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GentlyBorne Midwifery

As a midwife, I approach childbearing as a normal life event. I believe that pregnancy and birth are natural processes where physical, emotional, social and spiritual aspects are influential and interconnected. I am committed to providing safe, supportive health care sensitive to a family’s needs, cultural variations, religious beliefs, and economic or social status.

It is my goal to empower and educate women and their families in their childbearing experience. I support the right of each woman to have access to health care by the provider of her choice, and to birth in the setting of her choice. Having witnessed the miracle of birth with many women and in many places, I have great respect for the unique journey it is for each individual. I have come to value and respect the deep breadth of what is normal, and the power of loving positive support.

Name(s) of Practitioner(s):

Monica Daniel, MS, LM, LAc Midwife Nutritionist Acupuncturist

Contact Info.

Name of Practice: GentlyBorne Midwifery
Address: 253 N Applegate Rd Ithaca, NY 14850
Phone: (607) 273-2229
E-mail: monica@htva.net
Website: http://gentlyborne.com/

Prenatal Care

How much time do you allot for prenatal visits?
1 hour

What is your availability for questions between prenatal visits?
24/7

What routine prenatal testing do you recommend to women?
Basic prenatal panel - blood work 28 week blood work - anemia screen, HIV, blood glucose GBS culture 36 weeks Other optional testing available if needed or desired by referral: Ultrasound examination, genetic blood/ ultrasound testing, amniocentesis, NST, BPP

What kind of nutritional counseling do you provide?
Basic early pregnancy counseling Review of 1 week food diary from western and eastern perspective

Do you have any unique protocols for women over 35?
No, offer additional testing

Do you recommend routine ultrasounds?
No

During prenatal care, how you do approach screening for Down's Syndrome?
Testing is available by referral

During prenatal care, how do you approach screening for Gestational Diabetes?
If low risk may decline testing....otherwise 1 hour blood glucose testing

During prenatal care, how do you approach screening for Group Beta Strep?
36 week culture

Do you discuss infant feeding with women prenatally? How do you approach this topic?
Yes, begin discussion on first visit evaluating breasts and reviewing history and/or questions. Recommend visit with La Leche before birth.

Labor and Delivery

What is your approach to post-dates delivery? At what point do you recommend induction?
Over the past 24 years I have noticed that the best labor for the mom and baby is the labor that begins on its own. As long as the mother and baby are healthy and normal I am comfortable waiting for labor to begin. The decision for induction is one that is discussed with the family and is always an option at any point the parents desire. NST in office and BPP at hospital are offered to evaluate the baby's well-being.

What methods do you prefer for labor induction?
We start with mild forms with limited side effects....reassurance and support, homeopathy, acupuncture, herbs, sex, nipple stimulation...sometimes use castor oil or balloon catheter

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?
Close, supportive, kind and caring continuous presence Give moms privacy and respect and assuming that the mother instinctively knows best we adjust to her needs Warm tub of water Freedom of movement Food and drink as desired Cool wash clothes, warm compresses Massage, acupuncture, homeopathy, TENS

Can women in your practice labor in water (shower or tub)?
Yes

Does your practice support birthing in water?
Yes

How long past rupturing of the membranes can women labor without augmentation?
Individually determined based on ongoing health assessment of mother and baby and comfort of parents with expectant management. Monitoring at home includes regular temp checks, NST, CBC

What methods of labor augmentation do you typically recommend when labor is slow or has stalled?
Patience - usually stalled labor gives mom time to rest and to work on emotional/psychological issues If reason to need to encourage labor use acupuncture, homeopathy, herbs, quiet time with partner....ie. nipple stimulation, walking or changing positions

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?


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?
Babies stay on mother for at least the first hour.....then they stay on their dad/parent while mom gets cleaned up. There is no interruption of mother or baby during 1st hour unless neccessary

Postpartum Care

What is your schedule for postpartum care?
1 day and 3 day home visit Optional 1-2 week visit 6 week office visit

Do you provide breastfeeding support? Do you have a lactation consultant on staff?
Yes we provide and have referral to La Leche and/or IBCLC

Statistics


% C-section: 4%
% Instrumental Delivery: 0%
% Inductions: 0%
% Pitocin: 5%
% Epidural/Intrathecal: 5%
% Other Pain Meds: 0%
% No Pain Meds: 95%
% Episiotomies: 0%
% AROM: 0%
% Initiate Breastfeeding: 95%
% BF Six Weeks: 95%
% Transfers: 8%

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