Midwife and Primary Care Services

 

Free Midwifery Consultation

christy-and-elliottWe are happy to meet with prospective clients for a free consultation at our office.  At this visit we can discuss all aspects of care and questions you might have regarding midwifery, homebirth, and more specific questions about what you can expect from MotherBloom Midwifery care.  Please call or email to arrange an appointment.

Women’s health care and primary care consultations cannot be provided for free due to the nature of the visit and the on-going care I provide in this capacity.  Please see Well-woman care tab for services I can help you with.

Prenatal Care
The first visit includes a detailed medical and reproductive history and a full laboratory obstetric profile to analyze the client’s blood and rule out any present or future health concerns.

Prenatal visits occur once a month through 30 weeks gestation, every two weeks through 36 weeks gestation, and every week after that until the baby is born. At least one of the visits in the last month is a  home visit. The majority of the prenatal visits are spent talking, answering questions, discussing the mom’s emotional state, making choices about  care within the informed choice model, or making suggestions regarding nutrition and holistic health in pregnancy.

Prenatal visits are scheduled for one full hour. During the prenatal appointments, we also check the mother’s blood pressure and urine, listen to the baby’s heartbeat, and measure the size of the growing belly. If the mother chooses to have an ultrasound, they can be arranged at a private doctor’s office or radiology center, after which we would review the results together. At any point during the pregnancy, birth or postpartum period, consultations can be arranged with specialists whom we work with in the community, for concerns outside the normal scope of midwifery care.

For emergency situations or urgent concerns, we are available by phone 24 hours a day, as well as during work hours for appointment changes or questions about lab reports etc.

During the last months of the pregnancy we also spend some time during each appointment doing Arvigo Technique Mayan Abdominal massage on the mom’s abdomen/uterus and lower back/sacrum. We believe that All of this hands-on, in-depth care is very important to help build a strong, trusting relationship between the client, her family and the midwife. This women-centered holistic approach is one of the cornerstones to midwifery care.

Birth Care
Stephanie with NewbornWe come to the birth when both the mother and midwives feel it is time; usually during active labour. Often the mom and I have been in touch on a daily basis in the days preceding the birth, and by phone during early labour. I bring another experienced midwife or birth assistant with me to help, whom you may meet during your prenatal care if you desire. I also bring essential equipment that may be used in emergency situations, such as oxygen, resuscitation equipment, IV equipment, and various other items.

During labour, I can be attentive and provide emotional support, or stay in the background knitting while the mom goes through the labour journey; often it is a dance between the two. I try to take my cues from the mother and assist her in whatever way she needs. The partnership relationship established during her prenatal care can help me to provide individualized, respectful care for the mother and her family all through the labour and birth, even if there are reasons that we need to move into a hospital for specialized care for the mother or baby. If that occurs, I provide emotional support and follow the mother and baby until they can return to full midwifery care.

After the baby is born, I stay at the home a minimum of two hours to help the family, monitor both mom and baby, and help breastfeeding get off to a good start. Often I assist the mother and baby into a relaxing herbal bath. Many times the baby gets very blissed out as both mother and baby sink into the relaxing, hot, cleansing water. The bath also provides a nice picture moment!

Postpartum & Infant Care
Weighing EzekielI visit with the new family in their home at approximately:

  • 24 hours postpartum,
  • Three – five days postpartum,
  • One to two weeks postpartum,
  • and at my office six – eight weeks postpartum

During these visits I check the mother’s healing and her vital signs, as well as the baby’s weight, color, feedings, elimination, and vital signs. I also support the new family in caring for their baby and adjusting to their new life together. The postpartum visits can be one of the most rewarding parts of being a midwife, building on an established relationship with the woman and her family, to help her process the birth experience, and support the family during the many transitions of the postpartum time.  The last postpartum visit includes a Pap smear and a complete blood count if the mother wishes.

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