Transitions Midwifery, PLLC

06/22/2025

We love that seeing moms through midwifery care doesnt just mean evaluating your medical state, but building a relationship with you, your family and your baby!

If you’re pregnant or considering pregnancy, here are 5 reasons to consider midwifery care.

For healthy births and , women and babies deserve access to trusted midwives each step of the way.

bit.ly/4kShgEQ

06/09/2025

New research has been published examining whether induction of labour at 41 weeks prevents stillbirth, compared with expectant management (waiting).

However, it is known that induction itself carries serious risks, up to and including stillbirth, so its use should be considered carefully.

The study found that the number of inductions needed to prevent one stillbirth was 1,830.

This is many more than in previous studies: induction was less effective at preventing stillbirth than previously thought.

Furthermore, the study overestimated the rate of stillbirth in the expectant management group, meaning the number of inductions needed to prevent one stillbirth was even larger than the 1,830 they found.

The study found that induction at 41 weeks increased the caesarean rate, increased the number of babies born in poor condition (Apgar

03/08/2025

American Journal of Obstetrics and Gynecology Meta analysis on water birth.
"When compared with land birth, water birth does not appear to increase the risk of most maternal and neonatal complications. Like any other delivery method, water birth has its unique considerations and potential risks, which health care providers and expectant parents should evaluate thoroughly. However, with proper precautions in place, water birth can be a reasonable choice for mothers and newborns, in facilities equipped to conduct water births safely."

https://www.facebook.com/share/p/1C3SByguwn/?mibextid=xfxF2i

AJOG Expert Review in Labor: Water birth: a systematic review and meta-analysis of maternal and neonatal outcomes https://ow.ly/nr7O50R9Nzi

12/30/2024

Great visual of how breastfeeding works, snd looks like a great product too!
https://www.facebook.com/momi.naturally/videos/573166462027719/

01/28/2024

Welcome Baby Brynn!

01/28/2024

11/04/2017

WEBINAR GIVEAWAY

In honor of the MANA Conference, I have decided to do a GIVEAWAY!! There are ten, that's right, TEN FREE webinars that are up for grabs. This is going to be so much fun!! Here's how to enter:

--LIKE this post
--SHARE this post
--LIKE my page Karen Strange Neonatal Resuscitation & Transitions
--TAG 2 friends in a comment who would love to win a free webinar
--COMMENT "done" when you have completed all steps.

Giveaway winners will be chosen TUESDAY NIGHT (November 7th).

GOODLUCK & SEE YOU AT MANA!!!

12/03/2015

A difficult concept to understand if it hasn't been explained. For all the new or upcoming mom's who plan to nurse, nurse often, and on demand. It's what your baby needs!

An empty breast makes milk faster than a full one. Don't wait until your breasts feel full to nurse.

11/13/2015

So Beautiful, and So Crucial!

Sacramento Valley Midwifery Care
Birth News
Did you know......the only species on the planet to use a device to break the protective amniotic sac around their unborn baby is......us. The rationale and history behind artificial rupture of membranes (AROM) is to augment or speed the labor process. The bag of water actually consists of two layers, an amnion (inner membrane) and chorion (the outer membrane). "When clients call or text and explain that they think their water broke it is important to determine if both layers of the amniotic sac have broken (usually a big gush of fluid) or if one layer of the sac has broken (usually a small, intermittent trickle)," explains Renee Hanevold, APN, CNM. "This information (and a few other questions) should help your provider determine what feedback she is going to give you and your options moving forward." Renee Hanevold goes on to say, "I rarely, if ever break anyone's water. In my opinion the risks far outweigh the benefits. If mom is doing well and baby is doing well, what is the rush?"
It is important that mom's understand when the sac is broken, both layers are punctured and the protection around the baby is eliminated. There also becomes a risk that the umbilical cord could prolapse and there is a higher risk of infection. Renee further explains, "I have personally seen AROM speed up labor by an hour, two at the most if I'm being generous. Is that worth the risk to the baby?" "In my experience," Renee says, "if this medical procedure is explained to moms completely, they decline to have the sac broken, continue to labor and the baby is birthed anyway." Finally, Renee explains, "besides, if left alone there is a chance that the baby could be born in the caul (born without the amniotic sac breaking). This is supposed to have very special meaning and very rarely happens. I have seen it about 7-8 times in my career."
In closing, it is important to Renee Hanevold to dispell the myth that an amniotic sac needs to be broken for a baby to be born. "Women have slowly been convinced that the amniotic sac needs to be broken before a baby can be born and that is just not the case. The amniotic sac, if left alone, usually breaks on it's own at the right time....right before a baby is born."

Renee Hanevold, APN, CNM has been a practicing midwife since 2000 and has attended over 3000 births. Renee currently attends home births in Fair Oaks, Sacramento at Sacramento Valley Midwifery Care.

11/06/2015

This!!

Yes!!!

08/11/2015

07/22/2015

Sometimes it can be difficult to remember to care for yourself when your newborn and family have so many needs. Here is a good printable to remind you of daily self care. :)