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Postpartum Midwifery Care 

What is Postpartum Midwifery Care? Postpartum Midwifery Care includes the following services: - Prenatal evaluation of postpartum needs and planning.  - Screening for postpartum mood disorders including postpartum depression  - Appraisal of postpartum bleeding  - Assessment of infant feeding including:  - Weight checks of the infant to insure adequate intake  - Evaluation of nursing technique   - Troubleshooting nursing issues  - Support for breastfeeding, chest feeding, bottle feeding or mixed methods  - Inspection of perineal, vulvar and/or vaginal healing after birth - Exam of cesarean incision healing  - Appropriate treatment or referral for abnormal healing - Re-suture of dehisced vulvar wound  - Administration or prescription of medications as needed - In-home lab draw - Support for family involvement in the postpartum period  - On-going support for 1st year postpartum through support groups and community   - On-line resources and referral network to support families in the postpartum

Packages
Postpartum Care Packages

Postpartum midwifery care can start any time in the first year after birth. 

For optimal support, we recommend starting within the first 2 weeks postpartum. 

We believe that families should be able to stay in the comfort of their own home and not have to leave for routine care, so we come to you for the first few visit.   

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Listed below is a sample of the packages we offer.  Before signing up for care we invite you to schedule an initial 30 minute online consultation to explore what makes the most sense for you. 

Full Moon Package ​​

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  • 2 Prenatal Visits 

  • Free entry into the Postpartum Prep, Infant Care and Infant CPR Workshop ($333 value)

  • 6 Postpartum Visits 

  • Postpartum closing ceremony 

  • Free entry into the New Parent’s Group ($350 value)

  • Text, call or email for 1 year postpartum 

Full Moon Package Details Ease into parenthood with the full postpartum package. Each client’s services will be holistically tailored to fit their personal needs. How it works! Read below for a description of what postpartum care looks like at the KAZ Project ​Access by text, email or phone for 7 weeks after visits. 2 prenatal meetings: * 1st Meeting: In clinic visit Review medical, family and social history * Discuss details of postpartum support desired and offered * Evaluation of client’s constitution and overall health including physical exam and detailed review of general health * Creation of detailed recommendations customized for the client to optimize health and healing in pregnancy and the postpartum 2nd Meeting: In home visit * In home evaluation of supplies and living set up * Recommendations for setting up furniture and supplies to create a workable environment after baby is here Instruction and practice on hand expression and colostrum collection *Nipple measurement and pump flange fitting *Pump set up and tutorial * Practice nursing positions with a doll (provided) in different places in your home with a support person * Will bring sitz bath herb kit and show your support person how to make it * 50% off of the Preparing for the Postpartum, Infant Care, Lactation and Infant CPR Workshop or Private Class Postpartum * Free entry into the New Parent’s Group ($350 value) 4-6 Postpartum Visits Each visit include the following * Screening for postpartum mood disorders including postpartum depression and anxiety * Assessment of infant feeding including: - Infant weight gain and evaluation - Infant exam Evaluation of postpartum healing including: - Uterine position - Assessment of bleeding - Abdominal muscle healing - Lymphatic flow - Blood pressure and other vital signs - Discussion around bowel and bladder health - Evaluation of the integrity of stitches and laceration/incision healing - Assessment of hemorrhoids or edema Support for breastfeeding, chest feeding, bottle feeding or mixed methods Holistic treatments will be integrated as needed including: - Belly binding - Sitz bath preparation - Yoni steams - Nutrition counseling based on client needs and constitution - Lymphatic movement techniques - Therapeutic Breast Massage - Oil massage as indicated - Evaluation of healing needs from an Elemental Medicine lens Cost: $ 3,500 Please note that I offer sliding scale, trades and packages can tailored to meet your needs

Waxing Moon Package 

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Customizable package to include postpartum, lactation or well person care visits. 

Waning Moon Package

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2 In home visits 

Waning Moon Package Details:  ​​ 2 In Home Visits:  - Anytime in the first year postpartum ​ ​ ​Access by text, email or phone for 7 weeks after visits.   Service Includes: ​​​ - Screening for postpartum mood disorders including postpartum depression  - Appraisal of postpartum bleeding  - Assessment of infant feeding including:  -- Weight checks of the infant to insure adequate intake  -- Evaluation of nursing technique   -- Troubleshooting nursing issues  -- Support for breastfeeding, chest feeding, bottle feeding or mixed methods  -- Inspection of perineal, vulvar and/or vaginal healing after birth -- Exam of cesarean incision site -- Evaluation of abdominal muscle and pelvic floor integrity  -- Appropriate treatment or referral for abnormal healing -- Re-suture of dehisced vulvar wound  -- Administration or prescription of medications as needed -- Support of family/friend involvement in the postpartum period  -- On-line resources and referral network to support families in the postpartum  Waning Moon Cost: $ 650

Note: Sliding scale and/or trade available- Contact Us to inquire. 
Lactation
Mother breastfeeding her newborn baby boy holding him in cradle position. Perfect position
Lactation Services 

All lactation consultations include 2 in home visits and access to the lactation consultant for 3 weeks.  If further evaluation and support is needed, clients can purchase al a carte visits as an add on to the initial visits. 

Initial Evaluation: 

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  • 1-2 hour in home evaluation

  • Assessment of infant feeding including: 

    • Weight checks of the infant to insure adequate intake 

    • Evaluation of nursing technique  

    • Troubleshooting nursing issues 

    • Support for breastfeeding, chest feeding, bottle feeding or mixed methods 

 

Follow Up Visit: 

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  • 1-2 hour in home evaluation 

  • Follow up on outcome measures (Ex: infant weight, improvement of nipple damage) determined at initial evaluation 

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Phone, text and email support: 

  • All questions are responded to with in 24 hours

  • 3 weeks of access by phone, text or email 

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Cost: $ 300

Á La Carte Visits (add on visits) 

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  • Baby Weight Check: 30 minute visit.  Cost: $75 

  • Directed Follow Up: 1 hour visit. Cost: $200 

Midwives

Meet the Midwife 

Serena Saeed-Winn is the primary midwife at the KAZ Project and holds the following titles and experiences: 

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  • Trainning: 

    • Certified Nurse Midwife (CNM)

    • Women's Health Nurse Practitioner (WHNP) 

    • International Board Certified Lactation Consultant (IBCLC)

    • Completion of Perinatal Mood Disorders: Components of Care training from Postpartum Support International 

    • Registered Nurse (RN) 

  • Experience: 

    • 14 years as a midwife ​

    • Mother of 3 

    • Mother of twins ​

    • Projects she has been involved with:

      • UCSF Midwifery program instructor ​

      • The KAZ Project (formerly MOMumental) education program 

      • The Homeless Prenatal Program client education and staff training  

      • Bloom, sexuality education program 

      • Birth Companions Community Center- doula mentor and board member 

      • Bridges to Patient Empowerment- board member 

      • San Francisco Birth Center midwifery full scope services 

      • CPMC Mission Bernal midwifery practice- full scope midwifery 

      • Sage Femme Birth Center- full scope midwifery 

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