Offered Services
Prenatal Care
Scheduled prenatal visit starting as early as 12 weeks. My typical schedule is every 4 weeks up to 28 weeks, every 2 weeks up to 36 weeks, and then weekly until birth. Frequency can be adjusted based on individual needs.
Typical length of visits are about 45min-1 hour which covers gestation appropriate education/teaching, questions, and a hands on assessment of vital signs, fetal heart rate, fetal position, and fundal height measurement and any necessary lab draws.
I absolutely love involving all members of the family (partner's and kids etc.) to the extent they desire to be involved and am flexible on working with timing of visits to best facilitate this.
Birth
I am available by text or phone throughout your pregnancy for any questions/issues and am on call and prepared from weeks 37-42 to come to your birth.
Most babies come prior to 42 weeks but I work with you and suggest ways to encourage labor once we pass 41 weeks.
I typically work with another midwife, midwifery student, or qualified assistant trained in CPR and NRP for the birth itself and the immediate postpartum care.
I do offer water-birthing options and typically I have a birth pool available for rental if desired.
Again, I love involving your family and friends to the extent desired by you- partner, kids, extended family members, doula, birth photographer etc.
Helping fathers catch their baby if they want to is one of my biggest joys!
Postpartum Care
I generally stay a minimum of 2-3 hours in the immediate postpartum. This is adjusted based on individual needs but essentially I stay until I'm assured both mom and baby are stable and transition well.
My postpartum care includes an in person check-up on mom and baby at: 1 day, 3-4 days, 10-14 days, 3 weeks (either in person or by phone), and 6 weeks. Again, visits are adjusted and the frequency can be modified if needed for any issues/concerns.
Typically there are multiple telephone check-ups as well around 2-3 days, 1 week and in the event of any questions or concerns.
I offer newborn metabolic screenings at 1 day and 10-14 days, congenital heart disease screening at 1 day, and information on where to schedule a hearing screening test.
Lactation Support
I am not a lactation consultant and do not have certifications in this area.
What I do have is over 19 years of experience helping a great many (estimation would be easily over 1000) women with nursing and breastfeeding as well as my own experience breastfeeding my daughter and my twins.
My priority is skin to skin care immediately after birth and encouragement for baby to latch and nurse as soon as possible and within the 1st hour.
I evaluate baby's latch and weight gain closely in the early postpartum period and can offer suggestions, help and resources regarding latch, nursing positions, other nursing concerns and issues surrounding tongue/lip ties.
Family Planning Counseling
I include family planning counseling/teaching in my 3 week or 6 week follow up with all families during the postpartum period.
I am knowledgeable and able to talk through all the different family planning options including permanent, hormonal, barrier, and natural family planning methods. I tailor my education to each women and family's unique needs and desires with a goal of empowering each to make an informed decision.
While I am not able to prescribe pharmaceutical birth control or place IUDs etc. I do have contacts I provide and resources to suggest for accessing the desired family planning method.