Karen was absolutely wonderful to work with from the first prenatal visit through the birth of my little girl. The moment I met her at that first appointment with all of my questions and excitement to be a first time mom, she made me feel comfortable and secure with her knowledge and experience. I knew right away that she was exactly what I was looking for in a midwife. Karen is personable, kind and caring! During my labor she was interactive, encouraging and helpful in reminding me how to breath. (Believe me even if you take the classes during those intense moments you forget what you are supposed to be doing!!) I would highly recommend Karen to anyone looking for a midwife. You can be confident in your decision with Karen that you will receive the absolute best care in San Diego!