Our Approach


The model of care at Small Things Grow is based upon several principles:


We delight in creating a spirit of cooperation, knowledge sharing, and collaboration.   Our goal is to communicate to you the things you need to do know to be an active participant in your own health care, to allow you to be heard as the ultimate authority in your own physical and spiritual well being, and to safely facilitate your sense of agency and power in the sacred experiences of pregnancy, birth, and parenthood.   



We believe that pregnancy and birth are fundamentally normal, yet also a vulnerable time of great growth.  Because of this, we believe that every word, decision, and touch matters and we are thoughtful in our language and actions.  We pride ourselvesin developing a respectful, trusting partnership with clients that both brings comfort to them during a time of change and facilitates their emerging from their experience healthy and empowered.  We strive toward holding a space during prenatal visits and births that is relaxed and high-touch in a rushed, high-tech world.



We integrate the best of current research and practices with holistic midwifery wisdom.  We have a deep trust in labor and birth, but we also bring the clinical knowledge and experience that is so important for a healthy pregnancy and a safe homebirth.  


Inclusivity and Justice

We honor the diversity of human experience.  Our ultimate goal is to provide personalized and compassionate care where all individuals feel safe and respected regardless of racial or sexual identity, class, background, family structure, circumstance, or belief system.  

We are firmly committed to making homebirth accessible to all who want it and are good candidates.  We believe respectful midwifery care to be a part of the solution to the United States' health care disparities, a problem rooted in the systemic racism and sexism that have existed in our country since its founding.  We believe we have a responsibility as health care providers and human beings to continually challenge these systems.  We are passionate about working toward the health equity and reproductive self-determination of all individuals. 

It is our sincere conviction that empowering well-person care and pregnancy, labor, and birth experiences have the potential to transform not just the person cared for, nor simply the baby they birth, but their partner, families, and larger communities.

Let's work together towards making birth and life safer, kinder, and more empowering for everyone here.


“I had my first baby naturally, but was induced with no epidural, and my second was a C section. What I longed for with my third delivery was a completely natural birth. I wanted to move through it at my own pace, uninterrupted and completely held and supported at the same time. It was hard to imagine I that I would actually have that experience, which I ended up having with Robina….

She was so calm. sincerely engaged and attentive to my condition. She was constantly honest, giving me all my options, making it seem like anything I would decide would work out fine.

Every time I opened my eyes she was there, when I held out my hand, she held it back. Her presence was so gentle and yet so solid and reassuring. I’ll never forget the moment my little boy popped out. She caught him and gave him to me and when I whispered his name, which I hadn’t thought of till that very second I first saw him- she warmly asked me what that was and smiled a beautiful smile….

The following months, I got in touch with her about gentle night weaning, natural birth control, and other issues I was concerned with. I still send her pictures of my baby!

I am so amazed at how close I felt to Robina, how supported and reassured she made me feel…It was like being with a close friend, who knew me so well, and joined me in my birth flow in the most gentle and respectful way possible. Leaving me space to be alone when I needed it, and being right there when I needed her support.

— Tamy