BirthRoot Midwifery offers comprehensive pregnancy and birth care in Tompkins County and the Finger Lakes area. The licensed midwife, Sandra Londino, provides full prenatal care, attendance at your birth in your home, postpartum care for six weeks after birth, well-newborn care for the first two weeks of life, and lactation support.

Prenatal Care

Comprehensive prenatal care is the foundation for a safe homebirth. Clinical evaluation, including routine examinations and lab work, confirm that you stay within the low-risk category throughout your pregnancy. All care is holistic, incorporating each individual’s needs and wants. Family and friends are welcome to participate in care as each client desires. If you feel uncomfortable or otherwise unable to birth at home, BirthRoot offers prenatal and postpartum care, with transfer of records to the provider of your choice at a mutually agreed upon date. This is an excellent option if you desire the personalized, holistic prenatal and postpartum care that BirthRoot offers but, for whatever reason, cannot give birth in your home.

What’s included:

  • Complementary consultation interview: an opportunity to meet and answer/ask questions.
  • Initial prenatal visit includes a review of your medical and social history, complete physical exam with pap smear (if needed), and a blood draw for prenatal lab work.
  • Physical assessments at each visit include: blood pressure, weight, urinalysis, fundal height measurement, uterine and fetal palpation, and auscultation of fetal heart tones.
  • Ongoing prenatal visit schedule: every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until the birth.
  • A home visit is scheduled at 36 weeks for all members of the birth team to meet each other, see the surroundings where the birth will take place, assess any issues or problems about the birth space that may come up, and discuss your wishes and desires.
  • Extended prenatal visits (1-2 hours) provide a relaxed opportunity to ask questions. Possible topics for discussion include: common discomforts of pregnancy, nutrition, exercise, emotions surrounding pregnancy changes, sexuality, feeding your baby, newborn care, postpartum support, family relationships, prenatal testing options, and plans for the birth.
  • Direct phone access to the midwife 24 hours a day from 36 weeks until the birth of your baby.
  • Use of lending library of books and videos pertinent to pregnancy, childbirth, postpartum, holistic health, nutrition, herbs, pediatric health, and parenting is available for all clients.
  • Referrals to community resources as needed or desired, such as prenatal yoga, massage therapy, chiropractic care, acupuncture, herbal healing, doulas, etc.

Labor and Birth Care

The importance of physical, emotional, and spiritual well-being are considered as we develop a birth plan with you. You and your birth partner are encouraged to be active participants in your birth as you envision your surroundings, support team, and comfort measures.

What’s included:

  • On-call availability 24/7 for your birth from 37-42 weeks gestation. Non-urgent calls or emails may be returned within 24-48 hours.
  • Emotional and clinical support as needed and desired.
  • Periodic monitoring of the fetal heart rate and your vital signs, labor progress, and emotional well being.
  • Acknowledgement of the importance of a calm, peaceful environment, including keeping lights and voices low and avoiding unnecessary and intrusive interventions.
  • Prevention of complications or problems through low-tech monitoring, hydration, nutrition, optimal positioning, and rest.
  • Natural pain relief including position changes, massage, hydrotherapy, aromatherapy, acupressure, herbal and homeopathic remedies, and continuous loving support.
  • While prevention is our primary strategy, we are prepared to deal appropriately and quickly with complications. We carry emergency equipment, supplies, and medications to every birth.
  • Initial lactation support and newborn exam, with administration of infant eye ointment and Vitamin K, if desired.
  • After the birth we stay with the family until everyone is stable and tucked into bed and the birth space has been cleaned up – usually 2 or 3 hours.

Availability and Backup During Labor
As your due date approaches, Sandra is on-call for you 24 hours a day and is committed to attending your birth. Sandra works with other local midwives to ensure backup is available if an emergency arises that prevents Sandra from attending your birth.

Homebirth or Hospital Birth
Sandra attends births at home throughout Tompkins County and the Finger Lakes Area. If you choose a hospital provider for your birth, Sandra can still provide you with comprehensive prenatal care and resume postpartum care after birth.

Postpartum and Newborn Care

We help you navigate the challenges and needs of the early postpartum period.  All postpartum care is aimed at preserving and promoting bonding, integration, rest, and breastfeeding success.

What’s included:

  • Home visits at 1-2 days postpartum and 3-4 days postpartum
  • Office visits at 2-3 weeks (optional) and 6 weeks postpartum (the 6-week visit includes a complete physical exam with pap smear, if needed).
  • Postpartum care includes attention to physical, emotional, social, and cultural needs.
  • Newborn care during the first 2 weeks of life includes physical assessment, weight checks, and newborn metabolic screening. At around 2 weeks, your baby will enter pediatric care with the provider of your choice.
  • Support is available 24 hours a day throughout the first few weeks.

Lactation Support and Co-Nursing

We provide proactive, attentive lactation support as part of postpartum care.

What’s included:

  • Skilled support in the early days after birth to prevent and treat common difficulties such as nipple soreness and engorgement.
  • Hands-on assistance to make sure your baby has a good latch and show you several comfortable nursing positions.
  • Lactation support for nongestational parents who choose to induce lactation. The Newman/Goldfarb protocol is used for induced lactation.
  • Referrals to lactation consultants as needed.

Not sure if BirthRoot Midwifery is right for you?
Schedule a free 60-minute in-person consultation to meet the midwife and have your questions answered.
Schedule a free in-person consultation