Heart Hands

Prenatal Care

As your midwife, I believe in continuity of care which means that you will be developing a relationship of trust with me through your pregnancy. This means, the earlier we start getting to know each other the better!

Prenatal Care Details
  • Preconception interviews
  • A free 1 1/2 to 2 hour consultation with your midwife
    • Every four weeks until 28 weeks of pregnancy
    • Every two weeks from 28-36 weeks of pregnancy
    • Weekly visits from 36 to 42 weeks of pregnancy or birth
  • Medical/pregnancy history
  • Lab work, including blood grouping, Rh factor, antibody screening, rubella, titre, hepatitis screen, hematocrit/hemoglobin, HIV if requested
  • Nutritional counseling
  • Urine checks at each visit
  • Blood pressure/pulse monitoring
  • Weight gain assessment
  • Fetal well-being assessment: heart rate, growth, position, activity
  • Pregnancy/childbirth education
  • Access to sonograms if needed
  • Belly Casting if desired (to preserve the memory – a very fun project!)
  • TIME – you will never be rushed out of my door when you come for an appointment. Your questions will be answered and topics brought up for your consideration before you have to make a decision.
  • Informed Consent – No test is mandatory. Some things are more strongly recommended than others, but as parents choosing a home birth, you are already taking more responsibility for your pregnancy and birth outcome and desire to take the decision making power back – and I freely give it.
  • Resources are made easily accessible – from recommended reading, to watching movies from my library, and referrals to other professionals are made when it makes sense for the parents.
  • Because you meet with me at every appointment, we build a relationship of trust and work together well through your pregnancy and birth and
  • 24 hour access to your midwife

Intrapartum Care (birth)

As your midwife, I believe that birth is a normal, natural process and should be interfered with as minimally as possible. Because we have developed a strong relationship built on trust through our months of prenatals, I will know what things are important to you at the birth. I am able to step in when when medically necessary but otherwise my job is to support and encourage you to birth your baby your way.

Intrapartum Care Details
  • Full labor assessment, including dilation, effacement, fetal position, blood pressure monitoring, continuing fetal well-being assessment, etc.
  • Pain management without drugs
  • Relaxation techniques, including massage, water therapy, etc.
  • Water Birth is available and recommended
  • All non-disposable equipment for birth provided
  • Emergency equipment, if needed
  • Warm compresses for avoiding tears
  • Full family involvement is encouraged
  • Full newborn assessment done in presence of parents
  • Informed consent from parents on eye prophylaxis and vitamin K.
  • Breastfeeding education and assistance
  • Postpartum instructions on care of mother and baby, orally and written
  • A second assistant is always present with your midwife, and her fee is included in the amount that you pay for NBM’s services.
  • Birth pool rental is an option if you want to try water birth but aren’t quite ready to buy your own pool.
  • Cleanup is mainly taken care of by your midwife team. Laundry is started, and all mom needs to focus on is her beautiful baby.
  • As your midwife, I will come and check on you when you think you are in labor as many times as it takes and stay with you if you need me and counsel and guide you to help you to know what labor feels like and how to differentiate it from other things that may mimic it.
  • 24 hour access to your midwife

Postpartum Care (after birth)

As your midwife, I know that adjusting to life with a newborn—as wonderful as it is—can be challenging. That is why I provide full support through those first 6 weeks and am trained to help establish breastfeeding and will continue to provide both mommy and baby care for 6 weeks.

Postpartum Care Details
  • Home visits on Day 1, 3 and 7
  • Postpartum visits at 2 weeks, 4 weeks, 6 weeks
  • Newborn blood screening and Hearing screening done in the comfort of
  • Breastfeeding assistance
  • A sitz (herbal mixture) bath will be prepared and if desired by mom and baby, soaked in at your first postpartum visit while we visit, or while we give you a little quiet break from daily life.
  • Footprints taken on a special decorative birth certificate for the parents to
  • Newborn well-being assessment
  • Maternal well-being assessment
  • Baby’s Birth Certificate and Social Security number filed
  • Pap smear done at 6 weeks or after if desired by the mother
  • Family Planning counseling
  • 24 hour access to your midwife