Client Materials
Please scroll all the way down for some excellent articles on different choices! Required reading for WomanWise families; if you don’t have the information you can’t make an informed choice!
Intake Form
This is the start of our journey together! This is your history, in your words and it is helpful to have this for our first visit.
Mana Stats
Anonymously participate in a national study documenting homebirth.
Rh Negative
What does it mean to be Rh negative?
Newborn Metabolic Screen
What is a newborn metabolic screen?
When to call the midwife
Print and hang on your fridge for easy access.
Birth Tub Rental Agreement
Informed Choice: Midwifery
My training, experience and philosophy as they relate to your midwifery care.
Diet Diary
4 day diet diary helps to lay out your normal diet so we can encourage you and help you!
Informed Choice Documents
Genetic Screening
Information on Genetic Screening in pregnancy.
Vitamin K
Why newborns may need Vit K supplementation.
Other Forms
Record Release Form
Financial Agreement
Please read and sign the financial agreement; and bring it with you to your first appointment.My fee as of September 2023 is $6500
HIPAA Form
Your rights under the Health Insurance Portability and Accountability Act (HIPAA)
Erythromycin
What is erythromycin eye ointment for?
Group B Strep
Birth Supply Kit List; you can choose your options
Resources
What’s in our birthkit? Options…
Miles Circuit: Used to help move baby into optimal positioning during pregnancy and labor.
Preventing Vit K deficiency bleeding: Current study on Vit K from Midwifery Matters.
Oral Vitamin K drops: These are the oral Vitamin K drops we recommend.
Oral Vitamin D drops: These are the Vitamin D drops we recommend and use ourselves!
The Glucose Challenge (GCT): Learn the differences in glucose testing and how that can affect your results.
Mommypotamus: A trusted source for health research, including tested and proven remedies, real food recipes, and DIY solutions for moms with young children.
Dr. Aviva Romm: Evidenced based and balanced research on many issues such as GBS, GCT, headaches, and many others.
More from Aviva here: check out more of Aviva Romm’s great articles on pregnancy
Herbs in Pregnancy: What’s Safe? Aviva Romm Article on using herbs safely in pregnancy
Treating UTI’s naturally during Pregnancy Article by Dr. Aviva Romm on UTIs
Evidence Based Birth: Putting current, evidence based information into the hands of communities so they can make empowered choices.
Passage's Birth Tub: One-time, personal use birth tub ** this one is smaller than other birth tubs we carry!
GBS info: latest study on GBS. Summary on last page.
GBS article from BMJ
Get your own fetoscope! It’s so nice to hear your baby at home!
Early pregnancy loss/Miscarriage a guide to your options from Aviva Jill Romm