We highly embrace the holistic approach to midwifery care. Our time spent together during your prenatal visits is very important in many ways. These visits foster a trusting relationship which is the foundation for homebirth success. Your physical, emotional, mental and spiritual growth is nurtured with our care. This development of a close relationship between the midwives and the expectant mother and her partner is one of the cornerstones of our homebirth midwifery care.

We offer complete maternity care including, prenatal visits, labor and birth support, postpartum care and breastfeeding support.

If desired, we offer a meet and greet consultation for you to come and meet with both of us and our birthing team.  We openly discuss any concerns you may have and answer any questions in regards to our procedures and your homebirth choice. At that time, if you choose to continue with our services, we will give you some paper work including a Client Registration and History, Homebirth Informed Choice Agreement, our Practice Guidelines and other required information for you to take home and review and complete before your initial prenatal visit.  Next, the initial prenatal visit will be very relaxed and last about an hour giving us plenty of time to talk with you and listen to you so that we may understand your personal needs.  We will spend time on the routine procedures of urine testing, weight gain, checking blood pressure, pulse, palpating baby’s position, measuring fundal height and listening to the baby’s heartbeat to determine that all vitals are within normal limits.  We will also a do a basic physical exam at this visit but we do not find the need to routinely do vaginal checks with these exams. We allow ample time to discuss your nutrition, exercise routine and address any concerns that you may have.

Thereafter, we will meet once monthly until the seventh month and then more frequently thereafter as needed. All prenatal visits are private, and a leisurely 45 minutes in length.  At thirty-six weeks we will go to your home for your prenatal visit. This visit assures that we are comfortable with directions to your home and also enables us to check that you have all the needed supplies and are well prepared for your upcoming birth.  We will discuss when to call us and answer any questions that you may have.  If desired, or indicated we may do an internal exam at this visit. We will continue with office visits thereafter until your birth.

When you are in active labor, one or perhaps both of us will go to your home, depending on the situation, to assess your progress and monitor you and your baby’s well being.  When indicated the other midwife and/or apprentice will come to assist with the birth.  Soon after the birth, the placenta has delivered and mom and baby’s vitals are all within normal limits,  we highly encourage you and your family to have private time for bonding with your new baby.  After this special bonding time, we will weigh, measure and do a thorough and gentle newborn exam on your baby and assess your vitals and perineal area for any tears.  We stay for as long as needed after the birth, but generally within two to three hours everyone is stable and ready for some rest and it is time for the midwives to go home.

We will return to your home again between 24 to 72 hours postpartum depending upon your personal needs to do a complete assessment of you and the baby assuring that you are recovering well from the birth and that your baby is transitioning well.  We will offer the Metabolic Screening test for your baby at this time. All other postpartum visits will be at the office unless another home visit is indicated, which we will be most willing to do.  Generally you will have approximately three to four postpartum visits.

We will submit the birth certificate application for the baby and request a Social Security Card if you wish.