{"id":20,"date":"2013-10-27T00:20:18","date_gmt":"2013-10-27T00:20:18","guid":{"rendered":"http:\/\/birthdancemidwifery.com\/?page_id=20"},"modified":"2015-06-26T10:23:07","modified_gmt":"2015-06-26T17:23:07","slug":"services","status":"publish","type":"page","link":"http:\/\/tillamookclatsopmidwife.com\/","title":{"rendered":"Home"},"content":{"rendered":"

What to expect from the midwifery service of\u00a0Jennifer Childress<\/strong><\/p>\n

Prenatal Care<\/strong><\/p>\n

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. I will meet you in your home for your prenatals with some of the visits occurring in my home office. 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). I will be on call from 36 weeks until the birth or up to 43 weeks. After that time, you would need to have a hospital birth as a homebirth is no longer legal or advised.<\/p>\n

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.<\/p>\n

I provide informed choice and information forms throughout your pregnancy to assist you in making informed decisions. You will receive information about ultrasound, blood sugar testing, Group B strep culturing, and others as your pregnancy advances. I also lend books from my personal library to help you be<\/p>\n

informed. Appointments last an hour (at least) so there is plenty of time to talk<\/p>\n

about any questions you have.<\/p>\n

Lab analysis of your blood to keep tabs on your health will also be part of your<\/p>\n

prenatal care. Initial blood work will look at things like your blood type, iron<\/p>\n

levels and whether you have been exposed to infectious diseases like German<\/p>\n

measles, hepatitis B, Syphilis, toxoplasmosis and Gonorrhea\/Chlamydia, all of<\/p>\n

which could harm your baby. Other lab work that you might need and\/or choose<\/p>\n

include testing for blood sugar, Group B Strep, and urine analysis.<\/p>\n

Vaginal Birth After Cesarean (VBAC)<\/strong><\/p>\n

It is an honor for me to serve women who have had a cesarean section with a<\/p>\n

prior birth (or more). This can be an empowering life changing experience for<\/p>\n

women who have often had a difficult hospital birth. There are some additional<\/p>\n

pieces of information that are necessary for me to have and some conditions that<\/p>\n

must be met in order for a VBAC to occur at home. We need to have the surgical<\/p>\n

record from the cesarean(s) to confirm a lower transverse incision. You need to<\/p>\n

live within 30 minutes of a hospital. It should be 24 months or greater since your<\/p>\n

surgery. I ask that you have an ultrasound at around 30 weeks to confirm the<\/p>\n

location of the placenta (away from the scar site).<\/p>\n

Twins and Breeches<\/strong><\/p>\n

At this time I have no experience with twins and breeches. We are fortunate to<\/p>\n

live relatively close to midwives in Portland that are very experienced. If you are<\/p>\n

interested in a homebirth with me, we would contact one of these midwives to<\/p>\n

partner with me to provide your care.<\/p>\n

Birth<\/p>\n

As part of the birth team a second midwife will also attend you. As I am in the<\/p>\n

beginning stage of my practice, she will be a more experienced midwife who will<\/p>\n

be available for the 36 week visit, the birth and immediate postpartum and as a<\/p>\n

consultant for me to call on throughout your pregnancy and postpartum.<\/p>\n

I bring the following equipment to the birth: stethoscope, blood pressure cuff,<\/p>\n

thermometer, Doppler, instruments for cutting the cord, baby scale, herbs,<\/p>\n

suturing supplies, oxygen and resuscitation supplies, IV and fluids, medications<\/p>\n

and other odds and ends.<\/p>\n

Before the 36-week visit you will need to purchase some supplies. I will provide<\/p>\n

you with a list. The supplies cost around $40.<\/p>\n

If transport to the hospital becomes necessary<\/strong><\/p>\n

Occasionally, an emergency arises or you decide that you want to transport to<\/p>\n

the hospital. This is often due to a long labor and the need for pain relief. We<\/p>\n

can transport you to the closest hospital (Tillamook General, Columbia Memorial,<\/p>\n

or Providence Seaside) by private vehicle or by calling 911. If we transport by<\/p>\n

private vehicle, we will have equipment available for an emergency delivery.<\/p>\n

Either way, I will accompany you to the hospital and stay with you until your baby<\/p>\n

is born and the two of you are together and stable.<\/p>\n

Postpartum Care<\/strong><\/p>\n

I or the second midwife will make 5 postpartum visits to you. We see you on<\/p>\n

the 1st day (or talk over the phone), 3rd weeks after your birth. We monitor the health of you and the baby, provide<\/p>\n

breastfeeding counseling as needed, answer questions and provide general<\/p>\n

support.<\/p>\n

Waterbirth<\/strong><\/p>\n

Water is a wonderful tool for relaxing during labor and birth. If you are interested<\/p>\n

in a waterbirth, I have an inflatable birth tub that I provide to clients. It comes<\/p>\n

with a pump for inflating the tub as well as a pump for emptying the water after<\/p>\n

use. You will need to purchase a liner, a hose, adapter to attach the hose to your<\/p>\n

sink, and have a hot water heater that is capable of heating 175-200 gallons of<\/p>\n

water (most of the time you just need to turn it up).<\/p>\n

day, at one week, two weeks, and six<\/p>\n","protected":false},"excerpt":{"rendered":"

What to expect from the midwifery service of\u00a0Jennifer Childress Prenatal Care 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… <\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-template-business.php","meta":[],"_links":{"self":[{"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/pages\/20"}],"collection":[{"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20"}],"version-history":[{"count":1,"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/pages\/20\/revisions"}],"predecessor-version":[{"id":599,"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=\/wp\/v2\/pages\/20\/revisions\/599"}],"wp:attachment":[{"href":"http:\/\/tillamookclatsopmidwife.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}