Homebirth / Midwifery Services

Initial Contact and Meeting
When you contact Birthing Baby regarding Homebirth / Midwifery services, we will set up a free initial consultation. It is best if both you and your partner can attend this meeting. Consultations typically last about an hour. It will be my goal to answer all of your questions and to leave you with some additional food for thought.

Prenatal Care
Birthing Baby believes every woman deserves intimate, individualized care during her pregnancy. Say goodbye to 15-minute prenatal exams that feel rushed and impersonal. Birthing Baby’s prenatal visits are not limited to assessing the fetal heart rate and the mother’s blood pressure, weight, urine, and fundal height measurement.

On the contrary, we will spend time getting to know one another. We will have ample opportunity to discuss previous birth experience(s), how you are feeling physically and emotionally, your ideal birth scenario, and any concerns you might have. We will thoroughly discuss different options available to you, and you are encouraged to ask lots of questions.

Prenatal Care includes:
  • Home Visit Option - all prenatal & postpartum visits in your home
  • Office Visit Option - most prenatal visits & 2 and 6 week postpartum visits held at our Katy, TX office (near 99 & Westpark Tollway)
  • Initial prenatal visit lasting about 2 hours which includes a comprehensive health history and a physical exam
  • Regular prenatal visits lasting one hour
  • Routine lab work
  • Nutrition & exercise counseling
  • Midwife available by phone between visits for urgent questions/concerns
  • Referral for ultrasound (or other testing) if desired or indicated
  • Access to Birthing Baby’s book and video lending library
  • First-time parents welcome
  • Consultations and referrals as needed or desired

Care schedule includes:
  • Monthly prenatal visits until 28 weeks
  • Prenatal visits every 2 weeks from 28 weeks until 36 weeks
  • Home visit at 36 weeks (even if you choose Office Visit Option)
  • Weekly visits from 36 weeks until birth
  • Additional visits as needed
Labor and Birth Care
  • Labor and Birth in the familiar surroundings of your own home.
  • Mother is evaluated throughout labor, including her vital signs, labor history and progress, and emotional well being.
  • Vaginal exams are not the only way labor progress is evaluated and are not done on a strict schedule, but rather as requested by the mother or as indicated by her labor.
  • Baby’s heart rate is evaluated throughout labor using a fetoscope and/or Doppler.
  • Eating, drinking, position changes, showers, movement, birth pools, and birth balls are all encouraged to keep the laboring mother nourished, as comfortable as possible, and progressing in her labor.
  • Freedom of birth position and location, including birth pool
  • Herbal, homeopathic, and essential oil remedies available
  • We welcome the addition of a doula to your birth team and will provide referrals, if needed.
  • Midwife remains with you in the hospital in the event of a transport
Immediate Postpartum Care
“Routine procedures” include:
  • Immediately placing Baby skin-to-skin on Mother (if Mother didn’t catch Baby herself!)
  • Suctioning only if necessary
  • Initial newborn evaluation, including one- and five-minute Apgar scores done with Baby still on Mother.
  • Delayed cord clamping
  • Dimmed lights
  • Calm atmosphere
  • Breastfeeding as soon as Mother and Baby are ready and able

Approximately 1-2 hours after the birth, the newborn is given a head-to-toe newborn exam, including:
  • Assessment of heart rate, temperature, and respirations
  • Weight, length, head, and chest measurements
  • Thorough physical exam for any sign of deviation outside the range of normal
  • Observation and solicitation of reflexes
  • Assessment of physical and neuromuscular maturity
  • Vitamin K and erythromycin eye ointment are available

Midwife stays a minimum of 3 to 5 hours after the birth. Before the midwife departs:
  • Baby has had a successful feeding
  • Mother and Baby have been stable for a minimum of 2 hours
  • Care instructions for Mother & Baby have been reviewed
Postpartum Care
Birthing Baby’s postpartum care includes:
  • Evaluations of mother’s physical recovery and emotional well being
  • Breastfeeding evaluations and support
  • Evaluating the newborn (including for jaundice & appropriate weight)
  • Inquiries into family adjustment
  • Newborn screening offered
  • Birth certificate filed within 5 days of birth
  • Application for newborn’s social security number
  • Midwife available by phone between visits for urgent questions/concerns
  • Consultations and referrals as needed
Care schedule includes:
  • Daily contact (phone or home visit) for the first week after birth
  • Home visit between 24-48 hours
  • Home visit between days 3-5
  • Optional home visit on day 7
  • Home or Office visit at 2 weeks, depending on package selected
  • Home or Office visit for well woman care at 6-8 weeks, depending on package selected.
Contact me for your free consultation