Madeleine Wisner, Licensed Midwife

collaborative care

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Clients who are planning a hospital birth can benefit from the addition of care from a Licensed Midwife during pregnancy, the birth, and the postpartum. Madeleine has experience with:
​
  • Clients planning to give birth using an epidural or other pain medicines
  • Clients planning to give birth by cesarean
  • Clients planning a vaginal breech birth
  • Clients with a history of preterm labor
  • Clients planning a vaginal birth after cesarean (VBAC) including vaginal birth after multiple cesareans (VBAMC) and "special" scars
  • Clients planning an induction
  • Clients pregnant with twins
  • Clients who feel unsafe birthing at home, but want to labor at home as long as possible

If you'd like to see how you can add a midwife to your care team for a planned hospital birth, contact Madeleine today.

prenatal care for planned hospital birth

Prenatal visits on a common schedule are monthly until 28 weeks, every other week from 28-36 weeks, and weekly from 36 weeks until your birth. Prenatal appointments are scheduled to last an hour, and include:
  • Monitoring your vital signs, fundal height, and general health
  • Monitoring your baby's growth, heart rate, and position
  • Education on staying healthy during pregnancy
  • Education on routine lab tests, treatments, and procedures you may be offered in the course of your prenatal care and birth.
  • Education on preparing for your hospital birth
  • Nutrition and exercise counseling
  • On-call support during business hours (non-urgent) and 24/7 (urgent)

​This care is intended to supplement care with a hospital-based provider.
​Our midwife does not hold hospital admitting privileges. Records are faxed to your hospital of choice at 37 weeks.

collaborative labor management (also known as monitrice care)

Your midwife is available on-call to provide collaborative labor management once you have had a prenatal consultation and paid your fee.

Her care for you if you labor at home might include:
  • Monitoring your vital signs, contractions, cervical change, and general health
  • Monitoring your baby's heart rate and position
  • Assisting you with positions for labor, comfort measures, and labor support
  • Helping you decide when to travel to the hospital to give birth

Once arriving at the hospital, your midwife will offer labor support, which might include:​
  • Assisting you with positions for labor and birth, comfort measures, and relaxation techniques
  • Facilitating informed decision-making
  • Calm encouragement
  • Assisting with breastfeeding

​Your midwife will typically depart around 2 hours after your birth, when you and your baby are stable, breastfeeding is established, and you are ready to rest. 

​This care is intended to supplement care with a hospital-based provider. 
​
Our midwife does not hold hospital admitting privileges.

collaborative postpartum care

Following a planned hospital birth, you may choose to have a midwife provide home postpartum visits instead of or in addition to care with a hospital-based provider.

At each postpartum visit, your midwife will check on you and your baby to make sure you both are healthy, and to refer any resources as necessary. Your visits will typically be held:
  • 24 hours after birth (in your home or in the hospital, depending on your birth)
  • 72 hours after birth (in your home or in the hospital, depending on your birth)
  • 1 week after birth 
  • 2 weeks after birth
  • 4 weeks after birth
  • 6 weeks after birth

At these visits, your midwife will:
  • Monitor your vital signs and recovery from birth
  • Monitor your baby's vital signs and body systems
  • Assist with breastfeeding
  • Discuss your transition to having a newborn in your home
  • Screen for perinatal mood disorders

​At your final postpartum visit, you will be offered a full physical exam (including pelvic exam) and pap smear.

doula services

Birth Doulas are trained professionals, and...
  • Provide emotional, physical, and informational support to a person during their pregnancy, the birth of their child or children, and just after the birth.
  • Do not perform clinical tasks, like fetal heart tone assessment or cervical examinations.
  • Provide support that can result in lower rates of medical interventions during labor including assisted deliveries and cesarean births.
  • Provide support that can result in parents feeling more bonded with their newborns.
  • Provide support that can result in a baby breastfeeding longer and more exclusively.

Madeleine provides Birth Doula services as a Mentor Doula at Welcome Home Midwifery Services, Inc.
Through their Apprentice Program, you can take advantage of an income-based sliding scale fee and contribute to the training of a newer Apprentice Doula. 

For more information, click here.
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© COPYRIGHT 2019 MADELEINE WISNER. ALL RIGHTS RESERVED.
Madeleine "Maddy" Wisner (née Madeleine Shernock) is a Certified Professional Midwife (NARM) and a California Licensed Midwife.
LM# 510
​CPM# 17090007
For provider inquiries, send Madeleine an e-mail. For medical records, please fax a signed consent for records release  to +1 209 336-6814.
  • Home
  • About the Midwife
  • Services
    • Home Birth
    • Birth Center
    • Pelvic Health
  • Safety
  • VBAC Resources
  • Finances
    • Insurance Billing
  • Contact