Holistic Midwifery Care
In the comfort of your home
serving Massachusetts and Rhode IslandHOME BIRTH
Prenatal Care
We prioritize providing comprehensive care that takes into account all aspects of your well-being. Our approach encompasses not only your physical health but also your emotional, mental, and spiritual needs. We believe that addressing all these facets is crucial for supporting you fully throughout pregnancy, labor + birth, and postpartum. Our commitment to focusing on you as a whole person ensures that you receive personalized, holistic care that respects your unique experiences and values.
My focus is that we build a strong, respectful, and trusting relationship with each other. To do so, each prenatal appointment is allotted one hour. These visits include clinical monitoring of you and baby, in-home lab testing as needed, nutrition and lifestyle counseling, preventative care, education and shared-decision making regarding clinical and personal choices, and much more!
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All prenatal care is held within your home
Initial visit
Between 9-12 weeks or onset of careRoutine visits
First & Second trimester: monthly
(Weeks 8, 12, 16, 20, 24)Third trimester: every 2 weeks
(Weeks 28, 30, 32, 34, 36)Weekly from 37 until birth!
*Late to care clients may be seen more frequently in the second/third trimesters.
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Initial visit
Time to discuss thoughts + answer questions
In-depth health + pregnancy history
How to maintain a low-risk pregnancy with nutrition and lifestyle guidance
Physical exam
Listen to fetal heartbeat
(our doppler can find heart tones between 8-10 weeks)Routine blood + urine testing
Genetic testing if desired.
10 weeks is the soonest this testing is available.
Routine visits
Thoroughly discuss thoughts + questions
Maternal assessment:
Blood pressure, pulse, temperatureFetal assessment:
Listen to heartbeat, measure fundal height, hands-on assessment of growth, fluid levels, and positionOngoing preventative care with nutrition, lifestyle, supplement + herbal guidance
Remedies for common pregnancy complaints
Review any previous labwork or ultrasounds
Shared-decision making conversations & education regarding upcoming visits and testing offered
Referrals to complementary modalities or higher-level care if needed
Labs & Ultrasounds
(Will be billed to and typically covered by insurance)Initial visit
Prenatal panel, genetic screening, urinalysis
11-13 weeks
Nuchal translucency ultrasound referral
(Offered if declining genetic screening)
15-18 weeks
Quad screening referral
(Offered if declining genetic screening)
20 weeks
Anatomy ultrasound referral
(complete evaluation of your baby and placenta )
24-28 weeks
Gestational diabetes screening
Anemia screening
36-37 weeks
Group beta strep (GBS) screening
Follow up lab work if needed
41 weeks
NST performed in home
Biophysical profile ultrasound referral
Other labs may be indicated at various points in your individual pregnancy.
Not all lab tests are mandatory or necessary. We will discuss which tests & screenings make sense for you as an individual.
Full disclosure
HIV & Hepatitis B+C testing is required.
The nature of midwifery involves contact with bodily fluids. This is to ensure I keep myself, clients, and family safe.
Labor + Home Birth
Your midwife is on call for you from 37 weeks until you birth! We meet you in active labor, providing early labor check-ins as needed.
You will receive continuous care during active labor, birth, and the first hours after birth. In attendance will be a midwife and qualified, trained assistant(s) who are equipped to handle any situation that may arise. We carry medications and necessary equipment available for postpartum hemorrhage, neonatal resuscitation, and perineal repair.
You have the freedom to choose how you want to bring your baby into the world, this includes water birth and birthing in any position you intuitively choose. Once baby is born, we will support early bonding and breastfeeding in the golden hour. We stay with you for 2-6 hours after the birth or until you and baby are stable and comfortable.
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This is not an exhaustive list of what we bring. Equipment will be readily available if needed, but out of sight.
Doppler for assessing fetal heart tones
Equipment to measure vitals
Antihemorrhagics for postpartum bleeding: pitocin, misoprostol, tranexamic acid (TXA)
IV antibiotics for GBS prophylaxis
IV fluid replacement
Oxygen
Equipment for neonatal resuscitation
Lidocaine & sutures for perineal repair
Herbs and homeopathy for postpartum bleeding, comfort, etc.
Sterile water injections for pain relief
Newborn medications: vitamin K, erythromycin eye ointment
and much, much more!
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Immediate skin to skin contact & delayed cord clamping until white + pulsating stops
Placenta tour
Perineal exam and repair if indicated
Full newborn exam
Breastfeeding support
Newborn medications (vitamin K & eye ointment) if choosing
Ongoing maternal monitoring including vitals + bleeding
Ongoing baby monitoring including vitals, skin assessment, and feeding
Clean up of birthing space including emptying + break down of tub, laundry, trash
After reviewing postpartum instructions, preparing you a meal, and ensuring you and baby are stable, we will tuck you into bed & say good night (or good morning)! We will check in later that day after you've had some rest and continue to be on call for you!
Postpartum + Newborn Care
Stay in bed and snuggle your newborn, your midwife will come to you! While the current medical model offers one postpartum check-up, we offer nine!
We deeply honor and respect the intimacy of the postpartum period, extending our care beyond the fourth trimester.
Visits are an hour long to carefully monitor your physical and emotional healing. We’ll work together to create a postpartum care plan that is unique to you and your family.
Care includes physical assessments of you and baby, standard newborn screenings, baby weight-checks, lactation & feeding support, in-home lab testing as needed, nutrition counseling, newborn development guidance, support for common postpartum problems, and beyond!
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Home Visits
- 24-48 hours
- Day 3 or 4
- 1, 2, 4, and 6 weeks!
Telehealth- 3, 6 & 12 months
Additional visits beyond the standard of care can be scheduled as needed!
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Continuous monitoring of physical and emotional recovery
Nutrition, herbal and supplement guidance
Laceration follow-up if indicated
Rhogam for rH negative clients is offered between days 1-3 if baby is rH positive
Lactation support and referrals as indicated
Lab work as needed, including but not limited to: full thyroid panel, iron checks, glucose screening
Pap smear and family planning guidance offered at or after 6 weeks
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24-48 hr visit
CCHD (critical congenital heart defect) screening. A simple measurement of oxygenation using a pulse ox.
Metabolic screening (aka heel poke or PKU)
Hearing screen will be offered before 6 weeks.
Newborn physical: weight check, vitals, feeding, output, jaundice and skin assessments
Newborn testing as needed: bilirubin, glucose, blood typing, etc
Routine visits
newborn physical: weight check, vitals, feeding, output, jaundice and skin assessments
Lactation/feeding support
Postpartum education
Referrals to local resources including lactation support, pediatricians, pediatric dentists, chiropractic & craniosacral therapists, etc.
Midwife will complete appropriate section of birth certificate & provide notarized record of birth. Parents are responsible for completing birth certificate packet and submitting it to their town hall by 6 weeks.
Families are encouraged to see their pediatrician within the first week of life.
Steps to beginning midwifery care:
Book a consultation
A home birth & financial contract will be emailed for you to review
Sign contracts + pay retainer
Complete intake form
Schedule initial visit!