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Childbirth Options LLC renders midwifery services in the office and home care for homebirths with Sizzly Auer LM CPM available in the great Tampa Bay area and these are the counties we services:

Hillsborough, Pasco, Pinellas, Hernando, Citrus, Sumter, Polk, and Marion County. If you live further we travel up to an hour to you from Wesley Chapel, FL. Unless You are a first time mom, we can travel up to 90 mins

Childbirth Options-Miami is Miriam Maldonado LM CPM serves the great city of miami dade, broward, West Palm Beach, and monroe county.


Complete care for women who can expect a normal pregnancy and birth, supportive care for those women that may present with certain risks, postpartum care and support, normal neonatal care, breastfeeding support, and normal gynecological care aldo known as well women care.

At Childbirth Options LLC we believe that pregnancy, labor and birth are normal events in a woman’s life, as well as a normal function of their bodies, not an illness. We strongly trust and believe that pregnancy and childbirth should be experienced in a safe and pleasant environment. As midwives we want women to have the right to choose the care that fits their lifestyle and respects their individual, social, spiritual and economic needs. Women have the right to choose their care provider, the place of birth and who will be present at the birth to relieve stressful situations. As healthcare providers we are obligated to explain the pros and cons of all procedures and interventions that are available, suggested or needed during the pregnancy, labor and birth, which helps families make informed decisions.

Childbirth Options strives to give the expecting mother and baby the best start at a new, healthy long life together. 
This includes:

  • Having his or her mother obtain excellent prenatal care

  • Having no drugs introduced into their bodies during labor

  • Being born in a supportive environment

  • Sparing them from the harmful separation from the mother and family after birth

  • Having the opportunity of being breastfed within the first hour of birth.

As midwives, we practice under the Laws and Rules of the Florida Statute 467 and rule chapter 64B24. We are fully trained in a three-year program, licensed by the state, and carry malpractice insurance as required by law.

You will meet all the midwife’s assistants, all who are certified with CPR and NRP. There may also be another licensed midwife present at the time of birth.

Midwife means “with woman”
It’s your body, your baby, and your birth. A midwife will take the time to get to know you and care for you as a person. Midwives provide personalized care that respects individual and cultural differences. With a midwife, you become an active partner in your care…working with your midwife to decide the course of your pregnancy and birth.

Birth is safe
Numerous studies have shown that for healthy, low-risk women, midwife-attended births—whether at home, in a birth center, or at a hospital —are just as safe, if not safer, than physician-attended hospital births. Complications do sometimes occur; however, midwives are trained to recognize and treat them. Because midwives offer one-on-one individualized care, they are more likely than other practitioners to address any problems or concerns quickly, and with respect for your needs.

All medical interventions have risks and benefits.
Midwives are trained to minimize interventions and respect the natural birth process, which yields better outcomes for mothers and babies. If interventions become necessary, the midwife will work with you to help weigh the risks and benefits of each decision.

Birth is more than a medical event

Whether you are a first-time mom or a fifth-time mom, a new baby will change your life in wonderful and unpredictable ways. The outcome of a birth is more than a healthy mom and baby—it’s a family. A midwife can help your new family get off to a great start, whether it’s by helping with breastfeeding, or just listening when you’ve had a rough day. Midwives treat you as a whole person, and address your physical, emotional, psychological, and spiritual needs throughout pregnancy, birth and the postpartum period.

* The law does not apply to self-insured companies.

Preparation for your appointment

Prenatal care is provided at the office.
Home visiting revives the tradition of personalized care but is only given for clients that are private pay or pay for the services that insurance wont cover.

  • Initial visit includes:

    • Explaining midwifery care 

    • Signing consent forms for your care online

    • Reviewing medical and pregnancy history of you and your partner

    • Risk assessment is done to make sure your a good candidate for home birth

    • Discussion of danger signs & things to avoid during pregnancy

    • A prenatal passport that you can keep with you at all times

    • Homework will include a diet diary written for a week to determine if your dietary habits are sufficient for your pregnancy

    • Suggestions for any nutritional change for a healthy pregnancy

    • Physical exam to determine your health and which pelvis type you have

    • Pelvic exam with PAP & cultures

    • Blood work for screening  

Routine prenatal visits include:

  • Checking your blood pressure, pulse, and temp

  • Weight gain, & urine analysis done by yourself so you are a part of your own examination and learn about your health

  • Measuring the size of your uterus to make sure baby and dates are accurate

  • Monitoring baby's heart beat, position and movement

  • Standard lab work and tests

  • Nutritional guidance

  • Exercise(Yoga tapes are available to lend)

  • Natural remedies for common discomforts of pregnancy

  • Discussion of emotional and social well being

  • Ultrasound, available as needed, at a local facility.

  • Obstetrical consultation given when necessary if your labs or 
    well being is not reacting well with natural remedies

  • Childbirth Education is provided through the whole pregnancy and class settings are required during the end of second trimester and beginning of third trimester.

Labor and Birth

Having an out of hospital birth requires trust in your body and the birth process, trust in who is taking care of you, and taking responsibility for your care. It is natural to have some fears surrounding birth. As you receive 
education and information, as you actively participate in making 
decisions over your care, and your trust in the birth process increases, 
these fears usually minimize or totally go away.


Home birth

Having a home birth will provide you with a tranquil, comfortable and familiar environment in which to bring your baby in to the world. No routine vaginal checks are done. You will be able to move around and change positions. You will be able to eat and drink as desired. Total support will be provided, including words of assurance, massage, counter pressure, 
etc. we will follow your well-being closely, as well as the baby’s. We bring all equipment necessary like oxygen, resuscitation equipment, and medication to stop excessive bleeding. We do not provide any type of anesthesia for the birth, or surgical birth. We do perineal guard to avoid tears but in the event that you do tear we do provide local anesthesia.


Water Birth/ Water Use During Labor

The use of water during your labor can be key to help you relax. A regular tub can be used for you to submerge yourself during labor. If you desire to plan for a water birth and do not have a big tub or Jacuzzi, ask us for information on how you can rent a portable tub or obtain an inflatable one. Feel free to check out books on water births.


The Family During Labor

During labor, direct support by a partner or close family member is encouraged. You are free to have anyone in your family attending the 
birth. In some occasions, the amount of people, or the conduct of the people around you, may interfere with your labor and birth. If this happens, we may need to limit their presence, for your benefit, and that of the baby. Otherwise, we believe birth to be an intimate, as well as a family event; therefore, we will respect your choice of the amount of people participating. If you have other children and wish them to be present as well, an adult, other than the direct support person, must be present to supervise them. We do encourage participation of siblings

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