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BirthRoot Midwifery and Women’s Health

At BirthRoot, we believe that birth is a normal, yet life-changing event, and the best outcomes for mother and baby are achieved with attentive, personalized, and home-based care.
We believe that menstruation, pregnancy, birth, and menopause are not illnesses. We believe that only medically complicated situations should be managed medically, and that the vast majority of women will go through these natural life stages without complications or problems. We believe and trust that the female body functions perfectly to prepare for and give birth without outside interference. We affirm the power and strength of women and the importance of their health in the well-being of families, communities, and nations.
It is our philosophy that the health and safety of mother and infant can best be promoted when preparation for birth is regarded as a mutual responsibility of client and midwife. Whenever possible, decisions about care are made in consultation with the client and allow for informed choice because an essential component of midwifery care is education and empowerment of the client.
Our approach to birth is one of respect and empowerment. We try to keep the environment at births very quiet and calm. We monitor carefully to keep labor normal and avoid the need for interventions. This results in the preservation of both the sanctity of the event and the safety of the mother and baby. Mothers labor best when they feel safe and supported, and relaxed mothers make for delightful births!

Name(s) of Practitioner(s):

Sandra Londino - licensed midwife, OBGYN nurse practitioner, registered nurse Assistant: Megan Cosgrove, RN

Contact Info.

Name of Practice: BirthRoot Midwifery and Women's Health
Address: 125 East Falls Street Ithaca, NY 14850
Phone: 607-342-1633
E-mail: birthrootithaca@gmail.com
Website: http://sandralondino.com/

Prenatal Care

How much time do you allot for prenatal visits?
1-2 hours

What is your availability for questions between prenatal visits?
By phone, email, or text. Non-urgent questions or concerns are addressed within 24-48 hours. Urgent concerns or problems are addressed immediately.

What routine prenatal testing do you recommend to women?
All routine prenatal testing options are discussed with the client, and evidence-based verbal and written information is given about each test. Decisions are made on an individual basis, with an emphasis on each client's unique situation and needs.

What kind of nutritional counseling do you provide?
Excellent nutrition is the foundation for a healthy pregnancy, a safe homebirth, a healthy baby, and a smooth transition to breastfeeding and postpartum healing. As such, nutritional counseling is part of the plan of care at every stage of pregnancy. I focus on a whole foods lifestyle, and will provide suggestions and recommendations that fit within the context of a client's budget and preferences.

Do you have any unique protocols for women over 35?
No. The need for additional or specialized care for any client is evaluated on an individual basis.

Do you recommend routine ultrasounds?
No

During prenatal care, how you do approach screening for Down's Syndrome?
All routine prenatal testing options are discussed with the client, and evidence-based verbal and written information is given about each test. Decisions are made on an individual basis, with an emphasis on each client's unique situation and needs.

During prenatal care, how do you approach screening for Gestational Diabetes?
All routine prenatal testing options are discussed with the client, and evidence-based verbal and written information is given about each test. Decisions are made on an individual basis, with an emphasis on each client's unique situation and needs.

During prenatal care, how do you approach screening for Group Beta Strep?
All routine prenatal testing options are discussed with the client, and evidence-based verbal and written information is given about each test. Decisions are made on an individual basis, with an emphasis on each client's unique situation and needs.

Do you discuss infant feeding with women prenatally? How do you approach this topic?
Extensive information and education about breastfeeding is shared with clients during every stage of pregnancy. A lending library is available for clients to borrow books about breastfeeding and infant nutrition.

Labor and Delivery

What is your approach to post-dates delivery? At what point do you recommend induction?
Accurate dating is the first step in avoiding an unnecessary induction. Complimentary therapies that are safe and gentle are discussed with the client who approaches 42-43 weeks gestation. Options related to post-term birth are discussed as well so that clients can make informed decisions.

What methods do you prefer for labor induction?
A holistic approach is used to assist the body's transition from pregnancy to labor. Mental, physical, emotional, and spiritual aspects of this transition are considered and explored. If a hospital induction becomes necessary, I will accompany the client and provide support and advocacy.

Does your practice attend women planning a vaginal birth after cesarean (VBAC)?
Yes

Continuous EFM offered?
No

Intermittent EFM offered?
No

Doppler offered?
Yes

Fetoscope offered?
Yes

What comfort measures do you provide for women during labor?
There are many options for women giving birth at home, and what works for each woman is largely personal and unique. Some common comfort measures include music, warm water, aromatherapy, massage, breath work, position changes, movement, dance, connection to nature, rest, emotional support, and vocalizations. When women are in the familiar and safe space of their own homes, anything goes! I can provide suggestions, but most women find their own rhythms and rituals that arise from a deep subconscious inner wisdom.

Can women in your practice labor in water (shower or tub)?
Yes! Most women prefer to be in warm water in some way at some point during labor.

Does your practice support birthing in water?
Yes!

How long past rupturing of the membranes can women labor without augmentation?
There is no definitive time frame for this scenario. Evidence-based information is shared with clients who experience their water breaking before labor begins or during early labor. Options are discussed so that clients can make informed decisions.

What methods of labor augmentation do you typically recommend when labor is slow or has stalled?
Evidence-based information about how labor progresses is shared prenatally and during labor with clients. For the most part, if mother and baby are doing well, there is no need to intervene even if labor is progressing slowly. If there is a concern, or if the mother is feeling especially exhausted, labor augmentation may be discussed as an option. There are many safe and gentle ways to augment labor, such as position changes, alternating rest with movement, nipple stimulation, aromatherapy, acupressure, herbs, homeopathy, massage, hydration and nutrition, and emotional support.

Do you encourage women to eat and drink during labor?
Yes

Do you recommend the routine use of intravenous fluids?
No

Does your practice support women working with labor support doulas?
Yes

Do you support mobility and position changes during labor?
Yes

Are you familiar with the CIMS Mother-Friendly Childbirth Initiative?
Yes

If so, in what ways does your practice strive to be Mother Friendly?
All 10 steps of the Mother-Friendly Childbirth Initiative are fulfilled.

Immediate Postpartum

Do you wait to cut the umbilical cord until after it has stopped pulsating?
Yes

Do you routinely administer pitocin during third stage/immediately postpartum?
No

What are the standard procedures in your practice for babies staying with or being apart from their mothers after birth?
There is no separation of mothers and babies at a homebirth. Skin to skin contact immediately after birth is routine, and all newborn care can be done with the baby on the mother's body or close by her on the bed.

Postpartum Care

What is your schedule for postpartum care?
Megan and I stay after the birth for several hours until we are sure that mother and baby are stable and doing well, and the space is clean and tidy. Home visits are scheduled for the next day and then again 2-3 days later. An optional office visit is offered at about 2 weeks if there are any special concerns or problems. A 6-week postpartum visit in the office is included as well. Phone support is available 24/7.

Do you provide breastfeeding support? Do you have a lactation consultant on staff?
I have extensive training in breastfeeding support, and am always happy to offer suggestions, problem solving, and guidance. If a situation comes up that may benefit from the expertise of a lactation consultant, I will provide a referral.

Statistics


% C-section: Statistical information about BirthRoot Midwifery being compiled and will be added soon
% Instrumental Delivery:
% Inductions:
% Pitocin:
% Epidural/Intrathecal:
% Other Pain Meds:
% No Pain Meds:
% Episiotomies:
% AROM:
% Initiate Breastfeeding:
% BF Six Weeks:
% Transfers:

Additional Comments:

Please contact me to set up a free consultation interview. I would love to have the opportunity to discuss the option of homebirth with you and hear about your experiences in the world of pregnancy, birth, and parenting!