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Casa Matrescence

Ayurvedic Prenatal Care & Birth Threshold Support

Integrative care & support throughout pregnancy & birth.

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Prenatal care and birth threshold support with Casa Matrescence provides integrative, non-clinical guidance that accompanies you through pregnancy and birth while laying a thoughtful foundation for the early postpartum period. Designed to complement the care of your healthcare providers, support centers your overall wellbeing through Ayurvedic wellness, embodied preparation, education, nervous system support, partner involvement, and intentional planning as your needs and circumstances evolve.


Pregnancy is not simply the lead-up to birth, but a period of profound physical, emotional, and relational change. Together, we prepare for the birth you envision for while building the knowledge, practical skills, and adaptability to navigate physiological birth, medical interventions, cesarean birth, and unexpected changes with greater confidence. The intention is to help you feel informed, grounded, and supported through pregnancy, across the birth threshold, and into postpartum recovery and integration.

Prenatal care within this pathway supports the whole experience of preparing for birth focusing on your health, body, nervous system, daily rhythms, relationships, and growing family. Through personalized prenatal counseling, childbirth and postpartum education, Ayurvedic wellness, weekly 1:1 prenatal yoga and meditation, and partner preparation, we build the knowledge, practices, and confidence to help you feel grounded and supported as pregnancy unfolds. 


Birth preparation goes beyond creating a birth plan. Together, we explore your desires, practice comfort measures and labor techniques, prepare for the realities of early labor and birth, and thoughtfully consider physiological birth, medical interventions, cesarean birth, and unexpected changes. The goal is not preparation for one ideal outcome, but informed, embodied, and adaptable preparation for however your birth unfolds and protecting your overall health and setting the foundation for healing after birth.


For more immersive and ongoing postpartum support, visit the postpartum care page to learn more about adding longer care through the first 42-days after birth known as the sacred window.


Prenatal Care & Birth Threshold Support package includes: 

  • 5 (2-hour) prenatal peer counseling sessions personalized to you and your family where we discuss: childbirth education for physiological birth and cesarean birth, birth contingencies, medical interventions, postpartum recovery, infant care, lactation/breast/infant feeding education, deeply discussing your desires and wishes for birth, writing a birth and postpartum care plan, comfort measures and techniques, practice what to actually do when labor begins and during labor, and preparedness for alternate birth outcomes.
  • Prenatal Ayurvedic wellness assessment to support your health and pregnancy-specific needs and a personalized prenatal routine + care plan for each trimester that addresses and evolves daily rhythm, nutrition and supplementation, nourishment, and nervous system support attuned through each trimester
  • Teach/provide pregnancy comfort techniques and discomfort relief practices such as self Abhyanga lesson, belly taping, or binding
  • Weekly 1:1 (90 minute) prenatal yoga and meditation sessions up until birth where we focus on strengthening the pelvic floor, build stamina, deepen your attunement to your mind and body, and build mental strength for birth, as well as hold space for rest + relaxation to dissolve day to day stressors (partner and children are welcome to join) 
  • Partner involvement in preparation, coordination, and support planning
  • On-call availability starting at 37 weeks (and earlier in the event of un-forseen circumstances)
  • Continuous labor and birth support + immediate golden hour and postpartum transition care  helping with baby bonding, lactation-breast-infant feeding support for up to 2-5 hours after birth
  • 1 (2-hour) postpartum peer counseling visit 24 hours after your home or hospital birth for processing and debriefing, lactation/breast/infant feeding support, and postpartum care plan adjustments
  • Personalized postpartum routine + care plan tailored to your birth outcome for healing and rejuvenation after birth
  • Available for contact with questions and concerns that come up for you throughout pregnancy and through the first year postpartum for you and your baby as well as health tips for self-care throughout pregnancy and postpartum.


Total Value: $4,750 | Your Investment: $4,750 $3,000


Prenatal Peer Counseling

  • Prenatal Peer Counseling & Birth Preparation (2-hours) | $185: A personalized session centered on the questions, concerns, and preparation that matter most to you and your family. We can explore birth preferences, physiological and cesarean birth, medical interventions, informed decision-making, comfort measures, partner preparation, infant feeding, postpartum recovery, or what to expect when labor begins. This is your space to ask questions, deepen your understanding, and leave feeling more informed and prepared for the path ahead.
  • Prenatal Peer Counseling & Birth Preparation 3-Session Package | $495: Three personalized 2-hour sessions offering more time to intentionally prepare for birth, postpartum, and early parenthood. Together, we explore your birth wishes, childbirth education, comfort measures, partner support, medical interventions and contingencies, cesarean and alternate birth outcomes, postpartum recovery, infant care, and lactation and infant feeding. With six hours of individualized preparation, there is space to go beyond a traditional birth plan and build the knowledge, practical skills, and adaptability to feel more confident however birth unfolds.


Prenatal Body Care

  • Kinesiology Taping | $35: for pelvic pain, low back aches, and round ligament pain 
  • Prenatal Abhyanga Self-Massage Lesson | $135: Beginning in the second trimester, learn the Ayurvedic practice of Abhyanga, a warm oil self-massage ritual that can become a deeply nurturing part of your prenatal rhythm. This personalized lesson teaches you how to safely adapt self-massage to your changing body and use intentional touch to encourage relaxation, grounding, body awareness, and nervous system regulation while creating space to slow down and connect more intimately with yourself and your baby. You’ll receive guidance for how to do the practice at home, along with your initial pregnancy-appropriate Ayurvedic body oil.


Ayurvedic Prenatal Wellness

  • Single Prenatal Ayurvedic Consultation | $300: A personalized Ayurvedic consultation for women seeking holistic support during pregnancy without committing to ongoing care. Together, we explore your current rhythms, nutrition, digestion, rest, movement, stress, and pregnancy-specific needs to create an individualized wellness plan that complements your prenatal healthcare. You’ll leave with practical, supportive recommendations designed to nurture your wellbeing, encourage greater balance, and help you move through pregnancy on your own with more intention and connection to your changing body.
  •  90-Day Prenatal Wellness Foundation | $750: A personalized Ayurvedic wellness pathway designed to support your changing body and wellbeing throughout pregnancy. Over 90 days, we work together in three intentional phases (30/60/90 days) to gradually build supportive rhythms around your daily routine, nutrition, digestion, rest, movement, nervous system regulation, and daily self-care. Rather than overwhelming you with change all at once, your care evolves alongside your pregnancy, helping you create sustainable practices that nurture you now while laying a thoughtful foundation for birth, recovery, and postpartum.
  • 6-Month Prenatal Wellness Continuity | $1,350: A deeper Ayurvedic wellness pathway for women who want consistent, personalized support as pregnancy evolves. Building upon the first 90 days, months 4–6 focus on regulation, consistency, and adaptation, with continuous refining. As your body and needs change, your care evolves with you, helping sustainable practices become part of everyday life while preparing your body, home, and rhythms for birth and the transition into postpartum.


Prenatal Yoga (90 minute sessions):

  • 1:1: $95
  • 5-session package $425 ($85/session) | 10-session package $750 ($75/session)
  • Couples: $150
  • Small groups: starting at $150 (+$20 per additional person after two people)


Every family begins pregnancy envisioning a baby on the other side. While we prepare together for birth, pregnancy does not always unfold as expected. Should your journey unexpectedly change through pregnancy or infant loss, our care does not end, it simply shifts to meet your needs during a different threshold. As your full-spectrum doula, I remain committed to supporting you with compassionate presence, practical guidance, and thoughtful care as you navigate the physical and emotional realities of loss.


If pregnancy loss occurs while receiving prenatal care, your care pathway will transition to:

  • Compassionate physical and emotional support for you and your partner throughout the miscarriage process in-person at home and/or in the hospital, depending on your circumstances and wishes.
  • Guidance in understanding what to expect physically and emotionally, while working collaboratively with your healthcare provider.
  • One (2-hour) postpartum recovery and integration visit 24 hours after birth your baby to discuss physical healing, emotional processing, and planning for the weeks ahead.
  • We will transition to integrative immersive Ayurvedic postpartum care (visit the postpartum care page for more details)


When Care Begins

The focus and structure of prenatal care depend on the stage of pregnancy at entry and can begin as early as 8 weeks gestation. Earlier entry allows for more gradual adaptation and preventative support, while later entry requires more concentrated and intensive preparation.


Care pathways are shaped accordingly and discussed during the discovery process, ensuring support is realistic, ethical, and aligned with what is possible within the available time.

Next steps

If you’re curious about this care pathway and wondering whether it’s the right fit for your pregnancy, the next step is to begin a care inquiry. From there, we’ll connect to explore timing, needs, and alignment.

Begin a Care Inquiry

Doulas remind us that birth is not only about making babies. It’s about making strong, competent, capable mothers who trust themselves and believe in their inner strength.


Babara Katz Rothman

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CASA MATRESCENCE

Oahu-based, serving statewide and virtually.

Get in touch, email inspiritdoula@gmail.com

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