Nest Midwifery

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*Services
Messy imp!
We spend a good deal of our time just getting to know you so we can tailor our care to your individual style and be able to serve you more sensitively.

Comprehensive Prenatal Care

We meet with you monthly until you are well along, and then we meet more frequently. Our appointments are about an hour long and include checking your vitals, palpating and listening to the baby, doing any lab work that is indicated, reviewing informed choice issues, and discussing your concerns or issues. 

Can you give me more details, please? 

What lab work is done?

What is Informed Choice and why is it important?

Why is nutrition such a high priority for a homebirth?

How much do your services cost and do you take insurance?

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?

Too cute to bear.

This is your baby,
your birth,
your creation.


How can we facilitate
your DIY process?
Bright eyes

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?


 
The Mednick Boys

Making babies, making families.

We Also Offer 

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, 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 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:
  • 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

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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

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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 body and baby with the latest in evidence-based information to help you make considered, informed choices.

The following are examples of Informed Choice forms that we routinely give to women in our care.

 

For the mother:
  • OB panel at onset of careGenetic Screening
  • Group Beta Strep Screening
  • Gestational Diabetes Screen

For the newborn:

  • Eye prophylaxis
  • Vitamin K prophylaxis
  • Neonatal Screening
As needed:
  • Rh Factor/use of Rhogam
  • TOLAC & VBAC
  • External version
  • Breech out-of hosptial birth
  • Twin out-of-hospital birth

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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.  

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How much do your services cost and do you accept insurance?

We charge $3600 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.

 

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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

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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. 

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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.

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Where can I rent a birth tub and how much does it cost?

You can rent a birth tub from Nest Midwifery for $50.00. 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.

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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.
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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.

 

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“Somewhere on this globe, every ten seconds, there is a woman giving birth to a child.
She must be found and stopped.”

 Sam Levenson

~*~

HomeMidwivesServicesResourcesContact

Nest Midwifery ~ Homebirth@Nest-Midwifery.com ~ 333 NE Russell St, Portland OR 97212

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