Home Birth Midwifery Care

Why home birth?

Because you feel confident in your ability to birth. Because you're healthy, not sick. Because birth is normal. Because you want to know exactly who will attend your birth. Because you feel safe at home. Because you want a female provider. Because you don't want surgery. Because you want more than one or two people present at the birth, and your kids, too. Because maybe you've done it before and you know you can do it. Because you've done it before and know that you deserved better care. Because you want care that doesn't trigger past trauma and supports your healing. Because you want to birth in water. Because your partner wants to catch the baby. Because your dog is a great doula. 

Home birth midwifery follows the midwives model of care, which emphasizes birth as a normal physiological event, and sees the midwife's role as supporting and maintaining that normalcy. Midwives work with people who take personal responsibility for their wellness, including eating nourishing foods, moving their bodies, and managing stress. Home birthing parents expect exceptional care, but they don't expect their provider to make all the choices. They are well informed about the options available to them and seek out care that minimizes technological interventions, recognizing the negative impact of routine intervention on childbirth in America

Contact me to discuss whether home birth is right for you. I expect to meet the requirements of midwifery certification through the National Association of Registered Midwives in 2018. Due to licensing restrictions, I am not able to serve as a primary midwife for residents of New Hampshire, though I recommend the midwives at The Concord Birth Center (Concord), and Paige St. Cyr (Seacoast), and can work with them as an assistant midwife or doula to support you.


But what if... 

In Massachusetts, nine out of ten intended home births take place at home. Of those who transfer for medical care, the majority do so for non-emergency reasons, particularly for a long labor that would be helped out with an epidural and some rest.

Birth has a wide range of normal. Midwives work with healthy people, healthy pregnancies, and healthy babies because they represent the lowest risk population for whom all the options--including out of hospital birth--should be available (as they are in the United Kingdom, for example). However, we are also trained to manage complications of birth. For example, I carry anti-hemorrhagic medications, equipment to help a baby transition to breathing air, and oxygen. There is an experienced assistant midwife present at the birth who is current in her neonatal resuscitation and CPR certification.

And, if things aren't in the range of normal, then I'll tell you and we'll go to the hospital. I bring your prenatal and labor records, and will stay with you as labor support through your birth, providing postpartum care as normal.

 

Prenatal Care

  • Hour-long prenatal appointments: monthly until 28 weeks; bi-weekly appointments from 28-36 weeks; weekly appointment after 36 weeks assessing your vitals, your baby's growth and heart rate, discussing your pregnancy and planning ahead for your birth and postpartum
  • Lab work: CBC (hemoglobin and hematocrit), blood typing, antibody screening, blood born pathogen screening, rubella immunity status, Vitamin D, thyroid hormone levels,gestational diabetes screening, group-B strep (GBS) screening, urinalysis and other labs as needed
  • Nutritional, herbal and lifestyle counseling for a healthy pregnancy and for common pregnancy and postpartum challenges
  • Referral for ultrasound and additional labwork as needed or desired

Birth

  • Midwifery care from myself and one additional professional midwife through labor, birth, through 3-5 hours postpartum

Postpartum Care

  • Home visits at 24 hours postpartum, additional visits in the first week postpartum, then at two weeks and six weeks postpartum, and as needed, assessing both parent and newborn wellness
  • Newborn screening
  • Breastfeeding support