We are glad
that you are considering midwifery care. Your
dedication to exploring all your options will enable you to have
the safest and most rewarding birth possible.
We offer many services:
and Nutrition Counseling for Pregnancy
Hospital Support during Birth
Certificate filing and Newborn Screening tests
Support and Counseling
Prenatal Care is offered, typically once a month until the last
trimester, then biweekly and weekly depending on risk factors
and maternal request. Most prenatal visits will take place
in the office, but special arrangements and situations can arise,
and home visits are a possibility. One home visit prior
to delivery, usually at 36 weeks, is routine.
As licensed midwives we will provide a detailed informed consent
document at your first prenatal visit. A consulting relationship
with a physician or nurse midwife with hospital privileges will
be available if risk factors develop. Depending on the
parents’ preference and the physician’s needs, mothers
may alternate appointments between us or in many cases, see the
doctor occasionally and get prenatal care primarily with your
During a routine prenatal visit we will discuss any questions,
concerns, and feeling about the mothers changing body and the
upcoming birth. We will also perform a urinalysis and check
weight, blood pressure, pulse, fundal height, fetal heart rate,
fetal position and other physical changes associated with pregnancy.
An obstetrical and medical history will be taken and discussed.
We schedule each prenatal appointment for one hour to allow
time to get to know one another, and discuss the pregnancy and
birth. Questions are welcome and discussion of your hopes
and desires for your birth experience. The more parents
know and understand, the better able they will be at making the
best decision for their birth.
At the home visit, we will go over the supplies that will be
needed for the birth and the birthing space. We will ask
that the supplies be arranged prior to that visit so that we
can become familiar with the organization and preparations for
Labor and Delivery
Unless something special
has been arranged, we are always available (24 hours a day,
seven days a week) from 37 weeks gestation until delivery. In the rare case of a family emergency or serious
illness that would make it impossible for Jane to attend a birth,
we will do everything possible to make sure the birth would be
attended by another midwife with similar training and expertise. During
the periods of time that we do not have anyone due (37 weeks
or more gestation), we will be off call. In this instance,
we will always leave the phone number of another midwife to
answer any pressing questions, emergency calls, or help in
understanding any unusual complications that may arise.
We want to be notified as soon as any signs of labor begin or
if any abnormal changes occur. We will come to the home
and monitor labor when it is deemed appropriate. We will
remain present during labor to check all vital signs and evaluate
the baby through fetal heart tones and position. Cervical
changes will be monitored as needed.
It is our goal to honor all aspects of a birth plan. If
complications do arise, we will explain how that will change
the options. If the complication is of an urgent nature,
we will notify the nearest medical facility and initiate transport.
An emergency transport plan will be discussed with you at your
initial visit. If a transport to the hospital becomes necessary,
we will remain with the parents to do our best at providing as
many of the aspects of the birth plan as possible.
After birth, a complete newborn exam will be done. Eye
prophylaxis and vitamin K are available. We will provide
help in establishing breastfeeding. The mother can shower
or we will do a sponge bath in bed. The mother will also
receive a complete postpartum evaluation. All birth laundry
will be put to soak in cold water or washed. We will stay
between three and four hours or until the mother and infant are
The Postpartum Period
We do three exams in the
seven to ten days following the birth. The
first is done 24-36 hours after the birth, and it includes a
complete newborn exam and a maternal assessment. The following
visits are to assess jaundice levels, assist with any breastfeeding
problems, assess newborn weight and well being, and answer any
questions. The second visit usually happens at about three
days. The Newborn Screening Test is available and recommended
during this visit. For more information about newborn screening
in Wisconsin, please visit:
The third visit occurs when your baby is about one week old.
We will weigh your baby at this visit. If your baby has
not returned to birth weight, another weight check will be scheduled. If
you would like further weight checks, or a six week appointment,
they can be scheduled at the office.