Midwifery Services
Prenatal Care
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I am available to my clients 24 hours a day from the time you sign up for care through 6 weeks postpartum. Please call or text me. If it's important, please ALWAYS call and don't text. Please allow up to 24 hours for a response for non-urgent issues. If I am out of town during your care, I will make sure there is back-up care in case of an emergency.
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An hour is allotted for each prenatal or postpartum appointment.
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Prenatal visits every 4-5 weeks until 28 weeks, visits every 2-3 weeks until 36 weeks and visits every 1-2 weeks from 36 weeks until birth. This schedule may be adjusted based on individual client needs, at no additional charge. You can arrange to come to my home for visits if desired. I am doing some visits via telehealth if needed. We can discuss how this works during first visit.
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Each prenatal appointment includes evaluation of maternal vital signs, nutrition, fetal heart rate(doppler or fetoscope), palpate baby for position activity and growth, labs, discuss topics pertinent to gestation and answer any questions you may have.
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All routine lab work is included, including newborn blood typing when the client is Rh-. Some extensive tests and/or RhGAM for Rh- clients will be extra. I may refer you to a lab for some tests and bloodwork.
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Referrals for ultrasounds when desired or clinically indicated.
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I may have an assistant for labor and birth. I will discuss this with you ahead of time and give you the freedom to accept or refuse this.
Labor and Birth:
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I am available from the onset of labor after 37 weeks gestation. I will come to your home as soon as you are ready for me or at the onset of active labor.
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I encourage freedom of movement and freedom to eat and drink during labor.
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This is your birth! You run the show and call the shots. I count on you letting me know your likes and dislikes.
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Waterbirth pool rentals are included in price.
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I will peacefully monitor fetal well-being, maternal well-being, and labor progress. If an assistant is present, I may have her help with this.
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Labor support techniques, including natural pain relief and pain management.
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I am aware of hypno-type birthing techniques. If you choose this method for your birth, I will be supportive of your choice.
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I facilitate bonding by encouraging skin to skin, breastfeeding and a peaceful, restful immediate postpartum.
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Thorough newborn exam for baby.
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I will stay with you for approx two hours after both mom and baby are stable.
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When I leave, mom and baby will be tucked into bed and instructions given for mom and baby.
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If transfer to the hospital becomes necessary, I will accompany the client if possible(this has and will continue to change due to Covid-19 and hospital restrictions), providing records digitally, labor support(if allowed) and will facilitate as smooth a transition as possible. Typically my clients have me accompany them at the hospital and continue their postpartum care after they are home from the hospital.
Postpartum/well baby care:
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Appointments at 36-48 hours after birth, 1 wk visit(optional), 10-14 day visit and 4-5 week visit. Additional visits if needed.
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Required Newborn Metabolic Screening tests performed at 36-48 hr visit and 10-14 day visit.
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Referral for hearing test and information as desired.
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Breastfeeding support. Referral for lactation consultant if needed.
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Monitor the baby's growth and maternal recovery
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Filing for Idaho birth certificate and requesting social security numbers at the same time. Additional information given to parents on where to obtain legal copy of birth certificate.
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Referrals for other providers such as pediatricians, family doctor, chiropractor or others as desired.
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Cost of Services
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I charge a global fee for midwifery services which we will discuss at first visit. My fee is comparable to other midwives in our area. This is payable over the course of your pregnancy by an individualized and flexible payment plan. A non-refundable deposit of $500.00 is due at the initial visit. The balance can be paid in flexible payments due in full by 36 weeks. I accept Venmo, Zelle, cash or personal check. I believe that everyone should have access to midwifery services and I will be as flexible as possible and consider extended payment plans. Please call me to discuss and to set up a free consultation!
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