Casa Matrescence
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Casa Matrescence

Perinatal Continuity of Care

Relationship-centered, integrative support through pregnancy, birth, and early postpartum.

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Perinatal Continuity of Care at Casa Matrescence offers integrative, non-clinical support that accompanies you through each step of pregnancy, birth, and the early postpartum period. Care is designed to complement your healthcare provider while prioritizing your overall wellbeing, supporting thoughtful health planning, embodied preparation, and adaptive care as needs shift and realities change.


Pregnancy is not just a lead-up to birth, it is a period of ongoing physiological, emotional, and relational change. The kind of support you receive during this time can shape not only how birth unfolds, but how you recover, integrate, and step into parenthood.

What Continuity of Care Means

Continuity of care at Casa Matrescence fills an essential threshold within maternal healthcare, one that is non-clinical, relational, and deeply supportive of the day-to-day realities families face as they move through pregnancy, birth, and postpartum.


While medical providers play a critical role in ensuring safety and addressing clinical needs, continuity of care exists in the spaces between appointments, protocols, and systems. It is in these spaces that families often need the most support in navigating change, uncertainty, emotional processing, and the practical adaptations of becoming parents.


Continuity of care means you are supported by a consistent presence who understands your full context over time. You have a coach, consultant, and intuitive guide walking alongside you to help integrate preparation, decision-making, and care as a fluid journey rather than a series of disconnected events.


At Casa Matrescence, continuity allows prenatal preparation to naturally evolve into birth support, and birth support to transition into postpartum integration, without abrupt hand-offs or gaps in care. Through relationship over time, trust deepens, attunement grows, and families are better supported to not only navigate birth, but to also be well cared for so they thrive as they step into parenthood.

PERINATAL CONTINUITY OF CARE Roadmap

Prenatal care within this pathway focuses on adaptation of supporting the body, nervous system, and daily rhythms as pregnancy progresses. Preparation is not limited to birth preferences, but includes how you live, move, rest, nourish yourself, and relate to change.


Care may include integrative prenatal guidance, embodied practices, Ayurvedic wellness assessments, movement and meditation support, partner involvement, and thoughtful planning for a range of birth outcomes including cesarean or other deviations from the original plan.


This care pathway encompasses:

  • Ongoing prenatal peer counseling, typically every two weeks, focused on birth and postpartum preparation
  • Comprehensive Ayurvedic wellness assessment to support pregnancy-specific needs
  • A personalized prenatal routine addressing daily rhythm, nourishment, and nervous system support attuned through each trimester
  • Weekly or twice-weekly 1:1 prenatal yoga and meditation sessions (partner and children welcome to join)
  • Weekly or twice-weekly partner-inclusive functional strength and conditioning sessions
  • Partner involvement in preparation, coordination, and support planning
  • Participation in community-based childbirth education
  • Preparation for physiological birth, medical interventions, cesarean birth, and postpartum recovery


This prenatal preparation lays the groundwork for continuous labor support and a more integrated transition into the postpartum period.


Birth is a threshold and one that often unfolds in ways we cannot fully predict. Continuous labor support within this care pathway prioritizes nervous system regulation, presence, and adaptability rather than rigid expectations. Birth threshold support is offered in collaboration with your chosen healthcare providers and support team, within a non-clinical scope of practice.


Support during birth is grounded in prior relationship, shared understanding, and the ability to pivot when circumstances change, allowing you and your support team to move through the experience with greater steadiness and trust.


Birth support encompasses:

  • On-call availability during the established birth window
  • Continuous labor support
  • Immediate postpartum grounding and integration support (typically 2–4 hours following birth)


Birth support is offered exclusively within Perinatal Continuity of Care, ensuring adequate preparation, continuity, and relational trust. 


Care within this pathway continues beyond birth, supporting the transition into the early postpartum period. This includes initial postpartum presence, emotional processing, and guidance as you begin recovery and adjustment.


From here, families may transition into ongoing postpartum support or immersive Ayurvedic postpartum care, depending on needs, capacity, and desire for continued support.


Within the Perinatal Continuity of Care pathway, early postpartum support may include:

  • Initial postpartum presence following birth
  • Emotional processing and space to integrate the birth experience
  • Guidance around rest, nourishment, and early recovery
  • Support with infant care and feeding in the immediate postpartum window
  • Gentle orientation to the first days and weeks at home
  • Transition planning into ongoing postpartum or immersive Ayurvedic care, if desired


From here, families may transition into ongoing postpartum support or immersive Ayurvedic postpartum care, depending on needs, capacity, and desire for continued support.


When Care Begins

The focus and structure of prenatal care depend on the stage of pregnancy at entry. 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.

Is This Pathway a Good Fit?

Perinatal Continuity of Care is well-suited for those who highly value and are seeking relationship-centered support that adapts to real life, including uncertainty, changing plans, and evolving needs.


This pathway may not be the right fit for those seeking one-time services, labor-only support, or a purely clinical model of care.

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 families locally, across the Hawaiian Islands and virtually.

Get in touch, email inspiritdoula@gmail.com

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