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Services

Maternity Care Services

Maternity Care Services

The goal of prenatal care is to guide an expectant mother through the
stages of pregnancy, recognizing problems, and preparing her for the arrival of her new baby.
Prenatal care will be provided by the CNMs surrounded by your loved
ones and will allow us to get to know one another. If you live in Winchester we can even do all of this in your home.  

We collect health information necessary for ensuring a safe pregnancy, going over all tests and ultrasounds completed, and preparing for the day of your baby’s birth.
If there are any problems that arise, we will manage what can be managed in Midwifery care and consult and refer for pregnancies that may become complicated.


Preparation for a planned out of hospital birth takes time and more focus than a hospital birth.  Some women choose to have their baby in  their own home.  Some would prefer to birth in a center designed for out of hospital birth. For this option we use "The Cottage" in collaboration with Grace Midwifery.  Some women choose to see us to have Midwifery led prenatal care but intend to give birth in the hospital.  We individualize our care to each mother and her desires for where and how she will give birth. 


The initial visit includes gathering a history and a risk assessment to be
sure you are an excellent candidate for Midwifery care. We discuss
many details of your prenatal care and planned place of birth and begin the commitment to Midwifery care.


You will have visits monthly until 28 weeks. At this time, we will see you every other week until the last month of your pregnancy when we begin seeing you weekly. If you pass your expected delivery date, we will likely see you twice a week. We can always see you for any problems that may arise and we are available to our clients continually while they are pregnant.


Prenatal care is a time to focus on excellent health for both you and your baby! It is a time for reflection and to look with hope at what is to come.
It gives us joy to guide you through this!

Birth Care Services
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Birth Care Services

For those planning out of hospital birth, when your special day (or night) arrives, you will contact us, and the Birth Assistant, and we will come to your home or "The Cottage" to check on you and your baby and to guide you through your labor. We will use many nonpharmacologic ways to help deal with the discomforts of labor.

If you are planning a Hospital birth we will notify the hospital you are coming and be sure they have what they need to assume your care for your labor and birth. Doula services are an option if you are going to the hospital. 


We have helped with many amazing births.  Some births are hard and some are easy. Each baby is born with its own story. 

As a team we monitor you, your baby, and make suggestions to keep you safe and let labor progress. We will support your efforts and help you welcome your new baby into your life.


If an emergency arises, we will transfer you to the nearest hospital and have records from your pregnancy and labor immediately available to the
accepting hospital. We will discuss this possibility in detail during your pregnancy.


Additionally, we are trained in CPR and Neonatal Resuscitation.

New Born Baby Care Services

Newborn Baby Care Services

When your new baby arrives, we are respectful to their physical needs and will give you uninterrupted time with your baby. These moments are
absolutely sacred.


When you are ready, we will examine your baby and gather
measurements, and assist you with breastfeeding. We are guests at your birth and will give you and your loved ones the space they need to meet
your little one!


When the baby is 1 day and 3 days old, we will return to check your baby and perform the state required Metabolic Screen Bloodwork and the test for Critical Congenital Heart Defects (CCHD). The baby’s Birth Certificate will be filed at this time.


The results of the tests will be provided to your pediatrician. We would like for you to take your baby to your pediatrician to establish Pediatric Care within the first week.


We will return at 2 weeks and 6 weeks for follow up and you can contact us anytime with questions regarding your baby and for help with breastfeeding.


“Babies are such a nice way to start people.”
― Don Herold

Postpartum Care Services
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Postpartum Care Services

Once your baby is born, we monitor you and make sure you are safe and
stable. We stay with you until you are ready for us to go. We clean up our
supplies and make plans with you for our return.


We will return within 24 hours and 72 hours to check on you again.
At 2 weeks and 6 weeks we will see you again to help you through the
transition into new motherhood, both physically and emotionally.


We are available for questions and concerns anytime during this period.
Our Maternity Care only clients will be given 2 week and 6 week followup by us after their planned hospital birth. 

We are glad to offer postpartum care in close intervals. Midwives do this best!


At the end of your last postpartum care, it is not the end of our time
together. We hope to continue with you for your Women's Healthcare needs as long as you desire.

Well Woman Care Services

Women's Healthcare Services

Karen has been so lucky to have women she has been giving care to for her entire career.  Some of had babies with her, some have not. 

We hope our birth clients choose to see us for their continued care. 

Nurse Midwifery care includes office gynecology across the lifespan. 


We can see women for the following:

  • Well Woman Exams

  • Simple GYN problem visits

  • Menopause care

  • Adolescent gynecology care

  • Family planning and contraception

  • Breast Health

  • Hormone Replacement Therapy


Gynecology care will be provided by us at the “Healing Hands Integrated
Wellness &  Primary Care” office where we have a gynecology exam room available.  We see Women's Healthcare patients each Wednesday by appointment.
Please call our office number or use the office email to schedule this.  We are not associated practitioners with Healing Hands, and they will not be
able to assist you with an appointment or questions.

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