One of the midwife's most important roles is to support the mother and family with education about pregnancy, nutrition, and the process of birth. She carefully evaluates the mother's vital signs and the baby's heart rate throughout labor. A vaginal exam is done with the mother's permission when checking for progress is appropriate.
Our mothers are active participants in the unfolding of labor and birth. They are encouraged to eat, drink, and change positions often. They may relax in the warm birthing tub or shower, or they may use the birthing stool or birthing ball. Some moms spend periods in bed, quietly relaxing through contractions and resting their muscles with a massage from their partner or birth assistants.
Our midwives deliver in many different positions to help the birth progress naturally while working to prevent the need for stitches. The use of warm water in a tub during the first stages of labor has been shown to reduce the risk of episiotomy as well as the need for other pain control methods. The use of a tub for labor and birth is also associated with a reduced risk of c-section as well as better bladder control after the birth.
Bonding with the baby is an important part of a birth plan. The baby is placed on the mother's abdomen with no rush to cut the cord or hurry the baby somewhere for other procedures. Emergency equipment for the baby and mom is close at hand in the room with the birthing mother. Basic newborn care is provided along with a complete newborn exam.