Evidence-based, integrative, intimate home birth and well woman care with Certified Nurse Midwife Kari Michalski.

Twin Cities Home Birth Midwifery Care

Evidence-based, integrative, intimate home birth and well woman care with Certified Nurse Midwife Kari Michalski.

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Your birth, unique to you. Safe home birth care in Minnesota.

“Kari was always completely present and attendant to my concerns. Her care is very holistic and focused on preventing potential complications. Because of her prior hospital and birth center experience, she has a wide breadth of knowledge and pays great attention to detail. This made me confident in her ability to care for me and my baby during my less-than-straightforward pregnancy.” – Christy

Is Home Birth Safe?

80% of pregnant women are considered low risk for complications during pregnancy and appropriate candidates for home birth. The research around the safety of birthing at home, attended by a certified and highly trained provider, is robust. Per the American College of Nurse-Midwives, “[Studies] have demonstrated that planned home births achieve excellent perinatal outcomes.” (2011) Only 1% of women or babies are transferred to a hospital for emergent reasons either during labor or after birth.

Your Thrive birth team includes Kari (a nurse-midwife) and an assistant with expertise in out-of-hospital birth. The medications and safety equipment we bring to your home are the same as that available at hospitals and birth centers. We are certified and licensed by the state of Minnesota, have Neonatal Resuscitation Program training, and have 18+ years of collective practice experience. See our Home Birth page for more information on the amazing benefits of birth at home.

Newborn Care

Nurse-midwives care for your wee one for the first month after birth

Why choose a home birth midwife?

There are lots of great reasons to have a home birth. As a nurse-midwife one of my favorite perks is the continuity of care you experience through pregnancy, birth, and even in your first weeks as a new family – all at home. Instead of slugging through Twin Cities traffic and cold to a clinic, you receive gentle, skilled newborn care at home. My care for all birthing families includes the newborn exam, state mandated screenings, breast/chest feeding assistance, and monitoring baby’s growth. Plus you’ll get a bounty of wisdom and help with soothing baby’s tears, skin care, poop (lots of it), and sleep.

“One of the best parts of having my baby at home was not having to bring the baby in to clinic for routine visits in the first month. You came to us and it was such a relief! I was able to really relax, rest, and heal.” – Melissa


Your Midwifery Care is Family Centered

I welcome partners and children to all midwife care or well-woman visits, both during and outside of pregnancy. It gives me a chance to learn more about your family, what you value, and provides all persons the opportunity to take part in shared decision making. This also builds a foundation for trust, as well as time to receive great information together. Children love to help listen to babies, gawk at a scary speculum, and feel a warm tube of just-drawn blood. Seriously. Above all, Thrive is a safe and nurturing place for all people and families.

Comprehensive Women's Health Care from Adolescence Through Menopause

Well woman visits

  • Paps or cervical cancer screening
  • Cardiovascular risk assessment
  • Breast health, breast imaging referral
  • Sexual health and safety
  • Immunization review and recommendations
  • Supplement, medication, and herbal options
  • Family history and personal health
  • Contraception and infection screening

Basic Primary Care

  • Allergies, asthma, sinusitis
  • Skin disorders (eczema, acne, rosacea)
  • Colds, flu, and sore throats
  • Depression and anxiety
  • Endocrine disorders (hypothyroidism)
  • Digestive concerns
  • Elevated cholesterol, mild hypertension
  • Noninvasive colon cancer screening
  • Migraines and tension headaches
  • At-home IV hydration for migraines, pregnancy related nausea/vomiting, or gastroenteritis

Genitourinary Concerns

  • Vaginal, vulvar, or breast infections
  • Prepregnancy counseling
  • Infertility assessment
  • Ovulation induction
  • Pelvic pain
  • Intrauterine insemination
  • Painful sex
  • Urine or fecal incontinence
  • Urinary tract infections
  • 19
  • 5
  • 28
  • 0
  • 29
  • 4
  • 14
  • 0
  • 7
  • 0
  • 13
  • 0

Families Thrive Midwives

I loved the ease and convenience of using Thrive’s telehealth option. My daughter and I had developed a nasty case of thrush and with three kids and a busy schedule, I had no time to travel to an appointment to get it taken care of. Not to mention, it was a Saturday! In about 10 minutes, Kari had asked me the necessary questions, diagnosed the problem and had a prescription sent to my local pharmacy. It could not possibly have been easier. Thrive definitely has a patient for life!


As a doula practicing for 20 years, I can attest that the physical, emotional, informational and midwifery care that Kari provides is truly phenomenal. She cares so deeply about the families that she serves, which is evident in the countless births I have attended with her. From the moment you meet Kari, her knowledge about and trust in normal birth is infectious. On top of all of that she has an amazing sense of humor! As a doula, it is a joy to watch her hold space for all of the fortunate families that have entrusted her with their care.

−Jessie, doula

When I think about who I trust to deliver my baby, my mind automatically says, Kari. In 2015 I delivered my first son in a local hospital, and the tender care and attention I received from Kari during labor, delivery and post postpartum, I knew I wouldn’t be able to find in anyone else. The amount of respect you have between the boundaries of culture and medicine manifests itself in your practice, as I witnessed it during my first delivery. You place your patients wants and needs before yours. You are there any time of the day or night via phone, email or text message. During the hard times of struggle and when my life caused me stress, I turned to you to help me get back on track to improve or maintain my health. When I was going through my miscarriage, I trusted in your expertise and wisdom. Even though I was far away from home when it occurred, you made me feel comforted as I knew you were just one call away. When I think of you Kari, it brings tears to my eyes to have known such a wonderful person and knowing my family trust you whole heartily. What I can say about you is endless. Thank you for all you do.


I have known and practiced with Kari for a long time, and trust her implicitly to provide top-notch care for her patients. She stays current in evolving research regarding women’s health and demonstrates a growing knowledge base regarding use of supplements and herbal therapies. Kari is also really innovative in providing care in low resource settings, such as international health.

−Robyn, MD

Kari’s care is exceptional! Not only does she provide stellar whole woman care, she listens and truly forms a bond with each of her clients. Never feel like a number or meet an impersonal provider again. Kari takes the time to get to know you and your family’s health needs and provides you with the tools and knowledge to make well-informed and practical health choices. Thank you, Kari, for being my advocate!


Kari provides a one-of-a-kind blend of compassion, attention to detail and well researched medical knowledge. She believes strongly that pregnancy and birth is a natural process for most women, recommending both natural remedies and evidence-based Western medicine when it was indicated.


I am so impressed by how Kari keeps up with current research. You can rest assured that the care you get at Thrive will be rooted in the latest evidence and tailored to your needs. Kari is a strong communicator and will be your advocate. I will gladly refer families seeking home birth, gynecological care, and intrauterine insemination to Thrive Midwives.

−Emily, nurse-midwife

Kari is extremely knowledgeable, her clinical judgment and decision making are spot on, she is easy to talk to, and has a comforting and peaceful presence.


Kari offers the perfect balance of medical knowledge and personal care, while also trusting a woman’s body and addressing overall wellbeing. She believes that women’s bodies know what they’re doing. She helps you believe that, too.