Madeleine Wisner, Midwife

LEAD MATERNITY CARE (LMC) SERVICES

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already Know you're Pregnant? schedule a BOOKING VISIT.

Reaching out early gives us the time to build a trusting relationship, where you feel comfortable, supported, and truly heard. The sooner we connect, the better I can understand your hopes, concerns, and needs for your care, and together we can create a plan that feels right for you.

ANTENATAL CARE

​Once you’re under my care as your LMC midwife, we’ll follow the routine antenatal care schedule that’s recommended here in Aotearoa New Zealand. We usually meet about every four weeks until you’re 28 weeks pregnant, then every two weeks until 36 weeks, and then weekly until your baby is born. At each visit, we’ll check in on both you and your baby’s wellbeing, talk through any questions or concerns you have, and plan ahead for the next stages of your pregnancy and birth. These regular visits help us build a strong, trusting relationship and make sure you feel fully supported every step of the way.

BLOOD TESTING

As part of your antenatal care, we’ll also organize some routine blood tests to help you look after your health and your baby’s development.

Early in your pregnancy, I’ll offer blood tests to check things like your blood group, iron levels, immunity to certain infections, and to screen for conditions like HIV, hepatitis B, and syphilis.

Later on, usually around 24 to 28 weeks, I'll offer another set of blood tests to check your iron levels again and screen for gestational diabetes.

​These tests give us important information, so we can spot anything early and make a plan together if anything needs extra care.

I’ll always talk with you first about what the tests are for, and make sure you have the information you need to decide what’s right for you. Bloods can be taken at your routine visits, at an after-hours visit, or at the laboratory, depending on the circumstances.

ULTRASOUND SCANS

Early on, you’ll usually be offered a dating scan to confirm how far along you are, especially if there’s any uncertainty about your last period. Around 11 to 14 weeks, there’s the option of a nuchal translucency scan, which can be part of screening for genetic conditions if you choose it. Then, between 18 and 22 weeks, we’ll plan for the anatomy scan — a detailed look at how your baby is developing and a check of the placenta and fluid levels. Sometimes, depending on how things are going, I might suggest extra scans later in your pregnancy too. As always, I’ll talk everything through with you, so you can make choices that feel right for you and your whānau.

ANTENATAL SCREENING

Early in your pregnancy, I’ll offer you information about the genetic screening options available here in Aotearoa New Zealand. If you choose, you can have first trimester combined screening, which involves a blood test and an ultrasound to assess the chance of conditions like Down syndrome, trisomy 18, and trisomy 13. There’s also the option of Non-Invasive Prenatal Screening (NIPS), a more detailed blood test that looks at the baby’s DNA, although this one isn’t publicly funded. These tests don’t give definite answers but can help guide whether you might want further testing later on. I’ll make sure you have clear, balanced information and plenty of time to think about what’s right for you, with no pressure either way — it’s always your choice.

LABOUR & BIRTH

When it comes time for labour and birth, I’ll be there to support you through the process, wherever you choose to give birth.
I specialise in caring for families who are planning for a physiological (natural) birth and those who feel most comfortable in community settings like home or a primary birthing centre. In these environments, I bring all the skills and equipment needed to monitor you and your baby safely — including listening to your baby’s heartbeat, checking your vital signs, and recognizing early if anything needs a different type of attention.

As a Registered Midwife, I’m trained to provide emergency care if needed, including managing bleeding after birth, giving stitches as necessary, supporting newborns who need help to breathe, and arranging transfer to hospital if indicated. My role is to offer calm, continuous support, respecting your choices and working with your body’s natural rhythms, while working in partnership with you, your baby, and your whānau to ensure you and your baby stay well.

POSTNATAL CARE

After your baby is born, my care doesn’t stop — I’ll continue to support you through the postnatal period as you recover and settle into life with your new baby. I’ll visit you at home or in the birth centre or hospital frequently in the first week, then regularly over the first six weeks, adjusting the visits to suit what you and your whānau need. During these visits, I’ll check on your physical recovery, your emotional wellbeing, your baby’s growth and feeding, and answer any questions that come up along the way. I can support you with breastfeeding, newborn care, and anything else you need during this time. If anything out of the ordinary arises, I can refer you to other services to make sure you and your baby get the right care. My goal is to make sure you feel confident, supported, and well cared for as you begin this new chapter.

NEWBORN CARE

I’ll also help take care of your pēpi (baby) by offering the routine newborn screenings that are available. I will offer to perform the Newborn Metabolic Screening (heel prick test), which checks for rare but important health conditions that can be treated early if found. I’ll also offer to connect you with Newborn Hearing Screening services to check your baby’s hearing — early detection can make a big difference if any support is needed. I’ll keep a close eye on your baby’s feeding, weight gain, jaundice, and overall wellbeing during our visits. Just like throughout your pregnancy, I’ll always explain everything clearly, take the time to answer your questions, and make sure you feel confident in the decisions you make for your baby. My aim is to support you to trust your instincts as a parent while making sure your baby is thriving.

SERVICE REFERRALS

While most pregnancies and births progress normally, there are times when it’s safest to involve other specialists. If anything outside the normal arises during your care, I’ll talk with you about referring to the right people at the right time. For example, if you or your baby need extra monitoring, I might refer you to the Women’s Assessment Unit at the hospital for further checks. If complications develop during pregnancy or labour — like high blood pressure, concerns about baby’s growth, or labour that isn’t progressing as expected — I may consult with or refer you to an obstetric team. After birth, if your baby needs extra support, I can arrange for a paediatrician to review them. Even when other services are involved, I’ll stay with you, continue to advocate for your choices, and support you through every step. My goal is to make sure you always feel informed, included, and cared for, no matter what path your journey takes.

extra support

As part of your care, I may also connect you with a wide range of alternative and complementary therapies that many families find helpful during pregnancy, birth, and the postnatal period. If you’re interested, I can refer you to trusted practitioners for acupuncture, herbal medicine, massage therapy, osteopathy, and more. These therapies can offer additional support for your comfort, wellbeing, and preparation for birth. I can also recommend birth doulas and childbirth education courses to help you and your whānau feel informed and empowered, as well as connect you with lactation consultants if you need extra breastfeeding support beyond our visits. There are wonderful peer support groups available too, for pregnancy, birth, and early parenting. My role is to make sure you have access to all the resources you need to feel strong, confident, and fully supported.

Questions?

I have an extensive Frequently Asked Questions page that may answer some or all of yours. 

schedule a consultation today

Every pregnancy journey is unique, and it’s important to have care that feels personal, respectful, and centered around you. If you feel that my approach to midwifery care fits what you are looking for, I would love to hear from you. Whether you’re newly pregnant, planning your birth, or simply exploring your options, I’m here to support you with knowledge, skill, and heart. Please feel free to reach out — I am honored to walk alongside my clients during this incredibly special time.
Schedule below to book a free, no-pressure consultation to see if we are a good fit.
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© COPYRIGHT 2025 MADELEINE WISNER. ALL RIGHTS RESERVED.
Madeleine "Maddy" Wisner is a New Zealand Registered Midwife and California Licensed Midwife.
RM# 15-30914
LM# 510
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
    • Pregnancy Testing
    • LMC Services >
      • Frequently Asked Questions
  • Birth Stories
  • Schedule
  • Your Healthcare Rights