"Joyful, individualized care"

PREGNANCY VISITS

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We offer very complete care that includes regular prenatal visits, close monitoring and visits in the first week after birth, ending with one final visit when your baby is six weeks old.  We are on-call for you 24 hours of the day.

We perform genetic testing and lab tests, and can confirm that you have a low risk pregnancy (which most women do).   Occasionally, some of our clients may transfer to our care from a doctor when their pregnancy is further along.  In that case we can easily help obtain your medical records from your previous provider.

What does a visit look like?  In the very first visit, we take a thorough medical, gynecological, and social history to get to know you.  A social history is a way of getting to know you who you are, your likes and dislikes, your needs, etc.  In subsequent visits, we check vital signs, we feel and listen to your baby, and we spend the rest of the hour long sessions listening to you, and working together with you towards your vision of your labor and birth.  

We discuss your nutrition and exercise requirements and how to adjust to the changes you are experiencing physically and mentally. We help you understand when symptoms are abnormal so you know when to call your midwives.

Blood work is done in our office, and we review the results of your tests and ultrasounds with you.  We may care for you alongside other maternal specialists such as an endocrinologist, or a pelvic floor therapist.  


THE MIDWIFERY MODEL OF CARE

WE GUIDED AGNES INTO THE WORLD AND IS NOW PREPARING HER TO BE A BIG SISTER

WE GUIDED AGNES INTO THE WORLD AND IS NOW PREPARING HER TO BE A BIG SISTER

We are interested in getting to know our clients and building a trusting relationship with each woman and her family.  We value her opinion, and we want to help create a support system around her.  The medical part of the pregnancy are often quite straightforward, but good midwifery care helps a woman feel safe, confident, and capable. 


BLOOD WORK AND GENETIC TESTING 

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The latest technology in Down Syndrome screening (cell-free DNA testing) is non-invasive and highly accurate. It is a simple blood draw that can be performed as early as ten weeks at our office.  We also offer basic genetic screening/carrier tests, and send you for genetic counseling as needed.  Our midwifery philosophy is that an educated and well-informed woman can make decisions for herself, therefore we respect your wishes to decline any testing or procedures as well. 


ULTRASOUNDS

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Regarding the number of ultrasound scans required for pregnancy, we support the guideline set by the IAUM, which states that pregnancy scans should be performed at "the lowest level needed".  This means that for a low risk pregnancy, an ultrasound is not routinely required in the first trimester.  In a few instances when the due dates are hard to determine, a quick first trimester scan can be useful.  But more commonly, the first (and usually only) ultrasound scan for our clients is what is called the Anatomy Scan performed at twenty weeks.  This gives us confirmation that your pregnancy is going well, and that your baby is growing normally.  As midwives who do positional work to keep your baby in the correct alignment, we are also interested in details such as the position of the placenta.