FAQ Services

Midwifery services
Appointments
Safety and Outcomes
Paying for Care
Set up and Clean up

Get ready for a new kind of maternity care

We believe that childbirth is a normal, yet amazing part of a woman’s life.  It is best supported with good information, good nutrition, attentive clinical management, and the mother’s personal responsibility for her health.  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.

Pregnancy care and services

Free initial consultation
Regularly scheduled appointments
Two convenient office locations
Labs drawn in office
Ultrasounds in office
Referrals for ultrasounds or medical care as needed
Hour-long appointments
Home visit at 36 weeks
Full informed-decision making
Electronic medical records
Direct access to your midwife
Free Child Birth Education class

Birth

Direct access to your midwife for early labor questions
Your midwife will attend
Equipment and medications for resuscitation, hemorrhage management, IVs, and suturing
Two fully trained midwives or midwife assistants at delivery
Waterbirth encouraged
Doulas are welcomed
Full newborn exam, including blood typing

Postpartum

24 hour home visit for mom and baby
5-7 day home visit for mom and baby
Additional home visits as needed
Newborn screening of blood, hearing, and heart
Breastfeeding assessment, support, and education
Complete newborn exam records sent to your pediatrician
2 weeks of newborn care
6 weeks of mother care

DIRECT ACCESS

Kristin is directly available to her clients
509-780-3330

Family friendly

Partners and other children always welcome to appointments
Play areas in both offices

Labs and testing available

Full Obstetric panel
Iron levels
Vitamin D
Genetic testing
GDM screening
STI testing
Ultrasounds
Pap smears

Ultrasounds in office

NEW! Available in Prosser and Yakima

Referrals or transports when needed

Full discussion of need for medical care
when/if it arises

More information about labor and birth

What should I expect during labor and birth?

Labor can be short or it can be long or somewhere in between.  It is always hard.  Thankfully, you are built to do this and you have a great team around you.  And you have prepared well.

During pregnancy, you are instructed when you should call the midwife.  Once you do, she assesses labor via phone and sometimes does a labor check at home.  Early labor can take a long time, so we encourage you to rest and eat well.  Then the midwife arrives during active labor, the phase marked by dilation at 5-6 cm.  She takes vitals on you and the baby, sets up her equipment, begins charting, and alerts the second midwife and student midwife.  Regular physical assessments take place throughout labor.  The midwife assists with the filling and use of the birth tub.  You get to eat AND drink during labor too.

Then, before you know it, it is time to meet your baby!  During the first minute after birth, we are assessing the baby’s breathing ability and needs, as well as any bleeding you may have.  Ideally, we can remain completely hands-off.  Because we practice delayed cord clamping routinely, there is usually no rush to resuscitate the baby or deliver your placenta.  During the first ten minutes after birth, we are providing supportive care to both of you and only intervening if necessary.  During the the first 30 minutes after birth, we are delivering your placenta, helping you to a more comfortable position in the bed, monitoring vitals, and assessing your perineum for any needed repairs.  During the next two hours, we are monitoring vitals, assessing stability, managing bleeding, performing a newborn exam, suturing if needed, cleaning up, and answering questions.  Above all, we want to help create and maintain the wonderful “birth bubble” or “golden hour” for you, so any intervention to mom or baby really needs to pass muster.

When the midwife leaves, usually 3-5 hours after birth, your house is clean, you have a load of laundry going, everyone has eaten and/or rested, and mom and baby are happily nursing or sleeping.  The midwife is available by phone at any time to you.

What should I expect when postpartum and breastfeeding?

This is one of the big benefits of homebirth midwifery care.  The midwife comes to you in your own home to check you and your baby.  It’s so much easier on both of you.  And the direct access to the midwife helps us address any problem while it is still small instead of waiting until it is BIG.

In 10-12 hours after birth, the midwife will check in with you over the phone.  She wants to know how you are feeling, if there’s any bleeding, how nursing is going.  Then, the midwife returns at 24 hours to do a full exam on mom and baby, including the newborn screening tests.  A breastfeeding assessment is key, as this helps prevent any big problems that may be developing.

The midwife checks in with you over the phone several times during the next seven days.  She then returns for a second home visit on day seven (or sooner if it is needed).  Please report any breastfeeding problems quickly!  Your baby will also need a pediatric visit, so the midwife prepares and sends records to your provider.  Then, the midwife checks in several times over the next 2-4 weeks and is available to you anytime.  Many moms prefer to have a final visit at 4-6 weeks.

NEW in 2016, we have in-house gynecology and women’s care provided by a Certified Nurse Midwife!  CNMs have a wider scope of practice than LMs which includes: prescriptive ability for medications, including antibiotics, antidepressants, and birth control; IUD insertion and diaphragm fitting; well-woman care and annual exams; and minor gynecological procedures.

How does a referral to another provider or a transport to the hospital work when I see an LM?

Thankfully, these are fairly easy now that Sunrise Midwifery has developed such good relationships.  Whenever a medical condition arises that the midwife thinks needs a physician’s care, she explains what is happening to the client and works to find the best provider for that client.  If it’s urgent, we sometimes use a different set of criteria.  In the end, the client benefits from having the clear and positive communication between her midwife and physician.

Transports during labor are always stressful but they are getting easier.  They are inherently stressful because you are changing your birth location at the last minute, whether or not you are experiencing an emergent medical condition.  Usually transports occur non-urgently and we can drive ourselves into the hospital.  Very infrequently do we need to call EMS.  We always discuss what happens when and if a transport were to occur during your birth so that you are prepared and as comfortable as possible with the change of plans.