Midwifery Care

Many people are not familiar with midwifery care . . . so it may seem a little mysterious.

But it’s honestly simple. Midwifery care is:

  • Prenatal appointments to make sure Mom and Baby are both healthy

  • Care and support in labor and birth in your home or the birth center

  • Care for the MotherBaby including prenatal appointments, labor and birth support, and care for the MotherBaby for the first 6 weeks after he birth.

  • Education, Resources and support with you at the center.

Birth. Simply.

  • Prenatal Care

    All of your prenatal appointments include assessments, health counseling, and customized plans to support your healthy pregnancy.

  • Waterbirth

    You may choose to labor in the water, birth in the water, or enjoy a post-birth herbal bath.

  • Home Birth or Birth Center

    Birth where you feel comfortable. Our care is the same whether you birth at home or the birth center. You pick your team and your favorite location.

  • Breastfeeding & Post Birth Care

    We continue care for MotherBaby for 6-weeks after birth including breastfeeding support and newborn care.

FAQ About Frisco Midwifery Services

  • Someday, soon, you’re going to be sharing the story of one of the most sacred and sentimental experiences of your lifetime – the birth of your child. Throughout pregnancy you will experience a wide range of emotions. When the day of your birth finally arrives, and your newborn looks in your eyes as you bring her to your chest for the first time, you’ll have a whole new, rich, wave of emotions. Your experiences through pregnancy, birth, and the first weeks of your baby’s life will have a profound impact on the way you see yourself and how you parent.

    We believe that birth can be more than just safe. It can also be sentimental, satisfying and transformative. Frisco Midwifery & Birth Center is committed to supporting you and your growing family.

  • We are fortunate to live in a metroplex with many fine midwives to choose between. There is a “midwife for everyone”. We all have different strengths and temperaments. At Frisco Midwifery & Birth Center, our philosophy differentiates us from other practices. We practice “physiologic birth” which means we do not interfere or intervene in birth unless there’s a clear reason to do it. That means we don’t do routine interventions like routine cervical checks, we don’t do directed pushing, we don’t even routinely provide perineal massage. We are hands off unless there’s a reason to be “hands on.”

    We also practice ‘holistic’ care which means we look at the whole person, body, mind and heart/soul.

    Body: At every prenatal appointment we schedule plenty of time to check on the physical wellbeing of mom & baby by checking vitals, listening to heart tones, measuring your growing abdomen, etc.

    Mind: Then, we answer about your questions, offer educational resources from our lending library and extensive handouts to help you feel prepared.

    Heart: The greatest benefit of holistic midwifery care is the opportunity to create heart-to-heart connections so you feel seen, heard, and safe with your birth team.

    We are intentional about caring for your heart too. We further differentiate ourselves by fully embracing physiologic birth. We support the natural process of labor and birth without interruptions and unnecessary interventions. There are many subtle ways that philosophy shows up in labor. For example, we support the mother to birth at the pace her baby and body are ready – so we don’t do directed pushing. We know that the ideal labor hormones are made in the primal brain, so we don’t ask mothers a lot of questions in labor – we support you more intuitively, respecting the quiet environment. We are always striving to find ways to help birth be both safe and sentimental.

  • Frisco Midwifery & Birth Center is committed to creating an intimate, concierge-style birth experience. We never want to be so busy that we lose connection with the people we are serving. And, we never want to miss a birth! For that reason, we limit the number of clients we take each month. We average 5-6 clients per month with 2 birth suites. When you decide you want to birth with us, you should go ahead and reserve your birth date sooner rather than later.

  • We put as much focus on the experience of the baby as we do on the experience of the parents. We practice evidence based care and support the parents by encouraging confidence-building, family-bonding experiences from the time we first glimpse the baby’s head and through the weeks that we provide care for the MotherBaby.

    Physiologic Care: We carefully observe birth, but do not intervene or interrupt the process. We do not pull the head, or force the process. Mothers work to bring babies earthside at their own pace, safely and patiently.

    The first touch goes to the Parents. As the head emerges, we love to guide the mother to touch the sweet soft head. As the shoulders emerge, we encourage the mother and father to place their hands under the baby as a commitment to have a safe place in your embrace for a lifetime. We often support one or both parents receiving the baby with our guidance.

    The birth team honors the sacred experience of birth by being silent so the first voices the baby hears are the voices of their parents.

    We wait to clamp and cut the umbilical cord until the placenta detaches on its own. It’s a beautiful support for the baby as he/she practices breathing air for the first time. We don’t want to rush the process.

    Uninterrupted skin-to-skin contact with the mother and/or father during the first 2 hours after the birth is an important way to support the health and wellbeing of the baby, and the whole family.

    Breastfeeding is natural but it’s not always easy. We provide breastfeeding education before birth, and breastfeeding support immediately after birth to help you get off to a great start from the first latch through the first 6-weeks of life.

  • Our fee covers all of your care from your first appointment through 6-weeks after the birth.

FAQ about what to expect.

  • Prenatal Care: *

    We’ll begin your prenatal care as early as you are ready. Often, people start at 8-10 weeks.

    Initial visit (60 minutes)

    Monthly appointments until 28-weeks (45-60 minutes each)

    Referral for an anatomic screen/ ultrasound at 20 weeks.

    Starting in the 3rd Trimester:

    Every-2-weeks beginning at 28-weeks through 36-weeks (45-60 min each)

    In the final month:

    Weekly from 36 through 42weeks (45-60 minutes each)

    Referral for biophysical profile in the 41st week.

    Every appointment we’ll talk about physical health, mental health, and emotional transitions as you near motherhood.

    We include Nutritional and supplemental recommendations; and prescriptive care when needed

  • We’ll be in contact by phone when labor starts. This part of labor is great time to sleep and settle into your comfort measures.

    Once you’re in active labor, we’ll join you for the duration of labor through 3-4 hours after the birth.

  • We’ll stay with you for 3-4 hours after the birth. Then you’ll ideally head to bed at your home.

    We’ll come to your home on day 2 or 3. At that appointment we’ll do a congenital heart defect screening, newborn metabolic screening, and a breastfeeding coaching session.

    We’ll come back a week later to weigh the baby and repeat the newborn metabolic screening.

    Three-to-four weeks after birth we’ll have another postpartum appointment just to process the birth and see how everyone’s doing.

    Our final post-partum appointment is six weeks after the birth. This is the appointment where we hang your boy’s name on our tree of life.

  • Outside of prenatal appointments, we’ll also:

    • file your birth certificate

    • refer you for anatomy scans

    • draw labs at your Initial appointment, 3rd trimester, and 4 weeks before your due date

    • Refer for a biophysical profile at 41 weeks.

FAQ about creating a birth team

  • In American birth culture, the baby’s dad is often treated as an accessory or unnecessary participant in the birth experience. At Frisco Midwifery & Birth Center, we believe that the whole family is experiencing a sacred, sentimental life event. And, we want the baby’s father to be as involved as he feels comfortable being. We believe that when we can help father’s feel connected and confident in pregnancy and birth, they are much more likely to be involved and supportive earlier in their baby’s life. That’s good for the whole family.

  • Life is about to change dramatically for the older siblings when the baby comes. There is great value in supporting sibling adjustment through pregnancy to help the older brothers / sisters feel safe and bonded when their new baby arrives. We invite siblings to help us at prenatal appointments by “pushing buttons” and “measuring momma” so they can begin to anticipate the birth and find their way of belonging in the growing family. One of the deeply held beliefs of the midwifery model of care is that birth is normal! Nothing normalizes birth more than including children at their comfort / maturity level in any part of the process that you are comfortable with.

  • Yes & No! We love doulas. We believe every family should have a doula. So we have created a list of doulas who we know and trust. But, you can Ttally find your own doula if you prefer.

    Their information is on our “resources” page. All of the doulas we have mentioned are skilled with community based birth, and understand our commitment to physiologic birth.

  • We love working with doulas, but we have very different roles. Doulas are essential for the comfort and support of all birthing families. They provide practical, non-medical support including comfort measures, massage, suggestions to help labor progress. They also help make sure the mother is eating well and staying hydrated. They are an integral part of the laboring family and help with decision making and emotional support.

    Midwives provide some comfort measures, but our main focus is actually more clinical in nature. We do prenatal care, take vitals, do risk assessments, monitor the MotherBaby dyad in labor and birth, and manage complications that may occur.

    Together, doulas and midwives make birth beautiful. Women who have a trained doula at their birth tend to have a higher satisfaction with their labor.

  • Yes! There’s probably nothing more impactful than seeing the photos that capture the story of the birth of your baby. A good birth photographer not only knows how to capture those sentimental details, she does it without interrupting the physiologic process of birth.

    Our all-inclusive package includes birth photography by Lavender Roots Photography.

    You can also hire her independently if you are choosing our “basic” birth package. Either way, Kellye is affordable and excellent – that’s a great combination!

  • Yes! Childbirth education is a central part of Frisco Midwifery & Birth Center’s care. Before pursuing midwifery, each of us in the practice were certified childbirth educators and trained doulas. We incorporate education in many of our prenatal appointments. Also, we have teamed up with Great Expectations Doulas who include full-length childbirth classes with their doula contract.

    In addition to Childbirth Education / Preparing for Birth classes, we also teach Breastfeeding Classes, Infant Safety & CPR, and Newborn Bonding and Care classes. These classes can be taught at your home or our office. We offer them at a significant discount for our clients and their families. We’re glad to give you a course overview with pricing.

    We want your whole family to feel confident and equipped to take care of your precious baby.

  • We draw labs at our office during the initial prenatal appointment, at 28-weeks, and at 36-weeks. We usually draw the labs in the office.  

    We work closely with a local diagnostic imaging company and also a Maternal Fetal Medicine Specialist for ultrasounds. We generally only require an anatomy scan around 18-20 weeks. But, if you have a preference, we can also send you for an early dating ultrasound or late pregnancy ultrasounds as needed.

FAQ:home or birth center

  • Honestly, the differences are almost too many to list. The entire way we see birth is different! So, the way we interact around it is different too. In a hospital, policies are created to manage birth as if it’s a medical condition or sickness. As a result, the kinds of choices women have are limited, and the interventions they get are extensive. The Midwifery Model of Care is opposite. Frisco Midwifery provides care exclusively to low-risk women with healthy babies. Because we believe birth is normal, we don’t over-complicate it. We do one-on-one assessments of your health and your baby’s growth, and we do what we can to create a safe experience for both of you without unnecessary interventions. Our clients birth in dimly lit, calm environments surrounded by skilled care providers who offer labor support, encouragement and skilled midwifery care. After the birth, we continue to support the whole family with focused attention on successful breastfeeding, beautiful bonding, and building your confidence to enter the next season of your family’s growth. We care about your whole experience – Body, Mind and Heart.

  • Frisco Midwifery & Birth Center attends births in homes or in our birth center. Ideally, you should birth where you feel the most comfortable. Your comfort may be affected by so many individual factors.

    There is the perception that a birth center is significantly different from each other. In reality, other than the décor and location, they are essentially the same. When a client comes in to birth at Frisco Birth Center, take birth supplies from the supply room and put them on a cart we set up in the birth suite. When we attend a home birth, we go to the same supply room, and take the same supplies, and take them to your home. It really is that simple.

    In both locations, after the birth we stay with you until you and the baby have both had your first meal. We do a full newborn exam. And we give you detailed information about caring for your baby.

    If you birth at home, we tuck you all into bed, start the laundry, take out the trash, and let ourselves out.

    If you birth at the birth center, you secure your newborn in the carseat, and drive home about 3-1/2 hours after the birth.

    We connect with you by phone after you wake up from a good nap.

    Then, we come to your home the next day to do a newborn exam, weigh the baby, and finalize your baby’s birth certificate. We return the day your milk comes in, and again at 10 days, 3 weeks and 6 weeks after the birth.

FAQ about Safety and Complication

  • In short: Yes. Research shows that healthy, low risk women have the same – or even better outcomes - when they birth in their home or in a birth center than if they birth in the hospital.

    Your safety is our priority. Safety is supported by risk assessments incorporated into each prenatal appointment, referrals or transfer of care when needed, and continuous care during labor, birth and the immediate postpartum period. We practice “evidence based care” meaning we do not offer services that increase your risk of complications. We offer holistic care that increases your health. For example, we include nutritional support, exercise and natural resources into your care. We do not do things that evidence shows increases risk, including inductions, continuous fetal monitoring, or medications.

    The Midwife Alliance of North America has created this resource that you and your family may find helpful when you are learning about the safety of Community Based Birth. http://www.mana.org/blog/home-birth-safety-outcomes.

  • Yes! The evidence is clear that in most cases a Vaginal Birth After Cesarean (VBAC) is safer than a repeat cesarean for both the mother and the baby. It’s not always easy to find a provider who will support a non-surgical birth for someone with a history of cesarean, so we do our best to take clients who are good candidates for VBAC.

    We will need to review your surgical records, and do a risk assessment to make sure that you are a good candidate. It’s a very big decision. If you need more information, education or support as you navigate the desion to have a VBAC, we recommend ICAN-online.org and VBACfacts.com as good sources.

  • Our top priority is your safety. We are trained to detect and manage most challenges that can arise in labor and birth. We carry medical equipment and medications in addition to the more traditional tools of classical midwifery. We have oxygen, IV fluids and medications for hemorrhage and other complications.

    In the course of labor, if it becomes clear that either the baby or the mother would benefit from a higher level of care than we can provide, we will quickly and efficiently arrange a transfer of care to one of the hospitals and physicians with whom we have a working relationship.

    In those situations where a transfer becomes necessary, we continue to actively provide care in a support role until the birth. When possible, someone from our team with go with you to the hospital. If we can’t go with you, we are still available to you by phone for anything you need.

    And, when appropriate, we resume your care at your home or our birth center through the 6 weeks following your birth.

FAQ about Starting Care with Frisco Midwifery

  • Let’s find out! Most women are good candidates for midwifery care in a community setting. We would love to talk with you and do a complementary risk assessment / screening to be able to answer the question of whether community based birth is a safe option for you and your baby.

    Click here to request a time to come on a tour. LET’S MEET

  • Once you become our client, we provide all of your prenatal care, on basically the same schedule as your Ob/Gyn did. Unless something comes up that we need to consult with a doctor about, we provide all of your care.

    We do refer all of our clients to a specialty physician who works with midwives for your 20-week anatomic screen. We also consult with physicians if something more complex comes up in your health. But, if you are the typical, healthy mom with a healthy baby, you don’t need to see anyone else.

  • As long as you are a low-risk, healthy woman, with a healthy newborn, and we can get your medical records for care you received in your pregnancy, we are glad to accept you into our practice even late in the pregnancy. Especially now, in this complicated time of “sheltering in place” and changing hospital policies that limit the types of support laboring women can have, we are getting a lot of new clients. If you come to us late in care, we will help you arrange financing and payment plans to make it financially affordable. We ideally would like to see you more often to help build more of a connection if we have a shorter time to get to know you.

  • Yes! When you are ready to start care with us, we’ll make it a super-easy process. We’ll give you a Records Request form to sign. We’ll take care of the rest. It’s seamless and simple.

Have more questions?  

Please sign up for one of our tours.