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What we offer

Comprehensive and Personalized care for your Pregnancy

PREGNANCY CARE

FAMILY PLANNING

Similar to a  preconception visit, you can look forward to participating in a comprehensive health history intake, physical assessment (including Pap if appropriate and desired) and any blood, urine or cultures that are appropriate.

 

Your midwife will take time to hear your wishes and intentions and review the available options for managing your fertility. The discussion will include risks, benefits, alternatives and the option of doing nothing to help you select a method that is safe, effective, and aligned with your desired outcome and value system. 

Some options include; hormonal and non-hormonal methods of birth control.  Barrier methods, prescribed products such as The Pill, Nuvaring, Phexxi, etc..

We collaborate with MD's who provide compassionate abortion care to those desiring those services.

PRECONCEPTION 

A preconception visit can be a mindful and empowering way to begin your journey to parenthood and can prevent, reduce, and raise awareness around unexpected perinatal outcomes. 

 

Clients can look forward to participating in a comprehensive health history intake, physical assessment (including Pap if appropriate and desired) and any blood, urine or cultures that are appropriate.

 

Review of medical, surgical, psychological, and life history, nutrition, activity, habits, lifestyle choices, environmental and other factors.

 

Review and discussion of fertility and cycle awareness, normal and possible signs and symptoms of pregnancy.

WELL WOMAN CARE /GYN

Well Woman Care is offered annually or as needed for basic gynecological needs as well as health maintenance aka preventative health care.

 

These visits are scheduled for 1 hour and allow time to discuss your health, answer questions, discuss current recommendations and provide an experience that is individualized and respectful.

  • A midwife will thoroughly review your health history, offer a comprehensive physical examination, Pap test, STI testing, and other laboratory tests as indicated

  • We collaborate with MDs, and can refer you to appropriate practitioners for any health care needs that may be beyond our scope or expertise.

BIRTH SERVICES

Early and frequent communication with your midwife throughout your early labor. Home labor assessment "triage" visit as appropriate, direct admission to labor and delivery at the hospital if planned or needed for any reason.

  • Freedom of movement, freedom to eat and drink in unmedicated labors

  • Trust and patience/ guidance and support

  • Education about and alternatives to any proposed interventions

  • birth in any desired birth position

  • nvolve family and support members as desired by client

  • Optimal clamping and cutting of cord (cord blood collection for cord blood banking optional)

  • Golden hour of direct contact between the birthing parent and baby after birth

  • Suturing of 1st and 2nd degree lacerations

  • Bladder care as needed for  urine retention

  • Explore, examine, and store your placenta 

  • IV hydration therapy as needed for dehydration

  • Pain management using non-pharmacologic methods as well as medication per clients choice including Epidural (hospital only)

  • Birth pool (home birth only)

  • Coordination of care from home to hospital and communication with back up OB 

  • Much more!

POSTPARTUM CARE

Postpartum care includes four visits. At each visit, the midwife​ or registered nurse will:

  • Examine you and baby and assess your physical and mental state

  • Discuss and offer assistance with breastfeeding

  • Provide you with necessary resources & referrals

  • Assess your set-up for safety, ergonomic soundness, and support for your recovery

  • Answer any questions you may have. 

 

Your first visit will be 24-48 hours after birth, wherever you are, home or hospital. 

Your second visit will be one week after birth at your home. Your third visit will be three weeks after birth at your home. Your last scheduled visit will be six weeks after your birth, and will take place at our office.

 

This is when we will discuss family planningcontraception, well-woman and preventative healthcare. We can perform a gentle PAP and HPV testing if you are due. We will also schedule a 3 month call to check in and ensure that you and your baby are thriving, or to share any resources that may help you at that time.

PRENATAL CARE

Prenatal Visit Guide - can be adjusted to your needs:

  • Monthly visits till 28 weeks

  • Biweekly visits till 36 weeks

  • Weekly till 41 weeks

  • Twice weekly until birth

  • 24-hour availability of a midwife throughout your pregnancy

What to expect:

  • Visit with one or two midwives

  • Student midwife or nurse participation in care (you may opt out)

  • Short wait times

  • Hour long visits

  • Vital signs and abdominal palpation

  • Discussion about pregnancy symptoms, digestion, body comfort, prenatal nutrition, activity, emotional wellbeing, family dynamics, pregnancy support

  • Education about current stage of pregnancy and upcoming milestones and tests to consider

  • Blood work, urine tests, cultures (when appropriate)

  • Ultrasound if desired and appropriate

  • Referrals to doctors, chiropractors, doula's, childbirth educators, massage therapists, perinatal psychologists, physical therapists etc.

WELL WOMAN CARE

Well-Woman Care (GYN), Preconception & Family Planning

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