Midwifery Monitrice & Holistic Care Services and Models of Care

Montuna offers trauma‑informed, holistic care services across midwifery, reproductive and sexual health, fertility and conception support, postpartum and loss care, embodied wellness, and ancestral healing. Our approach centers body literacy, cultural grounding, and inclusive care for people across the reproductive spectrum.

  • The natural gynecology model of care is integrative and looks at sexual and reproductive health through the lens of whole-person healing. It helps people understand and address the systems of influences and imbalances that create their symptoms, conditions, or complaints. It raises prevention and relief from our bodily self-knowledge in accompaniment with traditional medicine, in addition to connecting to our basic ancestral practices.

    Our practice does not invalidate the benefits of allopathic medicine in terms of precise or preventive gynecological consultations and midwifery expansive care, but we rather see it as a resistance to regain active participation in our individual and collective health reclaiming unapologetically; that we are the experts of our bodies! The result is natural, gentle, and non-invasive treatments to support healthy functioning.

  • The Midwifery Model of Care honors a person's expertise, life experiences, community, and historical knowledge, focusing on the individual within the context of their community, providing the type of holistic care that pregnant people most need.

    This includes providing individualized education, counseling, and evidenced-based care, with continuous hands-on assistance, monitoring the physical, psychological, and social well-being of the person as a whole, minimizing technological interventions, and identifying and referring those who require diverse attention recognizing the importance of interdisciplinary, collaborative care.

    Our midwifery care combines them all and is expansive by transcending beyond birth, and recognizing that individuals experience many outcomes and experiences around their sexual and reproductive health and pregnancy journeys. 

    Parteras, we are here for the fullest of their journeys.

  • The Wellness Model of Care combined with a political and culturally grounded Healing Centered Engagement, advances a collective view of healing, and re-centers culture as a central feature in well-being.

    It recognizes the right of people to recover and be well, the ability for people to make choices for their lives that support greater health, safety, and well-being, that people are inherently whole at the deepest level of their being, and the path to wellness is the journey of discovering and expressing this wholeness.

    It also views healing as the restoration of identity and recognizes that the intuitive sense is powerful when combined with information and all available resources to make informed choices.

    We honor that the key to wellness is kindness, gentleness, and a non-judgmental stance toward self and others. We cannot push ourselves or other people into wellness, we can only offer hope.

  • A santigüo and/or a sobo (traditional massage), is a spiritual folk medicine healing practice from the mountains of Puerto Rico that incorporates praying, herbs, teas, deep massage, herbs’ baths, and nourishment.

    It is a model from our families passed from generation to generation, and supplements in a spiritual way, every kind of care a person receives. El Santigüo, or La Mano Santa (healing hand) proudly runs in the maternal lineage of the women of my family.

  • Natural medicine and Comadronas are part of our ancestral heritage, they belong to our history and our people, it is our legacy and we owe so much to our ancestors. Plants are our family, as our community is to us.

    However, we have learned from experience, that the vital energy that a medicinal plant has is useless if we are not connected with our process. We are here to support closing that gap.

Our Services & Sliding Scale: Equity in Action

At Montuna, we believe healing should be accessible to everyone. High-quality, trauma-informed care is your right—regardless of financial circumstances. That’s why we offer a sliding scale for many of our services, so you can choose the rate that works for your current financial reality. No proof of income is required, and all clients receive the same compassionate, professional care.

Our Sliding Scale Options:

  • Community / Reduced Rate: $50–$80 per hour + free consultation. Payment plans and bartering available. Designed for BIPOC, TGNC folks, students, single parents, disabled individuals, and anyone facing financial hardship.

  • Standard Rate: $85 per hour + free consultation. Covers the true cost of service, reflecting the time, labor, and resources required to provide holistic, trauma-informed care.

  • Supporter / Sustainer Rate: $125 per hour + free consultation. For those with greater financial privilege who wish to help subsidize care for others and support community equity.

How to Choose: We trust you to select the rate that feels right—no shame, no questions asked. Your choice helps keep our practice sustainable and equitable for all.

Your Impact: 100% of proceeds go directly to community initiatives, education, and care programs in underserved and rural communities in Puerto Rico, especially in San Lorenzo. By hiring us, you’re supporting equitable, culturally-rooted care and helping strengthen communities.

About Our Services

  • “Montuna (former MuMoMA) works with her heart and puts all of her knowledge into practice when providing her services. She is very dedicated, passionate, and understanding. I would definitely recommend her!”

    Isabel, Care Services 2016

  • “My experience has been a sacred and beautiful one with Jacoba. I have a virtual relationship with her and it has served me and been very healthy and healing”.

    Graciela Sanchez, Care Services, October 2019

  • “I love what Montuna stands for... A great human being, a wonderful heart and charisma. You won't be disappointed with her... I highly recommend any of her services!”

    Midwife Gina, Puerto Rico (2016)