I am pleased to offer annual exams, gynecologic appointments and prenatal care:

  • New pregnancy appointments are typically 1-1.5 hours long and scheduled around 8-10 weeks of pregnancy

  • Repeat OB appointments are typically 20-40 minutes long and occur at an individually scheduled intervals, generally every 2-6 weeks, until 36 weeks of pregnancy when they become weekly appointments

  • Midwife-attended hospital birth for normal vaginal deliveries (if an obstetrician is needed, care will be transferred, as appropriate, and I will remain at your side, in a support role)

  • Inpatient newborn care of the normal, well newborn (if a pediatrician is needed, the care of the newborn will be transferred in hospital). Care after discharge will be coordinated with the pediatric provider of your choosing

  • Postpartum visits are offered at 2 and 6 weeks postpartum

  • Problem visits are offered at any time during the pregnancy and after the birth, when problems occur between regularly scheduled appointments

  • Annual exams and gynecologic appointments, including preconception counseling and contraception initiation/placement, are generally 30-45 minute appointments

  • Courtesy Meet the midwife appointments are offered free of charge

  • Appointments can be self-scheduled

  • I am happy to provide routine prenatal care for women who desire a repeat cesarean. I will coordinate care with the obstetrician of your choice

Every woman needs a midwife, and some women need a doctor too...
— Jane Sandall PhD, MSc, BSc (Hons), RM, RN, HV

Most pregnancies are low risk and are recommended for midwifery care. However, there are occasions when referral to an obstetrician is indicated. Indications include:

  • Preexisting hypertension with or without medication

  • Conditions requiring cardiac medication

  • Preexisting diabetes

  • Pregnancies with multiples

  • Prior cesarean (Island Hospital does not allow TOLAC/VBACs at this time)