Comprehensive Package

The comprehensive care package is the most complete package available. You will receive care from booking your pregnancy at around 8 weeks until your baby is 6 weeks old. And now you get exclusivity too. No other clients due at the same time as you.

The appointments follow the NHS/NICE guidelines schedule with extra appointments to build a strong trusting relationship between us and to allow for the extra treats I have in store for you. Appointments are generally around 2 hours long and they are a mixture of clinical, birth preparation,  and general conversation. I now offer a biomechanics course in all my packages with a brand new rebozo for you that you can also use to carry your baby. 

Postnatal appointments are also up to 2 hour long with plenty of time for breastfeeding support, baby checks and learning about responsive parenting through baby carrying, co-sleeping, elimination communication and cloth nappies. If you are experiencing breastfeeding difficulties I will involve a lactation consultant free of charge who will see you face to face and provide online follow up for two weeks. 

 Birth can be planned at home or in hospital but please note that I cannot offer direct clinical care at a hospital setting but I can support you with decision making and coping strategies. I will be available for you by phone or  text anytime during working hours. 

Mileage included up to 1 hour or 50 miles.

Exclusivity

You will be my only client due that month

This package includes

Click the boxes to find out more.

Antenatal features

15 antenatal appointments starting at 8 weeks.

You get

• Appointments at 8, 12, 16, 20, 24, 26, 28, 30, 32, 34, 36, 38, 40, 41, 42 weeks • Weekend home appointments available • Support during scans or consultant appointments • Partner and children welcomed • Biomechanics workshop • Colostrum harvesting kit • 10h of personalized birth preparation

Postnatal features

12 Postnatal appointments over 6 weeks

You also get

• Appointments on day 1, 2, 3, 5, 7, 10, 14, 18, 21, 28, 35, 42 • NIPE check included • Newborn Blood spot • Unlimited breastfeeding support • Babywearing advice • Co-sleeping advice • Elimination communication demo • Cloth nappies demo

Birth features

Home birth or hospital birth**

The important bit

• On Call from 37 weeks • TENS hire with pads • 10L Entonox • Birth insurance • All equipment, notes and drugs needed for your care • A second midwife for your birth

Extra features

Because you deserve it

Amazing!

• Support from a lactation consultant if there is a clinical need • A responsive parenting starter kit with exciting goodies such as newborn cloth nappies, a sling, an infant potty for elimination communication (valued in £ 200)

What is special about this package?

MOST COMPLETE PACKAGE

This package is the longest package with a total of 26 appointments over 9 months, including care during the first trimester and a long post natal period

ALL YOU NEED

Everything you need for your birth is included. Extensive birth preparation, TENS machine hire and 10L Entonox.

EXTRA TREATS

This package is the longest package with a total of 26 appointments over 9 months, including care during the first trimester and a long post natal period

*Not included: birth pool hire, scans, blood tests, consultant care. 
It is advisable to still book your pregnancy on the NHS so you can access these services and speed up a potential hospital admission if you ever need one. If you do not want to access NHS care at all in pregnancy, do not worry, there are services I can refer you to.

Package pricing

Comprehensive package


Perfect if:

– You want to receive great care from an independent midwife with minimal NHS involvement

– It is your first baby or you are ‘high risk’ and the NHS does not support your home birth

– You want the benefit from birth preparation and unlimited breastfeeding support

– You know you want different options for pain relief at home

– You parenting philosophy involves slings, cloth nappies, co-sleeping and early infant potty learning.

Package price

£8000

Not sure if this package is for you?

Do you want to tweak this package?

Any questions?

Hello! My name is Irene Vine and I am an independent midwife  covering Suffolk, Essex, Cambridge and East London. I provide full antenatal, postnatal and birth care including homebirths and outside of guidelines care. I am passionate about supporting women achieve a birth experience where they feel empowered, heard and understood. If you would like to experience the best possible care with unrushed appointments and a private midwife who is always at the other end of the phone, give me a call! I cover most cities and villages in East Anglia, such as Chelmsford, Colchester, Ipswich, Cambridge, Harlow, London or Southend.

Resources For Fetal Heart Monitoring

1.When did we start monitoring babies in labour?

For more high quality evidence around fetal monitoring please visit Kirsten website here, an obstetrician with a PHD in CTGs. https://birthsmalltalk.com/

In this post she discusses intermittent auscultation: https://birthsmalltalk.com/2023/08/23/what-is-intermittent-auscultation/

Hear her talk about the lack of evidence behind CTGs in this podcast: https://open.spotify.com/episode/1eXZY973Oxbs1ducavpSAk?si=872f8c4077be4ba5

Post on the history of fetal heart monitoring: https://birthsmalltalk.com/2023/08/09/listening-to-the-fetus-the-history-of-fetal-heart-rate-monitoring/

Cochrane review comparing CTG to intermittent ausculation (CTG increases interventions
): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

Does CTG use improve outcomes for high risk women? https://birthsmalltalk.com/2024/10/16/the-story-behind-our-paper/

2. How should we use intermittent auscultation in labour?

These are the NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

Midwife researcher and lecturer Rachel Reed has a brilliant article and podcast about this where she unpicks the evidence around the recommendations for intermittent auscultation protocols here https://www.rachelreed.website/blog/listening-to-baby-during-labour

and podcast here: https://open.spotify.com/episode/3sJeIR3xUOr20EBRGilHxl?si=818537594dd04457

The WHO recommendations for intrapartum care: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

3. How does intermittent auscultation detect fetal distress?

For more on normal and abnormal heart rate monitoring watch this explanatory video: https://www.youtube.com/watch?v=Ni48bbtiZgs

4. What happens if there are concerns with the fetal heart rate at a homebirth?

NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

5.What is better for fetal monitoring in labour: a Doppler or a Pinard/fetoscope?

To read about the research and the experiences of midwives using a fetoscope/pinard antenatally and in labour check these links out.

Short facebook comments compiled in this magazine here: https://www.midwiferytoday.com/mt-articles/wisdom-of-the-midwives-issue-131/

Midwives perceptions of fetoscope vrs Doppler Tanzania https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1736-y

Midwives experiences of Pinard use Norway https://www.sciencedirect.com/science/article/pii/S0266613822000407

Defense of fetoscope article by American midwives

https://hearthandhomemidwifery.com/blog/fetoscope-a-tool-of-the-midwifery-trade#:~:text=Fetoscope%20uses%20go%20beyond%20just,birthing%20person%20and%20the%20baby.

A Cochrane review that compares Doppler and Pinard use in low income countries: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008680.pub2/full

For a compilation of research that compares the use of Doppler to Pinard check this link: https://www.cochranelibrary.com/content?templateType=related&urlTitle=%2Fcentral%2Fdoi%2F10.1002%2Fcentral%2FCN-01110791&doi=10.1002%2Fcentral%2FCN-01110791&p_p_id=scolariscontentdisplay_WAR_scolariscontentdisplay&_scolariscontentdisplay_WAR_scolariscontentdisplay_action=related-content&p_p_lifecycle=0&p_p_mode=view&type=central&contentLanguage=

6. What if you decline some or all fetal auscultations?

Is fetal monitoring essential?: https://birthsmalltalk.com/2024/11/06/myth-busting-3-fetal-monitoring-is-essential/

7. What to bear in mind about intermittent auscultation in labour?

Examples of womens experiences of fetal auscultation in labour: https://www.sciencedirect.com/science/article/pii/S1871519224002658#bib14