Medications
While there may be a belief in America that out-of-hospital based providers have limited tools or maybe even just a feather, some herbs and a cauldron, our list is quite extensive. Listed below is a partial list of our supplies, tools, and meds:
Well Being and Vital Sign Monitoring
Sphygmomanometer (blood pressure cuff)
Stethoscopes for adult and newborn
Electronic fetal monitor for use in pregnancy for non stress tests (NSTs)
Ultrasound and television monitor for the family’s viewing, gel, printer for pics
Dopplers (hand held to hear fetal heartbeat and doppler gel)
Tape measure (for belly growth and to measure newborns)
Pulse oximeter for CCHD (critical congenital heart disease screening) or to be used during resuscitation
Laboratory set up for blood draws, cultures, amniotic fluid detection, PAP smears, PH paper, urinary dip-sticks, pregnancy tests, newborn screen tests, etc.
Intravenous fluids (IV) set-up
Urinary catheters
Two full nitrous oxide set-ups with nitrous oxide and oxygen mixers
Newborn resuscitation tray including: oxygen source, Ambu-bag (bag, mask, valve), laryngeal mask airway (LMA), oximeter, suction tubes and a transport bed with heat unit
Resuscitation Ambu-bag for adults (never used...but why not be prepared?)
Oxygen cylinders and adult masks
Instruments to cut cord, suture, place IUDs, and other wellness services
Disposable supplies (sterile gloves, underpads, sterile gel, peri-bottle, 'granny' undies, pads, baby diapers, suture material, syringes, hazardous waste bags, non-sterile gloves, etc.)
Vitamin and Herb List
Turns out, this list is way longer than our medication list. We have a large assortment of supplements, homeopathics and herbal remedies that some midwives use during labor and for purchase during prenatal and postpartum care. We offer many supplements in our clinic at prices less than retail for your convenience.
Medication List
Vitamin K (for newborn if requested)
Erythromycin eye ointment (for newborn if requested)
Pitocin (not to be used in labor, only to prevent or treat a hemorrhage)
Methergine (postpartum only)
Misoprostol (postpartum only)
Tranexamic Acid* (for postpartum use)
Antibiotics for prophylactic use (only for GBS positive people)
Tdap immunization* (3rd trimester dose if desired)
Hydroxyzine* ("sleep Mama...still early labor”)
Hepatitis B injection* (for newborn only if birthing parent is positive)
Oral and implant hormonal birth control* (wellness care)
Lidocaine (for use while suturing)
RhoGam injection (for RH negative people)
Terbutaline* (stops contractions in emergencies)
*CNM only
Birth Support Tools (partial list)
Birth tubs (plenty of hot water at the birth center!)
Birth balls of all sizes and shapes (including peanut ball for labor progress)
Yoga sling
Birth stools of different types
Hot towel heater
Rice socks, heating pads, hot water bottles
Herbal (arnica) massage oils
Love (oxytocin), gravity, patience, time and privacy - all our best tools!