About us

Sarah Bay

I have been caring for women since 2004 when I graduated from UNH and took my first job as a labor and delivery nurse. While I felt deeply honored to accompany women through childbirth, I also quickly concluded there must be a better way to honor women’s care needs than the traditional, too often impersonal, institutional medical model. With the motivation to practice with more respect and autonomy, I returned to school and graduated from the University of Washington as a Certified Nurse-Midwife (CNM) and Advanced Practice Registered Nurse (APRN). Following graduation in 2010 I moved back to New Hampshire and founded Hearts and Hands Women’s Care to create a space for holistic women centered care.

After ten years of providing full scope care with an emphasis on home birth in the greater Monadnock Region, I put my baby catching bag away, and after some reset time, reorganized into the current phase of Hearts and Hands in 2021. Perhaps not so ironically, when I gave some space to explore and be curious about my skills and interest, I fell full heartedly into another big life phase for women – menopause!

What started as a month long deep dive into hormone health for teens during the spring of 2024 in preparation for a talk I had planned for a local Nurse Practitioner conference, turned into a 8+ month long re-education and certification process to become a Certified Menopause Provider with the American Society of Menopause. During this time I registered for the Heather Hirsch Academy course on hormone health and HRT along with her mini-courses on sexual function and HRT with risk of/history of breast cancer. This has brought me into a vibrant new community and I am eager to share this care model and life phase with patients in a safe and respectful setting.

At Hearts and Hands today you’ll experience a collaborative approach that honors your unique needs – in body and mind. I’ll ask you to share your whole health journey, what approaches of care you’ve tried, what’s worked and what hasn’t. From that shared starting point, we’ll explore stepping stones to enhanced wellbeing that include lifestyle changes, supplements, counseling and medication options. At Hearts and Hands, there is no “one size fits all”. I look forward to working with you to craft a plan that fits you, in all your power and beauty.

The heart represents the connection that is built in a trusting relationship for the caring and healing of your soul and the work of your inner being. The hand represents the physical touch that is needed when working with and healing the physical body. One can’t exist without the other, and one can’t heal without the other shifting, moving and adapting to create balance and wellness.