Midwifery Care
Personalized, culturally grounded care for pregnancy, birth, and beyond — welcoming and affirming of LGBTQ+ families.
Midwifery Fee $7,700
What to Expect from Midwifery Care
1
Pregnancy Support
Comprehensive physical, emotional, and cultural well-being alongside strong clinical care. Prenatal visit schedule: • Every 4 weeks until 28 weeks • Every 2 weeks from 28–36 weeks • Weekly from 36 weeks to birth Care includes: • Comprehensive clinical care: vitals, fetal growth and position, and ongoing assessment of maternal/parental and fetal well-being • Ordering, interpreting, and managing labs (including NIPT, prenatal panel, glucose screening, and additional testing as indicated) • Coordination of imaging, consultations, and referrals when needed • Early recognition, management, and/or referral for complications outside of midwifery scope • Nutritional, supplement, and herbal support tailored to your needs • Continuity of care with time for meaningful conversation, questions, and informed decision-making • Ongoing communication and access for questions and concerns, with clear guidance on response times and urgent needs • Trauma-informed, culturally humble care that honors traditional practices and ways of knowing As appropriate throughout care, we will also cover: • Preparing your home and gathering birth supplies • Understanding the stages of labor and what to expect • Comfort measures, movement, and partner support in labor • Body feeding/baby feeding options and early newborn care • Postpartum recovery, healing, and integration of traditional practices • Newborn procedures, screenings, and informed choices • Mental, emotional, and family transition into parenthood • Planning for variations, including when transfer of care may be recommended
2
Labor, Birth & Immediate Postpartum Care
• On-call availability from 37–42 weeks • Early labor support via phone and/or video, with guidance on when in-person support is needed, and in-person presence during active labor • Ongoing monitoring of maternal/parental vitals and fetal heart tones throughout active labor • Medical equipment and medications on hand, including oxygen, IV supplies, hemorrhage management, and neonatal resuscitation • Support for movement, positioning, and comfort measures (including water birth options) • Respect for cultural, spiritual, religious and family traditions during labor • Attendance by 2 licensed midwives and possibly another trained birth assistant • Coordination of hospital transfer if needed, with in-person support and advocacy Immediate postpartum care includes: • Ongoing monitoring of maternal/parental vitals, bleeding, and uterine tone • Complete newborn assessment and exam • Support with initial feeding and bonding • Administration of newborn medications (e.g., Vitamin K, eye ointment) as desired • Suturing of perineal tears when indicated • Continued care in your home for 4–6 hours (as needed)
3
Postpartum & Newborn Care
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Complete, holistic and clinical care for both you and your newborn in the weeks following birth. Postpartum visit schedule: • 24–48 hour home visit • 3–4 day home visit • 1 week home visit • 2 week home visit • 4 week home visit • 6 week home visit Care includes: • Ongoing assessment of maternal/parental recovery: vitals, bleeding, healing, and overall well-being • Complete newborn care through 6 weeks, including: feeding assessment, weight checks, monitoring newborn adaptation, and early identification of concerns • Newborn screenings, including CCHD (critical congenital heart disease) screening and state newborn metabolic screening • Feeding and lactation support • Monitoring for common postpartum and newborn concerns, with referral as needed • Screening for postpartum mood and emotional well-being • Guidance on newborn care, sleep, and family adjustment • Support for healing—physical, emotional, and culturally grounded practices (including herbal care and traditional postpartum support) • Ongoing access by phone/text for questions in the early weeks • Complimentary follow-up visits at 3, 6, 9, and 12 months postpartum to support your continued transition
