| Mobile Midwifery's mission is to provide you with a safe and satisfying home birth using education in current research and clear communication to assist you in making the best care choices for you and your family. Our prenatal care consists of: * Monthly visits until you reach 28 weeks * Bi-monthly visits until 36 weeks * Weekly visits after 36 weeks until delivery During a prenatal visit we: *Check your vital signs and weight *Monitor the growth and development of your baby *Listen to your baby's heart rate *Offer ultrasound referrals and all prenatal testing We also take time to discuss: *Nutrition *Exercise *Any pertinent supplements, herbs or homeopathy *Your physical and emotional well being *Any problems or discomforts you are experiencing *Available prenatal and newborn testing *Test results *Turning a breech or posterior baby before labor if necessary *Any questions or concerns you may have Before labor begins, the midwife will educate you regarding how to recognize labor and when to call. When the midwives arrive at the birth they: * Listen to the baby to assess it's well being * Set up and check equipment * Observe your contractions to see how advanced labor is * Check the baby's position * Check your vital signs * Check your dilation if requested Throughout the labor we: * Follow your birth plan * Make sure you stay hydrated and well nourished * Encourage you to rest while contractions permit * Monitor the baby's well being * Monitor the baby's position * Monitor maternal vital sign * Provide emotional support * Suggest ways the father can provide labor support The first few minutes immediately following the birth of your baby is a powerful bonding time so we leave these moments uninterrupted as we observe the transition of both mother and baby. Typically we stay between 2 and 4 hours postpartum unless there is a need for us to stay longer, during which we: * Deliver the placenta * Assist with breastfeeding * Check for any tearing * Suture if needed * Perform a thorough newborn exam * Help the mom up to urinate and shower * Monitor mom and baby's vital signs * Clean the birth site * Give verbal and written postpartum instructions * Set up a home visit The midwives will come back to your home between 24 and 48 hours postpartum and then again between 3 and 5 days postpartum to: * Assist with breastfeeding and any breast problems * Check the baby's weight * Do the newborn screening test, if desired * Check mom and baby's vitals * Check any sutures to make sure they are healing properly * Answer any concerns * Give the birth certificate paperwork and social security paperwork We make daily phone calls for the first 8 days then we do two more postpartum home visits at 2 weeks and again at 6 weeks postpartum for the final visit. While babies have all of the reflexes they need to breast feed, it is actually a learned behavior. Some mother and baby couples transition without a problem into a good breastfeeding relationship but for those who don't, Mobile Midwifery is very experienced in teaching breastfeeding and assisting with a variety of problems, generally starting with baby-led latching. Mobile Midwifery is familiar with fertility awareness, natural family planning, non-hormonal contraception, hormonal contraception, IUD's and IUS's and can help you decide what method would best fit your needs at the end of your postpartum period. What is a Monitrice? A Monitrice is a woman trained to provide support not only during childbirth but also throughout the course of your pregnancy. A Monitrice is an experienced guide to offer support and assistance to birthing couples by providing labor support, consumer advocacy in the hospital and support in the home during the postpartum period. This is an ideal service for women who want a VBAC in the hospital or who would prefer a home birth but whose partner does not. The presence of a monitrice during labor allows you to labor in whatever position you choose and to stay home as long as possible. The further dilated you are before relocating to the hospital, the lower your chance of having an epidural or Cesarean. Our services are here to assist you in having the birth experience that you want. An important part of being a monitrice is helping you make decisions regarding your care that YOU will be most satisfied with. As a licensed midwife experienced in prenatal care, labor support, hospital transports, consumer advocacy and in-home postpartum care, Mobile Midwifery is a perfect fit for anyone desiring a hospital birth and personalized midwifery care. Monitrice services consist of: * A free consultation, no obligation to sign up * Prenatal visits starting in the 3rd trimester * Assistance writing a birth plan * Monitoring of both mother and baby during labor * Assessing cervical changes during labor * Labor support in the hospital * Consumer advocacy and education in the hospital * Two in-home postpartum visits The prenatal visits are intended to expand and supplement those of your primary health care provider. We educate, nurture, and prepare you physically and emotionally for birth. Your monitrice will come to your home when you are in labor and feel you want her support and input. Once there, she will monitor your vital signs and the baby's heart rate, assist with comfort measures and encouragement. She can also check for cervical changes and advise you of when you may need to go to the hospital. Your monitrice will follow you to the hospital and stay throughout the delivery and early postpartum to provide advocacy and labor support. She will then visit you twice in your home to provide assistance with breastfeeding support, answer any questions and check your vitals signs and the vital signs and weight of your baby. Mobile Midwifery offers: * PAP smears * Breast examinations, * Breast thermography (a non-radiation, non-invasive alternative to mammography) * Self breast examination education * Full physical exams and STD testing * Natural treatments for abnormal PAP smear results All of our Well Woman Care is done in the midwifery model. Exams are done gently and respectfully and we take time to answer questions, explain results and discuss options for any necessary follow up treatment. |
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