Midwifery Model of Care
Naturopathic Midwifery Education
Maternity care at Docere Center is provided by Dr. Chenelle Roberts. Chenelle provides caring, individualized, natural midwifery care. As your licensed midwife, you will have her support throughout your prenatal care, labor & delivery, and the postpartum period. All midwifery clients are provided with 24-hour pager access. Natural pediatric care after the birth is also available.
Docere Center offers home birth and birth center delivery options throughout the Seattle-area. Prenatal visits are conducted at the clinic in Greenlake.
During your initial prenatal visit, Chenelle will take a thorough history of your medical health, perform a physical examination and collect initial pregnancy lab work. In addition, she will spend a sufficient amount of time with you to address any concerns you have, as well as to speak with you about your pregnancy and your vision for childbirth.
Routine prenatal visits follow the standard of care for all maternity care providers. During your prenatal visits, she will perform prenatal examinations and address any concerns you may have. Ample time will always be available to continue the dialogue about your pregnancy, what to expect and preparation for birth and beyond.
There are many standard tests that are offered during your pregnancy. In each case, she will explain and discuss these tests with you so that you can make well-informed choices. Docere Center is unique in its midwifery care with the blend of naturopathic medicine. Most common concerns can be addressed in-office without the need for a referral to an outside provider. Should the need arise, you will be referred to a specialist.
Labor & Delivery
At Docere Center for Natural Medicine, your licensed midwife is on-call 24 hours a day to ensure that each woman is fully supported throughout her pregnancy and during her labor experience.
Throughout your pregnancy, we strive not only to address your needs as an individual, but also to become familiar with your vision for childbirth. This birth vision is developed and discussed in detail with your birth team during your prenatal care. In honoring the midwifery model of care, we strongly believe in educating women about their expectations and fears in labor as well as offering encouragement and support.
As a licensed midwife, Chenelle provides supplies for normal delivery as well as emergency equipment necessary for both mother and baby, should the need arise. These include IV fluids, antibiotics for GBS, suturing equipment, resuscitation equipment and emergency medications for hemorrhage, anaphylaxis and seizures.
"My philosophy after the birth is to promote family bonding and to support breastfeeding immediately. These essential elements are always honored and respected, with the exception of any medical complications that may occur."
As a licensed midwife, Chenelle is trained and certified in neonatal resuscitation and adult CPR. In addition, she has extensive experience in the management of postpartum complications, such as postpartum hemorrhage.
Following the midwifery standard of care, Chenelle will visit you and baby in your home within two days postpartum. This visit includes physical examination of both mother and baby, breastfeeding support and discussion of any concerns that you may have. In addition to this home visit, your maternity care will include in-office follow-up visits at one week and six weeks postpartum. Additional visits are available as necessary.
After the birth of your baby, a full physical examination of your newborn will be performed. Newborn care is also available after the birth, including informed choices regarding immunizations if desired. A unique aspect of Docere Center is the availability of full newborn and pediatric care.
Chenelle will support you in your labor and delivery either in the comfort of your own home or at a licensed birth center facility. Several birth center locations are available. Your birth team will bring all necessary birthing supplies and equipment to either location.
Center for Birth (Eastlake)
The Midwifery Model of Care is guided by a shared belief that pregnancy and birth are normal, natural life processes.
At Docere Center, Chenelle practices the Midwifery Model of Care as defined by the midwifery task force:
As a midwife, she monitors the physical, psychological and social well-being of each mother throughout their childbearing cycle. She provides every mother with individualized education, counseling and prenatal care. She provides continuous hands-on assistance during labor and delivery as well as postpartum support. Her goal is to minimize intervention, while safely identifying and referring women who require obstetrical attention.
In addition to the naturopathic medical education, naturopathic midwives complete two to three years of midwifery-related coursework and extensive clinical training in pregnancy and birth. Coursework includes normal pregnancy and birth as well as specific training in recognition of prenatal, labor, postpartum and neonatal complications.
Washington State sets one of the highest standards in midwifery clinical training nationally. This clinical training includes observation and management of prenatal visits, natural delivery and postpartum visits. Chenelle attended and assisted well over 100 deliveries, and individually had more than 2000 clinical hours of experience prior to her licensure as a midwife. Since completion of her training she has attended an additional 250-300 births.
To become recognized as a licensed midwife (LM) in the State of Washington, the applicant must graduate from an accredited college of midwifery and successfully pass both the national examination boards (NARM) and the Washington State specific exam.