Local Care Midwifery Blog

A blog created to share information from Local Care Midwifery, PLLC with women and families of New York's Capital District and beyond

LCM Planned Home Birth Stats for 2014

Since the beginning of Local Care Midwifery, I have participated in Midwives Alliance of North America (MANA) Statistics project and the American College of Nurse Midwives Benchmarking. Here are the 2014 stats.

Midwifery, Mothering & Fish Chowder

This dish is warm, healthy and satisfying, kinda like good midwifery care. Hope you enjoy.

Interoception: A Gift for the Holidays

In this crazy and chaotic season, be sure to take a moment for your self

Love It is the little things

The idea of Love is so big and so overwhelming some times: Where does it come from? Where does it goes? Would life be worth living without it? How can we love a second child, or a third, or a fourth? It is merely chemicals, like oxytocin and endorphins, in a lovely soupy mix? While I can ponder the Big Things with the best of them, for me, love is in the little things.

October Skies

As a child (and especially as a melancholy pre-teen), October always seemed the saddest month. Now, as an adult and a professional midwife, October holds many tales.

Keeping It Clean

People ask me all kinds of questions about home birth, midwifery, my background, my equipment, my personal philosophy, my experience... But to this day, no one has ever asked how my surgical instruments are cleaned and sterilized.

Midwife That is what I am, a midwife

Several years ago, I started blogging on Albany.com. When my website was overhauled, I moved my Midwifery, Mothering and Me blog to this site. Some of my favorite posts are still on the Albany.com site. In honor of National Midwifery Week, here is an oldie but goodie. Hope you enjoy this short post.

Recipe: Mexican Grilled Stuffed Peppers

This is a recipe that I developed this summer simply because there were a lot of Anaheim peppers in our Denison Farms CSA box. Kevin took one bite and said, "This is a new staple!" And we have had these Mexican stuffed peppers almost every week since.

A Week Later

My last blog post, Waiting For Babies, was written when many babies, my Blizzard Babies, were due. Now, a week later, I have.....

Nine Months Ago

Nine months ago, my husband and I moved into this house. We packed up our household and my office, employed a moving company and ensnared friends. On December 14, 2013, after two days of hauling boxes, my home and office were finally under one roof. The last box came off the truck as huge snowflakes began to fall from a platinum sky. That snow kept coming. A foot of snow fell, thick and heavy.

LCM Turns Five: The Party

LCM turned five and we celebrated with cake and balloons and babies and wagon rides and... Fun! Here are the photos (all 100 of them).

How to report a Midwife in NY

Why in the world would I ever even consider writing a blog post entitled 'How to Report a Midwife in NY'? Because I care about women, babies, and midwives. Because I believe that quality midwifery care is a way to improve the health of women, babies and families in NY (the rest of the US, and the whole world). Because I believe that the profession of midwifery is worth protecting. ___________________________________________

Into Loving Hands, the First Five Years

On August 3, 2009, I opened the door to Local Care Midwifery. Five years and 145 LCM Babies later, we are still here.

Starting Local Care Midwifery

In 1999, my family and I moved to New York from Carbondale, Colorado. We moved here for my first job as a midwife. We moved here with my job contract, a lot of hope, and more than just a few prayers. We drove a U-Haul filled with all our belongings and a station wagon filled with our three kids. We drove across mountains, plains and the great Mississippi. Our finances were tight (our budget could handle an occasional treat at Friendly's, not gallons of organic milk). This move was a stretch for all of us, a leap of faith as a family to support my dream of being a midwife.

The Gift of Quiescence

For my birthday, I gave myself the gift of quiescence. Human existence is always a balance of activity and stillness. Literally from the beginning of our physical being, we must move and rest. From the moment that egg and sperm join, a dance begins, movement balanced with quiet. In that beginning, there is work and rest, activity and stillness. That stillness is quiescence.

Birth with the Governor (bobble-head)

At a recent birth, I looked over and realized that Governor Andrew Cuomo (albeit a bobble head version) was in the room. He was standing over us, holding the seal of the great state of New York, and appeared to approve. Well, planned home birth with licensed midwives is on the rise in NYS and now, even the Governor (or at least a bobble-head Governor) has participated.

Planned Home Birth, Birth Certificates and Town Clerks

It turns out that the saying "The job isn't finished until the paperwork is done" applies to home birth midwifery.

The Lancet says that Midwifery and Midwives are really, really important. Wow.

The Lancet is one of oldest and most prestigious medical journals in the world. The Lancet just released a series on Midwifery. This is a big deal. For me, it was a big enough deal that I set my alarm for 4:45 AM just so I could participate (albeit across the ocean and on my iPad).

The Cough

Cough. Cough. Cough! I really hate having a cold and more so because they always bring me the dreaded cough. Here are some thoughts on illness, optimal health and self expression.

Flesh is strong

As a midwife, I have known strong and determined women that by sheer will and determination made their bodies do impossible feats. But sometimes, the opposite happens: the body is so strong that the heart and mind simply have to bend.

Sleeping alone

My husband had surgery. For a few nights, we have to sleep apart.

The Last Five Years: Midwifery in the Capital District

It has been five years since Local Care Midwifery opened its doors. Those same five years have seen lots of change to the face of midwifery and planned home birth in the Capital District of New York.

Visceral memory: Midwife. That is what I am. A midwife

Every time I am asked, 'How did you become a midwife?" I feel my young self realizing her calling.

Eye Chart

Even after 15 years as a NYS licensed midwife, five years having my own midwifery practice and four years serving on the Board of New York State Association of Licensed Midwives, some of my clients and best friends still don't understand why I have an eye chart. Hope this answers some questions.

Sourdough Start and Me

Inspired by Christa Parrish's novel, Stones for Bread. this blog post bubbled into my consciousness.


My daughter Alison is my favorite critic and editor. After reading this post, she texted that I could use it. She said it was "kinda boring. But alright." -Exactly!

Into Loving Hands, The Movie

Into Loving Hands is a movie about a midwife, a family, a pregnancy, and a baby who is expected to die minutes after birth. It is a story that needs to be told.

Waiting for a baby, One year later

A year ago, I was waiting for Baby Joey to be born. Baby Joey that no one expected to live.

As long as they are healthy

Boy, girl, or unknown, everyone wishes for a healthy child, right? Well, here are my thoughts on the comment "As week as they are healthy"

A Wedding and A Funeral

We never know what life is going to bring us. Today brings me both a wedding anniversary and a funeral service.

Born into loving hands

Please forgive me for not writing sooner. The last month and a half have flown by -moving home and office was a lot of work! In honor of Valentine's Day. in honor of you my reader's and most importantly, in honor of Joseph Jude and his story, I am 'back in the saddle' and submitting a post. Read to the end and support the Into Loving Hands Movie fundraising campaign.

Seared Sea Scallops with Beurre Blanc, Sautéed Spinach and Steamed Rice

Being a midwife that attends planned home births means that I never know when I will be home and when I will be gone. So any night can be romantic! Here is the dinner I served 2/13/14, Valentine's Day Eve.

Moroccan Beef Eggplant Stew

On a cold, cold day in New York, I dreamed of warmer climes and this fragrent dish appeared on my stove top. Hope you enjoy it as much as we did.


After fourteen and a half years in the same house and four and a half years in the same office, Michelle's home and work will reside together, under one, beautiful, slate roof.

My one and only prenatal ultrasound

As a consumer of midwifery care in the 1980's and 1990's, I opted out of routine, prenatal ultrasounds. Cleaning through old files recently, I came across the photos on the one and only ultrasound, I had during my pregnancies.

A year later, she is still Sarah

Remembering Sarah Tzipporah.

One Percent Mortality

Obesity is a reality for me, as it is for many.

My Big Sister Has Attitude

This post was offered to me by my sister Margaret Vorih. I am honored both to accept this gift and present it to you. Thank you, Margaret for seeing into my soul.

Joseph Jude Heart Fund-Walk for Joe

Sunday October 27, 2013 is set aside for a special walk, a walk to support Baby Joey and his family. Join us in body and/or spirit and we walk hand inland, heart to heart supporting Joey and his family.

Midwifery, Mothering & Me: Quilts

Quilts are amazing things: they are made of fabric that together warm you more than the separate layers ever would. A handmade quilt? Well, it warms the soul as well as the body. This week, I was presented with a very special quilt and now my body, heart and soul are very warm and cozy indeed.

Unearned Intimacy

My two professions, midwifery and Craniosacral Therapy have many things in common. Unearned intimacy is one of those.

I love babies

To anyone that has met me, this is not new news: I love babies.

Apple Cake

The crisp edge has returned to the air here in UpState NY. That means that apple season is upon us. This is the perfect time for Apple Cake! Today's blog offering is a recipe: this recipe originated with Abby Ritter's Grandmother Rose. For Rosh Hashanah, I modified the recipe for a dear friend that needs to avoid both gluten and processed sugar. This cake is rich, delicious and satisfying. Enjoy!


My dad's mom, my Lala had a big influence on my life. Her love of life, travel, and books was unmatched.

Midwifery, Mothering & Me: Postpartum Reality

While childbirth education is obviously about being a parent, somehow new parents often feel unprepared for the reality of life after childbirth. In this essay, Midwife Doyle shares some thoughts and asks for your help.

What I Have Learned From Large Families: Part 2

Following on last week's post, What I Have Learned From Large Families, here is brief offering on the same theme.

What I Have Learned From Large Families

As midwife, I am always learning from my clients. Since starting my own midwifery practice, I have gotten to know families in an even more intimate way. Large families, families with more than four children are a breed onto themselves, one that is especially dear to my heart. I have learned so many things from caring for large families...

The Top Ten Least Wonderful Things About Being a Private Practice, Home Birth Attending Midwife and Small Business Owner

The writing muse has been quiet lately. In attempt to woo her back, I posted a question on Facebook: 'What would you like to read as a Midwifery, Mothering & Me post'. The winning comment (for the moment) requested a post about the down side of being a midwife, the un-glamorous side of the job, something nitty and gritty. Well, (thank you, Mandy Torres) here goes....

Poem: What Happens in the stillness

What does happen in the stillness? I wonder. And sometimes I write...

Three Words: Planned Home Birth

The phrase planned home birth contains three separate words, and each of these words are important. Midwife K. Michelle Doyle, CNM, NYS LM

The List

For those of you who don't know, I'm planning on moving in the next couple of months. and LCM is coming with me. We plan to stay in the area, just changing locations to match our changing needs as both a family and a business. Our current experience of choosing a home is so different from that 14 years ago that brought us to Maple Ave. The process of hunting for a new home and polishing up the current abode for sale, looking out and letting go, has lead to a lot of reflection, on how we got here, where we're going, and how lucky we have been!

Memory: The Words Make the Pictures

As a child, the technical aspect of reading came easily to me: I learned my letters, learned that they fit together into words and tah-dah! I could read. But until one weekend in 1969, I did not appreciate what words could offer. This one is for you Lala!

What a Difference a Few Years Can Make

When I moved to the Capital District, planned home birth with a licensed provided was not an option. Now there are six practices in the immediate area.

Memory: Long, Thick and Closed

Just like birth, pregnancy doesn't always go as planned. My second pregnancy taught me many lessons, including obedience and the simple power of positive thinking.

Size Does Matter

When a baby is born, people always ask, "How big?" It seems that size matters to us. Luckily, love matters more.

To Have or Not to Have, That is the Question (Hospital Privileges, that is)

On a semi-regular basis, I review my decision to not apply for hospital privileges. This is both a personal and business decision and one I do not take lightly. In this Midwifery, Mothering and Me post, I highlight a few of my thoughts on the matter.

The Other Mothers Day

All women that mother, whether in mind, body or spirit desired to be honored. Join me in celebrating a new holiday, The Other Mothers' Day.

Top Ten Reasons I Love Having A Planned Home Birth Practice

I love having a planned home birth practice. As a fun exercise, I have written my "Top Ten Reasons" in a Midwifery, Mothering and Me blog post. In all honestly, numbers nine through two may vary depending on the day and my mood. But, the number one reason is absolutely unwavering.

How to Pick a Home Birth Midwife:It is Personal

If you are living in the Capital District of NY, after deciding that you want a planned home birth, you are faced with another decision: Who will you choose to work with? Currently, there is a plethora of planned home birth practices in the area. Troy, Albany, Saratoga, Latham, Teh Village of Nassua all sport Home Birth Midwifery practices. How do you choose?

Memory: Cody Starts School

Children are not all the same. Thank goodness! My son, Cody, now a Sophomore at RPI (and on the Dean's List) gave his preschool teacher reason to worry. But really nothing was wrong. Cody was (and still is) perfect at being Cody. His brain just works a bit different. Thank goodness. Cody (and his friend Austin), taught me that neuro-diversity is important.

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