Families choose home birth for as many reasons as you can imagine. Some prefer the quiet, intimate setting of home, some are concerned with the overuse of birth interventions, others prefer the one-on-one care they receive from midwives. Regardless of your reasons, home birth remains a sound choice for low-risk clients. I offer most of the antenatal testing you would be offered in a physician’s care and, through the process of shared decision making, you will decide which tests or options you choose to utilize. If the need for more specialized care arises, I will refer you to a practitioner who can assist you. In general, your care will include:
- Monthly visits until 28 weeks, visits every two weeks until 36 weeks, and weekly until birth. These visits will include a review of systems, urinalysis, maternal vital signs, and fetal heart tones.
- Prenatal blood work, ultrasound (via referral to a sonographer), blood glucose screening, Rhogam (if indicated), and GBS testing.
- Individualized care and education to prepare you for the birth of your baby.
During Labor and Birth
- Continuous care from active labor to delivery.
- Continuous monitoring of you and your baby’s well-being.
- Assistance with finding advantageous positions and comfort techniques during labor and pushing.
- Immediate postpartum care and assessment of both mother and baby for at least 2-4 hours.
- Rhogam (if indicated)
- At least four visits in the postpartum period, at least two of which will be at your home, where both the well-being of mother and baby will be assessed.
- Specialized breastfeeding assistance from an International Board Certified Lactation Consultant.
- Referral to pediatric care for the baby, and any other referrals as necessary.
Unlike typical obstetric care, your midwifery appointments are scheduled for an hour, so that you have time to ask questions and we have time to get to know one another. Though situations may arise that are out of my scope of practice, or that make a hospital birth a better choice, most women find the care they receive from their midwives to be thorough and invaluable. Should you no longer be a good candidate for home birth, whether in the prenatal period or during labor, we will work together to come up with contingency plans. Every home birth family must develop an emergency plan with their midwife, which will be followed if necessary. I enjoy a wide range of collaborative relationships so that should a simple referral for limited care be necessary, we can work together to resolve the problem and move forward with your birth plans.