Newborn and Postpartum Care

Immediate Postpartum
The postpartum period begins the moment your baby is born and continues for the next two years. As your midwifery team we will help facilitate the delivery of the placenta within 30 minutes following the birth of the baby. We encourage mom to be an active participant in this process. During this time your midwifery team will be assessing both mom and baby for well-being. Typically, your birth team will prepare a high protein meal, clean away birth necessities, start a load of laundry, chart, tuck you and your baby in and depart your home within 3 hours following the birth. We will exam the placenta and ensure mom has emptied her bladder prior to our departure.

Your baby is here! What you have waited and longed for is now in your arms. As your birth team we will do our best to honor this sweet time and assure as much assessment as possible is done all while skin-to-skin with your newborn and with the utmost care to not interrupt or disturb your sacred moments. Most assessment can be done without disrupting the bonding period with mom and baby, but we will want to assure baby is pink, breathing well and has a strong heartbeat. After the first hour of uninterrupted mom and baby time, your birth team will fully assess your newborn. A newborn exam will be completed within close proximity to mom and dad. Your baby will be weighed, measured and examined thoroughly, then tucked near the breast and skin-to-skin with mom.

A nursing baby is one of the most natural and best tools a midwife has to inhibit bleeding after birth. The newborn on his mother's breast will help produce a perfect blend of hormones encouraging the placenta to release and the uterus to contract. Most babies, when placed in the center of mom's chest and following an unmedicated birth, will latch on independent of helping hands. Should you choose to allow your baby to breast crawl, we will support you and baby during this time. Not all moms choose this way, but rather prefer to give their baby a helping hand. Our team will talk with you about optimal latch both during your prenatal visits and again prior to leaving your home following birth. We will also follow up and provide breastfeeding support for you and your newborn in the days to come.

“Mothers don’t breastfeed, babies breastfeed.  Babies know how if we let them”
Nils Bergma

Postpartum Follow-Up
Midwifery care does not end with birth. Often the postpartum period is the most over-looked and neglected aspect of the pregnancy and birth period. The first few days after birth are milestones of transition for both mom and baby. We offer a 24 hour phone call, a 48 hour visit by a member of our birth team, as well as a 2 and 6 week visit. We strongly encourage you to invite one of our postpartum doulas to walk alongside you and your family during this time as you welcome new life into your home. We are available to you by phone or text during these days and offer full emotional and informational support.

Placenta Encapsulation

The custom of a mother ingesting her placenta following the birth is a long standing tradition that dates back centuries. The belief surrounding this practice provides indicates several  benefits to the woman postpartum including  increased oxitocin and decreased stress hormone, both of which allows the mother a greater ability to bond and a reduction in postpartum depression.

At Kona Birth and Midwifery Services our process is as follows:

Within 24 hours following a home birth (or immediately following the release of the placenta from the hospital) the placenta is washed and slowly dehydrated. This process takes approximately 48 hours from start to finish.  The placenta is then powdered and encapsulated in gel capsules and delivered to the mother upon completion.  We also shape the umbilical cord and dehydrate it as a keepsake for the family.

*Placental Encapsulation is included in both the home birth and doula package fees. For individual placenta encapsulation the prices begin at $120.

Questions  & Answers

Should  I give my newborn Vitamin K? 

One of the first decisions you will need to make as a brand new parent of a brand new born baby is where or not to give Vitamin K. Here are a few articles to help you as you become educated and make an informed decision for you and your baby.

Should my Newborn get a Vitamin K Shot?

Evidence on: Vitamin K Shot in Newborns

What can you do to naturally decrease the chance of vitamin k deficiency bleeding (VKDB). 

Should   Vaccinate my Newborn

This is a very personal question and must be a very personal answer. You and you alone should decide how to care for your newborn and developing child.  Choosing to vaccinate, delay, or not vaccinate is no small decision and must be one decided after much education and informed consent. Know what you are, or are not, giving to your child and understand if the risk of the vaccine outweighs the benefit. According to the CDC here are a few vaccines you will be offered from birth and into the second year of life:

Birth to 15 Months

Vaccine Birth 1 mo 2 mos 4 mos 6 mos 9 mos 12 mos 15 mos
Hepatitis B1 (HepB) 1stdose ←2nddose→ ←3rd dose→
Rotavirus2 (RV)
RV1 (2-dose series); RV5 (3-dose series)
1stdose 2nddose See footnote 2
Diphtheria, tetanus, & acellular pertussis3(DTaP: <7 yrs) 1stdose 2nddose 3rd dose ←4thdose→
Haemophilus influenzae type b4 (Hib) 1stdose 2nddose See footnote 4 ←3rd or 4thdose,
See footnote 4
Pneumococcal conjugate5 (PCV13) 1stdose 2nddose 3rd dose ←4th dose→
Inactivated poliovirus6 (IPV:<18 yrs) 1stdose 2nddose ←3rd dose→
Influenza7 (IIV) Annual vaccination (IIV) 1 or 2 doses
Measles, mumps, rubella8 (MMR) See footnote 8 ←1st dose→
Varicella9 (VAR) ←1st dose→
Hepatitis A10 (HepA) ←2 dose series, See footnote 10
Meningococcal11 (Hib-MenCY ≥ 6 weeks; MenACWY-D ≥9 mos; MenACWY-CRM ≥ 2 mos) See footnote 11
Tetanus, diphtheria, & acellular pertussis12(Tdap: ≥7 yrs)
Human papillomavirus13 (HPV)
Meningococcal B11
Pneumococcal polysaccharide5 (PPSV23)

I like Dr. Aviva Romm as a resource on vaccines. She is a midwife, herbalist and medical doctor and appreciate her open minded approach. 

Here are a few of her resources:

On-Line Webinar

Her Book

Other Resources

Common Sense Guide to Vaccines 

The Vaccine Guide


The Vaccine Book

Naturopaths in Kona

For open-minded doctors in our area who are willing to listen to you ad discuss your vaccine plan, schedule and appointment with:

Dr. Anne Marie Lambert, ND

Dr. Corinne Desoto, ND