Birthing services
Dr. Fischbein and his associate’s services include:- Prenatal Exams, normally monthly up to 28 weeks, then bi-monthly from 28-36 weeks, then weekly from 36-41 weeks and then twice weekly until birth.
- One home visit 1-2 months before your baby is due if you are planning a home birth
- Appropriate laboratory testing during pregnancy after informed consent (A lab fee may be added)
- Midwife and/or physician attendance through birth and immediate postpartum period
- Management of normal labor and use of appropriate skills and techniques to keep you safe
- Medical equipment for labor, birth and postpartum
- Newborn Exam and Breastfeeding assistance
- Two postpartum home visits during the first week after birth
- Telephone consultation 24/7 during the pregnancy and postpartum
- Resource referral and reading/video recommendations
- Nutritional counseling and diet analysis to help ensure optimal health for you and your baby
- Medical & obstetrical history, prenatal screening options and risk assessment for home birthing
- Birth supplies and how to prepare for an out of hospital birth
- Preparation of siblings and other family members.
- Discussion of doulas, classes & consultants
- Education about pregnancy and labor norms and risks.
- Discussion of transport situations
We provide the following equipment at your birth: Intermittent fetal monitoring by Doppler, blood pressure cuff & stethoscope, urine test strips, catheters, amniohooks, sterile instruments for suturing, sterile gloves, syringes and appropriate medications, IV needles and tubing, suctioning devices for baby, ambubag for newborn resuscitation, baby scale, baby medicines if desired, vacuum devices and forceps.
The Role of the Midwife or Midwife Assistant: Dr. Fischbein works collaboratively with and always provides a midwife or assistant to be on call and attend every birth. She is a valued and integral part of the team. Her role will be to help guide you through the process, support you and your family throughout and assist me in countless ways.
The Role of Apprentices in our practice: I feel it is important for birthing and midwifery skills to be passed on from experienced practitioner to those desiring to learn. Apprentices engage in ongoing study, participate in prenatal and postpartum care and may serve as assistants at your birth. Acquiring clinical skills is best achieved by hands on experience. In teaching such skills, I am always respectful of your feelings. If there is an apprentice working with me during your pregnancy you will meet her during your prenatal care. If you prefer not to have an apprentice present during your birth we will honor your choice. Feel free to discuss any questions or concerns you may have.
