Our Team
Trina Strang, CNM, ANP
My journey into midwifery began years ago when I became pregnant with my first son, Skylar, in 1993. My prenatal care with midwives was personal, informative and empowering. I immediately knew that I must become a midwife! I entered nursing school soon after his birth and I was fortunate to get my first job, as a nurse, in the maternity center at Providence.
After spending years gaining knowledge of child birth and helping to empower women and families during their birthing experiences, I returned to school to complete my midwifery education. It was during this training, that I birthed my second son, Kai, at the birth center. I have been a part of Midwifery and Women’s Health Care ever since! Some days I can’t believe how fortunate I am to live in such an amazing place to enjoy the outdoors with my family and friends, while also being a part of such a progressive birthing community.
Felicity Smith, CDM, CPM
My journey to becoming a midwife started as a child. I was always intrigued by pregnancy and babies. My training as a nurse solidified my desire to work with women and their families during this major life event.
I completed midwifery training in Australia that did not transfer to Alaska when I moved here with my husband in 2008. In my quest to find how midwifery worked in Alaska I met and started working with the wonderful midwives of MWHC. I completed state recognized training as a Direct Entry Midwife under the tutelage of Laura Gore then started work as a midwife in the clinic in 2010.
I love providing care to women throughout the entirety of their pregnancy journey. I have two wonderful boys who were both born with the expert guidance of the midwives of MWHC. My husband, a born and raised Alaskan man, and I love raising our boys in this beautiful state filled with so many opportunities for adventure.
Megan McGraw, MSN, CNM
I am thrilled that my midwifery journey has led me to Midwifery and Women’s Health! Originally from Wisconsin, I spent twelve years as a labor nurse before deciding to pursue midwifery.
Attending my sister’s labor and catching my niece solidified my dream of becoming a midwife. I departed the Midwest for Anchorage in early 2020, where I practiced in a birth center and hospital setting. Most recently, I have been working with Maniilaq in Kotzebue, providing midwifery care to surrounding villages in the Arctic. I have spent years bearing witness to the transformative experience of birth, continuously leaving me inspired and grateful to be doing this work.
I strive to listen, honor a person as a whole being, and provide individualized, informative care during pregnancy, birth, postpartum and beyond. Alaska truly feels like home. I enjoy being in the mountains, skiing slowly, berry picking, or otherwise adventuring.
Onica Sprokkreeff, CPM, CDM
Originating from Yukon, Canada, I arrived in Alaska in 2009. My inception to Midwifery was simultaneously the beginning of my Alaskan adventure. I first trained through an extensive apprenticeship in Soldotna and I attained licensure in the State of Alaska as a Certified Direct Entry Midwife in 2012. Other education and certifications include; Certified Professional Midwife, Internationally Board-Certified Lactation Consultant, and a Bachelor’s of Kinesiology from Acadia University 2008. I’ve had the honor of providing Midwifery services to Alaskan families for over a decade, with much of that time right here at MWHC. I originally joined MWHC from 2012-2019 and returned to the practice in 2022. In 2020 I established a homebirth practice and proudly continue this service in addition of my work at MWHC.
My guiding principles as a Midwife are that each birthing person has a right to feeling respected, informed, and empowered throughout their care. My aim is to secure the trust of the clients I serve, and through shared decision making, they can birth with confidence. When not working I am immersed in family life, with my supportive husband, two incredible daughters, two dogs, and a rascally cat. Both my girls were born at home with Felicity Smith as my Midwife.
Kimberly Spence-Jensen, CNM, APRN, IBCLC
I am delighted to be able to serve this community through my role as a midwife – which literally means “with women”. What an honor to walk alongside families as they navigate some of life’s greatest joys and transitions!
I have been working in the maternity care field since 2011. First as a lactation consultant, then as a labor and birth nurse and now finally in my dream role as a midwife. My nurse-midwifery training was completed in Atlanta, Georgia at Emory University in the fall of 2018, and I moved to Alaska shortly after. I have enjoyed providing care in both the hospital and birth center settings for several years, and am excited to be working with such a passionate and knowledgeable team.
When not in the clinic or catching babies, I can be found wandering in the Alaskan wilderness, playing board games with friends or attempting to learn a new snow sport. My precious family includes my incredibly supportive husband Lee and my sweet son Zion, who was born at home with midwives in the summer of 2020.
Rachele Cafazo, CNM, APRN
Originally from Cincinnati/Northern Kentucky area, I am thrilled to be joining the MWHC team to care for the people of Alaska. I have spent my entire adult life working towards being a midwife, with years of birth and postpartum doula work, childbirth education, critical care nursing, and birth center nursing as part of my journey in Cincinnati, OH; Lexington, KY; and Atlanta, GA. I have been so honored to walk with people through some of the most important transitions of their lives, during their most vulnerable moments. My heart especially lies in serving communities who have been historically forgotten or pushed out by our healthcare and political systems, as a queer woman who has experienced that myself.
Most recently, I completed my training in home birth and hospital midwifery through Frontier Nursing University. Seeing how midwifery care can be practiced in all settings– home, birth center, clinic, and hospital– has opened my eyes even further to what it really means to be “with women,” in whatever setting they may be, in whatever phase of life they may be. I hope to provide the personalized care you seek with the MWHC team.
In my free time I enjoy choral singing, connecting with nature, activism, reading, and spending time with my loved ones.
Additional Providers
Morgan Turner
Counselor
Morgan Turner is a recent graduate of Alaska Pacific University, earning her Master of Science in Counseling Psychology in 2024. Since 2015, she has served as a Birth & Postpartum Doula and Childbirth Educator. Morgan is a co-founder of the Alaska Birth Collective, a nonprofit dedicated to supporting pregnancy and postpartum care, and she sits on the board of Postpartum Support International’s Alaska Chapter. With extensive training in perinatal mental health, pregnancy, and infant loss, Morgan is deeply committed to ensuring that every birthing person receives compassionate care and support throughout the perinatal journey.
Parenthood is one of life’s most transformative experiences, and it’s natural to encounter challenges along the way. No parent should have to endure feelings of overwhelm, inadequacy, or isolation alone. If you’re struggling, together we can create a plan to help you not just navigate parenthood but discover moments of joy within it. It’s important to know that it’s not your fault parenting feels hard. We weren’t meant to do it all on our own.
Balancing the demands of parenting, relationships, and returning to work, all while redefining yourself, is a lot to carry. Let’s work together to identify and overcome the systems and hurdles that may be holding you back, so you can move toward the life you envisioned.
Erika Hopper
Counselor
My goal for all the services I provide is to build a relationship that creates a safe and non-judgmental environment. At the heart of my practice is the belief in the potential for every individual, despite their circumstances, to live a healthy and meaningful life. It is a privilege to hear your story, to help you understand where you come from and how that may be impacting you today. Using tools brought in from PCT, DBT, and CBT, I tailor my approach around you, working to meet your strengths, your unique needs, and your goals, helping you make the changes you want to see in your life as you move forward.
I use a holistic counseling approach that integrates ideas from the variety of theories to promote greater understanding and mindfulness with clients. I have the ability to adjust therapeutic strategies based on your needs including the use of meditation, art, and play therapy. Working together, we will find your strengths and build on them. Experiencing mental health needs can feel lonely and scary. Finding the right therapist can be empowering and the missing step to get you to where you want to be. Whatever your struggle, there is hope found in exploration. Reaching out can be the first step to healing. Outside of counseling, I stay inspired by spending time with family and friends, caring for my little one and pets, adventuring outdoors, reading, exercise, gaming, and gardening.
Amanda Prevel-Ramos, RN, BSN, IBCLC
International Board Certified Lactation Consultant (IBCLC)
and Nurse Care Coordinator
My journey to caring for families started when I birthed my children in 2011 and 2014 with the midwives at Midwifery and Women’s Health Care. I was inspired to make a career change to nursing because of the holistic and empowering care that I received here during my birthing, postpartum and breastfeeding journeys.
Being part of the team at MWHC is my dream job! I am passionate about supporting families in their goals. Since becoming a nurse in 2017, I have provided care for families in both hospital and clinic environments. I worked at the Alaska Native Medical Center (ANMC) as a postpartum, nursery and labor and delivery nurse for over four years. Since 2021, I have worked and intermittently continue as a lactation consultant nurse at both ANMC and the Alaska Native Primary Care Center. I earned my BSNS in Biology from California Polytechnic University, San Luis Obispo, and my BSNS in Nursing Science from University of Alaska Anchorage. I became an international board certified lactation consultant in 2021, after completing extensive training. My husband and I have called Alaska home for the last 20 years, and our family likes to spend our free time enjoying Alaska through mountain biking, skiing, fishing, and camping.
Dr. Madi Spainhower, PT, DPT, PRPC
Dr. Madi Spainhower, PT, DPT, PRPC, is a board-certified pelvic rehabilitation practitioner with a Doctorate of Physical Therapy from the University of St. Augustine (2019). With a strong foundation in both orthopedic and pelvic floor therapy, Madi brings years of experience and a deep passion for helping individuals overcome pelvic floor dysfunction—yes, men have pelvic floors too!
Madi is committed to breaking down stigmas around pelvic health and believes that symptoms often dismissed as “normal” can and should be addressed. She uses a whole-person approach to care, combining skilled hands-on techniques, dry needling certification, and thoughtful patient education to help restore function and confidence. Known for her ability to “put the puzzle pieces back together,” Madi empowers her patients with the tools and knowledge to create lasting improvements in their movement and daily lives.
Outside the clinic, you’ll find Madi rock climbing, hiking, shooting archery, and adventuring through Utah with her two kids and her partner
Advanced Training & Certifications
- Dry Needling – Certified in advanced techniques for upper body, lower body, and pelvic floor
- Kinesiotaping – Certified in RockTape Functional Movement Techniques®
- IASTM – Level I & II trained through Smart Tools®
- Pelvic Health Specialization – Completed Pelvic Floor Levels 1, 2A, 2B, and 2C
- Perinatal & Fitness Rehab
- Modern Management of the Pregnant/Postpartum Athlete, Institute of Clinical Excellence
- Clinical Management of the Fitness Athlete, Institute of Clinical Excellence
- Advanced Pediatrics Training
- Advanced Training in Exercise, Sport, & Musculoskeletal Dysfunction
Office Staff
Lydia Johnson
Clinic Support Specialist
Born and raised in a small town in Southeast Alaska, I saw firsthand what advantages and disadvantages our healthcare had and I feel like that has helped shape my career in healthcare. I very much enjoy working with and helping people, especially in the healthcare setting.
I love that at Midwifery and Women’s Healthcare, every day is different and I have the opportunity of being a part of the services we provide to women and their families. When not at work you’ll find me enjoying road trips with my family, getting lost in a good book, and thrift shopping.
Sarah Buechler, CPC
Coding, Compliance, and Credentialing Coordinator
I joined Midwifery and Women’s Health Care in 2015. I enjoy the challenges that billing brings and have learned so much about midwifery and birth center billing.
When not at the office, I love spending time with my husband, eating tacos with friends, reading a good book or immersing myself in the natural beauty of Alaska!
Caitlin Matta, RN
My journey in birth work and perinatal nursing began while I was begrudgingly going through nursing school. Who knew there were so many different ways to find your calling? For me, this was the first time I truly felt called to anything and I haven’t slowed down since.
I was raised at an out of hospital women’s clinic and birth center in NC where I was fulfilled by serving my local community. I’ve since spent some years in the hospital setting, gaining high risk experience and a whole new set of skills. I am thrilled to be back in the community with the wonderful team at MWHC. It feels like coming home.