The traditional care package follows the same structure as the comprehensive package, but starting between 20-24 weeks and finishing at 4 weeks postpartum.
This package still has extra appointments on the third trimester to allow for a relationship to build and for the extra time the birth preparation takes. Clinical appointments follow the NHS/NICE guidelines path and are around 2 hours long. 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 hours 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 happen at home or in hospital but please note that I cannot offer direct clinical care a hospital setting, but I can support you with decision making and coping strategies. I will be available for you by text anytime during working hours.
Mileage included for 1 hour or 50 miles.
Click the boxes to find out more.
Care during 6 months from mid pregnancy (20 weeks) until a month postpartum.
Everything you need for your birth is included. Extensive birth preparation, TENS machine hire and 10L Entonox.
Extra treats: Baby massage course, Luxury goody bag (cloth nappies, a sling and a mini potty).
*Not included: birthing 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.
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.
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
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