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 client’s blood pressure and urine, listen to the baby’s heartbeat, and measure the size of the growing belly. If the birthing person 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 that 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. We believe that all of this hands-on, in-depth care is very important to help build a strong, trusting relationship between the client and family, and the midwife. This client-centered holistic approach is one of the cornerstones to midwifery care.