Our beliefs, practices, and process.
This is a visit that provides us the opportunity to meet one another. During this time, information about midwifery care and the scope of my practice will be given to you. We will have the opportunity for questions, answers and dialogue on your
choices and options for childbirth. A risk screening may be done at that time to let us know if there are any past or present conditions that may warrant consultation with an obstetrician (OB).
We will spend a lot of time together during the prenatal visits preparing and getting you ready to birth your baby. We will encourage you to take care of yourself so you can take care of your newborn child. I will meet with you on a regular basis to do prenatal check-ups.
The purpose of these visits will be to confirm a normal progression of your pregnancy. It is also a time for identifying and dealing with concerns that may develop. Explanation of normalcy will be given during these prenatal, as well as identification of risks and how they are dealt with. Our times together will help to create a relationship based on mutual trust and respect.
You are expected to eat well (a balanced diet of simple, wholesome foods) exercise, avoid undo stress and care for yourself and your baby in a loving way in an effort to avoid potential problems from arising. Fathers or significant others are encouraged to participate in these visits, as are siblings.
The schedule of prenatal visits is a follows:
(I set aside one hour of prenatal time for you)
Monthly visits until the 28th week
Every other week from 28th week to 36th week
Weekly visits from 36th week until delivery
One visit occurring during the 36th week of pregnancy will be a home visit.
Lab testing is recommended part of prenatal care and is offered to all clients. Such tests include: Prenatal Profile (blood test-includes Blood Group and Rh factor, Antibody Screen, Complete Blood Count, RPR, Rubella Titer, Hepatitis B), Pap Smear, Gonorrhea/Chlamydia screen, Diabetes screen, repeat blood counts at 28 & 36 weeks. An HIV screen is also recommended. A Sickle Cell Screen when indicated. Other tests such as: Ultrasound, Maternal Serum Alpha-fetal Protein, Amniocentesis and GBS screening as offered to all clients. However, these tests are strongly suggested only if medically indicated (or desired by client). Clients with no risk factors can waive these procedures based on an informed choice decision making process.
EMERGENCY CARE PLAN
An Emergency Care Plan is a plan that is utilized to outline care to be provided in the event of an emergency or non-emergency abnormal condition. This plan outlines which doctors and hospitals will be used if necessary. The Emergency Care Plan will be completed by 28 weeks of pregnancy. It will then include the names, addresses and phone numbers for all facilities and doctors to be used as needed. The complete form must be clearly posted in your home. I will maintain one copy in client’s file.
LABOR & BIRTH
I need to be notified at the onset of your labor, as soon as you suspect it. It does not mean that I need to come to your home immediately, but I will go on alert and be ready to come when you ask me to. I am always available by telephone or pager. Your birth team will consist of your primary midwife and one or two assistants. The assistant will attend the 36 -week home visit to become familiar with you and your home and others that will be present for the birth. Licensed midwives assist in normal childbirth. We will call for emergency medical backup if the client or I feel it is necessary. We agree to transport to the hospital if necessary for mother or baby.
After the baby is born, we will stay with you for at least 3 hours or until the mother and baby are stable and settled. Written and verbal postpartum instructions for the mother and newborn will be given to the parents and any other care givers, after birth. There will be a postpartum visit to your home to check both you and your baby at approximately 24 and 72 hours and at 2 weeks postpartum.
You are encouraged to call with any questions or concerns about your health or health of the baby. It is important to make arrangements with your pediatrician as to when he/she would like to see the baby. There will be a six-week – eight week postpartum check -up in my office.