Midwifery Care |
Homebirth
PRENATAL CARE
INITIAL VISIT
Review of health history (obstetrical/gynecological, family, and social)
Physical exam, vitals, weight check, and urine analysis
Fetal growth and heartbeat
Initial laboratory tests; Sneek Peak early gender testing, genetic (NIPT), and carrier screening available
Nutrition education, exercise recommendations, and how to maintain a low-risk pregnancy
Our approach to prenatal care is customized to meet your unique needs, and we welcome both partners and children to join and engage in every appointment.
We recommend that your care begins around 10-12 weeks, however this may vary between families.
Care Schedule:
+ Every 4 weeks until 28 weeks gestation
+ Every 2 weeks between 28-36 weeks gestation
+ Weekly from 36 weeks until birth
ROUTINE VISITS
Discuss all questions and concerns, in depth
Vitals, weight check, and urine analysis
Fetal assessment, including position, growth, and heartbeat
Review laboratory and ultrasound results
On-going assessment for risk factors or signs and symptoms of complications
28 WEEK VISIT
28 week labs, including gestation diabetes screening or glucometer education (with client consent)
All components of a routine prenatal visit
RhoGAM administration (if indicated and with client consent
36 WEEK HOME VISIT
Drop off birth tub (if client is having a waterbirth), ensure adequate location for water hookups
Group Beta Strep (GBS) screening (with client consent)
Review birth plan and preferences
Verify birth kit was received
Tour of home, review of transport procedures
All components of a routine prenatal visit
LABOR + BIRTH
Your midwife and a trained birth assistant will arrive at your home during active labor to set up for the birth and monitor you and your baby.
Physical and emotional support for both you and your partner during the labor and birth
Undisturbed monitoring of your vitals and intermittently of the baby’s heartbeat with a Doppler
IV Antibiotics for individuals who are Group Beta Strep (GBS+) positive (with client consent)
Emergency medications and supplies needed for neonatal resuscitation, if needed
Skin-to-skin and delayed cord clamping
Lactation support and feeding initiation
2-4 hours of immediate postpartum care for both you and the baby, or until the family is stable and comfortable
Newborn exam, including routine newborn medications (Erythromycin eye prophylaxis and/or Vitamin K, with client consent
POSTPARTUM CARE
Routine postpartum and newborn care continues until 6-8 weeks after birth
Care Schedule:
+ Between 24-48 hours, at your home
+ 3 days after birth
+ 1 week, 2 weeks, 4 weeks, and between 6-8 weeks after birth
Lactation education and assistance
Newborn weight checks
Tongue and lip tie evaluation and referral
Newborn screening tests, including Critical Congenital Heart Defect (CCHD), and Newborn Metabolic Screening
Pap Test (with client consent) and postpartum labs (if indicated) at 6-8 weeks after birth
Birth Certificate filing and Acknowledgment of Paternity (if applicable)
Itemized global billing available to submit to insurance for reimbursement (not guaranteed)
Midwifery Care | Well-Person
+ Standard of care recommended exams, including Pap testing and breast exams, referrals for breast cancer screening, and laboratory tests as needed.
+ Gender inclusive visits including contraception information and education, safe sex education & resources, STI screening, and infection testing.
ANNUAL GYN EXAMS + CONTINUING HEALTH VISITS
PRE-CONCEPTION COUNSELING
If you are planning to conceive in the next year, meet for an in-depth office visit to discuss fertility, nutrition, vitamins and other supplements, exercise, avoidance of toxins, stress relief, and emotional health.
PREGNANCY TESTING + ALL OPTIONS COUNSELING
We offer free pregnancy testing and counseling for those who may be unsure of their next steps. Referrals are available to local resources as needed. There is no requirement to be involved in midwifery care or planning a home birth.
SNEAK PEEK CLINCAL | FETAL SEX CHROMOSOME TESTING
Fetal sex chromosome testing available at early at 6 weeks gestation. Proven to be 99.9% accurate, backed by clinical research.
+ Available to all individuals for $129, with results typically given next business day. Midwifery care not required, use scheduling link for booking.
