Holistic Midwifery Care

In the comfort of your home

HOME 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! 

  • All prenatal care is held within your home

    Initial visit
    Between 9-12 weeks or onset of care

    Routine 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.

  • 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, temperature

    • Fetal assessment:
      Listen to heartbeat, measure fundal height, hands-on assessment of growth, fluid levels, and position

    • Ongoing 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.

  • 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!

    • 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!

  • Home Visits

    - 24-48 hours
    - Day 3 or 4
    - 1, 2, 4, 6, and 12 weeks!

    Telehealth or Home Visit

    - 6 & 12 months

    Additional visits beyond the standard of care can be scheduled as needed!

    • 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

  • 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)

    • 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.

    ** A hearing screen will be offered before 6 weeks.

    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.

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!

Step-by-step instructions will be emailed after consultation.

Due to barriers in licensing, we are not currently providing midwifery care in the state of Rhode Island as a primary provider.
We are currently on track and plan to extend our radius the end of 2025.