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Nursing Staff

The nurses at The Coit House passionately support and guide birthing persons and their families through the prenatal care, birth, and postpartum care. Our nurses have specialized training in lactation to support the breastfeeding/chestfeeding parent and baby.
Ashley Fino headshot

Ashley Fino

Full-time Staff RN (she/her)

Ashley has proudly been working in the Buffalo area as a registered nurse since 2012 and recieved her Bachelors Degree in Nursing from Daemen College.

Ashley, herself, has a passion for patient advocacy and research. She completed a birth doula (DONA) course that sparked her transition to work locally in Labor and Delivery at a near by hospital. She then began her journey with Fika Midwifery in the fall of 2019.

Ashley has a strong drive to approach birth as a whole, ensuring mind, body, and soul are balanced. You can find her recommending essential oils to her patients and striving to make sure mom feels safe and encouraged. When she’s not witnessing birth, she’s usually chasing around her husband to help with home renovations.

Caroline Altreuter

Full-time Staff RN, CLC (she/her)

Caroline has a BA in Psychology, but a passion for women’s health led her to pursue a Bachelor’s Degree in Nursing, which she earned from Johns Hopkins University School of Nursing in 2013. She worked as a travel nurse in upstate New York, Arizona, and California, but is now happily settled back in her hometown of Buffalo. Caroline has worked in Labor and Delivery, Mother/Baby and the NICU, and is excited to share her skills and experience with birthing families in the community setting. In her spare time Caroline likes to garden, bake, and spend time with her husband, son, and cats.

Iva Blackburn headshot

Iva Blackburn

Birth Center Coordinator, LPN (she/her)

Iva Blackburn is a Licensed Practical Nurse serving as both our Birth Center Coordinator and a part-time Birth Assistant. Prior to working at Fika Midwifery, she previously helped children and their families receive medical care in the comfort of their own homes and worked for a community health organization as a doula.

Iva received her Bachelors Degree in Biology from Bethune Cookman University. Following the alma mater of BCU “Enter to Learn, Depart to Serve” she loves giving back to the WNY community she was born and raised in.

Iva is the mother of 3 (Jessie, Zuri and Anina). The care she received during each of her pregnancies lead her on the path of advocacy and autonomy. “Every mother and family has the right to receive the care that they desire.”

Iva is currently working on her DONA and Lamaze International certifications and looks forward to helping the women and families in her WNY community.

Angela Colangelo headshot


RN (she/her)

Angela received a Bachelor’s Degree in Nursing from Daemen College and has been working as a Registered Nurse since 2013, currently in an Emergency Department.

Angela has 2 children, both born under midwifery care. After the birth of her first baby, she became interested in working with birthing women and is excited to support and empower them during their transition into motherhood.

Having experienced both a cesarean and natural birth, she is eager to assist in births, encourage women and instill confidence. She would like to further her education in midwifery in the future.