services
Many Health Insurance plans accepted & Payment Plans are available for out-of-pocket Fees
Gynecological Care
Individualized, Affirming, & person-centered Health promotion in a relaxed, home-like setting.
May include:
Cervical cancer screening
Breast health
Menstrual health
Pre-conception counseling
Family planning
Menopausal wellness
Mental health screening & referrals
Focused physical exam
Lab testing
Nutritional guidance
Wellness counseling throughout the lifespan
Prenatal & Postpartum Care
While most pregnant people who engage Caraballo Midwifery do so with the desire to have a home birth, the option to have prenatal & postpartum care without the plan of a home birth is open to anyone whose risk profile is within the scope of midwifery care. This may be a good option for those interested in having the thoughtful, non-coercive care offered at Caraballo Midwifery but who would prefer to birth in an area hospital with a different provider. Some individuals who plan a home birth may end up with a change of plans before birth or during labor for a number of possible reasons, and these individuals are invited to return for postpartum care with the midwife when appropriate.
Comprehensive & REspectful Prenatal & Postpartum care for low-risk pregnancies
Includes regular prenatal visits with 6-8 weeks of postpartum follow up, during which you will be invited to acknowledge your needs, values, and preferences. The midwife will guide you through evidence-based options with the well-being of you, your baby, and your family at the heart of the experience, while honoring your inner-knowing of what is best for you & your family.
May Include:
Initial history & physical exam
Review of historical & previous provider records
Pregnancy dating
Genetic testing options
Routine lab work & screenings
Ultrasound referrals
Ongoing risk assessment & review of options
Fetal heart tone checks
Fetal growth & position checks
Nutrition counseling
Mental & emotional health support
Labor preparation & birth planning
Breastfeeding support
Transition to parenting counseling
Birth story processing
Family planning
Home Birth
Home birth is an option for those with a desire to remain in their home for the birth of their baby & who meet low-risk criteria for doing so.
Risks & Benefits
There are many reasons why families choose home birth, which is an unconventional choice in our current day society. Some of these reasons include:
feeling a sense of security and relaxation with remaining at home as opposed to the feelings of anxiety and stress that can be associated with being in an institutional medical setting for some people
a strong desire to avoid medically unnecessary interventions
a strong desire to have options that may otherwise be unavailable or limited due to institutional policies, such as the desire to have young siblings present during labor & birth, water birth, unlimited freedom of movement, and one on one care from your provider (or one on two care as the mom and baby are being cared for.)
While I support the right of an individual to choose where & with whom they give birth, I ask you to deeply consider the limitations & risks that are associated with a planned home birth, which include, but are not limited to an increased risk of perinatal morbidity & death. This includes a two-fold increased risk of fetal/neonatal death & a three-fold increased risk of serious neurological damage or neonatal seizures. While careful screening occurs throughout the pregnancy and labor to identify risk factors, unexpected and sudden emergencies can occur. We cannot predict with certainty who will have such an emergency.
Hospitals have a number of life-saving resources, technology, and staff members that will not be available in your home. The midwife and birth assistant will bring equipment, medications, training, and experience to help keep you and your baby safe, but certain interventions will require a transfer to the hospital, during which the time to transfer and receive access to life-saving measures may have a serious detrimental impact on the outcome. Please read the statement from ACOG on home births (link below), and take time to consider your options and the implications of your choice for planned birth setting.