An interview is required prior to initiating care. During the interview I will assess your health and birth history to ensure that home birth is the safest option for you and your baby. You'll also have plenty of time to have all of your questions answered.

Prenatal visits allow for physical and emotional evaluation and care, as well as time for your family and your midwife to build an individualized relationship wguide you through pregnancy, providing regular visits: Intake appointment around 8-10 week then every 4 weeks until 28 weeks Every two weeks from 28 weeks – 36 weeks Weekly appointments from 36 weeks to birth of your baby /Pregnancy History Risk Assessment Nutritional and supplement Counseling All lab work required by the state of Texas and any additional that are indicated Urinalysis at Each Prenatal Visit Blood Pressure Monitoring Assessment of Fetal Heart Tones and Position of Baby 24-Hour Access to Your Midwife, for urgent needs Pregnancy/Childbirth Education Referrals Doula Referrals Sonogram Referrals Professional Referrals and Resources for All of Your Pregnancy Needs At your initial prenatal appointment, we'll offer a complete head to toe physical exam and draw a panel of blood work to assess your overall health status.

I will arrive at your home when you're in labor with the needed medications and supplies to monitor you and your baby throughout labor. You will have prepped your house and purchased a birth kit of needed supplies to have on hand by 36 weeks of pregnancy. Midwives are very skilled at keeping you home tidy and clean during the birth and leave your home in the same state as when they arrive. I will stay with you and your baby until you are comfortable & have initiated breastfeeding. You'll have an in home appointment in the first few days or as frequently as you and your baby's health require. The frequency of post-partum care is very individualized.

The first weeks of your baby’s life require a great deal of transition for your entire family. While we help you to prepare for this adjustment during prenatal visits, we continue to have routine communication to handle any questions or concerns that arise. Follow-up care appointments:  postpartum visit 24-36 hours after birth, 5-7 days and again at 2 weeks and 6 weeks postpartum Breastfeeding counseling and support Newborn physical exams and weight checks At the initial postpartum visit baby will have the first metabolic newborn screening test (2nd one to be done between 7-14 days), Continued assessments of the physiological and emotional well-being of the new mother Documentation of birth certificate and social security filed with the state

- Optimizing fertility and preparing your body for pregnancy - Understanding cervical mucus, basal body temperature, and fertility signs - Nutritional guidance for reproductive health - Cycle assessment and timing guidance for conception