“To rediscover midwifery is the same as giving back childbirth to women.” Michel Oden
The day your baby is born is one of the most exciting, important, and joyful days of a woman’s life. Midwifery care is unique in recognizing birth as a natural, normal, and healthy event. Midwifery includes comprehensive prenatal care, home birth, and postpartum care. Included is extensive information on nutrition, exercise, prenatal testing, and newborn care.
Pregnancy and childbirth are normal, healthy, physiological processes. Home is the ideal environment for birth to unfold naturally. As educated, professional, trained, skilled practitioner, I respect the natural rhythm of the birth process. I believe strongly in a woman’s ability to give birth. I am trained to take appropriate action when necessary and refer a woman and her baby accordingly when medicalized attention may be necessary beyond what can be provided in the home.
Your prenatal care will focus on caring for you and your growing baby, on the prevention of problems, and prepare you for a natural spontaneous birth. Prenatal visits take place in your home and often last about an hour allowing ample time for all family members to feel cared for and for your questions to be answered. During each visit the health and well-being of both the expectant woman and her baby are monitored. As your care provider I support you and your family with open dialogue about risks, benefits, and alternatives around your choices during pregnancy, labor, birth, and the postpartum period. Prenatal visits occur monthly until 28 weeks, twice monthly until 36 weeks, and weekly until the birth.
During a home birth I monitor the natural process as it unfolds and offer guidance as necessary. Your birth care will be unique and respectful of your wishes with the need for privacy balanced with the changing needs of physical and emotional support. After birth I will remain for several hours to assess the mother and her baby, to make a meal, start laundry, and clean up as well. A thorough newborn exam is performed with your baby next to you.
Care during the postpartum period is essential to a woman’s complete recovery as well as her long-term health. Postpartum home visits occur on day one, day three, and day five, two weeks, and around six weeks postpartum. The care of the new mother will address the physical and emotional aspects of the postpartum and newborn period.
As your midwife I am dedicated to you. I have a low client load which allows for more personalized and comprehensive care than other types of providers. I prioritize your care and do not take spontaneous vacations or commit to other obligations during your “on-call” time. I know that quality of care greatly suffers when fragmented amongst providers, so the midwives you meet during your prenatal care are the midwives that will attend you during birth and postpartum period. There will not be shift changes or assistants you’ve never met at your birth. Full continuity of care is part of what makes homebirth comfortable for you and your family and safe; there’s only so much a chart can say to describe a person and their individual needs and desires.
I am a primary student midwife pursuing a degree through the National College of Midwifery. Once I complete my degree I will sit for the national exam to be a CPM.”Certified Professional Midwife (CPM) is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The CPM is the only midwifery credential that requires knowledge about and experience in out-of-hospital settings.” – NARM.org
Since I am a student I work under the direct supervision of area CPMs. That means that a senior midwife will be present with me at your prenatal visits, your birth, and for postpartum visits. This assures you are receiving the most current and update level of care along with the benefit of having two midwives to attend to you. I am currently offering midwifery care on Nantucket including well woman visits, prenatal care, home birth, and postpartum care under the supervision of Audra Karp, CPM.
- Outcomes associated with planned place of birth among women with low-risk pregnancies, Canadian Medical Association Journal, 2015
- Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician, Canadian Medical Association Journal, 2009
- Outcomes of planned home birth with certified professional midwives: large prospective study in North America, British Medical Journal, 2005
- Meta-analysis of the safety of homebirth, Birth, 1997