I provide care for women through their normal childbearing cycle. I am trained to identify deviations from normal and consult with or refer to a physician when appropriate. In situations where complications arise during labor and delivery, I will make arrangements with the medical staff and fax your records appropriately. I do not have hospital privileges; once in the hospital, the staff and the attending physician take responsibility for your medical care. I am trained in the management of complications if the situation requires immediate action. I bring basic equipment and supplies needed for the management of normal childbirth and common complications such as non reassuring fetal heart tones, neonatal resuscitation and maternal hemorrhage. I can repair most vaginal lacerations in the event of a tear.
Prenatal care includes, but is not limited to, a general physical exam, gynecological exam, assessment of fetal growth and activity, nutritional counseling, standard prenatal care, monitoring blood pressure, urine test for presence of glucose and/or protein, weight of mother, lab work, childbirth education, home birth preparation, conservative screening for risk, as well as thorough explanations of each procedure. Limited OB ultrasound is available in the office.
Once you are at least 37 weeks, you can stay home and have your baby. Your birth will be attended by a licensed midwife. Please notify me early in your labor to ensure my presence at your birth. I can be in contact with you through out labor and assist you in the delivery of your baby. My primary tasks are to monitor the mother and baby for any deviations from the normal and assist you as needed. Midwifery care offers a minimum of two hours after delivery.
A newborn exam on your baby will be offered within the first two hours of birth. Newborn eye medication, Vitamin K, and the PKU test are offered as indicated. I recommend that your baby see a pediatrician or your family physician by two weeks for normal newborn care.
Phone communication is available at anytime. I offer to see you and your baby during the first week, three weeks, and six weeks in my office. Additional visits and home visits are available as indicated. At six weeks, I will offer a Pap smear on you and check to see that you have healed properly. If you have family planning concerns, I will be happy to discuss these options with you. I will complete and file the birth certificate.