Midwifery Care Associates
Simmonds, Martin, & Helmbrecht, Chartered
Phone: (240) 514-0140   Fax: (240) 514-0148
Email: cnm@midwiferycareassociates.com
11301 Rockville Pike, 3rd Floor
North Bethesda, MD 20895 
(in the White Flint Mall)
~
77 Thomas Johnson Drive, Suite H
Frederick, MD 21702
"Certified Nurse Midwives offering respectful, competent, gentle health care to women throughout their lives"
Homepage    Meet the Midwives    History of MCA    Forms, Links, and Handouts    Consulting Physicians    Birth Stories    Shady Grove Hospital
Chapter One: Introduction to MCA
     *What is MCA?
     *MCA Office Hours
     *MCA Telephone Numbers
     *What is a Certified Nurse Midwife?
     *How is a Nurse Midwife different from an Obstetrician
     *Who cannot use midwifery care?
     *Our Certified Nurse Midwives
     *Our Consulting Physicians
     *The Place of Birth: Shady Grove Adventist Hospital
     *Routines at SGAH
     *Is it safe to labor without continuous fetal monitoring?
     *How is pain managed?
     *What complications can be handled?

Chapter Two: Prenatal Care
     *Client Rights
     *Client Responsibilities
     *Grievance Procedure
     *Student Caregiver Policy
     *Prenatal Visit Schedule (including routine testing)
     *Genetic Testing
     *RH Negative Women
     *Diabetic Screening
     *Chlamydia/Gonorrhea Screening
     *Group B Streptococcal Infections

Chapter Three: Growth and Development During Pregnancy
     *A Month-by-Month Guide to Maternal and Fetal Changes

Chapter Four: Do's and Don'ts of Pregnancy
     *What to Strive For During Pregnancy
     *What to Avoid During Pregnancy

Chapter Five: Common Concerns and Discomforts of Pregnancy (including prevention and treatment suggestions)
     *Abdominal Pain
     *Back Pain
     *Bladder Problems
     *Bleeding
     *Bowel Problems, Constipation and Hemorrhoids
     *Colds/Upper Respiratory Infection
     *Dizziness/Faintness
     *Fatigue
     *Headaches
     *Heartburn/Indigestion
     *Nausea/Vomiting (Morning Sickness)
     *Leg Cramps
     *Shortness of Breath
     *Skin Changes
     *Swelling
     *Vaginal Discharge
     *Varicose Veins
The Blue Book
We have recently modified and updated the Blue Book, which was initially developed by the Maternity Center to answer common questions about the practice and to prepare you for pregnancy, labor and birth. Feel free to download the chapters for printing,  or save them on your computer.
Chapter Six: Preparing for Labor and Birth
     *When to call the Midwife
     *Premature Labor
     *Postdates and Postmaturity
     *Childbirth Education
     *Sibling Preparation

Chapter Seven: Labor and Birth
     *Instructions for Labor
          *When to Call
          *Prodromal/Early/False Labor
     *Cesarean Birth
     *Cord Blood Banking
     *Emergency Childbirth

Chapter Eight: Postpartum
     *The Birth Certificate
     *Care of the Postpartum Mother
          *Rest
          *Cramps
          *Vaginal Bleeding
          *Care of the Perineum/Stitches
          *Urination and Bowel Movements
          *Exercise
          *Intercourse
     *Cesarean Birth Recovery
          *Incision Care
          *Pain Management
          *Diet
          *Activity
          *Follow-up Care AfterLeaving the Hospital
          *Emotional Issues Related to Cesarean Birth
     *Infant Feeding
          *The Choice
          *Bottle Feeding
          *Breastfeeding
          *Problem Solving
          *Where To Go For Help
          *Points to Remember