We offer an initial consultation to all prospective clients. This visit includes, but is not limited to, a discussion of the philosophy of care, the training and experience of the midwife, risks and benefits of childbirth in an out-of-hospital setting, the management of complications, our relationship with the medical community, as well as any other questions you may have.
During your care with us, we will provide you with prenatal, labor, delivery and postpartum care including but not limited to:
- First visit, usually around 12 weeks which involves lab draw, history taking, and assessment.
- Monthly visits to the clinic until your 28th week of pregnancy.
- Occasional hemoglobin testing.
- Bi-monthly visits from 28 weeks to 36 weeks.
- Weekly clinic visits from 37 weeks until you deliver.
- Attendance at your labor and birth, always two attendants (midwife and an assistant or student), your midwife will stay with you for at least 2 hours after birth.
- A minimum of one postpartum visit, at your home, within the first 3 days after birth.
- A one-week postpartum visit at the clinic for a well baby check and newborn
- screening (Metabolic Screen).
- A three-week well baby check.
- A six-week well baby check and pap test, as needed.
- 24 hour on call availability for emergencies, labor and delivery.
I am trained to recognize and screen for potential problems. If, at any time during your care, complication arise which contraindicate a safe out-of-hospital birth, you will be referred to a physician.
In the selection and treatment of clients, we rely on the medical history and information that you provide. You must agree that this information will be complete and accurate, to the best of your knowledge.
Physician Backup and Hospital Care.
If significant deviations from normal should develop at any time while under our care, consultation will be obtained. If physician care or transfer to a hospital is indicated, your midwife may facilitate this transfer. You may be requested to use your own vehicle or the use of an ambulance. During labor and delivery, clients requiring emergent medical care will be transported to the nearest appropriate hospital. When we transport to the hospital we are there because they can offer services and assistance that we cannot provide. It is always our experience that the staff there are professionals willing and able to help. They will treat you with skill and care. Your midwife will accompany you to the hospital and remain with you throughout the course of delivery or until the complication is resolved. We will be there as your advocate, but you or your baby will be under the care of the hospital staff. We will respect the physician’s decisions and offer assistance where we can without causing division or getting in the way. All hospital and physician related expenses will be your obligation and are not included in our financial arrangements. There is no legal relationship between the midwife and/or the hospital.
Discontinuation of Care.
In the event that you are referred to another health care practitioner and do not continue with me, or choose to discontinue care with us prior to the onset of labor, the fee for services will be as reflected in the financial agreement. If care is discontinued at the onset of labor the fee will remain the same. We reserve the right to discontinue care if we feel that the choices you are making are harmful to yourself or to the baby.
I am trained to perform a physical assessment on your newborn and counsel you regarding care of your baby. We also perform newborn metabolic screening tests, as required by the state. However, there are conditions, which could arise in the first hours or days after birth, which we are not qualified to handle. The client therefore agrees to arrange for ongoing health care with a pediatrician for your baby, if needed.