We provide prenatal care, in office or in home, usually starting at around 10 weeks of pregnancy. We see our clients monthly until 28 weeks of pregnancy, biweekly until 36 weeks, then weekly until delivery. We draw all labs in the comfort of your home, including an initial prenatal profile, optional genetic testing, glucose testing, and GBS testing. Prenatal visits typically last 30 minutes to 1 hour. At every prenatal visit, we will assess blood pressure, listen to baby's heart beat, measure your belly, and collect a urinalysis & other labs. Our goal prenatally is to achieve an optimal state of health for both mother and baby. We will discuss nutrition, stress management, exercise, use of herbs in pregnancy, and holistic remedies to common pregnancy discomforts. We also offer a home birth class, typically taught around 36 weeks of pregnancy.
Starting at 37 weeks of pregnancy, your midwives will be on call for you 24/7 in the event that you go into labor, available via phone call or text. Once early labor begins, we are in direct contact with you, offering counsel and advice. Once active labor begins, we will arrive to your home and prepare the space for birth. We set up all necessary medications and supplies, and provide a birthing tub which we will set up, fill up, and break down after baby's arrival. We continuously monitor both mother and baby during labor and immediately postpartum. Your birth team will typically consist of two midwives, or one midwife and one trained and experienced birth assistant. We hold space in labor in many ways - offering counsel on different positions, providing hands on support, or offering hands off support, catering the care to your specific needs.
After delivery, we facilitate skin to skin & delayed cord clamping, offer breastfeeding counsel and support, and suturing with lidocaine if necessary. We provide a comprehensive newborn exam - we weigh and measure baby, test reflexes, and offer newborn medications, all at the foot of the bed while parents watch. We will also file the birth certificate and register baby with social security.
At 24 hours postpartum, we will check in to make sure mother & baby are thriving. We routinely provide 3 postpartum visits - one at 48 hours postpartum, another at 2 weeks postpartum, and finally at 6 weeks postpartum. We will provide metabolic screening and CCHD (critical congenital heart defect) screening for baby at 48 hours, assess baby's weight gain, and continue to offer breastfeeding guidance and support. We will assess the mother's well being and overall recovery in the postpartum period. At around 6 weeks postpartum, we will offer well woman care including PAP, family planning counsel, etc.