Most families don’t come to us because they were already planning to hire a midwife.

They come because they’re pregnant  in Puerto Rico—or elsewhere in the Caribbean—and quickly realize that the experience of navigating pregnancy and birth feels harder and more lonely than what they expected! The system works differently here—it’s not always what you’re used to, especially if you’re coming from the continental U.S. Communication can feel unclear–it can be almost impossible to even get a doctor’s office to answer your phone call…and when you’re trying to make important decisions about your care, your birth, and your baby, that can feel overwhelming. 

CoCare was created for families who already have an OB and will be giving birth with them, but want the deeply personalized care, guidance, and holistic support that standard maternity systems often overlook. Through CoCare, you’ll receive one-on-one prenatal, labor, and postpartum support (depending on the package you choose) from Anjelica Malone and her team. Anjelica holds a Master of Science in Midwifery and is an International Board Certified Lactation Consultant (IBCLC).

Anjelica began supporting families in Puerto Rico in 2013. She and her team understand how care actually functions on the ground—not just how it’s supposed to work, but how it really works day to day.

Our role is to bridge that gap.

• We understand what many families expect from their care. We know the standards you’re used to, the questions you didn’t realize you needed to ask, and the level of communication and involvement you’re likely looking for.

• We help you understand your options clearly, prepare for the realities of giving birth here, and make informed decisions that align with what matters most to you—whether that’s a vaginal birth, a planned cesarean, a VBAC, twin delivery, or simply feeling more in control of the experience.

• For some families, that means planning to give birth here in Puerto Rico with the right preparation and support in place.

• For others, it means thoughtfully planning a transition back to the U.S. for birth—while still navigating pregnancy care locally in the meantime.

Either way, you’re not left guessing. We break everything down into clear, manageable steps so you know what to expect, what your options are, and how to move forward at each stage of pregnancy and birth.

We also support your partner so they’re not walking into this experience unsure or overwhelmed. They understand what’s happening, how to support you, and how to stay present and advocate for you when it matters most. This isn’t about pushing a specific type of birth or philosophy.

It’s about helping you have a well-supported, informed, and steady experience—no matter how your birth unfolds.

Families work with Anjelica and her team because they want someone who understands both sides—what they’re used to, and what they’re stepping into—and can guide them through it with clarity, experience, and calm.

What You Can Expect

During Pregnancy

• Clear, step-by-step guidance on navigating care

• Preparation for your specific birth goals (VBAC, cesarean, vaginal birth, twins, etc.)

• Help understanding your providers, options, and hospital systems

• Ongoing access to ask questions and get expert input when it matters

Labor & Birth

• On-call support and guidance as labor begins

• In-person labor support (when aligned with your care plan)

• Real-time decision support so you can advocate confidently

• Calm, experienced presence for both you and your partner

Postpartum

• Hands-on lactation and newborn feeding support

• Guidance through recovery and early newborn adjustment

• Continued care so you don’t feel dropped after birth

CoCare offers you the option of having a midwife and an OB (who remains your primary medical provider and will deliver your baby) supporting you on your pregnancy journey. This is a key part of the SUNDIAL wraparound care model. It may seem redundant to see both a midwife and an OB, but the unique care and knowledge of a midwife can make a world of difference in a mother’s probability of having a vaginal delivery and returning to her pre-pregnancy healthy state without complications.

At each visit we will discuss different topics to help you prepare for your ideal birth, as well as understand the complexities of postpartum recovery. Anjelica provides recommendations, referrals, and advice based on our unique locale. She also helps clients coordinate plans for giving birth in the continental United States if that is their preferred option. 

Visits cover:

• What’s normal and what’s not–when to seek help.
• Nutrition and how to maintain a healthy weight in pregnancy
• Supplements and herbal safety
• Childbirth education (either a limited prep or full 2-part series)
• Movement and exercise recommendations – how to remain active and safely exercise.
• How to improve your chances of having a vaginal birth; including optimal fetal positioning for labor, appropriate vs. inappropriate uses of induction, and the benefits and risks of different pain management options in labor.
• Recommendations for relief for common pregnancy discomforts
• Evidence and education about gestational diabetes testing, ultrasounds, lab work, group b strep, newborn medications and shots, labor interventions, and avoiding tearing during birth.
• Planning for postpartum- recovery supplies, nutrition, normal vs. abnormal signs in mother and baby, mental health, and when to seek help.
• Weight loss
• Breastfeeding education and newborn care

For Your Partner

Your partner doesn’t have to “figure it out” in the moment.

I help them:

• Understand what’s happening at every stage

• Know exactly how to support you

• Stay calm, confident, and grounded during labor

This changes the entire experience—for both of you.

By the end of your pregnancy, there is often a special bond that has been built between a midwife and her client…one that can last a lifetime. If you are wanting to build a more comprehensive support system for yourself and your partner as you prepare for your baby’s arrival, please don’t hesitate to reach out. 

Informational calls are free and you can ask as many questions as you’d like before deciding if you’d like to book care. Please complete the contact form below. Tell me a bit about yourself and how far along you are in your pregnancy. Please be sure to mention you are interested in CoCare.