Prenatal Care
Each prenatal visit includes:
- Weight
- Blood Pressure
- Urine (protein, glucose, and nitrites)
- Fundal Height
- Palpation of position of the baby
- Auscultation of fetal heart tones with both fetoscope and doppler
- Counseling in nutrition
- Pregnancy management and family situations
- Routine lab work
Visits are scheduled every 4 weeks until 28 weeks of gestation, every 2 weeks from 28 weeks to 36 weeks and every week from 36 weeks until the birth.
Referrals
Referrals are available for:
- Area Midwives
- Childbirth Educators
- Doulas
- Obstetricians/Gynecologists
- Pediatricians
- Family Practitioners
- Laboratories
- Family Centered Hospitals
- Public Health Services/Programs
- Chiropractic Care
- Lactation Consultants
- Diapering Alternatives
Labor and Delivery
Labor monitoring includes:
- Checking maternal vital signs
- Checking fetal position presentation and heart rate
- Assessment of cervical dilation only as necessary or when indicated.
Newborn Care
Routine newborn care includes:
- Skin to skin contact - baby to mom's chest immediately after birth
- Bonding time with family - time alone for family after placenta delivers
- Neonatal examination - complete physical exam within 2 hours of birth including a gestational age assessment
Postpartum Care
Immediate Postpartum
The midwife stays a minimum of 2 hours after the birth. She will not leave until everyone is stable; baby is nursing; and mom has had a nourishing meal.
Additional Postpartum Follow-up
Home visit at 24 to 48 hours to check mom's vital signs, position of uterus, lochia, condition of perineum and breasts, check of baby's vital signs, color, cord care, sleeping, eating, wet and meconium diapers and first newborn screening.
Office visit at 2 weeks for check of mom's vital signs, position of uterus, lochia, condition of perineum and breasts, and hemoglobin level, check of baby's vital signs, weight, color, cord care, sleeping, eating, and wet diapers.
Office visit at 6 to 8 weeks for check of mom's vital signs, position of uterus, lochia, condition of perineum and breasts, muscle tone, and a pap smear, if needed, check of baby's weight, sleeping and eating patterns, counseling in family relations and birth control.
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