Birth & Wellness Resources | San Antonio Midwife Support

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Breastfeeding is Natural!

I'm sure you've heard all the hype. Yes breastfeeding is indeed natural, but it isn't always naturally intuitive! While there are some...

midwifemikacnm

Oct 17, 20244 min read

Contact Us

Appointment times and birth availability are limited. Please fill out the form below. If you are inquiring about home birth services, please complete this brief questionnaire so we can better understand your needs, pregnancy history, and goals before your consultation.

First name*

Last name

Phone*

Email*

Address*

Have a question? Type your message here. If you are interested in home birth/prenatal care services, please also answer the questions below.

What was the first day of your last menstrual period?

Estimated Due Date (if known)

Month

Day

Year

Are you currently receiving prenatal care? If yes, with whom?

What led you to consider home birth and midwifery care?

Please list all previous pregnancies, including year, type of birth, place of birth, gestational age, and any complications. (Example: 2021, vaginal birth, hospital, no complications.)

Have you ever had a cesarean birth or uterine surgery? If yes, please explain.

Please list any current or past medical conditions. (Examples: high blood pressure, diabetes, thyroid disease, anemia, asthma, blood clotting disorders, seizures, mental health conditions, etc.)

Please list any previous surgeries.

Have there been any complications or concerns in this pregnancy so far?

What questions or concerns would you like addressed during your consultation?

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