BirthRoot offers comprehensive midwifery services in Tompkins County and the Finger Lakes area. The licensed midwife, Sandra Londino, provides full prenatal care, complete with lab tests and ultrasounds, planned homebirth, postpartum care for the birthing parent through six weeks after birth, well-newborn care for the first two weeks of life, and outstanding lactation support.

BirthRoot Midwifery is currently accepting new clients!

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The Midwifery Model of Care

The Midwifery Model of Care is founded on a deep respect for the normalcy of birth and for the uniqueness of each childbearing person and their family. This approach to care promotes health and helps prevent complications. Midwives who practice this model of care have excellent outcomes while providing safe individualized care.

The Midwifery Model of Care includes:

  • Monitoring the physical, psychological, and social well being of the client throughout the childbearing cycle.
  • Providing the client with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support.
  • Minimizing technological interventions.
  • Identifying and referring clients who require obstetrical attention.

Education is woven throughout all care provided at BirthRoot, because knowing how your body works enables you to play a central role in your care and leaves you feeling empowered in the process.

Midwives offer the same schedule of visits and same options for lab tests and ultrasounds as any obstetrical provider. Licensed Midwives in New York state are independent health care providers, serving as part of the larger healthcare community that also includes obstetricians, family practice physicians, naturopathic doctors, and other allied health care providers. Midwives carry oxygen and neonatal resuscitation equipment, medications to stop bleeding, and other medications to keep you and your baby safe.

Choosing care with a solo practice midwife means that you will receive the highest level of personalized attention in a slow-paced environment. BirthRoot Midwifery provides continuity of care throughout preconception, pregnancy, labor and birth, and the first six weeks postpartum. The midwifery model of care includes longer appointments so you can get your questions answered, and individualized care tailored to your unique needs.

Prenatal Care

Comprehensive prenatal care is the foundation for a safe homebirth. Clinical evaluation, including routine examinations and lab work, confirm that you stay within the low-risk category throughout your pregnancy. All care is holistic, incorporating each individual’s needs and wants. Family and friends are welcome to participate in care as each client desires. If you feel uncomfortable or otherwise unable to birth at home, BirthRoot offers prenatal and postpartum care, with transfer of records to the provider of your choice at a mutually agreed upon date. This is an excellent option if you desire the personalized, holistic prenatal and postpartum care that BirthRoot offers but, for whatever reason, cannot give birth in your home.

What’s included:

  • Complementary consultation interview: an opportunity to meet and answer/ask questions.
  • Initial prenatal visit includes a review of your medical and social history, complete physical exam with pap smear (if needed), and a blood draw for prenatal lab work.
  • Physical assessments at each visit include: blood pressure, weight, urinalysis, fundal height measurement, uterine and fetal palpation, and auscultation of fetal heart tones.
  • Ongoing prenatal visit schedule: every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until the birth.
  • A home visit is scheduled at 36 weeks for all members of the birth team to meet each other, see the surroundings where the birth will take place, assess any issues or problems about the birth space that may come up, and discuss your wishes and desires.
  • Extended prenatal visits (1-2 hours) provide a relaxed opportunity to ask questions. Possible topics for discussion include: common discomforts of pregnancy, nutrition, exercise, emotions surrounding pregnancy changes, sexuality, feeding your baby, newborn care, postpartum support, family relationships, prenatal testing options, and plans for the birth.
  • Direct phone access to the midwife 24 hours a day from 36 weeks until the birth of your baby.
  • Use of lending library of books and videos pertinent to pregnancy, childbirth, postpartum, holistic health, nutrition, herbs, pediatric health, and parenting is available for all clients.
  • Referrals to community resources as needed or desired, such as prenatal yoga, massage therapy, chiropractic care, acupuncture, herbal healing, doulas, etc.

Labor and Birth Care

The importance of physical, emotional, and spiritual well-being are considered as we develop a birth plan with you. You and your birth partner are encouraged to be active participants in your birth as you choose your surroundings, support team, and comfort measures.

What’s included:

  • On-call availability 24/7 for your birth from 37-42 weeks gestation. Non-urgent calls or emails may be returned within 24-48 hours, situation dependent.
  • Emotional and clinical support as needed and desired.
  • Periodic monitoring of the fetal heart rate and your vital signs, labor progress, and emotional well being (although our presence at births is usually hands off, intervening only as necessary or requested!)
  • Preservation of a calm, peaceful environment, including keeping lights and voices low and avoiding unnecessary and intrusive medical routines.
  • Prevention of issues or problems through low-tech monitoring, hydration, nutrition, optimal positioning, and rest.
  • Natural pain relief including position changes, massage, hydrotherapy, aromatherapy, acupressure, herbal and homeopathic remedies, and continuous loving support.
  • While prevention is our primary strategy, we are prepared to deal appropriately and quickly with complications. We carry emergency equipment, supplies, and medications to every birth.
  • Initial lactation support and newborn exam, with administration of infant eye ointment and Vitamin K, if desired.
  • After the birth we stay with the family until everyone is stable and tucked into bed and the birth space has been cleaned up – usually 2 or 3 hours.

Availability and Backup During Labor
As your due date approaches, Sandra is on-call for you 24 hours a day and is committed to attending your birth. Sandra collaborates closely with a trusted network of local midwives to ensure backup providers are always ready to provide clients with outstanding care should an emergency arise that prevents Sandra from attending your birth.

Homebirth or Hospital Birth
Sandra attends births at home throughout Tompkins County and the Finger Lakes Area. If you choose a hospital provider for your birth, Sandra can still provide you with comprehensive prenatal care and resume postpartum care after birth. Regardless of your place of birth, postpartum care with Sandra surpasses the conventional model of care and includes attentive and proactive lactation support.

Postpartum and Newborn Care

We acknowledge the challenges and needs of new families in the early postpartum period. All postnatal exams following birth are conducted without separating you and your baby to ensure you get the bonding time you need. Each procedure is openly explained, with all questions welcomed.

What’s included:

  • Home visits at 1-2 days postpartum and 3-4 days postpartum
  • Office visits at 2-3 weeks (optional) and 6 weeks postpartum (the 6-week visit includes a complete physical exam with pap smear, if needed).
  • Postpartum visits include checking your vital signs, making sure you are healing normally and getting the support you need, and checking in about your emotional well-being.
  • Care for your well newborn during the first 2 weeks of life includes physical assessment, weight checks, and newborn metabolic screening. At around 2 weeks, your baby will enter pediatric care with the provider of your choice.
  • Support is available 24 hours a day throughout the first few weeks.

Lactation Support and Co-Nursing

We provide proactive, attentive lactation support as part of postpartum care. For lactating parents, the postpartum transition revolves around feeding the baby. When we ensure that lactation is going well, we support the entirety of the postpartum transition.

What’s included:

  • Skilled support in the early days of lactation to prevent common difficulties such as nipple soreness and engorgement, while ensuring your continued milk supply.
  • Hands-on assistance to make sure your baby has a good latch and teach you how to position your baby for ample milk transfer.
  • Lactation support for nongestational parents who choose to induce lactation. The Newman/Goldfarb protocol is used for induced lactation, and Sandra supports you in making informed choices about medications and herbs to assist with development of lactiferous tissue and production of milk. Sandra will help you with latching your baby and assist you in the use of a breastpump or supplemental nursing system until your milk comes in. If you and your partner want to co-nurse, we will help make sure the gestational parent establishes and maintains their milk supply as you begin to develop yours.
  • Referrals to lactation consultants as needed.

Not sure if midwifery care with BirthRoot is right for you?
Schedule a free 60-minute consultation to meet the midwife and have your questions answered.
Schedule a free consultation

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