Full-Spectrum Birthwork / Astrology

Tandaan Mo

La Tierra

Carina is a second generation Filipinx/El Salvadoran queer and revolutionary full-spectrum doula and astrologer. In an effort to embrace both of Carina's ancestral lineages, Carina is committing to the re-learning of advocacy and support for families on their journeys of pregnancy, labor, postpartum, miscarriage, loss, and abortion — informed by ancestral guidance, communal participation, and intuition. In re-membering this ancient wisdom, Carina rejects harmful patriarchal systems and resists colonial structures of all forms.

Carina provides additional support by bridging birthwork and astrology to instill a sense of calm, understanding, and presence through a person’s sacred journey. Carina holds a BA in Sociocultural Anthropology with a minor in Ethnic Studies from the University of California, San Diego, and is a mother of one whose existence informs this work. Carina received their full-spectrum doula training through the Birthworkers of Color Collective and continues to learn through seasoned birthworkers in the community, elders, children, and the activation of ancestral blood-memory.

In and out of this work, Carina of Tandaan Mo (to remember) La Tierra (the land) aims to uplift, support, honor, advocate for all divine portals, and continually learn as the journey through birthwork unfurls.

Our Services

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Full-Spectrum Birthwork

Carina’s full-spectrum birthwork consists of intersectional, person-centered support for someone’s journey through pregnancy, labor, birth, postpartum, miscarriage, loss, and abortion. After assessing someone’s specific needs via an alignment call, a care plan is implemented over months at a time. Carina offers support privately and as a Medi-Cal approved doula.

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Astrology readings take many forms via general chart analyses, horary oracle cards, and many more. Full readings range from 1 to 2 hours, with voice memo readings ranging from 10-15 minutes. These readings involve intentional observation of one’s unique cosmic makeup to identify any aspects and/or analyze current transits in the sky as it relates to someone's placements.

Astrology Readings

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Outside of the direct person-centered support that comes with birthwork, Carina provide’s peer counseling assistance to bolster a person’s ability to begin and maintain the multilayered journey of breast/chest feeding. Childbirth education offerings coming soon.

Peer Counseling

Medi-Cal Doula Services

on January 1, 2023, the Department of Health Care Services (DHCS) established the Medi-Cal Doula Benefit which covers nonmedical support services provided by a doula, such as emotional, physical, and educational support during pregnancy, labor, delivery, the postpartum period, including after miscarriage or abortion. Covered services are made possible through both managed care and fee-for-service plans. Services include an initial visit, several additional visits, support during labor and delivery, with specific visit limits and provisions for extended postpartum care and support after loss/abortion.

Carina of Tandaan Mo La Tierra is a Medi-Cal approved healthcare provider and takes various insurances. Please inquire directly to learn more.

“I truly don’t have enough words to express how grateful I am for having my doula, Carina, by my side through the birth of my first baby. From the start, I knew she would bring such a calm, nurturing presence that would immediately put me at ease. Wishing I had her by our side through the beginning of my pregnancy — but thankfully she found me at the end when I needed it most. Throughout the end of my pregnancy, through my labor, and postpartum journey, she was a steady source of support, guidance, and encouragement. Her knowledge, empathy, and intuition made such a difference during the most intense and beautiful moment of my life. Definitely going to want her there for my future babies!”

— Veronica

Client Love

“Carina nurtured and cared for me prenatally, during the birth of my son, and postpartum. I completely attribute my beautiful, unmedicated birth to Carina’s extensive preparation prenatally and her extraordinary attentiveness during birth. The home visits postpartum helped my healing process and made the transition from one to two children much easier! I couldn’t have done it without her!”

— Crystal

“Carina is one of those guides that your ancestors send to soften and transform you. Everything she does is with spirit and intention. She went beyond reading my chart and is such a gifted space holder. She listens deeply, provides safety and gentleness, but also delivered the heavy hitting truths to move me through multiple seasons of heartbreak and transitions.

Carina’s practice is rooted in ancestral reverence. As a Filipino person, I see the ways she’s keeping alive our people’s traditions of wayfinding and way making by listening to the celestial spirits for support. It’s especially important that we know and live out our community roles in this moment and I cannot recommend her enough! She’s been a huge support in helping me identify my strengths, energetic blocks, and how to move through challenges with compassion.” — Nel

“I had a wonderful exchange with Carina. She is a natural storyteller and has a beautiful way of connecting with you; making sure that you're seen. I absolutely loved that she held space for checking in with me to see what emotions or thoughts came up for me. It wasn't just a reading, but a conversation that left me reflective & inspired.”

— Raqayyah

“As someone always interested in astrology, my first birth chart reading with Carina was truly special. She is an intuitive and grounding presence who created a safe and comfortable space throughout our session.

Our conversation flowed naturally as Carina broke down the aspects of my chart, explained concepts clearly, and gave me space to share my insights and questions. She offered practical takeaways that I’ve already started to implement, helping me embrace my rising sign. Her gentle reminders encouraged me to step outside my comfort zone and into my power, and I’ve already seen positive results.

I'm grateful I trusted my intuition and booked this session with her. If you’re feeling called, I highly encourage you to book a session with Carina.”

—Monica

You can find more testimonials on Instagram

Your Questions, Answered

What does a doula actually do during labor?

A doula offers non-medical emotional, physical, and informational support. This may include breathing techniques, positioning suggestions, partner guidance, and clear communication with your care team so you can focus on birthing with confidence.


Most families reach out during the second trimester, but we can often accommodate later inquiries. Early booking ensures we can reserve your birth window and begin personalized preparation sessions.

When should I book your services?


For clients that we support privately, there is a sliding scale that is offered, along with a payment plan to ensure accessibility. For Medi-Cal doula services, payment is handled entirely on my end, leaving it out of your hands.

How is payment handled?

As a Medi-Cal approved doula, Carina can take various insurances such as Kaiser, Health Net, Anthem Blue Cross, Molina, and others; as well as handle billing on their end, leaving payment completely out of your hands. Book a consultation with Carina to learn more.

Do you take insurance?


Yes. For birth support local to the Sacramento area, I will have a backup doula in the event that I cannot attend. You can learn more about my trusted friend and community member, Vrindavani, here: https://www.sacbirthwork.com/about

Do you have a backup doula?

Are you interested in birthwork services that are intuition-led and indigenous wisdom centered? Reach out today to schedule a complimentary alignment call.

Mil Gracias + Maraming Salamat