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Baltimore Community Midwives offers a unique blend of comprehensive, personalized, and community-focused care. Opened in 2025, this practice exists to integrate the principles of Anti-racism, Queer Liberation, and Reproductive Justice to create a space for patients who are usually systematically excluded from accessing quality healthcare. We offer extended 1-hour appointments, allowing for in-depth discussions and building trust between the provider and patient. This approach ensures that each individual receives the attention and care they deserve.
As a practice deeply embedded in the Baltimore community, we offer care that is not only clinically rigorous, but also structurally competent and community-oriented. We are experienced in gender-affirming care, the Health at Every Size® (HAES®) model, and trauma-informed care. This community-based approach allows us to better understand and address the unique health needs and challenges faced by the greater Baltimore Community as well as the individual’s needs. We hope to grow our community by creating a shared space for fellow birth workers.
By combining the expertise of Certified Nurse Midwives (CNMs) and Certified Professional Midwives (CPMs), we offer a comprehensive range of services that is both unique and necessary. From fertility and conception care, postpartum support, general wellness, and gender-affirming services, our holistic approach ensures that patients receive continuity of care throughout their reproductive journey and beyond.
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Tanvi Avasthi (she/her/hers) is a Certified Nurse Midwife, Women's Health Nurse Practitioner, nurse educator, and anti racism organizer. She has worked as a community health nurse, emergency department nurse, and nurse educator prior to working in reproductive health and also holds a Master's in Medical Anthropology.
The throughline of her work has been providing a space for radical care and empathy that centers patients in their contexts. As a midwife, her goal is to encourage and support bodily autonomy. She believes midwives are uniquely primed to support patients' desires to be seen and supported and is excited to support the Baltimore queer & trans community.
Tanvi is holds a Master's of Arts in Anthropology from GWU, a Master's of Science in Nursing from Johns Hopkins University School of Nursing, and a dual Master's degree in Midwifery and Women's Health from Georgetown University.
My journey into birth work began early—I became a certified birth and postpartum doula at 18and spent six years supporting families through some of the most intimate and transformative moments of their lives. Early on I had plans to become a Certified Nurse Midwife. However, during my senior project in high school, I had the opportunity to apprentice with a local CPM. That experience changed everything. I saw firsthand the power of community-based care and the depth of support possible in an out-of-hospital setting, and immediately knew that was the path I wanted to follow.
Over the past five years, I trained closely with a local Maryland CPM, learning through hands-on experience and deep relational care. That time solidified my commitment to inclusive, evidence-based midwifery rooted in autonomy, trust, and connection. I believe birth is a spectrum of normal, and that every person deserves a safe, empowering birth space where they feel fully informed and supported throughout the entire process.
I hold a strong personal passion for supporting BIPOC and LGBTQ+ identifying people, with a deep commitment to helping reduce the health disparities that disproportionately affect these communities in pregnancy and birth. Centering equity in my care is not just a value—it’s a responsibility I carry into every client relationship, knowing that true support means advocating for systemic change while providing compassionate, individualized care.
Though I’m not originally from Baltimore, my family is—and I’ve been happy to call it home for the past seven years. I live here with my partner and our dog Brutus, who is (for now) my only child. I’m a proud member of the Association of Independent Midwives of Maryland (AIMM) and deeply value being part of the local midwifery community. Advocacy is an important part of my work, and I’m passionate about helping progress Maryland legislation that supports reproductive rights and access to midwifery care.I’m also a Certified Lactation Educator, maintain current certifications in Neonatal Resuscitation(NRP) and CPR, and regularly attend continuing education courses and emergency skills workshops to ensure I’m providing the safest, most up-to-date care possible.
While my heart is fully in community birth, I also understand and respect the role of hospital-based care when it’s needed. I aim to help bridge the gap between settings—promoting collaboration, informed consent, and mutual respect in all birth environments.
Midwifery, to me, is about holding space—for strength, vulnerability, transformation, and choice. I’m honored to support families on this journey and to do my part in building a more just, informed, and compassionate birth culture.
Midwife, Lactation educator
Fertility and Conception Care
Assisting patients and couples in their journey to parenthood through fertility assessments, counseling, and preconception planning including intrauterine insemination (IUI).
Pregnancy Care
Providing holistic support throughout pregnancy, childbirth, and the postpartum period, ensuring the fourth trimester feels supported. We are currently only taking home birth patients.
Childbirth education
A series of three classes that focus on preparing for birth, planning for breastfeeding, and how to create a supportive structure in the postpartum period. Pregnancy care clients can join the class for a discount and the class is available to anyone, even if prenatal care is established eslewhere.
General Wellness
Offering preventive care, health screenings, and lifestyle guidance to promote overall health and well-being for patients across the lifespan. This includes screenings for cervical cancer (pap smear), birth control counseling, and other preventive health measures.
Sick Visits
Addressing acute health concerns like infections, STIs, uncontrolled bleeding, or chronic concerns like PCOS with prompt, personalized care in a comfortable setting.
Gender Affirming Care
Delivering compassionate and specialized care for transgender and non-binary individuals, supporting their unique health needs and gender expression journey.
Learn about our sliding scale
❤︎ thank you mommy, daddy, & didi — for everything❤︎
