Dos and Don’ts For Your Third Trimester

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Congratulations, you’re nose’s away from the finish line! From counting kicks to choosing a name for your baby, the third trimester has much to offer. Midwife 360 has curated a handy guide to guarantee a healthy and pleasant birth. Below are the dos and don’ts for your third trimester. 

Fetal Development 

While you may feel enormous, your baby still has a lot of growing to do, meaning you do too! A baby’s bones, skin, hair, teeth, digestive system, brain, and five senses completely mature throughout the last three months. Babies will start turning upside down eight- full term in preparation for delivery.

Symptoms

With so much happening within your body, aches are bound to happen. Bodily functions like the bladder will become uncontrollable. You will experience significant stomach discomfort, exhaustion, heartburns, and body aches. 

The body will begin to warm up in preparation for nursing, which means your breasts will leak at the most inconvenient times. Although as a dedicated future Mother it’s important to persevere and know the delivery will be so much more rewarding. 

You also must call your midwife if you suspect something is wrong with you or the baby, even if you are unsure what it is. In pregnancy, it’s key to follow your intuition.

Do Stay Active 

You may believe that going to work is the greatest approach to divert yourself if you are experiencing mood swings. However, avoid hunching over your desk or sitting for extended periods of time. In just a few hours, it can cause back discomfort and exhaustion. Standing up will give the baby more space and allow you to breathe easier.

It is better to stay active throughout the last trimester of pregnancy in order to increase blood circulation for both you and your baby. So, limit the amount of time you sit, and if it’s difficult for you, set time intervals. These time intervals train your body and get you into the habit of staying active. Start as soon as you can even if it’s only standing for a few minutes at a time.

Maintain your fitness routine if you did it before becoming pregnant. Discuss and document any changes to your routine with your specialist, especially as you enter your second and third trimesters.

If you weren’t active prior to finding out you were pregnant, seek medical advice about introducing a fitness program into your normal schedule. Professional advice can help you choose a regimen that is both safe and pleasant for you and your developing child.

Do Practice Lactation

Your gynecologist will instruct you to condition your nipples for breastfeeding by the third trimester. The notion of breastfeeding can be daunting for most first-time mothers. You will come to realize that it is the best thing that could happen if you go forward with it. Following 36 weeks, you can begin stimulating your nipples to reduce pain and prepare your breasts for the baby.

Massaging or stroking your nipples stimulates the body’s production of oxytocin. Oxytocin is involved in alertness, labor induction, and intimacy between the delivering parent and child. This hormone also causes uterine contractions after delivery, allowing it to readjust to its pre-pregnancy shape.

Stimulating the breasts may also assist to induce complete labor by generating stronger and longer contractions. In clinical settings, healthcare workers frequently use the medication Pitocin, which is the manufactured type of oxytocin.

Sleep

Do : 

As you know, sleeping while pregnant is very tasking. Between finding the right position, kicking, and waking up in the middle of the night. You may have realized by now that it isn’t only about getting enough sleep. Your sleeping posture is extremely important in guaranteeing your child’s safety. 

We’ve found that sleeping sideways with a pillow is something you should try. It’s not only cozy, but it’s also safe for the infant. Sleeping sideways, according to physicians, also enhances blood flow to the placenta.

Don’t : 

There’s terrible news for those of you who like to sleep on your back, avoid it. The pressure increases backaches and hemorrhoids. Furthermore, it can impair digestion, and produce hypotension which can cause dizziness.

Nevertheless, don’t be alarmed if you suddenly find that you’ve turned onto your back overnight. Very few individuals sleep in the same position all night. There is no severe damage done, however, try to avoid this when possible.

The fact that you woke up in the first place is most likely your body’s way of signaling you to shift positions or to just use the bathroom…again.  

Do Take Vitamins 

Choosing a well-balanced diet high in essential nutrients is the greatest approach to give your body all of the required nutrients it requires to support a developing baby. Simply abiding by a balanced diet, on the other hand, may not be sufficient for pregnancy. 

Integrating prenatal vitamins include increased quantities of key nutrients that pregnant mothers need in higher doses, such as folic acid, calcium, and iron (although this should be done throughout your entire pregnancy).

These vitamins aid in the optimal stages of fetal development and help to avoid birth complications. 

Don’t Eat Raw Food

Raw or undercooked meat and eggs put you at risk of contracting E.coli and salmonella. Food poisoning is another concern. These illnesses are associated with major, life-threatening infections, which can result in severe birth abnormalities and even miscarriage. Ensure that all of the eggs and meat you consume at this time are fully cooked

Don’t Clean Kitty Litter 

Touch and caress your cat as often as you like, but steer clear from cleaning their litter box.

Billions of germs and parasites live in cat feces. One specifically is Toxoplasma gondii. This Toxin is particularly harmful to expecting mothers. 

Initial contact with this will pose issues with your pregnancy, issues such as miscarriage or stillbirth are common. Babies infected with this parasite may have major health issues, such as convulsions and mental abnormalities.

Further Questions

If you have any more questions about your baby’s health throughout pregnancy or your mental health, please contact Midwife360. P. Fadwah Halaby, owner, and trained midwife, and her team of midwives provide a comprehensive approach to gynecological and prenatal care. 

We firmly believe in empowering and educating each woman and family we serve. If you have any concerns or would like to make an appointment, please contact Midwife360 today.

Dos and Don’ts for Your First Trimester

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What is the First Trimester?

There are many dos and don’ts for your first trimester, but what exactly is it? The first trimester is the first of three phases of pregnancy. Your first trimester begins on week one and ends on week twelve, thus starting the second trimester. During the first trimester, there are several things to implement into your day-to-day and others to avoid. This is a critical stage in your pregnancy and the development of your baby.

Although it may not seem like a whole lot is going on during this time,  a lot is happening for both you and your baby. For you, first trimester symptoms may occur as early as a few days to weeks after conception. During the first trimester, you can begin to experience discomforts or changes such as:

  • Fatigue
  • Nausea/vomiting
  • Mood swings
  • Tender Breasts/ soreness in the chest area
  • Abdominal bloating
  • Cramping
  • Increased urination
  • Constipation
  • Food aversion or cravings
  • Change in sexual desire

While all first trimester symptoms are temporary for everyone, they can vary from mild to severe across individuals. Continue reading to learn some of the dos and don’ts for your first trimester.

The Dos

Food is Fuel

As with most things, you will need to fuel your body first, thus fueling your babies. Without proper nutrition in the first trimester, this could lead to poor fetal development. However, eating is not just about quantity; it is also important to focus on the quality of food and ensure that all needed nutrients are consumed.

Folic Acid Supplements

Folic acid is a nutrient that you should take during the first trimester. This vitamin helps to produce and maintain new cells and prevent changes in the DNA. There are many things folic acid does for your body, such as:

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Prenatal Vitamins

In addition to folic acid supplements, one should take prenatal vitamins daily. Prenatal vitamins contain specific nutrients for fetal development and help to replace the nutrients needed during the first trimester. These nutrients include calcium, iron, zinc, as well as omega-3 fats which help the baby’s brain development.

Proper Sleep and Exercise 

During your first trimester, your body is experiencing extreme changes which can play a big role in how tired you are. Your hormones and emotions are on a rollercoaster which can take a toll on expecting mothers. That being said, proper sleep, as well as frequent naps throughout the day, are essential. Your body needs between eight to nine hours of sleep each night.

When it comes to exercise, if you are someone who exercises regularly pre-pregnancy, keep it up! A regular exercise routine can help with hormone changes and restlessness. Before continuing your regular workout routine, check with your health care provider for the green light, or other options to move your body.

Stay Hydrated

Staying hydrated is essential for you and your baby’s health, as well as helping to prevent preterm labor. Keeping your body hydrated with water as well as vegetables helps to prevent headaches, kidney stones, and dizziness.

Choose a Doctor or Midwife

Choosing the perfect healthcare provider can seem like a stressful task because you want the best for yourself and your baby. You’ll want to find someone in a timely manner to ensure booking your first prenatal appointment. However, do your research and find someone whose beliefs and practices line up with yours and someone you can trust.

The Don’ts

No Smoking or Drinking

It is important to avoid smoking during pregnancy because women who smoke during pregnancy are more at risk of miscarriage. Furthermore, your baby is at greater risk for birth defects if you are smoking while pregnant. As for alcohol, there is no amount that is safe during pregnancy, it is important to stay away from it. Consuming alcohol while pregnant can also lead to miscarriage, stillbirth, and behavioral, as well as intellectual, disabilities.

No Raw Meat

Eating raw or undercooked meat and eggs is a big no-no during the first trimester. Consuming raw foods puts you at a higher risk of contracting listeriosis which can lead to miscarriage and life-threatening illness. Furthermore, toxoplasmosis is a parasitic infection that can easily become life-threatening as well as cause severe birth defects if not treated.

Avoid Caffeine

Although this may seem like an impossible task because of how tired you feel during your first trimester, try avoiding caffeine as best as you can.  Caffeine, although not always consumed by drinking coffee, is often found in chocolate as well as soda drinks. Caffeine does cross the placenta and can affect your growing baby’s heart rate. Some caffeine is safe in the first trimester and expecting mothers can consume up to 200 milligrams a day. However, this should not be exceeded.

Saunas and Hot Tubs are a No

Hot tubs, saunas, as well as steam rooms are out of the question during your first trimester. You should avoid these areas because it increases the risk of overheating, dehydration and fainting. A significant rise in your core temperature can affect your baby’s development.

Ask The Experts at Midwife360 about The Dos and Don’ts for Your First Trimester

If you need more information or are looking for a trusted midwife with years of experience, contact Midwife360. Opening the doors in 2014, Midwife360 quickly became a staple to women’s care in South Florida. Founder, P. Fedwah Halaby CNM, created Midwife360 as a holistic evidence-based practice for all midwifery services. This includes routine women’s care, family planning, pregnancy care, as well as home and water birthing.

Contact South Florida’s trusted midwives today to set up an appointment!

Antidepressants During Pregnancy

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The use of antidepressants during pregnancy is a controversial topic when considering the mental health of the mother, as well as the physical health of the baby. Women with depression may have an increased risk of harming the fetus if they continue to take certain antidepressants during pregnancy. However, depression itself can also harm your baby.

If you are pregnant or planning to become pregnant, talk with your health care provider about all of your options.

Depression and Pregnancy

Many women battling with depression are prescribed antidepressants by their doctor to help manage symptoms. For years, it was thought that pregnancy protected against depression. This mentality was due to the shifting hormones in a woman’s body. However, scientists now understand that this is not the case; nearly one out of every 20 women who take antidepressants has taken them three months before they became pregnant or during the pregnancy.

The use of antidepressants during pregnancy is a topic that remains controversial because it is unknown what effects these drugs can have during fetal development. Antidepressants are known to cross the placenta, entering your baby’s bloodstream. It is also unknown whether or not some antidepressants remain in your child’s body after they are born.

Antidepressants and Pregnancy

Many doctors and health care providers recommend avoiding antidepressant use during pregnancy if at all possible. Although this may be the recommendation, this can sadly not be the case for each woman suffering from depression. The reality is, some severe cases of depression require medication to help keep the person alive. If you need to stay on antidepressants during pregnancy your doctor or provider will monitor your baby’s growth and development closely throughout the pregnancy.

In 2006, the Food and Drug Administration (FDA) issued a public health advisory in regard to the use of antidepressants during pregnancy. This advisory talked about the possible risks of birth defects associated with antidepressant use. This prompted many women to stop using antidepressants altogether. However, studies show that up to one-third of pregnant women experience depression symptoms in the first trimester of pregnancy, beginning before they even realize they are pregnant.

Risks

During pregnancy, blood volume nearly doubles. This means that antidepressants are distributed to the baby through the placenta, which can lead to higher concentrations of medication in your baby’s body than their mother’s system.

There are many potential risks involved with anti-depressant use during pregnancy. If you take antidepressants, it is important to speak with your health care provider about the benefits and potential risks for yourself and your baby.

Some of the possible side effects associated with antidepressant use during pregnancy:

  • May lead to miscarriage or stillbirth
  • Can cause muscle problems in newborns.
  • Restrict fetal growth, resulting in small or underweight babies
  • Increased risk of birth defects such as cleft palate, heart problems, and limb malformations

In addition, babies exposed to antidepressants in the womb may experience withdrawal symptoms, such as:

  •  Breathing problems
  • Jitteriness
  • Irritability
  • Trouble feeding
  •  Low blood sugar (hypoglycemia)
  • Poor tone

Alternative Ways to Help Cope with Depression During Pregnancy

If you struggle with depression and are looking to steer clear of antidepressants during your pregnancy there are ways to help cope with your depression.

Some of these natural approached to depression include:

  •  Exercise more
  • Spend time outdoors
  • Practice yoga and meditation
  • Minimize your stress
  • Eat healthy
  • Get plenty of sleep

More Questions?

If you have more questions regarding the health of your baby during pregnancy and your mental health contact Midwife360. Owner and certified midwife P. Fadwah Halaby and her team of midwives strive to take the holistic approach to gynecology and pregnancy services. We truly believe in empowering and educating each woman and family we care for. Contact Midwife360 with any questions or to schedule an appointment today.

5 Natural Remedies for Morning Sickness

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Nausea and morning sickness during pregnancy are some of the most common symptoms that women experience. You’re not alone if morning sickness has you feeling a little under the weather. In fact, about 70% of pregnant women get morning sickness.

This article discusses five natural remedies for morning sickness during pregnancy that have been shown to be safe and effective.

Ginger

Firstly, ginger has been used in a medicinal capacity for many many years. It is used to ease morning sickness, motion sickness, as well as cancer-related nausea. Research suggests that ginger may help settle an upset stomach in pregnant women experiencing morning sickness.

Ginger comes in many forms such as:

  • Ginger tea
  • Ginger chews
  • Ginger lollipops
  • Ginger ale
  • Natural form
  • Supplements

Moms to be can take ginger supplements three to four times daily after consulting with their health care provider.

Eat Smaller and More Frequent Meals

Eating smaller, more frequent meals can help reduce morning sickness. It’s important to make sure that you’re not eating too little during the day and making up for it by overeating in one sitting later on. This will only further upset your stomach allowing your blood sugar to drop.

Eat slowly and mindfully, adding nutrients into the body. Although you may feel the temptation to skip meals because of the nausea, remember you are eating for two. Try eating foods without additives and that are easy on the stomach

Some ideas are:

  • Fruit
  • cooked sweet potatoes
  • smoothies
  • rice
  • non-processed carbohydrates

Peppermint Aromatherapy

Another natural remedy for morning sickness is peppermint aromatherapy. Studies show that it can help reduce not only nausea during pregnancy but in women who have just given birth via C-section as well. Moreover, peppermint oil is thought to help ease morning sickness by stimulating the digestive system and calming the nervous system.

Try dotting your peppermint essential oil onto these parts of the body:

  • Wrist
  • Temples
  • Under the nose
  • Neck
  • Back
  • Upper chest area

Vitamin B6 & Magnesium

Additionally, some healthy vitamins and supplements that are known to help with morning sickness and nausea are vitamin B6 and magnesium. Vitamin B, as well as magnesium, can be found in many prenatal vitamins or supplements.

Eating more protein-rich foods like:

  • Meats
  • Fish
  • Poultry
  • Avocado
  • Bananas
  • Pistachios
  • Sunflower seeds

Magnesium can be taken in supplements, topically with magnesium spray, as well as mixed in a bath with Epsom salts.

Avoid Strong Smells

Lastly, and maybe a bit obvious, is avoiding strong smells that may trigger nausea. Many pregnant women experience heightened senses like smell, which you can blame on your pregnancy hormones. Due to our estrogen levels being so high, any small scent that passes our nostrils can seem like an all-out assault on our noses.

Try avoiding these items:

  • Cigarette smoke
  • Perfumes
  • Chemicals in cleaners 
  • Strongly scented foods
  • Candles

If You are Experiencing Morning Sickness

If morning sickness and nausea are a problem for you during pregnancy, there are many natural and at-home remedies that can help. Many women experience it and in most cases, it goes away by week 14.  However, if the nausea is severe, you may want to consult with your health care provider.

If you are looking for or have any questions about pregnancy, birth, and family planning contact Midwife 360. We not only provide holistic gynecology but pregnancy services, which include home birth and water birth to women throughout South Florida. We are here to assist you as well as educate you every step of the way.

Natural Approaches To Depression During Pregnancy

The media makes pregnancy out to be one of the happiest times in a woman’s life. Pregnant women are always portrayed as being overjoyed and looking forward to their new life with their baby. The reality is that many women develop depression during pregnancy, and it often continues after the birth of their child. There are many different factors that could lead to depression in a pregnant woman, including the fact that many prescription antidepressants aren’t safe for women to take while pregnant. When a woman has to give up her antidepressants in order to carry a healthy child to term, her mental health can suffer greatly.

Fortunately, there are many signs that can identify depression in a pregnant woman. For example, rapid mood swings or noticeable changes in her sleep patterns could be a symptom of depression. A lack of enthusiasm about the pregnancy or baby and thoughts of death and suicide are also markers for depression in a pregnant woman. If a pregnant woman speaks of having feelings of worthlessness, or if there is a noticeable change in her eating habits, these are also indicators of depression during pregnancy. If someone you know is displaying symptoms, you should encourage them to seek help within her community, or from a licensed therapist to ensure that her mental health is addressed early in her pregnancy.

Natural Remedies for Depression

 

Unfortunately, commonly prescribed antidepressants and MAOIs on the market can be harmful or fatal to the fetus. However, there are many natural remedies for depression that will have no negative impact on the mother or the unborn baby. The following list is a sampling of some of the popular natural remedies for depression.

Keep A Diary

You may find that documenting and journaling your thoughts and emotions can help you to get to the cause of the problem. You may be sad after visits from a certain family member, or after seeing particular clients at work. Keeping a diary of your activities and feelings helps to clear your mind and might even reveal what is causing your depression. 

Get Some Exercise

You don’t have to do high-impact aerobics in order to feel better. Yoga is an excellent choice for a pregnancy workout and is also a great postpartum program for weight loss and toning. It also has high impact rates on depression. Another healthy option is brisk walking or light jogging. Always be sure to consult with your doctor before starting a new workout routine while pregnant. 

Get Some Rest

Pregnancy alone causes women to feel exhausted, If you don’t get adequate rest, you’ll quickly feel like you’re suffering from chronic fatigue. Be sure to get plenty of rest, at least 7 to 9 hours of sleep per night if possible. This will greatly improve the way your pregnant body feels, and also will improve your mood. 

Women’s Peer Support Groups

Pregnancy groups on Facebook are a great example of peer support groups that could help you feel better. Many of those ladies are experiencing a lot of the same emotions that you’re also feeling. It helps to know that you aren’t alone. Wherever you can find groups of supportive women in similar situations, you may find help with your feelings of depression. 

Turn to Your Faith

Regardless of your beliefs or denomination, many people find that prayer and/or church services can help to lift them out of depression. If it is something that you regularly practice, then allow your spirituality to elevate your mood. 

Avoid Inflammatory Foods

Foods such as carbohydrates, refined sugars, and caffeine can actually make your depression worse. Stick with a healthy diet that consists of fresh fruits and vegetables. Include probiotics and prenatal vitamins in your daily regimen for some extra pep in your step. 

Sunlight/Lightbox

Sunlight, or a high-intensity light in a lightbox (to simulate sunshine), could be what you need to feel refreshed and add happiness to your mood. Sunlight allows your skin to produce Vitamin D, which plays an essential role in your mental health. 

 

If you’re feeling hopeless, please know that this is not abnormal for pregnant and post-partum women. Reach out to your spouse or family members to help you get the treatment you need. You want to be healthy and happy for your growing family. 

Professional help is available to you 24/7, call  1-800-273-8255

What to Expect From a Home Birth

So you’ve decided to have your baby in the comfort of your own home. What should you expect? As a CNM who has provided home birth services for nearly 6 years, I am going to provide you with an overview of the general expectations that await you in this experience.

We visit your home 

Your provider will come to your home at least once during the prenatal period to assess home readiness for birth. We like to see that our clients have acquired all of the supplies that were recommended, including the kit of supplies that was provided by our practice. Some examples of supplies provided by the practice are sterile gauze, sterile gloves, a peri bottle, chux pads, a fish net (for pooper scooper if having water birth), a waterproof mattress cover, and potentially other items depending on the practice. The items that you are responsible for include a drinking water safe water hose, adapter for the faucet, receiving blankets for the baby and towels of various sizes, snacks for the laboring person and birth team, adult diapers or maxi pads, a waterproof covering for the floor and extra padding for under the pool. We like to see that the intended birth space is clean and clutter-free and in an intimate space where the birthing couple can get privacy if desired. It should be in close proximity to the bed and bathroom.

What happens when you go into labor? 

Once you have decided that you are in labor you will be in contact with your midwife and doula. We like our clients to set up a group text with their partner, doula, midwife and assistant so communication is transparent for all involved. This way the laboring couple are not asked the same questions by different people and everyone knows what’s going on. Typically the doula will arrive first, and if the laboring person desires a cervical check to see where things are at, the midwife or assistant will come to do a labor check. We will assess her contractions, her coping, when she last ate/drank/used the bathroom. We listen to fetal heart tones, take vitals and get an overall feel for what’s going on – including the emotional environment. 

Sometimes we have to reassure the partner more than the laboring person of the normalcy of the situation. If the cervical exam isn’t 4-6cm and the labor doesn’t seem to be progressing quickly, the midwife will leave and the doula may stay to help the couple perform some Spinning Babies circuits. Usually the doula will help to set up the tub when it’s time and let the couple know when it’s time to call the midwife back. At any point, if the couple wants the midwife to come, we will come and assess the situation.

Active Labor 

Once the laboring person is clearly in active labor, the midwife or assistant will stay and perform checks on the baby’s heartbeat and mother’s vitals on a schedule at least every half hour. We listen for a period of time through and after the contraction to get a feel for the response of the baby to the contractions. We are watching for anything outside of the normal range as well as for specific things like maternal bleeding, fever, or lack of coping. We have many tools we can employ – depending on the midwife and her range of experience. 

Our Toolbox 

We use herbs, homeopathic remedies, essential oils, posture changes, and of course, hydrotherapy. We make sure she stays well hydrated, well nourished, and well rested – these three elements are crucial to avoid exhaustion which is a laboring person’s enemy. Sometimes we use alcohol to aid relaxation and sleep if mom becomes exhausted and her labor is stalling out. Once she gets rest she is much more capable of continuing and usually the labor will pick up on its own. We have found that labor has its own waxing and waning rhythms much like each individual contraction and it works much better to flow with it rather than trying to force it to conform to some ideal pattern.

A note on hospital transferring 

If at any point along the way the laboring person changes her mind about being at home, for any reason, we will shift gears and transfer to the hospital setting. Of course we first assess if she is in transition as many people have doubts about their ability to birth in the crucial moments just before the baby makes his final descent. However, if we determine that she is no longer comfortable at home we will get her quickly into the car and to the hospital of her choice. We call ahead to give report and accompany her to the hospital.* Once there, we would stay until her care is fully transferred to her new care provider or until the baby comes if financial arrangements have been made.

Staying home 

Most people are happy to stay home as this has been something they have prepared for physically, emotionally, and spiritually, sometimes for years. Most also birth in the tub if they have rented one and are comfortable in it. 

Whether in the water or on land, baby comes out as slowly and gently as possible with lots of encouragement and coaching from the team. We have found that the slower the expulsion of the head and body, the less trauma to the mother’s vagina, labia, and perineum. Contrary to what we hear from our clients who transfer to us, we are well equipped to sew almost any tear that happens during birth. We carry Lidocaine for numbing and sutures for sewing.

“Self Starters” 

Most babies are what I like to refer to as ‘self starters’. They will spit or cough and utter a birth cry and then they are breathing. Most of them do not cry as their birth has been so gentle they have no reason to cry. We know when to employ helpful measures such as postural drainage, stimulation, rescue breaths, and suctioning and are fully equipped to perform a full on cardiac resuscitation on the newborn if necessary. 

I have seen 1 instance out of 250 home births, and 0 instances out of the over 1600 hospital births that I have assisted in my career of babies needing full on cardiac resuscitation. BIRTH IS A NORMAL, PHYSIOLOGIC FUNCTION OF A WOMAN’S BODY THAT RARELY NEEDS HELP FROM OTHERS. As long as the body is healthy with no underlying medical problems, giving birth outside the hospital is actually safer for the mom and the baby.

Post Birth Procedure 

We keep a close eye on both mom and baby right after birth, assessing vital signs and mom’s bleeding every 15 minutes or more often as needed. We carry 3 different drugs to treat hemorrhage, and one of them, methergine, we have both pill and injectable form. We will not hesitate to call 911 if there is any emergency event that requires hospital intervention. We stay for 3-4 hours after the baby is born, assessing vital signs and the baby’s transition. 

Once the placenta is birthed, we ensure that mom has eaten, showered and urinated. We perform an Eldon card so we know the baby’s blood type and can make recommendations for jaundice prevention or give Rhogam to the mom as needed for Rh negative moms. We make sure the baby is breastfeeding well and the parents are comfortable in their new roles. 

Postpartum Visits 

After the birth we make sure our clients know that they can call us for any problem with mom or baby and that we will be coming back to the house between 24-48 hours after the birth. At that visit, we perform the CCHD**, jaundice, and weight checks. We give the Vitamin K injection if the parents have chosen to have it. We would give the Rhogam shot if Mom is Rh negative and baby is Rh positive. We assess breastfeeding again and refer to the pediatrician if there are any concerns with the baby. We assess moms bleeding and comfort and any issues with depression. We return again to the home at 1 week postpartum to reassess all of the above concerns for the mother. And we will schedule the final postpartum visit at 5-6 weeks in the office to talk about family planning, pap smear schedule and any other concerns that arise.

This article gives an overview of what to expect when planning a home birth. Stay tuned for more educational articles from Midwife360!

*There have been a few instances where we have not accompanied a client to the hospital. These were rare and individual circumstances and not the normal scenarios.

** CCHD = Critical Congenital Cardiac Defect A screening test performed on the baby between 24-72 hours after birth to rule out any critical congenital heart defects.