Michelle Gawne, LM, CPM
Kaleen Richards, CNM, ARNP
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Prenatal Care
Prenatal visits are scheduled:
Every 4 weeks until 28 weeks gestation, Every 2 weeks from 28 to 36 weeks, and weekly from 36 weeks until the birth. These visits occur in our office in Sanford.
At 28 Weeks Gestation:       
Perform routine prenatal appointment
Obtain a 1 hour post prandial blood sugar (finger stick) checking for gestational diabetes
Check Hemoglobin (same finger stick)
*Antibody Screen if Mom is Rh Negative blood type
Review Risk Screen

After this appointment, visits are every two weeks until 36 weeks gestation.


At each prenatal visit your midwife will check:
your weight, blood pressure, urine (for protein, glucose, ketones and nitrites), fundal height, palpate the position of the baby, listen to the baby's heart rate with a doppler or fetoscope, review your nutritional intake, discuss pregnancy management and family situations, and perform routine labwork.
At 36 Weeks Gestation:          
Perform routine prenatal appointment
Check Hemoglobin (finger stick), *Antibody screen if Rh Negative Mom
Review birth supply list
Inspect home for cleanliness and readiness for homebirth
Review Risk Screen
Review Postpartum instructions
Sibling Prep Class (if needed)
Review when to call midwife

After this appointment, visits are every week until labor has begun.
Another aspiring midwife at work!
Children are often active participants at visits.
Here Grace is telling the midwife where she feels the baby kick most often.
Thank you to Krysten and her family for allowing us to use pictures from her prenatal visits here!
Heart 2 Heart Birth Center, Inc.
1110 Lexington Green Lane
Sanford, Florida  32771
Call (407) 322-9944
Gynecological Well Woman Exams / Primary Care & Complete Prenatal Care