Routine prenatal care generally includes:
- Free initial consultation. This is an interview to make sure you are a good fit for a home birth and that we are a good fit for each other.
- Prenatal home visits are monthly until 28 weeks, every two weeks until 36 weeks, and weekly until your baby is born.
- Each visit monitors the vital signs and well-being of mother and baby. Lab work is offered.
- Education is the primary aspect of your prenatal care. Research, resources and opinions are provided to support your informed choices. I practice in the Midwives Model of Care.
- Nutrition, herbal medicine, homeopathic remedies and complementary therapies (acupuncture, chiropractic, massage) are commonly used in my practice.
- Emotional well-being is important during pregnancy and space is given for expression.
Labor & Birth
We know each birth is unique and special, and generally speaking:
- You will contact the midwife when you begin to show signs of labor.
- I will come to your home when you are ready for my support.
- Two skilled attendants will be present for your birth. You will meet my assistant at least once during your pregnancy.
- A complete set of birth equipment is brought to your home, including: doppler to monitor your baby's heart rate, herbal and homeopathic remedies, oxygen, anti-hemmorrhagics.
- We encourage you to eat, drink, rest and change positions frequently during labor.
- We are gentle and offer encouraging words, respect your privacy, bonding and delayed cord clamping.
- Mindful attention is paid to the baby's heart rate, mother's vital signs and to the overall unfolding of the birth.
Postpartum & Newborn Care
Care for the Mother & Baby up to six weeks after birth includes:
- I come to your home for the postpartum visits on day 1, day 3, 1 week, 2 week and 4 week. The 6 week visit is at the office.
- Vital signs of mother & baby are monitored, patterns of eating & sleeping are noted and breastfeeding assistance is given.
- Education, resources, nutrition, herbal remedies, moxibustion, belly wrap and abdominal work are offered to speed recovery.
In the Event of a Transfer
We transfer care to a physician or to the hospital when:
- Presenting warning signs indicate that intervention is necessary beyond what is available at home.
- A mother’s or midwife’s intuition, vital signs outside of normal limits, or other warning signs that sometimes occur during pregnancy, birth or postpartum.
- Usually, transports are not an emergency, but rather something we can talk about calmly at the time and make the best decision.
If we transport during labor, I will go with you to the hospital and continue to advocate for your family and provide support as needed. Postpartum care continues in your home when you are released from the hospital.
Aoki Birthing Care Philosophy
I trust nature and the power of nature. We have all been born. I trust women's bodies. Women know how to birth. I respect women's choices. My job is to guard the spectrum of normal. If something outside of healthy presents itself, we talk about it. Even though we may make mutual decisions, the final decision making responsibility does fall upon the mother. The task of the mother is to live each day happily from the moment she finds out she is pregnant. The baby is traveling through one hundred million years of cellular growth and changes every week. When the baby wishes to live a radiant life, it begins labor to be born. Good posture, good diet, daily movements and happiness are key to a smooth labor, birth and recovery. The mother has all the strength, wisdom, power and confidence within to push through the most intense time of her life. When any challenges arise, she can look at that moment of time and own how she can overcome anything! We encourage partners to participate in the only time this child will be born. They depend on you to witness how the family came to be. The first two hours postpartum is a crucial and delicate time for the mother & newborn, and we need the partner to closely watch them while offering words of appreciation for the task she just accomplished. The partner plays an instinctive role to secure the bonding as a family together as this is the time when the baby is calm and learns who to trust, depend on and believe in for the rest of its life.