02/03/2026
"Do you go to the hospital after?"
Home birthers raise your hand if you've gotten this question from confused family and friends 🙋♀️
LOL no and that's the whole point.
The literal BEST part about home birth is the amazing & comprehensive postpartum care that is provided in the comfort of your home.
Not only do you not have to leave home, but you don't even have to leave your BED.
The training, core competencies & legal scope of practice for licensed midwives in MN & WI cover all the exact same mother/baby aftercare that takes place in hospital L&D rooms.
After a baby is born at home, immediate APGARs are taken at 1 & 5 minutes and the heartbeat is checked, all while the baby is on your chest. If baby requires any stimulation, breathing support or other assistance that will be provided, usually with the cord intact & baby on the chest unless full resuscitation is needed (rare).
The midwives will assess & if necessary control any blood loss, monitor the birthing person’s vitals & facilitate cutting the cord when the family is ready. From there baby will spend the first several hours of life skin-to-skin to promote bonding, temperature/breathing regulation and breastfeeding.
Once everyone has settled after birth, usually after any lacerations have been repaired and the birthing person has been to the bathroom, fed, bathed & tucked into bed, the midwives will begin the newborn procedures & exam with the family according to their wishes.
This includes:
🌿Anatomy, reflexes and heartbeat check
🌿Weight/length/head circumference
🌿Vitamin K shot
🌿Pulse oximeter checks
🌿Heel prick/metabolic screen
🌿CCHD screen
🌿Cord blood testing (for Rh- folks with a partner who is +)
🌿Several temp checks
🌿Eye ointment
And in the following days and weeks, the midwife team will return, to do things like:
🌿The hearing screen
🌿Additional BP/fundal/temp checks on the birthing person
🌿Heartrate, diaper output and weight checks on the baby
🌿Assess breastfeeding progress
🌿 Draw blood & run labs on the birthing person
🌿Check perineal healing
🌿Rhogam if necessary/consented to
🌿Screen for postpartum mood disorders
🌿Monitor overall recovery and adjustment
📷: Birth Made Beautiful ~ Kara Jo Prestrud