140 Hospital Drive
Bennington, Vermont 05201
Certified nurse-midwives are providers of primary health care of women and newborns. Care by nurse-midwives incorporates all of the essential factors of primary care and case management that include evaluation, assessment, treatment and referral as appropriate. The model of health care practiced by CNMs is focused on the ambulatory care of women and newborns and emphasizes health promotion, education and disease prevention and sees the woman as central to the process of providing such care.
An annual exam or well-woman exam would include:
review of health history
review of life-style habits
review and discussion of any specific problems or concerns
complete physical exam
additional specialty testing as indicated
referrals to specialists as indicated
education and counseling as indicated
If this is the first time visiting Women’s View Midwifery, please arrive 10 minutes early to complete necessary medical history. In effort to ensure you get the most accurate Pap smear results, please do not use vaginal douches or creams for at least three days prior to your appointment, refrain from sexual intercourse for at least 48 hours prior to your appointment, and do not use tampons, birth control foams, cream, douches, or lubricants for at least 48 hours prior to your appointment. These things make it difficult to collect an adequate cellular sample.
We encourage our clients to schedule their appointment about one or two weeks after you expect your period. If your period starts, and you know you are due for your Pap smear, call our office to reschedule.
Complete Blood Count
Blood sugar evaluation
Fecal Occult Blood Test
Menopausal and perimenopausal hormone levels
Vitamin D levels
Lead levels or screening for toxic metals
Screening for immunity to common childhood diseases
Bone Density, Osteoporosis Evaluation
Cervical Cancer Screening
Treatment for PMS and/or abnormal menstrual periods
Family planning, Contraceptive management including IUD placement
Sexually transmitted disease testing and treatment
Genetic screening/counseling, ie: BRAC analysis for Breast and Ovarian cancer gene mutations
Pelvic floor evaluation and referral to specialists as indicated
Affordable Care Act & Clinical Preventive Services for Women
One key set of provisions under 'Title IV: Prevention of Chronic Disease and Improving Public Health, Subtitle B: Increasing Access to Clinical Preventive Services' requires insurance coverage without cost sharing for proven clinical preventive services, including important services for women such as immunizations, cancer screenings including Papanicolaou tests and mammograms, bone density tests, iron deficiency and anemia screening, hypertension and lipid screening, depression screening, folic acid supplements and behavioral counseling regarding obesity, alcohol use and smoking cessation. This provision means that the majority of insurance plans in the USA must cover evidence-based clinical preventive services without copays, deductibles or other economic burdens to the consumer.
Complete Maternity Services including prenatal visits, delivery, and postpartum care.
We believe education is one of our most powerful tools, and one that will help you make informed choices that are right for you. We believe birth is a very special time—one of great challenge and fulfillment, and we work to provide you and your baby with a safe and satisfying experience. Your family is welcome to support you through all stages of your pregnancy.
Prenatal care is an integral part of the service we provide. Visits are scheduled every 4 weeks until the 28th week of pregnancy, every 2 weeks between 28 and 36 weeks, and then weekly until birth. Family and friends are welcome during your visits. We enjoy meeting your 'birth team' during your pregnancy!
Medical and obstetrical histories are taken and a physical exam is done. There will also be time for answering questions. At this visit and at all subsequent visits the following are done:
Measurement of blood pressure and urine analysis
Nutritional assessment and weight
Assessment of any swelling
Screen for signs or symptoms of infection or illness.
Monitor the growth of the uterus (fundal height) and for normal growth of your baby
Position of the baby
Monitor and assess baby's heart rate and rhythm
Monitor and assess baby's movement and activity level
Other: common discomforts of pregnancy and remedies, emotional concerns, and anything else you or I believe needs addressing
Laboratory testing as needed or required at initial visit, 28th week, and 36th week
Prenatal education and referrals to WIC, and other community outreach programs.
Ultrasound for anatomy and growth is routinely ordered at the 20th week of pregnancy. Follow-up ultrasounds are ordered as medically indicated.
During labor and birth we:
Provide emotional support
Suggest positioning and comfort measures
Support your choices for your birth plan
Support natural childbirth as well as several medical pain relief options
Offer the option of waterbirth for relaxation and comfort
Every labor is different and you will receive individualized care appropriate to your situation. We do our best to honor your wishes. Both you and your baby will be monitored frequently during labor to assure that all is proceeding normally. All vital signs, urine analysis, nutrition status, membrane status, contractions, etc will be checked, and the baby's heart beat will be assessed. We provide labor and delivery services at Southwestern Medical Center in Bennington, Vermont.
Complete postpartum care is provided in the first six weeks after the birth. This is a full physical exam post delivery that includes: vital signs, general appearance and mood, nutrition, uterus, lochia, and pap smear. We will also discuss breastfeeding and any other concerns or family dynamics. Please call our office post delivery to schedule this followup visit.
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