of Services Provided
following is the scope or list of services included in your fee. This
list is not all inclusive and not everything mentioned is required or
will be offered to everyone.
these are services and procedures completed at
each antepartum visit. Visits are usually once a month until 30 weeks,
twice a month until 36 weeks and once a week until birth.
of fetal position
heart tones using a Fetoscope
and nutritional history since last visit
for edema of legs, face and/or hands
to be completed during labor.
- Mother's physical
condition (i.e. temperature, pulse, respiration, blood pressure, etc.).
status (assessment of contractions, status of membranes, etc.).
position, station, size & presenting part.
exams are kept to an absolute minimum, if any to avoid infection.
procedures completed during immediate postpartum
period. I will remain with the birthing family no less than two (2)
hours postpartum; most of this time is spent filling out records, as
not to impede on the birthing family’s private time with
their new baby.
that the placenta has been delivered completely and thoroughly exam it.
do not repair anything more than a 2nd degree perineal laceration/tear.
as needed: uterine firmness, vaginal bleeding, vaginal swelling and/or
tearing, maternal blood pressure & pulse.
will leave instructions for follow-up care including signs &
symptoms of conditions requiring medical evaluation.
follow-up will include family planning & dates for postpartum
follow-ups at 24hrs, 4 days, 2, 4 & 6 or 8 weeks following birth.
Care procedures pertaining to the newborn completed
nose and mouth well, if needed. Most newborns do just fine at draining
& cut cord after birth of placenta unless it is a Lotus Birth.
infant dry & warm with blankets and skin to skin contact.
Apgar scores at one, five & ten minutes after delivery.
and record specific information about newborn (height, weight, etc)
Follow-up to be completed at each postpartum visit.
and nutritional history since last visit
as needed: uterine firmness, vaginal bleeding & vaginal
swelling and/or tears.
mother’s over all emotional and physical state.
breastfeeding process and offer assistance if needed.
infant’s overall appearance and well-being, as most
parent already have a pediatrician or other health care provider for
NOT Offered or Completed
or other forms of genital mutilations
or birth center births
or give drugs before, during or after the birth.
of perineal tissue or repairing of tears exceeding 2nd degree
- Clinical/Medical laboratory or
smears and other obstetrical procedures
Birthing Parents will supply and be responsible for obtaining and
paying for the following:
Items: (books, videos, etc. not supplied/loaned by Natural Attachment)
and outside childbirth preparation classes, if needed or desired.
Laboratory or Diagnostic Tests: (Requested tests may include prenatal
blood work, urinalysis, dietary analysis, nutritional supplements,
viral blood screening (HCV, HBV, HIV, VDRL, Herpes, Strep B, Chlamydia,
etc.), ABO-Rh blood typing and antibody screening, and any other
medical tests that may be necessary in providing good prenatal care to
the mother and baby and aid in the detection and management of possible
birth complications. This may include amniocentesis for chromosomal
analysis, or an ultrasound for fetal or placental concerns. All
these listed must be attained from other Professional Medical Services
such as those provided by a Medical Doctor, if the birthing couple
wants or needs these services.
Antibody Testing and Rhogam Treatment: In the case of an Rh negative
mother and an Rh positive infant. This may include lab tests done on
cord samples to determine the baby’s blood type.
hospital, clinical, physician, nursing, doula expenses related to the
present pregnancy and any postpartum care not provided by Natural
Attachment or that is not included in our Scope of Practice.
& Nonprescription (OTC) Medications required by the mother
and/or infant related to the present pregnancy and postpartum care.
Care Expenses which may include taxi or ambulance transport, emergency
room and physician expenses, surgery and medications.
of a Traditional Birth Assistant/Montrice/Doula
call 24 hours, every day
with Waterbirth and Lotus Birth options
to quality medical and alternative professionals
of your own home for prenatal/postpartum care
to childbirth educators, doulas or other complementary professionals
out of hospital empowering birth education
birth plan conference & birth kit
materials: Handouts, Lending
- Homeopathy, Herbal
labor attendance; two to four hours postpartum (or as needed)
disposal if desired
hour check up, 4th day check up, 2
week check up, 4 week check up, 6
or 8 week check up
care, Newborn physical
assessment at birth, pediatrician referral/consult if needed
Oral Vitamin K administration if warranted/desired
ups with mum's visits to discuss any concerns
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