You can receive the entirety of your pregnancy, birth and postpartum care with Birthing Adventures Midwifery in the comforts of your own home or you can seek hybrid care with us in conjunction with another provider. With the magic of Maggie Otero, of Innovative Medical Billing, becoming a client with Birthing Adventures Midwifery makes getting PPO insurance Plans to reimburse your costs and cover private midwifery care with a nurse-midwife incredibly easy! For families choosing homebirth or hybrid midwifery care (see more below) my fee is covered! You can verify your insurance benefits with my biller at Innovative Medical Billing. A $25.00 fee applies.
prenatal care in the 1st, 2nd & 3rd trimester
Prenatal care with a midwife is joyful. Being on your turf, creates an openness that enables me to become an expert on you, your growing baby and your family. If at home visits are not safe or comfortable for you other arrangements can be made. As your baby grows I come to your home to monitor your progress. Care during the womb time includes: monthly visits until the 28th week of pregnancy, bi-monthly visits from 28-36 weeks and then weekly prenatals from 36 weeks until the birth of your child, all blood and screening tests, ultrasound referral as needed as well as 24/7 on call availability after 37 weeks of pregnancy is included in your care.
Hiring a private practice nurse-midwife provides you the luxury of not having to move locations during labor. It's like having your baby at a birth center, but not having to leave your house! When your birthing adventure begins you call me to let me know and I join you at your home. During your labor I listen to your baby’s heartbeat with a doppler and check your vitals regularly to ensure both you and the baby are thriving. You lead the way during labor, I provide support and offer guidance when desired or necessary. I weave my clinical skill with my relational knowledge, knowing that you are an expert in your own body and your baby. As your birthing time becomes more eminent, I call a second midwife to join us, who you have met during the prenatal period, so two care providers are available, one for mom and one for babe.
Once your baby arrives, I stay for a 4-6 hour period to support you and your little one’s transition and assist your baby’s first latch. I honor the golden hour, right after birth, allowing the family to bond with their newest addition. I tidy your space and provide you with sustenance. You will be able to walk around, use the bathroom, take a shower, and eat a meal. I provide a thorough head-to-toe newborn exam at the bedside, assuring you and your baby are physically stable and review with you what to expect over the next day and what danger signs for which to call.
4th trimester Care
One of the very best parts of midwifery care, that parents often overlook until they have had their baby, is postpartum care at home. The midwifery model prescribes visiting your nest during the first days and weeks of your child’s life, as your body transforms from one of giving life to sustaining it in order to prevent dis-ease before issues come up. Postpartum visits in your home at day 1, day 3-5, day 7, week 2 and week 6 include:
assessment, diagnosis and treatment of your physical, emotional and spiritual shift from one of pregnancy to one of nourishing a new being
monitoring baby and parent vitals
baby growth and weight checks
pelvic floor assessment
counseling/prescribing family planning options as desired
sexual health care
I offer holistic sexual health care. You can see me for annual exams, pap smears, screening and treatment of sexually transmitted infections and other vaginal infections, as well as contraception counseling and management. I can prescribe you oral contraception, such as "the pill", the nuvaring or place intratuterine devices (IUDs) such as the paragard, mirena and skyla. We can also discuss how to practice fertility awareness methods for pregnancy prevention. I offer preconception counseling, support individuals seeking to end their pregnancy and those navigating through pregnancy loss. I treat breastfeeding issues such as mastitis, low milk supply, sore nipples. You can also see me for treatment of menstrual problems, painful intercourse, or low libido. I am available to take care of your sexual health no matter your stage of life.
Midwifery Care for families choosing hospital birth
Midwife literally means with women. And that is why I offer midwifery care to mamas that desire hospital birth. I seek the best possible outcomes for my clients and for many that means birthing in hospital. I offer hybrid services for families that choose hospital birth as their best birth option. As part of this service you receive prenatal visits with me as well as your hospital care provider. I am on call for you from 37 weeks until the birth of your baby, I attend your labor and birth at the hospital, stay for 1-2 hrs postpartum, and provide postpartum care in your home for 6 weeks after discharge from the hospital.
I provide in home labor support, inclusive of dilation checks and fetal heart monitoring, these skills help to get you to the hospital at the right time. Once we reach the hospital, I act as your doula and advocate. As a midwife I use my clinical skills to keep you safe while laboring at home and my knowledge and training in the hospital setting to advocate for your best birth!
Once discharged from the hospital you receive at home postpartum visits.
Hybrid care includes:
on call services while working together
thorough assessment of your health history
lactation and infant feeding support
breast care and milk supply
parent vitals and lochia assessment
nutritional support and rest patterns
monitoring baby vitals, including baby growth and weight
education and support on healing