Personalized Midwifery Care for Pregnancy, Birth and Postpartum

Pregnancy and birth are deeply personal experiences. Our goal is to provide individualized, evidence-informed midwifery care while respecting your preferences, your family and your vision for birth.

From your prenatal visits through labor, birth and postpartum recovery, you receive continuity of care with a midwife who knows you, your pregnancy and your birth plan.

Our care combines the natural and holistic approach families often seek when choosing home birth with ongoing clinical assessment, education, informed decision-making and preparation for the unexpected.

Our services include:

• Comprehensive prenatal care

• Home birth

• Labor and birth care

• Water labor and water birth

• Postpartum care

• Newborn examination

• Breastfeeding and lactation support

• Prenatal ultrasounds and laboratory testing

• Preconception counseling and screening

• VBAC and HBAC care

• Birth education and preparation

• Emergency preparedness and transfer planning

Prenatal Care

Prenatal care is about much more than checking numbers and listening to your baby's heartbeat. Appointments provide time for clinical assessment, questions, education and preparing for your birth.

Prenatal care includes:

• Routine prenatal visits and clinical assessment

• Monitoring maternal vital signs

• Monitoring baby's heart rate, growth and position

• Ordering and reviewing laboratory testing and ultrasounds

• Nutrition and supplement counseling

• Education and informed decision-making

• Emotional support throughout pregnancy

• Resources and referrals when appropriate

• Detailed client education and birth preparation

• 36-week home visit

• On-call access to your midwife from 37 through 42 weeks

Care is individualized according to your pregnancy, history, preferences and clinical needs.

Labor and Home Birth

Home birth allows labor to unfold in a familiar environment surrounded by the people you choose.

During labor and birth, your midwife provides ongoing clinical assessment while supporting movement, hydration, nutrition, rest and the physiologic process of labor.

Labor and birth care may include:

• Maternal vital sign assessment

• Monitoring labor and contraction patterns

• Intermittent fetal heart rate monitoring with a handheld waterproof Doppler

• Position changes and movement for comfort and labor progress

• Hydrotherapy and water labor

• Water birth

• Support for your partner and chosen birth team

• Immediate skin-to-skin contact

• Delayed cord clamping

• Support for either parent to help receive the baby when appropriate

• Quiet, unobtrusive observation following birth

• Protection of the golden hour and early family bonding

• Newborn examination

• Breastfeeding and early latch assistance

Doulas, family members and other chosen support people are welcomed as part of your birth team.

Safety and Emergency Preparedness

Planning a home birth also means planning responsibly for circumstances that may require additional medical care.

Emergency equipment and medications appropriate for out-of-hospital birth are available during labor and birth, including newborn resuscitation equipment, suction, medications for postpartum hemorrhage and IV supplies.

If circumstances arise during pregnancy, labor, birth or postpartum that require consultation, evaluation or transfer of care, we will discuss the situation with you and facilitate appropriate medical care.

Transfer is not viewed as a failure of home birth. The priority remains the well-being of you and your baby while helping you remain informed, supported and involved in decisions about your care.

Postpartum and Newborn Care

Our relationship does not end when your baby is born.

Postpartum care focuses on your physical recovery, emotional well-being, breastfeeding, newborn transition and adjustment to life with your baby.

Care includes:

• Initial postpartum assessment following birth

• Home postpartum visit

• Continued postpartum visits through approximately eight weeks

• Maternal recovery assessment

• Newborn assessment and weight monitoring

• Breastfeeding and lactation support

• Emotional support and postpartum resources

• Birth certificate and Social Security paperwork assistance

• Return-to-fertility education

• Exercise and recovery counseling

• Well-woman care options

VBAC and HBAC

A previous cesarean does not automatically mean that every future baby must be born by cesarean.

VBAC means Vaginal Birth After Cesarean.

HBAC means Home Birth After Cesarean.

TOLAC means Trial of Labor After Cesarean.

Cheryl Moore, LM, has extensive experience supporting families considering vaginal birth after cesarean. Every previous cesarean history is different, so VBAC candidacy is evaluated individually with careful consideration of prior surgical history, current pregnancy and other relevant clinical factors.

If you are considering VBAC or HBAC, we can discuss your history, available options and whether you may be an appropriate candidate for care.

Water Labor and Water Birth

Warm water can provide comfort, relaxation and freedom of movement during labor.

Families may choose to labor in water without giving birth in the tub, or may choose water birth when circumstances remain appropriate.

You may use an appropriate tub in your home, and birth pool rental options are also available.

Care That Respects Your Choices

Our philosophy is centered on informed decision-making.

You deserve to understand your options, ask questions, participate in decisions and receive straightforward information about benefits, risks and alternatives throughout pregnancy and birth.

The goal is not simply to have a home birth. The goal is to provide thoughtful, individualized midwifery care while helping you make informed decisions for yourself and your baby.