Home Birth Midwifery Care



Kara Schamell is a Certified Professional Midwife located in San Francisco, CA. Since 2010, she has served women at various points throughout the female lifespan….pre-conception to post-menopausal.

Please visit her new website http://www.moderntraditionalmidwife.com for more!


Women are drawn to home birth for many reasons. Some were born at home themselves or know others who’ve had home births, some were inspired by The Business of Being Born or Ina May Gaskin, some have done extensive research on the safety of birth in various settings, or took classes in college exploring cross-cultural birthing traditions. In the end, most women who arrive at the decision to birth at home have an intuitive sense that home is the most comfortable place to bring their baby into the world. They are drawn to home birth because they are seeking a personalized, intervention-free, gentle birthing experience.

The tradition of home birth is rooted in the philosophy that birth is a normal, physiologic process for women who are healthy, low-risk, and experiencing an uncomplicated pregnancy. Home birth midwives and home birthing families are not inherently anti-doctor, anti-hospital, or anti-technology. Rather, home birth midwifery is a path for those who recognize the value of judicious (as opposed to standard) utilization of obstetric skills, hospital resources, and technological intervention.

Whether you are just warming up to the idea of a home birth or you have known for a long time that you wanted to have your babies at home, feel free to contact me for a free consultation. Every woman and her partner should know all of their options before choosing a provider or a location of their birth. I am happy to answer any and all questions you may have, by arranging an in-person consultation at no cost. Please contact me at moderntraditionalbirth@gmail.com.

Home Birth Midwifery Care Includes

  • Comprehensive In-Home Prenatal Care with full access to screening, ultrasound, and lab work, on the same schedule as hospital-based providers:
    • Every 4 weeks for the first & second trimester
    • Every 2 weeks starting at 28 weeks gestation
    • Every week starting at 36 weeks gestation, until the baby is born
    • Prenatal Appointments are generally an hour or longer. Clinical tasks include taking vitals, checking urine, identifying baby’s position, measuring mama’s belly to gauge appropriate growth, and listening to the baby’s heart beat with a fetoscope or Doppler.
    • Aside from clinical tasks, appointments are centered around building a relationship, troubleshooting common discomforts, and discussing diet and nutrition. Good nutrition is a stepping stone to a healthier, *more comfortable* pregnancy– discomforts can often be remedied through food or high quality supplementation.
    • ‘Informed Choice’ is a cornerstone of the Midwifery Model of Care. We spend a good amount of time discussing the benefits & risks of upcoming testing/screening options. Clients are provided with comprehensive, non-biased information; and so long as a particular screen/test isn’t clinically indicated, a client may decline any or all testing/screening opportunities.
  • Continuous support throughout labor & birth. In labor, we check vitals and listen to the baby’s heart rate at set intervals, to ensure that mama & baby are healthy. Labor support is tailored to individual clients’ needs.
  • Routine postpartum perineal assessment; perineal repair done in-home, if necessary.
  • A full newborn exam in the first 2 hours following the birth, and again at 24 hours.
    • Optional Newborn Procedures (Eye Prophylaxis, Vitamin K, Newborn Metabolic Screen): Information is provided to clients, who may choose or decline any/all procedures.
  • Comprehensive In-Home Postpartum Care
    • Postpartum visits: 24 hours after the birth, on day 3, at 1 week, 2 weeks, 4 weeks and 6 weeks postpartum.
    • Perineal healing advice & assessment
    • Breastfeeding support
    • Referrals to a large network of professionals should further expertise be required.
  • Well Woman Care
    • Pap Smears (at 8 weeks postpartum for mamas)
    • full gynecological exams
    • STI testing

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