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I'm Cosette, Nurse-Midwife with 23 years experience managing birth in the out-of-hospital setting, specializing in Physiological Birth and the Shared Decision Making Model of care between patients and providers.

Over the years, women, like you, choosing to birth in the hospital would reach out to me with questions on how to navigate the medical system & to BETTER understand their options in care.

They just felt there could be so much more. Even a 15 minute conversation was priceless. Imagine a monthslong relationship.

This service was born to fill that yearning


Consulting Services

Designed to empower and inform ~ no matter where you want to birth or what team you hire to provide your care or how you want to walk that path —

ON YOUR TERMS consultations, will help you take back your right to OWN your maternity experience starting with your first prenatal visit.

the value of a doula
Don't get in the bed!
the importance of connection

Maternity care in the United States is a well oiled machine designed to control a woman's journey from the first prenatal visit to everything that goes on in your birth space. This system, not only increases the cost of care, but also the risk to you & your baby, while eroding our trust in our body’s innate ability to birth. This is the medicalization of childbirth and If we don’t know how to navigate it, all the way through, our power, our sense of autonomy and agency will be taken away from us, in one of the most important transformational moments of our lives, before we even know that it has happened. 

Define Your Values, Make Your Own Choices, Take Back Your Agency


Private Consulting Services



One Hour Long Visit: $160.00



~ You pick what you want to focus on in our time together

A consultation with Cosette might be right for you if you desire:

• More education on the choices you will have to make throughout your care

• How to effectively communicate your needs and desires to your providers

• Relief from common pregnancy symptoms using nutrition, herbal medicine and essential oils

• A dōTERRA essential oils specialist to learn how to safely use oils in pregnancy

• Knowledge about your body's design - physiological birth - and how to achieve it in the hospital

• More connection with the holistic provider base in the Des Moines area ready to support you 


Admittance into our Client Connections page on Facebook


Don't ride the assembly line for birth care that leads to this:

87% will have continuous electronic fetal monitoring

80% receive intravenous fluids

47% have labor artificially accelerated with medications

43% of first-time moms have labor artificially induced

60% are not allowed to eat or drink

76% are restricted to bed

92% give birth lying on their backs

& 1 in 3 women will end up having a cesarean birth

~National Birth Center Study II from the American Association of Birth Centers

Let's move beyond money, fear, coercion and power to a more balanced relationship with our providers. Your experience, the mother's experience, MATTERS & impacts the life of your baby. It is worth fighting for it to be 




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