Meet Your Care Team
Your Pacifica Midwives and Doulas
Co-Founder & Director, Certified Professional Midwife
Cindy Haag, LM
Cindy has been joyfully serving families as a Licensed Midwife since 1990. Her journey began at Maternidad La Luz, a freestanding birth center and midwifery school in Texas, where she trained, worked as a staff midwife, and later served as clinical director, guiding students and midwives. In 1998, she welcomed her daughter, Elia, in a loving home birth—a moment that deepened her connection to the work she cherishes. Cindy spent a year practicing midwifery in Mexico before relocating to the Bay Area in 2000, where she became a founding midwife of a Marin birth center and later established her own home birth practice in the East Bay. In 2012, she co-founded Pacifica Family Maternity Center, creating a space where families could feel safe, supported, and celebrated.
Over the years, Cindy has walked alongside families through more than 1,600 births. Fluent in both Spanish and English, she is dedicated to ensuring that all families feel welcomed and have access to the compassionate, empowering care they deserve. Cindy's other passions include dancing and spending time in the beautiful natural world.
Midwife, Clinical Herbalist
Audrey Dombroski, LM, CPM
Audrey has always been passionate about reproductive health and birth work. She earned her medical degree in 2016 with plans to pursue OB/GYN, but her own healing journey led her toward herbal medicine and she went on to train as a clinical herbalist. Her love for midwifery began with the birth of her first child attended by midwives, and deepened during the home birth of her second. Audrey completed her midwifery education at Midwives College of Utah and completed clinical training with a homebirth practice and here at Pacifica. She is committed to helping families make informed, empowered decisions about their birth experiences and is passionate about diversifying the midwifery profession and expanding access to midwifery care within BIPOC communities. In her free time, Audrey enjoys baking, spending time with her family and friends, and re-energizing at the beach.
Licensed Midwife
Michelle Edgar, LM
Michelle is a Licensed Midwife who has been serving bay area families seeking community birth and assisted conception services for 20 years. She fell in love with midwifery while navigating fertility and pregnancy care options during her own family-building process. A graduate of the National Midwifery Institute, she completed her training in a home birth practice and freestanding birth center. Informed choice is the foundation of the care Michelle provides. She is passionate about supporting people through the profound moments of bringing children into a family, and she is committed to expanding access to midwifery care. When she is not doing the work she loves, her happy place is being anywhere outdoors in our beautiful Bay Area, and spending time with her almost-grown kids, who were both welcomed into the world by midwives.
Student Midwife
Sonia Lizama
Sonia began her birthwork journey in 2017 as a community doula, and shortly after attending births in this role, she felt called to pursue midwifery. Since January 2022, she has been enrolled at Midwives College of Utah. Her passion for midwifery care comes from the traditions carried by the women in her family, who for generations have offered support to pregnant and postpartum people in their communities. Sonia is honored to support birthing parents throughout the perinatal period, which she believes is a sacred and transformative time. Committed to providing informed, quality care, Sonia brings a calm, intuitive, and attentive presence to every family she supports.
Meet Our Doulas
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Lenore Musambacine
Lenore is a doula, birth educator, and lactation specialist based in Oakland who believes pregnancy, birth, and postpartum are powerful life transitions that deserve both evidence-based guidance and compassionate holistic care.
Since 2016, she has supported families with calm presence, deep listening, and advocacy. Committed to reproductive justice, she ensures all birthing people feel seen, heard, and respected. Beyond birthwork, she finds joy in the redwoods, ocean, and adventures with her husband and two sons.
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Mika Cade
Mika and Simona partner together to offer sustainable, high-quality care to Pacifica families. Working in partnership allows them to provide consistent support throughout pregnancy, birth, and postpartum.
Mika is a doula and midwifery student who has supported families since 2014. Rooted in Black and Indigenous birth traditions, she is passionate about teaching and guiding families through the perinatal journey. A mother of two home-born children, Mika enjoys reading fantasy, knitting, and creative pursuits. She is committed to making midwifery and doula care accessible, community-based, and grounded in trust.
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Simona Spiegel
Simona is a full-spectrum birth worker (doula), student midwife, and reproductive justice scholar, supporting families since 2021. Rooted in reverence for birth as sacred and transformative, she weaves her multicultural background and holistic traditions from Caribbean, Indigenous, and Black Southern lineages into her care.
Her work is culturally aware, gender affirming, and grounded in compassion, offering emotional, physical, and spiritual support while honoring birth as a profound rite of passage.
