I want to congratulate you on your wonderful news. I hope you are
excited about being a mother and if this not your first baby, I hope
this newest addition brings much joy to your growing family!
parents are opting to have homebirths. Homebirths are childbirths that
take place in the comfort of the birthing couples home, usually with
the assistance of a midwife. These births
have been on the rise since the sixties, here in America, since their
decline at the turn of the 20th century, when medical doctors and
hospitals started to medically manage childbirth. Another option in
childbirth is FreeBirth or Unassisted Childbirth or husband-wife birth;
use no midwife or medical physician.
women want to have a homebirth or unassisted birth, but are met with
much resistance from their partners or family members. In these cases,
women often call upon the aide of a midwife or doula to assist them in
their wishes and to create a sense of ease for their worried family.
name is Michele and I am a Traditional Lay Midwife, Doula and Natural
Childbirth Educator. I offer my services to couples seeking a very low
tech, natural and non-medically MANaged birth. This means that you and your
partner do not wish to have medical interventions performed before,
during or after the birth. I offer these services for
women who are healthy, secure with their bodies and the birth process,
and those women who want to reconnect with birth and learn how to
become their own midwife. I offer my services,
especially to those who are wanting homebirths or unassisted births and
whose partners are not comfortable with having an unassisted birth or
homebirth without an experienced person present. For expectant mothers
not wanting complex and
invasive prenatal care, then Natural Attachment's Birth Assistance is
right for you.
who are seeking care from a Certified Nurse Midwife, Medical
Physician or any other medically minded person who can and will preform
obstetrical procedures (artificial rupturing of membranes, electronic
monitoring of baby, etc.) and use obstetrical instruments (forceps, Rx
drugs, etc.), should not contract for services with me.
however, to offer synchronized care with such
Women wanting vanity ultrasound tests, complicated medical and
diagnostic laboratory work ups, and medical interventions such as
pitocin induction, pain medication or fetal monitoring, should also not
contract for services with me, as I do not perform such procedures,
because I am not a nurse or physician nor is licensing available for me
to offer such services. For
a complete scope
please read on....
those couples wanting to give birth as freely as physically possible,
as natural as possible and with an assistant who serves as a
“silent observer”, Natural Attachment Birth
Assistance is probably for you. Contact
today for more information and to schedule a consultation.
I Believe about Pregnancy and Childbirth
believe that childbirth is a natural event, not a medical procedure; it
is physiological, not pathological.
is a sacred Rite of Passage, not just a medical event, especially when
medical care is necessary.
woman’s body is capable of giving birth, naturally and
safely. Birth is as safe as life gets.
birth preparations and approaches provide tools for a sacred birth
a woman gives birth is a direct reflection of how she will handle
parenthood and life in general.
should be respected and supported in whatever decisions they have made.
deserve to be treated as such and not treated as just coaches.
need the company of loving support persons during the postpartum period.
believe that when parents are educated about and prepared for
childbirth, it can be a wonderful experience for them, binding them
closer together as a couple and a family.
believe in the parents' right to choose the caregiver or no caregiver
and place of care
in which they wish to have their baby, whether it be a midwife or a
physician, and whether it be in their home, in a birth center, or in a
believe that when parents are given accurate information, the vast
majority of them are capable of making the best decision regarding the
circumstances for the birth of their babies.
believe that proper nutrition (including appropriate nutritional
supplements) during pregnancy makes an enormous difference in the
health of both mom and baby.
believe that, for most pregnancies and births, medical intervention is
entirely inappropriate, and may result in unnecessary complications for
moms and babies. There is no place for obstetrics in spontaneous birth.
believe that most episiotomies and most Cesarean Sections are
unnecessary. There are occasions when these interventions may be
necessary, but they should be extremely rare.
believe that there is a time and place for excellent doctors and
hospitals. I am not "anti-doctor" or "anti-hospital." I am thankful for
wise, sensitive doctors and hospitals.
believe that the woman carrying a child has the last and final word
concerning her health and that of her child, born or unborn.
of Natural Attachment Birth
Assistance Traditional Midwifery Services
of all, your visits take place in the privacy and comfort of your own
rarely have to wait for your visit. I limit myself to only two
births per month and try and schedule all visits on different days. I
also schedule visits at two hour intervals! That's right, you have up
to a two full hours for your prenatal visit, if you desire or need it.
Most visits are done in about half an hour, but sometimes we just enjoy
the good conversation and use up the whole afternoon.
first prenatal visit is the longest. I will take a complete medical
history and do a risk assessment for homebirth. I do not do a
exam at this time. There is really no medical benefit to this. Instead,
I wait until after 38 weeks and let you decide when and if to
have your cervix checked for dilation and effacement, unless there is a
medical reason to do so sooner. I can teach you how to check yourself,
so that you or your partner can check whenever you feel necessary.
don't offer or perform sonograms/ultrasounds. (I
can share with you literature explaining the dangers of unnecessary
ultrasounds and doppler use during pregnancy.) If
circumstances require one, I will refer you to a lab/clinic to have one
performed. The same goes for in depth diagnostic
testing on blood and urine. At visits your urine may be checked for
proteins and sugar. We always discuss anything I find that is not
normal so I can help you turn around a small problem before it becomes
a big one.
the first 30 weeks your appointments are every 4-5 weeks. Then from the
30th through 36th weeks they are every 2-3 weeks. Beginning with the
visit at 36 weeks, you are then seen weekly until you go into labor.
- I don't typically record your weight. I watch your weight gain to make sure you are
gaining weight at a healthy rate. However, I do not lecture about
"gaining too much weight." I am much more interested in how you are
eating rather than only in how much you are gaining. Some women will
have perfectly healthy pregnancies while they gain a lot of weight.
Others can be unhealthy but have seemingly "ideal" weight gain. For
this reason, at your first visit, you are asked to fill out a diet
sheet of everything you eat for at least one week. I continue to
encourage good nutrition throughout your pregnancy. I
encourage and support vegan/vegetarian pregnancies, ask me for more
- You will be
asked questions about how you are feeling. I always try to really
listen! I will answer any questions you have and give you more
information to read and research as it is needed. I have a library full
of books related to pregnancy, childbirth and babies. They are yours to
check out as you desire.
will measure the growth of your uterus at each visit. This helps me to
evaluate the growth of your baby. It also helps confirm your estimated
birth month (EBM). Occasionally, this may be when I get my first clue
to possible twins (should you be carrying them). I tend to give you a
birth month instead of day, so that you aren't stressing about being
“over due”. I consider 38-42 weeks a typical length
of pregnancy, but births from 36 - 46 weeks are not unusual.
listen to the baby's heart with a fetoscope. Heart tones are
reassuring to us all and help me to know what your baby's usual heart
rate is. This is an important thing to know when you go into labor. I
do own, but rarely use a doppler stethoscope; if you or your partner
absolutely desire this form of fetal heart tone monitoring, it is
will palpate your uterus. This means I will feel for the baby through
your stomach and tell you where his head, back and feet are. You can
learn to do this at home as well. I take plenty of time getting to know
your baby and knowing his position. If he is not in an ideal position
near the end of the pregnancy, you will be taught exercises that will
help him or her move into a better position. This is very important to
make for an easier labor and delivery. It is important to note though
that most babies know the best position they need to be in for birth,
even if it seems less than ideal to us.
you reach 35-37 weeks of pregnancy, I will schedule a home tour. The
36th week marks the time at which you can safely birth at home. From
this time forward, should you go into labor, I will assist with your
baby's birth at home.
touring your home, I make sure I know exactly where important things
are located. I need access to trash, laundry (if you have such a room
in your home), bathroom and to inspect the room where the birth should
take place. By this time you will have ordered your birth kit and we
will look at its contents together and I will explain them to you. We
will discuss where in your home you want to birth and how to set up for
the home tour I like to meet everyone who will be at your birth (if it
is possible). I desire to answer their questions as well as yours.
After the 36 week visit, the rest of your prenatals are done weekly
until you are in labor.
you think your labor is beginning, I want you to call me right away. It
doesn't matter if it is late at night or you just aren't sure. This
gives me an opportunity to evaluate your situation and be best prepared
for your labor and birth. I will come to be with you as soon as I am
needed or even if you just want me to come on over anyway. Once active
labor is established, I will stay with you.
always try to follow your cues on how much you want
me involved in your labor. If you prefer to labor quietly
alone or with your partner, I will respect that. If however, you
will stay right with you. I will encourage you through the rushes,
suggest position changes as needed, or even massage your
labor I encourage you to eat and drink as you desire or need. I
you to shower or soak in a warm tub of water and to walk around, go
outside or do what feels right to you.
it is time for the birth, you choose the position. I may suggest a
birthing position if you need my help. As long as you and baby are
doing well, I encourage you to listen to your body and push as it tells
you. Your perineum can be supported with counter pressure and warm
compresses. This usually feels real good and helps you relax your
never do an episiotomy. Instead I gently support and help to stretch
the perineum, if needed. Tears rarely happen, but if they do, I am
repair one (2nd degree or less). The healing of a tear is much quicker
and easier than an episiotomy and most tears are smaller than a
your baby is being born, I encourage you to watch, or touch. The father
is encouraged to 'catch' the baby if he wants. The baby is placed
immediately upon your tummy at delivery. I encourage nursing right
away. If the baby needs any special attention, most of the time I can
tend to his needs right there beside you.
carefully watch but never rush the delivery of the placenta. Once the
placenta is out, the cord is cut (unless you are having a
lotus birth) and I will try to give you a moment alone for
your new family to bond.
will prepare your herb bath (optional) if you didn't have a
waterbirth, while continuing to sneak back in keeping a close eye on
both you and the baby.
the herb bath is ready, both you and the new baby may enjoy it. Most
mothers express some sigh of contentment when getting into the tub. The
baby will also feel the familiar surroundings of water once again and
gaze into your eyes to get acquainted with you.
you bath, I clean your room and remake the bed with fresh
sheets. When you return to the room, I will check over your baby as you
watch. This is when you will find out how much the baby weighs, etc. I
stay around for at least 2 hours after birth or as long as I am needed.
Then I leave until the next day or two staying in close contact by
postpartum care actually begins the moment you give birth. I keep a
close eye on everything for the first few hours after birth. But I also
return within 48 hours to your home. I will check you and baby out and
make sure breastfeeding is starting off on the right foot.
about one week postpartum, I will do another home visit or
phone visit. I always evaluate both you and your baby. Your full milk
will have come in and it's a good time to evaluate the baby's nursing
progress or answer any questions or concerns you may have about nursing.
last postpartum visits are done at 4 weeks and 6-8 weeks postpartum. I
am always available by phone or e-mail for questions or concerns, even
long after your birth and postpartum visits.
are an Equal Opportunity Service. Our services are available to all
healthy, empowered women and their babies regardless of religion, race,
alternative lifestyles or ethnic origin.
have client visits scheduled for afternoons and evenings as
a service to working mothers and their families.
you live in Pittsburgh, PA or within 30 - 45 minute drive radius from
zipcode 15212 and would like to schedule a visit, please e-mail Michele.
material in this website is provided for information purposes only.
This information is not a substitute for, medical diagnosis, medical
advice, or medical treatment prescription. Consult your health care
provider for more information. If you are in Pittsburgh and
midwife, send email to PghMidwife (at) naturalattachment.com