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Midwifery Services
 
 
 
 
 

What is a midwife?
Midwives have been a part of life since Biblical times. Their training and skills may come in a variety of ways such as self study, apprenticeship, or formal education but we basically see birth in similar ways. We see birth as a right of passage for the mother, we are not delivering, but aiding in the experience to be as she sees it. Our care is more of a holistic approach, where both mind and body are cared for during the childbearing year. In this type of care we believe that women should be able to choose where and how they will give birth. We also trust women can make decisions for themselves and their families based on accurate information that provides them all of their options.

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Photo Courtesy of www.purechildphotography.com


What types of midwifery services does Az Womb Service provide?
  • Free initial interview/consultation
  • High quality affordable care
  • Midwife availability 24 hours a day, 7days a week
  • Most insurances welcomed
  • Nutrition counseling
  • Lending library/ books, videos of pregnancy, birth, and family related topics
  • Childbirth education
  • Referrals to photographers for pregnancy and birth
  • Referrals to birth/postpartum doulas
  • Prenatal lab work and testing, ultrasound
  • Informed consent/benefits and drawbacks of homebirth
  • Water births
  • Continuous labor support
  • Breastfeeding support
  • Birth certificate
  • Newborn Screening test (PKU)
  • Parenting support/referral
  • Pre-conception counseling
  • Birth Supplies
  • Referrals to healthcare providers for pregnant women and babies

What can I expect at my midwifery prenatal visits with AZ Womb Service?
We work in a team of 2-3 people other than your family members. “We” means the midwife and her assistant who may be a midwife and/or a student midwife. You will be able to meet them and get to know them in your prenatal visits.

During the initial visit we will review your medical and pregnancy history, risk assess you for homebirth, perform a brief physical exam and draw blood for a complete prenatal lab work up. This first visit may last an hour and a half. After the initial visit, routine prenatal visits usually last about an hour. The most important part of our visit is getting to know you, your family and baby through asking how you are doing and feeling and addressing your concerns and questions. The visit also includes clinical checks such as urine dips, blood pressure checks, pulse, weight gain, uterine growth and baby’s heart rate. At each visit we may educate you on topics such as nutrition, pregnancy discomforts and prenatal testing. By asking questions about baby’s activity and feeling mom’s tummy we get to know your baby too!

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  • Additional, optional prenatal testing such as ultrasound and other diagnostic tests can be provided at your expense.
  • Monthly prenatal visits occur until mom is 28 weeks pregnant and then we see you every two weeks until 36 weeks and then weekly until you give birth.
  • Lending library of books and dvds regarding pregnancy, birth, breastfeeding, parenting, exercise and nutrition are available.

What can I expect at my midwifery assisted labor and birth?
After 36 weeks of pregnancy, you may labor and give birth safely at home. It is best to call when you think labor is beginning. We can assess your labor over the phone or in person, until active labor begins. Once you are in active labor, we will stay through out the remainder of your labor. We follow your lead as to how much involvement you would like from us, at a minimum we will listen to baby’s heart beat through labor, as well as assess mom’s vitals like blood pressure and pulse.

During labor we can provide information regarding position changes, massage, aromatherapy and use of water in helping you cope through labor. During labor, we will also encourage you and your partner to eat and drink to keep up your energy. Intuitively you know how to labor but we are there to offer support and guidance. You are in charge and can choose what works best for you and your family. Some of your choices may include family members present, the location of your birth- your bed, bathtub or wherever you prefer. Should you have other children, we will suggest how they can participate in your labor, if you choose.

The safety of mom and baby are our highest priority. If serious medical issues arise, we will assess if you are able to remain at home, or if you should be transported to the hospital for more medical assistance. In the event of a transport we will accompany and stay with you.

A home birth truly allows for an entire family experience. As baby is emerging, mom and partner are encouraged to touch baby and receive the baby (if desired) as birth occurs. Perineal support is given when birth is close, to allow the tissue around the vagina to stretch as needed. After birth, repairing is available if needed. Baby is placed immediately on mom’s tummy where they can meet each other face to face. Breastfeeding is encouraged as soon as baby is ready. Baby’s cord is cut after it has stopped pulsing. If the partner chooses, they can cut the cord.

After birth, we wait for the natural release of the placenta, which can be immediate or a little while after birth. In the immediate postpartum period we watch mom closely through monitoring her blood pressure, pulse and amount of bleeding. We also assess the baby’s temperature, breathing and heart rate.

We carry emergency equipment such as oxygen and resuscitation equipment. Our certification and training in CPR and Neonatal Resuscitation are current, though these measures are rarely needed.

Within a couple of hours after the birth, we will perform a newborn exam which includes weighing and measuring your new little one. We will also change your sheets, if you delivered in bed, start a load of laundry and get you something to eat. While we are busy cleaning up, you can spend time with your baby and family.

What can I expect after my midwife assisted birth?

After birth, we will come back to visit within 24 hours. At this visit we check mom’s vitals, blood pressure, pulse, bleeding, and how her breasts are feeling, as well as her overall well being. Baby is also an important part of this visit as we will check to see how baby is nursing, check the heart rate, breathing, skin color and how they are sleeping. We also check on your adjustment to parenting in the first days after birth through listening and answering questions.

When we return on the third day after birth we offer the newborn screen which is a blood test used to determine rare blood disorders. We will also verify all information for the birth certificate so we can file that with the state for you. You may also choose to have baby seen by a pediatrician with in a couple of days after birth. We can see you more often if you feel the need to have the midwives check on you or baby.

At your 6 week visit, we will weigh the baby and talk about family planning, as well as offer a gynecological exam, if you are in need.


Testimonials for Midwife Assisted Birth

I chose homebirth so I could have the utmost control over the environment I wanted my baby to be born into. I was able to choose the sights, sounds and smells that comforted me through out labor process. Without any unnecessary medical interventions I was able to feel what it was like to bring my “ALERT” baby into this world. What an all around amazing experience.

Brandy


I chose to give birth at home because I came to the conclusion that the decision made by hospital staff during birth aren’t always the safest or healthiest for baby and mother, and that the hospital setting itself can contribute to health problems during and after birth. I also did not want to be separated from my other two daughters. What I did not realize at the time I was weighing the decision, was how much better the quality of prenatal care would be. My midwives home visits were informative, empowering, and comforting. Not only I, but also the rest of my family benefited from their wealth of knowledge.    Olalla

My homebirth was beautiful. The birth and everything about it just, simply. . was. It hurt, and it was messy, and my husband and 2year old daughter were there, and I was tired, and my baby boy pushed and squirmed his way into the world, and eventually, I slept. I will always remember that birth, not just because it was something amazing, but because it was also “ordinary” in the sense that I believe giving birth in that way was exactly the way birth was meant to be. Like breathing or running or eating. Just something our bodies do.    Krystal

Homebirth is the way it’s supposed to be, with the strength and knowledge of caring women around you.    Brittany

I don’t trust doctors. At home you do it your way. The baby doesn’t go anywhere and it is comfortable.    John

After Bethany Birthing Center closed, we researched several alternatives and felt homebirth was our best alternative. Even though we did not have an ideal homebirth, we had control not the doctors. If we are blessed with another pregnancy we WILL do everything in our power to have another homebirth.    Cari and Damon

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Photo Courtesy of www.purechildphotography.com

We chose homebirth because we wanted a more natural approach to childbirth. Additionally, I enjoy the personal one-on-one experience I receive from Robin at our prenatal visits. The birth was all that I expected and now we are expecting again in just 2 short years later we will use Robin again.    Tasha

After interviewing several midwives we were drawn to the peace and tranquility we felt in Robin’s presence. This was exactly the type of energy we wanted for our birth. We feel extremely blessed that Robin attended the birth of our son.    Sarah

As a woman, I understand my body and I trust it to function as it was designed. Having my babies at home gives me the space I need to tune in and give birth. Having a good midwife helps me to let go and know I will be safe.    Deseree

I chose to have a homebirth because I wanted to have a choice! I wanted to be involved in the birth, and to believe in what was going on. My birth was amazing and I would not have wanted anyone else to care for myself or my baby.    Toni


Birth Story
 

Abraham’s Arrival: Learning to Trust and Believe

Strangely enough Abraham’s birth story began many years before he was even conceived. His birth was not a moment in time. Rather it was a process; a process of discovery, of healing, of desire, and of joy. I am exceptionally thankful for the impact that process has had on me as a mother and as a woman.

When we found out we were expecting our second child, our first baby was 16 months old. His birth still resonated strongly in my heart and in my mind. I knew I wanted a different experience this time. I knew how I wanted to feel. I wanted to feel empowered. I wanted to feel strong and capable. I wanted to feel connected to the generations of women past and present who believed in the amazing capabilities of the female body. Essentially, I wanted to feel; to experience and embrace the full sensations of birth without interference from a health care provider, birth attendant, medical intervention or the like.

The experiences with my firstborn left me feeling rather vulnerable. It was as if I needed to protect myself and this baby from the pervasive, unfounded fears that typically surround pregnancy and childbirth. I turned inward to reflect upon my desires for this birth.

Free from external measurements, I embraced pregnancy wholeheartedly. I became the authority on my body and my baby. It was a truly liberating experience not having prenatal care. I felt a special connection to my baby because I had to be more attune to both of us. Slowly over the course of the pregnancy I began to trust in nature’s perfect design for pregnancy and birth.

I loved being pregnant and I welcomed my growing belly; it made me feel beautiful. Carrying a child in my womb gave me a new purpose.

At 33 weeks gestation the answers unfolded as we selected a kind and gentle midwife team to attend our baby’s birth. Ironically we had initiated prenatal care with them at almost the same time during my pregnancy with Jeremiah. While that may appear a confusing choice, (after all if I was unsatisfied with my first birth experience, why would I select the same birth attendants?) I felt completely confident it was the perfect choice. I knew I brought a different dynamic with me this time. I believed this force within me was the missing piece of the puzzle during Jeremiah’s birth.

During one of our initial visits, the midwife asked me what I wanted from prenatal care. I couldn’t imagine a more perfect question from a care provider. From the start she empowered us to make choices and lead the way in this journey. Her sudden presence at the end of my pregnancy did not interfere with the connectedness I had developed with my body/baby (something I was afraid of in choosing a care provider). Actually quite the opposite; her support and belief in us only strengthened the existing bond between a mother and her unborn child. There were many people I kept at bay during this pregnancy, but I let her into that intimate space within my soul. I trusted her because she trusted birth.

Preparing
My subconscious mind knew there was a baby growing in my womb and it told me so in a dream. I had a dream that I gave birth to a baby at home after a relatively easy 6 hour labor. I believe that dream allowed me to cultivate the birth I desired and prepared me for a journey of openness and discovery during the months that ensued. About a week after having that dream, I took a home pregnancy test to confirm what my subconscious already knew; I was carrying a new life inside me.

There were a few important, perhaps seemingly subtle, but ultimately monumental differences during my second pregnancy. Rather than attach to a calculated due date, I anticipated a due “time”. I understood that baby would arrive at the perfect time and I completely let go of any expectations around baby’s birth date. From 28 weeks on I practiced daily meditations. This was a little space in my day devoted to me and baby. It was our time to bond, to connect, to communicate, and to develop trust with one another. In doing so, I revealed the benefits of mindfully and intentionally focusing on our unborn child’s existing presence in our lives. It was through these daily meditations that I grew surprisingly excited about giving birth. I began to look at it as an opportunity. A rare opportunity to be my true self by tapping into the inner strength and wisdom I innately possessed but rarely used. Labor wasn’t something to get through; it was something to be revered.

Birthing
Thursday night I experienced irregular contractions through the night. I listened to my pregnancy affirmations CD to keep relaxed so I could sleep. I did not want approach labor feeling tired. Friday morning Buzz questioned if he should stay home, but I sent him to work. I knew that I still had some time before baby would make his/her arrival. Additionally I wanted time alone with Jeremiah before he became a big brother. I wanted to savor our final time together with him as my only. 

We went about our day staying busy cooking meals to freeze, cleaning the house, and simply enjoying one another. We took a long, peaceful nap together. I experienced mild contractions on and off throughout the day. I would stop to notice them, but then continue on with whatever is was I was doing. Buzz checked in with me on the phone frequently throughout the day. Without me explicitly saying so, he understood the baby would be arriving soon.

Later that afternoon (2:00ish) things started to pick up in intensity. Jeremiah was still sleeping and I was outside cleaning up the yard. The contractions were starting to take more and more of my attention. I decided to call Buzz to ask him to come home.   

A short time later Jeremiah woke up. By that time I was experiencing more regular contractions and actively working with them by squatting, rocking, and swaying. Jeremiah followed me around the house and imitated what I was doing. He kept asking me "what are you doing momma?" And I would say "I'm getting ready to push the baby out". As much as I cherished this private time we had together, I was thankful when Buzz got home because it was getting harder for me to take care of Jeremiah as labor progressed.

Buzz called the midwife when he arrived home (4:00ish). She asked him if they should come over. Buzz called to me as I rocked on my hands and knees during a contraction “Do you want them to come over?” That is when I started to cry. I realized it was time: time to birth our baby. This evoked an extraordinary emotional response from me. Through my tears, I simply nodded “yes”. These tears did not carry sadness, excitement, fear, joy, or any other label I could attach to them; rather they were pure, raw…almost reflexive in nature. They felt good. I let them flow and they stopped nearly as quickly as they had started. It was as though I had to release something in order to really focus on the amazing work my body was about to do. That is when I felt like active labor started. 

While I labored alone in the bedroom, Jeremiah followed Buzz around as he filled up the pool, made the bed, and whatever else he did to get things ready. I laid on the bed in the dark softly humming to myself. This lasted for a while until I decided I wanted to take a shower. The water running over my body was soothing and I stayed there for quite some time, almost motionless except for my deep breaths. However I eventually started to feel overly restricted in the shower and needed to move. I returned to the bed; laying in a fetal position in between contractions and on all four during contractions.

By this time the midwives had arrived (5:30ish). They eased in quietly, carefully, and respectfully. They knew this was my birthing space and they protected it, even from their own presence.

I was ready to get into the water and the water was ready for me in parallel timing. As I had suspected would be the case, Jeremiah wanted to get into the water with me and I was fine with it. Actually I loved and cherished that special time we had together. It is my last memory of him as my only baby. Jack Johnson was playing softly in the background while I swayed in the water. Jeremiah thought I was dancing and was saying "dancing momma, dancing". He asked me to dance with him. We danced together for a while, until I needed him out of the tub. Buzz got Jeremiah out of the pool, dried, dressed, and comfy with a snack and movie in the bedroom while I continued to labor in the water.

After a while I decided my body needed some upright movement. I got out of the tub, but still craving the soothing power of water I went into the shower again. I swayed in the shower signing lullabies to my baby. I sang loudly without any apprehensions. Eventually Buzz came into the bathroom and warned me we would run out of hot water soon. I definitely did not want that to happen so I got out of the shower and back into the pool. As I walked back into the front room I noticed the midwives sitting on the couch. I thought to myself “Gee they are probably bored. There really isn’t anything for them to do except sit there. Maybe I should tell them to go home and come back when I am further along?”. That thought lasted only a second or two because the very next thought was “I don’t really care what they do or need. I’m busy”. That was when I realized birth was imminent; when I was able to let go of the propensity I have to take care of everyone else around me. I allowed my own needs to be the priority. I asked my midwife what time she thought the baby would be born. I think she understood what I needed to hear because her brilliant response was “Your baby will come at the perfect time”. 

Things intensified and I become more vocal. My noises; low, deep grunts, drew Jeremiah out of the bedroom full of curiosity. As he watched me he played with his Thomas train along the couch singing ‘Thomas, Thomas, Thomas”. Contrary to what one might assume, his presence was very calming to me. I believe he provided an important strength and love that was very beneficial to the birthing process. His ability to joyfully play with his beloved train while I gave birth offered an acute awareness that what was happening was perfectly natural. It was cyclical relationship. The energy in the room indicated what I was doing was fine so he accepted it as fine, thus acted normally, which in turn sent a positive message to me that everything was fine.

I asked Buzz to talk to me. I just needed to hear his voice. He quietly told me a story about a perfectly beautiful snowy day in the mountains. As he spoke he lovingly stroked my back and arms. His voice, his words, and his touch were especially comforting.

I expressed feeling scared. The midwife said to me “It’s okay to feel afraid”.  I repeated that to myself aloud a few times. As I entered transition I used a great deal of self-talk as I repeated the various labor/birth affirmations I had reflected upon throughout my pregnancy. I told myself aloud and internally…I CAN do this. I AM doing this. This is what I want. Everything that I am feeling is important and purposeful.

Rather suddenly, I felt the urge to push. It almost took me by surprise how powerful it was. When I felt that raging sensation, I worked with it. I pushed and grunted. No one told me what to do. No one needed to because my body knew. I stayed on my hands and knees in the water to push. Buzz was behind me ready to catch our baby. One midwife sat near him while the other sat near my head. Jeremiah stayed near daddy to watch the baby ease out of my body.

In between contractions I felt ecstatic, almost euphoric. As baby crowned I looked up at the midwife with a wide smile. I felt as though laughter echoed throughout my whole body. “The baby is coming!” I exclaimed, “The baby is going to be born at home!” She smiled right back at me. Her smiling face was kind and encouraging.

As I pushed my baby out, my bag of water broke open. Buzz caught our baby in his very own hands, with a little help from big brother, Jeremiah.

Bonding
Immediately after baby emerged, the midwives helped me turn over and Buzz passed the baby to me. Some people refer to the moments after birth as “meeting your baby”. But to me it felt like reuniting.

As I sat there in the water, holding my baby for the first time, it was as if time stood still; as though we were the only two people in the room. I was aware of the presence of my husband, my firstborn, and the midwives, but it felt like they were observing us through a glass window…peering in, with great admiration for the infinite love they witnessed unfolding before them. 

There was no rush. We could stay in this moment for as long as we wanted to. No one was going to take my baby from my arms or hurry me along. I would decide when I was ready to move on. And so we stayed there for a while: the two of us, in our own private world, bonding as only a mother and newborn are capable of.  I inhaled every feature of my baby’s face, scent, skin, and body. I checked and announced we had a baby boy. The midwives asked permission to check our newborn son. Ever so gently, as he laid across my chest, they took his vitals.

I started to feel cold and wanted to move into the bedroom to snuggle up in our bed. They carefully helped us out of the pool, as baby was still attached to the placenta which I had not birthed yet. In the bedroom I had a few more contractions and pushed out the placenta. The midwives wrapped it up and set it next to me and baby. I put baby to my breast to nurse him for the first time. I found his cord to be somewhat interfering with my ability to comfortably hold him to my breast and asked to cut it. Together the midwife and Buzz cut the umbilical cord. It was a sensitive moment for me, as we will never again be attached in that way. Although I knew we would discover and develop a different kind of attachment throughout the journey ahead of us.

Reflecting
The shedding, the unleashing that occurs during an unmedicated, unmanaged, unhibitied birth is transformative. First I experienced an emotional release, then a mental, and then a physical. In doing so, I was able to be fully present, on all levels (mentally, physically, emotionally, and spiritually) for the birth of my Abraham. The sense of empowerment that I experienced during the course of his pregnancy and birth I have carried (and will continue to) with me into motherhood. He has taught me to trust my instincts, to follow my heart, to cultivate beliefs, and to embrace life.

 


Robin Sharples-Ray, LM, CPM.    Mobile: 623.533.5160    Pager: 602.203.6786    robin@azwombservice.com

Connie Canada, LM, CPM.    Mobile: 623.533.5160    Pager: 602.880.0300    connie@azwombservice.com