Hello!

Birth Plus was founded by Joyce Dykema, MS, CD(DONA), HCHD, and Melissa Hnosko, IBCLC, CPD(CAPPA) in 2024. With over 20 years of combined experience in birth and postpartum support, we’ve created this space to connect expecting families in Lincoln, Nebraska with compassionate, knowledgeable doulas who can guide you through one of the most transformative times of your life. Joyce, a certified birth doula, and Melissa, a certified postpartum doula, are passionate about supporting families every step of the way. Together, we’re proud to lead a team of dedicated doulas who share our commitment to offering personalized, professional care to our community. We're here to support you on your journey—before, during, and after birth.

  • At Birth Plus, we are dedicated to providing skilled and compassionate birth and postpartum doula support to expecting families in Lincoln, Nebraska. We strive to empower families by offering personalized, evidence-based support and education, fostering a collaborative community of doulas that prioritizes and values continued growth and education, and ensuring every individual feels informed, supported, and respected throughout their journey into parenthood.

  • We envision a community where every family has access to the perinatal support and education they need, and all doulas have the freedom and opportunity to embrace their calling to serve childbearing families. We are a full-service doula agency, matching families with birth and postpartum doulas, and supporting our doula team members with mentorship, community building, backup support, and business administrative tasks so they can support their clients with confidence and heart.

  • Evidence-Based Practice & Education

    We are committed to providing the most current, research-backed information to guide our practices. Through continuous education, we empower families to make informed decisions and support our doulas in delivering the highest quality care.

    Integrity & Ethical Conduct

    We uphold the highest standards of professionalism and ethical behavior. Transparency, accountability, and respect are at the forefront of all our interactions. We recognize the importance of staying within our scope of practice and refer clients to appropriate professionals early and often when necessary, ensuring comprehensive care.

    Cultural Humility, Compassion & Inclusivity

    We honor and respect the diverse backgrounds and experiences of every family. Our care is culturally attuned and inclusive, recognizing and valuing the unique traditions and identities of those we serve. We are committed to providing compassionate, individualized care that respects each family's unique needs and preferences.

    Community & Collaboration

    We believe in the strength of community and the power of collaboration. By fostering a supportive network, we ensure that both families and doulas are uplifted, connected, and empowered throughout the perinatal journey.

    Mutual Support & Growth

    We cultivate an environment where doulas support one another, share knowledge, and grow together. Through mentorship and community building, we strengthen our collective impact and enhance the quality of care provided to families.