Services

SCAN0359Being cared for by a midwife is a unique experience.  We spend a lot of time with our clients, ensuring that questions are answered, health is monitored and mutual trust is ensured by the time it’s time for the baby to be born!

I provide prenatal care starting when you decide to hire me. Often this is early in the pregnancy. We will meet every 4 weeks until 32 weeks, then twice monthly until 36 weeks and weekly until the baby is born.  My office is located in Nehalem in the Nourish Naturopathic Clinic.  I also visit clients in their homes as I value in-home care.  To me there’s nothing like establishing a relationship of trust within a client’s home alongside her family members, pets and familiar space.  And once I’ve been to the house a number of times, there’s no chance I’ll get lost in the middle of the night when I’m heading to your birth!

At 36 weeks we will schedule a home visit where the entire birth team will get together (second midwife, doula if hired, other family members and friends, if desired). We will be on call from 37 weeks until your birth or up to 43 weeks.

During the initial prenatal I gather historical information from you that may affect your pregnancy or birth. Ongoing prenatal care includes nutrition and exercise counseling, as well as regular assessment of the following: blood pressure, pulse, urine analysis, uterine growth, fetal heart rate, and fetal position.

I provide informed choice and information forms throughout your pregnancy to assist you in making informed decisions. You will receive information about ult
rasound, blood sugar testing, Group B strep culturing and other subjects as your pregnancy advances. I also lend books from my personal library to help you be informed. Appointments last an hour (at least) so there is plenty of time to talk about any questions you have.

Lab analysis of your blood to keep tabs on your health will also be part of your prenatal care. Initial blood work will look at things like your blood type, iron levels and whether you have been exposed to infectious hepatitis B, Syphilis, and Gonorrhea/Chlamydia. Other lab work that you might need and/or choose include testing for blood sugar, Group B Strep, thyroid levels and urine analysis.

Before the 36-week visit you will need to purchase some supplies. I will provide you with a list. The supplies cost around $40.

As part of the birth team a second midwife will also attend you. We bring the following equipment to the birth: stethoscope, blood pressure cuff, thermometer, Doppler, instruments for cutting the cord, baby scale, herbs, suturing supplies, oxygen and resuscitation supplies, IV and fluids, medications and other odds and ends.

Occasionally an emergency arises or you decide that you want to transport to the hospital. This is often due to a long labor and the need for pain relief. We can transport you to the closest hospital (Tillamook General, Columbia Memorial, or Providence Seaside) by private vehicle or by calling 911. If we transport by private vehicle, we will have equipment available for an emergency delivery. Either way, I will accompany you to the hospital and stay with you until your baby is born and the two of you are together and stable.

We will make 5 postpartum visits to you. We see you on the 1st day, 3rd day, 1 week, 2 weeks, and 4-6 weeks after your birth. We monitor the health of you and your baby, provide breastfeeding counseling as needed, answer questions and provide general support.