Midwifery Practice · Est. 2011
"Your body already knows how to do this.
My job is to make sure nothing
gets in its way."
— Miriam Okafor, CNM
Miriam Okafor
Certified Nurse-Midwife · CNM, MSN · Licensed in New York State
Free Consultation
Three questions. No phone number required. This is the beginning of finding out whether we're the right fit for each other.
Even an approximate date helps me understand your timeline.
On Practice
Every birth I attend, I arrive with the same intention: to read what's happening in this body, in this room, with this family — and to respond to that, not to a protocol. I carry my instruments and my experience, but mostly I carry attention. The kind that notices when a laboring person's breath changes, when the baby's position needs adjusting before the monitor says so, when a partner needs to be brought into the room rather than held at the edge of it.
Midwifery is not anti-medicine. I have transferred clients to hospitals when it was the right thing to do, and I have supported clients through cesareans when that was their safest path. What I am is pro-informed decision. I want every person I work with to understand their options well enough to choose — not to be chosen for.
"I have never once seen a woman fail at labor. I have seen systems fail women. That distinction is everything I practice around.
My clients come to me at all stages of readiness. Some have done eighteen months of research and have strong opinions about delayed cord clamping and the Gaskin Maneuver. Others are seven weeks pregnant and just know they don't want to feel like a number in a system. Both of these people deserve the same quality of presence. My job is to meet each person exactly where they are, and to walk with them from there.
Credentials & Training
Certification
Certified Nurse-Midwife (CNM)
Degree
MSN, Columbia University School of Nursing
Licensure
New York State, License #MW-04821
Affiliations
ACNM · MANA · ACOG Collaborative
Birth Stories
Names and identifying details shared with permission.
First Birth · Hospital Support
41 weeks · 9h 22m active labor · Unmedicated
She arrived at her 36-week appointment having read every birth outcome study published in the last decade. She wasn't anxious — she was armored. What she needed wasn't reassurance. She needed a practitioner who could match her rigor, and then hold the room steady when the moment arrived.
— Nadia B., Brooklyn NY
Second Birth · Home Birth
39+4 weeks · 6h 10m active labor · Water birth
Her first birth had been fine, technically. But she had felt like a passenger. This time she wanted to be in the room she'd chosen, in the position her body found, with her older daughter asleep down the hall. She wanted ordinary and profound at the same time.
— Priya M., Riverdale NY
First Birth · Birth Center
40+1 weeks · 11h 45m active labor · Epidural at 7cm
He told me this three days after the birth, still processing. He had been coached on what to do — where to put his hands, when to speak, when to be silent. He had been given a role, not a waiting room. That changed everything for both of them.
— Danielle & Marcus T., Harlem NY
Free Download
A 12-question guide written for expectant parents who are not yet ready to commit — but want to know they're asking the right things. No jargon. No sales pitch. Just the questions that matter.
