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The founding of Loudoun Homebirth & Healthcare is a dream come true.  We are finally able to offer the personalized level of care that women and their families deserve, and current research supports. 

Our team of midwives and nurses have been involved in maternal and infant health for over 20 years, and have often been required to work and counsel within a medical system that is unable to provide holistic care or offer “continuity of care.”  Prenatally, women are commonly passed among practitioners, never certain of who will be attending their birth or who will be caring for their baby afterward.  Artificial time constraints, facility protocols, and unfortunately, a lack of respect make it challenging for the process of physiological birth to unfold. 


As a small independent practice, whose scope of practice includes newborn management, we are able to provide care to both mothers and babies – prenatally, during labor and birth, and postpartum. To provide the appropriate level of care and attention, we see a limited number of clients each month. Prenatal visits focus on not only your pregnancy, but also your daily life and overall well-being.  A genuine and intimate relationship is established long before your little one comes, and hopefully continues for a lifetime.  This type of personal care is a cornerstone of the practice.


As a nurse-midwifery practice, Loudoun Homebirth & Healthcare is also a part of the overall healthcare system; so if and when needed, we consult, collaborate and possibly refer to other team members to provide optimal care to our clients and their babies.

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Our Midwives

Hilary Biesecker

  - CNM, APRN, Founder LH&H

I began my path to midwifery in 1999, attending births as a certified doula, teaching childbirth classes, and serving out-of-hospital birthing families as a BirthCare birth

assistant. When my youngest child began school, I went back to school as well, earning an undergraduate nursing degree from George Mason University.  I then practiced as a Labor and Delivery nurse at Winchester Medical Center while earning my graduate degree in Nursing (midwifery) from Shenandoah University.  I have had the privilege of attending more than 600 births since the beginning of my midwifery journey.


As a Certified Nurse Midwife (CNM), I worked alongside my friends and colleagues at BirthCare and Women's Health, serving families all over the DC metropolitan area.  I am so thrilled to now be serving the women and families in my own community.  The recent compilation of our team is truly the epitome of maternal and neonatal healthcare at it’s best.  Heather, Andrea and Leslie are not only loving friends, they are like-minded, professional care providers equally committed to serving LH&H families.


My husband and I live in Purcellville with our four children; all of whom were born naturally, two at home into the loving hands of midwives

  • MSN, Shenandoah University
  • BSN, George Mason University
  • American Midwifery Certification Board 
  • Neonatal Resuscitation Program (NRP)
  • Cardiopulmonary Resuscitation (CPR)
  • Midwife,  Loudoun Homebirth & Healthcare (Founder), 2015-present
  • Midwife,  BirthCare & Women’s Health, 2014
  • Labor & Delivery Nurse, Winchester Medical Ctr., 2013 - 2014 
  • NICU Nurse, Winchester Medical Ctr., 2013 - 2014
  • Birth Assistant, BirthCare & Women’s Health, 2005 - 2012
  • Certified Doula, 1999 - 2010
  • Certified Childbirth Educator, 2005 - 2009
Professional Organizations
  • American College of Nurse-Midwives (ACNM)
  • Midwives Alliance of North America (MANA)
Heather Swartz


I have worked as a CNM in this community primarily in the hospital setting since 2014.  Attending births in these years has brought me so much joy, but providing

care in the home setting is my dream.  I feel so fortunate to join Hilary and to now be able to offer individualized, evidence based care without external constraints and arbitrary policies.My path to midwifery began with a lifelong wish to be a nurse and a mother.  Once I realized both of those dreams, it was obvious to me that maternal newborn health was a beautiful way to help women have birth experiences as positive as my own.  My last child was born at home while I was in school to be a midwife and I hoped to someday offer those services to my own clients.  


As a new midwife I joined a busy hospital based midwifery practice in hopes of learning as much as possible and to be mentored by experienced midwives.  Through the years I attended many births and met so many wonderful families.  However, I also witnessed complications from intervention and occasionally felt that policies did not reflect evidence based care.  My core belief was validated, and I felt confident that I could offer quality care out of the hospital.  Evidence and experience has proven to me that if a woman is allowed to birth in a place that she feels comfortable surrounded by those she trusts, she will have the best outcome.

  • MSN, Frontier Nursing University
  • American Midwifery Certification Board 
  • Neonatal Resuscitation Program (NRP)
  • Cardiopulmonary Resuscitation (CPR)
  • Midwife,  Loudoun Homebirth & Healthcare, 2019-present

  • Midwife, Loudoun Community Midwives, 2014-2019

  • Midwifery Director, INOVA Loudoun Natural Birth Center, 2016-2017

  • Labor and Delivery Nurse,  INOVA Loudoun, 2011-2013

  • Labor and Delivery Nurse,  INOVA Fairfax, 2010-2011

  • Postpartum Nurse, INOVA Loudoun, 2007-2010

  • Telemetry Nurse, INOVA Loudoun, 2006-2007

Professional Organizations
  • American College of Nurse-Midwives (ACNM)

Our Licensed Professional Birth Assistants (LPBA)

  • Registered Nurse, Certified in Neonatal Intensive Care (RNC) 
  • BSN, Mary Washington University
  • Washington Hospital Center School of Nursing
  • Maternal Newborn

  • International Board Certified Lactation Consultant (IBCLC)

  • Basic Life Support (BLS)

  • Neonatal Resuscitation Program (NRP)

  • Neonatal Nurse, Washington Hospital Center, 1980 - 2000
  • NICU Nurse, Inova Loudoun Hospital Natural Birth Center, 2001 - 2015
  • Family Support Coordinator, Inova Loudoun Hospital Natural Birth Center, 2015 - present
  • Rose Award 2018 ILH for philanthropy and leadership.
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  • Emergency Mmedical Technician (EMT)  
  • EMT, Northern Virginia Community College
  • Cardiopulmonary Resuscitation (CPR)

  • CPR Instructor

  • Neonatal Resuscitation Program (NRP)

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  • Registered Nurse (RN)  
  • BSN, Cedarville University, 2009
  • Advanced Cardiac Life Support (ACLS)

  • Basic Life Support (BLS)

  • Neonatal Resuscitation Program (NRP)

  • Certified Professional Midwife (CPM)
  • Registered Nurse (RN)  
  • Portfolio Evaluation Process / North American Registry of Midwives

  • Green Comfort School of Herbal Medicine

  • ADRN / Lord Fairfax Community College

  • BSN Student / James Madison University

  • Midwifery Bridge Certificate 

  • Basic Life Support (BLS)

  • Advance Cardiac Life Support (ACLS)

  • Neonatal Resuscitation Program (NRP)

Leslie Brundage


My career began in 1980 as a neonatal nurse caring for and loving some of the tiniest babies and most vulnerable families at Washington Hospital Center.  My plan

was to eventually study midwifery; however, the birth of my own 5 children filled such an enormous part of my life there was little time to pursue that goal.  I would not have wanted it any other way.

In 2001, I followed my passion for delivery and birth to Inova Loudoun Hospital (ILH). As a NICU nurse, i had the opportunity to attend not only high risk deliveries, but also the deliveries of very healthy mothers. When the Natural Birth Center opened at ILH, I was fortunate enough to attend their very first delivery.

While at the Birth Center I was able to participate in many innovative programs to better the experience of the birthing process, including increased skin-to-skin time, the uninterrupted “golden hour”, timed cord clamping, delayed bathing, and tub rather than sponge bathing newborns.  I initiated changes including a neurodevelopmental committee in conjunction with our physical and occupational therapists to study and present the most current evidence based practices in the care of the neonate. 

In 2012 I became an International Board Certified Lactation Consultant (IBCLC), and worked closely with the lactation department to assist breastfeeding mothers undertake what is sometimes a daunting but very important gift to their babies and themselves. This was especially important in the NICU where it was often weeks before mothers could put their babies to the breast. 

Attending conferences, doing research studies and receiving certifications has kept my education current. My interest in reducing a mother’s need for pain medication and increasing their relaxation levels led me to undertake research on the effect of music therapy on new mothers. My results were presented at a national AWHONN conference.

The last few years I have been working as the Family Support Coordinator for the NICU.  I formed a strong group of mothers from the NICU to support families and friends.   I am still actively involved with fund raising for the new NICU at ILH. 

By the most wonderful stroke of luck, I was able to meet all of the amazing women in Loudoun Homebirth & Healthcare while working at Inova Loudoun Hospital. When my daughter gave birth, Hilary and I became much closer as there could be no one more qualified to bring my granddaughter in to this world. We were all thrilled to have a homebirth with Hilary and Andrea, it was a peaceful miracle. Andrea was my first choice for the birth assistant out of the many nurses I know. I have attended numerous deliveries with Heather and I am always awed by her calm and caring demeanor, learning from her thoughtful ways. 

Despite attending more than 1,000 deliveries my excitement and passion for birth has never dulled. The opportunity to work delivering compassionate care with Loudoun Homebirth & Healthcare is truly a dream come true. So, I may not have become a midwife, but I now get to work with the best.

Allison Grant

   - EMT

My introduction to the medical world began in 2012 as an Emergency Medical Technician (EMT).  I started off working for a private transport company, as well as

dedicating several hours a week to a volunteer rescue squad.  My love for learning and teaching grew when I became a CPR instructor in 2017.  Once having children of my own, I moved on to the clinical world of the hospital.  In 2015, I started working the postpartum unit at Inova Loudoun Hospital and fell in love.  Anytime I was called to go and help receive a baby, my night was made better.


I am so thankful for my journey and the wisdom gained that lead me to Loudoun Homebirth and Healthcare in 2021.  I love being able to help these mamas realize just how strong they are.  I have a great interest in midwifery and am leaving all options open to pursue this profession when my kiddos are older!  I look forward to being your birth assistant.

  • Sterling Volunteer Rescue Squad, 2012-2018

  • Inova Loudoun Hospital, 2015-2021

  • Newport Enterprises CPR Instructor, 2017-present

  • PM Pediatric Urgent Care, 2020-present

Jessica Schlener

   - RN, BSN

Since I was a young girl, I always wanted to be a nurse. I wanted to help people in their most vulnerable place.  In 2009, I became a nurse and then pursued that dream

further to work in the Trauma ICU at Inova Fairfax Hospital.  In 2018, a friend introduced me to the birth world. I’ve always been fascinated with the miracle of birth and new life.  As one of six in my family, my Mom had plenty of stories to tell, and I used to pick her brain as she told and retold our birth stories.  She always had a natural way about her and used to say “The closer you can get to the way God made things, the better it is.”  I have seen the natural design play out again and again in the home birth world.  A woman’s body truly is designed to grow and deliver a baby in the most beautiful way. 


I began working as a doula in 2020 and met the midwives of Loudoun Homebirth and Healthcare at the birth of a mutual client.  We felt an instant kindredness, and I was excited to join their team a short time later.  It is my joy to walk with families through a beautiful life-changing experience as they welcome a new life into this world!

  • Pediatric Home Health Care RN,  2010

  • Post Surgical RN Inova Loudon Hospital,  2010-2012

  • Trauma ICU RN Inova Fairfax Hospital,  2012-2015

  • Travel ICU/IR RN USA, 2015-present

  • Doula,  2020-present

  • Birth Assistant,  2022-present

Desiree Cripps

   - CPM, RN

In support of friends, I attended my first home births in Eugene, Oregon (1994). Sharing these early birth experiences inspired me to serve childbearing women

professionally.  After choosing midwifery care for my four children, I worked beside several Virginia home birth midwives to earn a Certified Professional Midwife credential through the North American Registry of Midwives (2009).  Immediately following, I co-founded Ten Moons Midwifery which served NoVA and Shenandoah Valley home birth families for over a decade.  In a step towards long-term goals, I earned a Registered Nurse credential through my local community college.  As a Labor and Delivery nurse, I currently serve mothers with diverse cultural, social, and health needs in the hospital setting.  I am grateful for the balance of participating in home birth by assisting the families of LH&H. 

Thank you in advance for welcoming me into your home and trusting me to assist you and your midwives during the birth of your precious baby.  Your birth experience is important to me too and look forward to providing you with holistic nursing care.

  • Student Midwife, 2005-2009

  • Intern Midwife / African Birth Collective, Fall 2007

  • Ten Moons Midwifery, 2009-2019 

  • RN Birth Assistant / Loudoun Homebirth, 2021-Present

  • Labor & Delivery RN / Fauquier Health, 2022-2023

Our Approach

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