Services

Complete Midwifery Care Overview

Initial Interview

This is a complimentary initial consultation that lasts approximately 1-2 hours. Information about my practice, diet, nutrition and exercise is included. Common physical and emotional adjustments associated with pregnancy can be discussed at this tim.  In addition, a medical history is taken. 

Prenatal Care

Prenatal visits are scheduled regularly and will take place either in my home or yours. The visits are intended to be an informative, collaborative and fulfilling experience designed to meet the unique physical, intellectual, emotional and spiritual needs of the woman/couple. My typical prenatal care schedule for a low-risk woman with a normally progressing pregnancy is outlined below:

Weeks 4-281 visit per month (every 4 weeks)

Weeks 28-36    2 visits per month (every 2 weeks)

Weeks 36-Birth1 visit per week

During the prenatal visits, we discuss your pregnancy and preparations for birth. Issues relevant to each particular stage of pregnancy are also discussed. Each visit will include checking your weight, pulse, blood pressure and urine. I will measure your fundal height to assess how baby is growing, listen to fetal heart tones and palpate your uterus to check baby’s size and position.

Lab Work

Routine prenatal lab tests, including blood type, Rh facor, rubella titer, serology, hepatitis screen and HIV may be drawn. I do not recommend the use of routine prenatal testing such as ultrasound or amniocentesis without a legitimate reason for doing so. However, I follow the recommendations for standardized maternal tests as set forth below:

Blood Panel

A complete blood count will be taken initially. This test includes the following:  hemoglobin, hematocrit, analysis of red blood cells, white blood cell count, platelet count, a rubella titre, blood type, Rh factor, serology for syphilis, and hepatitis B screen. HIV testing is offered as well.

Repeat Hemoglobin & Hematocrit

These are taken at 28 and 36 weeks for all clients or as indicated.

Repeat Antibody Titre

This is the Indirect Coombs test and is done at 28 and 36 weeks for all clients with Rh- blood type.

Glucose Tolerance Test

This is a one-hour test with a minimum of a 50 gram glucose loading dose and is offered to clients between 26-28 weeks. Alternatively, a postprandial test via capillary draw is offered following a high-carbohydrate meal.

GBS

This is done between 28 and 36 weeks and is routinely offered to all clients.

Urinalysis

This is done routinely at all prenatal visits and checks the urine for protein, glucose, nitrites, ketones, bilirubin, leukocytes and blood.

PKU (Newborn Screening)

If parents choose to have the PKU test, I will arrange to do this at your home within 3 days of the birth.

PAP Smear

I offer this to all of my clients at the six week check-up and every two years thereafter as requested.

Home Visit

At least one home visit will be made during the third trimester, to assure that the home is ready for the birth and necessary supplies have been obtained. 

Birth Certificate

Filing of the birth certificate is a service that is provided by Song of Life Midwifery pursuant to C.R.S. § 25-2-112.

There may be limitations to your receiving care from

Song of Life Midwifery. Please view those here.

Insurance

Song of Life Midwifery is not covered under a policy of liability insurance.  I am happy to file a claim for benefits with your private health and medical insurance provider. I will need you to p rovide me with a current insurance ID card, along with an explanation of maternity benefits provided under your health plan. Payment is due in full at the time services are provided. Should your insurance company cover a portion of the cost, you will receive a refund check in the exact amount.