The First Milestones

A local, full-service nanny and doula placement agency, owned by a local Fort Worth mom and lovingly serving Tarrant, Johnson and Parker county families.

Company overview

We started The First Milestones in 2020 to help parents find experienced and caring nannies for their loved ones. We all know it takes a village to raise a child – our village provides different perspectives to caregiving and offer enrichment to our children in ways we never imagined. As a first time parent with no living parents, and siblings and in-laws living far away, Karen had to build her own village.
Karen started The First Milestones after recognizing a crucial need in offering families with a strong support network through comprehensive parenting resources and qualified, loving caregivers.
Since 2020, we have lovingly and humbly served families in Fort Worth and surrounding areas.
In 2025, we expanded our offering to include birth doula, postpartum doula and overnight doula services in Tarrant, Johnson and Parker counties.

Services

Nanny Placement
Birth Doula Services
Postpartum Doula Services
Night Nanny and Overnight Doula Services
Short-Term Newborn Care
Childbirth Education Classes

Core values

Integrity: We believe in transparency, honesty, and upholding the highest standards.
Humility: We believe in acknowledging our abilities and limitations and in valuing others’ perspectives.
Community: We believe in giving back to our community with our time and resources.

Mission

Our goal as a placement agency is to be a loving, supportive advocate for parents and caregivers alike by providing resources that help establish and maintain great working relationships by setting clear expectations, advocating for fair and legal pay, and educating all on industry best practices.