MEET: Signy Toquinto, CNM

Pronouns: she/her/hers

Signy Toquinto, CNM, WHNP, MS, MA, RN, is a Bay Area native who was born at Marin General Hospital. She is a Certified Nurse Midwife and Women’s Health Nurse Practitioner. She graduated from the University of California, San Francisco in 2018. And she is thrilled to be working with the Prima Medical Group at Marin General Hospital.

Signy values patient- and family- centered care and shared decision making as hallmarks of equitable, power-sharing models of care. She believes that individuals are the experts on their bodies, health, pregnancies, and formation of their families. She is passionate about working with her clients to make pregnancy and birth an empowering experience accessible to everyone. 

Signy is committed to improving health for communities most affected by disparities, including, people of color, indigenous and undocumented people, LGBTQ, trans and gender non-conforming, people with disabilities, and people experiencing poverty. She is an advocate for reproductive justice, a human rights and social justice framework that believes all people have the right to choose if, when, where, and with whom to have children, and the right to parent children in safe and sustainable environments.

Prior to becoming a Nurse Midwife, Signy completed a masters degree in Sexuality Studies at San Francisco State University. She then worked in health care research exploring clinic retention in a HIV primary care safety net hospital, methadone access and detoxification, sex work and pregnancy, trauma informed care, and substance use screening in prenatal care. Signy has worked in sexual and reproductive health in the San Francisco Bay Area since 2009. She has taught classes to health care workers on harm reduction, trauma informed care, sexual violence, and substance use in pregnancy at the UCSF School of Nursing and School of Medicine. Signy has published the following research:

Toquinto, S. (2017). “Pregnancy Obscured: Street-Based Sex Work and the Experience of Pregnancy” In Expanded Perspectives in Street Based Sex Work. Eds. Chrysanti Leon, Corey Shdaimah, and Katie Jares. Temple University Press.

Fields, J. & Toquinto, S. (2016). “Sexuality Education in the Context of Mass Incarceration: Interruptions and Entanglements” In Handbook of Sexuality Education. Eds. Louisa Allen and Mary Lou Rasmussen. Section Eds. Michelle Fine and Sarah McClelland. Palgrave Macmillan Publishing Company.

Signy has been volunteering and working in the harm reduction community in the Bay Area for the last ten years. She has worked with a San Francisco street-outreach group that serves and supports cis- and trans- women who are homeless or unstably-housed, she has been volunteered with SF syringe exchange programs. She just completed the Medication Assisted Treatment X-Waiver training to be able to prescribe buprenorphine as part of opioid replacement therapy. And she is currently working on publishing research exploring pregnant women's acceptability of substance use screening in prenatal care and willingness to disclose use.