Dedicated Midwife per location
Homebirths per month
Our Midwife Team
We are dedicated midwives to our clients and we are here to make sure you get the birth your want as well as a safe home and/or water birth
Finally, starting a prenatal vitamin prior to conceiving is a vital first step. Most women don’t know they’re pregnant until they’re already four weeks along — the time at which most over-the-counter urine pregnancy tests can detect pregnancy hormones. By that time, the baby’s spine and skull have already closed, and not having enough folic acid in your diet can lead to defects in this process. Also, most of the baby’s organs are already in full development. Our midwives recommend that women of childbearing age who aren’t using a hormonal birth control method take a prenatal vitamin, or at the very least, 400 micrograms of folic acid.
Prenatal care is provided at the office.
Home visiting revives the tradition of personalized care but is only given for clients that are private pay or pay for the services that insurance wont cover.
Initial visit includes:
- Explaining midwifery care
- Signing consent forms for your care online
- Reviewing medical and pregnancy history of you and your partner
- Risk assessment is done to make sure your a good candidate for home birth
- Discussion of danger signs & things to avoid during pregnancy
- A prenatal passport that you can keep with you at all times
- Homework will include a diet diary written for a week to determine if your dietary habits are sufficent for your pregnancy
- Suggestions for any nutritional change for a healthy pregnancy
- Physical exam to determine your health and which pelvis type you have
- Pelvic exam with PAP & cultures
- Blood work for screening
- Checking your blood pressure, pulse, and temp
- Weight gain, & urine analysis done by yourself so you are a part of your own examination and learn about your health
- Measuring the size of your uterus to make sure baby and dates are accurate
- Monitoring baby’s heart beat, position and movement
- Standard lab work and tests
- Nutritional guidance
- Exercise(Yoga tapes are available to lend)
- Natural remedies for common discomforts of pregnancy
- Discussion of emotional and social well being
- Ultrasound, available as needed, at a local facility.
- Obstetrical consultation given when necessary if your labs or
well being is not reacting well with natural remedies
- Childbirth Education is provided through the whole pregnancy and class settings are required during the end of second trimester and beginning of third trimester.
Having an out of hospital birth requires trust in your body and the birth process, trust in who is taking care of you, and taking responsibility for your care. It is natural to have some fears surrounding birth. As you receive
education and information, as you actively participate in making
decisions over your care, and your trust in the birth process increases,
these fears usually minimize or totally go away.
Having a home birth will provide you with a tranquil, comfortable and familiar environment in which to bring your baby in to the world. No routine vaginal checks are done. You will be able to move around and change positions. You will be able to eat and drink as desired. Total support will be provided, including words of assurance, massage, counter pressure,
etc. we will follow your well-beingclosely, as well as the baby’s. We bring all equipment necessary like oxygen, resuscitation equipment, and medication to stop excessive bleeding. We do not provide any type of anesthesia for the birth, or surgical birth. We do perineal guard to avoid tears but in the event that you do tear we do provide local anesthesia.
The use of water during your labor can be key to help you relax. A regular tub can be used for you to submerge yourself during labor. If you desire to plan for a water birth and do not have a big tub or Jacuzzi, ask us for information on how you can rent a portable tub or obtain an inflatable one. Feel free to check out books on water births.
During labor, direct support by a partner or close family member is encouraged. You are free to have anyone in your family attending the
birth. In some occasions, the amount of people, or the conduct of the people around you, may interfere with your labor and birth. If this happens, we may need to limit their presence, for your benefit, and that of the baby. Otherwise, we believe birth to be an intimate, as well as a family event; therefore, we will respect your choice of the amount of people participating. If you have other children and wish them to be present as well, an adult, other than the direct support person, must be present to supervise them. We do encourage participation of siblings.
Postpartum care is just as important as prenatal care. The midwife will follow you closely through the first six weeks after the birth of your baby.
After your baby is born the midwife stays with you until both mom and baby are stable and everyone is settled in. This usually requires the midwife to monitor you and baby for the first two to four hours.
The midwife will help you establish breastfeeding and monitor your blood pressure, the amount you are bleeding, the size and shape of your uterus (to make sure it is contracting to normal postpartum size) and your general wellbeing.
She observes the baby to make sure he/she is making a smooth transition, looking for good color, temperature, heart rate, breathing rate, etc.
An assistant will help to clean up the house, do laundry and prepare food.
Once she leaves you, the midwife will call you within 24 hours of the birth as well as drop by and do a vital check visit. You can call her for advice.
She will come to your home again within the first 48 hours after the birth. At that time she does a brief exam and vital signs. She will review your birth experience with you, discuss breastfeeding, inquire how you are feeling and offer remedies for any discomforts. This is often a time to celebrate your birth and wonderful moments with the baby.
The midwife will do the heel stick for the metabolic screening (aka PKU, in lay language, but consists of other screening tests as well) on the baby at this 48 hour visit.
Your newborn will need to see a pediatrician within the first 48 hours after birth. The midwife can recommend local pediatricians who are friendly to homebirth and supportive of breastfeeding. You contact him/her during your pregnancy to make plans for the newborn check-up.
Other visits by the midwife depend on your needs. If you required stitches after the birth a two week visit to check on the healing process is important. Should you have any unusual symptoms – fever, pain, discomfort – the midwife would come out to see you. Breastfeeding challenges also warrant a visit. In short, the midwife is available to you as you need her, just as she was during your prenatal care.
A six-week visit with physical exam and lab work usually completes your care. At this time, the midwife can refer you to a woman-friendly back-up physician for family planning needs or if you have insurance requirments to a specific one in your insurance plan.
Did you know that your midwives are licensed to see newborns too? Licensed midwives are credentialed to care for you and your infant up to 28 days after birth. We believe in treating you both in tandem as you navigate this new experience; if something is off in one, it’s going to affect the other, and we want to be able to help you find balance.
You can rest assured that our practitioners are certified in neonatal resuscitation and have appropriate emergency supplies and equipment at every birth, including neonatal pulse oximeters. Our clients are counseled on and offered the Vitamin K and Erythromycin ophthalmic ointment for their newborns as part of our comprehensive newborn care. We believe in informed consent, in both pregnancy and when caring for your infants, and your voice is important in the decisions surrounding your infant’s care.
Shortly after birth, families are seen in their home twice in the first week of life for well care exams as recommended by the AAP including, but not limited to:
- Evaluation of vital signs, adequate nutrition, weight gain, and jaundice
- Hearing screening, metabolic screening, and critical congenital heart defect screening, and
- Lactation support and alternate feeding plans as necessary to ensure mother and baby are thriving
Newborns are seen at our office at two and four weeks of life for continued wellness care, including the second metabolic screening. During pregnancy our clients are counseled to find a pediatric health care provider that will be a good fit for their family’s needs following discharge from our care. Providing quality care is our number one priority. In the event that a newborn requires care beyond our scope of practice, we will notify your healthcare provider and work in tandem to ensure the wellbeing of both mother and baby. We refer newborns to their chosen pediatric care provider for all recommended vaccines and circumcision, and infants are discharged from Childbirth Options at four weeks postpartum for continued care.
You could be Pregnant. Feel free to talk to us
Wondering if you’ve got a baby on board? Pay close attention to your body! And if you spot a few of the following symptoms — and your period is MIA — it may be time to head to the drugstore or schedule an appointment with our midwives. The hormones released as soon as you conceive may start causing subtle changes even before they’re detectable on a home pregnancy test. Unfortunately many, like sore breasts or bloating, also happen right before your period (a sure sign that you’re not pregnant), so it’s all a guessing game until you take a test.