Pregnancy Care

Out of hospital birth is safe for healthy mothers and babies.

It is empowering, but it takes commitment: a commitment to believing in the strength of your body and trusting in the natural processes of pregnancy and childbirth.


Home birth

When you choose a home birth:

  • You receive the same prenatal services available at your local hospital (such as laboratory testing, ultrasounds and counseling), but we spend from a half hour up to a full hour together at each visit so we have time to talk about preparing for the next phase of pregnancy and your baby's birth.
  • We discuss each test and intervention thoroughly to ensure that you understand the test, feel informed about alternative options, and will be clear about the meaning of the results.
  • Prenatal visits are available at both my Peterborough and Milford offices; I also offer occasional "home visits" - prenatal care in the comfort of your home.
  • One-on-one labor and delivery care at your home with Sarah and a birth assistant. All assistants are available to meet ahead of time.
  • Water birth tubs are available to rent and set up at home.
  • Postpartum and lactation care for mom and baby provided in the comfort of your home. One to three home visits will be made in the first two weeks after your baby is born.
  • Basic newborn care for the first month of baby's life, including screenings such as the metabolic screening and pulse oximetry screening, and standard newborn procedures such as Vitamin K and birth certificate filing. 

Learn more about why women choose to give birth at home


Birth Center Birth

When you choose a birth center birth:

  • You receive the same prenatal services available at your local hospital (such as laboratory testing, ultrasounds and counseling), but we spend from a half hour up to a full hour together at each visit so we have time to talk about preparing for the next phase of pregnancy and your baby's birth.
  • We discuss each test and intervention thoroughly to ensure that you understand the test, feel informed about alternative options, and will be clear about the meaning of the results.
  • Prenatal care is available at my Peterborough office or at the birth center.
  • Labor and delivery care at the birth center of choice.
  • Water birth is available at both centers. 
  • Postpartum and lactation care for mom and baby provided in the comfort of your own home in the days following your baby's birth.
  • Choose between The Birth Cottage in Milford, NH or The Monadnock Birth Center in Swanzey, NH; please call me to arrange a tour of the centers or to schedule a consultation.

Learn more about birth centers


Who's Having Home Births?

Birth By Numbers: Check out this short video about birth trends in the US. This site offers lots of reading and info about out of hospital birth trends and safety. 

Birth Supplies

Download
Midwifery Bag
Ever wonder what a midwife carries in her bag? Take a peek into my three bags.
Midwifery Bag pdf.pdf
Adobe Acrobat Document 3.6 MB


Well Body Care

Empowering women to lead their health care decisions

  • Annual gynecological exam
    • review of health history
    • review of life-style habits
    • review and discussion of any specific concerns
    • head-to-toe physical exam
    • laboratory testing
    • supplement and prescription needs
    • additional specialty testing as indicated
    • referrals to specialists as indicated
    • education and counseling as indicated
  • Preconception care
  • Assistance with family planning decisions (including natural family planning, pharmaceutical options, emergency contraception and IUDs)
  • Menopausal management
  • Basic counseling in health maintenance and disease prevention
  • Emotional health wellness and coaching with follow up sessions as needed based on individual needs. 

SneakPeek

Early Gender DNA Test

$129- to be paid at time of appointment

How it works: During pregnancy, cell-free fetal DNA is released by the placenta and can be found in mom’s bloodstream. Using a small sample of mom’s blood, SneakPeek tests for the presence of male DNA (Y-chromosomes). Y-chromosomes would only be present if mom is pregnant with a boy. If no Y-chromosomes are found, mom is carrying a girl. This method is known as noninvasive prenatal testing (NIPT) and is safe for both mom and baby. See the peer-reviewed published study that indicates this test is 99.6% accurate as early as 8 weeks into pregnancy in the Journal of Pregnancy and Child Health. (J Preg Child Health 4:358).

When Can I take the Test? To take SneakPeek, you must be at least 8 weeks into pregnancy, which can be calculated using either the first day of your last menstrual period, or baby's estimated due date. Use our Test-ready calculator to see if you're eligible!

How Accurate is the test? According to controlled laboratory testing, the SneakPeek Early Gender Test predicts a baby’s gender with over 99% accuracy (99.6% to be exact). If you want a little more background on the science behind that percentage, here it is: In controlled laboratory tests, SneakPeek Test accurately detected shared male fetal DNA (the presence of the Y-chromosome in the mother’s sample) in more than 99% of samples provided by women pregnant with a male fetus. (Note: all women in the study were 8 weeks or further along in their pregnancy.) Male fetal DNA was consistently not detected in samples from pregnant women carrying female fetuses. In a blind multi-center study performed in 2015 with samples collected at four clinics, SneakPeek showed an accuracy rate of 100% for fetal sex identification. The results of this study are available here. In at-home testing, a validation study presented at the American Society of Human Genetics (ASHG) Conference showed that SneakPeek Early Gender Test is highly accurate at determining baby gender as early as 9 weeks into pregnancy.

 

To learn more click here

 

You can book at either the Peterborough or Milford location here

You do not need to be a client in my care for this test


Insurance Coverage


We are licensed to practice in New Hampshire and Massachusetts.

We accept NH Medicaid and Medicare and are in network with Anthem Blue Cross Blue Shield, Tufts, United, Aetna, Tricare, Harvard Pilgrim, Minute Man and CIGNA.

 


Service Area For Homebirth


Hearts & Hands main office is in Peterborough with occasional care offerd in Miford as well.

 

In general, we serve women within a one hour driving radius of Peterborough for pregnancy care, but other considerations such road conditions, time of year, health needs and location of other midwives and medical facilities may influence whether it makes sense for me to be your midwife.

 

We can provide care and attend your birth at home, at The Birth Cottage in Milford, The Concord Birth Center in Concord, NH or at the Monadnock Birth Center in Swanzey. 

 

We provide gynecological care at both the Peterborough and Milford offices.