Phases of Womanhood began with a midwife and an occupational therapist asking the same question from two very different perspectives:
Why are women expected to navigate so much of their health without the education, support, and guidance they deserve?
After years of working side-by-side, learning from one another, and caring for women through pregnancy, postpartum, and beyond, we knew there had to be a better way. Women deserve more. More education. More understanding. More collaboration. And more support for the transitions that can profoundly change our bodies, our roles, and our lives.
Phases of Womanhood was crafted to do just that. To be more!
Two professions.
One shared vision.
Our Story
What started as collaboration became something much bigger.
Lori and Hayley first began working together in 2017, when Hayley joined Lori’s out-of-hospital birth practice as a doula. Years later, Hayley opened her maternal and infant occupational therapy practice within the birth center.
Working side-by-side gave them something that isn't always possible within traditional healthcare settings: the opportunity to learn continuously from another discipline.
Lori brought a deep understanding of physiological pregnancy and birth, midwifery, and the innate capabilities of the female body.
Hayley brought a perspective focused on function, movement, pelvic health, infant development, and the transition to motherhood through the lens of occupational therapy.
The more they worked together, the more connected these perspectives became.
And the more women they cared for, the more clearly they saw the gaps.
Women weren't lacking motivation to understand their bodies.
They were lacking access to the information in the first place.
Phases of Womanhood grew from our shared belief:
Women deserve more.
Different Lenses.
Together, we see the woman - not just the appointment.
A More Complete Picture!
Women deserve more
from women’s healthcare!
Our Mission
To redefine women’s healthcare through comprehensive, collaborative, evidence-informed education and support - giving women the knowledge and confidence to navigate every phase of womanhood.
We believe education is an essential part of healthcare.
The Future We’re Working Toward
Revolutionize Your Knowledge, Empower Yourself
Knowledge instead of fear.
Options instead of assumptions.
Support instead of silence.
One where you don't enter pregnancy wondering what is happening to your body. Where birth preparation goes beyond creating a birth plan. Where postpartum recovery is something you're prepared for—not something you're expected to simply figure out. Where pelvic health is discussed before symptoms appear. Where changes in sexual health aren't dismissed. Where perimenopause doesn't arrive as a complete surprise. Where menopause isn't treated as the end of the conversation.
A future where fewer women have to ask:
"Why didn't anyone tell me this?"
Because someone did.
And she was prepared!
The Team
Lori and Hayley’s biggest goal with the care they provide is to listen, hold space, and help you to feel empowered in your pregnancy, postpartum recovery, perimenopause journey, or into menopause. Because of the close nature in which Lori and Hayley work they have developed an incredibly symbiotic and supportive understanding of women’s health across the lifespan. Through their 1:1 work and the courses they teach they strive to help you feel like the true expert over your body!
They can’t wait to be a resource for you!
Lori Murafka-Orme, CPM
Certified Professional Midwife Certified Sexual Health Coach Co-Founder, Phases of Womanhood
Lori is an out-of-hospital midwife and owner of Tree of Life Midwifery and Birth Center in Fredericksburg, Virgina. She is truly passionate about helping women better understand their body’s and feel empowered to make informed decisions regarding their body’s needs.
Lori believes food is the foundation to healing and that herbal remedies and pharmaceutical supports, when necessary can aid in improving your long-term health.
Education + Credentials
-
Bachelor’s degree in Behavioral and Social Science with a minor in Sociology from the University of Maryland
Certified Professional Midwife via the Portfolio Evaluation Process (PEP) - Licensed under the Virginia Board of Medicine
-
Certificate in Somatic Sex Coaching via the Institute of Somatic Sexology
Certificate in Women’s Integrative and Functional Medicine with Aviva Romm
Completed the Breech without Borders workshop with Davide Hayes
Attended first annual breech twin conference
-
Worked in a high-volume birth center in Texas and a hospital in Belize as part of her midwifery training
Has attended over 800+ births to include vaginal breech births, shoulder dystocia, out-of-hospital twins, face and brow presentations
Traveled with Hayley to study alongside Mayan midwives at Lake Atitlan in Guatemala (2022)
Traveled with Hayley and the organization Hearts in Motion to provide maternal/infant education and training to Guatemala medical providers (2025)
-
Currently assisting a Virginia Department of Health Workgroup to improve postpartum complication outcomes
-
She has been married for over 28 years to her husband Brad
She has 8 children (including 1 set of twins) and 5 grandchildren
She has been the midwife for all 5 of her grandchildren’s out-of-hospital births
She loves to chase sunsets, hike, do yoga, and pilates
Dr. Hayley Chrzastowski, OTD, OTR/L
Maternal & Infant Occupational Therapist Pelvic Floor Therapist Co-Founder, Phases of Womanhood
Hayley is a maternal/infant occupational therapist who owns Wild:Women and Infant’s Long-term Development, OT (Wild OT), in Fredericksburg, VA. She focuses on the intersection of women’s health, pelvic health, infant development, and the transition to motherhood.
Her work alongside Lori and within the birth-center setting helped shape the collaborative philosophy that ultimately became Phases of Womanhood.
Education + Credentials
-
Bachelor of Science in Psychology from Kentucky Wesleyan College
Doctorate in Occupational Therapy from Washington University School of Medicine, St. Louis
-
-
Was previously a NICU OT which laid the foundation for her current career
Has attended nearly 100 births in the role of a labor/birth doula and birth assistant
Sole owner of Wild OT for over 6 years
Completed doctoral thesis working on program development for a children’s hospital in Nairobi, Kenya
Traveled with Lori to study alongside Mayan midwives at Lake Atitlan in Guatemala
Traveled with Lori and the organization Hearts in Motion to provide maternal/infant education and training to Guatemala medical providers
-
Presented our HIPPS™ model (formerly known as Integrated Care Model) at the annual Virginia OT Association (VOTA) Conference, American Public Health Association (APHA) Conference, Virginia Affiliate of American College of Nurse Midwives (VA ACNM)
-
Born and raised in Indiana (Go Hoosiers!)
Relocated to Fredericksburg, VA in 2016
Happily married to her husband Evan since 4/20/2024
Currently raising one wild, spontaneous, and spunky daughter named Josephine
Ways to Work With Us
Personalized virtual support for birth preparation, birth processing, postpartum hormones, and perimenopause.
Our interdisciplinary model for pregnancy and postpartum care.
Evidence-informed courses created by the professionals behind HIPPS™.
Coming Soon
Bring the HIPPS™ model to your practice.
Your Story Matters.
Whatever phase you’re navigating, you deserve to feel informed, supported, and heard!