Midwifery Care

The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes. 

Our midwives and doulas provide woman-centered health care so you can be a key player in making decisions for yourself and your baby. Photo: Chrystal Cienfuegos Photography

The Midwives Model of Care includes: 

  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle

  • Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support

  • Minimizing technological interventions

  • Identifying and referring women who require obstetrical attention.

 - Midwifery Task Force, Inc.,

Prenatal Care

What you can expect from your home birth midwives:

Midwives specialize in normal low-risk pregnancy and reducing unnecessary interventions. We spend time getting to know you, your desires for this pregnancy and birth, and your unique concerns and health history. Midwifery care means being a key player in decision making for yourself and your baby.   

Prenatal visits are individualized and typically are 30-60 minutes long. We listen to you and trust you know your body and baby best. 

Nutrition is a key aspect of having a healthy pregnancy and home birth. We believe optimizing pregnancy outcomes starts with what you eat.

Testing options such as labs and ultrasound are discussed with you ahead of time so that you can make an informed decision about your care. 

Each prenatal visit with your midwife includes palpating your belly to see what position your baby is in and measure growth. 

Involving partners and the baby's siblings is a special focus of our care. Siblings can participate in listening to the baby's heart and can enjoy learning how the baby is developing and growing! 

Most prenatal visits with the midwives are done in our North Park office, but some San Diego families arrange for home visits throughout their pregnancy - ask us for more details. At 36-37 weeks Sarah and Brittany along with our birth assistant will do an in-home prenatal visit to review set-up and supplies for the birth. This is a great time for us to meet any birth doula, family members or a friend that you plan to have at the birth supporting you. 

Birth 

At your birth we strive to keep a quiet low-key presence.

 Photo by Catie Stevens,  Vuefinder Photography

Photo by Catie Stevens, Vuefinder Photography

Many families choosing a home birth midwife are looking for privacy, support and safety from their providers. During your labor we use a hand held doppler to listen to the baby's heart and will assess your vitals. 

You are able to move around freely and eat and drinking is encouraged. After the baby is born and you've had plenty of true skin-to-skin snuggle time, we do a head-to-toe assessment on the baby.

Bonding with baby means more than giving the "golden hour" at home births. Baby and mom are given couplet care, and most vitals and newborn evaluation is done with baby right on the mother's chest without interruption for several hours if possible. 

Postpartum midwifery care 

Around 24 hours, 3 days, and at 1-2 weeks we do in-home postpartum visits to weigh baby, support breastfeeding, and take mom's vitals.  We are available 24 hours if you have any questions or concerns in-between midwifery visits. At 4 weeks, 8 weeks, and 6 months you are offered in-office visits to continue to support your family.

The postpartum time is a key focus on our care. The six month visit is a great time to discuss nutrition and emotional well-being (and we love to see how our client's little ones have grown)!