Midwives Model of Care™ Is Client-Centered
The Midwives Model of Care™ is a fundamentally different approach to pregnancy and childbirth than contemporary obstetrics. Midwifery care is uniquely nurturing, hands-on care before, during, and after birth. Midwives are health care professionals specializing in pregnancy and childbirth who develop a trusting relationship with their clients, which results in confident, supported labor and birth. While there are different types of midwives practicing in various settings, all midwives are trained to provide comprehensive prenatal care and education, guide labor and birth, address complications, and care for newborns. The Midwives Model of Care™ is based on the fact that pregnancy and birth are normal life events. The Midwives Model of Care includes:
- monitoring the physical, psychological and social well-being of the mother throughout the childbearing cycle
- providing the mother/birthing person with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
- minimizing technological interventions and
- identifying and referring clients who require obstetrical attention.
The application of this model has been proven to reduce to incidence of birth injury, trauma, and cesarean section.
Choosing to birth at home is a powerful way to place yourself, your family and your baby at the heart of your birth experience and your creation of family. We believe in your innate wisdom and our ability to help you to bring this wisdom forth as you navigate the often labyrinth like world of the perinatal period.
As your primary care provider, we provide holistic prenatal care throughout your pregnancy including 24-hour phone access (for emergencies & birth only), continuity of care throughout your birth and a minimum of five postpartum visits to support your transition into parenthood.
Midwifery care for families choosing homebirth includes genetic screening, holistic medical, social & family history, necessary labs, ultrasounds & referrals to insure a healthy pregnancy, birth and postpartum. We consult with OB backup when necessary and always create a sound transfer of care plan in case the necessity to birth in the hospital arises.
Our appointments are provided on a global obstetrical schedule, are a minimum of an hour and include the necessary prenatal assessments as well as discussing your emotional, physical & spiritual well being along the journey. We are committed to helping you create a doable self-care plan, a supported & safe birth & parenting life.
Prenatal visits are at our office with a home visit at 36 weeks to plan for the birth. The first two weeks of postpartum visits are at home and the rest in our office. We provide birth tubs and placenta encapsulation for our clients upon request and for an additional fee.
Breastfeeding Education & Support
Breastfeeding is an amazingly natural and instinctive process that is often difficult to navigate due to variations on normal (low milk supply, difficult latches, sore nipples, reflux, lip/tongue ties etc.), too much conflicting information, birth trauma & general emotional challenges in the early postpartum period.
Comadres offers individual appointments for people needing support in establishing and maintaining a healthy, successful and satisfying breastfeeding relationship with their baby.
We believe in on demand feeding, the utilization of the breast crawl, biological nurturing, collaborative breastfeeding & the use of support tools like pillows, nipple shields, supplemental nursing systems and conscious supplementation when indicated. We primarily utilize ancient wisdom, herbal & homeopathic support in addressing variations on normal but are skillful with allopathic approaches as well.
We bring our years of experience and a lot of love for supporting you in this process. Appointments are offered both at our office and at home (for an additional fee).
Please see our workshop page for our on-going educational series, workshops & support groups
Many of our clients desire an on-going relationship with a midwife for themselves and for the dynamic early years of their children. Comadres loves to provide long-term well baby care. We provide long-term breastfeeding support, nutritional & herbal consultation for the feeding parent, basic growth & health assessment of the child, vaccine guidance and referrals, pediatric referrals and support.
Individual Prenatal Visits
This is an opportunity for anyone who wants to receive a prenatal appointment with a Midwife without necessarily committing to a home birth, because you are traveling and need care or because you need help navigating the care you are receiving and the labrynith like journey of pregnancy and planning for a natural birth in a hospital environment. All prenatal visits include counseling, prenatal evaluation, nutritional and herbal recommendations, referrals and individualized support for you to feel centered, supported and powerful as you birth your baby into this world!
Individual Postpartum Visits
Providing Postpartum Care is a deep commitment of Comadres and a great pleasure to provide. Our home birth clients enjoy six weeks of it. We want every birthing family to have the same care so we offer these individual visits for anyone who wants the benefits of postpartum midwifery care regardless of birth place. Postpartum visits include clinical evaluation of both the birthing person and baby, various referrals specific to your needs, breastfeeding support and guidance, nutritional and herbal recommendations, deep listening and reflection and a lot of love!
Postpartum Care Package
This package includes 6 postpartum care visits from either the moment of your birth or to add on to the midwifery care you received in your homebirth package so that you receive care throughout the entire fourth trimester.
It includes in home visits ranging from 60-90 minutes, one birth process session, lactation support and counseling, nutritional/supplemental guidance and wisdom in navigating being a new parent.
A great gift for any new parent!
Reproductive Wellness & Healing Services
Birth Spirituality and Healing Coaching Sessions (BSHC)
These coaching sessions are an invitation to slow down and through the use of various somatic practices, active listening and reflection, meditations, visualizations and other earth based ceremonial practices, begin the journey of integrating your own birth, your own experience of giving birth and/or supporting a birth. With this integration comes a greater sense of peace, wholeheartedness and ideally acceptance for whatever the initiation of birth asked of you.
Sessions are for 1 hour and 30 minutes. Together we will create a safe space and work at a conscious pace for you and your process on your journey of integrating & healing.
Read more about BSHC and my mentor Gena McCarthy here:
(For Women of all gender expressions & Trans Men who still have uteruses)
Most people don’t know that you can receive your reproductive wellness exams and related reproductive health care needs from a licensed Midwife. Well Yes You Can and we believe that Well Person Care is Self Care! And in the same spirit that Midwives care for birthing women/people, we care for women/people in all stages of their reproductive life inclusive of all ethnicity, age, gender expression, sexual orientation, economic status, physical ability and whether or not you ever choose to have a child. Well Person Care includes:
- Physical Exam, Pap smears, breast/chest exams,
- Lab testing for basic health panels, STI’s & Fertility
- Mammogram and/or Thermography referrals
- Breast/Chest Health Referrals
- Reproductive Health Counseling (Fertility Awareness, Natural Family Planning Pre & Conception Support)
- Sexuality Counseling & Support
- Nutritional and Herbal Consultation & Support
Fertility Counseling & Conception Support
These services are for people who are wanting a Midwife’s perspective and support on your fertility and/or desire to conceive. We are well versed in a holistic perspective on fertility for both straight and queer families, base our recommendations on your individual history both medically, emotionally and spiritually and will support you with individual self care plan, appropriate labs, nutritional and herbal support, in-home insemination and necessary follow-up including additional referrals.
Nutritional Services & Herbal Consultations
All of our clients receive in depth nutritional & herbal consultation, guidance and support. If you are not a home birth client of Comadres but would like an individualized self care plan, guidance & referrals for optimal nutrition for your constitution & herbal allies for the perinatal period then we would love to support you.