Prenatal Care Appointments
Born Midwives will generally see women for their first prenatal appointment sometime between 8 and 12 weeks of pregnancy. Following your first appointment, you will be seen about every 4 weeks until you are 28 weeks, then every 2 weeks until you are 36 weeks, then weekly until you have your baby.
During regularly scheduled visits to our midwifery clinic, midwives provide physical assessments, prenatal education, informed choice discussions and decision support. Physical examinations include taking clients’ blood pressure, urine testing, measuring growth and listening to the fetal heart rate. Our experienced midwives offer a full-scope offering, such as lab requisitions and ultrasounds when required.
Once your baby is born, we will see you at home or in the hospital every other day for the first 7 to 10 days. Then we will see you in our clinic environment at 2, 4, and 6 weeks postpartum.
Following your last visit, we will recommend that you schedule a well-baby check-up with your family physician. Clinic appointments are typically 30 minutes in length other than your first appointment, which is longer.
*It’s always a good idea to call us as soon as you get pregnant to be sure there is availability and get your name on our client list or our waiting list.*
If you are planning a surrogacy, we will discuss your plans regarding the intended parents throughout the pregnancy. We will also offer the intended parents the option to do virtual visits alone if they wish to discuss their needs and concerns to prepare them for their journey to parenthood.
If you have seen a family physician or another midwife for part of your prenatal care, it is very important we receive copies of your health records. This includes all blood work, urine tests, pap smear results, ultrasounds, etc, that were done. Obtaining these records ensures that we have a complete record of your care, and that you are not subjected to unnecessary blood draws or other tests. We will request that you sign a medical records release in order that we can obtain these from your previous care provider.
What if your pregnancy becomes high-risk?
Midwives provide total care to clients who experience healthy, normal pregnancies. If you develop obstetrical problems or a medical condition, you and your midwife will determine the appropriate source for your ongoing care. The College of Midwives standards for practice includes specific conditions of a client and newborn in which midwives must seek a medical referral.
If it becomes necessary for your care to be transferred to an obstetrician, your midwife will discuss ongoing care arrangements. Depending on the complication, your midwife may be able to “share care” with an obstetrician, which means they will organize your prenatal care between the partnership and then decide who is most appropriate to deliver your baby.
Your care may be completely transferred during your pregnancy, in which case your midwife can either transfer your care entirely or resume care after the baby is born. Where possible, she may attend your delivery. If care is transferred during your labour, your midwife will often get you settled, then take a break to rest until your baby is ready to come, or she will visit afterwards, depending on your arrangement.