June Lamphier's Midwife Services

Prenatal Care- approx. 10-12 visits beginning at 12 weeks

First Visit (1.5-2 hours)

  • comprehensive health history and physical exam
  • prenatal education
  • prenatal blood tests, pap if needed

Return Visits (30-60 min)

  • exams to listen to the baby's heart beat and monitor mother's well being
  • prenatal education and nutritional evaluation
  • birth desires and emotions discussed as you prepare for labor and parenthood
  • home visit at 36-37 weeks

Labor and Birth - pre-labor/early labor: attendance and support as needed

Active labor:

  • labor support by midwife as needed
  • maternal assessments and baby's heart beat checked
  • no 'routine" interventions
  • freedom of movement, eating and drinking
  • husband or labor partner offered guidance to enhance involvement, including assistance in catching the baby
  • birth plan honored

Birth

  • freedom of birth position,including soaking in warm water
  • cutting of the cord delayed and no separation of mother and baby
  • uninterrupted breast feeding as soon as mother and baby are able
  • emergency equipment and medications provided as needed

Postpartum Care

Immediately postpartum

  • minimum of 2-3 hours of continuous care after the birth or until mother and baby are stable
  • physical exam on baby
  • newborn bath, if desired
  • birth linens washed and birthing area cleaned

Postpartum follow up

  • Available 24 hours for concerns/questions
  • Home visit at day 3 (Reassess well being of mother and baby and fill out birth certificate)
  • Office visit at 2 weeks and 8 weeks
  • physical exam on mother and baby
  • baby weighed and checked for jaundice
  • breastfeeding assistance
  • education and emotional support
  • newborn metabolic screen- 2 weeks postpartum
  • 8 weeks postpartum after birth of baby
  • gyn exam (including pap smear)
  • family planning counseling

Other Services

  • Nutritional counseling

  • Water Birth

  • Ultrasound Referral

  • Sibling Preparation

  • Well Woman Service- including pap smear, physical exam, lab work

  • birth control counseling

  • Mammogram Referral

  • Medical Referrals