Services
MIDWIFERY SERVICES FROM BEGINNING OF PREGNANCY TO BEGINNING OF MOTHERHOOD….
Licensed midwives are considered primary care providers for pregnant women during the pregnancy and the first 6 weeks postpartum. We provide comprehensive care, which includes labs, prenatal and postpartum checkups for mother and baby, ultrasounds, nutrition counseling, breastfeeding support, and well-baby care for the first 6 weeks of life on earth. We typically provide all of your care, but I have access to several OBs that I trust when consultation is needed.
Prenatal Visits
At each visit, we will monitor vital signs, check your baby's growth, listen to fetal heart tones via doppler or fetoscope, and provide nutritional counseling. Labs are drawn in the office when needed. Sonograms are scheduled as needed through my usual request is a single sonogram at 20 weeks unless the additional assessment is necessary later, which will be discussed with you beforehand. The sonographers I refer to are in-network with many insurances.
Initial intake for pregnancy between 10-12 weeks
Monthly visits after that until 28 weeks gestation
Bi-weekly Visits from 28-36 weeks gestation
Home visit prenatal at 36-37 weeks - I come to your home at this visit so I can easily find you when labor is happening! We discuss your preferences for your birth, transport plans (should we need to transport during labor to the hospital), gather birth certificate information, discuss preparation for your home for the big day, and I leave you a birth kit of supplies for the birth along with a list of things to gather from around your house. We also discuss your immediate postpartum instructions, warning signs,
Weekly office visits until birth
NEW FOR 2021!: All clients receive access to online resources: Spinning Babies Daily Essentials and Spinning Babies Parents Class & Online Breastfeeding Class from Lactation Development Resources
Labor, Birth & Immediate Postpartum
I will join you in active labor and attend you to around 2.5-3 hours postpartum when you will be “discharged” from labor care. A second assistant midwife will be called to join us during your labor. I make every effort to have 2 midwives at your birth for safety reasons.
I do have the ability to deliver at two area birthing centers ( at an additional charge, the birth centers have their fee outside of mine)
Suturing: I can suture first and second-degree vaginal/perineal tears should you need repair.
Newborn Exam: I perform a complete head-to-toe examination of your new baby! I check weight, measurements, and reflexes and listen to breathing and heart sounds to detect abnormalities and all body systems. I offer vitamin K supplementation and Erythromycin eye ointment if you desire to have it administered. If you choose to vaccinate, you will need to schedule an appointment with your pediatrician.
POSTPARTUM
Monitor vital signs, bleeding, adjustment to motherhood, assessment of any vaginal repairs done at birth, breastfeeding support, and newborn care education.
2-3 days post-birth at your home
Office visits at 2,4 & 6 weeks, or as needed
WELL BABY CARE
2-3 days home visit - Includes weight check, Newborn Metabolic Screening, CHD screening, and keepsake footprint! Birth certificate filing.
2, 4, 6 weeks in office. - Includes weight check, breastfeeding support & pediatrician referral if needed.
I offer additional Newborn Hearing Screens by Radiance Pediatrics in the office once a month.
Standard Labs :
New OB Profile: CBC, ABO & Rh (Blood typing), Antibodies, Syphilis, Hepatitis B, Rubella immunity & HIV
28 weeks: Gestational Diabetes screening, CBC
36 Weeks: Repeat New OB Profile
37 Weeks Group B strep screening
Newborn Metabolic Screen at 2-3 days and 2 weeks
Repeat CBC if needed in Postpartum