About Sienna Flanders


I believe in supporting the natural processes of birth and taking advantage of the tools we have at home or in hospital as needed. After having my 3 children at home I was drawn to becoming a midwife to make sure that families continue to have access to safe nurturing pregnancy care options.

I have a Bachelors of Science degree from The Evergreen State College in Olympia, Washington. After college I taught high school, became an accountant and sales analyst/forecaster for Annie's Naturals and homeschooled my kids (not all at the same time). When my youngest was 5 years old I started my training to become a midwife.

I trained at the National Midwifery Institute, a MEAC certified midwifery program. Spent my clinical hours working with homebirth midwives in Vermont and at a Freestanding Birth Center in Utah. Over my 3.5 years of study I had the pleasure of working with 10 different midwives. Each with different expertise: homeopathy, herbs, hypnosis (calming for birth) alongside their awesome midwifery skills. I bring all I have learned in life and school to my work. My education continues as I work with other midwives and attend conferences and trainings regularly. 

I am certified in Birth Emergency Skills Training (B.E.S.T.), NRP and CPR. I maintain professional membership with the VMA, MANA and NACPM.

Vermont is a great place for homebirth. My clients have access to collaborative care with other health professionals including Naturopaths, Acupuncturists, Herbalists, Nutritionists, OB/GYNs and Pediatricians. 

Midwifery is licensed in the State of Vermont. I carry oxygen, antihemorrhagics (medicines to stop bleeding after birth), antibiotics and IV equipment, lidocaine and suturing equipment. I run lab work from my office and access genetic screening and radiological (ultrasound) services at area hospitals.  

I am proud to offer this unique care to families. My care model affords me the time (1 hour prenatals) to get to know my clients - their desires for their birthing experience and truly support them. Choosing homebirth doesn’t mean forgoing modern tools and science. Rather it allows you to use those tools as they best fit your desires and experience.

I feel privileged to share this journey with my clients, holding space for their experience, walking along-side them as their family grows.

I am in-network with Green Mountain Care (medicaid), BCBS, MVP and CIGNA. 

I love to explain what I do. I offer one-hour free consultations by phone or in my office. Contact me to learn more!

About Jen Pia-Needleman

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It is a joy and pleasure to have such a solid assistant and back up plan. We both have our own private practices and we collaborate by sharing office space and assisting at each others births. I believe in having 2 licensed midwives at a birth as well as a student (if clients are comfortable with one). Jen comes to your home to visit (at 36 weeks) so that you have a chance to meet her before the birth. She is a great support to me as I attend to your needs and safety. We work seamlessly together for which I am very grateful.

Learn more about Jen at Born Homebirth