Three Rivers Midwifery Service, PLLC
Cindi Wylie, CNM
Supporting Gentle Birth in Hampton Roads
Services
Meet and Greet
Deciding who will care for you during your pregnancy and birth is very important. We hold meet and greets regularly, which is a great opportunity to meet the team and get a lot of information. We will give an overview of the care that we offer, our philosophies, and answer your questions. These meetings are held at the birth center and we can provide a tour as well if desired.
​
If you would like to attend one of our meet and greets, please complete our consultation request form.
Prenatal Care
We will provide full prenatal care for you throughout your pregnancy. This typically includes monthly visits until about 28 weeks, then every 2-3 weeks until 36 weeks, then weekly until birth. Each visit will include plenty of time to talk, answer questions, and check you and your baby. Friends and family are welcome to attend, including children and your labor support team.
​
All standard testing, including labwork and ultrasound, will be offered. Labs are billed separately and can be drawn in the office or at the lab. An order will be provided. A referral will be provided for ultrasound.
Around the clock on call availability
We will be on call for you 24 hours a day 7 days a week from 37 weeks until your baby is born. This includes phone support, triage, and our availability to come to your home for labor and birth.
Labor and Birth
Our team will come to your home or meet you at the birth center once you are in labor and stay until you and the baby are stable after birth. The team includes a minimum of one certified-nurse midwife and a trained assistant at every birth. We offer continuous support and will monitor the well-being of you and your baby throughout labor and the immediate postpartum period. We carry equipment to every birth, including emergency medications, oxygen, equipment for monitoring mother and baby, instruments for birth and suturing, and resuscitation equipment.
Hospital Transfer
If it is determined that the hospital is the safest place for you or your baby to be at any point during your pregnancy, labor, or postpartum recovery, a transfer will be recommended. When transferring to the hospital or hospital-based care (during pregnancy), we can no longer be your care providers because we do not have hospital privileges. We will facilitate a smooth transfer and continuity of care with your new provider by providing records, report and accompanying you if you are in labor. We are happy to remain a part of your care in a supportive role if desired.
​
Personalized care, guided by you and your family
Postpartum
After the baby is born, we will stay in your home or birth center during the immediate postpartum period until you are both stable. This is usually about 2-6 hours, but will depend on how mother and baby are doing. Ongoing monitoring of maternal and newborn well-being will be performed. The midwife will complete a comprehensive newborn exam and any indicated testing. We will help you initiate breastfeeding and facilitate bonding. All supplies and equipment will be cleaned up. Before discharge, we will make sure that both mom and baby are doing well and that the family knows how to provide postpartum and newborn care independently.
​
A midwife will return to your home for postpartum visits at 24-72 hours and 1 week after the birth. Newborn screening tests can be completed at the initial postpartum visit if desired. These will be discussed during your prenatal visits. We will make sure you and baby are doing well, assist with breastfeeding, complete any desired testing, and answer questions.
Gynecological Care
We offer gynecological services including well-woman care, PAP smears, screening and treatment for sexually transmitted infections, and contraception services including IUD and Nexplanon placement.
Evidence-Based Care
We strive to keep ourselves current on the most up to date research and recommendations. We will discuss this information and use it to make decisions together that are best for you and your family using shared decision making. For more information on shared decision making, click here.