Midwifery Services From Beginning of pregnancy to Beginning of motherhood….
Licensed midwives are considered primary care providers for pregnant women during the pregnancy and first 6 weeks postpartum. We provide comprehensive care which includes labs, prenatal and postpartum check ups 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 OB’s that I trust when consultation is needed.
My Schedule for care:
At each visit we will monitor vital signs, check growth of the baby, listen to fetal heart tones via doppler or fetoscope, nutritional counseling. Labs drawn in office when needed. Our sonographer is in the office every Friday , my usual request is a single sonogram at 20 weeks unless additional assessment is needed at a later time, which will be discussed with you beforehand.
Initial intake for pregnancy between 10-12 weeks
Monthly visits thereafter 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
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. During your labor a second, assisting midwife will be called to join us. 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 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 full head to toe examination of your new baby! I check weight, measurements, reflexes, listen to breathing and heart sounds to detect any abnormalities, and all body systems. I offer vitamin K supplementation and Erythromycin eye ointment if you desire to have it administered. If you are choosing to vaccinate, you will need to schedule an appointment with your pediatrician to do so.
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, 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