Prenatal Care


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.   I will guide you through pregnancy, providing regular visits: 

  • 1st appointment – 28 weeks: appointments once per month  
  • 28 weeks – 36 weeks: appointments twice per month  
  • 36 weeks to birth of your baby, appointments weekly  
  • Medical/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  

Labor and Birth


We believe that birth is sacred.  We will support you during one of the most intimate experiences of your life. Respectful and personalized care that reflects your beliefs and birth choices.  

  • Family involvement throughout the labor and birth process is welcome and encouraged  
  • Labor support and comfort techniques including positional guidance, massage, hydrotherapy, and use of essential oils  
  • Full clinical assessment of maternal and fetal health throughout the labor and birthing process  
  • Techniques for avoiding perineal lacerations by gently guiding you through your pushing stage and the use of warm compresses and water birth  
  • Perineal evaluation and if necessary, use of numbing agents and advanced suturing skills or other repair techniques  
  • Immediate and continuous skin-to-skin contact between mother and baby to promote bonding and encourage the initiation of breastfeeding  
  • Delayed cord clamping to assist with transition of baby as he/she begins to breathe on their own, as well as allowing the completion of blood volume to the newborn  
  • Comprehensive newborn examination  
  • Breastfeeding support  
  • Access to anti-hemorrhage medications  
  • Erythromycin and Vitamin K injection available for the newborn, if consent given  
  • VBAC (Vaginal Birth After Cesarean)  

Postpartum and Newborn Care


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), CCHD (critical congenital heart disease screening and be referred for hearing screening  
  • Continued assessments of the physiological and emotional well-being of the new mother  
  • Pap smears available at final postpartum visit, if needed  
  • Documentation of birth certificate and social security filed with the state