MIDWIFERY CARE
Midwife Sasha provides complete midwifery care starting around 12 weeks of pregnancy extending through 6 weeks postpartum. Your appointments will take place in our office space located off Snelling and I94 in St Paul. Our team will come to your home for your labor and birth.
What’s Included?
Complete Midwifery Care with Home Delivery
Initial 30-45 minute free consultation
16 (+) hours of individualized prenatal care
90 minute in home visit at 36 weeks
Birth pool accessible starting at 37 weeks for your birth
Individualized care during labor, birth & for at least 3 hours immediately after birth
TENS unit available to you during labor
5 postpartum visits - day 1, day 5, 2 weeks, 4 weeks and 6 weeks
Postnatal depression screening and referrals to local therapists for each client
Lactation guidance
….and so much more!
We accept cash with flexible payment plans and HSA payments.
How Does It Work?
Midwifery care with Midwife Sasha starts with prenatal appointments at about 12 weeks gestation. Appointments are monthly until your 28th week of pregnancy. Beginning in your 28th week, we see one another every 2 weeks until your home visit. At 36 weeks, I come to your birthing location for our prenatal visit and I will ask, "Would you share your birth story as you envision it happening in a few weeks?". At this appointment, we talk about your birth plan, your birth space and I meet the other members of your birth team (doula, family members).
From week 37 until 41 weeks, we see one another weekly. On your 41st week of pregnancy, we will do a non-stress test and see each other later in the week to check in on you and your baby.
For labor and birth, our team comes to your home to support you in labor. We intermittently monitor your baby's heart and give you space to listen to your body. We bring our skilled hands (and lots of equipment), to help handle any variations of normal during your labor and birth. Once your baby is born, we make sure that the two of you have found your way back into the present moment and offer time to bond as a new family. Before we leave we do a full newborn exam, cord cutting (usually 2 hours postpartum), clean your space, start your laundry, take out the trash, and head out at about 3 hours postpartum.
This is the part I love to tell folks about. We see one another just after 24 hours postpartum, a telephone call at 3 days postpartum, I come to you for your 1 week and 2 week postpartum visits, and we see one another for the two final visits, 4 & 6 weeks postpartum in the office. In between those visits, we have a video chat at 3 weeks to do a postnatal depression screening. We wrap that up with an email with a list of mental wellness resources in the area. Then, I do a song and dance...just kidding. Then I’ll offer a hug and ask you to occasionally spam me with baby pictures and thank you for the honor of helping you walk through your pregnancy and your beautiful birth story that you will remember for a lifetime.
Frequently Asked Questions
+ Who can have a home birth?
People who have low risk pregnancies. Usually that means that they do not have conditions such as gestational diabetes, active tuberculosis, hepatic disease, congenital anemia, epilepsy, clotting disorders, Rh negative with antibodies, congenital heart disease, renal disease, chronic lung disease, thyroid disease, or diabetes.
If you have any of the conditions above feel free to contact me so we can chat about alternate birthing options.
+ Can I have a water birth?
Yes, I have a birth pool you can use!
+ What if I do not have a home to have my birth in?
If you are without a long-term home, we can find the resources to still accommodate your out-of-hospital birth and come up with a plan for housing resources that would be helpful to you beyond birthing.
+ What about the birth certificate and social security card?
I am a certified filer in Wisconsin and bring the forms to file them for you at your 1 week postpartum visit.
+ Do I need to also see a doctor?
No, not typically. Licensed Midwives in the state of Wisconsin are autonomous primary providers for low-risk pregnant people. If you become high-risk, we would have to consult an OB and it might be appropriate to begin seeing an OB at that time.