Planning for pregnancy
Our range of services includes caring for women who are not yet pregnant.
We offer fertility information and counseling and herbal fertility support.
We also provide free consultations with couples that want to learn more
about midwifery care before pregnancy.
Holistic pregnancy care
All prenatal appointments take place at the Bellyfruit office located
in SE Portland. We will come to your home for a visit at approximately
36 weeks to get an understanding of your birth space and, if requested,
to bring your birth tub.
We encourage partners and older siblings to attend as many prenatal
visits as possible so that we can all get to know one another. We also
suggest that clients bring any support people planning to attend their
birth to at least one prenatal visit.
The initial visit lasts one and a half hours. Subsequent prenatal visits
last one hour and take place monthly until the 28th week of pregnancy;
then once every two weeks until the 36th week of pregnancy. From 36
weeks until birth, prenatal visits take place once a week and last 30
minutes.
Routine prenatal visits consist of monitoring maternal health (vital
signs, urinalysis, discussion of normal physical changes of pregnancy
and any complaints), monitoring the health of the baby (fetal heart
tones, fundal height), checking the baby’s position, nutritional
counseling, and fostering our birth support relationship. During the
prenatal period we explore how each family desires to create their birth
space. A few of the questions we will discuss are: Who do you want present
at the birth? What will your partner’s role be? How will any older
siblings be involved in the birth?
All pregnant women experience some normal discomforts of pregnancy.
We have knowledge of herbs, homeopathy, and natural remedies to address
the expected aches and pains. If the recommended remedies aren’t
enough, we can make referrals to skilled naturopaths and MDs in the
community.
In addition, we guide you to resources in the community such as prenatal
yoga classes, bodywork practitioners, chiropractors, acupuncturists,
and new mothers groups. We have a lending library of birth-related books,
periodicals and videos.
Clinical testing
Because birth is a natural process, not a medical event, it is the desire
of most homebirth parents to keep medical interventions to a minimum.
In our practice, tests are not done routinely. However, tests are available
in the event that a client desires one, or if we determine clinical
signs of a potential problem.
We have lab privileges at Legacy labs. All labs are drawn in our office.
Ultrasound referrals are made.
Belly casting
Close to the estimated due date some women enjoy making a cast of their
uniquely shaped pregnancy as a keepsake of this life-transforming experience.
We can provide belly-casting supplies and direction, or help with the
simple casting process. People often decorate their belly casts for
display or line them with sheepskin for a baby cradle.
Labor and birth
Our role at the birth is to monitor the health of mother and baby and
provide information, guidance, and support. We respect your privacy
with your partner, while still remaining available for your needs.
We enjoy providing labor support. During labor we encourage privacy,
eating and drinking, hydrotherapy and massage for pain relief, movement
and position changes. We trust laboring mothers to listen to their bodies
and find positions most natural to them. Labor progresses most effectively
when interventions are kept to a minimum. We encourage women and their
partners to catch their own babies, if desired.
When the baby is born we monitor mother and baby while making ourselves
as unobtrusive as possible so your new family can bond. Cord cutting
is delayed. If interventions are required to help the baby breath and
clear her/his lungs, we do this as gently and respectfully as possible
and in close contact with the parents.
We bring standard and emergency equipment to the birth. This includes
a birth ball and birth stool, herbal tinctures, homeopathic remedies,
Doppler and fetoscope, oxygen, resuscitation equipment, infant suctioning
devices, IV equipment, anti-hemorrhagic medications, and suturing equipment.
Clients order a personal birth kit from a local birth supply company
at least one month prior to their estimated due date.
Water birth option
Many of our clients enjoy having a birth tub available to them during
labor. Some women choose to labor in warm water to help with the pain
and some give birth in the water. We provide a tub free-of-charge and
you purchase a few supplies to customize the tub for your individual
use. The tubs hold 150-gallons of water and are made of hard plastic.
They fit through all standard size doors and can be placed wherever
you choose in your home. We do all the clean up after the birth.
After-baby care
After the birth, we stay for at least 2-3 hours to ensure that mother
and baby are stable, nursing is established, the family is fed, and
the birth space is cleaned. We weigh, measure, and do a thorough examination
of the baby.
We remain on-call for you postpartum in case there are any problems
or you need support. Just as in the prenatal phase, we want to help
connect you with resources in the community, including pediatricians,
lactation consultants, and new mothers groups.
We return to your home for postpartum visits at 24 hours, 2 days, one
week, and two weeks. Four-week and 6-8 week visits are done at the Bellyfruit
office. The last postpartum visit includes a pap smear and discussion
of family planning options if desired.
Fee services
Bellyfruit Midwifery Services accepts most private insurance, Oregon
Health Plan “Open Card”, and retains a billing services
professional to help facilitate claims. We offer a discount for early
cash payment.
