Our Model of Care

Our care is deeply rooted in the philosophy that birth is a normal and safe physiologic process for healthy, low-risk individuals. We keep birth safe by performing regular risk assessment throughout care, meaning we routinely screen our clients for health conditions that could negatively impact the pregnancy, birth, or postpartum. As licensed midwives, we are bound to laws and regulations that can be found at:
http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_332/332_025.html

Our cozy office

Our cozy office

Comprehensive Prenatal Care

We provide thorough and individualized prenatal care to each of our clients. Our visits allow for up to a full hour of time for us to check in with you regarding your physical and emotional wellbeing, perform vitals, palpate and listen to the baby, answer any questions you may have, and often just learn more about you and your family. We welcome and encourage you to bring your partner, your older children, and any other family members or friends you wish to your appointments. We believe in the importance of including your loved ones in this very special and magical time in your life.

We draw from several modalities of healing from nutritional support to herbal remedies to referrals for prescription medications. We believe that most minor discomforts in pregnancy can be effectively treated with exercise, nutritional modifications, body work, herbal medicine and a good old-fashioned rest and relaxation. However, we also believe in the importance of medications and antibiotics when they are needed. Our goal is to meet our clients where they're at and provide the education and information necessary for them to confidently choose how to care for their body.

The midwives at Rose City Midwifery are skilled at performing routine lab work including blood draws and cultures throughout your care. We follow the routine medical schedule of an appointment every 4 weeks until 30-32 weeks of pregnancy, followed by every 2 weeks until 36 weeks of pregnancy, and then every week until we meet your baby!
Beginning around 41 weeks, we offer referrals for increased fetal surveillance, as this is the medical standard once a woman has gone more than a week past her due date.   

 
Prenatal home visit with midwife Liz

Prenatal home visit with midwife Liz

 

24/7 On-Call Support

At the beginning of care, you will be provided with your midwives phone numbers, where you will be able to immediately reach them at any time throughout your care. We encourage our clients to reach out any time day or night if they have a concern with their body or with their baby and to feel free to call us during business hours with questions that may arise between appointments. This type of support is one of the many facets of midwifery care that is far superior to what is offered through the hospital care system. 

Attentive Labor Support

We often perform home visits in early labor to ensure that mom and baby are doing well and to offer gentle support and advice. In addition, we maintain close contact with our clients via telephone, as we all patiently await a strong labor pattern. We then provide continuous support once active labor begins or once our client requests our support. We practice intermittent auscultation (listening) of the baby every 15-30 minutes in active labor and after every other push during the pushing phase. Safety is our top priority at each birth we attend.

What safety equipment do we bring to births?

  • Handheld doppler to carefully monitor fetal heart tones
  • Vitals equipment 
  • IV fluids and equipment with ability to administer IV penicillin for GBS prophylaxis
  • Medications to control postpartum bleeding or manage placental delivery
  • Oxygen with masks
  • Newborn resuscitation equipment
  • Suturing equipment and Lidocaine
     
Home birth with midwife Liz

Home birth with midwife Liz


Water Birth

At Rose City Midwifery, we offer water birth to all interested clients. Nearly all of our clients find themselves in the water at some point in their labor and many birth their sweet babies there. 

Benefits of water birth include:

  • Relaxation
  • Pain relief--thereby decreasing the need for drugs and interventions in labor
  • Offers the mother a private and protected space
  • Reduces blood pressure
  • May reduce vaginal tearing

Compassionate Postpartum Care

Aside from the amazing prenatal and labor support that the Rose City midwives offer, we also practice well baby and well mama care for 6-8 weeks postpartum! The first three postpartum visits occur in the comfort of your own home at 24-36 hours, 3-4 days, and 1 week postpartum. We believe in the importance of coming to you during this time of necessary rest and healing for you and your baby. The next three postpartum visits take place in our office at 2 weeks, 4 weeks, and 6-8 weeks postpartum. In addition, we remain on-call for our clients 24/7 during this time, as we know questions and concerns are bound to come up. We utilize and recommend a wide variety of resources during the postpartum period to provide our clients with the tools to feel confident in parenting. 

Postpartum home visit with midwife Melissa

Postpartum home visit with midwife Melissa

Gentle newborn exam

Gentle newborn exam

Weighing the baby after birth

Weighing the baby after birth

Skilled Lactation Assistance

The midwives at Rose City Midwifery are highly skilled and experienced in supporting the breastfeeding relationship between mom and baby. We are able to provide advice and recommendations if common breastfeeding difficulties arise. In these situations, we are happy to offer more home visits to weigh your baby and make sure things are improving. If a situation presents that is more complicated, we have access to wonderful lactation consultants (IBCLCs) who can offer lactation help in your home for an additional fee. 

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