thoughtful maternity care can be both attentive and deeply human.

That means taking time to understand your history and your preferences, explaining recommendations clearly, and inviting you into decisions about your care. It also means remaining responsive when circumstances change, so that clinical judgment and compassion work together rather than against each other.

Your voice matters here. Your questions matter. And your care plan can be thoughtful and flexible at the same time.

About Birth Haven

Care Throughout Pregnancy, Birth & Postpartum

Care Before, During & After Birth

Midwifery care is not only about the day of birth. It is a continuum of attention that follows a woman through pregnancy, labor, birth, and the weeks of recovery that follow.

A Birth Haven midwife with a client during a prenatal visit

Prenatal Care

Time, conversation, and clinical attention throughout pregnancy, with space to ask questions and plan for birth.

Explore Prenatal Care
A Birth Haven midwife supporting a laboring woman during birth

Labor & Birth Care

Continuous support during labor and birth, with care that responds to how your body and your baby are doing.

Explore Labor & Birth Care
A parent holding their baby during postpartum recovery

Postpartum Care

Care for your recovery after birth, with attention that continues well past the birth itself.

Explore Postpartum Care

Your Voice Matters

Communication and Informed Decision-Making

Informed decision-making is not a formality. It is the practice of helping you understand your options, explaining why a recommendation is being made, and making room for your preferences and questions at every step.

You deserve to understand what is being recommended and why. You also deserve space to ask questions, share what matters to you, and participate meaningfully in decisions about your care. That does not mean every preference overrides every clinical concern. It means clinical guidance and personal preferences are meant to exist in conversation, not in opposition.

When plans need to change, clear communication matters even more. You should not have to guess what is happening or why. Your voice still matters when circumstances shift.

What informed care can look like

  • Time to ask questions without feeling rushed
  • Clear explanations of recommendations and options
  • Room for your preferences and priorities
  • Honest conversation about possibilities and limitations
  • Communication that continues when plans change
A Birth Haven birth suite with a calm, home-like room

Midwifery and the Birth Center

Midwifery Care Within the Birth Center Setting

For many families, midwifery care and birth center care go together. The birth center is the setting where much of Birth Haven's care is provided, and the midwifery model shapes how that care is intended to feel.

Exploring the birth center can help you understand the environment, the experience, and the options that may be available, from water birth to physiologic birth support. Eligibility for birth center care is individualized, and the care team can help you understand where you stand.

Explore Birth Center Care

Care That Responds

Thoughtful Care Includes Knowing When Plans Need to Change

Good midwifery care is not passive. It requires attention, judgment, patience, and knowing when to step in. Ongoing assessment throughout pregnancy and labor helps the care team notice when something may need to change.

Sometimes that means a different approach within the same setting. Sometimes it means hospital care becomes the right next step. A change in plan does not erase your strength, your preparation, or your voice. It means care is responding to what you and your baby need.

Your Care Team

Meet the People Behind Birth Haven

Maternity care is relational. You deserve to know the people involved in your care before you ever arrive.

Whitney Elsesser, Birth Haven co-founder

Whitney Elsesser

DNP, CNM, FMACP

Co-Founder & Medical Director

Khadijah Cissé, Birth Haven co-founder

Khadijah Cissé

Co-Founder & Owner, Midwifery Operations

Danette Siegel, Birth Haven co-founder

Danette Siegel

Co-Founder & Chief Operating Officer

Questions About Midwifery Care

Our Region

Midwifery Care Serving Southern NH & Northern MA

Birth Haven is located in Salem, New Hampshire and welcomes families from the surrounding region. Salem sits close to the Massachusetts border, which makes care reachable for families across much of both states.

You do not need to live in Salem to receive care here. Some families travel from neighboring communities because they are looking for relationship-centered midwifery care.

Southern New Hampshire

Families from across Southern New Hampshire are welcome to learn more and book a tour.

Northern Massachusetts

Birth Haven serves families from Northern Massachusetts who are seeking midwifery care.

Related Information

Come Meet the People Who Would Care for You

A tour gives you time to ask questions, see the space, and begin to understand whether care at Birth Haven feels right for your family. There is no pressure to decide right away.

What Families Are Saying

Reviews from Our Community