Welcome

I serve families planning a homebirth in the Kansas City area, and I’m glad you’ve found your way here.

Choosing how and where to give birth is one of the most meaningful decisions in a woman’s life. My work is devoted to supporting that choice with care that is deeply personal, attentive, and rooted in trust.

I offer community-based, one-on-one midwifery care for families who value continuity, presence, and relationship. By intentionally serving a small number of clients at a time, I’m able to know you well, your body, your history, your rhythms, and your hopes for birth.

Care is not one-size-fits-all. It is shaped through conversation, observation, and time spent together, remaining grounded in both physiological understanding and clear safety awareness.

For families within a close radius, I often provide in-home visits. This allows care to feel more natural and connected, and gives me a deeper understanding of your day-to-day life as we prepare for birth together. Office visits are also available when needed.

Hands-on support is woven into my care when it’s helpful, whether through positioning, comfort measures, or subtle guidance that supports the body’s natural preparation for birth. These moments are not a separate service, but part of how I listen to and work with the body as a whole.

My role is to walk alongside you with skill, attentiveness, and respect, honoring your autonomy and instincts while offering steady guidance and clinical awareness when it’s needed.

I tend to be a good fit for families who are looking for a more personal, relationship-based experience, those who value open communication, trust, and being known beyond a checklist of appointments.

The trust we build during pregnancy becomes a steady anchor through birth, postpartum, and often into the evolving seasons of motherhood.

— Rachel Fracassa, DEM