Initial Labwork- 8-12 weeks or first visit

  • OB Panel- Blood type, Antibody Screen, Complete Blood Count (CBC), Rubella, Hepatitis B, Syphilis*

  • STI Panel- including HIV, Gonorrhea, and Chlamydia

  • Hemoglobin A1C - (HA1C)

 

* The only test you are required to consent to per AZ statute and the rules and regulations that govern licensed midwives, is the syphilis test which must be run by 28 weeks.

 

Ultrasound- Offered at various times during pregnancy

  • Other Indications- Bleeding, measuring large or small for dates, or anytime there is something we are seeing that warrants gathering more info.

  • Biophysical Profile--see section below.

 

Preferred Local Ultrasound Providers:

  • Precious Predictions- A family-centered experience offered at affordable cash rates. The owner/ ultrasound tech is a fellow home birthing momma. Located in Mesa, AZ. 

  • Valley Perinatal - Several locations throughout the valley, accepts most insurance plans including ACCCHS.

 

3rd Trimester Labwork- Around 28 weeks

  • Repeat Antibody Screen and RhoGAM® is offered to those with an Rh- negative blood type. If you are Rh- negative please click here to read about Rh sensitization, RhoGAM® , and the Rh- negative blood type.

 

Late Pregnancy Labs- 35-37 weeks

Biophysical Profile/ Non-Stress Testing- 41+ weeks 

At 41 weeks, or anytime there is a concern about how baby is doing, you will be offered:

 

Cord Blood Banking - at the moment of birth (not routine)

Licensed midwives are required by the AZDHS to offer information about cord blood banking, though we do not necessarily recommend this procedure for all families. Cord blood banking requires early cord clamping, while our standard of care is delayed cord clamping. You must arrange for private cord blood banking such as CBR  before the birth and have your kit on-hand. If you decide to bank your baby's blood please let us know in advance.

 

 

Vitamin K Injection- Offered within 2 hours of birth

Routinely offered to prevent Vitamin K Deficiency Bleeding (VKDB), a clotting disorder, that causes spontaneous, uncontrolled bleeding which can cause death or permanent brain damage. Intramuscular injection of vitamin K prevents VKDB in almost all babies.

 

 

Erythromycin Eye Ointment- Offered within 2 hours of birth

Routinely offered to prevent a serious infection of the eyes, ophthalmia neonatorum (ON), which affects babies born to mothers with untreated gonorrhea or chlamydia.

 

 

Newborn Screen- Bloodspot/Heel Stick Screening

The Arizona Newborn Screening bloodspot test screens for 29 rare and serious disorders.

  • Offered twice; First screen at 24-48 hours and Second screen at 5-10 days. Both screens are recommended for the most accurate results. Some of the disorders are most accurate in the early screen timeframe while others are more accurate in the late screen timeframe. 

  • Website: AZDHS information about Newborn Screening

    • Cost of newborn screening is $36 for the first screen and $65 for the second. Not included in the global fee. The second screen can be billed to insurance, including ACCCHS however at this time AZHDS is unable to bill insurance for the first screen. 

 

 

Pulse Oximetry- Offered at first postpartum visit 

Newborn screening for critical CHDs involves a simple bedside test called pulse oximetry. This test estimates the amount of oxygen in a baby’s blood. Low levels of oxygen in the blood can be a sign of a critical CHD. The test is done using a machine called a pulse oximeter, with sensors placed on the baby's skin. The test is painless and takes only a few minutes.

 

 

Hearing Screen- Recommended < 1 month old

Hearing screening takes a few minutes while your baby is sleeping. This screening is the first step towards identifying a hearing loss. Early identification is very important. Hearing loss is found in about three babies out of every 1,000 born. In Arizona, that means that between 200-300 babies with hearing loss are born each year.

ROUTINE TEST AND PROCEDURE EDUCATION

During the course of your care at East Valley Midwifery you will be offered all standard  tests and procedures for you and your baby.

 

During our prenatal appointments, we will discuss your individual health situation and answer all of your questions so that you will be able to make an informed choice about which tests and procedures you will opt in for decline. All tests except syphilis (see below for more info)  are considered optional and your informed choice will be honored. 

 

Lab fees, ultrasound imaging, and medications are not included in the global fee.

 

Here are some resources and information, in the order which they are offered, to help you make the best decision for your family.  Click the links below for more information about each test and procedure:

40 W. Brown Rd #108, Mesa, AZ 85201

480.567.9784 ph

480.955.0980 fax

  • Facebook
  • Instagram
  • Yelp

©2020 by East Valley Midwifery, LLC