The prenatal care will
include taking your vitals, listening to the baby and
palpation, nutrition counseling, getting to know you and
your family, and you understanding homebirth if this is
your first. There will be several handouts on different
pregnancy issues and informed consents/refusals on the
various tests that are part of prenatal care in the
medical model. You will have the right to accept or
refuse these tests. Ultrasounds can also be arranged if
I feel it is needed or you desire one. At about 36
weeks, I will do a home visit so I know how to get to
your house and after that, I will see you every week at
my office until birth.
I will give you a handout on labor, but I would like you
to call right away when labor starts, during the day, or
call anytime if your water breaks. I do not necessarily
have to come then, unless you have fast labors, or you
want me to, but it does give me a chance to arrange my
schedule. At night, you would call me if your water
breaks, or your contractions are regular and getting
harder. I will try to follow your cues as to how much
you want me involved with your labor. I will, of course,
monitor you and your baby and offer suggestions, but if
you prefer to labor on your own with your husband
privately, I will respect that. It is your home and your
birth and you can do whatever you like. You can eat,
drink, walk, rest, shower or soak in a tub as desired.
You can choose any positions for labor or birth. You can
have anyone you like attend the birth, or no one extra.
Many women enjoy waterbirth, and I have done many. I can
give you more information about this option.
Anyone you want can attend your birth. You can choose
any birth position you like and push as your body tells
you. I will offer suggestions on positions if you need
help. There are no medications available for a homebirth
for pain. But most mothers find that good support, the
ability to move and change positions and eat and to be
in water is enough pain relief for most labors. The dad
can help “catch” the baby, if you like and he or someone
else can cut the cord, after the pulsation has stopped.
The baby is placed on your tummy after birth. Most of
the time, I can check the baby over, or give special
attention (which is rarely needed) with the baby there
beside you. A head to toe newborn exam will be done
while you watch. When all is done, everything will be
cleaned up, we make sure you are nursing well, you are
also checked over, and then you and baby will be tucked
into bed. I will stay at least 2 hours and will not
leave until you and baby are stable.
I will stay in touch by phone for the first 24 hours. Then I will come to your home on day 2 for
another postpartum and newborn exam. At that time, I
will offer the State Newborn Screen for your baby. I will then see you
and baby back at my office at the end of week 2 and
between week 4-6 for a check-up.
I tend to be a more “hands-off” kind of midwife unless
something is needed. Most families prefer this. But if
you prefer more active support from me, I will provide
it. It is important that we establish a good rapport and
communications with each other during your pregnancy. If
there is anything special you would like for your birth
or at anytime you feel I am not meeting your needs,
please speak up. I want you to have a joyful, safe and
ful-filling birth experience. And I want to meet your
needs in whatever way possible.