Mindful
Labor & Birth Care
We
are on-call for you 24/7 during your due range and as labor progesses
to the point that you need or want one of us there, we join
you at
your home.
We monitor the well-being
of mother and baby while respecting your particular needs for privacy
and support.
We
bring the instruments, equipment, supplies, and
medicinals
that facilitate a vaginal birth and, if necessary, treat an
emergent situation.
After
your baby and the placenta are born,
we tend to your continued well-being, with time to bond
with each other. We exam mama and baby before we leave, administering
repairs or medications, as chosen.
Rest
well - at home,
in your own bed! - knowing that we'll be back to check on you the next
day.
Can you give me more details,
please?
What if something goes wrong
during labor or birth?
What
supplies do we need to have for the birth?
Where can I rent a birth tub and
how much does it cost?
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This
is your baby,
your birth,
your creation.
How
can we facilitate
your DIY process? |
What kind of support do you need
when baby is out of your womb
and into your arms? |
Postpartum
Care
We
return to your house to check on mother and baby the day after you give
birth, on day 3,
and again at one week. You get to practice going out of the house with
your baby for the 2 week, 4 week, and 6-8 week appointments at our
office.
Postpartum
visits include monitoring mother and baby’s vitals, weighing
the
baby, and discussion of any concerns.
Visits may also include newborn
screen, jaundice assessment, nutritional guidance, belly-binding,
referrals to other healthcare
professionals as needed, breastfeeding support and education,
and discussion of your birth experience.
What
should I expect in the first week postpartum?
Are you still available 24/7
during the postpartum period?
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Extended
Postpartum Services
Womb
Recentering & Abdominal Massage - We
offer a range of post-birth uterine tonics from simple belly-binding on
Day 1 to application of heat & weight, abdominal massage (also
known as organ manipulation or settling), to customized ritual designed
to concentrate and ground your womb. Find closure, heal & seal.
Prices
range from free to $150.
Call to discuss your needs and determine pricing.
~*~
Pelvic
Floor Assessment & Reconditioning - Your
pelvic floor muscles experience dramatic changes while giving birth.
Regain balanced tone and control of your pelvic floor musculature
through guided internal and external exercises. Minimize incontinence
and prolapse, speed healing and improve the general fitness of your
girl parts.
We listen
closely to your concerns, use
trigger point and myofascial massage techniques, then send you home
with exercises you can add to your usual fitness plan.
Initial
1 hour
appointment: $75
Subsequent 1/2 hour appointments: $40
Save
$25 with
our Package Deal: 4 appointments for $170 (initial hour +
three 1/2 hour sessions)
|
Pregnancy, labor & birth
are just the beginning! |
|
Making babies, making families. |
We Also
Offer
Pregnancy
testing
Free lending library for clients
Free interviews & educational
materials for prospective clients
Revolutionary
Whole Woman Gyn Exams - a
basic physical exam, pelvic floor assessment and recommendations,
trigger point release and myofacial massage, a Pap smear, and more!
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Frequently Asked
Questions
About Our
Comprehensive
Prenatal Care
Can
you give me more details, please?
Prenatal
Visit Schedule:
- Monthly hour-long prenatal visits from
4 through 32 weeks of pregnancy
- Bi-monthly
visits at 32, 34 and 36 weeks
- A
homevisit at 36 weeks and
then weekly 1/2 hour-long prenatal visits until birth
Prenatal
visits include:
- Urinalysis
- Fetal
heart rate monitoring
- Checking
vitals such as BP and pulse
- Discussion
and problem-solving around client’s
healthcare concerns/complaints
- Discussion
and education surrounding pregnancy, birth preparation
& postpartum care
- Informed
choice agreements
- Nutritional
and wellness guidance
- Listening to your needs
Care
with us also includes:
- A basic physical examination, incl
pelvic floor assessment
- Complete
bloodwork & lab services throughout care (see next question
below for details)
- Referrals
for diagnostic imaging/labwork as needed for
ultrasound, genetic screening and testing
- Phone
or in-person availability 24 hours per day/7 days per week
for urgent/emergent healthcare needs
~*~
What
lab work is done?
We
can learn a lot about your health from your blood &
urine. We offer blood
work & lab services throughout your care, including :
- OB
panel at onset of care
- CBC
(complete blood cell count)
- Glucose
testing (testing blood sugar levels)
- Antibody
screen (for Rh- mamas)
- GBS
screen
- Other
tests as needed/chosen
What
is Informed Choice and why is it important?
Informed
Choice provides you with current, evidence-based information regarding
specific tests, screenings or treatments. We explain the benefits and
risks, your options, and answer any questions you may have. We also
encourage further research on your own, if need be. The purpose of
these forms is to provide a full spectrum of information to assist you
in making decisions about the health care of you and your family.
Informed
Choice is an integral part of midwifery care as it empowers you to make
educated decisions regarding your health care. Informed Choice
complements your intuitive wisdom about your own body and baby with the
latest in evidence-based information to help you make considered,
informed choices.
For the mother:
- Genetic Screening
- Group Beta Strep Screening
- Gestational Diabetes
For the
newborn:
- Eye prophylaxis
- Vitamin K prophylaxis
- Neonatal screening
As needed:
- Rh Factor/use of Rhogam
- TOLAC &
VBAC
- External version
- Breech out-of-hospital
birth
- Twin out-of-hospital
~*~
Why
is nutrition such a high priority for a homebirth?
Nutrition
is the most effective tool you have to grow a healthy baby, prevent
deficiencies in your own body, alleviate discomforts of pregnancy, and
build the energy reserves you need for labor, birth, and breastfeeding.
As part of your routine prenatal and postpartum care with Nest
Midwifery, we will help you assess your dietary choices and offer
suggestions to optimize your health and the health of your baby.
~*~
How
much do your services cost and do you accept insurance?
We charge $3400 for your complete care
- prenatal, on-call time, labor & birth, and postpartum care.
Yes,
we accept insurance, including the OHP open card. Every insurance
company and plan is different, so you'll want to do some research to
find out how much yours will cover. We can help, give us a call.
For more details, see our Financial Agreement here.
About Our
Mindful Labor & Birth Care
Can
you give me more details, please?
The
details of postpartum care with us:
- 24/7
on-call status for clients in their due time
- attendance
by 2 Nest Midwives, plus an assistant at labor, birth, and immediate
postpartum period
- monitoring
of health and wellness of mother and baby through FHR monitoring,
mother’s vitals, assessment of mother’s mental and physical and
emotional status
- labor
support for mother and her partner throughout the birthing process
- cleanup
up of birth area, starting laundry, feeding mother and partner
- assistance
with informed choice, decision-making and support in all
cases,
particularly where transport is chosen by mother or necessary for
medical reasons
- attendance
during hospital transport births as a labor support person/advocate for
mother and baby
- frequent
monitoring of well-being of mother in the hours following birth,
including assessment of blood loss, vitals, and general health
- suturing
as needed for lacerations of the yoni and/or perineum
- neonatal
care including frequent monitoring of vitals, neonatal resuscitation
(when needed) newborn exam, referrals to healthcare specialists (when
needed), providing newborn medications where chosen or needed, such as
Vitamin K and Erythromycin eye prophylaxis
- breastfeeding
support for mom and baby
~*~
What
if something goes wrong during labor or birth?
We
routinely assess the health
and well-being of both mother and child throughout labor and birth. On
occasion, challenging health situations develop during this process.
Our role as midwives is to fully share the information we have
concerning your health and/or the health of your baby, then answer your
questions and discuss treatment options as needed. Nest Midwives may
administer herbal and homeopathic treatments, IV therapy, oxygen, and
certain pharmaceutical drugs (primarily to control excessive bleeding).
We are trained in both Maternal and Neonatal CPR and the treatment of
shock, dehydration, and hemorrhage. If you need to transport to a
hospital, we accompany you and remain with you during the birth, as
your doula and advocate. In the rare event of a medical emergency, Nest
Midwives assist in transporting mom and/or her baby to a nearby
hospital by ambulance for more extensive medical care.
~*~
What supplies do we need to
have for the birth?
View
our Birth Supplies List here.
You
will see
that some supplies are required and some are optional, some can be
bought, some can be made, and many items you already have around the
house.
~*~
Where can I rent a birth tub and
how much does it cost?
You can rent a birth tub from Nest
Midwifery for $100.00.
This fee includes the use of the tub
for labor/birth, cleaning, takedown and removal of the tub. It does not
include the one-time liner, hose, and faucet adapter you will need. For
more info on those items, see our Birth
Supply List.
About
Our Postpartum
Care
What
should I expect in the first week postpartum?
You
can expect to be tired and sore, and will find that resting in bed with
your baby will speed healing, encourage frequent nursing, and help you
get to know your baby. During the first week you will bleed
pretty heavily and will notice that your breasts will
transition from producing colostrum to regular breast milk. You
will need your partner, friends or family nearby around-the-clock during
the first week to cook, clean, care for other children, and help with
caring for the baby. We will be available to you by phone for
questions, and a Nest Midwife will come to your home at 1 day, 3
days, and 1 week after your birth to assess your health and the baby’s
health, assist with breastfeeding, and to help support your blossoming
family.
~*~
Are you still available 24/7 during
the postpartum period?
The
short answer is YES! We are available to you by phone and will
certainly see you in person when needed. The health and well-being of
mother/baby is very important to us. We do ask that you call with
regular questions during normal business hours but we know
that
sometimes the most pressing questions occur in the wee hours of the
night.
~*~
“Somewhere
on this globe, every ten seconds, there is a woman giving birth to a
child.
She must be found and stopped.”
Sam
Levenson
~*~
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