Appointments are 30-60 minutes long, depending on how many questions you have.
You won’t feel rushed, and you will have plenty of time to discuss any concerns or questions you have regarding your pregnancy and upcoming birth. Older children are very welcome at prenatals– there are quiet toys available, and children are always included in the process (getting to help listen to the baby, etc.)
Throughout your prenatal care, your midwives will be screening for potential complications using basic physical assessment, assessing baby’s growth through palpation and measuring fundal height, assessing heart tones, blood work, urinalysis, and further testing as necessary or desired.
We typically use a doppler to listen to baby’s heart tones, but we do have a fetoscope and pinard horn available, if you wish to avoid ultrasound waves prenatally.
Labor & Birth
As during your prenatal care, your midwife will work proactively during labor and birth to prevent complications, and will also be doing basic screening of your physical well-being as needed; monitoring temperature, blood pressure, urinalysis, etc. Your midwife will monitor your baby’s heartbeat with a doppler, a handheld machine that uses ultrasound to listen to fetal heart tones intermittently throughout your labor and birth.
We will usually be in contact during early labor, and depending on your history and how well you are coping, we will decide when you need
your midwife at your house.
Another midwife or student midwife will be assisting during your birth, but your primary midwife may initially come on her own.
When the midwives arrive, they will set up their supplies and emergency equipment and provide whatever support you are needing and wanting. Rebecca is happy to fill a doula role and provide emotional support, talking you through contractions, offering back pressure and more.
We will suggest positions for comfort and ideal baby positioning as well as monitoring vitals of mom and baby frequently.
Baby’s vitals will be monitored during labor via doppler through intermittent
auscultation. If you choose to have a waterbirth, you don’t need to get out of the pool for us to monitor baby’s heart tones (usually…).
A waterbirth pool is free for clients to use for the birth, you only need to buy the liner and hose. The water pump for emptying the pool after birth is also provided free of charge.
A birth stool is available– many moms really enjoy using it while pushing.
As soon as baby is born, she will come right up on your chest. We will check her heart rate and respirations while she is in your arms. If any suctioning is necessary, it can be done right there on your chest.
We will wait until the cord has stopped pulsing to clamp and cut– if you prefer to wait until the placenta is delivered, that can almost always be accommodated as well.
We will provide assistance with breastfeeding immediately after birth.
We will do a newborn exam about 1-2 hours after birth, checking for normal development and reflexes. We will weigh and measure baby, as well as putting ink footprints on a fun homebirth birth certificate.
As for the real birth certificate– we will file it within 2 days of the birth, and you will receive baby’s social security card in the mail a few weeks after the birth automatically.
Approximately 2 hours after the birth, as long as both mom and baby’s vitals are holding steady, we will tuck you into bed and let you enjoy your new family in privacy.
A midwife will be back to check on you 24-48 hours after the birth (or sooner, if you need us, of course!). We will re-weigh the baby to make sure she isn’t losing too much weight, check on breastfeeding and your bleeding and/or tears, and make sure everyone’s vitals are still good.
We also offer newborn screening, CCHD screening, and hearing screening.
We will then see you at the office at 2 weeks and 6 weeks postpartum to continue checking baby’s weight, your emotional well-being, and all other aspects of postpartum care.
Rebecca or one of the midwives she works with is available 24/7 by text message, email, and phone until 6 weeks postpartum. We do request that non-urgent matters be reserved for normal business hours 🙂
What if complications arise?
Midwifery very much focuses on prevention rather than damage control. Thus, we will spend a lot of time discussing nutrition, supplements, exercise, and chiropractic care to keep you and your baby in optimal health — this greatly reduces any chances of complications. However, when complications do arise (and although rare, they do happen, even to people who have done their utmost to stay healthy), Certified Professional Midwives have been trained to handle those complications quickly and effectively.
We will not hesitate to transfer to doctors trained to handle issues outside of our scope, but at the same time, we will work very hard to keep you low risk so you can have the homebirth you desire.
Midwifery in Oklahoma
Certified Professional Midwives are not regulated by the state of Oklahoma. The state is aware of us, and requires us to file birth certificates and metabolic newborn screens, but they have not had any reason to put specific laws and regulations in place.
As you search for a midwife who will be the perfect fit for you and your family, I won’t be offended one bit of you don’t choose me. However, please be aware that anyone can call themselves a midwife in Oklahoma, so make sure the midwife you choose has plenty of training and is qualified to provide good care during your pregnancy and birth.
There are two organizations in Oklahoma which most reputable midwives are a part of, and which regulate their members and keep them accountable through peer review. I am a member of both. You can check their websites for listings of other certified and licensed midwives in the state.