Our Process

The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.

Birth

The Midwives Model of Care includes:

  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
  • Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
  • Minimizing technological interventions
  • Identifying and referring women who require obstetrical attention

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.

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Click on the following tabs for more information about each phase of our process:

Prenatal Care

Prenatal Care

Prenatal visitWe provide complete prenatal care at the birth center. Routine appointments are done once a month until 28 weeks of pregnancy, every 2 weeks until 36 weeks of pregnancy, then weekly until delivery. We schedule appointments an hour apart so there is plenty of time for questions and discussion of your concerns. Every prenatal visit also includes standard clinical assessment of mother and baby including a blood pressure check, monitoring your baby’s growth and position and listening to your baby’s heart beat. You are encouraged to bring family and/or friends to your appointments.

HeartbeatLab work is done in our office. We will provide you with information about each test so that you can make an informed decision about your care.

Our ultrasound technician performs routine ultrasound for those who elect this service or for those with a documented need, such as an uncertain due date, viability, and fetal position. Our ultrasound technology meets the strict standards of the FDA and limits ultrasound exposure to the baby.

A midwife is always available if you have questions or concerns.

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Labor and Birth Care

Labor and Birth Care

Just bornBirths are attended by a team of one of the midwives and one or two student midwives. The team who attends your birth is determined by our call schedule. You may have anyone you wish present at the birth of your baby. During labor we provide guidance and support as well as ensure that the labor is progressing normally for both mother and baby. Many non-pharmacological methods of pain relief are offered during labor including birth tubs, massage, heat/cold, position changes and lots of encouragement. Families, especially first-time parents, are strongly encouraged to use a doulaDoulas are experts in labor support and can be an essential part of your birth experience.

Early labor evaluations may take place in the comfort of your own home or at the birth center. We will admit you to the birth center or stay with you at your home when you are in active labor. Upon admission or arrival at your home we will check your blood pressure, pulse, temperature and listen to your baby’s heart beat. We will continue monitoring your vital signs and your baby’s heart beat intermittently throughout labor.

The first moments after the birth of your baby are special. Skin to skin contact, bonding and breastfeeding are encouraged and actively supported by your midwives. We are able to make sure that mother and baby are doing well with a minimal amount of disruption. A thorough newborn exam, including weight and measuring is done a couple of hours after the birth. We make sure that both baby and mother are stable before they leave the care of the midwife. Thorough instructions are given and a midwife is always available for questions or concerns.

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Postpartum Care

Postpartum Care

foot printDuring the first week after the birth, we do two visits at your home to check on you and your baby. The first visit is done at 24-48 hours by the midwife who attended your birth. The second visit is done by our lactation consultant Erin McCarter, RN, IBCLC, to ensure that breastfeeding is off to a good start. At these visits we also provide Newborn Metabolic Screening, Newborn Hearing Screening, screening for Congenital Heart Defects and breastfeeding help. The birth certificate for your baby is also submitted and a social security number is requested during this time.

We will continue to see you at the birth center for postpartum and newborn follow-up until 6-8 weeks after birth. The postpartum period is a journey through many physical and emotional transitions. This journey is an essential part of motherhood and the developing family unit. Your midwives are here to accompany you and support you through this journey.

Check upOur midwives will provide normal newborn care for your baby for the first six weeks. All clients are asked to identify a newborn care provider for your baby in advance of your due date. If a concern arises, your baby will be referred to the pediatric specialist you have chosen for assessment and treatment.

Women may continue their care with us after the postpartum period, returning for annual exams, family planning and minor illness.

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Breastfeeding Support

Breastfeeding Support

Breasfeeding

We provide initial breastfeeding support at your second home visit. Erin McCarter, RN, IBCLC provides specialized support and planning for more complicated issues through Mothers Milk and More.

This service is open to the community and provides many different levels of service and treatment.

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Hospital Transport and Safety

Hospital Transport and Safety

Hospital TransportTreasure Valley Midwives works hard to develop and maintain relationships with medical experts in the field of maternity and newborn care. This relationship ensures the very safest care possible for families desiring home or birth center births. If a hospital transport becomes necessary, the midwives will accompany you to the hospital. We will continue to be an active participant in your care and will act as an advocate on your behalf.

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