About Sarah Bay, APRN & Certified Nurse Midwife

I am a Certified Nurse-Midwife (CNM) and Advanced Practice Registered Nurse (APRN) licensed in New Hampshire and Massachusetts, accepting clients for well-woman and pregnancy care.


History: I’ve wanted to be a midwife for as long as I can remember. It’s not a stretch to say my journey into midwifery began with my own birth. I was born by home birth in the Netherlands, where the majority of births are still with midwives and many take place at home. As a child, I thought all babies were born at home. Only later did I learn from friends and classmates how unique my home birth was.


Education and Training: My roots in New Hampshire run deep. I attended Pine Hill Waldorf School and graduated from ConVal High School before attending the University of New Hampshire, where I earned a batchelor of science in Nursing. I live locally in the Monadnock Region, where most of my family still resides. Read More Here



Jessica Nelson, Massage Therapist, Reiki healer and Birth Assistant


Jessica has been a licensed massage therapist specializing in prenatal massage since 2008 and prior to that work she worked as a doula in southern NH. In 2014 she began assisting in deliveries with Hearts and Hands Women's Care and in early 2015 she completed the training in birth assisting as she moved into the role of the primary birth assistant. These three skills along with her gentle and supportive presence complement the skills of the primary midwife at each birth.  Jessica had three children, Eli, Emma, and Simon, all three were received into the care of midwives which deepened her trust and support of midwifery lead out of hospital birth.

Personal statement: I have always felt passionate about pregnancy and birth and was able to have three wonderful home births, each very different and empowering.  Read more about Jess here

Lauren Romero, Birth Assistant

I attended a three year MEAC accredited training program at Birthwise Midwifery School in Maine and earned my Certified Professional Midwife (CPM) credential in 2014.  I chose to become a midwife after noticing the lack of autonomy obstetric practices often give to women.  I believe women have the right to obtain and study current research on pregnancy and birth practices, and to make individual decisions about their care.  I enjoy serving as a skilled guide and a source of emotional support for women through pregnancy, birth, and the postpartum.

Hearts and Hands Women’s Care applies evidence-based practice to the home birth setting, which feels like a good fit for me.  To complement this, I devote one morning a week to studying the latest research.  In addition to working as a midwife assistant, I am currently working as a phlebotomist at CMC and looking forward to teaching part-time at a forest preschool in the fall.

Some Light Reading...

What is a Nurse Midwife?

Nurse Midwives in the United States are health care providers who offer services to women of all ages and stages of life. With their advanced education and their focus on research and partnering with women, they are among the most modern, forward-thinking health providers in the United States today.

Midwives focus on what is most important to each woman’s unique situation and values and often work with other members of the health care team.

Read more here

Is a Nurse Midwife right for you?

Take this quiz to find out!

Whose Having Home Births?

Birth By Numbers: Check out this short video about birth trends in the US. This site offers lots of reading and info about out of hospital birth trends and safety. 

Supplies I Carry

Midwifery Bag
Ever wonder what a midwife carries in her bag? Take a peek into my three bags.
Midwifery Bag pdf.pdf
Adobe Acrobat Document 3.6 MB