Birth is meant to be one of life’s most profound experiences—and it deserves to be honored, protected, and supported.
Holistic Health & Sovereign Birth
My name is Rachel Fracassa, and midwifery is not just my profession. It’s the calling of my life. I believe birth is designed—not flawed, not broken, but intentionally created to work in harmony with the wisdom placed within a mother’s body. For over two decades, I have mothered, learned, and worked to untangle my family’s health from the grip of the medical-industrial complex. This journey has led me to the profound joy of sovereign birth, where mothers are trusted, birth is honored, and families are supported in their deepest wisdom.
I believe every mother deserves care that respects her instincts, honors her autonomy, and upholds the birth process as the powerful, physiological event it was designed to be. My role is to support you on your terms, with trust, presence, and deep respect for your choices.
What Sets My Care Apart
My approach to midwifery is built on trust, respect, and collaboration. I believe families deserve care that honors their autonomy while also providing skilled, experienced guidance when it matters most. Birth was never meant to be controlled. It was meant to unfold in trust, surrender, and faith. My role is not to interfere unnecessarily but to stand beside you, offering both presence and expertise as needed.
I honor birth as an instinctive, physiological process and support it in a way that respects its natural flow.
I identify as a “hands-off” midwife, meaning I trust birth to unfold without interference, yet I also believe in having the skills, discernment, and wisdom to step in when needed.
I focus on building deep relationships of trust, so families feel fully supported, not overly managed or controlled.
Bodywork is woven into my care—through pregnancy, postpartum, and newborn support—to encourage comfort, balance, and ease.
Support Tailored to Your Birth Vision
Whether you’re seeking full midwifery care or planning a freebirth, my care is rooted in relationship, respect, and trust. For those choosing full midwifery care, I offer personalized, relationship-centered prenatal support, skilled and present birth care, and comprehensive postpartum support to nurture healing, recovery, and integration in the weeks after birth. For those planning a freebirth, I offer à la carte support—whether that means prenatal visits, postpartum care, or simply a warm conversation over tea.
What Makes My Care Unique
I’m passionate about breech birth support . I am deeply committed to informed breech care, vaginal breech access, and providing skilled breech support for those seeking this option.
I blend traditional and modern listening tools, from the pinard horn and double-headed fetoscope(so we can both hear together) to doppler access on Baby Day for clarity and reassurance.*
I believe birth can be fun, and prenatal care should feel that way, too.
*Every aspect of my care is approached with nuance, requiring conversation, mutual trust, and an authentic relationship.
My Training & Experience
I did not take the conventional path to midwifery—my journey has been shaped by life, resilience, and relentless pursuit of knowledge. I came to this work through experience, through study, through necessity, and through an unwavering belief that birth is sacred and that women deserve more.
I believe birth was divinely designed—woven into creation with wisdom, not error. My role is not to fix what isn’t broken, but to honor that design with deep reverence. The unfolding of labor, the rhythms of a mother’s body, and the first breath of a newborn all point to the presence of something far greater than ourselves. My work is rooted in both trust in birth and faith in the Creator of life itself.
I learned midwifery the way it has been passed down for generations: through apprenticeship, hands-on experience, and deep mentorship. I trained locally under Lisa Cohen, CNM, Kelly Caldwell, CPM, Sabrina Bias, CPM, Julie Ferdman, CPM, and Janet Akremi, CPM absorbing the art and skill of midwifery not just from textbooks, but from the hands of those who came before me.
Alongside this model, I have sought out teachers and influences who align with my deep trust in birth. I have been mentored and shaped by the wisdom of traditional midwives such as Sister Morningstar, Whapio Diane Bartlett, and Yolanda Norris-Clark. Their work has reinforced my belief that birth is not something to be managed—it is something to be witnessed, honored, and supported with skillful hands and deep respect.
My training in breech birth, emergency response, and physiological birth skills has been extensive:
I have studied breech birth with some of the world’s leading experts, including Dr. David Hayes (Breech Without Borders), Dr. Nathan Riley (Born Free Twins & Breech Conference), Dr. Stuart Fischbein ("Dr. Stu" of Reteach Breech), and Nicole Morales, CPM.
I have trained in Breech Release techniques, Spinning Babies® Breech & Shoulder Dystocia methods, and Twins & Multiples care.
I attended the Born Free Breech & Twins conference alongside some of the most forward-thinking providers in breech birth.
My hands-on approach is supported by advanced bodywork training, including Craniosacral Therapy, Maya Abdominal Therapy, Somatic Experiencing, and Spinning Babies® body balancing techniques.
This work is not just about skills or certifications—it is about understanding birth, supporting women, and never losing sight of the sacred nature of this journey. And so, the learning continues. It always will.
Birth is Both Magical and Serious Business
What was once an airy-fairy ideal has been forged in the fire of reality. I’ve learned that birth is utterly magical—and not to be trifled with. It is both mystery and design, sovereignty and surrender. It demands our full presence, deep respect, and unwavering trust, calling us to show up with everything we have as mothers—and sometimes, everything we have as birth attendants too.
Birth is designed to empower us and humble us all at once.
Look below for a peak of some of my own precious memories of my homebirths, crunchy mom life, and my grandbabies who thus far have all been born at home (and yes, that’s a minivan birth in there 😂)
Reach out and connect.
If you think we might be a good match, let’s connect and see! Zoom calls, coffee shops, and my kitchen table are all options. I want to hear your story.