Care Options
Birth is personal. Your Care should be to.
Comprehensive
Midwifery Care
SERVICE
Comprehensive midwifery care includes prenatal, birth, postpartum, and newborn care, providing continuity and personalized support throughout your pregnancy, birth, and postpartum journey with a birth center birth or homebirth. Prenatal Care * Comprehensive prenatal care throughout pregnancy. * Thorough prenatal appointments, with initial visits typically lasting 60 minutes and follow-up visits lasting 30–60 minutes. * Visits every 4 weeks until 28 weeks gestation. * Visits every 2 weeks from 28–36 weeks gestation. * Weekly visits from 36 weeks until birth. * Laboratory testing, ultrasound imaging, and specialist consultations as indicated. * Prenatal home visit at approximately 37 weeks for families planning a homebirth. Birth Care * Planned out-of-hospital birth at home or at The Birth Cottage. * Continuity of care and support for clients who require transfer to the hospital during labor or birth. * Waterbirth options available. More than 85% of our clients choose to give birth in water. * Birth tub rental offered for homebirth clients. * Attendance throughout active labor by a midwife and trained birth assistants. * Newborn examination immediately after birth. * Standard newborn medications available upon request. * Suturing and repair of uncomplicated lacerations when needed. * Referrals to trusted local doulas. Research consistently shows that doula support can improve birth outcomes and reduce the likelihood of transfer or intervention. * Homebirth services available within approximately 45 minutes of Enumclaw, Washington, including many surrounding communities throughout South King and Pierce Counties. Postpartum & Newborn Care * Approximately five postpartum visits * Breastfeeding and infant feeding support. * Referrals to lactation specialists when additional support is desired. * Newborn examinations and weight checks. * Newborn metabolic screening. * Critical Congenital Heart Defect (CCHD) screening. * Newborn hearing screening. * Bilirubin (jaundice) testing. * Maternal postpartum assessments and recovery support. * Pap smear screening, when indicated, at the 6–8 week postpartum visit.
COLLABORATIVE
MIDWIFERY CARE
SERVICE
The best of both worlds: personalized midwifery care combined with hospital-based birth services. Collaborative Care is designed for families who desire the relationship-centered approach of midwifery throughout pregnancy and postpartum, while planning to give birth in the hospital. This model allows you to receive comprehensive prenatal and postpartum care with Foothills Midwifery while also establishing care with a hospital-based provider for your birth. Throughout your pregnancy, you'll enjoy the longer appointments, individualized support, education, and continuity of care that midwifery is known for. We take time to get to know you, answer your questions, discuss your options, and support you in making informed decisions that align with your values and goals. As your pregnancy progresses, we work collaboratively with your hospital provider to help ensure a smooth transition for labor and birth. Most of your prenatal and postpartum visits take place with Foothills Midwifery, while selected visits are scheduled with your hospital provider to establish care and develop a birth plan for your delivery. Following the birth of your baby, you return to Foothills Midwifery for postpartum care, newborn support, breastfeeding guidance, and ongoing recovery care during the important weeks after birth. Collaborative Care May Be a Good Fit If You: * Desire the personalized experience of midwifery care * Prefer to give birth in a hospital setting * Have medical or pregnancy-related considerations that make hospital birth the preferred option * Want additional support, education, and continuity throughout pregnancy and postpartum * Value having a trusted midwife alongside your hospital care team Our goal is to provide seamless, supportive care that combines the strengths of both midwifery and hospital-based maternity services while keeping you at the center of every decision.
INTERIM
MIDWIFERY CARE
SERVICE
Interim Care is designed for families who would like early prenatal care and support while establishing care with another provider. Whether you are waiting for an appointment with a midwife, obstetrician, seeking a specialist consultation, navigating insurance changes, or still deciding what type of care is right for your family, we are here to help bridge the gap. During Interim Care, you will receive comprehensive prenatal visits, routine pregnancy assessments, education, and support while plans for ongoing care are finalized. Our goal is to ensure that you and your baby receive timely, personalized care during this important season. Interim Care typically begins in early pregnancy and continues until care is transferred to your chosen provider. Records can be forwarded to your new provider to help ensure a smooth transition of care.
PLACENTA ENCAPSULATION
SERVICES
BIRTH POOL RENTAL
SERVICES
Placenta encapsulation is available to all Foothills Midwifery families as well as anyone in the community. The placenta is prepared, dehydrated, and encapsulated into easy-to-take capsules for postpartum use. Many families choose placenta encapsulation as part of their postpartum recovery experience. While individual experiences vary, some parents report benefits such as increased energy, improved mood, and support during the postpartum transition. Research on placenta encapsulation is limited, and benefits have not been conclusively established. Established Foothills Midwifery Clients: $200 Non-Clients: $250