Postpartum Care

Postpartum care begins the moment the baby is born and continues for six weeks after the birth. 


Immediate Postpartum (first hours after birth)

Baby-led breastfeeding is encouraged right from birth. In fact, we don't consider the birth 'over' until the placenta is out and baby is latched on and nursing well. We discreetly monitor the mama for several hours to ensure that she is recovering well. The midwifery staff will take vital signs, check bleeding and uterine firmness, evaluate for tears and suture if needed. All this is done without interuption of family time and bonding. The majority of our clients return home with their new little bundles within 4-6 hours of delivery. If you have a homebirth, the midwife typcially stays 2-4 hours until both mama and baby are stable. 

Continuted Postpartum Care

We know that continuity of care is an important part of midwifery care that doesn’t end with the birth. All mothers need loving support, nurturing and education while they make their transition to motherhood and our midwifery staff is here to provide that. We provide two to three visits in the first two weeks to monitor the mother's healing, breastfeeding support, emotional well-being and challenges of having a new baby in the house.  During this time we're on-call for you by phone or text because we want to ensure that you have the support you need.  At the six week postpartum visit we can help as you transition back to normal life, work and motherhood. 

Newborn Care

Immediate Newborn

When your baby is born, we place her where she belongs - on your tummy, where she makes her gentle transition into the world, begins to breastfeed and integrates into your family. There is no rush to cut the umbilical cord and we never separate the two of you. 


You will be given as much privacy as you feel you need to touch, cuddle, admire, and inspect your newborn. All necessary care, exams, and tests are done while your little one is in your arms or beside you in the bed. You decide what procedures such as eye ointment and Vitamin K are best for your baby. We will assist you with breastfeeding and give important postpartum instructions.


Before going home, your baby will have a comprehensive newborn exam including weight and measurements, vitals, reflexes, neurological, CCHD screening and general evaluation and then footprinting on a keepsake birth certificate the family takes home. Newborn bath is optional but we make it as gentle and loving as possible!  We also take pictures for the family if desired.  


Follow-up Newborn Care

As Licensed Midwives, we can continue caring for your baby for the first six weeks.  During this time we will see the baby several times to monitor weight gain, check for jaundice, a good breastfeeding latch and proper growth and development.  We also provide the necessary paperwork and walk you through the process to obtain your baby's birth certificate and social security number.  


At the first newborn visit all babies are again screened for Critical Congenital Heart Defects, even if they look healthy. We use a non-invasive Pulse oximetry that measures how much oxygen is in the blood and can help to identify babies that may be affected with CCHD before they leave the birth center and at this first follow-up newborn visit.

 

California Newborn Screening Test

At your first newborn care visit we will obtain the CA newborn screening test which means no trips to the laboratory, ER or doctors office to have the test done. At the first postpartum visit, we will explain the procedure to the parents and baby, swaddle the baby and gently perform the heelstick.  


Six Week Visit

The final six-week check-up is a chance to discuss breastfeeding and any issues such as returning to work or family planning and fertility awareness as well as share photos of the birth and give us time to cuddle your baby.


Humane Approach

We believe that babies are people too!  As such, they should be honored along with the mother and allowed the opportunity for their own physiological birth and transition into the world.  Here are some of our practices and beliefs…..

  • Babies navigate the birth canal on their own – no pulling or tugging on their head and then waiting for natural rotation
  • Their first touch should be from the hands of those who love them
  • Leaving the cord intact so baby can be sustained with oxygenated blood during the transition to breathing on their own
  • Continuous skin-to-skin contact with mama
  • Baby-led breastfeeding – babies left in peace to find mama’s nipple and latch on, finishing the rotations of birth and breastfeeding.
  • Treat all babies gently, with dignity and respect, explaining to them what we’re going to do during any exams or procedures.
  • Honoring the extended family; Grandparents, siblings, aunties and uncles, and providing time and space for the family to welcome their newest member


Note:  APM does NOT provide vaccinations to newborns or infants