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homebirth parent holding newborn while midwife checks umbilical cord and older sibling watches

ADDITIONAL HOMEBIRTH LOGISTICS

additional things to consider when opting to have a homebirth

 
PCP CO-CARE

While it is not a requirement for care, we HIGHLY recommend all of our clients have a co-care arrangement for themselves and their newborn as soon as possible during their pregnancy. This ensures clients have access to a primary care provider (PCP) who can order labwork and ultrasounds if necessary and have them covered by their private insurance and/or Medicaid. Having a PCP also means that there is a doctor you already have a relationship with, which makes co-care and physician consults easier. 

Having a family practice physician or pediatrician picked out and consulted with BEFORE your baby is born will help make postpartum check-ups, newborn co-care, and physician consults for your baby much easier. While it is not a requirement for care, most clients have their newborns seen by their doctor by 2 weeks postpartum, unless there is a concern warranting seeing them sooner. Making appointments and getting seen in a timely manner are more likely when clients have already chosen and met with their baby's doctor before their birth.

We are big fans of Family Practice Medicine and practices/clinics where the whole family can be seen from birth until death. It facilitates a better relationship with your physician, as they get to know your whole family and its unique needs as a whole, complete unit. Having a family practice physician also affords you more face time with you provider, because you will be in their office more since the whole family is under their care. Family practice physicians are *typically* more accepting of alternative family structures, parenting choices, and homebirth.

We currently have a co-care and consultation professional relationship with the following practice(s):

Allegheny Reproductive Health Center

Dr. Sheila Ramgopal (they/them)

5910 Kirkwood Street

Pittsburgh, PA 15206

412-661-8811

Services provided: Obstetrics, Reproductive Care, Abortion

Payment/Insurance: accepts most insurance & medical assistance

Comments: ARHC is known for providing excellent reproductive care across the spectrum. They are also known for being competent in providing care for queer and gender-diverse patients. 

Co-Care Options: ARHC can provide OB/GYN consultations (and referrals to MFM), prescriptions for necessary pregnancy medications, prescriptions for perinatal labwork, ultrasounds, non-stress tests (NST), biophysical profiles (BPP), external cephalic versions (ECV), and long acting reversible contraception (LARC). 

We currently recommend the following practices for clients who need a PCP or would like to switch their PCP:

Metro Community Health Center (formerly Metro Family Practice)
1789 South Braddock Avenue #410
Pittsburgh, PA 15218
412-247-2310
Services provided: Primary Care, Family Practice, Integrated Medicine, Psychiatry, Psychology, Geriatrics, Women’s Health, LGBTQ Health, and Neurology

Payments/Insurance: accepts most insurance & medical assistance and is a FQHC offering a sliding fee scale

Comments: MCHC is well known for their competent care for queer and gender-diverse patients and is our recommended provider for our clients who need affirming care

Hospital Affiliations: Forbes Regional Hospital and UPMC Shadyside

East Liberty Family Health Care Center

7171 Churchland Street
Pittsburgh PA 15206

(multiple locations available)

412-661-2802

Services provided: Primary Care, Behavioral Health, Dental, Medical Health, Pediatrics, Prenatal/OB/GYN, and Lab Work

Payments/Insurance: accepts most insurance & medical assistance and is a FQHC offering a sliding fee scale

Comments: ELFHCC is a Christian Ministry clinic, but they do not discriminate and patients are not required to be Christian or to participate in prayer at appointments (though prayer will be offered).

Hospital Affiliations: UPMC Shadyside, UPMC St. Margaret, Children's Hospital of Pittsburgh of UPMC, West Penn Hospital, and Magee-Womens Hospital of UPMC

Squirrel Hill Health Center

4516 Browns Hill Road
Pittsburgh, PA 15217

(there is a location in Brentwood too)

412-422-7442

Services provided: Primary Care, Dental, Behavioral, Internal Medicine, Family Medicine, Geriatric Care, Pediatric Care, OB/GYN Services, Prenatal and Postnatal Care, Family Planning Services, Immunizations, and Lab Work

Payments/Insurance: accepts most insurance & medical assistance and is a FQHC offering a sliding fee scale & payment plans

Comments: SHHC has an amazing refugee program and will see undocumented patients

Hospital Affiliations: UPMC Shadyside, UPMC Presbyterian, Magee-Women's Hospital of UPMC, and Children’s Hospital of Pittsburgh of UPMC

LABOUR COMPANION ("doula")?

While midwives have the skill set to offer the same physical and emotional support that a labour companion can provide, our first priority is the safety of you and your baby. While we do everything we can to provide you both emotional support and physical comfort during your labour and birth, we are often tasked with needing to focus on other aspects of your care, charting, or in the case of long labours, sleeping to ensure we are well rested for the actual birth and immediate postpartum period when our expert decision-making may be most needed.

We HIGHLY recommend ALL of our clients hire a labour companion or at least employ the support of a close and supportive friend or relative to help tend to their emotional and physical comfort needs during labour. Early labour can be especially difficult for first-time parents who lack the experience of having given birth before and might be unsure of exactly when they should have their midwife come check on them or come set up & be ready for the actual birth. Midwife Michele is happy to come and check up on their clients at any point in labour if requested or there are concerns (and may return home in some cases), but otherwise they do not typically show up for the birth until active labour is well established (in the case of distance or client history of precipitous births, Michele may arrive earlier than typical).

Our practice defines Active Labour as two or more of the following:

  • contractions lasting 45-70 seconds

  • contractions being 3-5 minutes apart for an hour or longer

  • complete concentration & breathing or vocal toning through contractions is *necessary*

  • "bloody show" with or without loss of mucus plug (having spots or streaks of blood from cervical dilation)

  • cervical dilation of 6cm or more

RECOMMENDED LABOUR COMPANIONS

stay tuned for updates to this list as we're still gathering information